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Home My Public Portal About10786 LIVE OAK AVE_Sewer__ 76A642D CE goev ztl,na ®s � pp PPn CATOON FOR FIE RM OT SEWER - SEWAGE DISPOSAL COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN DISTRICT NO GROUP MAP PROCESSED BY BUILDING f �� A L ^ BK �OP� ADDRESS /,L7I 0y �( *�— LOCALITYC CONNECTION DATA / � i NEAREST STATIO DEPTH CROSS ST `QNRUPPER OWNER OLE REFEELOWER MAIL I /�� ,v y� Y TYPE OF GCURBCTIO P MENGTH L TO P FROM ADDRESS L. /•/L C NO 3 CO IMP NO J NO CITY TEL NO a LEGAL TRUNK PERMIT NO ROAD PER NO DESCRIPTION LOT NO AFFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE BLOCK TRACT NO OF BLDGS SIZE OF LOT NOW ON LOT HWY OR ST WIDENING USEOF BUILDINGS STATE ENCROACHMENT PERM IT NO CONTRACTOR INDUSTRIAL WASTE APPROVAL ADDRESS CHARGES CITY TEL NO CONNECTION CHARGE FEE STATE LIC REIMBURSEMENT FEE LICENSE NO CLASS O NO DESCRIPTION OF WORK FEE APPROVALS DATE INSPECTORS SIGNATURE u HOUSE SEWER CONNECTING TO a' PUBLIC SEWER O SEPTIC TANK SEEPAGE PIT OR NEW HOUSE SEWER PITS AND/OR DRAINFIELD CONNECT ADDITIONAL HOUSE SEWER CONNECTING TO BUILDING OR WORK PRIVATE DISPOSAL SYSTEM SEPTIC TANK SEEP PIT(S) y CONNECT ADDITIONAL BLDG OR ANO/OR DRAINFIELD z WORKTO HOUSE SEWER OVERFLOW SEEPAGE PIT DRAINFIELD CESSPOOL [3DRYWELL❑ EXTN CESSPOOL,DRYWELL,MANHOLE ALTER REPAIR ABANDON HOUSE ALTER,REPAIR SEWERQR Q SEWAGE DISPOSAL SYSTEM SEWER E DISPOO SAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS❑ ;?8933A Permit $ SEEP PIT(S)ED CESSPOOLS❑ OWNER'S AUTHORIZATION 1 TOTAL FEE VALIDATION I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- ,2 O G 1 41-00 TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER SIGNED THIS DAY OF fig_ o 0 0 4, 0 O O OWNEROR OWNERS AGENT VU 02OQ- OO A ADDRESS IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I LkMTHE LEGAL OWNER OF AND NTEND TO RE- SIDE IN THE ABOVE D CRIBED RESIDENTIIAALLLPROPE SIGNATURE , l OF PERMITTEE /�/ 1D_a2 7GA642D " APPLICATION FOR PERMIT 78A 84 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING / JOHN A. LAMBIE, County Engmeer ADDRESS �Q � /� e- WILLIAM A. JENSEN, Sup't of Building LOCALITY NEAREST /7 FOR APPLICANT TO FILL IN 7 GROSS ST LEGAL DESCR IP LOT NO (2 TO OWNER L��J ) • a MAIL BLOCK TRACT N �..(�P�. ADDRESS 7 ,/ NO OF BLDGS J SIZE OF LOT 90 M 39 2 NOW ON LOT CITY TEL NO USE OF BUILDINGS 'T'nt) T., V' 1'w _ DISTRICT_NO GROUP MAP PROCESSED BY EIK PG CONTRACTOR e 1 Q ADDRESS y) CONNECTION DATA rnea CITY TEL NO a �p S ION DEPTH STATE MANHO •R E E REGISTRATION NO , ( COUNTY ; LOWER NO DESCRIPTION OF WORR FEE ftYPE OF N C LENGTH FR M HOUSE SEWER CONNECTING TO Y B M L TOP O PUBLIC SEWER @ $5 00 SEPTIC TANK SEEPAGE PIT OR �3 PC NO t t V PITS AND/OR DRAINFIELD @ S1000 CO IMP NO JOB NO HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO C PRIVATE DISPOSAL SYSTEM @ $300 .1„ CONNECT ADDITIONAL BLDG OR AFFIDAVIT I WAIVER EASEMENT ECORD 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 SEW R OR DISPOS L YSTEM @ $300 M STATE ENCROACHMENT G �t•� 'V C( u PERMIT NO INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ AUTHORIZATION TOTAL FEE l? CONNECTION CHARGE 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 OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS