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Home My Public Portal About10728 GRAND AVE_Sewer__ ' 4 APPLICATION. FOR PERMIT BAa4 CK80111 10-4m TGA&4:D COUNTY OF LOS ANGVT- SEWER—SEWAGE DISPOSAL DEPARTUMNT OF COUNTY ENGiNF.EH ]BUILDING AMID SAFETY DIMION F.-Rn.— FOR OHN & T E TR w�uM e. II��,e,1 di�� p APPLICANT TO FILL IN ° D[SCRIPTI Oro 10T HO. OWNER jle AE A , MAIL BLOCK TRACT a ADDRUS NO. OF BLDGS. BIZE OF LQT NbW ON LOT CIT' TIL HO� BUILDINGS OF DISTRICTN DUF YAP F L13 BY BUILDINGS CONTRACTOR / �'• ADDRSSS CONNECTION DATA CITY TEL NO. STATION DEPTH RRGISTRATION' HO. B STA 1TIE ER MANHOLE Cl UFF R NO. DESCRIPTION OF WORK FEETYPE dr co TH ION L"QFROM HQUSE SEWER CONNECTING TO Y. CU P,L MA_TO F. U PUBLIC SEWER O la.00 P.C.of, O SEPTIC TANK.SEEFAgE FIT OR CO.IMF.NO. JO P ITB AND/OR OIlAINFI[Lb $10.00 #+OUSE env"CONNECTING TO TRUNK PERMIT NO. AD PERl11T NO. PRIVATE DISPOSAL SYSTEM $3.00 CONNECT ADDITIONAL SLOG.OR AFFIDAVIT •AJVU [ R INSTR.NO. DATE WORK TO HOUSE SEWER *3.00 OVERFLOW■ECPAGB Prr,DRAINFIBLD' KXTN.,d"SPQOL,ORYW[LL,MANHOLF 0 81.00 HWY,OR IDQ11N0 ALTER,RE FAIR OR ASA DO OU SEWER OR DISPOSAL SYSTEM 3.00 STA CROACHM[r(1` PER NO. INDUSTRIAL WAST[APPROVAL OWNZE'S PmwT s 2 00 CHARGES CONNECTION CHARGE FEE ADTHOETLATION TOTAL. FEE I HAVE AT THIS DATC A CONTRACT WITH THE HEREIN NAMED CON- REIMSURSEMENT FEE! ?y b� f TRACTOR TO CONNI•CT THE ABOVE DESCRIBED L7SISTING DW[LLI NG O17 J(p .J _ / TO THE PUBLIC S • DATIC INSPECTOR'S YIGNATURE SIGNED THIS .DAY C) 441A -1 D LS OWNER OR LfA •�{/�� E 1 NW HOUSE S3rWXFr OWNERS Ad[ r' ��.I CONNECT ADDrTIONAL BUILDING OR WORK ADDRESS SfflIC TANK,BEEP,PIT(S) 1 ES HERY ACKNOG WLKDE THAT 1 HAYS READ THIS A�FLIC,TIQN AND/OR DRAINFICLD AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING CESSPOOL ❑ DRYW[LL ElFLU MI, ING AND SEWERS. 1 HERE+Y CERTIFY THAT I AM FROPERLY REGI STI RID AND/OR ALTSR REPAIR,SEWER OR LICENSED AS REQUIRED ■Y LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM TH[ LE "KN GAL OWNER OF, ANp INTD TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RESIDEN7IAL PROPERE TY. ABANDON HOUSE SWER Qr1.AI1 S1J RE , SACKFILL SAF 6r,TANKS ❑ OF FERMI TTQ' SEEP,F17(S) I_I CLSFOOLS El rrf YALIDATIQ?t�1 ROBERT A. WOOD BUPERWSING MECHANICAL ENGINEER CK. Y.O. CATH LAC03 3 6 IG JUL 6-e--Y, D 16 8.004 �f . &4xb PEB-05-0157&AAPPLICATION FOR RMI �eAen COUNTY OF LOS ANCTET SEWER-SEWAGE DISPOSAL M DEPARTENT OF COUNTY ENGINEER BUMDING AND SAFETY DIVISION BUILDING JOHN A.L"Q{E, Connt� E inBBT ADDRESS 7Z il CQLEMAN A. JENCINS,Sept. of 'aildias -*��` LOCA LIMY / M AR[dT FOR APPLICANT TO FILL IN cRo°• Sr. DESCRIPTION LOT OWNER k4&7___z4 Z MAIL TRACT ADDR[dl NO. OF ■LO E. SIZE OF LOT NOW ON LOT CITY ) L. NO. L/ USEOF ■UILDI D14 IC7 P&0. GROUP& }IAP PROCE"KE)[Y IN CONTRACTO ADDRESS CONNECTION DATA STATION DEPTH CI ,I