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HomeMy Public PortalAbout5936 RENO AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE 0508 9702040017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: _ LEGAL ID: SEWER / SEPTIC: S DING ADDRESS: TR: 5904 LT: 147 UN: .002 EXIST OCC GRP: 5936 RENO AV BLDGS. NOW ON LOT: TEMP CA 917801528 ASSESSOR 0 0 CONNECTION TYPE: NEAREST CROSS STREET: 5384-017-013 ORIGINATION: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: EN MANHOLE REFERENCE: UPPER/LOWER: ISS 0 PROCESSED Y: EXPIRES ON: 02/04/97 TC 02/04/98 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE: RODENBUCHER ROBERT R;CAROLE A (818) 285-2030- JOB NUMBER: 5936 RENO AV TRUNK PERMIT NUMBER: TEMP 917801528 ROAD PERMIT NUMBER: D SCR TION 0 AFFADAVIT: NO REPAIR SEWER LINE IN PARKWAY WAIVER: NO APPLICANT: T L. N0: EASEMENT: NO RESCUE ROOTER (800) 869-6942- RECORD INSTRUMENT�NBR" REC R A•r. SPECIAL CONDITIONS: s/ _ HIGHWAY/STREET W}tiDENZNG•-�- �--•�` ®®® STATE ENCROACHMENT PER IT,NUMBER: CONTRACTOR: TEL. N0: z` f = `" 'fEES PAID ��" APPROVALS DATE INSPECTOR SIGNATURE RESCUE ROOTER - COVINA (800) 869-6942- J ;� '� �� �� ;� 681 SAN BERNARDINO LIC. *0 FEE DESCRIFT�ION��� _ - �WUANTITY�: UOM�: AMOUR, R COVINA, CA 91724 C42 B 01 PERMIT ISSUANCE,FEE ,r - _ ----27:75li CONNECT ADDITIONAL 15 ALT/REP HOUSE--SEWERS-- �, j ;j'f�?OOyEA,O' I' ' 30.30 - BUILDING OR WORK ARCHITECT 0 ENGINEER: L. 0: - j �' �.�'L' T07AL�FEESk=� u:r:�II 58., II_ : _ - _ SEPTIC TANK, SEEPAGE- LIC. NO: I'. F 1', � `_—:-11 AND/OR DRAIN FIELD DRYWELL SEWER MAP BOOK: PAGE: ALGE TER, REPAIR, SEWER OR CN ��SEWADISPOSAL SYSTEM DISCONNECTP G AND ABANDON HOUSE SEWER 13ACKFILL SEPTIC TANKS SEEP. PIT _ CESSPOOL _ GRAY T R S STE I I * ADDITIONAL DATA ON FILE - I REPORT ID: DPR266 ROUTE TO SS0508 ✓s°` � `BDt 3 6. SA6420 APPLICATION FOR PERMIT .OUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING p T LOCALITY NEAREST 4' , ,G'` FOR APPLICANT TO FILL IN CROSS ST. J DESCRIPTION LOT NO. ,( i OWNER -- _--- MAI BLOCK —___---TRACT ADD.E �E NO. OF SLDGS, SIZE OF_LOT,5 NOW ON LOT _ CITY L. NO. USE OF �t; _ — DISTRICT NO. GRO�i�P MAP PROCESSED BY BUILDINGS ! BK PG CONTRACTORADDRES CONNECTION DATA o.� CITY � ��OSTATION- DEPTH >'. yy�{�N .. -7 -_ UPPE STATE f-- CRSS MA N H&LE REFERENCE LOW R LICENSE NO, _ NO. DESCRIPTION OF WORK _FEE TYPE OF'CsONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO �— Y. 0 RB P.L. M.L.70 P.L. PUBLIC SEWER @ 35 OO I P.C.NO0 SEPTI TANK.SEEPAGE PIT OR . fl _— PITS AND/AOR DRAINFIELD 310.00 CO_IMP.NO. __ .10BN0'/" u !HOUSE SEw EP.CONNECTING TO TRUNK PERMIT NO. ROAD RMIT NO. � , PRIVATE DISPOSAL SYSTEM $3.00I_ _. – fi CONNECT ADDITFONAL BLDG FIDOR �, AFFIDAVIT 1I WAIVER EASEMENT ". EC D.INSTR.NO.DATE !fid I WORK TO HOUSE SEWER @ $3.00 y--- u r-- –4 OVERFLOW SEEPAGE PIT.DRAINFIELD 1 I __ _ EXT—.1 ESS POOL.DR WELL.MANHOLE @ $5.00_ I —_ —� Q. HWY.OR ST.WIDENING '^ ABANDON HOUSE - f POSAL SYSTEM _ � 53.00_ -_�_._!g STATE ENCROACMM —_—- -_- PERMIT NO. INDUSTRIAL f` —+ f WASTE AP�OVAL -I�—`-- _ CHARGES OWNER PERMIT Zoa ------ ------ — � CONNECTION CHARGE FEE AUTHORIZATION TOTAL. FEE - ---I tir r ti' --- — ----- - - 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CON NE T THE ABOVE.DESCRIBED EXISTING DWELLING APPROVALS TO TH.E PU ElL C. SE R. DATE INSPEO70 R'S SIGNATURE