CAJ BUILDING OR WORK I HEREBY ACKNOWLEDGE THAT 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL ❑ IHEREBY 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 I AM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND tjENAT.S IDE IN, THE ABOV SCRIBED SIDEN A' P O RTY ABANDON HOUSE SEWER GRE BACKFILL SEPTIC TANKS T ❑ OF PERMITTEE SEEP PIS) ❑ CESSPOOLS ❑ VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK0 M O CASH L-Co2 9 9 8'120 NOV 29 1 1 D 2 5,0 ON �p pia 76A642D S&E•663 11.59 0"9Y 0 LI\I'q P'!TI®tlVl B ®RY ,V, I 0 `2 DIVISION-OF BUILDING AND SAFETY SEWER,S EWAG E DISPOSAL _ Department of County Engineer County-of Los Angeles BUILDING p JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10786-Ee LliId Oak ® CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN gROSS STT LEGAL _ DESCRIPTION LOT NO ,� OWNER pre rgreeri'Saniiarium - MAIL BLOCK TRACT - ADDRESS same _ NO OF BLDGS. CITY TEL. NO. SIZE OF LOT NOW ON LOT USE OF BUILDINGS Sanitarium DISTRICT iN O.• GROUP MAP `./7/ �K PG / CONTRACTOR Belvedere Plumbing Co. - , d Z <<j/ ADDRESS 13350 ECtor CONNECTION DATA - - STATION DEPTH CITY Cityof Indust L. NO GI 89836 MANHOLE REF ENCE UPPER STATE REGISTRATION NO. 179568 - ❑ COUNT No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING_TO - TYPE OF CONNECTION. LENGTH FROM PUBLIC SEWER @ $3 50 Y. CU P L M.L.TO P L. SEPTIC TANK,SEEPAGE PIT OR ` PITS AND/OR DRAINFIELD @ $3 00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C. NO. N . EXTN ,CESSPOOL,DRYWELL,MANHOLE @ $2 00 CO IM JOB NO. HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM coil $1 00 TRUNK PERMIT NO. ROAD PERMIT N0.- CONNECT ADDITIONAL BLDG OR / STATE ENCROACHMENT $ WORK TO HOUSE SEWER- @ 4 00 PERMIT NO ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL - - SEWER OR DISPOSAL SYSTEM @ $1 00 WASTE APPROVAL - CHARGES CONNECTION CHARGE FEE _ OWNER'S PERMIT $ 00 . AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREINNAMED coN- APPROVALS DATE INSPECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS DAY OF 19 CONNECT ADDITIONAL OWNEROR BUILDING OR WORK OWNERS AGENT SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE•ABOVE IS CORRECT AND AGREE TO COMPLY 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 DISCONNECT PLUG AND LICENSED AS REQUIRED BY--' OSHE ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER ` CALIFORNIA OR THAT �I' AM LEGAL OWNER OF THE ABOVE DESCRIBED R IIJEN,TIAL PROP RTY BACKFILL SEPTIC TANKS ElSIGNATURE SEEP PIT(S) [:I CESSPOOLS❑ _ 'OF PERMIT /- JOHN A LAMBIE, COUNTY ENGINEER / -YBiLIDATION ROBERT-A WOOD, CHIEF PLBG INSPECTOR LK EI 0 CASH - LI'iG0 5 9 6 0 FEB 2 6 1 0 D 5.0 0- 8 @ E-889 11.98 APPLICATION FOR PERMIT DMSION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County Of Las Angeles FADDRESS LDING /O JOHN A. LAMBIE, COUNTY ENGINEER® CASSATT D GRIFFIN, SUPT OF BUILDING ALITY FOR APPLICANT TO FILL IN Leos s. f61LEGAL r DESCRIPTION LOT NO �� / �C OWNER BLOCK TRACT MAIL ADDRESS N0. OF BLDGS [f CITY TEL NO. SIZE OF LOT NOW ON LOT 7 USE OF DISTRICT NO. GROUP MAP BUILDINGS _ K PG CONTRACTOR �� ,Y �'• J ADDRESS CONNECTION DATA �2,�' �}XAti� CITY rX/ ,, TEL. N0. I STATION DEPTH lv9...8 �v MANHOLE REFERENCE UP• R y G 9--6•FATE Z _ REGISTRATION