HomeMy Public PortalAbout6339 OAK AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1307220008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: (SEWER / SEPTIC: SEWER I BUILDING ADDRESS: I
ON FILE (EXIST OCC GRP: 1 6339 OAK AV I
IBLDGS. NOW ON LOT: I TEMP CA 917801336 [
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: I
15382-017-031 (ORIGINATION: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: I
107/22/13 SR 1
I ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DAT FI Y: CODE: 1
ICHAN, CHO SEE (626) 262-1821- IJOB NUMBER: I 1
16339 OAK AV ITRUNK PERMIT NUMBER:
ITEMP 917801336 IROAD PERMIT NUMBER: ID2SCRIVTIONIOF WORK [
1 IAFFADAVIT: NO ICONNECT 2ND: UNIT TO PUBLI SEWER 1
IWAIVER: NO
[APPLICANT: TEL. NO: (EASEMENT: NO I I
IVAN, STEVEN (626) 675-7052- 1 1 1
11798 GIGAR TERR IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: [
(WEST COVINA CA 91792 (HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER: I I
ICONTRACTOR: TEL. NO: [ FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE I
IDATKAM CONSTRUCTION, INC. (626) 675-7052- I 1 I
11798 GIGAR TERRACE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I/� �f 1
IWEST COVINA CA 91792 859760 1 1
I 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL [ 1 1
I 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK 1
[ARCHITECT OR ENGINEER: TEL. NO: [ TOTAL FEES 74.80 1
ILEE, PETER (626) 280-9000- I ISEPTIC TANK, SEEPAGE PITI
18748 E VALLEY BLVD SUITE L LIC. NO: I IAND/OR DRAIN FIELD I 1
ROSEMEAD CA 91770 859760
DRYWELL
I SEWER MAP BOOK: PAGE: [ [ALTER, REPAIR, SEWER OR I I I
[SEWAGE DISPOSAL SYSTEM
1 DISCONNECT PLUG AND 1 1 I
I 1 [ABANDON HOUSE SEWER 1 1 1
IBACKFILL SEPTIC TANKS
I [ ISEEP. PIT _ CESSPOOL _
I I I I I I
IGRAYWATER SYSTEM
I I I I I I
I I I I I I
I I I I
I* ADDITIONAL DATA ON FILE I I I [
IREPORT ID: DPR266 ROUTE TO BS0508 [ I I 1
I I I I I
Y AEEAPPLICATION FOR PERMIT
EI�63 92.44
DIMSION OF WELDING AND SAF'E'TY SEWER-SEWAGE DISPOSAL
Degcir ant of County Engineer
County of Los Angeles JDDRESS
ILDING
WM.J. FOX, COUNTY ENGINEEROASSA'T'T D. GRIFFIN,SUP'T'DI BUILDINGCALITI
'FOR APPLICANT TO F'II.L INROSS ST
ROSS ST.
LEGAL s� ..a�.._._..�.
dE5CR.iPT1�N LOT NO, f". �%' OWNER
BLOCK TRACT ep 49A1L --
- A1)DRrS5
NO OF BLDGS.
SIZE OF LOT IjO.1v ON LOT - CITY E: NO. `
----__—'-- — _—. .y.
USE OF NSTR9CT -
13UlLCa
��INCS _--_.- _ .--. __ �..�._._..__..._--_._______ , GROUP MAP 9
BK PG
CONTRAr -11
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ADDRESS - CONNECTION DATA
CITY STATION - / . DEPTH
STATE MANHOLE REF'EAENC.E
REGISTRATION NO. .. C! COUNTYLO'TlER,.—
..i.�..e._.._._-_. TYPE OF CONNECTION LENG.T'H fRG•A
NO. ! DE CIiET17P1 OF WORK FEE . curze _ L, t.l�L T P.L. Me
_"
HOUSE AVER CONNECTING TO " - —
. _ PUBLIC R
110U 5 L Si Fw ER co—NNECTINGTO �— --
PRIVATE D1S"OA SYSTEM
CONNECT ADDITIONAL BLDG. OR
fi CO. IMP. NO. �°s�L $ JO'B. NO.
WORK TO HOUSE SEWER 1.00 .. i __�..
SE ER OR REPAIR CX.3STtNG
ER OR DISPOSAL SYSTEM - 1,00
SFN+ (. :RtJhK PEIt?,iiT NO. ROAD E' RttT N0. ..
DISCONNECT AND ABANDON SEWER �:TATE ENCROACHMENT
---AND/OR DISPOSAL SYS.:EM 1.03
SEPTIC-'IANC SEEPAGE PIT OR
PIIS AND/OR DRh NI IELD 2-000`I WASTE
RIAL
CESSPOOL DRY'�NELL v WASTEAPPROVAL _
_, Ss FC"sAL CONDITIONS ONLY e. .00_ CHARGES
----:�! —CONNECTIO:N CHAP,E FEE
OWNER'S
—PERMIT ---�� 1I 00
AUTHORIZATION TOTAL FEE
T HAVE. THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- �. ^s
TRACTOR TO CONNECT THE AI30VE CESCPH3ED EXISTING- DWELLING PPIROfDACE { INSPECTOR'S SIGNATURE •.
TO THE Plt3LfC SEWER ---
NEW HOUSE SEIVER
SIGNED THIS .._..DAY OF 19—
ER O
;IO,NECT ADDiT30YAL
Qi1?ti e'VJNERS AEN'T.r..� - — _ BUILDING OR WORK
—_ S'e PTIC TANK SEEP, PITS)
f.dD%OR DRA,NFILLD
I HEREBY ACKNC-NLEDCE THAT I HAVE RE-Ad THIS APPLICATION CESSPOOL D DRYc E:LL CI
AND STATE THAT THE. ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, TCEPAIR,SEWER OR
FLUNISING AND SEWERS. SEWAGE DISPOSAL SYSTEM .
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/oR —"_.. ....__..._..._..,�.�......._._._._
L!CENSFD AS R EOUIRF.0 BY LOS ANGELES COUNTY AND STATE OF mSCONNEC7'PLUG AND
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE A;3 r�xSDOPd HOUa`:SCWK R _ _- _
DESCRIBED R S!UENTIAL PROPERTY. BACKFILL SEPTIC TANKS Q
4EEP.PIT(S) CI CESSPOOLS❑
SIGNATURE'
OF PERMITTEE'.._
WILLIAM J. FOX. COUNTY ENGINEER VAMDATION
SY b
DEPUTY DEPUTY
BY BY �N
DEPUTY �s `y'- .—ted.Y s L,. DEPUTY