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Home My Public Portal About4949 & 4853 ENCINITA AVE_Sewer__ DEPARTiV>(ENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I BUILDING I 0 ADDRESS /T/_ a FOR APPLICANT TO FILL IN LOCALITY BUILDING i/ /� ;�/G;� NEAREST ADDRESS '7 "( /7,4 CROSS ST LOCALITY �pG � DISTRICT NO SERIAL NO S PERMIT NO. c NEAREST A s 6- MIJ o/ CROSS ST � 42 N� RECEIVED BY Ready for Inspection DATE ISSUED OWNER ��YQ 6�'3 MAIL USE ZONE OCCUPANC Y ADDRESS BK PG Y4-CIT " TEL NO � V im CONTRACTOR t, /o I1A10 e H CO.IMP NO ADDRESS 7 4qto 4,E:Z 4 u&- JOB NO CITY /( .r7 TEL NO • �Q _ TRUNK PERMIT NO REGISTRATION NOf / Gd � I STA Cil(7Hy7.YZ' LEGLA ROAD PERMIT NO DESCRIPTION LOT NO �i s, -q6,5 STATE ENCROACHMENT PERMIT NO - BLOCK TRACT �� INDUSTRIAL WASTE APPROVAL SIZE OF LOT 6X C6-D NOW ON LOTS CHARGES USE OF BUfLDINGS u�E=5 ,4f1. ?yb_q' CONNECTION CHARGE FEE NO DESCRIPTION OF WORK FEE \/ HOUSE SEWER CONNECTING TO _ REIMBURSEMENT FEE PUBLIC SEWER @ $ 350 J RECEIPT NO DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1 00 CONNECT ADDITIONAL BLDG ORCEPTION RECORDED WORK TO HOUSE SEWER 1 00 ALTER OR REPAIR EXISTING N I DATE I BY SEWER OR DISPOSAL SYSTEM 1 00 DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANKSEEPAGE PTS AND/OR�DRAINFIIELDIT OR 200 STATION p2 DEPTH CESSPOOL—DRYWELL L SPECIALCONDITIONS ONLY 200 /h L /1 MANHOLE_REFERENCE CJ 13PPER LOWER TYPE OF CONNECTION LENGTH FROM o� OWNERS PERMIT $ 00 CURB P-LM L TO P L AUTHORIZATION I TOTAL FEE 1HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR' SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS_ -__ DAY OF __ _19 � NEW HOUSE SEWER OWNER OR _ CONNECT ADDITIONAL OWNERS BUILDING OR WORK AGENT __ _ _ -__ u SEPTIC TANK,SEEP.PIT(S) ADDRESS #_tt' _ _ r� a�!LTi_/�_ _ _ AND/OR DRAINFIELD 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 ANGELESnCOUN X AND STATE OF CALIFORNIA-OR THAT I AM THE LEGAL 0 0 ABANDON HOUSE SEWER ER OF THE ABOVE DE IBED RESIDETIAL PROPER BACKFILLSEPTIC TANKS � SEEP PIT(S)E] CESSPOOLS❑ SIGNATURE � // OF PERMITTEE- f� - ---- 76A642A 663(1453-" DEPARTMENT OF COUNTY ENGINEER _ SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITYf BUILDING .• i NEAREST rJ ADDRESS r Lj �� t orf 7 rt CROSS ST fir.?•/^ ^ DISTRICT NO SERIAL NO PERMIT NO. LOCALITY / 1;:2" - �/ r fir, CROSS ST A ��C t RECEIVE BY Ready for Inspection pD'ATE ISSU�ED�� OWNER - ;; ,�' 1 'i 9 l! --±4" MAIL ADDRESS <- USE ZONE K OCCUPANCY MAP PG - dry CITY TEL N0. t � ,,�'� ;p f/ fl",�/ �- CONTRACTOR�""�" "" a t� q� r 1F CO.IMP NO ADDRESS ------.y t�/ _3 r� r3 JOB NO �...�.. CITY �=— `l111.JH/e•-� TEL NO�� i' S" �� fy 1t TRUNK PERMIT NO I STA _ REGISTRATION'NO. e'4 1� r j,� ;� �( ROAD PERMIT NO LEGAL STATE ENCROACHMENT DESCRIPTION LOT NO PERMIT NO BLOCKTRACT ; � �}�� )INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO OF S - NOW ON BLOGLOT CHARGES USE OF )) BUILDINGS T: »'` f p�Z -�y; y , CONNECTION CHARGE FEE' NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO _ REIMBURSEMENT FEE . PUBLICSEWER @ = 350 RECEIPT NO. I DATE !BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 100 CONNECT ADDITIONAL BLDO OR es E/CEPTIO RECORDED WORK TO HOUSE SEWER 1 00 — ALTER OR REPAIR EXISTING N . 