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Home My Public Portal About5409 ENCINITA AVE_Sewer__ DEPAR.TMLNT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES _ WILLIAM J. FOX. COUNTY ENGINEER I BUILDING Al CASSATT D GRIFFIN, SUPT of BUILDING ADDRESS FOR APPLICANT TO FILL IN I LOCALITY BUILDING ,// �/ NEAREST F ADDRENZ_5 `,QQ/Y. 6�J�/�� / CROSS ST LOCALITY j� � DISTRICT NO SERIAL NO PERMIT NO NEAREST CROSS ST RECEIVED BY Ready for Inspection DATE ISSUU II�� OWNER 2-FJ Y MAIL USE ZONE OCCUPANCY MAP -ADDRESS -� �jf pb'i �1 ) I BK PG CITY,► � � TEL NO CONTRACTOR CHARGES GHARGES REIMBURSEMENT FEE REQUIRED ADDRESS �® 77 T NOT REQUIRED CITY�0 �� ¢ TEL NO JOB NO CONNECTION CHARGE FEE STATE REGISTRATION NO 340 if COUNTY CO IMP NO LEGAL _j� RECEIPT NO DATE BY DESCRIPTION LOT NO s+C� BLOCK TRACT 7/7g� .e, " WAIVER FOR RECO SIZE OF LOT 0 OF BLDGS RECEIPT N DATE IBY NOW ON LOT USE OF ��J��/ BUILDINGS TRUNK PERMIT�NO NO I DESCRIPTION OF WORK FEE _ HOUSE SEWER CONNECTING TO ROAD PERMIT NO 9 PUBLIC SEWER @ $ 350 HOUSE SEWER CONNECTING TO STATE ENCROACHMENT PRIVATE DISPOSAL SYSTEM 1 00 PERMIT NO ------- CONNECT ADDITIONAL BLDG OR I INDUSTRIAL WORK TO HOUSE SEWER 100 WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1 00ECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 00 I STATIO PTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 200 I OLE REFERENCE CESSPOOL—DRYWELL LrPPER LOWE SPECIAL CONDITIONS ONLY 200 I TYPE OF CO CTION T Y CURB P L M L TOP L OWNERS PERMIT ; 1 00 AUTHORIZATION I TOTAL FEE av CONAED NTRACTOR TO CONNECT THTE ABOVE D ED SCRIBEDWITH THEIEXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER? SIGNED THIS O DAY OF NEW HOUSE SEWER CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT _ SEPTIC TANK,SEEP PIT(S) ADDRESS ��,��• p � �,� � AND/OR DRAINFIELD i I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL 0 DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER 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 CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBFD RESIDENTI ROPERTY BACKFILL SEPTIC TANKS 7 _ SEEP PIT(S)0 CESSPOOLS E]OIF PERMRTTEE� 22- � i� 6 I 76A642D 663 12/52I_-` Ox ` t DEPARTMENT OF COUNW ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUP= OF LOS ANGELES (� WILLIAM J.T FOX. CPOUNTY ENGINEER I ADD EBUILDISS ��D NG CASSATD. GRIFFIN, SUT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN 7e - BUILDING �1/ NEAREST ADDRESS �j / CROSS ST V 1 f0^ Lf/Ci> LOCALIT �O� 5 '� DISTRICT NO SERIAL NO PERMIT 0 c NEAREST �� A l 74 /r a 3, J CROSS ST e R'�E�C/€IV D�BAY. Ready for Inspection DAT�EISSUED OWNER ®�lL-O� � i YV A:MS .y -.513 MAIL ADDRESS BK USE ZONE OCCUPANCY BK MAP PC CITY�� `jG, TEL NOe,s C0NTRACT�O'RaZ7, �� CHARGES REIMBURSEMENT FEE REQUIRED ADDRESS /�, � �'� �a� NOT REQUIRED - CITY� �'ple � ' TEL NO�f �P�/� )OB NO '�'� CONNECZION CHARGE-FEE STATErf "� REGISTRATION NO COUNTY CO IMP NO .0 LEGAL RECEIPT NO _____RATE- BY DESCRIPTION LOT NO BLOCK TRACT7-7 WAIVER FOR RECORDING SIZE OFLOT 0 OF BLDGS RECEIPT NO ---'DATE-- BY NOW ON LOT USEOF BUILDINGS �'„/�p %�j,�J/�/ j4 TRUNK PERMIT NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOROAD PERMIT NO 3 PUBLICSEWER @ $ 350 I � HOUSE SEWER CONNECTING TO STATE ENCROACHMENT - -- - PRIVATE DISPOSAL SYSTEM 100 PERMIT NO f CONNECT ADDITIONAL BLDG OR I INDUSTRIAL - WORK TO HOUSE SEWER 100 WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1 00 I — CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 00 I STATION 4.. DEPTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 I MANHOL E �R C� CESSPOOL-DRYWELL UPPER ` ZJ SPECIAL CONDITIONS ONLY 200 I TYPE OF CONNECTION — k/ MEL TOHPFL FCURBROM OWNERS PERMIT $ I 1 00 AUTHORIZATION I TOTAL FEE 1 14 S-0 _ - IHAVE TkIS DATE CONTRACTED WITH THE HERENAED CONTRACTOR TO CONNECT THE,ABOVE D SCRIBEDIEXISTING APPROVALS I NSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS rfr•� DAY OF 19V NEW HOUSE SEWERCONECT OWNER OR +!(.� � BUILD NG ORDWORKAL OWNERS AG SEPTIC TANK,SEEP.PIT(S) ADDRESS 7 AND/OR DRAINFIELD I HERLBY AftKN LEDGE THAT I HAVE READ THIS APPLI- CESSPOOL E] DRYWELL❑ CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND USE O 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 F THE ABO�GE- SCRIBED RESIDENTIAL PROPERTY BACKFILLSEPTIC TANKS O SIGNATURE M1 (/r/� SEEP PIT(S) CESSPOOLS Ej / _ OF PERMITTE ��r�✓ 76A642D 663 I20 76A642D 0-63 APPLICATION FOR PERMI A64 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDRE r JOHN A LAMBIE County Engineer WILLIAM A JENSEN, Sup t of Building ,FOR APPLICANT TO FILL IN LEGAL r DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT ADDRESS NO OF BLDGS SIZE OF LOT NOW ON LOT CITY TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS � BK PG CONTRACTOR ADDRESS )�. CONNECTION DATA STATION DEPTH CITY TEL NO ZP Lr STATE UPPER REGISTRATION NO / 97 COUNTY MANHOLE REFERENCE LOWER NO DESCRIPTIO OF W RK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L PUBLIC SEWER @ E5 00 PC NO a SEPTIC TANK SEEPAGE PIT OR CO IMP NO JOB NO O PITS ANDOR DRAINFIELD S1000 V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM @ S3 00 Of CONNECT ADDITIONAL BLDG OR AFFIDAVIT I wllly ER I LA6CMCNT RECORD INSTR NO DATE V WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD L!J EXTN CESSPOOL DRYWELL MANHOLE @ $500 p. ALTER HOUSE HWY OR ST WIDENING h SEWER SYSTEM $300 4040 STATE ENCROACHMENT z PERMIT NO hPA INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ z 00 AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE D I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SEWER DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR( NEW HOUSE SEWER OWNERS AGENT CONNECTADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER Ee•`R SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF -SEWA4-i DlSP_OSA .SXSTEM` CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RE5IDE IN THE ABOVE DESCRIB RESIDENTIALPROP�s ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE ,�; BACKFILL SEPTIC TANKS ❑ �G SEEP PITS) ❑ CESSPOOLS ❑ VALIDATION ROBERT A WOOD CK M o C C��SH// SUPERVISING MECHANICAL ENGINEER p LA1lo5953:o 1101118 1 Q D 5.0 0 4 i �M— I �