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HomeMy Public PortalAbout5015 DOREEN AVE_Sewer__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT t Department of County Engineer DIVISION OF BUILDING & SAFETY ro)tr' L U M I N WILLIAM J. FOX, County Englneer STRICT O. GR UP G . FOR APPLICANT TO FILL IN / '716 6 7 PLUMBER BAXTER & SON RECEIVED BY READY FOR ISSUED FIRST INSPECTION /O -� ADDRESS 3242 E. Colorado�1 CITY Pasadena TEL No. S1 2-537�]9 ADDRESS COUNTY 634 6-30-54 LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER o / MAIL WATER CLOSET(TOILET) @ 0.50 8 ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER a 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 'LAVATORY (WASH BASIN) @ 0.50 O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 O AND STATE LAWS REGULATItIM PLUMBING.. 1 CERTIFY TMAT-f Porta9 rlynVE LID LOS ,LAUNDRY TUB OR TRAY @ 0.50 49 ANGELES COUNTY LIC�ti9 'THE AL WNER GAS SYSTEM--OUTLETS @ 0.50 (0-0 DF THE REBIHENTI -PROP TY ESC AS BIONATUBVEE OF��� WATER HEATER @ 0.50 PERMI.T•T[ SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 r/`2 rZ Ae DISHWASHER @ D.SO a a 3ti 2 "G.n DRINKING FOUNTAIN ® 0.50 URINAL @ 0.50 C-O. /IVi J Q HOUSE SEWER @ 0.50 MISCELLANEOUS ,/ Q �� CT Q C eJ.l. FJ u 9^S APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT ' CESSPOOL @1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.DD GAS TEST UTILITY Co.NOTIFIED TOTAL FEE / FINAL 76A667 DBS {17 6-52 ✓ EEBDB lE-ad Tn. nazD APPLICATION FOR PERM COUNTY OF LOS ANGELES SEWER—SEWAGEDISPOSAL DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDINGJOHN-A. LAMBIE. COUNTY ENGINEER ADDRESS �� /✓ yQ QNB COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY /P C(1LOCALITY NEAREST FOR APPLICANT TQ FII B / CROSS EGAL OE6CFIPTION LOT NO. OWNER /Q MAIL BLOCK TRACT 57© ADDRESS D NO. OI SLOGS, / [� SIZE OF LOT NOW ON LOT CITY �M "f TEL. NO. J' —2-2 IJ y USE OFBUILDINGS ) DISTfl ICT NO. Gq0 P BK MAP PROCESSED BY PG CONTRACTOR �Z (/�A//✓� �' � � � �j///, ADDRESS / /.m/Frig✓ {ten/ X/✓ CONNECTION ATA -L TEL. NO. -LIC /rl"/�J 6 A f ON �o DEPTH b LICENSE NO. ZG3 y6 CLAnSSTATE [• UPPER MANHOLE REFERENCE E NO. DESCRIPTION OF WORK FEE TYPE OF CONN C N LENGTH FROM HOUSE SEWER CONNECTING TOY . CURB P.L. M.L.TO P.L. PUBLIC SEWER Q E5.00 SEPTIC TANK.SEEPAGE PIT OR P.C.NO- PITS AND/OR GRAINFIELD ® SHO,OO CO.IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 'gyp PRIVATE DISPOSAL SYSTEM 11133.00 J__ CONNECT ADDITIONAL BLDG,OR AFFIDAVIT ery uirv[4T RECORD,INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 V OVERFLOW SEEPAGE PIT.DRAINFIELD D= O EXTN„CE99POOL.DRYWELL.M4NHOLE® 35.00 NWT.OR 9T,WIDENING V ALTER.REPAIR OR AtlA NOON HOU9E SEWER OR DISPOSAL SYSTEM ® f3.00 W STATE EN ! PERMIT NO. E INDUSTRIAL ? WASTE APPROVAL OWNER'S PERMIT $1 z oO CHARGES AUTHORIZATION TOTAL FEECONNECTION CHARGE FEE I HAVE AT TH19 DATE s CONTRACT WITH THE HEREIN ZZ-1 REIMBURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAV OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT- CONNECT ADDITIONAL ADDRESS BUILDING OR WORK HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK,SEEP.PITHS) ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR GRAINFIELD !� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS, CESSPOOL ❑ DRYWELL ❑ HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR ALTER.REPAIR.SEWER OR LICENSED AS REOUIREO BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT M THE LEGAL OWNER OF. AND INTEND TO DISCONNECT PLUG AND RESIDE IN. THE AlE SC BE 61DENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS OF PERMITTEE SEEP,PIT(S) ❑ CESS67,11. PO❑OL6 ❑ VALIDATION JACK R. ALLEN cK. M.0. GASH SUPERVISING MECHANICAL ENGINEER i nr 9 JL 8 3r hnn-hl ? 1 0 D 7.00— Q CE8082/70 APPLICATION FOR PERMIT J6A 642D COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /. o r8e/✓ COLEMAN W. JENKINS. SUPT. OF BUILDING ,gyp, /e T f LOCALITY NEAREST FOR APPLICANT TO FILL IN CR SS Sr. (PRINT OR TYPE ON c J- p�d-. LEGAL DESCRIPTION LOT NO. ` J • OWNERMAIL p BLOCK TRACT (J ADDRESS 01.7� Nb. OF SLOGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. GROUP CLASS MAP PROCESSED BY ((jj ��/�1 BK p3 CONTRACTOR LLL /</'�✓� (O • Q 5"oB �(� -20 .�I_l` ADDRESS < W�/4 {-.AA/ v1/` (( CONNECTION DATA �3�������CC CITY a�vle.✓ l TEL. NO. CK I/ B TION �y DEPTH STATE C� l� .� , LIC ! '� V UPPER LICENSE NO. / GLA55 ` MANHOLE REFERENC �y'1 / �+ K /I� O,Y OWE NO. .DESCRIPTION WORK FEE TYPE OF COE O LENGTH FROM HOUSE SEWER CONNECTING N TING TO Y. CURB P.L. M.L.TO P,L. PUBLIC BE'"_ @ 55.00 fJ SEPTIC TANK.SEEPAGE PIT OR a PITS AND/OR ORAINFIEID ® f10.00 Co.IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO, ROAD PERMIT NO. ��J�7 d PRIVATEDISPOSAL EWERCONNECTIN ® $3.00 .�J 7 O CONNECT ADDITIONAL BLDG.OR AFFIDAVIT 17!=ORD.RECORD.INSTR.NO. DATE U WORK TO HOUSE SEWER Q 33.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL.DRYWELL.MANHOLES $5.00 �/ ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING YT GJ/ C�- O SEWER OR DISPOSAL SYSTEM ® 33,00 if STATE ENCROACHMENT® W C !c PERMIT NO. a v NO N WASTE APPROVAL Z_ OWNERS PERMIT s CONNECTION CHARGE FEE CHARGES AUTHORIZATION I TOTAL FEE 15 0 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR .NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC T4 NK,SEEP.PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ ORYWELL ❑ 1 HEREBY CERTIFY THAT I.AM PROPERLY REGISTERED ANDIOR ALTER,REPAIR.SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT AM THE L OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN. THE AB ESC$IBED SI OENjIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE l//�// Gr-/{�f//� BACKFILL SEPTIC TANKS ❑ OF PERMITTEE ❑ S CEP.PIT(S) ❑ CESSPOOLS —VALIDATION JACK R. ALLEN M.o. 'CASH SUPERVISING MECHANICAL ENGINEER 1-V';, 9 1 8 KAa 17 1 G o 2 5_L O ' ,Q fp-e,/,j lark/. � ,