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HomeMy Public PortalAbout10220 RANDWICK DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0204020007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: - LEGAL ID: 5 • Y BUILDING SS: TR: 27309 LT: 8 EXIST OCC GRP: 10220 RANDWICK DR BLDGS. NOW ON LOT: TEMP CA 917803351 ASSESSOR 0 R: CONNECTION TYPE: NEAREST CROSS STREET: BALDWIN 8585-005-008 ORIGINATION: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LONER: ISSU50C 5 04/02/02 JK 09/29/02 . COUNTY IMPROVEMENT NUMBER: MER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FI BY: C005: HEISER CLARENCE;DOLORES TRS - JOB NUMBER: L/ �`� Z_ r 10220 RANDWICK DR TRUNK PERMIT NUMBER: TEMP 917803351 ROAD PERMIT NUMBER: DESCRIPTION 0 AFFADAVIT: NO SPOT REPAIR SEWER I E & INSTALL 4IN CLEANOUT WAIVER: NO APPLICANT: L. EASEMENT: NO JUAN MORANDO (800) 997-2743- 5100 E. HUNTER AVE RECORD INSTRUMENT NB • RECORD DATE: SPECIAL CONDITIONS: ANAHEIM 92807 HIGHWAY/STREET��,III°D1:BfI_NG: STATE ENCRO�C�EtrT�PERMd��A1BER• /// 1 U CONTRACTOR: TEL. NO: / ✓ F ES•J APPROVALS DATE INSPECTOR SIGMA URE RAPID PLUMBING, INC. (800) 997-2743- /��j 5100 E. HUNTER AVE LIC. NO FEE f SCRIM l QUANTITY: UOM: AMOUNT: E O SEWER ANAHEIM, CA 92807 521992 C36 T� Oa PERINyJ T SSUA CE f°j�E 27.75 CONNECT ADDITIONAL J5/(LT/REP OifSE-SEW 0 EAC •0.45 BUILDING OR WORK ARCHITECT ORE TEL. 0: - J/�� T L FEES 58.20 / SEPTIC TANK, SEEPAGE P LIC. NO: ' ��l,l;i,i — AND/OR DRAIN FIELD I RYWE L _ SEWER MAP BOO PAGE: �1� (C �nV© D�j� SEWAGE DISPOSALSSYSTEM R �' LL DISCONNECT CJ � G ,:• ABANDON HOUSE SEWER o ❑ BACKFILL SEPTIC TANKS SEEP. PIT _ CESSPOOL _ GRAYWATER SYSTEM C ` ervice'Tmt REPORT ID: DPR266 ROUTE TO BS0508 MITILE CIT T `ADB3 & FAVA2D APPLICATION FOR PERMIT ' COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING -.L.. G`f m+M tµ!_ _�T.'l.p _ C% �¢1 _•s. JOHN A. LAMI3YE, County Engineer ADDRESS WILLIAM A. JENSEN, Supt of Building y - LOCALITY T�'$ yPy l�•yqes Ci��yp,g NEAREST trlr .i£A. ire . *___�_.__- _. FOR APPLICANT TO FILL IN cRpss Sr 1.6 AL DESCR'pT!()N OT NO. OWNER MAIL BLOCK TRACT 30 s7 - ADDRESS 5926- N. ��Ee.'r�i�hll`� Oill:iv. Blvd. SIZE J' LOT NOW OONBL S CITY Tem-p-1a C, 7EI�N0.:� t . 82818 _----- ____ - .y_ rf ..d_m --_ -___ -____....--.._-_._.. ._____- USE OF f�s,3.Ct�'T3 aUILDiN0S OiSTRICT NO.. C,RpUP MAP PROCESSED BY BK PG e On:TRAC-OR`s- - .3 d d. �p ADDRESS � 4,5 CONNECTION DATA �— ---- - - STATION f' DEP-T'H `!TY So r Says ra`�17"}t�idl.�'l At 0-47 � -.c:.� �..., 2525 - STATE . } Ulf-7R7- f EyiS7RATI.O T�°J�NLI. _ -------- ._._ [] COUNTY' MANHOLE RFFERENCF taO. DF C¢EI P7iGPd QF WCRK FEE TYPE OF CONNECTION LENGTH FROM I^'OL E S WER CONNECTING TO CURB ^`P L M.L.TO P.L. PJBLIC EWER @ $ .00 ! -.; __- :�..___ __._. P.G..NO f SEPTIC,TA,N C EEPAGE,PIT OAR I Cp,1iNP.NO. JOB NO. / (,I � PITS ANDt OR DRAINFIELD @ $10.00 - Nei- THOUSE SEWER CONNECTING T6 TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE.DISE OSAL SYSTEM @ $8.00. ` j CONNECT ADI NONAL BLDG.OR i AFFY.DAbI7 ! WAIVERb an seta EN7 � RECORD INSTft NO. WORK TO HOUSE SEWER ® $...00 I 1 -_- OVERFLOW SEEPAGE PITDRAIN'9ELD EXTN,CESSPOOL,r)RYWFLL,MANHOLE @ $5,.00 HWY.OST:WIDENING 1 ALTER.REPAIR OR ABANDONNOUSE R. r S E'W Ei?OR D cPOSAL SYSTEM $3:00. STATE.ENCROACHMENT PERMIT NO. INDUSTR-IAL. WASTE APPROVAL CHARGES OVVNER'S PERMIT 2 O® -- ------,.. -- ----- -- CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A, CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING -----APPROVALS { n ---P ---c-- --- - - -- --- - - TO TF`E FU BLIC SEWER APPRO ALSI7 DATE I INSPECTORS SIGNATURE SIGNED THIS- `DAY OF-19.--.. CWNFR CR NEW HOUSE SEWER OWNERS AGE::NT..� —y� ._— CONNECT ADDITIONAL 9i EiUiLDING OR WORK -- -- -- --- --'- - _ SEPTIC TANK SSFP PIT(BS 1 I HEREBY-ACKNOWLE.Doe,,-fPct 1 HAVE READ THIS APPLICATION, AND+OR DRAINFItLD AND STATE THAT THE AWbVV ;FS CORRECT AND AQREE TO COMPLY -_-. _:.-.-- ---.--- -¢------ - --- WIT" ALS, COUNTY 6 DINANGES AND STATE LAWS REGULATING. I T PLU M.8ING AND S6WVEFS. CESSPOOL Q DRYWELL HEREBY CEB�t Y THAT t AM PROPERLY REG.ISTEIRED;"ANDIOR ALTER,REPAIR,SEWER OR } 1-1;CENSP.D A5+RF IRED BY LOS ANGLES .COUNTY ANO STATE OF SEWAGE DISPOSAL SYSTEM, � j CAL7FORNIA�ORHAT-I AM THE LEGAL CR OF ANL INTEND TO -" -'-- `--- '�_- j -_---- � RESIDE ah a'THA♦30V DESt;Ri6ED R DENIAL PRO}'',$RTY D;SCONN CT PLUG AND JJdd f ABANDON HOUSE SEWER GNATU SdOF PER'M.VrTEE {l i"M.� BAC HFiLL SEPTIC r.AN-KS ❑ 1 --- - - '----- SEEP.PIT{S) ❑ GE55POO.L5 � 1 - - - VALM TION__ .-.- ROBERT A. WOOD CK.. M.o: p.ASN �`' SUPERVISING MECHANICAL ENGINEER r �,rt