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HomeMy Public PortalAbout5212 FARAGO AVE_Sewer__ r DEPART31ENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 3 4 2 5 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING /J WILLIAM J FOX. COUNTY ENGINEER I'I ADDRESS _df� I v` FOR APPLIC&&Fo TO FILL IN LOCALITY E-6 BUILDING NEAREST ADDRESS ! CROSS ST LOCALITY DISTRICT NO R p SERIAL NO PERMIT NO c CROSS ST �'� 1J�(! A I �V� S RECEIVED-BY Ready for Inspection DATE ISSUED OWNER f _ //„ 30-5"f MAIL USE ZONE OCCUPANCY :MAP ADDRESS A , I BK PG CITY TEL NO On On "' CONTRACTOR Cnlij'or,,jg ggyQgrC0nat � CO IMP NO U ADDRESS 1312 Colegroye—Ave- JOB N -' CITY Montebello TEL NO �I on 1-504, TRUNK P"llMIT NO REGISTRATION NO I()dddri S® STATE _QOMNTY ROAD PERMI NOLEGAL I DESCRIPTION LOT NO STATE ENCROA MENT PERMIT NO BLOCK TR�41, ' -4 D 7--,: - NNpS STE APPROVAL SIZE OF LOT NO OF dLDGS L/ NOW ON LOT ARG ES USE OF BUILDINGS CONNECTION CHAR) FEE NO DESCRIPTION OF WORK FEE REIMBURSE NT FEE HOUSE SEWER CONNECTING TO `t PUBLICSEWER @ $ 350 RE PT NO DATE BY _ HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1 00 CONNECT ADDITIONAL BLDG OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1 00 NO ALTER OR REPAIR EXISTING 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 PITS AND/OR DRAINFIELD 2001 �' STATION I? DEPTH 40,CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 2007 00MANHOLE REFERENCE 1lFIBPYI• e5 W E TYPE OF CONNECTION LENGTH FROM 3.2OWNERS PERMIT $ 1 00 Y CURB P L ML TOP L AUTHORIZATION I TOTAL FEE tm I HAVE THIS DATE CONTRACTED WITH THE HER N NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR S SIGNATURE DATE DWELLING TO TaH�E� UBLIC SEWER SIGNED THISDAY OF Y y Jif NEW HOUSE SEWER AY OWNER OR CONNECT ADDITIONAL OWNERS AGENT- `F_ _ _ BUILDING OR WORK EPTICTANK SEEP ADDRESS _ °b,� - AND/ OR DRAINF ELD PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI CESSPOOL(] DRYWELL I] 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 COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNI OR THAT I AM THE LEGAL OWN ER OF THE ABOVE D SCR ED R IDENTIAL PROPERT BACKFILL SEPTIC TANKS V4 _ SEEP PIT(S)[:] CESSPOOLS (� PS SIGNAT O OF PERMITTEEe 76A642A 663 1/53 DEPARTAIENT OF COUNTY ENGINEER SEWER- SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J FOX, COUNTY ENOINeeR BUILD'I S ADDRE zz r O ADDRESS DD's` / FOR APPLICANT TO FILL IN LOCALITY '26&BUILDING ADDRESS ` � 2 e /� NEAREST ,�� r+ CROSS ST LOCALITY � 4N (-rj� ,f� 'n ' DISTRICT NO Ready for Inspection �j PERMIT NO c NEAREST `J'' �r I I tJ t6�0 J CROSS ST RECFIVED BY DATE I ISSUED BY /ZTE, OWNER MAIL / USE ZONEBK PO OCCUPANCY MAP ADDRESS CITY TEL NO ( 45) W161/ CONTRACTOICallfornla Sewer Const- (In_ Co IMP NO ADDRESS 1317 Colegrove Ave, JOB o CITYMontebello TEL NO PArkview 1 5rQ IT NO REGISTRATION N�8659 SCOCIITaTY ROAD PERMIT LEGAL DESCRIPTION LOT NO STATE ENCROACHM T PERMIT NO BLOCK TRACT ' q 13 WDUSTRIAL ASTE APPROVAL SIZE OF LOTNO OF BLDGS NOW ON LOT CH GES USE 0F BUI DINGS /P�r 9 �i /}/r CONNECTION CHARGE FE NO DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FE PUBLIC SEWER $ 350 RECEIPT It I DATE [BY HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1 00 CONNECT ADDITIONAL BLDG OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1 00 ' ALTER OR REPAIR