TEL. Ntl. LI HNSE LICENSE UPT[R NO. CL!.S8 MANHOLE R[F[RENC6 LOWER P&0. DESCRIPTrON OF WORK FIE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB 1. M.L.TO P.L. PUBLIC B-EWER 0 '= e.0b BE EPA F PIT OR P.C.NO. PITS AND/OR�DRAMFIELD S $10.00 CO.IMP. NO. JO■NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD P[AMIT NO. (� PRIVATE D17-POSAL SYSTEM S S 9.00 CONNECTAFFIDAVIT •AIY[, EAl[S[ET RECORD.INOTW.NO. DAT[ WORK TO HOUSE °EWER S $ 9.00 / 9.00 HWY.OAST.WIDENING ABANDON HOUSE SEWER Cf<SSPOOL, MAN H04E + $ b 00 STATE ENCROAC14miptt PERCOLATfON TEST A $ 5.00 PERMIT NO. 4NDUSTRIAL \ �}7.�+� WAIT[APPROVAL OWNERS PERMIT i 2 00 CHARGES AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEB 'I HAVE AT THISDATE A CONTRACT WITH THE H[R[IN NAMtD CON- RK I M 19 Ulm MFNT F-1K TRACTOR TO CONNECT THE ABOVE DESCRIBED LdI OTING DWELLING 7� TO THE PUBLIC B[W APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS AY OF 14 OWNER OR NEW HOUSE SEWER OWNER/AGE ��, CONNECT ADbIT10NkL ]BUILDING OR WORK ADDR[1B 8EPTIC TA SIN,BEHP,PIT(B) 1HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANb/OR DRAINFI[LA AND ETATI THAT THEABOVE If CQRRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUL.ATIND CEBOPOOL ClDRYW[LL ❑ PLUMBING AND BE*E". 1HEREBY CERTIFY THAT I AM PROPERLY REGIBTERBD AHDfOR ALTS,R,REPAIR,SI1WIER OR LICKN°[D AN REQUIRED -BY LOS ANGLES COUNTY AND STATE OP SEWAGE DISPOSAL BYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLIJO AHD RESIDE IN, TAE ASO D RU [NTS L ROPER' ABANDON HOUSE SEWER SIGNATURESACKFI4L B[PTIC TANKS ❑ �60 Olt P[RMI SEEP.PIT(S) 4 CESSPOOLS VALIDATION CIC 11-0. CASH 2 1 0 @ 5.00o l } r. • � t to-0a 7aAe�6A84zD APPLICATION FOR PERMI COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DtPARTMENT OF COUNTY ENGINEER Bl1II.DING AND SAFETY DIVISION BUILDING r T SHfRTRs p�I OfQ AW DDR rra�� LOCALITY FD /� ]��]� 7� T T �T NEA R[ET rOH AP LICA } 1O FLU IN CROSS IFTAL . 1 LOT NO. OWNER MAIL TRACT ADDRES6 NO_ OF BLDGS. T NOW ON LOT CITY TIL NO. D fA�T-XM EXF-"Z MAP F [B1 I /[� '� ST ��jj/� L' ]� BK PG LI'L/�l///�,X �� //�� Ol-/Y •� r CONNECTION DATA CITY NO. -,REGISTRATION NO. / C - fMo. DESCRIPTION OF WORK FEE H LENGTH PRO p v+ HOUSE BEWEII CONNECTING TO Y.L.TO F.L. �7 PUBLIC SXV"M 8E.00 S[P'TIC TANK,S AG[PIT OR R.C.NO. (1IMP. NO. JOB NO. lYJ PITS AILD/OR DRAINFIELD •10.00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PXJRMIT NO. PRIVATE DISPOSAL SYSTEM S3.00 (� CONNECT ADDITIONAL■ O.6A AFFIDAVIT •An[■ wal[rr RECORD.IN .NO. DATE }LYrJJ� WORKTO WOUSK SEW" f 57.00 OVERFLOW SEEPAGE PR,DRAINFIELD XXTN.,C[SBPOOL,DRYYW[LLMANHOLE 0 $3.00 ALTER.RIEPAIR ORABA DO HWY.OR BT.WIDENING LO ■EW[ OR DISPOSAL SYSTEM S2.00 STATE ENCROACHMENT PIRMIT NO. JAI Qajl4'q_p. INDUSTRIAL WASTE APPROVAL CHARGES OW NEH' s z 00 AUr0HW0 AT3ION TOTAL FEE 4!5:)O CONNECTION CHARD[FE[ 