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HomeMy Public PortalAbout6203 GOLDEN WEST AVE_Sewer__ DEPAIVrAIENT OF'COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENt3INEER BUILDING I ADDRESS �(/.3 IV, f� &//17� BUILDINGNEAREST FOR APPLICANT TO FILL IN LOCALITY -7_l A.t-A9,1(1 +p ADDRESS Q _ / /�` / /� CROSS ST. 1 V 6, TT// /Y V(l LOCALITY nt z /I •-�- DISTRICT N0. tAERIAL NO. PERMIT/N 0. c NEAREST ��jA ��� V b S CROSS ST. / �, � RECEIVED BY Ready for Inspection DATE ISSUED _ OWNER J _ `.".._7 MAIL ADDRESS USE ZONE OCC PU ANCY EMAP ��_ �� / CITY' 4. �f TEL.NO, .- CONTRACTOR �'^ ( �. �y,.�/ CO.IMP.N0. I'��j 2.-- ADDRESS 10B NO.,---__ CITY TEL'--.NU. 77 V'/ TRUNK PERMIT N0. STATE REGISTRATION NO. y j'9 �� � 8 COUNTY ROAD PERMIT NO. '' _`�� ►e,w LEGAL ,llI DESCRIPTION LOT NO. O V LP?A,1 STATE ENCROACITMENT PERMIT NQ' BLOCK TRACT ftl 11 fj7,�¢1 51 INDUSTRIAL U NO.OF BLDGS. WASTE APPROVAL SIZE OF LOT 0 O �/��(� NOW ON LOT CHARGES USE OF BUILDINGS /% ""� L� �--" CONNECTION CHARGE FE\ N0. DESCRIPTION OF WORK FEE • HOUSE SEWER CONNECTING TO - REIMBURSEMENT FEE PUBLIC SEWER C2 $ 3.50 RECEIPT N9../� DATE _I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR % EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 0 In ALTER OR REPAIR EXISTING NO- DATE BY SEWER OR DISPOSAL SYSTEM 1.00 �A—.. moo- Rf"^"4""="� ` DISCONNECT AND-ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPdT CESSPOOL—DRYWELL ; SPECIAL CONDITIONS ONLY 2.00 MANHOLE P&_ERENCE UPPER LOWER TYPE OF CONNFLCMONLENGTH FROM OWNERS PERMIT $ 1 00 Y. C P.L. M.L.TO P.L. AUTHORIZATION I TOTAL FEE 2 D I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE/ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE SIGNED THIS.....................DAY OF............_...._............__._19_. NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT......................................_.......---- --_' BUILDING OR WORK ----------••--•--- ADDRESS--------------_-------. SEPTIC TANK,SEEP.PIT(S) - - - -.._.... - AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[:j DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS; ALTER,REPAIR,SEWER OR i REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIF�Y"THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES,COUNTY ABANDON HOUSE SEWER AND STATE OF CA IFORNIA R THAT I AM TH!E LEGAL OWN ER OF THE AB OV DESCRIB D RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKSEl SIGNATURE SEEP.PIT(S)E] CESSPOOLS E] OF PERMITTEE - - - - �'�- - _............----------•-- 76A642D 663 1/53 DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION 1 COUNTY OF LOS ANGELES WILLIAM J. FOX. COUNTY ENGINEER I BUILDING CASSATT D. GRIFFIN, SUPT DF BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS/�')�/ � �� � _—_ CROSS ST. LOCALITY ;' DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST _ CROSS ST. ol,` RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL `,� �� _, _� USEZQNE OCCUPANCY M ADDRESS B PG���>_ TEL.NO.A 1+ ;z:-7,3 2. / CONTRACTOR F CHARGES REIMBURSEMENT FEE ADDRESS REQUIRED NOT 9EQ ED CITY TEL.NO. JOB N0. CONNECTION CHARGE FEE STATE