The URL can be used to link to this page

Home My Public Portal About9903 DAINES DR_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER--SEWAGE DISPOSAL DIVTTMON'OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES ^ Al / WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS t/ �I I�� Q J/(,d� _ v c �' -� � G FOR APPLICANT TO FILL IN LOCALITY BUILDING q� �S �� NEAREST \.�'�:�C/✓C�/ /`�/C.CJ(/�'7/� ADDRESS �� } /r CROSS ST. LOCALITY r��y�+ t�� C// �--�� DISTRICT N0. A SERIAL AyL N0. t PERMIT N0. NEAREST ,(3/'��C IU W /1/ /Y A / i 7 j 4 -J^ ��-6 JC -//,--s CROSS ST. /� { � / RECEIVED BY 1q Reedy for Inspection DATEISSUED OWNER S./`f , ICV 00 0 R4)I E �t a—:37— MAIL USEZONE OCCUPANCY MAP ADDRESS �p �j jl��/ - ,�� BK PO CITY'TG�/� p TEL.NO. �� / 10��•� CONTRACTOR t�C1 Ci i�!ie4740 � AC, CO.IMP.NO. ADDRESS ®-0 JOB.NO. CITY � Cj TELAO.�,o ar Z jZ TRUNK PERMIT NO. -------�--- REGISTRATION N0. JATROAD PERMIT N0. LEGAL STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT N0.OF BLDG3. CHARGES NOW ON LOT USE UILDDINGS CONNECTION CHARGE FEE B NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER Q ; 3.50 R-E EIPT NO. I DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR ��EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 NO ALTER OR REPAIR EXISTING DATE BY SEWER OR DISPOSAL SYSTEM 1.00 I / DISCONNECT AND ABANDON SEWER �/� CONNECTIO TA AND/OR DISPOSAL SYSTEM 1.00 SEPTIC TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS ; � I 00 Y. CURB P.L. M.L.TO P.L. PERMIT AUTHORIZATION I TOTAL FEE IIHAVE 00 CONTRACTOIS DATE R TO CONNECT THE ABOVE DESCRIBEDED WITH THE N AED EXISTING APPROVALS INSPECTOR' SIGNATURE DATE DWELLING TO THE PUBLIC SEWER / SIGNED THIS.._eZc. ___DAY OF...... _.�; •___-------19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL �y�) BUILDING OR WORK OWNERS AGENT_._ ._�.-_ .__ _ .. _ f SEPTIC TANK,SEEP.PIT(S) ADDRESS._ �.�lr _-----6!I�Ll►'►_. .6 ... AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYWELL E] CA TIA ON AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINNCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR TH AM HE LEGAL OWN- ER OF THE ABOVE DESCRIBEEDE DE TI PROPERTY. BACKFILL SEPTIC TANKS r SIGNATURE SEEP.PIT(S)[:] CESSPOOLS OF PERMITTE ___ i6A642D 663 1/53 �>�A�rMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL _DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALIT - p C` BUILDING' NEAREST r' > ADDRESS ©' CROSS ST. 29,f i I i\ LOCALITY /p DISTRICT NO SERIAL NO. \GPt-E�RMIT NO. CROSS ST.NEAREST , I7 Lid! A 1 -1 {DO — S RECEIVED BY Ready for Inspection DATE ISSUED OWNE MAIL ADDRESS J::�I77 USE ZON OCCUPANCY BK MAP PO L�� CITY TEL.NO. CONTRACTOR �y (%1. CO.IMP.NO. ADORES JOB.NO. CITY TRUNK PERMIT NO. � Q Q�STATE REGISTRATION N0. � /j ❑ COUNTY ROAD PERMIT N0. LEGAL �� STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO BLOCK TRACT 00 INDUSTRIAL WASTE APPROVAL SIZE OF LOT( NOW ON LOTS CHARGES NO.OF BLDG USE BUILDINGS / �� CONNECTN E F C EE �V` IO NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLICSEWER @ $ 3.50 L� RECEIPT NO. I� DATE 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 N0. 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 G I PITS AND/OR DRAINFIELD 2.00 STATION -!t aq ,C) DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 ' MANHOLE REFERENCE gai UPPER r LOWER TYPE l ECTION LENGTH FROM OWNERS PERMIT $ I CURB =CI< M.L.TO P.L. 8 Q AUTHORIZATION I TOTAL FEE 52!!:j I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER�j' � SIGNED THIS-- ......DAY OF..�1� ..� 19�T` NEW HOUSE SEWER CONN ADDRESS--.... -- �j �i.�- SEPTI CT ADDITIONAL SEEP.P -- OWNERS AGENT.............._ . BUILDING OR WORK OWNER OR � i SEPTIC TANK,SEEP.PIT(8) AND/OR DRAINFIELD I HEREBY A KNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL-Q 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ~� AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DAND PLUG AND AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ARAN DISCONNECT ON HOPLUG EWER ER OF THE ABOVE D S RIBED RESID TIALPROPERTY. BACKFILL SEPTIC TANKS SIGNATURE � �L_ 6! / SEEP.PIT(S)C] CESSPOOLS OF PERMITTEE 76Ab42A 663 7/53