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Home My Public Portal About10566 LIVE OAK AVE_Sewer__ CE808 12-68 78A 842D APPLUCATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING , �^ JOHN A. LAMBIE, COUNTY ENGINEER ADDREsS L'G COLEMAN W. JENKINS, SUPT OF BUILDING �� /� LOCALITY C lr NEAREST FOR APPLICANT TO iL IN CROSS ST -� LEGAL / DESCRIPTION LOT NO L OWNER Z-v MAIL BLOCK // TRJACT) ADDRESS SIZE OF LOT 60 X,LL • � NOWOON LOT 6 CITY TEL NO USE OF DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS If I A �( BK PG CONTRACTOR ADDRESS p w/ 6CONNECTION DATA CITY ..JO, �v . TEL NO STATION DEPTH I TATE ''') / MANHOLE REFERENCE UPPER LICENSE NO /�C�31p� CLASS LOWER NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P L M L TO P L PUBLIC SEWER a f3 00 SEPTIC TANK SEEPAGE PIT OR I C NO JOB NO PITS ANDOR DRAINFIELD $1000 CO IMP NO ¢� HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO d PRIVATE DISPOSAL SYSTEM $300 Q CONNECT ADDITIONAL BLDG OR AFFIDAVIT I WAIV[I1 [ASEMENT RECORD INSTR NO DATE C> WORK TO HOUSE SEWER Q $300 OVERFLOW SEEPAGE PIT DRAINFIELD Q EXTN CESSPOOL DRYWELL MANHOLE @ $500 ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING U SEWER OR DISPOSAL SYSTEM $300 CLJ STATE ENCROACHMENT � PERMIT NO C/) Z INDUSTRIAL WASTE APPROVAL OWNERS PERM 2 00 CHARGES AUTHORIZATION TOTAL FEE CONNECTION CHARGE FEE / IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO.,CONN THE ABOVE DES IB D EXISTING DWELLING TO THE PUBLIC S ER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THI DAY OF OWNER OR NEW HOUSE SEWER OWNERS GE EO NNECT 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 IS CORRECT AND AGREE TO COMPLY . WITH ALL COUN V ORDINANCES AND STATE LAWS REGULATING PLUMBING AND S WERS CESSPOOL ❑ DRYWELL ❑ I HEREBY CE Y THAT I AM PROPERLY RL AND�OR ALTER,REPAIR SEWER OR LICENSED A REGU RED BY LOS ANGLES CO ATE OF SEWAGE DISPOSAL SYSTEM CALIFORNITATHE LEGAL N OEND TO DISCONNECT PLUG ANRESIDE I//ryµ.///TME OVEDESCRIB D R NTIAL ABANDON HOUSE SEWER SIG NATO(R E/ BACKFILL SEPTIC TANKS ❑ OF PEG'IA TTTEF� ❑ SEEP PIT(S) ❑ CESSPOOLS LIDATION JACK R. ALLEN CK M O CASH SUPERVISING MECHANICAL ENGINEER [Arn=9 ,a 6 21 MY g 8 1. D 16 5 2 4 A 74 CEB08,3.62 ` APPLICATION FOR PERMIT 76A6A20 COUNTY OF.LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION BUILDING s 6 6 ZN. JOHN A LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W JENKINS. SuP T of BUILDINGLOCALITY �CROSSSSTFOR APPLICANT TO FILL INOWNER LLdell r_ MAIL BLOCK TRACT '� ADDRESS ZNO OF SLOGS SIZE OF LOT NOW ON LOT CITY TEL BUILDINGS � �/'C DISTRICT NO I GRO UP MAP PROCESSED BY CONTRACTOR C �i� 676 K T BK PG�� / n le ADDRESS 7 , Z /, ]V[ - CONNECTION DATA �i CITY ,' )IEL NO 2 STATION ';-f/O, � DEPTH / STATE LIC `^.,� 1 RE {O UPPER LICENSE NO CLA55 MANHOLE REFERENCE )V/O NO DESCRIPTION OF WORK FEE TYPE OF CONNECTIONLENGTH FROM HOUSE SEWER CONNECTING TO Y CURB P M L TO P L d PUBLIC SEWER @ $S 00 PC NO O SEPTIC TANK SEEPAGE PIT OR CO IMP NO JOB NO �J PITS AND/OR DRAINFIELD $1000 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO Q PRIVATE DISPOSAL SYSTEM @ S300 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE I--' WORK TO HOUSE SEWER @ 53 00 (V OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE @ S5 00 (n ALTER REPAIR OR ABANDON HOUSE GHWY OR ST WIDENING o_ ve Z SEWER OR DISPOSAL SYSTEM @ S300 O STATE ENCROACHMENT PERMIT NO INDUSTRIAL (�J� WASTE APPROVAL OWNERS PERMIT $ 2 00 CHARGES AUTHORIZATION TOTAL FEE 0 CONNECTION CHARGE FEE IHAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SEWER DATE INSPECTOR S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT_ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS SEPTIC TANK SEEP.PIT(S) IH 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 ❑ DRYWELL IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSEDAS REQUIRED BY LOS ANGLES COUNTY AND ST TE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT IAM THE LEGAL OWNER OF AND I END TO DISCONNECT PLUG AND