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Home My Public Portal About5007 ENCINITA AVE_Sewer__ 76AS12-0 - =' r - -�---- APPLICATION FOR PERMIT ----.,..- S 1 a .BeDIIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING � / — JOHN A LAMBIE, COUNTY ENGINEER ADDRESS O AyJ�fi?/ G!/ ® CASSATT D GRIFFIN SUP T OF BUILDING LOCALITYNEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL �Q p CSF OWNER 22 l;� DESCRIPTION , LOT NO t _ BLO MAIL IRPTR r ADDRESS NO OF BLDGS CITY TEL NO + SIZE OF LOT NOW ON LOT USE OF • DISTRICT NO GROUP MAP BUILDINGS BK PG CONTRACTOR CONNECTION DATA STATION DEPTH tO CITY �_ ,C L NO / MANHOLE REFE ENCLyPPER 10, �sIATE 0 0 REGISTRATION NO �f mar ❑ COUNTY No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTI LENGTH FROM /071�' PUBLIC SEWER @ $3 50 P L M L TOP L SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD Q $3 00 OVERFLOW SEEPAGE PIT DRAINFIELD P C ' EXTN CESSPOOL,DRYWELL,MANHOLE Q $2 00 CO IMP NO 10B NNO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM Q $10o TRUNK PERMIT N OA PERMIT N03371 CONNECT ADDITIONAL BLDG OR STA C M WORK TO HOUSE SEWER Q $10o PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM Q $1 00 WASTE APPR AL Ct(ARjdS CONNEC CHARGE FEE _ OWNER'S PERMIT T i o0 AUTHORIZATION TOTAL FEE 'RE BURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED coN• APPROVALS DATE INSPECTOR SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER �-/ NEW HOUSE SEWER SIGNED THIS___aCj=DAY FCONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT '�� SEPTIC TANK,SEEP, PIT(S) ADDRESS �s�✓�'� t ��/ / ✓/� AND/OR DRAINFIELD I HEREBY ACKN04LEDGE 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 I HEREBY CERTIFY THAT 1 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 PROPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(S) [I CESSPOOLS OF PERMITTEE JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR b CK 0 GASH (�4 4 4 L MAR 2 6 4 4.5 Q 1) 7EAE 669 9•SS 8 E 86APPLICATION FOR PERMIT Ei Dz,"MION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engfgeer BUILDING County of LOS Angeles ADDRESS 7 �� / WM.J. FOX, COUNTY ENGINEER _ �• CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST DESCRLEGIPTION LOT NO �� SAP' / OWNER /J' C,IJ Gl/ClSTG17ZLr • T' MAIL 42 12 / L./�/C�/ /l/� BLOCK TRACT T a AJ v In ADDRESS779 �[� NO OF BL T 'y C GL i EL NO SIZE OF LOT `T U NOW ON LOT 6/ CITY �I-f -7— USE OF BUILDINGS 19q FYCU NO GROUP MAP BK PG CONTRACTOR f/y� �y. _ �.-j� �h� / � ADDRESS G ACs CONNECTION DATA cT— CITY TEL NO �. DEPTH •� E7 COUSTANTY TYEFERE E LOW ERupprR REGISTRATION NO � NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOFC NECTION LENG FROM RB P L M L O P L PUBLIC SEWER cQ $ 3 50 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1 00 CONNECT ADDITIONAL BLDG OR C NO WORK TO HOUSE SEWER 1 00 CO IMP NO JOB NO ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1 00 TRUNK PERMIT NO N141D PERMIT NO 1 DISCONNECT AND ABANDON SEWER STATE ENCROACHME I AND/OR DISPOSAL SYSTEM 1 00 PERMIT NO SEPTIC TANK, SEEPAGE PIT OR PITS AND/OR DRAINFIELD 00 INDUSTRIAL CESSPOOL- DRYWELL WASTE APPRO L SPECIAL CONDITIONS ONLY 2 00 CHARGES OWNER'S PERMIT CON TION CHARGE FEE S t AUTHORIZATION TOTAL FEE IMBURSEMENT FEE I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE,&ESZ ED EXISTING DWELLING APPROVALS DATE INSPQCTORS SIGNATURE TO THE PUBLIC SCW R SIGNED THIS D F 19- NEW HOUSE SEWER �' ^ OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD 1 HEREBY A NOWLEDGE 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 SISTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDEN L PROP R Y BACKFILL SEPTIC TANKS El SEEP PIT(S) ❑ CESSPOOLS❑ SI'NAT OF PE TTEE WILLIAM J.FOX.COUNTY ENGINEER VALIDATION R A WOOD. CHIEF PLBG. INSPECTOR Lflo 13 U O TEMPLE CHTY 2D CE8088.89 APPLICATION FOR PERMIT E908 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DNISION BUILDING ADDRESS JOHN A LAMRIE, County En eer CASSAIT D. GRIFFIN, Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST w�,,14 vS U LEGAL SA ® OWNER Foq.W /S Al DESCRIPTION LOT NO � BLOCK ;foldTRACT � L dF A DRESS . -0 7 � SIZE OF LOT T O NOW ON•LOTS CITY . l" C7 /14 TEL NO USE OF BUILDINGS Izg Us oa DISTRICT NO GROUPI MAP PROCESSED BY BK PG CONTACTORCSTC) 1 j ADDRESS { CON EC�ION DATA T CITY6"404 e2 TEL NO r J 7 STATION DEPTH STATE MANHOLE NCE UPPER REGISTRATION NO COUNTY LOWER No I DESCRIPTION OF WORK FEE C HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3 00 SEPTIC TANK SEEPAGE PIT OR TYPE F CONNECTIO LENGTH FROM PITS AND/OR DRAINFIELD @ S8 00 Y CURB P L M L TO P L OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL @ S2 00 HOUSE SEWER CONNECTING TO P C NO PRIVATE DISPOSAL SYSTEM @ $1 00 CO IMP NO JOB NO CONNECT ADDITIONAL BLDG OR TRUNK PERMIT NO D PERMI WORK TO HOUSE SEWER @ $1 00 SEWER OR DISPOSAL SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 2 00 CONNECTI N CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE NAMED CN- TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXIISTDATE A CONTRACT WITH THE ItNG DWELLING APPROVALS DATE INSPECTOR S SIGNATURE TO THE PUBLIC SEWER SIGNED THIS DAY OF I9_ 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 I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL El DRYWELL ElWITH ALL COUNTY ORDINANCES AND STATE LAWS To 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 BACKFILL SEPTIC TANKS ❑ DESCRIBED RESIDENT L PROPERTY. SEEP PITS ElCESSPOOLS ElSIGNATURE OF PERMITTE ®' VALIDA ROBERT A WOOD CK m p `/ SUPERVISING MECHANICAL ENGINEER