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