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HomeMy Public PortalAbout5014 DOREEN AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEM SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I NG ADDRESS F4NEAREST ,' PPLICA T TO FILL IN Locnury / 1 NEAREST �� • �.! J.Iot.,1 l}-L.-(- CROSS ST. '0 � (1(�r_fyy ✓ ,/-j^'ffL'� /lr DISTRICT NO. / SERIAL NO. / gPERMITrl NO. � i �` l-f� A �f� �& ^ REECCJEIVED BY Reedy for Inspection DDATEISSUEDD Cifn��USE ZONE OCCUPANCY MAP ADDRESS BK PG CITY TELAO. CONTRACTOR ,Q '/4t_[INDUSTRIAL O.IMP.NO. ADDRESS 7// // /- fB.NO. + CITY /`�� 0 / `(/9TEIIL��.NO`. /X RUNK PERMIT N0, STATE REGISTRATION N0. /T / 8 COUNTYOAD PERMIT NO. LEGAL / ! {�%�Jj; T ATE ENCROACHMENT :ESC RIPTI LOT N0. J/� / ERMIT NO. BLOCK TRACT - A S WASTE APPROVAL SIZE OF LOT � NOW ON LOTZ CHARGES i USE OF CONNECTION CHARGE FEE BUILDINGS NO. - DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLICSEWER 0 f 3.50 RECEIPT NO. I DATE 1 BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00N0.' I DATE 11V ALTER GR REPAIR EXISTING /! SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER / AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA t SEPTIC TANK,SEEPAGE PIT OR PITSAND/OR GRAINFIELD 2.00 STATION 96DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 ¢ �+ MANHOLE,REFERENCE �X�i L"'���J! (UPPER ) LOWER TYPE OF CONNECTION' � LENGTH FROM ..Y_ UR CURB'? R.L-.• M.L.TO P.L. OWNERS PERMIT $ I 1 00 AUTHORIZATION TOTAL FEE I 7 pD 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'SSIGNATURE DATE DWELLING 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 1 HAVE READ THIS APPLI• CESSPOOL E] DRYWELL E] 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 IAM PROPERLY REGISTERED ANO/OR 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 PROPERLY! BACKFILL SEPTI-TANKS E SGNATURESEEP.PIT(S)0 CESSPOOLS eCe- YUCJ� , 1/y OIF PERMITTEE .�. ..—..__y. _._....�_-.._....� ......_�Pz.� 76A642D 663 1/53 D' /i DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL , DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING CASSATT D. GRIFFIN SUPT OF BILLDINO ADDRESS ,� Q/� �y L��,•� � F . R A,[[}}PP�LLIIC{�/{,�5,NnnT TO FILL IN LOCALITYBUILDING �Q Ag:17 / ,(/�N �r Fi A/ NEAREST � CROSS ST. N\')�"� Ty DISTRICT N0. SERIAL NO. PERMIT NO. 3 e 7/ S /J�y� �}�+ / RECE(IIVVJE�D �BY Ready for Inspection DATE ISSUED Y 1JC /cG3O Al- MAIL Y USE ZONE OCCUPANCY MAP ADDRESS BK PG CITY TEL.NO. CONTRACTO .A ER & !inN CHARGES REIMBURSEMENT FEE REQUIRED ADDRESS 3242 E. CoInrodn NOT REQUIRED cF?msad^/e�n+��a�, T!+lWq,-.R�7g 108 NO, CONNECTION CHARGE FEE REGISPJlL0�0. 6_'�(� T[ yTV CO. [RIP. N0. LEGAL RECEIPT NO. I DATE IBY DESCRIPTION LOT N0. BLOCK TRACT WAIVER FOR RECORDING SIZE OF LOT NO.OF BLDGS. RECEIPT NO. DATE I BY IIOW ON LOT USE OF � BUILDINGS 1/Yy ',C..0 /�T� TRUNK PERMIT N0. N0. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO ROAD PERMIT NO. PUBLIC SEWER 40 $ 3.50 HO USE SEWER CONNECTING TO STATE ENCROACHMENT PRIVATE DISPOSAL SYSTEM 1.00 PERMIT N0. CONNECT ADDITIONAL BLDG.OR INDUSTRIAL WORK TO HOUSE SEWER 1.00IQ WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 STATION DEPTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR GRAINFIELD 2.00 MANHOLE REFERENCE CESSPOOL—DRYWELL UPPER LOWER 'SPECIAL CONDITIONS ONLY 2.00 TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. OWNERS PERMIT $ I 1 DOA (/ ALITHORIZATfON TOTAL FEE I 'Y o L I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'SSIGNATUR f' DATE DWELLING TO THE PUBLIC SEWER _ U SIGNED THIS--------------------DAY OF................................