The URL can be used to link to this page

Home My Public Portal About6032 BURTON AVE_Sewer__ E CrtSOO.8ee APPLICATION FOR PERMIT oa.eCOUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - SEWER—SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION ADDRESS DUf" h JOHN A. LAM LE, County Engineer A CASSATT D. GRIFFIN. Sup't of Building LOCALITY a h 6 0.6 , - NEAREST � I ` FOR APPLICANT`` TO FILEGAL LL IN caoss sr. DESCRIPTION LOT NO. �4'b OWNER ( D BLOCK TRACT �'� Q MAIL ADDRESS (9/ OL:? e� NO OF BLDGS. S12E OF LOT Do X' NOW ON LOT CITY A6TEL. NO. USE OF �f //f> BUILDINGS �YS . 6A /� DISTRICT N0. GROG BK MAP PG PROCESSED BY r CONTRACTORQe e:5,7,6-7 (� ADDRESS CONNECTION DATA CITY Q TEL. N0, ` eg; STATION DEPTH STATE MANHOLE REFERENCE UPPER REGISTRATION NO. I Z LJ COUNTY No. DESCRIPTION OF WORK FEE LOWER HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM PITS AND/OR DRAINFIELD @ $3.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL.DRYWELL,MANHOLE @ $2-00 HOUSE SEWER CONNECTING TO - P.C. NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 V TRUNK PERMIT NO. ROAD PERMIT SEWER OR DISPOSAL SYSTEM HOUSE @ $100 STATE ENCR PERMIT N CJ V INDUSTRIAL _ WASTE APPRO .AL CHARGES OWNERS M—' S 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE' 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. -APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS Y F Jy_ NEW HOUSE SEWER OWNER OR - CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANK, SEEP,PIT IS) ADDRESS AND/OR DRAINFIELD I 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 ALTER, REPAIR, SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT ABANDON HO PLUG PLUGUSE D CALIFORNIA OR THAT 1 AM THE LEGAL OWNS OF THE ABOVE ER DESCRIBED RESIDEqj4AL PROPERTY. 11 BACKFILL SEPTIC TANKS Cl SIGNATURE SEEP. PIT(S) ❑ CESSPOOLS El OF PERMITTEEh ®r. VALIDATI fI^) ROBERT A.WOOD CK. Y.o. SUPERVISING MECHANICAL ENGINEER jG3s135 cr,T 510A 3.00 `�L�n�cwwl/ CE508 D 10-63 6A64 1' APPLICATION FOR PERMIT A COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS WILLIAM A. JENSEN, Supt of Building ` r LOCALITY NEAREST FOR APPLICANT TO FILL IN ) CR055 ST. AL DES,RGPTION LOT NO./Op f/(/ A OWNER wry//)JJ MAIL r n BL K TRAC % O3 ADORES /NO. OF BLDGS. D S1ZE OF LOT NOW ON LOT / CITY C"1 -�/ TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCE55ED BY BUILDINGS BK / PG CONTRACTO /_ ADDRESS y CO ECTI'I/O�^DATA CITY EL. NO. ;Y O SEPTH STATE M N L R OEREN E UPPER REGISTRATION NO. / COUNTY LOWE NO. 1 GESCRIPT ON OFWORK FEE OF VECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y tlRB P.L. M.L.TO P.L. } PUBLIC SEWER 39.00 P.C.NO. G. SEPTI,TANK.SEEPAGE PII-� T ORPITS ANO/OR DRAINFI ELD $10.00 CO.IMP.NO. /d JOB NO. O HOUSE SEWER CONNECTING TO I TRUNK PERMIT NO. ROAD PERMIT NO. �] V PRIV4TE DISPOSAL SYSTEM ® $3.00 [/\ CONNECT ADDITIONAL BLDG.OR AFFIDAVIT A1v [ASEMINT RECORD.INSTR,NO. DATE WORK TO HOUSE SEWE R E3.00 OVERFLOW SEEPAGE PIT,ORAINFIELD U E%TN..CESSPOOL,ORYWELL.MANHOLE@ 55.00 W ALTE R.