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Home My Public Portal About6214 BURTON AVE_Sewer__ Parcel Map 501 CEBOB B 02 APPLICATION FOR PERMIT TBABnzD COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 1J21 ,X N_ Ruxton .14-ve- COLEMAN W. JENKINS. SUPT. OF BUILDING OCALITY San Gabriel NE.REST FOR APPLICANT TO FILL IN `RCSB ST. omgdan LEGAL �I DESCRIPTION LOT NO. 3 OWNER iR McCallum MAIL n� I '�� ADDRESS �I Burton. BLOCK TRACT lAT LL—a`r- [-. / NO. OF BLDGS. 512E OF LOT lJ \"* a NOW ON LOT I CITY TEL. NO. USE OF BUILDINGS $88 DISTRICT NO.1 GROUP1 MAP PROCESSED BY CONTRACTOR -._,, qua =e-Daa_1-Sswe1- erV-1-c9- ADDRESS 29 .3^Maya Ori Rd, CONNECTION DATA CITYR1 M tts TEL. NO.41,.1A_2STATION j ..h"I �'J DEPTH $TATE LIC ANHOIVF ERECCJE UPPER MN LICENSE NO.. CLASS �Ir.C (f NO. .DE$GRI PTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM,, �� HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L I 2 PUBLIC SEWER ® f5.00 � p.G NO. `, • SEPTIC TANK.SEEPAGE PIT OR CO.IMP.NO. JOB N �(J L O PITS qND/OR DRAINFIELD � f10.00 V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM ® s,IO. O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT w11VEV SERE RECORD.INSTR,NO, DATE WORK TO MOUSE SEWER ® 15.00 U OVERFLOW SEEPAGE PIT.DRAINFIELD a EXTN..CESSPOOL.ORYWELL.MANHOLE® S.00 ALTER,REPAIR OR ABANDON HOUSE MWY.OR ST.WIDENING ' SEWER OR DISPOSAL SYSTEM ® s,GO STATE ENCROACHMENT z PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGER OWNER'S PERMIT s z 00 AUTHORIZATION TOTAL FEE 1 7 00 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 DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT_ CONNECT ADDITIONAL ADDRESS BUILDING OR WORK / SEPTIC TANK.$ESP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CE551OOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER, REPAIR.SEWER OR LICENSEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. D INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESC�ftJBED R SIDENTIAL P ORE FIT ABANDON HOUSE SEWER 51GN P.R.ITTEE C/K_ BACKFILL SEPTIC TANKS ElOF PERMSEEP,PITISI ❑ CESSPOOLS ❑ (CK M.O. CASH ALIDATION JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER CK. LAL;o 6 3 0 1 SEP 6 1 0 A 7.00- c DEPARTMENT OF COUNTY ENGL-TEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES ryL WILLIAM J. FOX, COUNTY ENpINEER I ADD HESS l� /2 1 � •(7o ./FOR !�G?Lt ANT TO FILL IN LOCALITYBUILDING fa n_ Gd ADDRESS b 3'/�. �" NEAREST / n (,� // rh S NEAR ST. 'p 1n Gy Cele LOCALITY 3�tti� �� . DISTRICT N0. ERIAL N0. PER��MIT N117� NEAREST 1 t �L 5 A s CROSS ST. �2 `'v // a EC VED By Ready for Inspection 12 -1- 1 �...... �ISSUES..- OWNER C C/ - ST .- OWNER USE ZONE 'I OCCUPANCY MAP ADDRESS /1 �— _ n= R J BK G CITY TEL.NO. K 127 CONTRACTOR (/.(—a a.— f S A—I CO.IMP.NO. ADDRESS i L Y /Q-4.- �: , 0. CITY O, E4 4,� TELAO. /?'r0 L`> > �� TRUNK PERMI '- REGISTRATION N0. _721L_ y ❑ COUNTY ROAD PERMIT NO. LEGAL "1 STATE ENCROACHMENT— �\ DESCRIPTION LOT N0. / PERMIT NO.i! BLOCK TRACT J�-C' Q 3RIAL \ ASTE APPROVAL SIZE OF LOT NO OF SLOGS. CHARGES � w / l Y7 V NOW ON LOT USE L J 1�G�L�� BUILDIDI NGS''/ CONN Wd !LCHARGE FEE NO. DESCRIPTION OF WORK Fte ' fDUSESEWERCONNECTING TO REIMBURSEMENT FEe\. le PUBLIC SEWER @ $ 3.50 1 3 ro RECEIPT NO. DATE BY HOUSE SEWER CONNECTING TO �i., PRIVATE DISPOSAL SYSTEM 1.00 ONNECT ADDITIONAL BLDG.OR , sIEXCEPTION RECORDED-`1;: WORK TO HOUSE SEWER 1.00 - N0. I DATE 8V' ALTER OR REPAIR EXISTING -SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYST E M 1.00 'CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR 7. 