___.19....---- NEW HOUSE SEWER .. ; OWNER OR CONNECT ADDITIONAL L� 1•v OWNERS AGENT_......................._............... BUILDINGORWORK SEPTIC TANK. PIT(S) ADDRESS........:------------------------.................................... _ AND/OR GRAINFIELFIEL D - I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. CESSPOOL DRYWELL y CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE e TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER ,{ REGULATING PLUMBING AND SEWERS. SWAGE DISPOSAL SYSTEM ,1 1 HEREBY CERTIFY THAT I AM LY GISTEREO DISCONNECT PLUG AND AND LICENSED–AS RE REQUIRE ABY LOS ANGEL S COUNTY ABANDON HOUSE SEWER AND AND STATE F- ALIFORN T I AM THE EGAL OWN- ER OF T ROVE D I SIDENTIAL OPERTY. BACKFILL SEPTIC TANKS SIGN URE SEEP.PIT(S)Q CESSPOOLS OF RMIT,. .. __.... .....::.. _... .. 16AG42D 663 12/52 DEPARTMENT OF COUNTY,ENGINEER SEINER—SEWAGE DISPOSAL DIVISION OF BUILDINGAND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER ADDRESBUILDINSG h FOR APPLICANT NT TO FILL IN LOCALITY ��„ �� ✓ BUILDINGNEAREST ' (� ADDRESS LOCALITY ^^ CROSB ST. 'IV Al, "4 Lv= 4Zs/ve ST l`t DISTT NO.� SERIALNO. PERIT N0. NEARC CROSS ST. J RECEIVED BY Ready TorinsDectlon DATEISSUED OWNER MAIL rsJ ADDRESS C USEZONE I OCCUPANCY MAP Qff�Y BK PG CITY � ��4 .4. CO.IMP.NO. CON RACTOR � 11 ADDRESS %I - JOB. N0. CITY /t.r�JLI� TEL.NO. p�� TRUNK PERMIT NO. STATE REGISTRATION N0. \\� COUNTY ROAD PERMIT NO. W 7 LEGAL V�- • STATE ENCROACHMENT DESCRIPTION LOT N0. )'j 'l� • A ❑// PERMIT NO. / BLOCK u TRACT - W DUSTRIALSTE APPROVAL SIZE OF LOT �V x OWV N0.OF BLDGS. /1 NOW ON LOT A CHARGES USE BUILDINGS T4W� X 1 CONNECTION CHARGE FEE , \ NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE / HOUSE SEWER CONNECTING TO PUBLIC SEWER (q $ 3.50 15® RECEIPT NO. I / DATE I BY HOUSE—SEVER CONNECTING TO - PRIVATEDISPOSALSYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ' ' ALTER OR REPAIR EXISTING i0' I DATE I DY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER I C AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGIE PI PITS AND/OR GRAIINFIELDIT OR 2.00 STATION IJV+3 /1.f DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 . '.141s �Y MA JUPPERR)FERENCE LOW-EF6 TYPE OF'CGNNECTION LENGTH FROM pea OWNERS PERMIT $ 1 I 00 .Y� / CURB) .P;L: M.L.TO P.L. 7 3e e�y AUTHORIZATION . TOTAL FEE Sv - IHAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING Tp THE PUBLIC SEWER I NEW HOUSE SEWER SIGNED THIS_. 'Le OP...1fZ.":.ESL... 19 a OWNER OR ��` _ I n� � _ B UNL OI NG ORECT WORKOWNERS AGENT . . J. c w __ .__._ .. .__�____ SEPTIC TANK.SEEP.PITS) ADDRESS ..... .__.__......___........... . . ARD/OR GRAINFIELD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. CESSPOOL ORYWELLEl 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 AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. gA CKFILL SEPT IC TANKS SEEP.PITS)0 CESSPOOLS SIGNATURE /1 OF PERMITTEE.. ... . _. ..... . .,,L.:14. ...... ..C�k.cr'1 76AG42D 663 1/53