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Home My Public Portal About10503 OLIVE ST_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0911090002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: (SEWER / SEPTIC: SEWER BUILDING ADDRESS: 1 ITR: 7690 IT: 80 BL: .001 UN: .006 (EXIST OCC GRP: 1 10503 OLIVE ST IBLDGS. NOW ON LOT: I TEMP CA 917802865 (ASSESSOR INFORMATION NUMBER: [CONNECTION TYPE: I NEAREST CROSS STREET: HALIFAX 8586-029-011 ORIGINATION: I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl [ LENGTH ML TO PL: STATION: DEPTH: TENANT: IMANHOLE REFERENCE: UPPER/LOWER: [ISSUED ON- PROCESSED BY: EXPIRES ON: I 111/09/09 SR 11/09/10 IOOUNTY IMPROVEMENT NUMBER- (OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINAL BY: CODE: JERICKSON WAYNE G;NANCY H - (JOB NUMBER: I [ 110503 OLIVE ST TRUNK PERMIT NUMBER: [ [ ITEMP 917802865 IROAD PERMIT NUMBER: [DESCRIPTION OF WORK I I [AFFADAVIT: NO IREPLACE SEWER LINE FROM PLUMBING STUBOUT TO PROPERTY LINE 1 [ IWAIVER: NO (APPLICANT: TEL. NO: 1EASEMENT: NO I I ISANCHEZ (310) 842-8771- 1 I I 13767 OVERLAND AVE. IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I ILOS ANGELES CA 90034 HIGHWAY/STREET WIDENING: 1 (STATE ENCROACHMENT PERMIT NUMBER: i 1 ICONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE IESCOBAR CONTRACTING, INC. (310) 842-8771- 1 1_ rI 13767 OVERLAND AVE STE 109 LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER 1 [ ILOS ANGELES CA 90034 747724 C42 I I I 1 01 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL I I I 1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 IBUILDING OR WORK I I I (ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.20 1 I I [ I - I ISEP.TIC TANK, SEEPAGE PITI I I [ LIC. NO: I (AND/OR DRAIN FIELD 1 1 [ 1 IDRYWELL 1 SEWER MAP BOOK: PAGE: 1 IALTER, REPAIR, SEWER OR I I I ISEWAGE DISPOSAL SYSTEM I I IDISCONNECT PLUG AND I I I I I (ABANDON HOUSE SEWER I (BACKFILL SEPTIC TANKS ISEEP. PIT _ CESSPOOL I 1 EXPInED 1 GRAYWATER SYSTEM I I I I 1 1 1 1 I I I i I 1 1 1 1 IREPORT ID: DPR266 ROUTE TO BS0508 1 [ I [ [ I I I I I CE808 3-E4 - APPLICATION' FOR PERWT 76A642D COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADCHE55 �} WILLIAM A. JENSEN, Supt of Building —� LOCALITY NEAREST FOR APPLICANT TO FILL IN DROSS LEGAL DESCRIPTION LOT NO- '• ''' .t '`.: OWNER�� _ � - -- -- ..— ry MAIL BLOCK TRACT-�4'-').kl _--_ _ ADDRESS_ NO OF BLDGS, SIZE OF LOT — _ NOW ON LOT CITY TEL. NO. USE OF BUILD]NGS�� -sem _ --' DISTRICT NO. GROUP MAP PROCESSED BY c,1-- ! t , CONTRACTOR _ a j Y f � f >� > ADDRESS CONNECTION DATA, y CITY / TEL. NO. - _ STATION ��- W DEPTH 1. ., -- y e TATE MANHOLE REFEREN F. UPPER REGISTRATION NO �J-� OUNTY � .„-5� y NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO f, - Y. CURBP.L. M.L.TO P.L. •_� ,`� PUBLIC SEWER @ $ 00 --_—.—_— _ 5. P.G.NO. iSEPTIC TANK,SEEPAGE PIT OR - JOB NO. _ a” PITS AND/OR DRAINFIELD $10.00 CO.IMP.NO, _f ¢ �_ 0 HOUSE SEWER CONNECTING TO TRUrIFERMIT NO �f4OAD $RM IT NO. PRIVATE DISPOSAL SYSTEM $3.00 C CONNECT -ADDITIONAL BLDG.OR —^—i AFFIDAVIT WAIVER. E85EAERT RECOR INSTR NO i DATE WORK TO HOUSE SEWER $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD EXTN.,CESSPOOL,ORYWELL,MANHOLE ALTER REPAIR OR ABANDON HOUSE HWY.Oft 57.WIDENING d SEWER OR DISPOSAL SYSTEM @ $3.00 STATE EN(:FRO�ACHMENT '— PERMIT NO, INDUSTRIAL (� J WASTE APPROVAL _ —_ -- � CHARGES OWNER'S PERMIT $, 21 00 - CONNECTION CHARGE FEE AUTHORIZATION1 TOTAL FEE ' --- REIMBUR5EM ENT FEE -I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REI ----- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING — "--"— TO THE PUBLIC EWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19� ----- r----'------._. OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ^~7 BUILDING OR WORK ADDRESS___,—..