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HomeMy Public PortalAbout9450 GIDLEY ST_Sewer__ -s m ILI DEPAIVrMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL _ 1 orDIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILO'NG ADDRESS q FOR APP CA T TO F LL IN LOCALITY BUILDING NEAREST ADDRESS F CROSS ST. LOCALITY e^ :' DISTRICT NO. SERIAL Nb. PERMIT NO. c NEAREST r`T' `J A 1 -1 — S CROSS ST. RECEIVED BY Readl br lnepeotion DATE ISSUED OWNER MAIL ADDRES �` USE ZONE OCCUPANCY MAP - I BK PG CITY AJ I A—JTELAO. CONTRACTOR0.IMP.N0. (� c',: ADDRESS (ft )OB N0. CITY i L.NO. ` l 4 A. TRUNK PERMIT NO. REGISTRATION N0. .1-7 � / 6 ��' COUNTY _STATE ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO. STATE ENCROACHMENT � �E C�YC�-- PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAr �aj,7je-z /G sll_ /f U SIZE OF LOT NN0.OF BLDGS. (� Y NOW ON LOT CHARGES USE OF BUILDINGS CONNECTION GE FEE NO. DESCRIPTION OF ORK FEE HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE PUBLIC SEWER a $ 3.50 _ .�U RECEIPT NO. TE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDS WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR C/ PITS AND/OR DRAINFIELD 2.00 STATIONDEPTH d CESSPOOL—DRYWELL ���° SPECIAL CONDITIONS ONLY 2.00 / MtIFP Gu_REFERENCE E R S TYPE OF CONNECTION LENGTH FROM j OWNERS PERMIT $ 1 00 Y. Affdas -fte. M.L.TO P.L. AUTHORIZATION TOTAL FEE s O 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THjE PUBLIC SEWER SIGNED THIS--- -__DAY OF.. �� ".Q >'-`L�19 NEW HOUSE SEWER OWNER OR/j(� CONNECT ADDITIONAL OWNERS AGENT .. __1�.:r .._ ....._._. BUILDING OR WORK --• SEPTIC TANK,SEEP.PIT(S) ADDRESS------. ,x---'-•-�> >`..3,»�------•----- AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE ^THAT 1 HAVE READ TH143 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 DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOV DESCRIBED RESIDENTIAL PROPERTY. a BACKFILL SEPTIC TANKS7 SIGNATURE 1 SEEP.PIT(S)E] CESSPOOLS 1 t� 1 , " OF PERMITTEE 76A642D 663 1/53 APPLICATION- FOR PERMIT DrMON OF BUILDING AND S EWER--S EW�4G E D I S POSH L D.parbn.2t of C—ntyq County 0f Lo. A2IQ.T.. U I LDI R a �-O Vn&J. FOX. COUNTY ENC11NXKR DRd CA MATT D. GRIFFIN,SurT of frunmrP(e LOCALm FOR APPLICANT TO ML 18 " o�tT - LEGAL DESCRIPTIOSI . LOT NO. OWN[1 Robert- Bubbe rt SLOG TRACT RAIL _ ; DRE 9 XO.OF BL S. SIZE OF LOT NOW ON 0 Rosemead TIL. N0. 7P_ 89641 USE OF BUILDINGS DIfTA�O, of UP MAP CONTRACTOR ADDREa1 Gabriel -Naw San Gabriel COMWIMON DATA CITan YSG Sbriel TEL.NO. &T 0-031 STATION DEPTH ❑ STATE YANHOLg RSFERE:NC[ REGISTRATION NO. 104074 ❑ COUNTY UPPER ER TYPE OF CO ION LENGTH FROM No. DESCRIPTION OF WORK FEE T. CURB P L. Y.L.TO P.IL HOUSE BE-WIR QONNECTINQ TO PUBLIC SEWER ; 3.50 HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG. OR eft AMN OCR- FN CO. imp.NO. JOB. WORK TO HOUSE SEWER 1.0.0 ALTER OR REPAIR EXISTINf SEWER OR DISPOSAL SYSTEM 1.00 TRUNK PER-MIT NO. R P IT NO. DISCONNECT AND ABANDON SEWER STATE ENCROACHMENT PERMIT NO. AND/OR DISPOSAL SYSTEM 1.00 IAL SEPTIC TANK,SEEPAGE PIT R PERMIT NO. PITS