'I HAVE AT THIS DATE A CON-TRACT WITH THE HCRIIN NAMED CQN- REIMBURSEMENT FE[ TRACTOR TO CONNECT THE ABOVE DESCRIBED L%SETING DWELL ENO To TH[ FU■LIC, SEW AM DAT[ INSPECTOR'S SIONATU R[ SIGNED THIS DAY OF 1 OWNER OR d'IAY /1VI NEW HOUSE S[W[R OWNERS AG ENT CONNECT ADDITIONAL ■UIL.DI110 OR WORK ADDRIES B[PTIC TANK,SEEP,PIT(9) 1 HEREBY NOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAI NFI[LD AND STAT[ THAT THEABOVE IS CORRECT AND AGR[[ TO COMPLY WITH ALL COUNTY 0RDINAMCBS AND STATE LAWS REGULATING , FLU MBING AND BEWIRS. CESSPOOL ElDRYW[LL I HEREBY CERTIFY THAT I AM PROPERLY REGI BTERXD AND/OR ALTER.REPAIR,BEW[R OR LICENSED AS REQUIRED BY LOB ANGLES COUNTY AND STATE OF SWAG[DISPOSAL BY CALIFORNIA OR THAT I AM THE LEGAL OF, ANP INTEND TO DISCONNECT PLUG AND RESIDE IN, TH[ AgOV [SCRIBED D[NTI PROPE R1ti' ABANDON NOUS[SW[R SIGNATUREP"M / BACKFILL SEPTS[FTANKS ❑ OF FFEl1Y ITTi[ SEEP.FIT(B) u CESSPOOLS AI.IDATION ROBERT A. WOOD CK. M.O. CASH 8VPERVIaING MECHANICAL ENGINEER ,_JL 3 4 4 8 .tA_ 8 1 0 D 1 0.0 0 Y NX ` A6"D [ TaAasaD APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DI$POSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION wILAING J / O� 1■ ADDR_ xirr LOCALITY ! HEAR F08 APPLICANT TO FILL IN `-R " ST. 131.91PTIoN LOT Nd. OWHKR MAIL [LOCK TRACT 9O ADDRLB NO. OF aLDGS. SIZB OF -LOT J NOW ON LOT j GITY TBL No. ueB of +L Get/pC/? 1C BUILDINGSDIETRICi NO. GROUP MAP R K1iKD BY 1 BK GOHTRACTOR djr_Q Q131 �� O T J ,e' J D ADDRI*S �/jrTIO r VTH II[OIiTRATIOH NO. CONNECTION DATA CITY /rLs+i nL�p/v T[/L4e,4115.5- NO. 7Qd TIO- D I f0 15,0.1414/ IFTATI MANHOLE RAFERIHC[ COUNTY NO. I No. DESCRIPTION F WORK F'BI OF c H L.K11 0 L HOUSE SKWKR CONNCTING TO M.L.TO P.L `J V PUBLIC SLEW" 5a.00 P.C.NO. SEPTIC TANK,• AGE aOB NO. PIT OR Pm AHD/OR DRAINFI[1 D [10.00 Co.IMP.NO. O L_ HOU.[■KWER CONNECTING TO TRUNK PIRMIT NO. ROAD F"MIT NO./G7� LaarJl PRIVATE DISPOSAL SYSTEM 51.00 CONNKC7T ADDITIONAL SLOG.OR AFFIDAVIT I *� WkE[R RECORD.INSTR.N . DAT[ N WORK TQ HODS[SKWL Se.00 ..y OV FLOW BEEPAG[PIT,DRAIHFI[LD L Prr N..0 Kq■POOL,DRYWRL,MANHOLE a SB.00 AL7XR,RICPAiR On Do HWY.OR ST.WID[NIHQ ■ sp V3.00 BTA7K IENCROArHmmjfT ::J PIRMIT No. INDUSTRIAL WASTI APPROVAL ��t:E�y FHARGL Ort S PERMIT s CONNECTION CHARD[FI[ AUTHORIZATION TOTAL FES I HAV[ AT THIS DATE A CONTRACT WITH THE HKRKIN NAMED CON- ARAIN BU RI[N tNT Fa TRCTORTO CONNECT THK ABOVE DESCRIBED taISTINd DW[LLINd TO THE PUBLIC SEWKR. APPROVALS DAT[ INP[CTOR'S SIGNATURK SIGNED-THIS-DAY OF ID_ K oWTitR OR HW HOUR sww" OWNERS AGENT COKN[CT ADOMONAL BUILDING OR WORK ADDRISS StPTIC TANK,SKIP,PITS) I B HKRKY ACKNOWLEDGE THAT I HAV; READ THIS APPLICATION AHD/OR DR.AINFIELD AND STATI1 THAT "K ABOVE I■ COICT AND AGREI TO COMPLY WITH ALL COUNTY ORQINAN CL RR AND STAT[ LAWS R[GULAYINO CLSS POOL [IbRYWILL El AND SEWtRs. I HKRKBY CERTIFY THAT IAM PRoP1RLY REGISTER)<D ANP/OR ALTER.REPAIR.