The URL can be used to link to this page

Home My Public Portal About10315 FREER ST_Sewer__ s&E-6 811.55 APPLICATION FOR PERMIT _ 1' : DIVISION OF BUILDING AND SAFETY_ SEWER—SEWAGE DISPOSAL Depaxtment of County Engineer County-of Los Angeles BUILDING ® !� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �j ® CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY s FOR APPLICANT TO FILL INLEGAL CRNEAREST OSS ST. DESCRIPTION LOT NOJt),'�OWto 156 v OWNER J' MAIL BLOCK 65TRACT it q J ADDRESS' SIZE OF LOT N0:O B GS. cs' C TEL. NOCP �, �� NOW ON-LOT USE OF - -/� DI ICT NO. - GROUP BK MAP BUILDINGS C� PG CONTRACTOR > 4- x �0 ADDRESS ` :� ''' CONNECTION DATA / STATION h DEPTH C Y `ri�IEL. N /! MANHOLE.RE ERENCE % • UPPER �` / C3 STATE REGISTRATI N NO.�0 / T ❑ COUNTY No. DESCRIPTION OF WORK FEE ,-^TYPE OF CoJ� TION LENGTH FROM OUSE SEWER CONNECTING TO i "Y_ U P.L. M.L. TO P.L. PUBLIC SEWER @ $3.50 J j V SEPTIC TANK,SEEPAGE PIT OR , + PITS AND/OR DRAINFIELD Q $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C..NNO. EXTN.,CESSPOOL,DRYWELL,MANHOLE Q $2.00 CO�J.M•R--NOS HOUSE SEWER CONNECTING TO - i .•. PRIVATE DISPOSAL SYSTEM Q $1.00 TRUNK PERMIT NO. ROAD PERMIT NO.3, J CONNECT ADDITIONAL BLDG.OR STATE ENCROACHMENT / WORK TO HOUSE SEWER Q $100 PERMIT NO. ' ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL - ,SEWER OR DISPOSAL SYSTEM Q $1 00 WASTE APPROVAL _ CHAR S CONNECTION CHARGE FEE OWNER'S PERMIT* S 1 00 j� REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE APPROVALS DATE INSPECTOR'SSI NATURE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- i TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING 1 (� TO THE PUBLIC SEWER. NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNER OR \ / BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRESS �3� [/ 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 I AM THE LEGAL OWNER OF THE ABOVE _ DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS❑ SEEP. PITS) ❑ CESSPOOLS ElSIGNATURE OF PERMITTEE JOHN A. LAMBIE, COUNTY Er"CrIaEER VALIDATION ROBERT-A.•WOOD, CHIEF PLBG. INSPECTOR. CK. N.0. CASH LACo 4 3 2 0 N4 44AR 4 0 4 450 10 CEAAPPLICATION FOR PERMIT 76A642D 42D COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND-SAFETY DIVISION TNEAREST NG r JOHN A. LAMBIE, County Engineer SS v WILLIAM A. JENSEN, Sup't of Building "7 TY FOR APPLICANT TO FILL INCii ST c �- LEGAL ` ✓ G G /./ �I DESCRIPTION LOT NO L OWNER MAIL BLOCK TRACT ADDRESS NO OF LDGS SIZE OF LOT NOW ON LOT CITY TEL NO. USE OF DISTRICT NO BUILDINGS GROUP BKMAP PROCESSED BY / PG fj CONTRACTOR •/ ADDRESS ,, , CO NECTION DATA �Jl'"' CC CITYTEL NO STATION DEPTH IVAEl COUNTY COUNTY STATE MANHOLE REFERENCE ! Y►/ UPPER REGISTRATION NO app. NO. 1 DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L ML TOPIL PUBLIC SEWER @ $5 00 P C.NO. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $1000 CO IMP NO. JOB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT O. ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM @ S300 CONNECT ADDITIONAL BLDG ORAFFIDAVIT WAIVER I EASEMENT RECORD INSTR NO. DATE WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PITDRAINFIELD EXTN CESSPOOL ORYWE L L,MANHOLE C $500 HWY OR ST WIDENING ALTER,REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ S300 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL OWNERS PERMIT S z 00 CHARGES AUTHORIZATION TOTAL FEE ` L/, 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 TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19 ' OWNER OR NEW HOUSE SEWER d A OWNERS AGENT_ — CONNECT ADDITIONAL ll � ADDRESS BUILDING OR WORK 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 WITHALL 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 I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE�DESCSIDENTIAL PROPERTY. ABANDON HOUSE SEWESIGNATURE �� BACKFILL SEPTIC TANKS ❑ OF PERMTTTE SEEP PIT(S) ❑ CESSPOOLS ❑ ALIDATION ROBERT A. WOOD M O CASH SUPERVISING MECHANICAL ENGINEER - CK. ji0 6 7 8 0' NOV 9 1 0 V 5.0 fl- ,