HomeMy Public PortalAbout9848 VAL ST_Sewer__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0208270007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: SEPTIC: X BUILDING AD
TR: 12368 LT: 8 EXIST OCC GRP: 9848 VAL ST
BLDGS. NOW ON LOT: TEMP CA 917801441
ASSESSOR NFO CONNECTION TYPE: NEAREST CROSS STREET: BALDWIN
5383-023-018 ORIGINATION: THOMAS PAGE: 597 GRID: Al LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
ENA : MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED B S ON:
08/27/02 JK 02/23/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
CHANG RAYMOND W;AU JENNY M (213) 576-6734- JOB NUMBER: -�, /r-O 07
9848 VAL TRUNK PERMIT NUMBER: r�
TEMP 917801441 ROAD PERMIT NUMBER: 0 0
AFFADAVIT: NO CONNECT SFR TO SEWER
WAIVER: NO
A N EASEMENT: NO
HYDRO TECH PLUMBING CORP (626) 282-3198-
315 S WINTHROP DR RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDIT 0 S:
ALHAMBRA 91803 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. N0: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
HYDRO-TECH PLUMBING CORP (626) 282-3198-
315 S WINTHROP DR LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSESEWER
ALHAMBRA CA 91803 C-36 *
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDI IONAL
03 CONN TO PUBLIC .SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: L. 0: TOTAL FEES 74.70
STEPHEN LAM AND ASSOCIATES (626) 300-5483- SEPTIC TANK, SEEPAGE PI
1128 S. GARFIELD AVE. LIC. NO: AND/OR DRAIN FIELD
ALHAMBRA, CA 91801 NONE
R E L
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
RACKFILL SEPTIC
SEEP. PIT CESSPOOL
GRAYWATER S E
* ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO SS0508
7sAE-66 APPLICATION FOR PERMIT 1
a&P-689 ff.33
DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF k UILDING
LOCALITY �„ �
_ FORAPPLICANT TO FILL IN NEAREST
LEGAL " —.- `— ,y
DESCRIPTION LOT NO. '! OWNER �'y^
BLOCK TRACT / 1 -_.MAIL
DDRESS
N0.OF BLDGS.SICITY f !� TEL. N0,
ZE OF LOT NOW ON LUT f .. -`�
USE OF n✓ ,:•�,.��,,. --� - .r.r DISTRICT NO. GROUP i MAP
BUILDINGS l
SK PG
a
CONTRACTOR
---- �� _- CONNECTION DATA
ADDRESS, '✓ - _. ..T ..� - ------��� --- �'---fir-�.__-
CITY TEL. N ' -STATION , _ - DEPTH
'' '. -y ---_ �-- -.MANHOLE REFERENCE ��-
0 STATE .--_ - .%,r SLOWER
REGISTRATION 40. -_ _ >.. �[] COUNfY
NO. 1 DESCRIPTION OF WORK FEE---- -� -- TYPE of ---�---
HOUSE SFN£R CONNECTING 70 CA#N`FKCIION ,LENGTH FROM -
PUBLICS tWkR -- _ _---(a"'. $_3.50 til �- Y'-- 'CURB P.L. M.L. TO P.L. -; .---
SEPTIC LANK,SEEPAGE PIT OR �--
PITS AND/OR DRAINFIELD_ ti $3.OU -- _- ---
-._I OVERFLOW SEEPAGE P1T,DRAINFIELD --�-- -- -- P. C. NO. -
_. I EXTN.,CESSPOOL,DRYW ELL.MANHOLE (-4 $2.00 ! CO, Liu, NO. , JOB NO,
HOUSE SEWER CONNECTING To E -
_
PRIVATE DrSPOSAL SYSTEM_ ((� $1.00 TRUNK PERMIT NO ROAD PERMIT NO., ,f,: ;+_
iii------ '--- - ----- --- -- -___--- ---
� CONNECT ADDI NONAL BLDG,OR STATE ENCROACHMENT
WORK TO HOUSE SEWER r'
$1.00 I -
_ _ _ PERMIT 140.
ALTER,REPAIR OR ABANDON HOUSE
SEWER UR DISPOSAL SYSTEM � $ 00
! _ _ _--- _- 1 INDUSTRIAL
-i ,4A5TE APPROVAL -
-_-�
CHARGES
I I
CONNECTION CHARGE FEE
OWNER'S PERMIT S 1 00 ------------
AUTHORIZATION
_ TOTAL FEE --: ---_ REIMBURSEMENT FEE -- -^—
— �—'
[ HAVE AT THIS DATE ,A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTORS SIGNATURE_-- ---.-
TRACTOR __.--_-
TO CONNECT THE ABOVE: DESCRIBED EXISTING DWELLING
TO THE PUBLIC SEWER, ; NEW HOUSE SEINER
SIGNED THIS DAY OF_+ �_ a_t9_S _ - ---'--- -- - - -'-- _- _
--�.✓,,,rr CONNECT ADDITIONAL
OWNER OR ,,� ,� f-s BUILDING OR WORK
OWNERS- AGE,VT #�" .�-: .�'„�.._a'-�..,� _ ,, t. ..-- _. ----.�. _---'-- ----------.._.__�_.—..---
,�✓✓ SEPTIC TANK SEEP, PITfS)
ADDRESS-._ "� Zv rc ASND/OR DRAINFIELD _
I HEREBY A KNO. LEDGE THAT i HAVE-READ. THIS APPLICATION
AND STATE THAT THE ABBOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL[] DRYWELL.�'�
WdTH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .ALTER REPAIR SEWER OR
PLUMBING AND SEWERS. -L DISPOSAL SYSTEM
HEREBY CERTIFY THAT 1 AAI PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE D
CALIFORNIA On THAT I RI THE LEGALOWNER OF THE ABO�',E -- - ---- -- ---------
ER
DESCRIBED P.ESI.DENT#„_L.-P C, ER(Y -��” BACKFILL SEPTIC TANKS LT -
SIGNATUREr 3""✓ =� SEEP PITIS) +`1 CESSPOOLS i ; r
OF PERMITTEE r` --- - — -- ��
_ I �
JOHN A. LAMBIE, COUNTY i= GINEER VALIDATION _ ROBERT A. WOOD, CHIEF PLEIG. INSPECTOR
Crt. fd. 9 CASH As°
4