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Home My Public Portal About5024 FARAGO AVE_Sewer__ 0 � TEMPLE CITY A84 CEa 808 9 69 APPLICATION FOR PERMIT C8 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND ING SAFETY DIVISION ADDRESS rbc JOHN A LAMBIE County Ea eer CASSATT D GRIFFIN Supt of Build-a LOCALITY NEAREST FOR APPLICANT TO FILL. IN CROSS ST LEGAL DESCRIPTION LOT NO J2 OWNER4xA-,0q ^�- BLOCK TRACT MAIL ADDRESS NII 6F BLDGSIZE OF LOT NOW ON LOTS CITY TEL 0 USE OF BUILDINGSDISTRICT NO I GROUP MAP PROCESSED / //(�/ BK PG ` � _ f CONTRACTOR � / C-g Alt ADDRESS CONNECTIOZN2 DATA CITY �— TEL NO- STATION Q DEPTH STATE MANHOLE REFERENCE REGISTRAT ON NO H COUNTY No DESCRIPTION OF WORK FEE 1 wER HOUSE SEWER CONNECTING TO PUBLIC SEWER @ 43 00 TYPE OF CONNECTION LENGTH FROM- SEPTIC TANK SEEPAGE PIT OR Y CURB P L. M L TO P L PITS AND/OR DRAINFIELD @ 00 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL @ 00 HOUSE SEWER CONNECTING TO jP C NO PRIVATE DISPOSAL SYSTEM C. 00 CO IMP NO JOB NO WORK TO HOUSE SEWER BLDG OR @ $ 00 TRUNK PERMIT NO ROAD PERMIT NO ALS,ABANDON HOUSE STATE ENCROACHMENT SEWER SYS M @ $ 00 PERMIT NO Q INDUSTRIAL i WASTE APPR CHARGES OWNgR$ I PERMIT 2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE 00 REIMBURSEMENT FEE CON TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXISTDATE A CONTRACT WITH THE IiNGAMED DWELLING. APPROVALS DATE INSPECTOR S SIGNATURE TO THE PUBLIC SEW R SIGNED THIS DAY OF 19 NEW HOUSE SEWER OWNER ORlip CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER 0 PLUMBING AND SEWERS SEWAGE DISPOSAL NSTE�Malnci 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG ANDA LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI L PROPER BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP PIT(S) ❑ CESSPOOLS OF PERMIT 111��TTT...- ®r VALIDATISUPERVISING MECHANICAL ROBERTA CK. 0 CASH a 2 2 5 OQ! JM27 1 O o 5.00~ h 1i � _ E 6D89 11 SS S& APPLICATION FOR PERMIT 8 8 E 6 DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Departraent of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS ® CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS ST c LEGAL OWNER DESCRIPTION LOT NO Y MAIL BLOCK TRACT �,/ 7 ADDRESS NO OF BLDGS CITY TEL NO SIZE OF LOT NOW ON LOT USE OF fDISTRICT NO GROUP I MAP BUILDINGS BK PG CONTRACTOR • i f' e D'� ro ADDRESS �6 CONN CTION DATA CITY C TEL NO V -� rSTATION 3 �/ . DEPTH / MANHOLE REFERENCE ('� ATE LOWER J REGISTRATION NO / ❑ COUNTY • NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO TYPE OF CONNECTION LENGTH FROM PUBLIC SEWER @ $3 50 Y CURB L M L TOP L SEPTIC TANK SEEPAGE PIT OR ITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EXTN CESSPOOL DRYWELL MANHOLE @ $2 00 CO IMP NO 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-4FEE OWNER S PERMIT $ 1 00 AUTHORIZATION I TOTAL FEE REIMBURSEMENT FEE I 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 Q SIGNED THIS DAY OF 19 CONNECT ADDITIONAL E OWNER OR BUILDING OR WORK OWNERS AA9GEN SEPTIC TANK SEEP PIT(S) ADDRESgok r. _ , L1y AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE 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 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 AM THE LEGAL OWN OF THE ABOVE DESCRIBED RESIDENTIAL PR ERTY ' BACKFILL SEPTIC TANKS❑ ' SEEP PIT(s) ElCESSPOOLS[3SIGNATURE OF PERMITTE JOHN A LAMBIE COUNTY ENGINEERVALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK m 0 CASH � T _M0 7 4 1-c,* X29 4 A 4.50 CE 2 `76A642D APPLICATION FOR PERMIT A842D 1 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL \ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE County Engineer ADDRESS te WILLIAM A JENSEN Sup t of Building 1 LOCALITY Gam' NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL DESCRIPTION LOT NO OWNER 494 MAIL BLOCK TRACT // ADDRESS v ]DB NO OF BLDGSIZE OF LOT NOWON LOT CITY TEL NO USE OF ryBUILDINGS �i�`��'� ISTRICT NO GROUP MAP PR fPG CONTRACTOR ADDRESS 5 % CONNECTION DATA � CITY TEL NO� 4 �Q STATION DEPTH JV �j ly STATE MANHOLE REFERENCECJ REGISTRATION NO (0 COUNTY LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB PL M L TOP IL