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Home My Public Portal About9407 DAINES DR_Sewer__ 6A64 10-63 APPLICATION OI�A ICATION ICOR PERMIT 76A642D /'9rrR�l!'L+ A Itl Y— wu ..,._`Y ;.:.4. ..... COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILID)NG - - JOHN A. LAMBIE, County Engineer ADDRESS 7 / WILLIAM A. JENSEN, Supt of Building LOCAL;TY NEAREST FOR APPLICANT FLL IN `ROSS ST. LEGAL /� . DESCRIPTION OT NO. / OWNER 1 I /�_ MAIL ^ `_ f - BLOCK TR�A/CT l SS��A.J V �� G/�.lc ADDRESS SIZE OF LOT {D�!`/t Z/Z/ NOW OONB LOTS I CIT TEL. .NO. USE OF � + ��++ /�,++ .� DISTRICT NO. G OUP 'BK MAP PG.,:,. PROCESSED_ BUILDINGS Aj C•!L. [L- ��`G //{� Cx�- I By CONTRACTOR "2 ., r 4`ZC�Z�® ✓ 'l •ri,� / ADDRESS q ¢U U AJX/S L6/2/ CONNECTION DATA CITY Z�• P(�IF TEL. NO.Z V -/6 NS> STATION DEPTH ❑ STATEMANHOLE REFERENCE /� UPPER REGISTRATION NO. ❑ COUNTY LOWER NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. d PUBLIC SEWER @ $5.00 SEPTIC TANK,SEEPAGE PIT OR P.C.NO. O PITS AND/OR DRAINFIELD @ $10.00 CO.IMP. NO. JOB NO. U HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3.00 '/ CONNECT NT RECORD. INSTR.NO, DATE ADDITIONAL BLDG.OR AFFIDAVISEMC T IY 'eA V WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD W IL EXTN.,CESSPOOL,DRYWELL,MAN HOLE @ $5.00 ALTER.REPAIR OR ABANDON HOUSE HWY. OR ST. IDENIN h SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT Z PERMIT NO. INDUSTRIAL WASTE APPROVAL OWNERS PERMIT $ 2 00 CHARGES AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE '1HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT F EE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. __ APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OWNER OR 44 NEW HOUSE SEWER y OWNERS AGENT P �7 CONNECT ADDITIONAL why//0 BUILDING OR WORK /�7 ADDRESS ✓v�,si!/� L: SEPTIC TANK,SEEP,PIT(S) !� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR " ALTER,REPAIR,SEWER OR 1, LICENSEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEG OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE A VE DESCRIBE SIDENTIAL PROPERTY. ABANDON HOUSE SEWER r SIGNATURE BACKFILL SEPTIC TANKS ❑ - OF PERMITTEE I--I SEEP,PIT(S) ❑ CESSPOOLS El LIDATION ROBERT A. WOOD CASH M. SUPERVISING MECHANICAL ENGINEER CK. O. DEPARTMENT OF COUNTY ENGINEER$ SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELESBUILD �/ NG WILLIAM J. FOX, COUNTY ENGINEER I ADDREISS ID7,X•. /Jcr/nom tL/r� CASSATT D. GRIFFIN, SUPT OF BUILDING „-_-_ FOR APPLICANT TO FILL IN LOCALITY /{�/ /' BUILDINGNEAREST ADDRESS ® CR SSST. Wes-x- d C.._kye,, l/�l Aye- LOCALITY DISTRICT NO. SERIAL NO. PERMIT N0. LOCALITY A 1-7q 5- -GROSS S NEAREST' C JL a O� S ✓3(J CROSS ST. RECEIVED BY Ready for Inspection DATEISSUED OWNER ®e o Bell J 2-0 —63 MAIL p USE ZONE OCCUPANCY MAP ADDRESS .-A I BK PG CITY ,ffEL.NO. & & ~� CONTRACTOR lam/ ``j CHARGES REIMBURSEMENT FEE ADDRESS REQUIRED NOT REQUIRED- CITY TEL.NO. I JOB NO. CONNECTION CHARGE FEE REGISTRATION NO. �S�P cif � SjCSTATE COUNTY CO.IMP. NO. LEGAL //��//�� I!I RECEIPT NO. DATE I BY, DESCRIPTION LOT NO. A Z , ZI T-/p W —�•-_ .. "Z- BLOCK ZBLOCK TRACT S ,%.epew _ WAIVER FOR RECORDING SIZE OF LOT( V NO.OF BLDGS. / RECEIPT NO. I DATE I BY NOW ON LOT USE OF � BUILDINGS — TRUNK PERMIT N0. NO. DESCRIPTION OF WORK- FEE HOUSE SEWER CONNECTING TO ROAD PERMIT NO. PUBLIC SEW ER @ E 3.50 3 �� HOUSE SEWER CONNECTING TO I STATE ENCROACHMENT PRIVATE DISPOSAL SYSTEM 1.00 PERMIT NO. CONNECT ADDITIONAL BLDG.OR I I INDUSTRIAL WORK TO HOUSE SEWER 1.00 WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 CONNECTION DATA DISCONNECT AND AND/OR DISPOSAL SYSTEMN SEWER 100 I STATION 7J--q3- O DEPTH `J / SEPTIC TANK,SEEPAGE,PIT OR PITS AND/OR DRAINFIELD 2.00 I MANHOLE REFERENCE CESSPOOL—DRYWELL UPPER LOWER d SPECIAL CONDITIONS ONLY 2.00 I TYPE OF CONNECTION ,LENGTH FROM D Y. CURB P.,L. y M.L.TO P.L. OWNERS PERMIT $ I 00 — AUTHORIZATION I TOTAL-FEE I .5-0 NAED CON RACTOIR TO CONNECT THDATETE ED ABOVE D SCRIBEDWITH THEIEXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS---------- -_DAY OF................ ..... NEW HOUSE SEWER — CONNECT ADDITIONAL OWNER OR - BUILDING OR WORK OWNERS AGENT - ............ ....... SEPTIC TANK,SEEP.PIT(S) ADDRESS...... ................. .......... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL Ej DRYWELL E CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER 'REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND DISCONNECT PLUG A AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOPLUG ND AND STATE OF CALIFORNIA OR THAT AM THE'LEGAL OWN- WER ER OF THE AB OV DESGRIBED RE (D NTIAL PROPERTY. BACKFILL SEPTIC TANKS E] Y3 D SIGNATE SEEP.PIT(S)E] CESSPOOLS D UR OF PERMITTEE._-_, _�� 76A642D 663 12/52' S ' DEPARTMENT OF OOU3= ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING ARID SAFETY PERMIT APPLICATION COUT-= OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING _ADDRESS FOR APPLICANT TO FILL IN , LOCALITY- BUILDING"3 qq ;; t- q: r �. "+ NEAREST ADDRESS'"� `i e q' •�l T} - V * CROSS ST. LOCALITY};, }{ Cf DISTRICT NO. SERIAL N0: PERMIT NO. /fit1g� P [` A B 2S NEAREST l '. [ !a��!'' � I N ✓ f� �� CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER T MAILp ((, ,t f USE.ZO y OCCUPANCY - ADDRESSVf6 T-- , L%d< _f 0 n)e, _ I BK PG CITY' yyTEL.NO. p' (,a " tel 1� / . / CONTRACTOR NAZ2'.. T6),, vN"6vl �q }} CO.IMP.N0. / Z. 6 ADDRESi�te,je'() �;` 1 I?t is o JOB.N0. CITY L.[in "?Yt1.54'S TEL.NO.NA 9-35'34 TRUNK`PERMIT W0. - _--- � ❑4 a STATE REGISTRATION NO.. - ❑ COUNTY ROAD PERMIT N0. LEGL DESCRIPTION LOT N0. /fF t/V IZ6 STATE ENCROACHMENT PERMIT N0. -- BLOCK` UST AL f/^�T.Rff��E� E, �g 3 VNASTE APPROVAL " SIZE OF LOT&3. �/a:k3 WOW ON LOTS !( CHARGES OF BUIELDINGS (� ` YG C CONNECTION CHARGE E NO. DESCRIPTION OF WORK FEE _ HOUSE SEWER'CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER 0 $ 3.50 SD RECEIPT NO. I DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT-ADDITIONAL BLDG.OR EXCEION CORDED _ WORK TO HOUSE SEWER 1.00 ' ALTER OR REPAIR EXISTING NO./I DAT I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT ANDABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR 01 PITS AND/OR DRAT"NFIELD 2.00 STATION 7 -DEPTH - CESSPOOLO DRYWELL 3. /I PPEREFEREJJ SPECIAL CONDITIONS ONLY 2.00 �Y MAN �f �/I L�wE TYPE OF ECTION LENGTH/FROM Y. CURB •' P.L. M.L.TO P.L. 3 O OWNERS ( PERMIT $ 1 00 AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED e r CONTRACTOR TO CONNECT'THE ABOVE DESCRIOED EXISTING APPROVALS INSPECTOR'S SIGNATURE- DATE DWELLING TO THEPUBLIC SEWER SIGNED THIS-. ±_.......DAY OF.� ?°�t&014 1�.y..19 NEW HOUSE SEWEROWNER G➢yy,"� CONNECT ADDITIONAL' OWNERS ACENT.I-.a.! /�'?f `7."R:fi .: =._------.-. 6UILDING OR WORK t 1 r /� Q��pSEPTIC ADDRESS.�.!?:4-�-(--_L:k K a�tn 1, Aid - AND/OR pRAINF ELD IT(S) ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[] DRYWELL 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 tHEREBY CERTIFY THAT I AM, PROPERLY REGISTERED AN LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND. AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)E] CESSPOOLS❑ OFPERMITTEE.....................................................'................ ••.... i 6A642D 663 1/53