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HomeMy Public PortalAbout9861 ESTRELLA AVE_Sewer__ s5&64e.2D° F55 APPLICATION FOR PERMIT 8 ' DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Deportment of County Engineer - ." County of Los Angeles BUILDING �` c✓ 71'/�• JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS n f0 J' L V ® i CASSATT D. GRIFFIN. SUP'T OF B°IE°IN G -_ �+ / ' LOCALITY J,�ftf7 '• ` [ •�p 'y �•f.' FOR APPLICANT TO FILL IN CROSS ST. ��/V• �� . LEGAL OWNERS DESCRIPTION LOT N0. MAIL. BLOCK 'TRAACT t ' /(. 7 /2 ADD S ?O' JJ //'L �^�, �•f SIZE OF LOT�.� / L{ O NOW�ON LOTS / CITY TEL.'N0./f ^ ! �� /-J , USE OF " DISTRICT 0. GROUP MAP BUILDINGS / ` su �^' - BK PG CONTRACTOR � JL L Q ? ADDRESS _`�4F� 917 .y,� ,a, CONNECTION DATA •� �uI ,�_ '� STATION S . Q DEPTH, CITY J�E71?..�.-I _JEL. NO. ��(*d � . _ h e_ _ _ MANHOLE REFERENCE /O REGISTRATION NO. '/ J/ ❑ COUNTY _ OWER NO. DESCRIPTION OF WORK- FEE 7 HOUSE SEWER CONNECTING TO Y TYPE OF CURB /ION P.L. LENGTH P.L.TH M ' PUBLIC SEWER @ $ OO. `� SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C.,NO. EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 - ' CO. IMP. N0. �/ ///777 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. `731 HOUSE SEWERISPOSAL '@ 51.00 CONNECT ADDITIONAL BLDG,OR STATE ENCROACHMENT WORK TO HOUSE SEWER $1.00 PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL .SEWER OR DISPOSAL SYSTE M @ $1.00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT S Oo AUTHORIZATION TOTAL. FEE REIMBURSEMENT FEE-I 1 HAVE"AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS- _ DATE INS PECTORIS SIGN ATURE TRACTOR TO CONNECT THE ABOVE. DESCRIB D EXISTING DWELLING TO-THE PUBLIC SE ER. NEW HOUSE SEWER �1 41.��+� ���p `_• SIGNED'TZI DAY OF • 19 _ CONNECT ADDITIONAL OWNER. OR.. BUILDING OR WORK - OWNERS AGENT SEPTIC TANK,SEEP, PITS) - ADDRESS AND/OR DRAINFIELD I HEREBY ACI OWLEDGE T AT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑. AND STATE .THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINAN C E 5 AND STATE LAWS REGULATING t ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. - SEWAGE DISPOSAL SYSTEM I'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR AND DISCONNECT PLUG LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HO PLUGUSE D / CALIFORNIA OR THAT 1 AM THE LEGAL OWNER'OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. / BACKFISTANKS EI/f SIGNATURE / SEEP. PIT IT.(B) 0 CESSPOOLS OF PERMITTEE ���A��^• JOHN A. LAMBIE. COUNTY ENGINEER - VALIDAT ROBERT A.,WOOD, CHIEF PI-BG.,INSPECTOR crc. X. 0. sH - Lko - 3_0�7'N Wv 310 A ` Jr.O 0 . TEMPLE C9TY ESOS D 8-bB CAPPLICATION FOR PERMIT G1 E808 II COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL 1115 DEPARTMENT OF COUNTY ENGINEER -- _ -- BUILDING AND SAFETY DIVISION BUILDIADDRESNG 4 D IORN A. LAI County Evg�neer r i CASSATT D. GRIFFIN, Supt of Building LOCALITY fi NEAREST FOR APPLICANT TO FILL IN DROSS ST. _ LEGAL �% DESCRIPTION LOT NO. OWNER BLOCK TRACT MAIL :tb �- ) ADORES, _ NO.OF BLDGS. r S12E OF LOT NOW ON LOT CITY "TEL. NO. USE OF ' BUTLDINGS TOR c TRI . GROUP I S MAP S I ZZ CONICESS�BY Y ADDRESS CONNECTION DATA CITY TEL.NO. STATION DEPTH STATE MANHOLE REFERENCE _ UPPER REGISTRATION NO. ❑ COUNTY LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/DR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL. DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. 