AND/OR DRAINFIELD 2.00 CESSPOOL-DRYWFLL WASTE APPROVAL SPECIAL CORDITE NS ONLY 2.00 'CHARGES p� T CONNECTION C GE FEY �g' OS s 1 00 A=OH=TMN TOTAL FU J) REIYBU PENT FE[ TRACTORTHISCO ECT TH[ ABOVE DEBCR BED p(DATE CONTRACTED WITH THE ¢9T)NG OWELLIXG APPROVALS DATA INSPECTOR'S SIGNATURE TO THE PUBLIC Si,YIER SIGN(D THISAY OF - 19- NIW HOUSE SEWER OWNER - DR CONNECT ADDITIONAL OWNERS A6FNTtT`c4 �� BUILDING OR WORK DDRESS f CTARR,BEEP PIT(f) ACKNOWLEDGEVy�� AND/OR DRAIN 1[Lb AND STATE HATHY hBOVS 11TCORRECT AND AGRSi THIS APPLICATION CESSPOOL❑ DYYWELL❑ LY WITH ALL COUNTY ORDIKA110ES AND STATE LAWS SEGULATING ALTER. REPAIR,SH PLUMBING AND SEWERS. - SEWAGE DISPOSAL= 1 HEREBY CERTIFY THAT I All PROPERLY REGISTERED AND/OR LICENS AS REQWRFD BY LOa ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAM 1 AY TH[ LEGAL OWNKR Of THY ABOV[ ABANDON HOUSE SLWI(R DESCRIBED RESIDENTIAL PROPTE�RTY. BACKFILL C TANKS❑ uV IMMM GTS PIT d M"DOLS SIGNATURE OF PERYITTE$ WILLIAM J. IrOX.COUNTY 001HKIER VAL=TIOtf _. 6T3 1 9`; AUG 4 4 2.0 0 D[PIT Y DEI•UTY BY RT m DEPUTY D YY f - -nFa A>Fr'`(ENT of OOUNTY Errs SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION OOUNTY OF LOS ANGIET Il WILLIAM J. FOX, COUNTY ENOIN[aR BUILDIMS RESS � � ADD FOR APPLI T �N LOCALITY BUILDING NEAREST ADDRESS .5O d CROSS ST. LOCALITY DISTRICT NO. SERIAL N0. I PERMIT NO. � NEAREST S � s OROBB ST. \ EOEIVED BY Ready for IospKUe■ DATE ISSUED OWNER — MAIL /�-�� USE ZONE OGOUPANCY MAP ADDRESS `' \/ BK pa CITY TlLM0. — Z — CONTRACTOR CO.In N0. 144C -" l h ADDRESS JOB.NO. I--------- CITY TELMO. TRUNK PERMIT NO. REGISTRATION M0. I � I 0 / STATE ROAD PERMIT NO. DE8[XRIPTIOM LOT N0. LEGAL �v e—r— STATE ENCROACHMENT PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT JV NO. OON LOTF OLDS CHARGES USE OF BUILDINGS CONNECTIO RBF FEE N0. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE OUSE SEWER 00 M IM 0 PUBLIC SEWER 5.86 RECEIPT NO. E BY HOUSE EW MM OTING TO PRIVATE DISPOSAL SYSTEM Im CONNECT AOOITIONAL 1300.OR EXOEPTION RECORDED WORK TO HOUSE SEWER I-M ALTER OR REPAIR IMG NC' DATE BY SEWER OR DISPOSAL SYSTEM 1.60 D18GONNECY AND ABANDON BE-WEB AND OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC AN ,S PA PIT OR PITS AMD OR GRAINFIELD X m STATION DE C Egg POOL—DRYWELL SPEOIAL CONDITIONS ONLY SAN EF{-RF-NCE UPPER LOWER TYPE OF CONNECTION LENGTH F OWNERS PE;LmrT $ 1 00 Y. cup- P.L M.L.TO P.L. J AMOREZA11ON TOTAL FES I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED OONTRAOTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUDUO SEWER . SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL �Ay ERS AGENT BUILDING OR K WORK G v ' X ADDRESS AND/OR DSEPTIO TAN RAINFIELD IT(S) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] DRYWELL CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTS REPAIR,SEWER OR REGULATING PLUMPING 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 STAT[ OF CALIFORNIA OR THAT 1 AN THE LEGAL OWN- ABANDON HOUSESEWER ER OF THE ABOTDESCRI RESJD A P AN ❑ SIGNATURE S[EP.PIT(S)E] OESBPOOLB E3 OF PERMITTEE lij T6A6G. 693 T/6L