HomeMy Public PortalAbout9700 LAS TUNAS DR_Sewer__ a Dr,PAF,,T=_'ENT OF COU'lCrY ENGINEEU `
SEWER-SEWAGE DISPOSAL
DIVISION OF BUILDING AND SAFI TY PERMIT APPLIC.A i ION
COUNTY OF LOS ANGELES
WILLIAM J. F'OX, COUNTY EN13I NEER BUILDING
ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING a, NEAREST
ADDRESS t f t c d- CROSS ST.
LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO.
NEAREST A 5
CRASS ST. ,.r'e^ "`"1,.,..�
RECEIVED BY Ready for Inapoction DATE ISSUED
OWNER :- ;
MAIL �- USE ZONE OCCUPANCY MAP
ADDRESS � (,e.. ��L-`J t ..us�as�rt`� I BK PG
CITY t c• i1� TELAO.
CONTRACTOR -
CO.IMP.NO.
ADDRESS t:- - r,.f /tet _ r y ..•
JOB.N0.
CITY TEL.NO. " TRUNK PERMIT NO.
-! L] STATE
REGISTRATION NO. � COUNTY ROAD PERMIT NO.
LEGAL E�� ^: G ^ STATE ENCROACHMENT
DESCRIPTION LOT NO. v PERMIT NO.
BLOCK TRACT .:j� i INDUSTRIAL
WASTE APPROVAL
SIZE OF LOT, g �( NO.OF BLDGS. r
NOW ON LOT CHARGES
USE OF /
BUILDINGS CONNECTION CHARGE FEE
F-
NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE
! HOUSE SEWER CONNECTING TO
PUBLIC SEW ER @ = 3.50 RECEIPT NO. ( DATE I BY
HOUSE SEWER CONNECTING TO +
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.UR I EXCEPTION RECORDED
WORK TO HOUSE SEWER 1.00 i N0. I DATE BY
ALTER OR REPAIR EXISTING
SEWER OR DISPOSAL SYSTEM 1.00 M
DISCONNECT AND ABANDON SEWER
AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA
SEPTIC TANK,SEEPAGE PIT OR
— PITS AND/OR DRAINFIELD 2.00 I STATION DEPTH
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
UPPED LOWER
TYPE OF CONNECTION LENGTH FROM
Y. CURB Pic: M.L.TO P.L.
OWNERS PERMIT $ I 1 00
AUTHORIZATION I TOTAL FEE I —
1 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
SIGNED THIS....rI ------DAY OF.. 19:� ._ NEW HOUSE SEWER
I
F
OWNER R t g CONNECT ADDITIONAL
OWNERS "�� fj 'Lp BUILDING OR WORK
ADDRESS i_ --•--.._.p." /k.--�"- ..... .,�....-......_._ AND/OR DRA/ SEPTIC INFIELD IT(3)
1 HEREB ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] DRYWELL I]
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
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND
ABANDON HOPLUG PLUGAND
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE AB91V D SIDEENT L ✓ARTYBACKFILL SEPTIC TANKS
1 � py SEEP.PIT(S)[j CESSPOOLS.
SIGNATURE
OF PERMITTEES . .._. :..-._.__ ... _k _.._ _-•.--_-
76A642D 662 1/53
76A6420
s 2 F_aes tt-ss APPL..ICATION. FOR PERMIT 1
.
DIVISION OF BUILDING ,AND SAFETY SEWER—SEWAGE DISPOSAL
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LA�EIE, COUNTY ENGINEER ADDRESS __ _---- - _----
CASSATT D, GRIFFIN, SUPT of BUILDING LOCALITY
FOR APPLICANT TO FILL IN c-OSS ST. `
DESCRdtPTION L07 N0. ",' A etr E OWNER - -- -- -' -- ---- ---
------
MAIL
- -
BLOCK ,, TRACT ._i,f--. �. ,.._ .. � ADDRESS -
---- NO.OF BLDGS. C:TY TEL. N0.
SIZE OF LOT NOW ON LOT
USE OF
$U1 LEI NCS DISTRICT NO. GROUP i BK MAP PG
CONTRACTOR
CONNECTION DATA.-----
STATION
AT
ADDRESS . -- --- - _ ------A
--- -
STATIONPTH
-
CITY TEL. NO,
_ - DE ---
__---_.. MANHOLE REFERENCE UPPER
tjj STATE
REGISTRATION'N O. ❑ COUNTY
No. DESCRIPTION OF WORK FEE —_---
TYPE OF CONNECTION LENGTH FROM
HOUSE SEWER CONNECTING TO / ,..
