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Home My Public Portal About9803 LAS TUNAS DR_Sewer__ APPLICATION- FOR PERMIT '6A 9i2u . COUNTY OF LOS ANGELES SEWER--SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS { liz s COLEMAN W. JENKINS, SUPT. OF BUILDINGjl LOCALITY Y f NEAREST FOR APPLICANT TO FILL IN CROSS ST. isa. I ti= LEGAL DESCRIPTION LOT NO, - OWNER BLOCK TRACT MAILADDRESS NO. OF BLDGS. SIZE OF' LOT NOW ON LOT CITY TEL. NO, USE OF - BUILDINGS 'y DISTRICT NO. GROUP MAP PROCESSED BY _ BK PG CONTRACTOR - yy d JC' ADDRESS PIC), %' d' 7 ONNECTION DATA CITY ll- y.�,.- TEL. NO. _ f ,�O STATION DEPTH STATE LCC MANHOLE REFERENCE / LICENSE NO: �j(;r CLASS C, 'v l LOWER NO. DESCRIPTION OF WORK _ FEE TYPE OF CONNECTION 'LENGTH FROM HOUSE.SEWER CONNECTING TO Y. CURB P.L. M.L.TO I.L. PUBLIC SEWER 55.00 - P.C.NO. _____TANK, . ._—._.__- _ SEPTIC TANK,-�-S�EPAGE PIT OR PITS AND/OR DRAINFIELD @ $10.00 i CO.IMA.NO. JOB NO. HOUSE SEWER CONNECTING �- I PRIVATE DISPOSAL SYSTEM @ S3.00 1 _ TRUNK PERMIT NO. ROAD PERMIT NO, a- ------LLL----------- � � CONNECT AbD.7IONAL BLDG.OR A AFFIDAVIT WAIVER EASEMENT RECORD.iNSTR,NO. DATE U WORK TO HOUSE SEWER _- _@ $3.00 OVERFLOW SEEPAGE PIY,DRAINFIELD —� _ O EXTN.CESSPOOL.DRYWELL,MANHOLE @ S5.00 ALTER.REPAIR OR ABANDON HOUSE -'_rt — HWY. OR ST,WIDENING W ISEWER OR DISPOSAL SYSTEM -_--@ $3.00 i --' --------- ------- --------- � -- -T — ---- - _ ------ - ----}--- --- STATE ENCROACHMENT .-- PERMIT NO. INDUSTRIAL WASTE APPROVAL OWNER`S PERMTi $ 2' 00 00 CHARGES —I CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE i -_-- -- -___._-- 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 I INS,P,ECTOWS SIGNATURE SIGNED THiS DAY OF Ig` OWNER ORNEW HOUSE SEWER '.7" OWNERS AGENT' CONNECT ADDITIONAL BUILDING OR WORK ADDRESS_-_, i HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION SEPTIC TANK,SEEP,PIT(S) AND/OR DRAINFIELD AND STATE THAT THE ABOVE MS CORRECT ANb AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ❑ PLUMBING AND SEWERS. CESSPOOL ❑ D.RYWELL I HEREBY CE RTIF THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS RE i D BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR HAT i AM HE LEGA OWNER OF, AND INTEND TO DISCONNECT PLUG AND RESIDE IN, T'H ABO E O CRI SED SIDEN TIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE --------- OF PERMffTt _ __ BACKFILL SEPTIC TANKS T ❑ SEEP.PIS) E] CESSPOOLS ❑ f VALIDATION JACK R. ALLEN M.O. CASH SUPERVISING MECHANICAL ENGINEER � CK. 1 Ar'. 66 3 iri-Z! SFY 18 1 D 5.0 0 <, . r DEPA VVVIRI T OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL ,DIVISION OF BUILDING ANIS SAFETY _ PERMIT APPLICATION COUNTY BPIF .LOS ANGELES —- WILLIAM J. FOX, COUNTY ENGINEER AOORE.s� D .S aR FOR APPLIC/,T TO FILL IIS _LOCALITY BUILDING j NEAREST ALDK145s CRO-SS-ST. LOCALITY ;� DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST1' f _ — cROSS ST. — RC'.z aVe_D BY f Ready for tst86secT3ofi ( DATIr IS59.F;<,",` OWNER ADDRESS J USE ZONE" 1 OCCUPANCY $ 'ld A PG _...� — -- CITY TEL.,�O. ° -CONTRACTOR Co._ CO.IMP.N0, p'x ADDRESS CITY 9 TEL N0. � .1 ' �; � �� TRUNK PERMIT NO. STATE REGISTRATION NO. �� 9� >ay 3 r COUNTY ROAD PERMIT NO.LEGA vv — DESCRIPTION LOT NI PERMIT STATE ENCROACHMENT PERMIT NO. BLOCK TRACT ,« { INDUSTRIAL WASTE APPROVAL SIZE OF LOT P NO.OF BLOCS,NOW NOW QN L,OT _--—ve� —--- USE OF BUILDINGS 5� ,i -,� .t: 'e-> r CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE HOU E SEWERCONNECTING TO f�. REIMBURSEMENT FEE PUBLIC SEWER Q_$ 3.50RECEIPT NO. DATE BY �— —' �'-- HOUSE SEN/ER CONNECTINP TO