HomeMy Public PortalAbout10847 GRAND AVE_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSALS 4 9 6 1
DIVISION OF BUILDING AND SAFETY _ PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ' ADDRESS 10� 6./FFAWD A vC=
FOR APPLICANT TO FILL IN LOCALITYBUILDING NEAREST
ADDRESS 1047 Grana CROSS ST.
LOCALITY El Monte DISTRICT NO. A SERIAL NO. PERMIT NO. c
NEAREST //� %J `�
CROSS ST. CfS�L-L fl/-{ •� RECEIVED BY Ready for Inspection DATE ISSUED
OWNER r{Ira. M. Pettit
MAIL 'USE ZONE OCCUPANCY MAP
ADDRESS same
A�.�' BK PG
CITY TELAO. 1/ 0 a G) w r:- L ...—^,-
CONTRACTOR California Sewer Const.C o, CO.IMP.N0. G 3
ADDRESS 1317 Colegrove Ave. JOB NO.
CITY Montebello TEL.N0-Mon 1-5045 TRUNK PERMIT NO.
TE
REGISTRATION NO. 10444°5 S ANTY ROAD PERMIT NO.
LEGAL STATE ENCROACHMENT
DESCRIPTION LOT NO. �,. PERMIT N0.
BLOCK TRACT J L,L U (� INDUSTRIAL
FF -W_ASTE APPROVAL
OT J �tNO.OF BLOBS.
SIZE OF L
NOW ON LOT Z CHARGES
USE OF
BUILDINGS res CONNECTION C E FEE
NO. DESCRIPTION OF WORK FEE
1 HOUSE SEWER CONNECTING TOREIMBURSEMENT FEE
PUBLIC SEWER @ $ 3.50 3.50 RECEIPT NO. I D I BY
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR CEPTION RECORDED
WORK TO HOUSE SEWER 1.00
ALTER OR REPAIR EXISTING NO. 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 2.00 STATION f 3 S DEPTH G/
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
LOWER
T PE OF CONNECTION NGTH FROM f
OWNERS PERMIT $ 1 00 Y. CURB P.L. M.L.TO P.L.
AUTHORIZATION TOTAL FEE 50
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC SEWER
fes
SIGNED THIS.-.-';t' _. ..DAY OFW-. NEW HOUSE SEWER
OWNER OR l CONNECT ADDITIONAL
OWNERS AGENT.. ............... BUILDING OR WORK
SEPTIC TANK,SEEP.PIT(S)
ADDRESS - -.-- AND/ORDRAINFIELD
I HEREBY ACKNO EDGE AT 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 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 CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DE CRIBED RESID T AL PROPERTY. BACKFILL SEPTIC TANKS E]
SIGNATURE �l/ SgEP.PIT(S)E] CESSPOOLS
OF PERMIT _...... -_-,-
76A642A 663 7/53 "
LEPARTMF.NT OF COUNTY ENGMEM SEWER-SEWAGE DISPOSAL 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGET.
WILLIAM J. FOX, COUNTY ENGIN[[R I BUILDING
ADDRESH
FOR APPLICANT TO FILL IN LOCALITY
'L /yDNTl
BUILDINGNEAREST
ADDRESS � `7 RAM) A�� CROSBST.
LOCALITY D T� - D18TRIGT N0. PERMIT N0.
NEAREST
S� 378'09
CROSS ST.
RECEIVED BY DATE ISSUED BY DATE
OWNER
MAIL USE ZO E OCCUPANCY BK MAP PG
ADDRESS
CITY TEL.NO. ,F 40`(/ ///
CONTRACTOe! lifornl3 Seller Const. CO. CO.IMP.NO. 7
ADDRESS 1317 Colegrove Av--.
JOB No.
CIT'Montebello TEL.NO. PArkview 1 1
�v� TE
TRUNK PERMIT
l d� -COUNTY
REGISTRATIO COUNTY ROAD PERMIT NO.
LEGAL •a STATEENCROACHMEN
DESCRIPTION LOT NO. PERMIT NO.
BLOCK TRACT INDUSTRIAL
WASTE APPROVAL
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT C GES
USE OF
BUILDINGS �t� j CONNECTION CHARGE FEE.
NO. —DESCRIPTIONOFWORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE/`
_ PUBLICSEWER @ $ 3.50 RECEIPT NO. I DAT'S\ BY
1( OUSE SEWER CONNECTING TO
H
V PRIVATE DISPOSAL SYSTEM 1.00
-
CONNECT ADDITIONAL BLOd.OR EXCEPTION RECORDED
WORK TO HOUSE SEWER 1.00 I
ALTER OR REPAIR EXISTING NO- I DATE h 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 2.00 STATION DEPTH
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
UPPER LOWER
TYPE OF CONNECTION LENGTH FROM
OWNERS PERMIT $ 1 Gp Y. CURB P.L. M.L.TO P.L.