5 PITS AND/OR DRAINFIELD 2.00 STATION ( � 2 . � DEPTH CESSPOOL—DRVWELL / SPECIAL CONDITIONS ONLY 2.00 7 S MAN PPEq'EFEfl ENCE TYPE OF CONNECTION .RNGTH FROM � / I ` OWNERS PERMIT { 00 Y. CURB P.L. 1M.L.TO P.L. L AUTHORIZATION TOTAL FEE G So - I HAVE THIS DATE CONTRACTED WITH THE EREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESC ISED EXISTING APPROVALS INS P ECTOgISSIGNATURE DATE DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS....- AY OF..!..,C._._ _�4—__19__. /7-J7 OWNER OR 11// CONNECT ADDITIONAL OWNERS AGE NT......,...._......_. BUILDING OR WORK / SEPTIC TANK,SEEP.PIT(S) ADDRESS..........._.._.....__......_.........__.._.._.._..------............................ AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• CESSPOOL Q DffYWELLEl 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 I HEREBY CE Rys THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/Ofl IICENS AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ALIFO RNIA OR THAT I AM TFI£ LEGAL OWN• ABANDON HOUSE SEWER ER OF THE A60 E DESCgIBED RESIDENTIAL ROPERTY. BACKFILL SEPTIC TANKS E] SIGNATURE �I�,(� SEEP.PIT(S)Q CESSPOOLS OFPERMITTEE... ..-..__----_............_..-------_----------------------------- .... 76A642A 663 7/53 v 6A842D E_°, 5 APPLICATION FOR PERMIT 1 e° DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles ni'DREssG - f JOHN A. LAMBIE. COUNTY ENGINEER , ' I'� L' ® CASSATT 0.GRIFFIN, SUPT OF BUILDING LOCALITY FADDRESS OR APPLICANT TO FILL IN CROSS ST IJ OWNER ION LOT N0, ry L tt MAIL TRACT ADDRESS L � - [/ • .G(.'Gy-•!.' �Q"rX NO. OF BLDGS. CITY i✓'3.•..u,TE(. NO.Zj•T� LOT X NOW ON LOT •L�. a� S L- - �y./L'YlL'jl3. (� DISTRICT NO. GROUP BK MAP PG TOR _ yy�SCONNECTION DATA;� C��. TEL. NO. �-' ��/ STATION DEPTH MANHOLE REFERENCE UPPER ,,PPJJ STATE f LOWER REGISTRATION NO. � L- ,!�? 1] COUNTY NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOM.L. TO P.L! TYPE OF CONNECTION LENGTH FROM Y. RB P.I. PUBLIC SEWER @ $3.50 , SEPTIC TANK,SEEPAGE PIT OR C PITS AND/OR DRAINFIELD (Q S 3.00' OVERFLOW SEEPAGE PIT. DRAINFIELD // P. EXTN.,CESSPOOL,DRYWELL,M AN HOLE a' $2.00 CO. IMP. f O. JOB NO 1 AJ C,L. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM Q 51.00 TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.ORSTATE ENCROACHMENT WORK TO HOUSE SEWER Q S I.Do o PERMIT NO. ALTER.REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM Q $1.00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT $ 1 00 AUTHORIZATION TOTAL FEE O� REIMBURSEMENT FEE I 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 PUBLICSWE �• NEW HOUSE SEWER SIGNED THIS DAY OF "'�'%7-'+'V� CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGEN •�' �'>( 2•�N.0 r-E'G/ I SEPTIC TANK,SEEP,PIT(S) ADDRESS / %} �',L'- PND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP KATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. / SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR DISCONNECT PLUG AND LICENSEDAS REQUIRED BY LOS ANGELE"COUNTY AND STATE OF ' CALIFORNIA OR THAT 1 AM THE LEGAL�OWNER OF THE A VVE ABANDON HOUSE SEWER DESCRIBED RESIDENT] PROPERTY. �, BACKFILL SEPTIC TANKS❑ SIGNATURE r / SEEP. PITS) ❑ CESSPOOLS OF FERMITTE - -GAL 6-a r JOHN A. LAMBIE, Coug14v ENGINEER VAZIDATIOfI�� ROBERT A. WOOD, CHIEF PE-BG. INSPECTOR CK. M. �( �4`5 3 2� "Am 21 4 2.00