PRIVATE DISPOSAL SYSTEM 1.00 - CONNECT ADDITIONAL BLOC.OR 4 EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 1 ALTER OR REPAIR FX TING — NO- C DATE BY SEWER OR DISPOSAL SYSTEM _ 1.00 I —" 111SCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR _ PITS AND/ORDRAINFIELD 2.00 STATION DEPTH CESSPOOL—ORYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE `F.':e.. LOWER _ TYPE OF CONNECTION LENGTH FROM OWNERS PERMITCURS M.L.TO P.L, °. AUTHORIZATION f TOTAL FEE � ---�-� 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 SIGNED THIS......-------DAY OF.. ............._......_.�.._..,19_....... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL ` �I .. BUILDING OR WORK —_-- ! OWNERS AGENT........_....-)z c. ....._.._........_._.......� SEPTIC TANK;SEEP.PIT(S) ADDRESS_,.._..._......._......................._.___.,...._..,.----------------.---------.._._..- ANO/ORDRAINFIELD t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• CESSPOOL p ORYWELL Q CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR,SEWER OR ~Yf REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED — 1 AND/OR LICENSED AS REQUIRED BY LOS ANGEL COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT i AM THE GAL OWN ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESID TIA P)rbPERTY. BACKFILL SEPTICIANKSp ✓ J SEEP.PIT(S)p CESSPOOLS p SIGNATUREOF PERMITTEE._... i .._.xr, .... .. 79AG42A 663 7153 7e,46420APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF 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 cRoss 5r. LEGAL DESCRIPTION LOT NO. OWNER y MAIL -` BLOCK TRACT ADDRESS ? NO. OF SIZE OFLOT NOW ON LOT CITY [ TEL. NO.. USE OF BUILDINGS DISTRICT NO, GROUP MAP PROCESSED BY -- BK PG CONTRACTOR _ ADDRESS CONNECTION DATA CITY - -�--T-- TEL. NO. '=�STATION e=.j DEPTH J' +); -sL.r-- STATE LIC _ UPPER 1 MANHOLE REFERENCE -� LOW`ER' LICENSE NO. - CLASS X-. NO. DESCRIPTION OF WORK FEE 'T Y'PE OF COhNECTtON _ LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB ¢F.L.. M.L.TO P.L. PIJ BLIC SEWER '� f5.00 _ P.C.NO. SEPTIC TANK,SEEPAGE PIT OR CO.IMP,NO. ;d ''�`' JOB.NO. - PITS AND/OR DRAINFIELD $10.00 _ HOUSE SEWER TRUNK PERMIT NO. ROAD PERMIT NO,CONNECTING TO PRIVATE DISPOSAL SYSTEM � E3 00 � G CONNECT ADDITIONAL.BLDG OR - AFFIDAVIT ;AIY€R €ASEM EMTT-RECORD.IhSYR.NO. DATE WORK TO HOUSE SEWER $3.00 .... _ ____. -._._ —.__6-- OVERFLOW SEEPAGE PIT.DRAINFIELD CD E%TN..CESSPOOLORYW ELL.MANHOLE @ _55,.00 I A'L`P£R:i36RR,AR(7R ABANDON HOUSE HWY.OR ST.WIDENING -'SEWEROR-OJL6A.:rP.1� =EM,,,, $3.00 { _Y ?�- STATE ENCROACHMENT_-_-.__.—_.-.__...—_-___.__ 0- —_ PERMIT NO. f!) INDUSTRIAL !- WASTE APPROVAL OWNERS PERMIT-- -- S! z oo i CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. REIMBURSEMENT FEE TRACTOR TO..CONNECT THE ABOVE DESCRIBED EXISTING DWELLING - �'e --- --- TO THE PUBLIC SEWyFR. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS °S, DAY ----- —_..-- OWNER OR _. -. NEW HOUSE SEWER OWNERS AGENT ..—____ CONNECT ADDITIONAL 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 15 CORRECT AND AGREE TO COMPLY _— WITHALL COUNTY ORDINANCES AND 57'ATE LAWS REGULATINGPLUMBING AND SEW£R5_ CESSPOOL ❑ 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 I AM THE LEGAL OWNER OF, AND INTEND TO ISCON r, RESIDE IN, 'CHF ABOVE DESCRIBED RESIDENT AL PROPERTY. DISCgNNECT PLUG AND . 4a' ,. ABANDON HOUSE SEWER SIGNATURE PERMtTTEE BACKFILL SEPTIC TANKS ❑� OF PER M -- —---. -- SEEP.PIT(S) ❑ CESSPOOLS ❑ VALIDATION JACK R. ALLEN +' CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER / I Ar- 6 6 1 4 sEP 3 1 D 5.0 0