■KWFR OR L I cINSKD AS REQUIRib SY LOS ANGLES COUNTY ANQ STATK OF SKWAGE DISPOBAL SYBTKM CALIFORNIA OR THAT M THE LKGAL OWN" Or, AND INTEND To DISCONNECT PLUG AND R.HJB 1N, TH[ A DESCRI D L PROPERTY. ABANDON NOUS[SI Wp! SI GNATY RI SACKPILLSKPTTCTANKS {] OF PERM ITTKK SKS,PIT(S) [1CWPOOLI AI.TDATZdN OBER? A. WOOD HU('EkW81NG MECHANICAL ENGINEER CK. M.O. CATH LA�o3449ro AUL 8 11 D 25.00' 4 TEMPLE CITY 7Eebe dee 7BA642D APPLICATION FOR PERMIT {� u COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL D2PARTN= OF COUNTY ENGMEEER BUILDING AND SAFETY DIVISION Fn UILDINGtof� Fi Grand JOHN A.LAMBIE, Coant=EugLnaar DDRua �COLEKkN M. JENMNS,Sup t. of BulldiuS. 'Temple . City OCALITY EI R EST FOR APPLICANT TO FII.I. IN 14O19 STLROAL . DESCRIPTION LOT N . OWNER Euc lidonat/ MAIL •LOCK TFLA CT /Z ADDRESS 2 E. Valle lvd. NO. OF ■LOGS. San b Lel- -,NO. BIZ[ OF LOT NOW ON LOT CITY � BUILDINGS OF 1l e8• DISTRICT NO. OROU MAr RROC[//[D/Y ■UILDINO/ jp�T EK RO CONTRACTORS uaraf Deal Sewer SelD rice �� 4ADDRESS 2933 Ma..xe on Rd. CONNECTION DATA ctTY El Monte TEL. NO. -2020 STATION DEPTH LICENSE LIO[M! ' NO, 3-2 0 CUSS b— 2 MAtlEIOL[REFERENCEet_ LOWER NO. GESCRT PTION OF WORK F[[ TYPE OF CONNECTION LEN OTH ROM HOU![ SEWER CONNECTING TO Y. CURS P.L M.L.TO L. PUBLIC SEWER • $ 6.00 P.C.NO. PIT! AND/OR bRAI4TIRLQ • $10.00 CO.IMF. NO. JOe No. 4 HOUSH SEWER CONNECTING TO TRUNK PERMIT NO. Rd AD PERMIT NO. V PRIVATE DISPOSAL SYSTEM • $ 3.00 C C 6. R 1,1DAVIT •An.■ EAl[E[R RECORD,INSTR,NO. DAT[ WORK TQ HOUSE SEWER 0 $ 3.00 SEWER 011 DISPOSAL SYSTEM • $ 3.00 HWY.OR ST.WIDENING EXTN.,CEDSPOOL, MANHOLE • 6.00 } AT[ENCROACHMENT PERCOLATION TEST • $ 6.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHA OWN WS PERMIT f 21 00 CONNECTION CHARD[FE[ AUMORPLATION I TOTAL FEEJ / 'I HAVE AT THIS DATE A CONTRACT WITH 7H[ H[R[IN NA'M REIMSURS.[q CON- EMENT FIE ! TRACTORTO CbN NE&r THE ABOVE DESCRIe[D []S14TINO DWELLS NO T TO THE PUOLIC SEWER. APPROVALS 1D,ATr IN"xCfOR'S• NATU, SIGNED THIS DAY OF IA_ OWNER OR NEW HOUSE/EWER OWNE"AGENT CONN[CTADDITIONAL ADDRIE■ BUILDING OR WORK BEF- f H[RR AND ■Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IC TANK.■[FP,PIT(/) AND /TAS[ THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY ND�Qh Dl1AINSIELD WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGUUTING PLUMBING AND SEW[R2. CESSPOOL DRYW[LL ❑ t HERKRY CERTIFY THAT 4 AM PROPERLY REGISTERED A-ND/OR ALTER;REPAIR,SEWER OR LICENSED Al REQUIRED BY LOS ANGLES COUNTY A STAT[ OF SEWAGE D I SPOSAL SYSTEM CALIFORNIA OR THAT 1 AM THE LIOAL OWN. OF, A I ND YO DISCONNECT PLUG AND ,ESI D[ IN, TTI[ ABOVE F D[}CRIEED RSIDKN IAL P P ABANDON HOUSE SEWER SIONAIR[ OF PERMITTUrie BACKFILL SEPTIC TANKS ❑ SSEP,PIT(/) ❑ cESSPOOLJ ��AI,IDATION CK/J M.O. CATH