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Home My Public Portal About6149 KAUFFMAN AVE_Sewer__ 12-EB 76A 642D - APPLICATION' FOR PERMIT 76A 8 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING / %A n JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS f /� (i v/ /t COLEMAN W. JENKINS, SUPT. OF BUILDING -17 LOCALITY NEAREST FOR APPLICANT TO FML IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER MAIL / BLOCK TRACT �j ADDRESS i// ��O. F L S. 812E OF LOT (NO. ON LOT CITY/f' v 7�L-j NO. USE OF BUILDINGS DISTRICT NO GROUP MAP PROCESSED BY PG CONTRACTOR ��f�rJ 11 ADDRESS f CONNECTION DATA CITY TEL NO STATION DEPTH I STATE LIC MANHOLE REFERENCE UPPER E LICNSE NO CLASS LOWER NO SCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P.L. M.L TOP L. PUBLIC SEWER @ $5.00 P.0 NO. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $l0 00 CO IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM @ $300 .a. CONNECT ADDITIONAL BLDG OR �Q AFFIDAVIT wAIY[N [AS[M[MT RECORD.INSTR NO. DATE C7 WORK TO HOUSE SEWER @ $3.00 C.� OVERFLOW SEEPAGE PIT.DRAINFIELD 0= EXTNCES SPOOL DRYWELL.MANHOLE Q $5.00 ALTER,REPAIR OR ABANDON HOUSE HWY.OR ST WIDENING V SEWER OR DISPOSAL SYSTEM 0 $300 LLI STATE ENCROACHMENT D_ PERMIT NO. f� Z INDUSTRIAL WASTE APPROVAL OWNERS PERMTf s z 00 CHARGES AUTHORIZATION TOTAL FEE Qom= CONNECTION CHARGE FEE iHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR T0.CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS ATE IJECTOR'r SIGNATURE SIGNED THIS DAY'OF 19_ OWNER OR NEW HOUSE SEWER C� OWNERS AGENT_ CONNECT ADDITIONAL ADDRESS BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PIT(S) AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT HALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSEDAS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVEi DESCRIBED RESIDEN L PROPERTY. ABANDON MOUSE SEWER SIGNATURE y/n ❑ OF PERMffTEE �j� / �'� BACKFILL SEPTIC TANKS SEEP,PIT(S) ❑ CESSPOOLS 14 VALIDATIODTr1 JACK R. ALLEN ASH SUPERVISING MECHANICAL ENGINEER CK M o \/ C I of 4-5 5 2c:) APR 2 0 1 0 D 5.0 01,' 0 :E808 3,62 'y 78A6S2D �J' r APPLICATION FOR ;ZRM.IT . ,? - COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OP COUNTY ENGINEER- BUILDING AND SAFETY DIVISION BUILDING 'JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN `ROSS ST. 'LEGAL DESCRIPTION LOT NO OWNER MAIL BLOCK /l TRACT �yy�. (.tr(�4 � ADDRESS G)/ 6 NO OF SLOGS / / /� ♦ - SIZE OF LOT J NOW ON LOT ti( CI Y, OC f' -FI�J TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY JBUILDINGS CONTRACTOR _ V L �7e- ADDREss CONNECTION DATA STATION DEPTH CITY TEL NO LIC ) STATE v/`moi. L�j y� GLASS C- C ')�/�, + UPPER LICENSE NO. Y '�7 �/ T MANHOLE REFERENCE / J LOWER , NO DESCRIPTION OF WORK FEE TYPE OF CON CTION LOKGTH FROM HOUSE SEWER CONNECTING TO Y RB P L' M.L TO P L 3 , PUBLIC SEWER @ 35 00 - P C.NO O SEPTIC TANK SEEPAGE PIT OR CO IMP NO 13'3:2- , - JOB NO. V PITS AND/OR DRAINFIELD @ SIO 00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO O 'PRIVATE DISPOSAL SYSTEM @ S3 00 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD.INSTR NO DATE h WORK TO HOUSE SEWER $300 W OVERFLOW SEEPAGE PIT DRAINFIELD - d EXTN CESSPOOL DRYWELL MANHOLE @ S5 00 - - H ALTER. REPAIR OR ABANDON HOUSE HWY OR ST WIDENING Z SEWER OR DISPOSAL SYSTEM S3 00 STATE ENCROACHMENT ` PERMIT NO INDUSTRIAL WASTE APPROVAL OWNERS PERMIT S 2 00 CHARGES AUTHORIZATION I TOTAL FEE dz�l CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DAT I PECTOR' IGNATURE SIGNED THIS D Y OF 19_ OWNER OR NEW HOUSE SEWER 5 OWNERS AGENT_ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ I HEREBY CERTIFY THAT IS PROPERLY REGISTERED AND/OR ALTER,REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF S EWAGE DISPOSAL SYSTEM CALIFORNI R THAT I AM THE LEGAL OWNER F. AND INTEN TO DISCONNECT PLUG AND SESN I E ABO E DESC IBED RESIDEN 1 PROPERTY- ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS El PIT(S) ❑ CESSPOOLS ❑ ALIDATION JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER CK M O CASH LACO 7 