PUBLIC SEWER /a? S 3.50 I �?�-� �•% -Y. CURB _ M.L.TO P_L_—�_-�h
j SEPTIC TANK,SEEPAGE PIT OR t _
--t PITS AND/OR DRAINFiELD C71 $3.C3 I 1OVER ---- -- ---- ----
EXTN., ES SEEPAGEO .DR PIT;DRM IN 40LD 2 t - _ -
EXTN.,CESSPOOL,;,RYWELL,MANHOLE � $2.00� I CO. 1MP, NO, JOB N0,
MOUSE SEWER CONNECTING TO
j PRIVATE DISPOSAL SYSTEM 4u $1.00 j � TRUNK PERMIT N0. --------ROAD PERMIT NO.
---- --- - --- -- - - —.-._. -ESUS. ----- _.----- -------'----- ----.-,._.
CONNECT ADDITIONAL BLDG.OR ( STATE ENCROACHMENT
I WORK TO HOUSE SEWER _ Cn' $1._0.0 . _ �- _PERMIT N_0. _-- -- _--------------ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL _
SEWER OR DISPOSAL SYSTEM C $_1.00. __ — WASTE APPROVAL
CHARGES
CONNECTION CHARGE FEE
OWNER'SPERMIT t Oo ------- --- --'-- --- --
------ -- REINSBURSEM ENT FEE
AUTHORIZATION I TOTAL FEE �
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- .___„_APPROVALS DATE JINSPECTC'R'SS:GNATURE
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING �- -
TC THE PUBLIC SEWER. NEW HOUSE SEWER - - -
------ USESEWER
SIGNED THIS—DAY OF19--- -- ----- -.___.
CONNECT ADDITIONAL -
OWNER OR - - - BUILDING OR WORK
OWNERS AGENT-4 _ SEPTIC TANK SEEP PITS/
ADDRESS AND/OR DRk.NFIkLD
- --�--- P- '--- --
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL L]. DRYWELLIF
AND STATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY
SVITI, 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/)R DISCONNECT PLUG AND — -
LICENSED AS REQUIRED BY 1.05 ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER
CALIFORNIA OR THAT 1 AM TH -LEGAL OWNER OF THE ABOVE ----- - --- ------ ---- �- -- -----.-
DESCRIBEA-:�;<-SIDENTIAL PROPERTY..
BACKFILL SEPTIC TANKS p
SIGNATURE _
Sp. -1[]
DCESSPOOLS❑
OF PERM ITTE , -- - --- _ ..
IOHN A LAMBIE, COUNTY ENGINEERVALII3ATIOI ROBERT A. WOOD, CHIEF PLBG, INSPECTOR
CK. M.0. �A
a [� {
W,
APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 6U ILDING
JOHN A, LAMBIE, COUNTY ENGINEER ADDRESS CO Las Tunas Drive
COLEMAN W. JENKINS, SUPT. OF BUILDING
LOCALITY Tem l e- City, 'C�..i�.V .f
orn ia
NEAREST
FOR APPLICANT TO FILL IN CRD58 .Ta Las `I°°upas Drive
LEGAL / {{
DESCRIPTION LOT NO. ,¢ 'y - �f_ ,( OWNER e Qit 11e+dicCal Group
MAIL (T
BLOCK TRACT ADDR(E - '7C0 Las Drive
SIZE OF LOT NOWOON LOTS CITY TSS e�Ji le C�..4d}�ti' yTy TEL. NO.
USE OF /F .?
BUILDINGS ',f d/., DISTRICT NO. GROUP MAP PROCESSED BY
I SK PG
CONTRACTOR_ . terlDO E� llom J ros• moi. .G s i •' 'd e` 1`.Tn�".
ADDRESS 4972 /S`tanta Anita
1 Avenue 6 CONNECTION ATA
CITY Temple City TEL. NO. 4 4-2509 STA71 (�; - r �; P
STATE �l(`)� (� LIC (�' MANHOLE REFERENCE
L iCrNSE NO, 040))'70 GLASS C36 ,�`�
NO. ' DESCRIPTION OF WORK FEE_ TYPE OF CONNECTI LENGTH FF M LOWER
HOUSE SEWER CONNECTING TO Y. CURB M.L.TO P. ,
k PUBLIC SEWER $5'.00-- 4' ----
SEPTIC TANK,SCEPA GE PIT OR----_- - _ P,C.NO.
S __-
-}-PITAND/OR DRAINFIELD @ $10.00 CO. IMP.NO. ? / q JOB NO.
i tiQU.SE SEWER CONNECTING TO - -
TRUNK PERMIT NO, ROAD PERMIT NO.