CO. IMP. N0. REGISTRATION NO. COUNTY LEGAL RECEIPT NO. DATE I BY DESCRIPTION LOT NO. _ BLOCK r,I TRACT WAIVER FOR RECORDING SIZE OF LOTIoOp'j,, 9 57:, NOW ON LOTS RECEIPT NO. I DATE BY USE OF BUILDINGS TRUNK PERMIT NO. I� NO. DESCRIPTION OF WORK FEE -- HOUSE SEWER CONNECTING TO ROAD PERMIT NO. PUBLIC SEWER @ $ 3.50 HOUSE SEWER CONNECTING TO STATE ENCROACHMENT PRIVATE DISPOSAL SYSTEM 1.00 I ( PERMST N0. CONNECT ADDITIONAL BLDG.OR (� INDUSTRIAL WORK TO HOUSE SEWER 1.00 WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 (� CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 STATION } DEPTH SEPTIC TANK,SEEPAGE PIT OR - PITS AND/OR DRAINFIELD 2.00 I MANHOLE REFERENCE CESSPOOL—DRYWELL UPPER LOWER SPECIAL CONDITIONS ONLY 2.00 I TYPE OF CONNECTION LENGTH FROM V. CURB 'isa: M.L.TO P.L. OWNERS PERMIT $ I 1 00 — AUTHORIZATION I TOTAL FEE CO THAVE THIS DATE CONTRACAED RACTOR TO CONNECT THTE ABOVE D ED SCRIBEDWITH THEIEXIISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS_1.�,..._D Y OF._ ..LYgetc-.__..._....__... 19'tJ. NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT_'_ BUILDING OR WORK --- - SEPTIC TANK,SEEP.PIT(S) ADDRESS_.1�"�f.ljl...... .... I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. CESSPOOL❑ DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I DISCONNECT PLUG AND HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOPLUGAND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- USE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)[-] CESSPOOLS SIGNATURE OFPERMITTEE---------------------------------------------------------------------------------- i 6A642D 663 12/52 DEPAW.MENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 ' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER (,AUILDING DDRESS FOR APPLICANT TO FILL IN / j� LOCALITYBUILD NEARES � ,`✓,f,��j [��� ADD EISS f� �� �yL%. ���N� �7 � r'" �� CROSS ST. A " / LOCALITY, � � � � DISTRICT NO. SERIAL NO. J PERMIT NO. NEAREST /� •/J A �� /^ UJ S CROSS ST. / LA BY Ready for Inspection DATE ISSUED OWNER ' c =�� O`er ��� <_-�1 )oJ7) MAIL ��'` / ADDRESS G� ? / _ ,CZA USE ZONE OCCUPANCY BK MAP PG CITY TEL.NO. -2 vo"l CONTRACTOR �_ �4 K �a CO.IMP.NO.,! �,�L_� ✓ �', ADDRESS ry'7'� JOB NO. CITY _ d 'T/ ✓ TEL TRUNK PERMIT NO. STATE REGISTRATION NO. 9 r 8 COUNTY ROAD PERMIT N0. LEGAL DESCRIPTION LOT NO.y -f /� v ����� STATE ENCROACHMENTS �I PERMIT NO. / � �V / BLOCK N TRACT S�e� �q rf INDUSTRIAL 1 U � SIZE OF LOT N0.OF BLDGS. WASTE APPROVAL P�� N��® NOW ON LOT CHARGES USE OF BUILDINGS 'k ., Y t.s-�-� CONNECTION CHARGE FEE N0. DESCRIPTION OF WORK FEE \ HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE � PUBLICSEWER Q $ 3.50 RECEIPT NO. �I\ DATE /BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPT ON RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO- I \DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA DATA SEPTIC TANK,SEEPAGE PIT OR \ PITS AND/OR ORAINFIEL•D • 2.00 STATION DEh`TH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE UPPER LOWER TYPE OFICONNECTION LENGTH F OM OWNERS PERMIT $ 1 00 Y. /CURB P.L. M L.TO P.L.