HomeMy Public PortalAbout9706 VAL ST_Sewer__ COMM OF IAS ANGELES TEMPLE CITY Y 0508 ' BHNSR PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS � BE 0508 0603070006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 185-0188 ENT
LEGAL ID SEWER SEPTIC SEVER BUILDING ADDRESS
OH PILE EXIST OCC GRP 1 9706 VAL BY
BLDGS NOW ON LOT TEMP CA 917800000
ASSESSOR INFORMATION NUMBER CONNECTION TYPE NEAREST CROSS STREET GOLDEN WENT
5393-019-007 ORIGINATION THOMAS PAGE GRID LOCALITY TEMPLE CITY, C
LENGTH ML TO PL STATION DEPTH
TBBANT MAMEOLE REFERENCE UPPER/LOWER ISSULD ON PROCESSED BY EXPIRES ON
02/01/06 JK 08/06/06
COUNTY IMPROVEBtlT NUMBER N
OWNER TEL NO PLAN CHECK HUMBERFINAL D��$ �q FINAL BY CODE .
LIN FAY (636) 353-8517- JOB NUMBER
9706 VAL TRUNK PERMIT HUMBER
TEMPLE CITY CA 91780 ROAD PERMIT NUMBER DESCRIPTION OF WORT( '
AFFADAVIT NO REPAIR MAIN BEER LINE
WAIVER NO
APPLICANT TEL BO EA8E1®TT HO
COMBS (310) 838-0408-
RECORD INSTRUMENT NBR RECORD DATE SPEC-AL CONDITIONS
HIGHWAY/STRHRT WIDENING
STATE ENCROACHMENT PERMIT NUMBER
CONTRACTOR TEL NO PEES PAID APPROVALS DATE INSPECTOR SIGNATURE
MIRE DIAMOND AIR CONDITIONING (310) 838-0408-
3801 LBNAWEN AVE LIC NO FEB DESCRIPTION QDANTITT VON AMOUNT NEW HOOSE SEWER
CULVER CITY CA 90233 399170
O1 PERMIT IBSUANCB FEB 27 75 COENFCT ADDITIONAL
15 ALT/REP HOUSE SEWER 1 00 EAC 30 45 BUILDING OR WORK
ARCHITECT OR ENGINEER TEL NO TOTAL FEES 58 20
SEPTIC TANK, SERFAGE PIT
LIC NO A /OR DRAIN PISLD
DRYWALL
SEWER MAP BOOR PAGE ALTER REPAIR SEWER OR
SEVA GE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOOSE SEWER
1
BACKFILL SEPTIC TANKS _
BEEP rPIT CESSPOOL
GRAYWATER SYSTEM
1
• ADDITIONAL DATA ON FILE
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REPORT ID DPR266 ROUTEITO 890508
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D"ARTDffiNT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
OOUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENDIN[[R I , BUILDING
9 -706 E, VAI ST
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PRIVATEEDISPoSLAL SYSTEM CONECTING O 100 —
CONNECT ADDITIONAL LDG 08 EXCEPTION RECORDED
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ALTER OR REPAIR EXISTING OATS BY
SEWER OR DISPOSAL SYSTEM 100
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AND/OR DISPOSAL SYSTEM 1 SO - \ CONNECTIONDATA
TANK,SEPTIC
PITS ANDORDRAI MFII ELDT OR 2.00 STATION
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SPECIAL CONDITIONS ONLY 200 MANHOLE REFERENCE
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OWNERS PERMIT t 1 0oF C G d/✓
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AUORIZATION TOTAL FEE _ o
ABOVE �E
I HAVE THIS DATE
HEREIN 1
CONTRACTOR TONECTTHE DESCRIBDXSTING
APPROVALS INSPECTORS SIGNATURE DATE
DWELLING TO THE PUBLIO SEWER
SIGNED THIS_DAY OF I9�rto
NEW HOUSE SEWER jflMAI df -$S
OWNER OR CONNECT ADDITIONAL
OWNERS AG[ BUILDING OR WORK
ADDRESS _ t SEPTIC D/OR GRAINF ELD IT(8)
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLI- CESSPOOL[) DBYWELL
DATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR BHWER 08
REGULATING PLUMBING AND 8[W[88. SEWAGE DIBP013AL SYSTEM
AMD/OIIREBY LICENSED EAS REQUIRED BY FY THAT I AN PROPERLY
LOS ANGELES ICOOUNTY ABANDON AND
AND STAT[ OF CALIFORNIA OR THAT I AY THE LEGAL OWN- ABANDON HOUSE SEWER
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY SACKFILL SEPTIC TANK$
SIGNATURE BEEP PIT(8)0 CE88P0 $0
OFPERMITT !
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