PRIVATE
DISPOSAL SYSTEM @ $3.00 � �
- CON NEC7 ADDITIONAL BLDG.OR Y-^ AFFIDAVIT WAIYEW EASEM[MT RECORD.fNS 7R.N0. DATE
WORK TO HOUSESEWER @ $3.00 f -
OVERFLOW SEEPAGE Pil',DRAINFIELD I _ 6
EXTN-.CESSPOOL.DRYWELL.MANHOLE @ $5.00 -1 1-
HWY.OR ST.WIDENING
I ALTER,REPAIR OR ABANDON HOUSE �- C-D
SEWER ORDISPOSAL SYSTEM-, $3.00 --------- ------ - -
- ----- -.-- ----�---- STATE ENCROACHMENT !1
IPERMIT NO.
Ll
_�------_-------- i INDUSTRIAL
I WASTE APPROVAL
OWNER'S PERMIT --- _ ST OO _____ _CHARGES -
AUTHORIZATION TOTAL FEE CON 11
EC7ION CHARGE FEE
1 HAVE AT THIS DATE A -CONTRACT WITH THE HEREIN NPA4ED CON- REIMBURSEMENT FEE
TRACTOR TO-.CONNECT THE ABOVE DESCRIBED EXISTING DWELLINGATE �INISPECTOR's
TO THE PUBLIC SEWER. APPROVALS PSIGNATOSIGNED THISDAY OFOWNER ORNEW HOUSE SEWER
OWNERS AGENT CONNECT ADDITIONAL ,fes
ADDRESS BUILDING OR WORK
i HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION SEPTIC TANK.SEEP,PITS)
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAINFIELD
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL ❑
° HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER.REPAIR,SEWER OR
LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF S EWAGE DISPOSAL SYSTEM
CALIFORNIA OR THAT, I AMA THE. LEGAL OWNER OF, AND INTEND TO- DISCONNECT PLUG.AND -
RESIDE IN, THE ABOVE DESCRTBED RESIDENTIAL.PROPERTY. ABANDON HOUSE SEWER
SIGNATURE --- __,
OF PERMfTTEE BACKFILL SEPTIC TANKS ❑
SEEP.PIT(S) ❑ CESSPOOLS ❑
VALIDATION JACK R. ALLEN
CK. M.0. CASH SUPERVISING MECHANICAL ENGINEER
CE808 270
76A 6421" APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
4 k5
L",N 77—,
BU RFsr
JOHN A. LAMBIE. COUNTY ENGINEER TAD D
COLEMAN W. JENKINS. SUP T. OF BUILDING
LOCALITY
2
CRO
FOR APPLICANT FILL IN CROSS_ST. k"
RRiNT OR TYPE ONLY1
S �PT'ON OWNER
FNPTION LOT NO,
4� MAIL
BLO
CKTRACT c ADDRESS
NO, OF BLDGS.
SIZE_OF LOT NOW Q_N LOT, CITY TEL. NO.
USE 'IF DisTlICI 11., !:LASS MAP ltES7E BY
5UILWNGS
BK
Q ff, P"
CONTRACTOR j 3
ADDRESS
T CONNECTION DATA
STATION
CITY TEL. NO 67i�l cl DEPTH
STA LIC
TE MANHOZ.E REFERENCE
LICENSE NO, r LOWER
No. DESCRIPTION OF WORK -FEE— TYPE OF C?UNIECTI LENGTH FROM
HOUSE SEWER_ CONN E:C T I N G TO Y. CURB M.L TO F.L.
PUBLIC
EiLl(-'SF'-WE.R NO.
J
ITS AND FOR DRA:NFIELD slo.00 OB NO.
_,DL_j
S:EWER CONN�LCTING TO >
TRUNK PERMIT NO. ROAD PERMIT NO, r�
PRIVATE DISPOSAL SYSTEM @ 5:3.00 0
CONNECT Abl�ITIQNAL BLDG,—OR
WORK TO HOUSE SEWER 93�?O
-------rovFRFL-OW S—EEPA Gi_��__.P
—- --------......
EXTN CE SPOOL.. RYWEL,L,MX19M'M@ 15.00
HWY. OR ST.WIDENING
X A REPA!iiFOR
SE: E`T'R DISPOSAL SYSTEM @ $3.00
STATE ENCROACHMENT
PERMIT NO.
INDUSTRIAL
WASTE APPROVAL
CHARGES
OWNER'S PERMIT 00
CONNECTION CHARGE FEE
AUTHORIZATIONI TOTAL FEE j��_ —-- ——.--
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 SE " f APPROVALS IDATE I P-E c____OR
T 'S S SIGNATURE
SIGNED THIS OF _
NEW HOUSE SEWER
OWNER OR
OWNERS AGENT
T
BUILDING OR WORK
ADDRESS C-ONNEC ADDITiONA_L
13 __.
