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Home My Public Portal About8841 - 8841 1/2 ELM AVE_Sewer__ CESOS-8.58 APPUCATMN FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION UIL BmriG GADDRESS JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN, Sup't of Building LOCALITY - NEAREST FOR APPLICANT TO FILL.IN CROSS 5T. LEGAL f DESCRIPTION LOT N .� *4 #f 40 OWNER s. BLOCK TRACT IV MAIL ADDRESS NO.OF BLDGS. SIZE OF LOT DE NOW ON LOT 1. CITY TEL. USE OF - - - •''' BUILDINGS a F OUP MAP PROCESSED BYBK P6CONTRACTOR , f:6ADDRESS CONNECTCITY TEL.NO. � � DEPTH + STATE REGISTRATION N01- M4?41c E COUNTY MANHOLE R ER CE UPPER NO. DESCRIPTION OF WORK FEE LOWER k HOUSE SEWER CONNECTING TO � PUBLIC SEWER @ $3.00 SEPTIC TANK,SEEPAGE PIT OR- TYPE 0 CONN CTION LE FROM PITS AND/OR DRAINFIELD @ $3.00 Y. CURB P.L. .TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. JOB N0. CONNECT ADDITIONAL BLDG.OR ,� TRUNK PERMI OAD PERMIT N0 WORK TO HOUSE SEWER @' $1.00 . , SEWER OR DISPOSALABANDON SYSTEM HOUSE @;$1 00 - STATE E OACHMENT PERMI N0. INDUSTRIAL '.` WASTE*APPROVAL . - CHARGE5 QR'S'' PERMIT S 2 DD CONNECTION CHARGE FEE ti AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE- " 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT'THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEW SIGNED THIS AY OF I$ NEW HOUSE SEWER Q CONNECT ADDITIONAL OWNER OR • OWNERSAGEN7 BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADD E aAND/OR DRAINFIELD ' m 1 HEREBY ACKNOWLEDGE THAT 1 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 ALTER,REPAIR, SEWER OR PLUMBING AND SEWERS. - ` SEWAGE DISPOSAL.SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR DISCONNECT PLUG AND LICENSED AS,REOUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT AM THE LEGAL OWNER THE ABOVE DESCRIBED RESIDE TI PROPERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP.PIT(S) ❑ CESSPOOLS❑ OF PERMIT TE OF ALMATION - ROBERT A.WOOD cx. M.o. CASH SUPERVISING MECHANICAL ENGINEER -rig 1 �;0 7 7 1 3 n JJid ?� 0 A 5-00- DEPARTMENT OF COUNTY ENGINEER S E !iEVA &SP® DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS .ANGELES WILLIAM J. FOX, COUNTY ENGINEERI BUILDING ADDRESS �� 7 71- fr FOR APPLICANT TO FILL IN LOCALITY Trrl��e1 BUILDING ? NEAREST �/ ADDRESS ��} �J �{/ CROSS ST. I X O I^ /2,0" d')PA LOCALITY,y_,.,.0� _ DISTRICT NO. SERIAL NO. /PERMIT NO. C NEAREST ✓ A �oI(0S VZ� / J CROSS ST..� `�./ RECEIVED BY Ready for Inspection DATE ISSUED OWNER 6rr�'�`--r 13tfl/l MAIL - �^ USE ZONE OCCUPANCY BK MAP PG ADDRESS /� CITY TEL.NO. CONTRACTORS y�/� co-imp-No. ADDRESS JOB.N0. CITY �� TNO. TRUNK PERMIT N0. f/ NATE REGISTRATION N0. COUNTY ROAD PERMIT N0. 23600/ LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO.E7-J ID O PERMIT NO. BLOCK TRACT j e_3_ INDUSTRIAL APPROVAL O.OF BLDG SIZE OF LOT;7J'��/� NOW ON LOTS �.• CHARGES USE OF BUILDINGS e-aCy, CONNECTION CHARGE FEE _ NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE ---- HOUSE SEWER CONNECTING TO PUBLICSEWER @ $ 3.50 I 3 SO RECEIPT NO. I --DATE I BY HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 NO. I BY ALTER OR REPAIR EXISTING DATE I SEWER OR DISPOSAL SYSTEM 1.00 I �' DISCONNECT AND ABANDON SEWER _AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR / PITS AND/OR DRAINFIELD 2.00 STATION (of 5-3. 7 DEPTH �p CESSPOOL—DRYWELL _ SPECIAL CONDITIONS ONLY 2.00 I /, 3/ MANHOLE REFERENCE �, Qf- UPPER LOWER TYPE OF CONNECTIQN LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB {�P.L. '--'M.L.TO P.L. ,LI/ AUTHORIZATION I TOTAL FEE I Ll 5D - CONTRACTOR TDO CONNECT THATE TE ED ABOVE DESCRIBED IEXISTING ED APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS----•-�---------DAY OF..... NEW HOUSE SEWER OWNER OR L __ �^ CONNECT ADDITIONAL OWNERS AGENT.69:r---_. LcE'...-,_-:!-----.-.c.--]7AQ-5' BUILDING OR WORK SEPTIC ADDRESS-.-.-....-5�33 g_..'`1— -I_ _�-" _.-- ---._.... AND/OR DRAINFIELD PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL❑ DRYWELL 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 I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY. ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS � SIGNATURE SEEP.PIT(S)E] CESSPOOLS r OF PERMITTEE - - -......••---•---.._..... 