AUTHORIZATION TOTAL FEE
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 OF1% NEW HOUSE SEWERT-
OWNEROR CONNECT ADDITIONAL
OWNERS AGEN /:,�LJ_a. BUILDING OR WORK
_.
ADDRESS---------------_....!_. _ SEPTIC TANK,SEEP.PIT($)
AND/OR DRAINFIELD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[] DRYWELL
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR
REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQU RED B LOS ANGELES COUNTY DISCONNECT PLUG AND
AND STATE OF CA '
R TH I A HE LEGAL OWN- ABANDON HOUSE SEWER
ER OF THE ABOVE E ED RE EN IA PROPERTY. ACKFILL SEPTIC TANKS
SIGNATURE SEEP.PIT(S)C] CESSPOOLS
OF PERMITTEE - - - - — --- --- -.....-
76AG42D S&E 663 4/54
°1 APPLICATION FOR PERMIT
COUNTY Of LOS ANGELES SEWER—SEWAGE DISPOSAL
IIEP*RTMENT OF CO-LINTY ENGINEER
BUILDING AND SAFETY DIVISION SU ILDING �i
JOHN A. LAMBIE, (.`OUNTY ENGINEER ADDRESS b Cs
COLEMAN W. JLNKINS. SUPT. OF BUILDINGLOC-ALS t ��
NEAREST
FOR APPLICANT TO FELL IN `RD" ST.LKOAL
c` r
DESCRIrTION LOT NO. 6WNER �L
PAIL
BLOCK TRACT /IfneZQ ADDRW r4t
NO. OF ■LDOB.
■IZI OF LOT NOW ON LOT 2 crrY a ` TEL. NO. AfgM379
UB[ OF DIST1 'NO GROUP MA., PROCWED BY
■UILDINOSce
Bx ro �O
CONTRACTOR - ,CA/ r 6$ 6 Igo
ADDRESS CONNECTION DATA
STATION DEPTH
cITY rn.. No.
ATE uPPu
•IC[NBE H CLAMS MANHOLE REFERENCE ,
0.
.No. ,DESCRIPTION OF WQ K PEE TYPE OF CONNECTION _ LENGTH FROM�S `
HOUSE SEWER CONNECTING TO T. CURB M.L TO r.L G(.'
PUBLIC SEWER Q $5.00 P.4 NO. O
•[DTIC A K.SEEPAGE PIT OR
PITS AHD/OR DRAINFI ELI 510.00 CO.IMP.NO. JOS NO. (�
GUS[SEWER CONNECTING TO I'RUNKTBRMIT NO. ROAD rERMfT NO. vie
PRIVATE DISPOSAL BYBTKM 67.00 O
CONNECT ADDITIONAL■ O.OR AFFIgAVIT EATTil 1""rPf RECORD.INIFTR.NO. DAT[
WORK TO HOUR[■EWER 53.00
OVERFLOW SEEPAGE PIT.DRAINFI[LD
JPLIIL.Cxssf-OOL-DPtY-WKLL-MAPIHOLIE 0 'S°.00 CL
HWY. OR ST.WIDENING CL
AL R PA R OR AEA DO
R D ISPOSAL,SYSTEM- $3.00 STAT[ENCROACHM
!'}l1 PERMIT NO.
CTS INDUSTRIAL ,
WASTE APPROVAL
OWNENS PEUCT s 21 00
CONNECTION CHARD[F[[ CHAROd
AUTHORIZATION TOTAL FEE U
1 HAV[ AT THIS DATE A CONTRACT WITH THE H[R[IN NAMED CON- REIMBURSN
EMET FEE
TRACTOR TO CONNECT THE ABOVE DESCRIBED USIST Ir
DWELLING
TO THE PUBLIC SEWER. APPROVAIS DATE INSPECTOR'S SIGNATURE
SIGN-ED THIS DAY OF IG_
OWNER OR NEW HOUSE SEWER
OWNERS AG E NT� •' —y l CONNECT ADDITIONAL
BUILDING OR WORK
ADDRESS
SEPTIC TANK,SEEP,PIT(9)
I HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION AND/OR DRAT NFIELD
AND STAT[ TRAT THE ABQVE le CORRECT AND AOR[[ TO COMPLY
WIT HALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING OL Cl DRYWII I ElPLUMBING AND SEWERk.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR AL REPAIR.■EWER OR
LICIMBED AS REQUIRED BY LOS ANGLES COUNTY AND STAT[ OF AOE DISPOSAL SYSTEM
CALIFORNIA OR THAT I AM THE LEGAL OWn9R OF. AND INTEND TO DIBCONN[CT PLS10 AND
RESIDE IN, THE ABOVE DESCRLEK6 RESIDENTIAL PROPERTY.
ABE
ABANDON'HOUSE SWER
SIGNATURE ❑
OF rERMTTTIE BACKFILL S1) C TANKS
BE
PVT(S) C[SSP OOU
AIMATION JACK R. ALLEN
SUPERVISING MECHANICAL ENGINEER
CK. M.O. CASH
8 7 9 3Q� W13 1 0 0 5 ^