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HomeMy Public PortalAbout9147 OLEMA ST_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0301280002 • BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: GAL D: SEWER SEPTIC: B DING ADDRESS. TR: 12115 LT: 26 EXIST OCC GRP: 9147 OLEMA ST BLDGS. NOW ON LOT: TEMP CA 917801340 ASSESSOR INFOR14ATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: ENCINITA 5382-023-018 ORIGINATION: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED 8 EXPIRES 0 : 01/29/03 JK 07/28/03 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL A FINAL BY: CODE: SHIH, STEVEN (626) 688-9968- JOB NUMBER: // 0 9147 OLEMA ST TRUNK PERMIT NUMBER: TEMP 917801340 ROAD PERMIT NUMBER: 0 0 WORK AFFADAVIT: NO CONNEC HOUSE TO SEWER WAIVER: NO APPLICANT: TEL. NO: EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: HIGHWAY/STREET WI-DEN:I.NG,_''-..._- STATE ENCROACHMENT-P_ERMI NUMBER.-.. CONTRACTOR: TEL. NO: a;�j"C�j� �' FEES.P.`I%D APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER ��%1��t LIC. NO FEE%DESCR'I,PTION: r✓> QUANTITY-: UAMOUNT: NEW HOUSESEWER ei' S ` 27.75 CONNECT ADDITIONAL 01 PERMIT ISSUANCE FE �� '�',v\ i 03 C-60;TO PUBLICleSEWER �-,1.00 CON ��1^ 46.95 BUILDING OR WORK ARCHITECT0 ENGINEER: - TEL. 0: %' -- G�'I r'OTAL FEES 74.70 CHEN, GEORGE (626) 233-7130��s I' '`f' `1 SEP C AN ,-SEEPAGE I 3051 DOOLITTLE LIC. NO:I/ --_ I -- -- 111 AND/OR DRAIN FIELD ARCADIA, CA 91006 NONE ~''�' " R WE _ SEWER MAP BOOK: PAGE: I �;; n -�, i" -::, r-� Il`�_ -, �� ALTER, REPAIR, SEWER OR 1• !' i' .j�f 1! 1' 1�_ 1` 1 SEWAGE DISPOSAL SYSTEM �- -- - —-- - - ----- - - - - ---- DISCON CT G A D ABANDON HOUSE SEWER 13ACKFIIL SEPTIC S SEEP. PIT CESSPOOL _ GRAYWATER SYSTEM REPORT ID: DPR266 ROUTE TO SS0508 -� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0301280001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: -LEGA D: SE E SEPTIC* B LD G D R S: TRS 12115 LT: 26 EXIST OCC GRP: 9147 OLEMA ST BLDGS. NOW ON LOT: TEMP CA 917801340 ASSESSOR OR ON NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: ENCINITA 5382-023-018 ORIGINATION: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED 0 R C SED 8 EXPIRES 0 : 01/29/03 JK 07/28/03 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. N0: PLAN CHECK NUMBER: FIN / FINAL 8Y: CODE: SHIN, STEVEN (626) 688-9968- JOB NUMBER: 9147 OLEMA ST TRUNK PERMIT NUMBER: TEMP 917801340 ROAD PERMIT NUMBER: DE9CRIPTION OF WUKK AFFADAVIT: NO CONNECT GUEST NOUS 0 SEWER WAIVER: NO APPLICANT: TEL. 0: EASEMENT: NO SAME AS OWNER - RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDIT ONS: HIGHWAY/STREET.WIDENING:1— STATE ENC OACHMEN-T--PERMI-T NUMBER:.- CONTRACTOR: TEL. NO: fd�;.