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HomeMy Public PortalAbout9446 DAINES DR_Sewer__ CE808 3-61 76A 642D P P uV FOR uVu COUNTY OF LOS ANGELES SEWER—SEWYA E Do OSPOSAL DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION ° BUILDING ` JOHN A, LAMBIE, County Engineer WILLIAM A. JENSEN, Sup't of Building LOCALI NEAREST LEGAL FOR APPIMANT. TO FELL IN CROSS ST. � � � � OWNE DESCRIPTION LOTTO. BLOCK TRAC MAIL ' !a? ADDRESS 110.OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO USE OF BUILDINGS �DISTRICT N0. GROUP MAP _PkCESSED BY BK PG CONTRACTOR �� ADDRESS O ✓ CONNECTION DATA CITY ��/ TEL.NO. STATION ® � DEPTH s CO REGISTRATION NO. _ UNTY MANHOLE REFERENCE _ LOWER NO. 1 DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING.TO PUBLIC SEWER @ $5.00 TYPE OF NECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. RB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $5.00 / OVERFLOWSEEPAGE PIT.DRAINFIELD �/ —� d EXTN..CESSPOOL.DRYWELL @ S2.00 HOUSE SEWER CONNECTING TO P.C.NO. O PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. U CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT NO. ROAD PERMIT N0. d' ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT 0 SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. U LU INDUSTRIAL IZ WASTE APPROVAL N CHARGES ? Obi R'S PERMIT $ .2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE GY REIMBURSEMENT FEE CON- TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXISTINGDATE A CONTRACT WITH THE HEREINAMED DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I' 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 PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON CT CTPLUG PLUGHOUSE AND CALIFORNIA OR THAT I AM THE LEGAL OWNE OF THE ABOVE WER DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP.PIT(S CI CESSPOOLS OF PERMITTE ;f VMMATIOROBERT A. WOOD WH SUPERVISING MECHANICAL ENGINEER I.Ia-,j6 43 9 ­4 ..DEC 26 1 0 .D 3.Q0 DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE ®OSPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION " COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING Uq ^� t ADDRESS Q.4.41f� FOR APPLICANT TO FILL IN LOCALITY BUILDINGNEAREST ADDRESS 94AG a CROSS ST. V e '1(.) x$11018 �,'� C DISTRICT NO. SERIAL NO..' PERMIT NO. LOCALITY vil {;Ygn _ �+ S NEAREST A ')_ lCtl . . S CROSS ST.. l"Z�43t RECEIVED BY Ready for Inspection DATE1SSUED OWNER J.' Lichtenberger AQ Qcl LA MAIL USE ZONE OCCUPANCY MAP ADDRESS Same RK PPG CITY �.. . C, TELAO.At o 71()2 CONTRACTOR Rge��®" nO�i�e 7. +�— CO.IMP.NO. ADDRESS 6322 91p Ga 3Mei milant .Ameo JOB NO. CITY frl7 TEL:NO. _ A�o !Z:m 2 TRUNK PERMIT �I 1t1 Fi/6�Ss�TATE Z REGISTRATION N0. � j,q%� COUNTY ROAD PERMIT N0. CtLEGL ,3 DESCRIAPTION LOT N0. , STATE ENCROACHMENT— ERMIT NO. BLOCK 6D A �9-�� N�39��� PNDUSTRIAL WASTE-APPROVAL SIZE OF LOT �(X�Q ' NET OF NOW ON LOTS , a CHARGES USE OF BUILDINGS WDA & IFY°ki,B; CONNECTION CH FEE NO. DESCRIPTION OF WORK. ' FEE- 'REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLICSEWER @ $ 3.50 3 RECEIPT NO. DATES �BY HOUSE SEWER CONNECTING TO \ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. I DATE ]BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION L�-, ( S DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 L� -1 1i/ MANFERENCE LOWER TYPE ECTION _ LENGTH FROM OWNERS PERMIT $ I 00 CURB . M.L.TO P.L. 7 AUTHORIZATION TOTAL FEE ---- I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTINGAPPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE/PUBLIC SEWER,�� SIGNED THIS._._.