2 5 5 NOV 13 1 0 .0 - 5,Q 0 IN f � �` aJ �• tl�/i� C oo :EB6812D 2 - APPLICATION FOR PERMIT COUNTY OlF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY 'DIVISION BUILD7/ 6( EPa.,C�S JOHN A. LAMBIE, COUNTY ENGINEER ADDRCOLEMAN W. JENKINS, SUPTOF BUILDING LOCANEAREST FOR APPLICANT T/O FILL^jINrCRD55 5T DESCRGAL LOT NO �j ' / • l6J ' 6 OWNERMAIL BLOCK TRACT ��T-eA_ tr'0. ADDRESS NOOFBLDGS SIZE OF LOT NOW ON LOT CITYUSE OFA DISTRICT NO. GROUP MAPSED BY BUILDINGS BK PG CONTRACTOR °_z� -1 1- 7,9 ADDRESS CONNECTION DATA STATION DEPTH CITY TEL N STATE LIC MANHOLE REFERENCE UPPER LICENSE NO, CLASS LOWER NO -DESC IPTION OF WORK 'FEE TYPE OF CONNECTION LENGTH FROM,, HOUSE SEWER CONNECTING TO Y CURB PL M L TO P L d PUBLI C'SEWER @ f5 00 SEPTIC TANK.SEEPAGE PIT OR PC NO 0 PITS AND/OR DRAINFIELD @ 51000 CO IMP.NO JOB NO V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ S3 00 O CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASE"ENT I RECORD INSTR NO DATE WORK TO HOUSE SEWER @ $3.00 u OVERFLOW SEEPAGE PIT.DRAINFIELD Lu XTN,CESSPOOL DRYWELL,MANHOLE @ $5 00 O. LTEREPAIR OR ABANDON HOUSE HWY,OR ST WIDENING H SEW? OR DISPOSAL SYSTEM @ E3 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL • CHARGES OWNERS PERMIT S 2 Oo AUTHORIZATION_ TOTAL FEE b CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE,DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF OWNER OR J NEW HOUSE SEWER OWNERS AGENT_ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PITS) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH, ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL Cl DRYWELL ❑ I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR ALTER,REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT M THE LEGAL ER OF, AND INTEND TO ,DISCONNECT PLUG AND RESIDE IN, THE ES CRI BED R SIDL ROPERTY ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE - SEEP.PITS) ❑ CESSPOOLS ❑ VALIDATION JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER CK M O CASH' a.5 0 0 2:� .Juli 0 i 0 D ' 5,0 C DEPARTI ENT OF COUNTY ENGINEER SEWER=SEWA E DISPOSAL- DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTYLOS NQELES I BUILDING WILLIAM J.. FOX, COUNNTY ENDINEER ADDRESS' FOR APPLICANT TO FILL IN ! LOCALITY BUILDING 1 NEAREST ADDRESS l CROSS ST. o DISTRICT NO SERIAL NO. PERMIT NO. LOCALITY / A 7 Dd k/ S NEAREST ) CROSS ST. Il 1 EIVED BY Ready for Inspection /DATEISSUED OWNER //bf/' =_r - -- - i �9 - / -sl�t- MAIL ADDRESS g�USE ZONE OCCUPANCY uworr}} CIT TEL.NO. CONTRACTORL$44 z 3 � C CO.IMP.N0. t> OC ADDRESS J(SJ3!�� 70B.N0. CITY � TEL.NO. 07 TRUNK PERMIT N0. TATE a 7� 14-k REGISTRATION N0. � COUNTY' ROAD PERMIT N0. DESCRIPTION LOT NO. x A6 'j STATE PERMIT 0.ENCROACHMENTN BLOCK TRIC ' ! INDUSTRIAL WASTE APPROVAL y-------- SIZE OF LOT y� r� NO OF BLDGS. r _/� /-� NOW ON LOT CHARGES USE OF �,� I BUILDINGS ONNECTION CHARGE FEE � NO. DESCRIPTION 91F 'WORK /FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO / PUBLIC SEWER 0 $ 3.50 RECEIPT NO. I VE I BY r- HOUSE SEWER CONNECTING TO _ PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPT N ECORDED WORK TO HOUSE SEWER 1.08 ALTER OR REPAIR EXISTING NO' DAE 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 DEPTH CESSPOOL-DRYWELL _SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE - r UPPER -4A6AY.6R TYPE OF CONNECTION LENGTH FROM O OWNERS PERMIT ;-I I CURB _P1— M.L.TO P.L. AUTHORIZATION TOTAL FEE ,5 I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE 9ESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER /� g� NEW HOUSE SEWER -J SIGNED THIS__'.-......DAY OF._ _ _19�_ OWNER OR _ _-v _ - CONNECT ADDITIONAL OWNERS AGENNT_-_. BUILDING OR WORK SEPTIC TANKSEEP. ADDRESS- (! _ _ j l ...._ ._�t'+2�'�l AND/OR DRAINFIELD IT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[-] DRYWELL CATIONAND 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 I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS E �}�� SIGNATURE � SEEP.PIT(S)E] CESSPOOLS CJIjj 7 A-,OF PERMITTE i.-_ '------- - - - ---------------- 7GA642A 663 7/53