�e� 1.EES,P ID APPROVA S DATE INSNOT OR—SIG AT URE SAME AS OWNER - *c'1,; Q� e'""\". LIC. NO FEE- DESCRIPTION: i>, QUANTITY'- UUOM.." AMOUNT: NEW HOUSE SEWER B 01' PERMIT ISSUANCE FEE \ ',�` 27.75 CONNECT ADDITIONAL y�,19 CONN ADDTNL BLDG(S.) 1.00 EAC- �\�� 30.45 BUILDING OR WORK ARCHI C OR EN R: 0: aft CHEN, GEORGE (626) 233-7130- 3 33-7130- II r I a - TOTAL FEES \158.20 SEPTIC TA I 11—� I I , FI PAG 3051 DOOLITTLE LIC. N0. i � I �--- __� t; � AND/OR DRAIN FIELD ARCADIA CA 91006 NONE 41�' 1 L===I — I I I '—'- J� IJ'-1_I_-------- DRYWELL — SEWER MAP BOOK: PAGE: I I �? --}, ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT P ABANDON HOUSE SEWER BACKFILL SEPT C A S _ SEEP. PIT — CESSPOOL GRAYWATER SYSTEff REPORT ID: DPR266 ROUTE TO BS0508 X26 C' 7 c,Ae APPLICATION FOR PERMIT >' 64,'3 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F DING-a JOHN A. LAMBIE, County Engineer E � ---- -17 WILLIAM A. JENSEN, Sup"t of Building ---' a LITY EFOR APPLICANT TO FILL IN S ST r- bESCR I PT f ON LOT NO �,.}_ OWNER qq MAI TRACT � .,7t � AODR. 5 - NO. OF B'LDGS. -Si3.E OF L.OT NOW ON LOT CITY TEL. NO. >E vF BI. I.'JINC:S DISTRICT NO. GROUPMAP PROCES5F.D,B'Y BK - PG C.ONTRACTOy4FY' ADDRF �'* d .. ce CONFECTION DATA CITY - -B 'i&,+"_'EI... NpOf STATION - DEP'1'ii- _ _ _ -� rprte„- ATE MANHOLE REFEPENC. �rPA-' REGISTRATION ND. _ _ef ✓ D COUNTY (.. 'i� � LOWER __ TYPE OF CONNECTION � LENGTH'VROM NO� DESCRIPTION OF WORK FEE- J'' / LSE^a WER L`OI'4N ECTING TC �- --_ -- ---- Y _- - CURB REf .^' d L _ MCL fb P,L.470 1 _ PUBLIC SEWER SEPTIC,TANK,SE:E FAGS IT OR -._- .OD CO. IMP NO. / JO Ei NC. OJ. y 'PITS AND;OR DRAINFIELD @ S1O.C30 HOUSE SEWER CONNEEn NG TO.PRIVATE DISPOSAL SYSTEM ' © TRUNK PERMIT NO. � .ROAD PERMIT' /�'� _ N HOUSE_TO SEWER__ -__r S3.D0 V C.JI.IN cT ADDITIONAL-B L.DG CH AFFIDAVIT IDAT I wAi4ER Er:S eM rni f'CORD 1N"TR NC T - _ I DATE R I OVERFLOW SEE?AGE P7 r.DR AINF'I�'LU I EXT ,CESSPOOL,DRYWELL.,MANHOLE 0 Sr,.00 ,_-__----_ HWY.OR 5T WdOEiN(, ,4 } AALTER,REPAIR OR ABANDON HOUSE Nr 5EWER Ok"i INSPO_�AL.SYSTEM -_.._._ STATE ENCROACHMENT 1 PERMIT NO. I INDUSTP.IAL --__ WASTE APPROVAL _ CHARGES OWNER'S PERMIT 21 Oo ---- — -- ---- --- — — — -- — _..--. CONNECTION CHARGE FEE AUTHORIZATION �OTAL FEE_ IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACT)R TO CO'V ECT THE ABOVE. DESCRIBEDEXI,ST;N1Z DWELLING - -__- ____-_T_.____._ __._r ..___.._ TO THE PUL'.LI tvv_ER.- APPROVALS DATE INSPECTOR'S SIGNATURE, ED DAY O� OWNFR OKi NEW HOUSE SEWER .. CrENT WNERS AG _....-_ __ -' -'-' -'--- CONNECT ADOITION AL ADDRESS BUILDING OR WORK -'-- --' --- ---- -- '-'- - --- '- SEPTIC TANK,SEEP PIT iS � a 1 ER'EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANG/OR DRA114FIFLD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CJMPL'?' WITH ALI- COUNTY ORDINANCES AND STATE LAWS REGULATING PLUVM ING .AND SEWERS. CESSPOOL DRYWELL 1 HEREBY CERTIFY THAT . AM PROPERLY REGISTERED AND/OR OR ALTER,REPAIR,SEWER OR---_i-__-__-- --- -�--__-- L.LENSED AS REQUIRrO BY LOS ANGLES COUNTY .AND STATE OF SEWAGE DISPc:SkL SYSTEM .�A LIFOR.NIA OR THAT IAM T:HE. LEGAL OWNER OF, AND INTEND TO -._ _ _-_ .----_._-_�__-._,-_i-__-___� _..._._, __- RE.SIOF IN, THE ASOV&- DE CI;,' RF_SIDEN TiAL. -ROPERTY DISCONNECT PLUG AND ABANDON HOUSE SEWER i 'S SIGNATURE ,�,,. BACKFIL SEPTIC TANKS ❑ _._._� -.-_ OF PERMITTEE i - .�EEP.PI (31 ❑ CESSPOOLS ❑i. VALIDATION- ROBERT A.WOOED -t CK. M.O. '.-CASH SUPERVISING MECHANICAL ENGINEEP .