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Home My Public Portal About9826 LA ROSA DR_Sewer__ �^'►P�� c. ; T� Eooi:D cE80S�8-8e APPLICATION FOR PER MIT 9f� : 1 COUNTY OF LOS ANGELES SEWER-SEWA E DISPOSAL , DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING AGS /� JOHN A, LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY' �7 NEAREST FOR APPLICANT O FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER BLOCK TRACT MAIL - ADDRESS /,r O. OF BLDGS. - SIZE OF LOT fir' V OW ON LOT CITY TEL. NO. BUE DINGS - 2 DIST ICT N0. GROUP BK- MAP PROLE F,ABY PG CONTRACTORf' / ADDRESS CONNECTION/DATA CITY - TEL.NO.Z Q DEPTH STATE MANHOLE REFERENC REGISTRATION NO. COUNTY ('LOWER N0. DESCRI ITON OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $5.00 SEPTIC TANK, SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. w� PITS AND/OR ORAINFIE LD @ $9.00 OVERFLOW-SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL,DRYWELL.MANHOLE @ $2.00 Icl �C HOUSE SEWER CONNECTING TO '� P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.N0. �1��J JOR N0. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. - ROAD PERMIT N0. WORK TO HOUSE SEWER @ $1.00 ALTER. REPAIR OR ABANDON.HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. / �� INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ O-- CONNECTION CHARGE FEE . AUTHORIZATION TOTAL FEE a REIMBURSEMENT FEE 1 HAVE AT THIS GATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS GATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS DAY OF IS_ NEW HOUSE SEWER OWNER OR n _fir CONNECT ADDITIONAL OWNERS AGENT_.Q� �' y BUILDING OR WORK ADDRESS - SEPTIC TANK,SEEP,PITS) AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,.REPAIR,SEWER OR. PLUMBING AND SEWERS. SEWAGE DISPOSAL.SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OISCONNELT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDONCT PLUG AND CALIFORNIA OR THAT HOUSE SEWER 1 M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI OPERTY. BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP.PI S) ❑ CESSPOOLS OF PERRITTE ®r VALIDATIO - ROBERTA.WOOD OK. Y.o. CASH' SUPERVISING MECHANICAL ENGINEER r�. T� lylo�7 E�rrr.` 'U'sW ""°42APPLICATION FOR PERMIT ceaoe'.e.ae COUNTY OF LOS ANGELESGE SEWER-SEWA DISPOSAL DEPARTMENT OF COUNTY ENGINEER -- ' BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, CouvtYGRIFFIN. Fmgiaeer ADDRESS 5 � " CASSATT D. GRIFFIN. Supt of Building LOCALITY FOR APPLICANT TO FILL IN CROSS ST: /I` LEGAL cciCl DESCRIPTION LOT NO. �a OWNER BLOCK TRACT MAIL ' ADDRESS N0. OF BL OS. - SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT N0. GROUP MAP - PROCEB ED'BY CONTRACTOR ADDRESS - CONNECTION/DATA CIN TEL. NO./- IONY DEPTH STATE MANHOLE REFERENCE COUNTY -.REGISTRATION N0. G� - LOW IONOF WORK - NO. DESCRIPTFEE HOUSE SEWER CONNECTING TO -h-v. - f PUBLIC SEWER @ $3.00 v TYPE OF CONNECTION LENGTH FROM A PETS IAND/OR DRAEINFGELDIT OR @ $3.20 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD EXT N.,CESSPOO L,D RYWE L L,M A N H O LE Q $2.00 HOUSE SEWER CONNECTING TOP .P.C.NO. PRIVATE DISPOSAL SYSTEM (� $1.00 CO.IMP. N0. �� )o-6— JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO, n n WORK TO HOUSE SEWER @ $1.00 '✓' t/ ALTER, REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM Qo $1.00PERMIT NO. INDUSTRIAL .WASTE APPROVAL CHARGES OWNERS PmumT S 2 00 CONNECTION CHARGE.FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE ' I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING p TO THE PUBLIC SEWER. SIGNED THIS DAY OF )9— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERSAGENT ( BUILDING OR WORK - SEPTIC TANK, SEEP, PITS) ADDRESS AND/OR-DRAINFIELD _ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR - - PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESID TI L PROPERTY. BACKFILL SEPTIC TANKS❑ _ SEEP SIGNATURE IT(S) [3CESSPOOLS [I - OF PERMITTE ®. VALIDATION ROBERTA.WOOD Grc. tl.o, calx SUPERVISING MECHANICAL ENGjNEER i -C D — i �ItN7.5 $i .