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING y SEWER OR DISPOSAL SYSTEM ® 53.00 STATE ENCROACHMENT Z_ PERMIT NO. INDUSTRIAL AUSTRIASTE APPROVAL I VIP OWNERS PERMIT s x 00 CHARGES AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE 'IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAV OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTIC I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OTANK.S IELEP.PITI51 PND/OR GRAINFIELD AND STATE THAT THE ABOVE ICORRECT AND AGREE E COMPLY WITH ALL COUNTY ORDINANCES S ANO STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ ORYW ELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR ALTER,REPAIR.SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANO INTEND TO DISCONNECT PLUG AND RESIDE IN, THE AB DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER SI TU GNRE OF APERMI TTEE. _ ` BACKFILL SEPTIC TANKS ❑ SEEP.PIT(S) El CESSPOOLS ❑ VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK. M.O. CASH LHL D S 2 G o RPR 19 1 A 7.0 0" Cl ly"ItL"'i j 6A642 0 -F3 ,, APPLICATION FOR PERMIT C ES08 1 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A, LAMBIE, County Engineer —,BOB —/ WILLIAM A. JENSEN, Sup'1 of Building f.. LOCALITY ^/y, NEAREST FOR APPLICANT TO FILL IN ROSS ST. r LEGAL ) / DESCRIPTION LOT NO. I 9r OWNEfl ��-X IZ_ MAIL BLOCK ACT a ADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY Z4 TEL. NO. USE OF -1 PG / DISTRICT NO.1 G1OUP MAP PROCESSED BY BUILDINGS ) BK CONTRALTO r ADDRESS - / T d _72t-;?,57 CONNECTION DATA CITY EL. NO Tj�Gz l-r DEPTH Lr, / �' �/e UPPER REGISTRATION NO./ /-L/ [ COUNTY M O FERENCE NO, DESCRIPTION OF WORK FEE OFC CTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. P.L. M.L.TO P.L. } PUBLIC SEWER @ $5.00 P.C,NO, SEPTIC TANK,SEEPAGE PIT OR 0- PITS ANO/OR BRAINFIELD @ 510.00 . IMP.NO. C) JOB NO. O V LOU 5E SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PR I VATE DISPOSAL SYSTEM @ $3.00 w CONNECT ADDITIONAL BLDG,OR AFFIDAVIT WAIIIX C4SIYIRT RECORD. INSTR.NO. DATE O WORK TO HOUSE SEWER @ 53.00 f OVERFLOW SEEPAGE PIT.GRAINFIELD V EXTN..CESSPOOL.DRYWELL,MAN H OLE @ $5,00 W ALTER. REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING SEWER OR DISPOSAL Y T @ $3.00 STATE ENCROACHMENT _Z 1 PERMIT NO, INDUSTRIAL WASTE APPROVAL / OWNERS PERMIT $1 21 o CHARGES AUTHORIZATION I TOTAL FEE CONNECTION CHARGE FEE 'I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING I TO THE PUBLIC SEWER. APPROVALS DATE I-SPECTOR'S SIG NATURE SIGNED THIS DAY OF OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TA NK,SEEP,PIT(R) AND 'STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAT NFIELD WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELh ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE D I5POS AL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG ANB RESIDE IN, THE ABO DESCRIBED IBED RESIDENTIAj ROPERTY, ABANDON MOUSE SEWER SIGNATURE Clef pO OF PERMITTER, 44`� BACKFILL SEPT I C TANKS ❑ / SEEP,PITISI ❑ CESSPOOLS ❑ OVALIDATION ROBERT A. W000 M, CASH SUPERVISING MECHANICAL ENGINEER CK. O. LAd08 1 2 1� APR19 1 1 ,.A' 2 5.00- v