EXISTING NO I DATE I Y SEWER OR DISPOSAL SYSTEM 1 00 DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD 200 STATION DEPTH CESSPOOL—DRYW ELL SPECIAL CONDITIONS ONLY 200 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT ; 1 00 Y CURB PL ML TOP L AUTHORIZATION TOTAL FEE L I-, 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR 8 SIGNATURE DATE DWELLING TO THE PUBLIC SEWER _�,l SIGNED THIS_-13 DDA�Y'�OF_ �� IY� NEW HOUSE SEWER - ` Y OWNER OR /� / CONNECT ADDITIONAL OWNERS AGENT - _ _ Y BUILDING OR WORK ADDRESS / y _ _ _ _ _ __ SEPTIC TANK SEEP PIT(S) xa AND/OR DRAINFIELD i I HEREBY ACKNOWLEDGE THAT 1 AVE 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 OR REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALIFO I 'ORT AT .AM THE LEGAL OWN ABANDON HOUSE SEWER ER OF THE ABOVE C BED ES EN IAL PROPERTY BACKFILL SEPTIC TANKS SIGNATURE SEEPP PIT(S)[] CESSPOOLS r _ OF PERMITTEE i 6A642D S&E 663 4/54 3 62 76AB42D APPLICATION FOR PERMIT 6A64 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING D JOHN A LAMBIE County Engineer ADDRESS WILLIAM A JENSEN Sup It of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN `ROSS ST LEGAL DESCRIPTION LOT NO OWNER MAIL BLOCK TRACT ADDRESS NO OF SLOGS SIZE OF LOT 7S" 4-210 NOW ON LOT CITY TEL NO USE OF BUILDINGSWim' t-r_. t DISTRICT NO GROUPMAP PROCESSED BY K P G CONTRACTOR C A. Davis Sewer Contractor 08 �� ��cr' ADDRESS 1720 W. 139th St. CONNECTION DATA CITY Gardena TEL NO FA 19060 STATION DEPTH / REGISTRATION NO 203132 STATE MANHOLE REFERENCE/ 7G LOWER ❑ COUNTY NO DESCRIPTION OF WORK FEE TYPE OF CONNECTI P L LENGTH FRO HOUSE SEWER CONNECTING TO Y CURB M L TO P L 3 S O PUBLIC SEWER @ $5 00 SEPTIC TANK SEEPAGE PIT OR J C NO PITS AND/OR DRAINFIELD @ $1000 CO IM a (a JOB NO V HOUSE SEWER CONNECTING TO TRUNK ERMIT NO �2 SOA PERMIT NO PRIVATE DISPOSAL SYSTEM @ $300 �7V�7 �J CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER I EASEMENT I ECORD INSTR NO DATE WORK TO HOUSE SEWER @ $300 B_0 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 00 ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING SEWER OR DISPOSAL SYSTEM @ $300 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNER S PERMIT $ 2 Oo AUTHORIZATION TOTAL FEE d CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO COVNECT 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_ CONNECT ADDITIONAL /- rj ZZ464BUILDING 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 ElDRYWELL [I I HEREBY CERTIFY THAT I AM PROPERLY REGIS RED ANO/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNT A D STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM HE LEGA OWNER O A D INTEL TO DISCONNECT PLUG AND RESIDE IN THE ABO D RIBED S]DEN IA P PERTY ABANDON HOUSE SEWER .- SIGNATURE OF PERMITTEE BACKFILL SEPTIC TANKS ❑ SEEP PIT(S) ❑ CESSPOOLS ❑ G VALIDATION ROBERT A WOOD M O cash SUPERVISING MECHANICAL ENGINEER L"0 8 0 6%"O*' JELL 21 0 D 8.0 0 76A 6�42D -CE-808 -10 71 APPLICATION FOR PER T COUNTY OF LOS ANGELES SEWER-SEWAGE ISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING e1 G ADDRESS O� G LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS ST d LEGAL IA O w DESCRIPTION LOT NO OW NE .),pr -A BLOCK 13 TRACT ADDRESS > v NO OF BLDGS �j SIZE OF LOT NOW ON LOT CITY Allo ? TEL NO ` (J L USE OF i DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS