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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 ^