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 I STATION }'� DEPTH ' PITS AND/OR DRAINFIELD 200 CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 200 � j� MANHHOLE REFERENCE LOWER TYPE OF CONNECTION PPE LENGTH FROM T OWNERS PERMIT ; 00 Y'— CURB P-L— M L TO P L c� AUTHORIZATION TOTAL FEE S4 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,/j SIGNED THIS_ -=_ DAY OF.'?vt __.19 � NEW HOUSE SEWER OWNER OR //- CONNECT ADDITIONAL OWNERS AGENT.__ f��til _ _ _ BUILDING OR WORK r SEPTIC,TANK,SEEP.PIT(S) ADDRESS_ _ 1 7�_ + _. Y_�. _� AND/OR DRAINFIELD 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-.000N ABANDON HOUSE-SEWER AND STATE OF CALIFORN ;OR THAT I AM THE GAL N- ER OF THE�ABOVEDEIBED ESIDE TIAL P OPERT . BACKFILL SEPTIC TANKS I]SIGNATURE ' SEEP PIT(S)� CESSPOOLSOFPERMIT 76A642A 663x,7/53-' - �4 a+ -61 76A6423-61 APPLICATION FOR PERMIT 78A 642 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUII.DING AND SAFETY DIVISION BUILDING MBi�nn JOHN A, LAIE, County Enggeer ADDRESS WILLIAM A JENSEN, Sup t of Buildmg LOCALITY NEAREST FOR APPLICANT TO FILL Di CROSS ST LEGALjj�� DESCRIPTION LOT NO PO �B)"t G �j- OWNER BLOCK TACT je 0 PDDAIL �^ W ARESS J SIZE OF LOT o X 1Ij dr0 OF BLGS 3 NOW ON LOT CITY, TEL NO USE OF ` I >_ TRICT NO GRO MAP PROCESSED BY BUILDINGS r-- BK PG CONTACTOR O �/`/ e r V ADDRESS CONNECTION DATA CITY TEL NO ATION DEPTH STATE REGISTRATION NO B COUNANHOLE REFERENCE UPPER NO DESCRIPTION OF FEE /� /LOWER HOUSE SEWER CONNECTING TO �3O (! / E PUBLIC SEWER @ $3 00 TYPE OF ONN ION LENGTH FROM SEPTIC PITS AND/ORD AENFGELDIT OR @ SS 00 CURB P L M L TO P L OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL @ $2 00 d HOUSE SEWER CONNECTING TO P C NO O PRIVATE DISPOSAL SYSTEM @ St 00 CO IMP NO JOB NO V CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO ROAD PERMIT NO. w WORK TO HOUSE SEWER E1 00 ALTER OR PAIRO R A ABANDON HOUSE @ $100 STATE ENCROACHMENT O PERMIT NO u INDUSTRIAL 4. WASTE APPROVAL t!J CHARGES z O 'S PERMIT g 2 00 CONNECTION CHARGE FEE A=nRIZATIO TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS I DAT INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. - s,,� SIGNED THIS DAY OF 19- NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT t 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 SYSTE IHEREBY 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 1 AN THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERT . BACKFILL SEPTIC TANKS Cl SEEP PITS CESSPOOLS SIGNATURE OF PERMITTE ` `/fJjjMATIROBERT A WOOD cc. r o riax SUPERVISING MECHANICAL ENGINEER i � � 4 4 1 - DEC 2 6 1 c a 0 0 ?