NO. / S ❑ COUNTY NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO .TYPE OF CONNECTION LENGTH FROM Jp� PUBLIC SEWER - @ $3 50 s CURB P.L M L TO P.L. SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3 00 ` OVERFLOW SEEPAGE PIT,DRAINFIELD ,j ? P. C. N0. � EXTN ,CESSPOOL,DRYWELL,MANHOLE @ $2 00 CO IMP. NO. /p1 J 1 JOB NO HOUSE SEWER CONNECTING TO �jg / -y�• PRIVATE DISPOSAL SYSTEM @ $1 00 TRUNK PERMIT NO. ROAD PERMIT NO. L / _ CONNECT ADDITIONAL BLDG OR yy V STATE ENCROACHMENT WORK TO HOUSE SEWER @ $1 00 ,7 J PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL / SEWER OR DISPOSAL SYSTEM @ $1 00 WASTE APP L / CHARGES CO ECTION CHARGE FEE OWNER'S PERMIT $ 1 00 REIMBURSEMENT FEE AUTHORIZATION TOTAL FEE 3"Z 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 NEW HOUSE SEWER J SIGNED THIS— HIS DAY 19 CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGEN SEPTIC TANK,SEEP, PIT(S) ADDRESS AND/OR DRAINFIELD. 1 HEREBY ACKNOIALEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 AN LICENSED AS REQUIRED BY OS D ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT 1 THE LEG WNER OF THE ABOVE DESCRIBED RESIDENT] OPERTY. BACKFILL SEPTIC TANKS❑ �. SIGNATURE SEEP.PIT(S) ❑ CESSPOOLS OF PERMITT JOHN A LAMBIE, COQ NTY ENGINEER VALIDATION ROBERT A WOOD,CHIEF PLBG. INSPECTOR CK. N O. CASH L& 1 s 3 s 0R M112 4 A 7.5 0 \ Cr (2 ,0.82 76A842D APPLICATION FOR PERMIT 78A84 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 56 JOHN A. LAMBIE, County Engineer ADDRESS 9 WILLIAM A. JENSEN, Sup't of Building LOCALITY re yq / NEAREST FOR APPLICANT TO FILL IN `ROSS 5T SLEGAL DECIPTION LOT NO Q1/r Q AC,/t OWNER R MAIL BLOCK +r TRACT 'yP Q ADDRESS NO OF BLDGS SIZE OF LOT NOW ON LOT CITY TEL NO USE OFT DISTRICT NO GROUP MAP PROCESSED BY BUILDINGS .5QN" I-tYt o (J,� BK PG CONTRACTOR ` Ale, ecvj /t k) ADDRESS ` JCCONNECTION DATA CITY TEL N 6J �J S A ON r r DEPTH ❑ STATE MANHOLE R NC REGISTRATION NO COUNTY 'N OWER NO DESCRIPTION OF WORK FEE P 011C E I LENG H FR HOUSE SEWER CONNECTING TO C�'U Y L M L TO P PUBLIC SEWER SS 00 `� SEPTIC TANK,SEEPAGE PIT OR C NO PITS AND/OR DRAINFIELD @ SI000 CO IMP NO 3 JOB NO `�,/^J, HOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO �J PRIVATE DISPOSAL SYSTEM @ $3 00 !!! CONNECT ADDITIONAL BLDG OR AFFIDAVIT wAIYFR EASEMENT RECORD IN5TR NO DATE WORK TO HOUSE SEWER @ $300 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL,DRYW ELL MANHOLE @ 55 00 ALTER REPAIR OR ABANDON HOUSE HWY OR 5T WIDENING SEWER OR DISPOSAL SYSTEM @ $3 00 STATE ENCROACHMENT A PERMIT NO V aw INISUSTRIAL WASTE APPROVAL OWNERS PERMIT 21 00 CHARGES AUTHORIZATION TOTAL FEE 1 7 1 CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REI MBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT CONNECT ADDITIONAL ADDRESS BUILDINGj SEP C NK SE EP.OR RK PIT(S) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ..� WIT HALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS CESSPOOL ❑ DRYWELL F-1I 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 DISCONNECT PLUG AND RESIDE IN THE ABOVE CRIBED R (DENTIA PROPE TY ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE ❑ SEEP,PIT(S) ❑ CESSPOOLS VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK M O CASH L�Co2997 I1:OU291 0 D 7.00-