PUBLIC SEWER @ $5 00 SEPTIC TANK SEEPAGE PIT OR C NO PITS AND/OR DRAINFIELD @ $1000 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO A / PRIVATE DISPOSAL SYSTEM @ S3 00 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE WORK TO HOUSE SEWER @ 3300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 00 ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING SEWER OR DISPOSAL SYSTEM @ S3 00 STATE ENCROACHMENT PERMIT NO INDUSTRI L WASTE AP CHARGES O RS PERMIT S AUTHORIZATION I TOTAL FEE CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TOCONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR 5 SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR / NEW HOUSE SEWER OWNERS AGENT_ Z/.�� _ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE A V DESCRIBED RESIDENTIAL PRO ERTY ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMTTT SEEP PIT(S) ❑ CESSPOOLS ❑ VALIDATION ROBERT A WOOD CK M o `1C�SH,) SUPERVISING MECHANICAL ENGINEER t LAC05303%-aOCT 911D 2500NVq r 6A6 7420 APPLICATION FOR PERMIT 6A6 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL EPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE County Eng meet ADDRESS WILLIAM A JENSEN Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN lCR 0 S5 BT LEGAL i DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT u 7 AD DRESS SIZE OF LOT NOWOON LOTS CITY` v TEL NO �d Q USE OF D BUILDINGS if DISTRICT NO GROUP MAP ROCS HD BY v�✓� BK PG CONTRACTOR 0 y Z ADDRESS / CON CTION DATA O PTH CITY TEL NO STATI v �' AP STATE MANHOLE REFERENCE REGISTRATION NO COUNTY LOWER NO DESCRIPTMON OF WORK FEE TYPE OF CONNECTIONENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L L� PUBLIC SEWER @ $5 00 v SEPTIC TANK SEEPAGE PIT OR PC NO V PITS AND/OR DRAINFIELD @ $1000 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT- 0 PRIVATE DISPOSAL SYSTEM @ $3 00 coNNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $500 { ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING SEWER OR DISPOSAL SYSTEM @ $3O STATE ENCROACHMENT PERMIT WA T OV 1(y OWNER S PERMIT $ 2 00 CHARG Et CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DAT INSPECTOR S SIGN Tl1RE SIGNED THIS DAY OF 19_ ( l OWNER OR / / NEW HOUSE SEWER V �� OWNERS AGENT CONNECT ADDITIONAL r BUILDING OR WORK ADDRESS SEPTIC TANK SEEP PIT(S) 1 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 REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE ABOVE OESLR1BED RESIDENTIAL PROPERTY ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE SEEP PIT(S) ❑ CESSPOOLS ❑ VALIDATION ROBERT A WOOD CK M o CASH SUPERVISING MECHANICAL ENGINEER LAGO 5302% OCT 91 0 D 700- 76A66,CE992 6/71 e 1t„y Lj � TION APPLICATION FO ISI AN Y INSP , COUNTY OF LOS ANGELES 5,EPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING HARVEY T BRANDT COUNTY ENGINEER ADDRESS L%2- COLEMAN W JENKINS SUP T OF BUILDING LOCALITY mmmm� F R APPLICANT TO FILL IN NEAREST (Print or type only) CROSS ST , f� `+ c DIS UCT N PROC SED B ADOREISS Da ` N V LOT NO �} BLOCK r USE ZONE ? MAP N O PECIAL TRACT ..^1 SIZE OFF LOT ^P ! I POND TIONSTE T OWNER C n tA040L r7 11 j-J da BLDG SETBACK FROM _C fY ADDRESS �Bp�qq d ] p FRONT PROP LINE OF (STREET) CITY �� / / ' TYPE OF EXISTING SETBACK,-' HIGHWA + YARD =Y TOTAL HIGHWAY WIDTH FROM C L SIZE OF NO OF _ .} EXISTING BLDG ISTORIES + - ac a PRESENT USE OF BUILDING E ,C ,n L,V rGt.E vSIDE PROP BLDG BLINE OF ACK M (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH FROM C L r NO OF EXISTING BUILDINGS 1 ON LOT AND USE CORNER CUTOFF YES❑ NO V NO PARKING r SPACES PROVIDED CD i OCCUPANCY GROUP W G_ PROPOSED USE OF BUILDING? OCCUPANT LOAD „ < z P. D k 0 0 )m EXIT HARDWARE l-h( L 0 1, E ,• No Spec Knowl ❑ - ti Panic Devices ❑ , 0 r + � � PROPOSED MAX OCC t �� NO OF EXITS PARKINr � i a SPACES REQ D D PROVIDED 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATEiTHAT THE ABOVE IS COR RECT a t SIGNATURE OF x` Ge%9k APPLICANT ` i o� a ADDRESS 1 /�A R g G 6 / as APPROVAL ATE INSPECTOR S ZIP SIGNATURE r PHONE a6 FINAL APPROVAL + � JOHN F LEWIS PRINCIP4Lj STRUCTURAL ENGI APPLICATION VALID CK M 0 CASH L�o 6 0 1 �J� hiky 2 2V D 1 8 4 0Al -