0 P RIVATE DISPOSAL SYSTEM @ $1.00 .LO.iAM�I7� Joe-HTT CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT N0. ROAD PERMIT N0. _ i SEWER OR D SPOSFABANDON SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES >T �D OWNERS PERMIT $ 2 00 CONNECTION CHARGE FEE �"v Qe� � -✓�r/� AUTHORIZATION TOTAL. FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- - TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING i{ APPROVALS ' DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. 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 1 HEREBY ACKNOWLEDGE THAT I 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 ALT ER,REPAIR.SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPS Y REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REOUIRED BY LOS ANGEL COUNTY AND STATE OF DISCONNECT PLUGAHOUSE D CALIFORNIA OR T 1 AM HE LE WNE F THE ABOVE DESCRIBED REST N AL PR RTY. BACKFILL SEPTIC TANKS ❑ SIGNA E SEEP.PIT(S) [:1 CESSPOOLS ❑ OF E ITTE ®' - TION ROBERT A. WOOD / .o. GSH SUPERVISING MECHANICAL ENGINEER 1 717 JAH 1 S 8 1 0 3 Ci 0.0 G t: 24650 li, zJ CE8O8 Teasnz0D50 APPLICATION FOR PERMIT - 1 COUNTY OF LOS ANGELESi. SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, County Enginoor WILLIAM A. JENSEN, Supt of Building LOCALITY _.: . . . . ........ .. NEARESTi ✓' , a FOR APPLICANT TO FILL IN caoss sr. i LEGAL f _ -OWNER DESCRIPTION LOT N0. MAIL BLOCK TRACT ✓i 4 ADDRESS92 L� je, 0.OF SLOGS. - - SIZE OF LOT NOW ON LOT CITY 1 TEL. NO. USE OF BUILDINGS DISTRICT N0. GRpuP BK MAP PG PROCESSED BY � .O (/I_ I CONTRACTOR ,M ADDRESS ' .T ��.' CON CTI N DATA > CITY �(.�yL EL.N0. im '_ STATION a DEPTH [] STATE MANHOLE REFERENCE PER REGISTRATION NO. LJ COUNTY No. DESCRIPTION'OF-WORK FEE ' HOUSE SEWER CONNECTING TO > 1-14 PUSLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM V PITS AND/OR DRAEINSEPTIC TANK. FIELDT OR @ $3.00 CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT.GRAINFIELD EXTN..CESSPOOL. D RYWELL @ $2.00 HOUSE SEWER CONNECTING TOP.C.N0. PRIVATE DISPOSAL SYSTEM @ $1.00JOB Np. 0. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT N0. -� Cl WORK TO HOUSE SEWER SI.00 @ _. ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMEN r SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. �/ /1. 7 " INDUSTRIAL WASTE APPROVAL W a -4-CHARZAS v M OWNER'S PEIiMI7 $ Q 00 CONNECTION CHARGE FEE y AUTHORIZATION TOTAL FEE U J REIMBURSEMENT FEE —/r, f I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED-CON- I G'Ll i TRACTOR TO CONNECTTHE ABOVE DESCRIBED EXISTING DWELLING APPROVALS - DATE INSPECTOR S SIGNATU E TO THE PUBLIC SEWER. SIGNED THIS DAY OF IB_ NEW HOUSE SEWER OWNER OR �� ✓c` I CONNECT ADDITIONAL a/ OWNERS AGENT ,(�� BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE_THAT IHAVE READ THIS APPLICATION - .. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL Cl 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 REQUIRED BY LOS ANGELES COUNTY AND STATE.OF ABANDON HOUSE SEWER CALIFORNIA OR THAJ, AM THE LEGAL WNER OF THE ABOVE DESCRIBED RESIDE AL OPER BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP. PITS) ❑ CESSPOOLS Cl OF PERMITTE ,,rte Or VALIDATION ROBERT A. WOOD K. CM.0. vsH SUPERVISING MECHANICAL ENGINEER l (01 2 5 4 JAW 1 1 0 D 5.00 °