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Home My Public Portal About6343 SALTER AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE 0508 9702060001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: GAL SEWERI SEPT C: S BUILDING AD SS: ON FILE EXIST OCC GRP: R3 6343 SALTER AV BLDGS. NOW ON LOT: TEMP CA 917801429 ASSESSOR OR 0 R: CONNECTION TYPE: NEAREST CROSS STREET: ESTRELLA 5383-020-024 ORIGINATION: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED S ON: 02/06/97 TC 02/06/98 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE: CAPPS DONN L;PEGGY L (818) 286-9135- JOB NUMBER: k(0-1 6343 SALTER AV TRUNK PERMIT NUMBER: TEMP 917801429 ROAD PERMIT NUMBER: DESCRIPTION OF WORK AFFADAVIT: NO c r 6� i- REPAIR SEWER LINE WAIVER: NO APPLICANT: O: EASEMENT: NO ! ; RESCUE ROOTER (800) 269-6942- RECORD INSTRUMENT NBR: RECORD DATE:. ' SPECIAL CONDITIONS: HIGHWAY/STREET WIDENING: STATE ENCROACHMENT PERMIT NUMBER: CONTRACTOR: TEL. NO: FEES PAID .APPROVALS DATE INSPECTOR SIGNATURE RESCUE ROOTER - COVINA (800) 869-6942- 681 SAN BERNARDINO LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER COVINA, CA 91724 C42 B 01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL 15 ALT/REP HOUSE SEWER 1.00 EAC 30.30 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. O: TOTAL FEES 58.05 SEPTIC TANK, S EPAG I LIC. NO: AND/OR DRAIN FIELD DRYWELL SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM I CT GAD ABANDON HOUSE SEWER BACKFILL C _ SEEP. PIT _ CESSPOOL GRAYWATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR266 ROUTE TO : BS0508 24650 INSERTS 70641.r0 EAg`_ APPLICATION FOR PERMIT ° COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS _JOf3N A. LAMBIE, Counfp£n inner VWYILT.IAM A. JENSEN. Sup'f of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL DESCRIPTION LOT NO f -'.� OWNER F IL r ' BLOCK - TRACT ,� MAIL _ � ,>'::�� ADDRESS <<�wa Y - �r NO.OF SLOGS. - - --: a,,�. SIZE OF LOT NOW ON LOT CITY TEL NO. ' USE CF DISTRICT N'0. GROUP MAP PROCESSED BY `BU(LLiNGS ,tea- "-_ BlE PG }- CONTRACTOR .<•...� ADDRESS CONNECTION DATA t p i . CITY TEL.NO. �. - _j�;�; 7MANHOL�EREFERENCE DEPTH V � UPPER Q STATE REG!STPATION NO. ❑ COUNTY LOWER No. DES RlPTION OF WORK FEEHOUSE SEWER CONNECTING TO PUBLIC SEWER C� $3.00 TYPE OF CONNECTION LENGTH FROMT�J SEPTIC TANK.SEEPAGE PIT OR Y. CURB P.L. M.L.TO P,L. PITS AND/OF.DRAINFIELD_ @ 83.00 OVERFLOW SrEPAGE PIT,DRAINFIELD F' TN.. CESSPOOL,DR INE?_L @ $2.00 rAUTHOTIZATION USE SEWER CONN Tint,TO P.C.NO. I vATL� D I FOSAL SY�TFM7 L� S1.00 CO.IMP. N0. JOB NO. �. NNECT ADDI TONAL 1-1-OG.OR TRUNK PERMIT N0. ROAD PERMIT N0, O RK.TO HOUSE SEWER � 59.00 _ -R-42,�+t�.--fs'ABANDON HOUSE KW€R CR § 1L SYSTEM @ $1,00 ' '' S7AT. ENCROACHMENT PER!dIT NO. O INDUS7RiAL WASTE APPROVALCHARGES "l ER`S PERMIT $ 21 OO CONNECTION CHARGE FEE CON- TOTAL FEE � e` NEIMHURSEbtEN7 FEE HAVE AT TO!CONIS NECT THE AOVE DEATE A CONTRACT ISCRIBED EXTH THE TSTNNGADWELLIING APPROVALS DATE INSPE'CTOR'S SIGNATURE PUBLIC SEWER. - SIGNED THIS DAY OF 19EW HOUSE SEWER OWNER OR y - CONNECT ADDITIONAL OWNERS AGENTI°..�'°-..� �'�' ^�-z=•oma -. �%�`+'�� - ��' BUILDINGORWORK '? _ SEPTIC TANK,SEEP.PIT(S) ADDRESS _ ...».-, ..�. AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL El DRYWELL Cl WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER-REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE_DISPOSAL SYSTEM ! HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND 4 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ---- DESCRIBED RESIDENTIAL PROPERTY. -- BACKFILL,SEPTIC TANKS ❑ T -' SEEP.PIS) CESSPOOLS [] SIGNATURE OF PERMITTE ^^"'�.Crtsi F- '`�14'.t✓'3"_y �r 'VALIDATION ROBERT A. WOOD /C& Y.C. CASH SUPERVISING MECHANICAL, ENGINEER T1L CITY ' E808 a.59 APPLICATION FOR PERMIT E808 8 7 s COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �— ✓ IOHN A. LAMBIE, County Engineer ADDRESS CASSATT'D. GRIFFIN, SupR of Building LOCALITY NEAREST FOR :APPLICANT TO FILL IN CROSS ST. , LEGAL DESCRIPTION LOT NO OWNER,' BLOCK TRACTMAIL ADDRESS �.___ -----_--- NO.OF$LOGS. y �— SIZE OF LOT NOW ON LOT CITY TEL. NO , USE OF BUILDINGS 0lJP MAP PI GESSED BY DISTRICT N0. GR BK CONTRACTOR ADDRESS CONNECTION DATA CITY TEL,N0. STATION 17.. 41 DEPTH 9 ❑ STATE MANHOLE REFERENCE UPPER REGISTRATION N0. ❑ COUNTY _._..1.OVfE3t NO. DESCRIPTION OF WORK FEES HOUSE SEWER CONNECTING TO [ FU LIC SEWER @ $3.00 TYPE OF CONNECTIO LENGTH FROM t j SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. J PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL. DRYWELL @ $2.00 - - HOUSE SEWER CONNECTING TO w P.C•NO. ' PRIVATE DISPOSAL SYSTEM @ Sim CO.IMP. NO. JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @.$1.00 A LT FR' REPAIR OR ABANDON HOUSE STATE ENCROACHMENTSELVER Oft DISPOSAL SYSTEM @ $1.00 PERMIT NO. _ INDUSTRIAL -- WASTE APPROVAL CHARGES OWNERS PERMIT s 2 OO CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE - REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED .EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19 NEW HOUSE SEWER I OWNER OR x OWNERS AGENT CONNECT ADDITIONAL - =s �f'S 3 r;� �' .<-.•', �. BUILDING OR WORK ADDRESS %0:-;�' SEPTIC TANK,SEEP.PIT(S) _ AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS, ALTER,REPAIR,SEWER OR SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL.SEPTIC TANKS ❑ SIGNATURE �f✓ ..�'` SEEP.PIT(S) ❑ CESSPOOLS ❑ OF PERMITTEE '��t .��.J„� -dxrdG )r VALIDATION ROBERT A. WOOD CL X.O, USH f SUPERVISING MECHANIGAL ENGINEER DEPARTMENT OF COUNTY ENGINEER SEWER-.SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS _ CROSS ST. LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. y' � s NEAREST r'` --- A S CROSS ST. RECEIVED BY Ready for Inspeetion DATE ISSUED OWNER MAIL ADDRESS--------- g USE ZONE OCCUPANCY I BK MAP PG CITY + f Td L.NO0 CONTRACTOR + ---_---_--�_ P.IMP.NO. ADDRESS , 15 �- JOB.N0. CITY j '_ TEL.NO. TRUNK PERMIT NO. j 7 i3' STATE REGISTRATION NO. R' COUNTY - ROAD PERMIT NO. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. NOW ON LOT -' CHARGES USE OF ay p u d BUILDINGS y> � _r_ =� CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER Q $ 3.50 f RECEIPT NO. I DATE I BY 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 I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER CONNECTION DATA AND/OR DISPOSAL SYSTEM 1.00 SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 I STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE RIFERENCE iUPPER LOWER- TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. OWNERS PERMIT $ I i 00 AUTHORIZATION TOTAL FEE I1_ — 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED HAVE TO CONNECT THEA VE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWE� SIGNED THIS-.-..............._DAY OF_' sl... 14.=T. NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL —V OWNERS AGENT.,-------..---:_------------------ ---------------- -----------------_ BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS: ------•--------------------- AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL❑ DRYWELL 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS� e: SIGNATURE SEEP.PIT(S)[] CESSPOOLS ;' < ll, _� OF PERMITTEE--- .................. .. d. siiAi'42D &G 1/53