76A642D 663 1/53 DEPART3WNT OF``COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION _ COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING / I ADDRESS FOR APPLICANT TO FILL IN ; LOCALITY BUILDING /j D a ) . e� NEAREST �x / a f" J�S,Pm-elf/ / ?/ C_7 _ADDRESS bX' Q.J / asl �- CROSS ST. { `<_ (} �S/`! LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. c NEAREST A 2-6'3 CROSS ST. RECEIVED BY Ready for Inspection DATE-ISSUED OWNER/FIC/ . f� �1 4-.� -,� MAIL USE ZONE OCCUPANCY BK MAP PG .ADDRESS _ -Q ` CITY TELAO. , CONTRACTORi�i'/ 3® / / CO.IMP.N0. /3b ADDRESS } )07, JOB.N0. TELL No_ TRUNK PERMIT NO. ' REGISTRATION NO. ❑ COUNTY ROAD PERMIT NO.LEGAL G 36 d y DESCRIPTION LOT NO. �.r� �� 16 p I STATE ENCROACHMENT PERMIT NO. BLOCK TRACT .,3'6Z3 INDUSTRIAL WASTE APPROVAL SIZE OF LOT-7_S` X2 y f NOW ON LOTS. �itG_ CHARGES NO.OFUSE OF BUILDINGS CONNECTION CHARGE FEE NO. I DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED 1 WORK TO HOUSE SEWER I.00 ALTER OR REPAIR EXISTING NO. I DATE , I 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 I STATION �� t)v `� DEPTH SPECIIALCONDITIONS ONLY 2.00I_ 6, MANUPPER REFERENCE .LO.W.ER TYPE OF CONNECTIONLENGTH FROM / Y.-- CURB L✓ P.L.-- M.L.TO P.L. .4-6 OWNERS I PERMIT $ I 1 00 AUTHORIZATION . TOTAL 'FEE I '.. OL, - - 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 SIGNED THIS--------------------DAY OR.................._................... 19.__... NEW HOUSE SEWER OWNER OR (-Ste.-d `' CONNECT ADDITIONAL OWNERS AGENT.--....._...... BUILDING OR WORK `bGu'�+�7�( 7�- �•fF -----•--------•-- - -•-••--•---• ----•-•---•----•--••---a SEPTIC TANK,SEEP.PIT(S) ADDRESS... --- -...................... AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI CESSPOOL(] DRYWELL 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 I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THATA AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE . .-... �.� SEEP.PIT(S)� CESSPOOLS OFPERMiTTEE__ ___ ..-. _d`...... ---- 76A642D 663 1/53 IDEPARTBEI&T OF`COUNTY ENGWEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING ARID SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I BUILDING ADDRESS 16--I yl Q FOR APPLICANT TO FILL IN [NEAREI TY %�i�ii��c C A ADDRESS�t 3 y T t/ O/� /7C�m�� SA T. VY ' K LOCALITY ICT N0. SERIAL NO. /PERMIT NO. c NEARES A 6 16✓ &Z� 2 S CROSS ST. VEDBY Ready for Inspection JDATE-ISS[U.ED OWNER _ -@ G( (Z —�!3MAIL ONE OCCUPANCY BK MAP PG ADDRESS CITY TEL.NO. I /�C1�✓ CONTRACTOR ) y ii• CO.IMP.N0. 1330 —,0,# ADDRESS `'V`3& y y JOB.NO. CITE M�srp TEL.NO. TRUNK PERMIT NO. / ' _STATE REGISTRATION,�NO. ZC» e�LEGAL / O COUNTY t ROAD PERMIT NO. ,2j 6o O/ DESCRIPTION_ LOT N0.(A �� j¢ �f� C) STATE ENCROACHMENT �1 PERMIT NO. BLOCK TRACT LJ, INDUSTRIAL WASTE APPROVAL SIZE OF LOT / ,�y NO.OF BLDGS. CHARGES 6 lc / NOW ON LOT � t?,.� , USE OF BUILDINGS �� ` CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE - REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER ; 3.50 RECEIPT NO. I DATE I 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-�- I BY SEWER OR DISPOSAL SYSTEM 1.00 I - DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 I CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR ` PITS AND/ORDRAINFIELD 2.00 I STATION T�� ,-7 DEPTH SPECIAL CONDITIONS ONLY 2.00I L//_ 2) MANHOLE REFERENCE V` �. � UPPER '^L•OWER- TYPE OF CONNECTION LENGTH FROM e� ,.�/ OWNERS PERMIT $ I I 00 Y. — CURB I/ P.L. --- M.L.TO P.L. .LV AUTHORIZATION .I TOTAL FEE r2 .(f) IHAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS--------------------DAY OF.......................................19.___.. NEW HOUSE SEWER 4 ,CONNECT ADDITIONAL ` OWNER OR - BUILDING OR WORK -/ �� OWNERSAGENT ••-......`---•-•---....•-•---•---------...-------------------•-......- SEPTIC TANK,SEEP.PIT(S) ADDRESS............. - --..................... AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. CESSPOOL[-] 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 I AM PROPERLY REGISTERED AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT ABANDON HOPLUG PLUGAND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE AB�VEQSCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATSEEP.PIT(S)El CESSPOOLS E3 OF PERMITTEE------ - --- --- 663 1/53