\ AUTHORIZATION .TOTAL FEE 00 I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE-ABOVE,DESCRIBED'EXISTING APPROVALS I NSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS------------------DAY OF __`_......._._.__....._.._19_.— NEW HOUSE SEWER OWNER OR' CONNECT ADDITIONAL OWNERS AGENT........................................................................ BUILDING OR WORK ........._... ADDRESS`:---._:-__..--.-_. SEPTIC TANK,SEEP.PIT(S) -...----•---•-----------...---....--•--...--•---• AND/OR DRAINFIELD - t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS-AP,PLI. CESSPOOL E] 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 :I HEREBY CERTIFY%THAT- I AM PROPERLY REGISTERED DISCONNECT PLUG AND ` AND/OR LICENSED AS REQUIRED_BY LOS AN$ELES COUNTY ABANDON HOUSE SEWER AND STATE OF-CALIFOBNIA-OR THATaI AM THE LEGAL OWN- ER OF-THE'ABOVp-`DE"CRIBED_RESIDENTIAL PROPERTY. BACKFILLSEPTIC TANKS � SEEP.PIT(S) OLS CESSPOEl SIGNATURErte," i OF PERMITTEE------------------------ ` " 76A642D 663 1/53 DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER I ADDRESS FOR R APPLICANT TOFILLFILL IN Q� LOCALITYBUILDING NEAREST ADDRESS �� CROSS ST. Ns LOCALITY D/IISTRICT NO. /{f SERIAL NO. PERMIT NO. NEAREST V CROSS ST, r ,� 4 _ / .l Zj �ECJE VED BY Ready/for Inspection DATE ISSUED OWNER=rX ,MAILy 1W L��J ! �'YI // W 7�l ­7 /a.53 ADDRESS t� / ��L�-yea, � a� 3�i/, USEZONE OCCUPANCY MAP BK PG CITY ` V TEL.NO.� l� v / \ CONTRACTOR �� A- - r S� I 3 _ CO.IMP.NO. ADDRESS � JOB N0. CITY TEL.NO llm � �„� TRUNK PERMIT N REGISTRATION NO. �j �y 9 Q; COUNTY "� / ROAD PERMIT NO. LEGAL DESCRIPTION LOT N0.( /® r/�� [ �'C�J —SPATEENCROACHMENT BLOCK TRACT INDUSTRIAL a_ s NO.OF BLOGS. WASTE APPROVAL SIZE OF LOT�� 1� Q NOW ON LOT CHARGES BUILDINGS A. CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE_ HOUSE SEWER CONNECTING T0� 6EiMBURSEMENTiFEE ,✓` — PUBLIC SEWER $ 3.50 RECEIPT NO. ( DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 00 ALTER OR REPAIR EXISTING NO. ` > *DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTI(A,DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION �+ DEPTH CESSPOOL--DRYWELL SPECIAL CONDITIONS ONLY 200 6 MANHOLE REFERENCE p UPPER ` LOWER TYPE.&CONNECTION LENGTH FROM OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L. AUTHORIZATION TOTAL FEE .42- 0 0 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS INSPECTOR'S SIGNATURE DATE / SIGNED THIS-------------------DAY OF..........._.._......_._____..._I9_._._ NEW HOUSE SEWER (�• t}, �/� F� � _ OWNER OR CONNECT ADDITIONAL OW N ERS AGENT--•------------------------------------•-----------.-------•-•-•---•---{ BUILDING OR WORK SEPTIC TANK SEEP. ADDRESS___......____._...____. I PIT(S) -- AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[] 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS,,REOUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND- AND STATE OF CALIFORNIA 0 THAT 1 AM THE LEG �OWN- ABANDON HOUSE SEWER ER OF THE ABOVE'DESCRIBE RESIDENTIAL PROP TY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)� CESSPOOLS❑ OF PERMITTEE_...-------- ------_ Mo Isrim n 76A642D 663 1/53 V