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Home My Public Portal About5550 PAL MAL AVE_Sewer__ • DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY _5a,-5-0 PERMIT APPLICATION COUNTY OF LOS ANGELES BUao1N0 WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �'g� FOR APPLICANT TO FI LLJ IN LOCALITY BUILDING ADDRESS `) Z / /,iL /✓/ �� CR0888T. .D LOCALITY ` DISTRICT NO. SERIAL NO. PERMIT 90. NEAREST S A 2'167 to 16 y& 5 CROSS ST. I VF RECEIVED BY Rudy 1w I0000aR00 DATE ISSUED OWNERXLPIKf 4-zCJ -.kj IKC C. MAIL JOA L L f USE ZONE OCCUPANCY RK MAP PG ADDRESS CITY L -'L TEL.NO.A� /� L CONTRACTOR / L / SU SC. CO.IMP.NO. ,4U7 ADDRESS 1 / JOB.NO. CITY TELAG. TRUNK PERMIT NO. --------------- STATE --�� STATE REGISTRATION NO. COUNTY ROAD PERMIT N0. LEGAL STATE ENCROACHMENT . DESCRIPTION LOT NO. PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVA 812E OF LOTg��X Q NO.OF BLDGB. NOW ON LOT CHARGES USE OF rC /n� iv / r BUILOIMOB L ) /✓ 1. C CONNECTION CN NO. DEE)CRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSE E PUBLICSEWER 0 $ 3.00 'O RECEIPT NO. Y _ HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AMD/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR GRAINFIELD 2AO STATION '5-y-aw S DEPTH ,4 CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00I y ANHOLE REFERENCE UPPER LOWER ' O i TYPE O N CTIONLEMBTN FROM OWNERS PERMIT $ I I r. CURS P.L. ./ M.L.TO P.L. AUTHORIZATION TOTAL FEE . 7f S[' CONTRACTOR TO CONNECT THE ABOVE DESCR18EDI EXIIISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TD THE PUBLIC SEWER SIGNED THIS........_......DAY OF...... w HOUSE SEWER OWNEROR CONNECT ADDITIONAL OWNERS AGENT..._..____._. BUILDINGORWORK SEPTIC TANK.SEEP.PIT(S) ADDRESS.....-.._.._.._.._..................._....................................... AND/OR GRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• CESSPOOL[] DRYWELL CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR.SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS R OUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIF ' AOR THAT AM THE LEGAL OWN- ER OF THE ABOVF/D IBED REBID NTIAL P OPERTY. BACKFILL SEPTIC TANKS (/ ^- SEEP.PIT(S)Q CESSPOOLS SIGNATURE -. F/� OF PERMITTEE...-. .. .:1.. . . 3^"- V T6AS42D 663 1153 • DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 r DIVISION OF BUILDING AND SAFETY x,33-�pERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FCX, COUNTY ENGINEER I ADBUIDRS 'NG ESS kPR Y l�PP CA �O I L IfJlamBUILDING I TADDRESS . .G . v'G �a4Z W" !'GLOCALITY ) CT NO. SERIAL NO. PERMIT MO. NEAREST A �/�% S CROSS ST. ED BY Reedy for lospecUo OATEISSUED OWNERC -LC '.S.jMAILNE OCCUPANCY MAP ADDRESS -fi B CITUTEL.MO. �`CONTRA OR / �� NO. �� -/ADDRESS ' CITY TEL.NO. TRUNK PERMIT NO. REGISTRATION NO. B COUNTY ROAD PERMIT N0. -� LEGAL STATE ENCROACHMENT OEBCMPTIOM L07 NO. } PERMIT NO. �- BLOCK TRACT L INDUSTRIAL - SIZE OF LOT 0.8F BLOTS. WASTE APPROVAL NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARD NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO - REIMBURSEMENT FEE PUBLIC SKIVER ' Q $ 5.00 RECEIPT N0. I DATE I BV HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 / CO NNECT ADDITION AL BLDG.OR OC --EXCEPTIO'NRECOROED �--- WORK TO HOUSE SEWER 1.00 Aum"m REPAIR EXISTING ND• DATE BY SEWER OR DISPOSAL SYSTEM IAO _ DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA "- - SEPTICTANK,SEEPAGE PIT OR PITS AND/ORDRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 UPPER -LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT s j GO Y. CURB P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE Z cc. S� r All. 