`: 3 h�tD 5 ,00 Vit:; M CE806: - r APPLICATION FOR PERM,IT �� 1 cseof�e-ae COUNTY OF LOS ANGELES SEWER—SEWA E DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING IGRN A. LAMBD:, County EADDRESSngineer -r CASSATL D. GRIFFIN, Supt of Building LOCALITY NEAREST FOR APPLICANT_TO FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER BLOCK TRACT MAIL ADDRESS ,r � 0. OF SLOGS. � SIZE OF LOT L•e' V OW ON LOT CITY TEL. N0. USE OF BUILDINGS - 2 DIST ICT N0. GROUP MAP PROCE EF BY CONTRACTOR BK P6 1 _ A064 w L ADDRESS `� CONNECTION DATA CITY - TEL. NO.z e is �, (i6 6— I0 DEPTH / T7 STATE MANHOLE REFERENC REGISTRATION NO. a COUNTY J LOWER No. DESCRIPT ON OF WORK FEE J.� HOUSE SEWER CONNECTING TO L�j r11 PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM CURB P.L. M.L.TO P.L. PITS AND/OR GRAINFIELD @ $0.00 Y. OVERFLOW SEEPAGE PIT. DRAINFIELD EXTN..CESSPOOL,DRYWELL.MANHOLE 0 $2.00 ^�✓ HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM a $1.00 CO. IMP. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT N0. _.�•(� WORK TO HOUSE SEWER a $1.00 ALTER, REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. �C7 INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT g CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS DAY OF Ig— NEW HOUSE SEWER OWNER OR /� CONNECT ADDITIONAL OWNERS AGENT�C—L �L BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,.REPAIR,SEWER OR. PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI OPERTY. BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP. PI .(S El CESSPOOLS OF PERMITTE ' . ,l /' I IA ®r VALIDATIO ROBERTA.WOOD CK. X.o. cASN SUPERVISING MECHANICAL ENGINEER I_j{fo56590 AUG ?611U 25 .00. y r� f r I iL T� dlo�r �sr� tYsw '6"°42" APPLICATION FOR PERMIT ceeoe!e-ae COUNTY OF LOS ANGELESG SEWER-SEWA DISPOSAL. DEPARTMENT OF COUNTY ENGINEER -- BUILDING AND SAFETY DIVISION- BUILDING C 'ADDRESS J JOHN A. L GRIFFIN, County Engineer " CASSAT7 D. GRIFFIN. Supt of Building .LOCALITY NEAREST FOR APPLICANT TO FILL IN CR)"ST. LEGAL � � DESCRIPTION LOT NO. OWNER" f.�c4�� BLOCK TRACT MAIL 'f ADDRESS N0.OF BLOT SIZE OF LOT NOW ON LOT CITY TEL N0. USE OF BUILDINGS DISTRICT N0. GROUP MAP PROCE Ei BY CONTRACTOR Y L / f 9 p -LI, .- ADDRESS T— . /. .'X� CO TNNE- CTI NID�ATA , �/l/l CITY �- TEL. NO.1,Q `/6Ls�.� ION - r C` DEPTH STATE COUNTY MANHOLE REFERENCE :T ^ Imp/ REGISTRATION N0. t K 14 LOW NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO _ h� PUBLIC SEWER @ $3.00 V SEPTIC TANK, SEEPAGE PIT OR TYPE OF CONNECTION LENGTH FROM oT PITS AND/OR DRAINFIELD @ $3.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. N0. 13(!�) JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. - WORK TO HOUSE SEWER @ $1.00 -C' V ALTER,OR DISPOSAL SYSTEM @ $100 PAIR OR ABANDON HOUSE STATEENCROACHMENT .PERMIT NO. INDUSTRIAL .WASTE APPROVAL CHARGES OVMEWS PERMIT $ 200 CONNECTION CHARGE FEE AUTHORIZATION FTOTAL FEE REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- APPROVALS DATE INSPECTOR-S,SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19— NEW HOUSE SEWER — <� OWNER. OR CONNECT ADDITIONAL OWNERS AGENTBUILDING OR WORK SEPTIC TANK,SEEP, PITS) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR, SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR pISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESID TI L PROPERTY. SBACKFILL EEP PIT(S)PTIC TANKS El [I - SIGNATURE OF PERMITTE ®. VALIDATION ROBERTA.WOOD OK. R.o. CASH SUPERVISING MECHANICAL ENGINEER fLjIIW 5 6 hi 8 �'�-.> AUL 7 6