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
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