HERESY ACKNOWLEDGE T I HAVE READ THISAPPLICATION
SEPTIC TANK SEEP:PIT(9)
I HE AND/OR DRAINFIELD
5 15 C
AND TATE THAT THE ABOVE CORRECT ANO AGREE TO COMPLY
WIT H L ALCOUNTY ORDINANCES AND STATE LAWS REGULAT!NG
P'_'�:MB!NG AND SEWERS
RS. CESSPOOL ORYWELL ❑
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND.'OR ALTER,REPAIR,'EWER OR
*I CENSED AS REQUIRED BY LO ANGLES COUNTY AND STATE OF SEWAGE.DISPOSAL SYSTEM
CALIFORNIA OR THA TH AL OWNER OFAND INTEND TO
DISCONNECT PLUG AND
RE , HOUSE SEWER
SIDE IN, T�E C c C RESIDENTIAL P OPERTY.
ABANDON
SIGNATURE . .....
BACKFILL S9:F`Til_TANKS
OF PERM EE_
_T
SEEP PIT t5) []
CESSPOOLS ❑TI I
VALIDATION JACK R. ALLEN
SUPERVISING MECHANICAL ENGINEER
CK M.O. CASH
6�O
in X f
J;
�C F1 COU 3,P.2
7 CIA 6 4 R 0 APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 9700 Las Tu=
JOHN A. LAMBIE County Engineer
WILLIAM A. JENSEi;. Supt
of Building L.00ALITY Te-mple
FOR APPLICANT TO FILL IN CROSS ST. ir Kauffr��,�p
�
5.
ARI
D
L
NEAREST
LEGAL --
DESCRIPTiON LOT NO- OWNER JoneF E-cavating
MAIL
BLOCK ADDRESS 1466 OakcreEt
NO OF BLD�G S.
SIZE OF LLT f .' P"-S1rdF-",)a TEL, NO.
z --NOW ONLOTCITY
USE OF
BU I LDI N GS DISTRICT NO, GROUPMAPI
_�!rCZSSED fly
13K PIG
CONTRACTOR
ADDRESS 1465 can M.nrirm Ave. CONNECTION DATA
q
CITY4
L TEL. NO. TiON DEFTH
UPPER
STATE M A N H Otr,�R E F E 1,4 E NCE
E
REGISTRATION NO. COUNT LOWER
NCS. D F-SC R I PT i ON
OF WORK FEE TYPE OF'10 CTION LENGW�
Y. [L
/BL IC sFWER @ $S.00 0
SEPTIC TANK,SEEPAGE PIT OR PC NO
CO. IMP-NO. 0*
PITS ANO/OR ORAINFIELD 4, slo.00 --N
9z
HO USE"SFWFP.CONNECTING TO TRUNK PrRMITNO RO&D PERMIT NO.
_�_PRIVATF.DISPOSAL SYSTEM S1.0c 0
CONNEC'T ADDI NONAL BLOG.OR
WORK TO HOUSE SEWER
$3.00
OVERFLCW SEEPAGE PIT,DRATNFIELD
E.XI'N.,CES�POOLDRYWE-:LL,MANkiC)L--@ $5.09
ALTER,REPAIR OR ABANDON_HOUSE 4--i HWY.OR S1 WIDENING z
SEWER OR DSPOSAL SYSTEM @ Do CIT
_PERMIT NO.
INDUSTRIAL
WASTE APPROVAL
CHARGES
OWNER'S PERMIT 00
AL FEE CONNECTION CHARGE FEE
TOTAL T 00
IA7 HAVE DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE
T TH!S AE
ACTOF,,TOLCONNr.(7.T THE ABOVE DESCRIBED '-X;STING DWELLING ------ T —-----
'FF C -TO
_ ULI SEWFR
T APPROVALS DATE INSPECTOR
SIGNED T1j!S---DAY
OWNER OR NEW HOUSE SEWER
CONNECT ADDITIONAL.
ADDRESS
BUILDING DR WORK
------
SEPTICTANK-SEEP,PIT(S) I.
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DIRAINFIELD
AND
STATf.: THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -------
WIT ii F ALL. COUNT ORDINANCES AND STATE LAWS REGULATiNG
Fi-llf MING AND SEWERS CESSPOOL ❑ DRYW ELL
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -A—LTER,REPA-IR.-SEW_ER_OR
L I CENSEO AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM
DISCONN ECT G'-AND OR THAT T,,AM 7HE LEGAL OWNER 9r'T AND INTEND TO —PLU 4 AND
RE
_SIDE
IN, HE ASO'11fE-OESURIP' RSSI(E:NT�_�'VAOP]FkTY.
ABANDON HOUSE SEWER
SIGNATURE ------
OF PERMITTEE BACKFILL SEPTIC TANKS ❑
SEEP,PIT CESSPOOLS Cjj I
ROBERT A. WOOD
CK. M-0. CASH SUPERVISING MECHANICAL ENGINEER
0