BK CONTRACTOR J ADDRESS JJ�' CONNECTION DATA STATION DEPTH CITY TEL NO STATE LIC MANHOLE REFERENCE UPPER LICENSE NO CLASS LOWER NO DESCRIPTION OF WORK FEE TYPE OF C ECTION LENGTH F HOUSE SEWER CONNECTING TO Y CUR P L M L PUBLIC SEWER @ $7 00 C NO SEPTIC SANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ fl0 00 CO IMP NO OB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PE NO d PRIVATE DISPOSAL SYSTEM 0 f3 00 O CONNECT ADDITIONAL BLDG OR AFFIDAVIT tWAIVF4 EASEMENT RECORD INSTR NO DATE 0 WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD O EXTN CESSPOOL DRYWELL @ $500 HWY OR ST WIDENING ALTER 0HOUSE I"' SEWER(i Mi SYSTEM $300 STATE ENCROACHMENT l!J MANHOLE 0 $7 00 PERMIT NO d INDUSTRIAL N WASTE APPROVAL Z OWNER S PERmrr $ 31 OO CHAREs AUTHORIZATION TOTAL FEE I opCONNECTION CHARGE FEE 1HAVE 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 DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL 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 REPAIR WX&-QR- LICENSED REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM s CALIF0RNI O THAT I AM THE LEGAL OWNER OF AND INTEND TO DISCONNECT PLUG AND RESIDE IN THE BOVE DESCRIBED ESIDENT L PROPERTY ABANDON HOUSE SEWER L IGNATURE BACKFILL SEPTIC TANK OF PERM TE SEEP PIT(S) ❑ CES PO LS ❑ VALIDATION DK M D CASH �.t / 8 6 1"— JIT 1 1 vin 600- C" CE808 10 63 76A642D APPLICATION FOR PERMI v� COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE County Engineer ADORES WILLIAM A JENSEN Sup t of Building LOCAL TY NEAREST FOR APPLICANT TO FILL IN CROSS 5T LEGAL DESCRIPTION LOT NO OWNER MAIL If BLOCK la TRACT ! ADDRESS 3✓T[/!/••3 NO OF BLOCS 'r) J;Q SIZE OF LOT NOW ON LOT y� CITY TEL N FEUSE OF DISTRICT NO GROUP MAP RO BY BUILDINGS BK PG CONTRACTOR -C, ADDRESS CONNECTION DATA CITY EL NO13-/D ,/- - STATION DEPTH ❑ STATE MANHOL REFERENCE UPPER REGISTRATION NO ❑ COUNTY LOWER NO DESCRIPTION OF WORK FEE TYPE b,F CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB PL M L TOP �- PUBLIC SEWER n0 $5 00 P C NO SEPTIC TANK SEEPAGE PIT OR CO IMP NO JOB O O PITS AND�OR DRAINFIELD @ $1000 V HOU 5E SEWER CONNECTING TO TRUNK PERMIT NO OAD PERMIT NO IX PRIVATE DISPOSAL SYSTEM @ $3 00 0 AS[M[ CONNECT ADDITIONAL BLDG OR AFFIDAVIT wlleR [ RECORD INSTR NO DATE `V WORK TO HOUSE SEWER @ 53 00 1V• OµSHFlE9YP'SEOEPV O R �OD HWY ORT �NING � ALTER REPAIR O DON HOUSE SEWER OR DISPOSAL SYSTEM @ $3 00 STA ENCROACHMENT PERMIT NO INDUSTRIAL /y WASTE APPROVAL �•f CHARGES OWNER I PERMIT s 2 00 AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE 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 CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANKSEEP PIT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAI NFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY //�� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CESSPOOL [:1DRYWELLV 10-/yoPLUMBING AND SEWERS IHEREBY CERTIFY TH T 1 AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRE BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT M THEGAL OWNER OF ND INTEND TO DISCONNECT PLUG AND RESIDE IN THE ABO DESC ED SIDENT OPERTY ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANK6 ❑ OF PERMITTEE SEEP PIT(S) ❑ CESSPOOLS ❑ VALIDATIONROBERT A w000 CK M o `/CSS/) SUPERVISING MECHANICAL ENGINEER L&O 4 9 6 01 OCT 16 1 0 D 7.0 0- N