«_ SEPTIC TANK,SEEP,PIT(5) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ----- }----�-- WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING i PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNiA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND I - RESIDE IN, THE A OV SCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER ' SIGNATURE BACKFILL SEPTIC TANKS ❑—� OF PERMITTEE_ ✓ ----- SEEP,PIT(S) ❑ CESSPOOLS ❑i VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK, M.O. CASH e jj�, 0 3 6 FES 9 1 0 D 7.0 i. DEPARTMENT OF COUNTY ENGINEzR SEXIER—SEWAGE DISPOSAL DIYISION OF BUILDING AND SAFETY PERMIT APPLICATION10 391 COUNTY OF IAS ANGELES u S WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS _ • FOR APPLICANT10 Fill. IN LOCALITYEST /t_„r4 ADDRESS '16ILDING ,D I CRONEASS ST. r¢ .a ��r LOCALITY "Lp / DISTRICT NO. SERIAL N0: PERMIT ND: c NEAREST / 901-11 S CROSS ST. Z REOEI.YED-BY Ready for Inapeotlon DATE ISSUED OWNER e '�; p,Jl• I�f_ �- J�— -' J .' MAIL USE ZONE OCCUPANCY MAP ADDRESS Y_ AQe6 '�Q• BK PG CITY TEL.NO. - I CONTRACTORC$lif Ornla Sewer CO t..00, CO.IMP.NO. ADDRESS .1317 Colegrove Area JOB..NO. ~� CITY Montebello TEL.NGN_�On Jia®45 TRUNK PERMIT NO. St U TY REGISTRATION N0104445 tig . ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT. �- /7 PERMIT NO. BLOCK TRACT 7&Lib INDUSTRIAL -"` v /� N0.OF BLDGS. )HASTE APPROVAL SIZE OF LOT`�t � h J T NOW ON LOT ( CHARGES USE OF �/� BUILDINGS /r,Q�Q CONNECTIONCHARG��FEE j�� NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER G $ 3.50 RECEIPT NO. I'}f DATE. BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR /EXCEPT)ION RECORDED WORK TO HOUSE SEWER 1.00 N0. ALTER OR REPAIR EXISTING DATE BY SEWER OR DISPOSAL SYSTEM_ 1.00 - DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2:00 STATION. 'O�L_�S a , DEPTH CESSPOOL-DRYW ELL SPECIAL CONDITIONS ONLY 2.00 /'/dry MANHOLE REFERENCE -UPPER /j+b' LOWER 'rNFPE OF CONNECTION LENGTH FROM GURB7, P.L. M.L.TO P.L. OWNERS PERMIT ;.I I I h AUTHORIZATION TOTAL. FEE . 1 'HAVE.THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DES RIDED EXISTING APPROVALS INSPECTOR'SSIGNATURE. DATE DWELLING TO THE BLJC SEWER. SIGNED THISB.I.+_M...DAY �� 1 _..._._jq NEW HOUSE SEWER' �• CONNECT ADDITIONAL 0 OWNER OR ,y� �^ —• .BUILDING OR WORK A - OWNERS AGENT.&.,i) �.`^-.............._........ .... _._._._' e ' SEPTIC TANK,SEEP.PIT(S) ADDRESS..... ` .a.:0 ..G._..4.... ..............._.' .1..'.e& AND/OR DRAINFIELD J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A� CESSPOOL[] DRYWELL Ej CATION AND.STATE THAT THE ABOVE IS CORRECT AND AGREE 1 i TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR y REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSALSYSTEM 1 HEREBY CERTIFY THAT 1 AM.PROPERLY REGISTERED DISCONNECT PLUG AND Rf C .AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY. ABANDON HOUSE SEWER 11 V AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN= ER OF THE ABOVE DESC IBED ESIDENTIAL PROPERTY BACKFILL.SEPTICTANKS❑ Gr "- ' a, SEEP.PIT(S)E] CESSPOOLS(]SIGNATURE Cy, }�f� 1 dOFPERMITTEE. _' .. Ine[:f.IY••� s^_�L.. 76A642D• 663 I/6S I