The URL can be used to link to this page

Home My Public Portal About9087 LAS TUNAS DR_Sewer__ CE,C2 76A642D .. APPL CCA ION FOR P MIT d 642D COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST G O JOHN A. LAMBIE, County Engineer WILLIAM A. JENSEN, Supt of Building FOR ,APPLICANT TO FILL IN GRD55 5T LEGAL JJ DESCRIPTION LOT NO P 3 Z,. OWNER MAIL BLOCK TRACT GU S ADDRESS / j SIZE OF LOT X I~�-.S� NOWOONBLOTS CITY TEL NO _� 3 �r J USE OF BUILDINGS G!' DISTRICT NO GROUP MAPPROCESSED BY BK PG CONTRACTOR ADDRESS U ��'� COLL.��NNECTION DATA I / STATION DEPTH CIT TEL NO .L STATE MANHOLE REFERENCE / REGISTRATION NO j -2� COUNTY ��ER NO DESCRIPTION OF WORK FEE TYPE OF CONNECT IO LENGTH FR 1 HOUSE SEWER CONNECTING TO ^Ap Y CURB P L M L TO P L PUBLIC SEWER @ $5 00 vU SEPTIC TANK SEEPAGE PIT OR P C NO PITS AND/OR DRAINFIELD @ $1000 CO IMP NO JOB NO V HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO �O PRIVATE DISPOSAL SYSTEM @ $300 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ $5 00 ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING 6_v SEWER OR DISPOSAL SYSTEM @ $3 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL OWNERS PERMIT S 2 00 CHARGES AUTHORIZATION I TOTAL FEE CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN AMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS I DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF OWNER OR NEW HOUSE SEWER ' r/ OWNERS AGENT_ CONNECT ADDITIONAL ADDRESS BUILDING OR WORK 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL El DRYWELL [DI HEREBY CERTIFY THAT 1 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 1 AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY ABANDON HOUSE SEWER SIGNATURE / BACKFILL SEPTIC TANKS ❑ OF PER MfTTEE Y SEEP PIT(S) ❑ CESSPOOLS ❑ VALIDATION ROBERT WOOD � cK M o CASH SUPERVISING MECHANICAL ENGINEER Lt1�,o 3 4 7 3'2> AIM 17 1. 0 D 7.0 0 ' U '1� - -82 76A642D APPLICATION FOR PERMIT 6A842 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS t7 r r WILLIAM A. JENSEN, Supt of Building r LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST LEGAL ` ..7� DESCRIPTION LOT NO �/ ¢ OWNER MAIL BLOCK TRACTj_y S ADDRESS a S •x 1°,S r NO OF BLDGS SIZE OF LOT NOW ON LOT CITY TEL NO USE OF BUILDINGS BK DISTRICT NO ROUP MAP PROCESSED BY SPG CONTRACTOR (>��/^+ /�--+ )Z7 ADDRESS CONNECTION DATA CITY TEL NO STATION DEPTH STATE MANHOLE REFERENCE UPPER REGISTRATI NO E] COUNTY LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTIONLENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L Q PUBLIC SEWER @ $5 00 NO O SEPTIC TANK SEEPAGE PIT OR C PITS AND/OR DRAINFIELD @ $1000 CO IMP NO NO 8 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PE IT NO O PRIVATE DISPOSAL SYSTEM @ $300 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR N DATE WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ 85 00 �- y A'L'TERy4CiiHR'OFrABANDON HOUSE HWY OR ST WIDENING y��• S$�4.6R-9"-DISPOSAL SYSTEM 53 00 STATE ENCROACHMENT PERMIT NO INDUSTRIAL WASTE APPROVAL � CHARGES OWNERS PERMIT $ 2 00 i' CONNECTION CHARGE FEE AUTHORIZATION I TOTAL 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 DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF _19— OWNER 9_OWNER OR NEW HOUSE SEWER OWNERS AGENT_ - CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK SEEP,PIT(S) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LRrESIDE COUNTY ORDINANCES AND STATE LAWS REGULATING AND SEWERS CESSPOOL ❑ DRYWELL ❑ Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR,SEWER OR AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM IA OR THAT I AM THE LEGAL OWNER AND INTEND TO DISCONNECT PLUG AND , THE ABOV ES IBED RESIDE PROPERTY ABANDON HOUSE SEWERE +MTTTEE� BACKFILL SEPTIC TANKS ❑ SEEP PIT(S) ❑ CESSPOOLS . /� ALIDATION ROBER A:WOOD CK M O CASH SUPERVISING M CHANICAL ENGINEER LALO 0615" FEB 5 1 0 A 5.0 0-