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR 70 CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPEC70WS SIGNATURE DATE SIGNED THIS......... .DAY OF--------. 19— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT..... _ BUILDING OR WORK ADDRESS................................. '----'- ---- - SEPTIC TANK.SEEP.PIT(S) -- ---- AND/OR DRAI NFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. CESSPOOL E] DRYWELL E] CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE - TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR.SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY IIOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CA UP IA OR THAT II,, AM TN LEGAL OWN. ABANDON HOUSE SEWER ER OF THE A6 0 RIBED RFjSIblNT1AL gOPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)0 CESSPOOLS - /" "'Ys OF PERMITTEE. 76A642D 663 1/53 COUNTY OF LIDS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS BE 0508 1411180005 BUILDING AND SAFETY / LAND DEVEUJPMENT TEMPLE CITY CA 91780 PHONE (626) 265-0488 EXT LEGAL ID ISEWER / SEPTIC SEWER I BUILDING ADDRESS I ON FILEEXIST OCC GRP 5550 PAL MAL AV 1NOW ON LOT TEMP 1 NEAREST CROSSSTR848 EETLIVE OAK AS969ASSESSOR. CONNE NUMBERINFORMATION NUMBER CONNECTION TYPE 18586-010-059 (ORIGINATION THOMAS PAGE 597 GRID C3 LOCAI.ITY TEMPLE CITY CAI 1T7:11ANT (LENGTH M. TO PL STATION DEPTH I (MANHOLE REFERENCE UPPER/LOWER (ISSUED ON PROCESSED BY ] I 111/18/14 SR I (COUNTY IMPROVEMENT NUMBER I1 (OWNER TEL NO 1PIAN CHECK NUMBER IFI E i FI CODE 1 1REDEKER CHARLES F ELAINE L - 70B NUMBER FN 1 15554 PAL MAL AV 1TRUNK PERMIT NUMBER it ` ) I 1TEMP 917802848 1ROAD PERMIT NUMBER JEAKSCICIFTION OF WORK 1 ]AFFADAVIT NO IINSTALL A CLEAN OUT NEXT TO THE HOUSE 1 (WAIVER NO i 1 (APPLICANT TEL NO JEASEMENT NO 10LIVAS MICHAEL (626) 233-8629- 3002 W HOLLYVAL.E ST IRECORD INSTRUMENT NBR RECORD DATE SPELIAL CONDITIONS I IAZUSA CA 91702 HIGHWAY/STABET WIDENING I STATE ENCROACHMENT PERMIT NUMBER wC ]CONTRACTOR TEL NO 1 FEES PAID P ALS DATE INSPECTOR SIGNATURE M1 IMIKE'S PLUMBING SERVICE (626) 233-8629- 1_ 1 11002 W HOLLLYVALE ST LIC NO IFEE DESCRIPTION ODANTITY DOM AMOUNT ]NEW HOUSE SEWER I I1 IAZUSA CA 91702 970405 • I 1 101 PERMIT ISSUANCE FEE 27 80 1CONNECT ADDITIONAL 1 I 1 1 _115 ALT/REP HOUSE SEWER 1 00 EAC 30 50 1BUILDING OR WORK 1 I 1 (ARCHITECT OR ENGINEER TEL NO ] TOTAL FEES 1110 1 I I I SEP'IC TANK SEEPAGE PITI I 1 LIC NO 1 AND/OR DRAIN FIELD I I DRYWELL 1 1 I I SEWER MAP BOOK PAGE 1 ]ALTER, REPAIR SEWER OR I I ] ISEWAGE DISPOSAL SYSTEM I I I IDISCONxeCT PLUG Arra I I I ] I lABA1'DON HOUSE SEWER I I I I 1BAC<FIL.L SEPTIC TANKS I 1SEEP PIT _ CESSPOOL 1 I IGRAYWATER SYSTEM I I 1 1 1 i 1 I I I i i i i 1 ADDITIONAL DATA ON FILE I 1 I 1 IREPORT ID DPR266 ROUTE TO BS0508 I 1 I I I I I