RESIDE IN THE ABOVE DESCRIBED RESIDENTIA P P Y ABANDON HOUSE SEWER OF PERMTTTE SIGNATURE BACKFILL SEPTIC TANKS ❑ ❑ SEEP PIT(5) ❑ CESSPOOLS VALIDATION " JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER CK M O CASH 8 5 G 7%'-4-0- FEB 2 0 1 0 8 5.Q 0 ' 1 _. I CE808 12-68 76A 542D APPLICATOON FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T. OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS B LEGAL DESCRIPTION LOT NO OWNER MAIL aa BLOCK TRACT ADDRESS 4 p NO OF+BLDGb SIZE OF LOT NOW ON LOT CITY TEL NO / J USE OF BUILDINGS C�� DISTRICT NO GROUP MAP PROCES D BY BK PG CONTRACT ADDRE !' CONNECTION DATA CI DEPTH E '`� LIC ✓ MANHOLE REFERENCE LOWER LICENSE NO �v CLA y NO DESCRIPTION'OF WORK FEE TYPE OF NN TI LENGTH FROM HOUSE SEWER CONNECTING TO Y M L TOP L 1 PUBLIC SEWER @ $5 00 SEPTIC TANK SEEPAGE PIT OR P C NO PITS AND/OR DRAINFIELD @ SID GO CO IMP NO JOB NO HOUSE SEWER CONNECTING TO / PRIVATE DISPOSAL SYSTEM @ $3 00 TRUNK PERMIT NO ROAD PERMIT NO 1 Q CONNECT ADDITIONAL BLDG OR AFFIDAVIT wAlv[N [ws[M[Mi RECORD INSTR NO DATE V WORK TO HOUSE SEWER Q $300 OVERFLOW SEEPAGE PIT DRAINFIELD Q EXTN CESSPOOL DRYWELL MANHOLE @ $500 I_ ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING U W SEWER OR DISPOSAL SYSTEM @ 53 00 STATE ENCROACHMENT d PERMIT NO C1) Z INDUSTRIAL WASTE APPROVAL CHARGES OWDTER'S PERMIT s z 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN N MED CON. REIMBURSEMENT FEE TRACTOR TO-CONNECT THE ABOVE DE IBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS D TE INS CTOR'S SIG TURE SIGNED THIS DAY OF 19_ r OWNER OR NEW HOUSE SEWER OWNERS AGENT_ CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTIC TANK SEEP PIT(S) I HEREBY ACKNOWLEDGE THAT 1 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 ❑ DRYWELL ❑ I HEREBY C TIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSED EOUIRED BY LOS A GLES CDUN Y AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFOR THAT I AM THE G L OWNE AND IN END T DISCONNECT PLUG AND RESID N, HE DEB BE RESIDE IAL PROP ABANDON HOUSE SEWER SI A .FILL SEPTIC TANKS ❑ F ER P PIT(S) ❑ CESSPOOLS ❑ _ V ATIO JACK R. ALLEN CK M O CASH SUPERVISING MECHANICAL ENGINEER 9 9 2 MAY1210 D 7.Q'QcQ &47,CE8 ,2-EB 76A6420 APPLU'fidA ON FOR PEROT 76A 6 COUNTY,OF LOS ANGELES SEWER—SEWAGE DISPOSAL. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION AUILDING OaI JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL24CROSS ST L GAL DESCRIPTION LOT NO OWN MAIL BLOCK TRACT rkl ' 1 ADDRESS Q NO OF BLDGS ' �•�� SIZE OF LOT NOW ON LOT CIT TEL, NO USE OF BUILDINGS DISTRICT NO GROUP MAP PROCESSED BY PO CONTRACT { � Y/ _ •__ n ale ADDRESS CONNECTION DATA CIT TE O S ON DEPTH` STOCTE //JJ ifj LIC MANHOLE REFERENCE LICENSE NO eF4 CLASS LOWER NODESCRIPTION OrF WORK FEE TYPE OF CO CT NGTHFRfA FR HOUSE SEWER CONNECTING TO Y R P M L TO P L I PUBLIC SEWER 55 00 SEPTIC TANK SEEPAGE PIT OR P C NO PITS AND/OR DRAINFIELD @ 51000 CO IMP NO JOB NO I HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT' '—� / PRIVATE DISPOSAL SYSTEM $300 0 CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EA51MENT RECORD INSTR NO DATE CD WORK TO HOUSE SEWER $300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MANHOLE S500 ALTER REPAIR OR ABANDON HOUSE HWY OR ST WIDENING V R OR DISPO A YSTEM Q $3 00 STATE ENCROACHMENTLLJ OV PERMIT NO INDUSTRIAL Z WASTE APPROVAL CHARGES AUTHORIZATION OWNERS PERMIT s TOTAL FEE CONNECTION CHARGE FEE 1HAVE 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 THISY OF 1g_ OWNER OR NEW HOUSE SEWER 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 ❑ DRYWELL ❑ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER REPAIR SEWER OR LICENSE REQUIRED B 5 ANGLES C TY AND STATE OF, SEWAGE DISPOSAL SYSTEM CALIF N O 1 LEG OW OF RND LNT TO DISCONNECT PLUG AND RES T ABOV DE IBED SI PROP A NDON HOUSE SEWER OF P MTTTEE K SEPTIC TANKS ❑ SEEP PIT(5) ❑ CESSPOOLS ❑ VALIDATIOJACK R. ALLEN CK M O CASH SUPERVISING MECHANICAL ENGINEER [Af':_9 :9 2 -1� it-412 s 0 2 5:o o-