__(�__-----DAY OF._,;%.___.. _..... 19. NEW HOUSE SEWER ! ynS OWNER OR CONNECT ADDITIONAL OWNERS AGENTBUILDING OR WORK ADDRESS.--...._-_�.�._#_k__ \`\ SEPTIC TANK,SEEP.PIT(S) --••-•--- ••=-------•-- AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL❑ DRYWELL 0 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 CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE S EWER AND STATE OF CALIFORNIA OR THAT I AWTHE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDE IAL PROPERTY. BACKFILLSEPTICTANKSE SEEP.PIT(S)0 CESSPOOLS[g- 6�6hr,Oc.k SIGNATURE ¢ -OF PERMITTE .... . .. ......... ..�_..._�....a---•._.--•-•>--- - .. _ { 76A642A 663 7/53 76AS42D APPLICATION- FOR PERMIT ' S&E•663 3.55 - DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING J WM.J. FOX. COUNTY ENGINEER ADDRESS 1IyL j CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY � �� �NEAREST FOR APPLICANT10 FILL IDT CROSS ST. Ula,LEGAL1 VO d% /DESCRFPTION LOT NO. b Df, OWNER O,SeA4 yG 4 66^4-eBLOCK TRACT e) MAILADDRESSNO. OF BLDGS. �/SIZE OF LOT ) / NOWONLOTCITY /LJ ` C®�j"✓TEL. NO. '- USE OF 6—:4 _ ' BUILDINGS 4./ Lae c"-4 /Nf1 f.t 4R+q lL 49 DISTRICT N0. GROUP MAP { 1 // r P CONTRACTOR �f'� � . ADDRESS Q Lo. tt_l"R. CONNECTION DATA CITY TEL. NO. - / STATION DEPTH ❑ STATE MANHOLE REFERENCE UPPER REGISTRATION NO. - ❑ COUNTY - LOWER NO.{I DESCRIPTION OF WORK FEE �1 - z HOUSE SEWER CONNECTING TO TYPE OF CONNECTION 'LENGTH FROM Y. CURB P.L. M.L. TO P.L. PUBLIC SEWER @ $ 3.50. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG. OR P. C. NO, WORK TO HOUSE SEWER 1.00 CO. IMP. NO. JOB NO, ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 - TRUNK PERMIT NO. ROAD PERMIT NO. DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT AND/OR DISPOSAL SYSTEM 1.00 PERMIT NO. SEPTIC TANK, SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 INDUSTRIAL CESSPOOL-DRYWELL4 WASTE APPROVAL SP ECIAL CONDITIONS=.ONLY '2.00 CHARGES - PERMIT CONNECTION CHARGE FEE OWNER'S S 1 Oo - AUTHORIZATION TOTAL FEE I (,Itl REIMBURSEMENT FEE ED CON- TRACTORHAVE TTOS DATE CONNECT THECTED ABOVE EXISTING WDESCRIBED ITH THE A IDWELLING APPROVALS ALS DATE INSPECTORS SIGNATURE TO THE-PUBLIC SEWER - SIGNED THIS DAY OF 19- NEW HOUSE SEWER OWNER OR. CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK - SEPTIC TANK, SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 SEWER SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY)TH 1 AM PROP ERL 'REGISTERED AND/OR LICENSED AS REOU) ED Y LOS ANGELES OUNTY,,AND STATE OF, DISCONNECT PLUG AND ' CALIFORNIA OR THAT 'AM THE LEGA OWNE ✓OF THE ABOV ABANDON HOUSE SEWER DESCRIBED RESID NTI PROP TY.' BACKFILL SEPTIC TANKS❑ SEEP. PIT(S) ❑ CESSPOOLS❑ SIGNATURE OF PERMITTE - -- - WILLIAMA. FO OUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF FLBG. INSPECTOR C0 3 5 t,• OCT 4 w, 2.0 0 In