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HomeMy Public PortalAbout9089 EMPEROR AVE_Sewer__ D IS&E 663 11.98 APPLICATION FOR PERMIT 1 8 @ E 8 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS d ® CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY � G��C/ FOR APPLICANT TOp FILL IN CROSS ST LEGAL DESCRIPTION LOT NOac2 40e �B OWNER 6 � MAIL BLOCK TRACT Z g 00 ADDRESS NO OF B L D G S CITY TEL NO SIZE OF LOT NOW ON LOT USE OF BUILDINGS DISTRICT NO I GROUP BK JBK MAPP A CONTRACTOR /C 7� ADDRES ,�_ CONNECTION DATA ' / STATION a DEPTH (� CITY�� /G�4i TEL NO 41 o�,�,.✓� MANHOLE R€NSE® _ UPPE /� Et"STATE �� lei I 4 Al LOWE REGISTRATION NO ❑ COUNTY No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTION LEN fH FROM PUBLIC SEWER @ $3 50 Y CURB P L M L TOP L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD c@ $3 00 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO, CO IMP NO EXTN CESSPOOL DRYWELL,MANHOLE @ $2 00 JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1 00 TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1 00 PERMIT NO ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM @ $1 00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE - OWNER'S PERMIT S1 GG REIMBURSEMENT FEE AUTHORIZATION I TOTAL FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED coN- APPROVALS DATE INSPECTOR SSIGNATURE TRACTOR TO CONNECT THE ABOVE D'�RIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS D Y OF 19 CONNECT ADDITIONAL OWNER OR �' BUILDING OR WORK OWNERS AGE N SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD I HER Y ACKN,6WLEDGE THAT"I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM- 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIAL ROPERTY BACKFILL SEPTIC TANKS❑ OF PERMITTEE T /_/ SEEP PIT(S) ❑ CESSPOOLS SIGNATURE _ JOHN A LAMBIE, COUNTY ENGINEER LIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR CK M 0 CASH ,LOO M10 4 n _4-50 DEP"=MENT OF COUNTY ENGINEER PERMIT DISPOSAL 1 DNISION OF BUILDING AND SAFETY PERMIT APPLICATIONN COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESSr'4 FOR APPLICANT TO FILL IN LOCALITY } BUILDINGr 0 hdO NEAREST V ADDRESS 11 �I,try�a„n :J_ , np—1 CROSS ST t ytLnt LOCALITY . DISTRICT NO SERIAL NO PERMIT NO NEAREST /,S CROSS ST _ !� �1pp ;;yy--,,� RECEIVED B�Y///j Ready for Inspection /9DATEC}ISSUED �\ OWNER f iT :o�la �/ n w ,lr. ( ASN�1/[✓7TlSk °� �lX —$4 MAIL ADDRESS _a USE ZONE OCCUPANCY I MAP BK PG CITY (t ^ TEL NO l CONTRACTOR �� : CO IMP NO ADDRESS ~� �-�, _ JOB NO CITY i/ yl ?sy� � TEL NO TRUNK PERMIT NO REGISTRATION NO 113 Q —8TATE ROAD PERMIT NO LEGL STATE ENC DESCRIPTION LOT NO / JJ �'"Y PERMIT NOROACHMENT O iBLOCK TRACT / Y 9 CIO INDUSTRIAL c NO OF BLDGS WASTE APPROVAL SIZE OF LOT ® �� NOW ON LOT CHARGES USOF BUE DINGS CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLICSEWER 0 $ 350 RECEIPT NO I DATE IBY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDG OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1 00 ALTER OR REPAIR EXISTING ���,/y NO I DATE BY SEWER OR DISPOSAL SYSTEM 100 V "v DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 200 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 200 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y CURB Pt. ML TOP L AUTHORIZATION TOTAL FEE I 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS _ �_ _ DAY OF � '�-_ _ _ 19-s ` NEW HOUSE SEW ER ?RcVP�t P� I' J' J�bI_eYs�� r� OWNER OR �J ,///��, CONNECT ADDITIONAL OWNERS AGEN p ' '/�'x�L r""`y" �T¢"�_ BUILDING OR WORK ADDRESS (1 Q _& fit_ _�f&Cr��_ _ SEPTIC TANK.SEEP PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL DRYWELL Cj 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 ABANDON HOPLUGAND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS El SEEP PIT(S)Ej CESSPOOLS El SIGNATURE OF PERMITTEE 76A642D 663 1/53 DEFT ENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FDX, COUNTY ENGINEER I BUILDING ADDRESS 9089 Emporer FOR APPLICANT TO FILL IN LOCALITY Sn n ('�a ter i P 1 BUILDING NEAREST ADDRESS 9089 Emporer CROSS ST Ar]c3 Rlvd . LOCALITY Cv DISTRICT NO. SERIAL NO PERMIT NO. ,ren rahri P] .� A /6 7,r y S NEAREST CROSS ST Rosemead Blvd. RECEIVED BY Ready for Inspection DATEISSUED OWNER AJ). Mae Donald ze .MAIL ADDRESS 9089 Emporer USE ZONE OCCUPANCY MAP BK PG CITYrSan, Gabriel TEL NO CONTR4CTOR San Marino Plumbing _ CO.IMP NO ADDRESS 1465 San Marino Ave JOB NO CITY San Marino TELNO At 1-1742 TRUNK PERMIT NO STATE REGISTRATION NO 962 &COUNTY ROAD PERMIT NO LEGAL DESCRIPTION LOT NO STATE ENCROACHMENT PERMIT NO BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO OF SLOGS NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER @ $ 350 RECEIPT NO DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 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 DISCONNECT AND ABANDON SEWER i _ AND/OR DISPOSAL SYSTEM 100 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2,00 STATION DEPTH SPECIAL COND T OENS ONLY 200 2 00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT g 1 00 Y CURB PL ML TOP L AUTHORIZATION TOTAL FEE 3 00 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 -9 -.--DAY OF ..._October_ Iq 53 NEW HOUSE SEWER CONNECT OWNERS- AGENT L. V ..OWNER ORKeithlev=_ Owner _ BUILD NGORDWORKAL ADDRESS - 1465 San Marino Ave - SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL ] DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE Z' /` �G'i TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM 1 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 CALIFO NIA OR THAT I AM/fHE LEGAL OWN- ER OF THE ABOVE SCRIB:]�­ ESIDENTIAL PRO ERTY. BACKFILLSEPTIC TANKS � SEEP PIT(S)� CESSPOOLS C] SIGNATURE OF PERM ITTE --- _ _ _ .0-E --- _ - - --- R. � 70A042D 663 1/53