HomeMy Public PortalAbout6338 BARELA AVE_Sewer__ µf° APPLICATION FOR PERMIT
�i 406f 11•dD
DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL
of Co=tr EnUlwm
Camtr of Los AaQalfI. FDD:
G
JOHN A. LAMBIE, COUNTY ENarNEER
m CASSATT D. GRIFFIN, SUPT QF BUILDINq Y
FOR APPLICANT TO FILL IN CRO3T_
EgA1
DLCRIPTION LOT N0. OWN-ER •
BLOCK TRACT - PAIL
ADDRESS
NO.OF BLDG& / CITY � TEL. NO.
SI E 0 LOT NOW OX T
USE OFI
DING!
BUILDIDISTRICT it GROUP YAP
BK PO
COX-FRACTOR
CO QN DATA
ADDRESS
STATION DEPTH
CITY 7E L. NO.A
IFAlIHOL!}REFERENCE `
STATE _ —S1 LOWER
REGISTRATION NO, ❑ COU1iTY
No. DESCRIPTION OF WO FEE T"s OF CONNECTILENGTH FROM -
HOUSE SEWER CONNECTING TO / T. CURB P.L. Y.L. O P.L.
PUBLIC SEWER B .SO _
SEPTIC TAAK,SEEPAGE PIT OR
PITS AND/OR bRA?NFIELD 5,60
AQVER OW SEEPAGE PIT,DRAT FIELD P. C. p0.
E](TX.,C SPOOL DRYW LL MANHOLE ;2.00 CO. IMP. N O JOB N0.
HOUSE SEWER CON ECTIXG TO
P 1VATE DISPOSAL SY 1.00 TRU?{ PEt1IT A0. ROAD PERMIT NO.
CONNECT ADDITIONAL BLPG.OR STATE ENCROACHMENT
WORK TO HOUSE SEW j 1.00 PERMIT NO.
ALrtR,REPAIR bR ABAND N HOUSE INDUSTRIAL .
S91"R OR DISPOSAL JYMM $1.00 WASTE APPROVAL
CHARGES
CONNECTION CEARGE FEE
ovnm'S Pte' f 1 00
AUTHORIZATION TOTAL FEE So
REIMBURSEMENT FEE
I HAVE AT THIS DATE A CONTRACT IIITH THE HEREIN NAED COX- A"ROVAI.S DATE IXSPEGTOR'$SIGNATURE
TRACTOR TO CONNECT THE ABOVE DESCRIBED ERISTING�fiLLIXG
TO THE PUBLIC SEWER. NEW HOUSE SEXIER lg-1647 THl AY 194-7 GoNNF�cT ADDITIQ>rAL
OWNER OR BUILDING AB.I/ORK -
OWNERS AGENT SEPTIC TANK,SEEP,PIT(f) -
ADD AND/OR DPAINFIELD
1 HEREBY ACKNOWLEOGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑
AXP STATE THAT TH$ ABOVE 19 CORRECT AND AGREE TO FOMPLY
WI'T'H ALL COUNTY ORDINANCES AND STATE LANA REGULATING ALTER,REPAIR,SEWER OR
PLUMBING AND,SEWERS. qFWAGS DISPOSAL STEM
I HEREBY CERTIFY THAT 1 All PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON CT PLUGHOUSE AND
CALIFORNIA OR THAT I AN TH A OWNER OF THE ABOVE
DESCRIBED) RESIDENT ROPER BACKFILL SEP"�IC TANKS❑
SIGNATURE f P.PIT(9) ❑ CE89POOLS
OF PERMITTEE
JOHN A. LAMBIE. COUNTY ENGINEER MMATION ROBERT A, OD, CHIEF PLJBa. INI3PECTOR
c>< a.0. wo
i& 500OD; -DEC 10 4 4.50 2
r
9
DEPARTKENT OF Hp' MING AND SAFETY Ig' APPLICATION FOR PF.FiMT
COUNTY OF LOS ANGELES BUILDING UILDING
WT+1. J. FOX. OHI[F ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / D113TRI13T NO. PLAN OK,NO. PERMIT NO.
ADDRESS
LOCALITYn R JIVED BY DATE OFF APPLE.. t DATIEWU[4
N EAR[BT 1-0—S'— (,/ t V—
OWNER C,' BUILDING ) D
/ ADDRESS M 1 t
MAILADD "1 � LOCALITY
NKARENT
_Ca1ZY �Gf1� l? R l 1 �f NO f /T /��Y CRo�
FIRE NO.OF - TYP GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER Mo.
BLDG. ORD.NO.
�DPRCI9S oETHACK LIN[
/} ,t APPROVED
CONTRACTOR /7"' l.•7 /NOL/,-•7 ,,,[�. oY DATK {]
f Z' Oar �;J� T' ZONE BYPR D DAT�.V�
L.[ CORRECTIO
DEBCRIPGALTIOHH LOTMO. /� 19LE30K h
TRADT V
f 1 NO.o ■Low.
BItI OF LOTa pr- MEL OF
Z'
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
D
a
REPAIR l f�} MOVING D[MOLIBH/� - _ rK 0
NO or
B Z[ / V �� ROOMS 44 IrTORIEW C/
WALL I ROOF `� .�
OOYERING r (� ❑OV[RI NG ! 7 _
USE NEW
BUILDIDI NG 7`
7'-'
C. _ 04,
vR 0 —
1,-- K D
I O
HEREBY AKNDWIZDG[ THAT I H [AVREAD THIS APPROVALS
APPLICATION AND oTAT[ THAT THE ABOVE IB CORRECT FOUNDATIOHIt LOCATION
DAT[
AND A11R[[ TO COMPLY WITH ALL COUNTY ORDINANCES FO"MS,MATERIALS
AND STATE LAWS REGULATING ■UIL.DING DONS-fR OTION.
f /1� /{�� FR R, FIR[STOPE.
■IGNATUR[OF / J f/ ■RADIHG ■OLTG 4 4
PERMITT[ r' '-
LATH, INT.
AUTHORIZED AJ r X
r� LATH, ECT.
7&A&3K -a 7" [f�� 4 P.O. ( PLASTER.INT.
Y F[[.
P LAST[R.IXT.
C� ^ � •
VALUATION � FI1V,4L r