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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
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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
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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