SIGNED THI _ DAY OF OWNER OR NEW HOUSE SEWER OWNERS A — CONNECT ADDITIONAL r UILDINGORWORK ADDRESS _ _ __ _- I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICA ION AND/O ND TANK.SEEP,PIT(S) y y f k OR DRAINFIELD i€ 8 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ------------- , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CESSPOOL El DRYW ELL ❑ PLUMBING AND SEWERS. _ __ _ _ 1 HEREBY CERTIFY THAT ! AM PROPERLY REGISTERED AND/OR ALTER.REPAIR.5EW ER OR LICEN SEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIF'0RN IA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND ---I���----��� RESIDE IN. THE AABCOE,SC EORESIDENTIAL PROPERTY. ABANDON HOUSE SEWERSINATURE -- --- --- BACKFILL SEPTIC TANKS ❑ 4F PER - - SEEP.PIT(S) ❑ CESS.POOLS ❑ ,s 'VALIDATION JACK R. ALLEN {' K.J M.O. CASH SUPERVISING MECHANICAL ENGINEER - /C 5.0 11�� E808 3-62 - - 6A642D APPLI TION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 0. JOHN A. LAMBIE, COUNTY ENGINEER ADDREss �__ ���e C - ? COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY NEAREST ---f- FOR APPLICANT TO FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER MAIL �! BLOCK TRACT ADD ' c! ,a-4., NO. OFBLD SIZE. OF LOT NOW ON LOT CITY --� } • TEL, NO. USE OF BUILDI DISTRICT NO. GROUP MAP PROCESSED BY HK PG CONTRACTOR CONNE_C_TION DATA STATION 'ti_a DEPTH I TEL. Ngiy- ,P .l STATE LICENSE NO: CLASLIG. . S MANHOLE REFERENCE -� — i I' !^• /' � ..-t=� LOWER N DESCRIPTION OF WORK FEE _ TYPE OF LENGTH FROM Co .,� L � �I.L>iFCTI ON HOUSE SEWN ER CONNECTING TO --rT�" Y. g`GU RBT P.L. M.L.TO P.L. _..� PUBLIC SEWER _ @_ $5 A0 fes_ P.C.NO. 0 SEPTIC TANK SEEPAGE PIT OR I CO. NO. `_ __ JOB NO. PITS AND/OR DRAINFIELD @ $10.00 HOUSE.SEWER CONNECTING TO -f TRUNK PERMIT NO ROAD PERMIT NO.Z3e7:I�( PRIVATE DISPOSAL SYSTEM _ @ $3.00 C. 4 T yq j CONNECT ADDITIONAL BLDG OR gFFIDAYIT WAIVER rEASEREMT RECORD. 0 D.INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 1 I I 1 OVERFLOW SEEPAGE PIT.DRA!NFIELD I I _ _ _ Lu EXTN_CE55POOL.DRYWELL.MANHOLE @ $5.00 _ -- d----- - - - - - - --------- --+-- HWY.OR ST.WIDENING � ALTER,REPAIR OR ABANDON HOUSE i _ SEWER OR DISPOSAL SYSTEM @_$3.00 __ STATE ENCROACHMENT �— z PERMIT NO. _.____.-­__-_ --- —�-�------ IN PUSTRIAL - WASTE APPROVAL. � CHARGES OWNER"S PERMIT_ — 2. oo -- - --"— — '� CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE --- --------- - IHAVE AT THIS DATE ACONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTORTO CONNECT THE ABOVE.DESCRIBED EXISTING DWELLING ---- - -- ------ TO THE PUBLIC SEWER. APPROVALS DATE INV GTOR S?SIGNATURE SIGNED THIS DAY OF OWNER OR NEW HOUSE SEWER F `' OWNERS AGENT CONNECT ADD,ITI.ONAL BUILDING OR WORK ADDRESS________— SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS .APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY --�-- --_--- -- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFYTHAT I AM PROPERLY REGISTERED AND/OR ALTER.REPAIR.SEWER OR LICENSED AS REQUIRED BY LOG.LES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT 1 AM THE LE AL OWNER OF, AN INTEND TO DISCONNECT PLUG AND RESIDE I Te ABOVE R1 RESIDENTIAL � ABANDON HOUSE SEWER SIGN FILL SEPTIC TANKS ❑ I — -------- —_ "-- -"-- - SEEP.PIT(5) ❑. CESSPOOLS ❑ I VALIDATION--— JACK R. ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER (,� l