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Home My Public Portal About9446 LAS TUNAS DR_Sewer__ 5-65 76A645-65 APPLICATION FOR PERMIT 76A 64 COUNTY OF LOS ANGELES SEWER-SEWAGE'DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION .BUILDING U&1e JOHN A. LAMBIE, County Engineer ADDRESS 6 44S Tc.tfL.�AS I)K'l U& COLEMAN W. JENKINS,Sup't. of Building LOCALITY / - FOR APPLICANT TO FILL IN NEAREST CROSS ST (�7 a 3 AL DESCRIPTION LOT NO. �� L OWNER /-/y�`� �/l,/11��y MAIL BLOCK TRACT /�``) ADDRESS('' IN 0 SIZE OF LOT lIJO /� I7 `� NowONLOTS CITY�j &)6E , , T.L. NO. , USE OF �� i +� BUILDINGS 1,J DISTRICT NO. GROUP MAP PROCESSED BY BK PG CONTRACTOR / e P17-14sW J•Q 8 A ADDRESS .C�f- - (,�L U - ( , _r 744 / CONNECTIONS DATA CITY V�� TEL. NO. - `�^ STATION �1�/y ('� DEPTH LICENSE LICENSE ..tt T (p J UPPE N0. c 1rX^ CLASS MANHOLE REFERENCE 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 @ $ 5.00 - P.C.NO. } SEPTIC TANK, SEEPAGE PIT OR JOB NO. 0 PITS AND/OR DRAINFIELD C $1 0.00 CO.IMP. NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. V PRIVATE DISPOSAL SYSTEM @ $ 3.00 CONNECT ADDITIONAL BLDG. OR AFFIDAVIT WAIVER EASEMENT RECORD, INSTR.NO. DATE 0 WORK TO HOUSE SEWER 6 $ 3.00 REPAIR OR ABANDON HOUS SEWER OR DISPOSAL TEM @ $ 3.00 W HWY,OR ST,WIDENING d EXTN„CESSPOOL, MANHOLE C $ 5.00 STATE ENCROACHMENT N PERCOLATION TEST @ $ 5.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL OWNERS PERMIT $ 2 00 CHARGES CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE '1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT T ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC 5 APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS DAY OF OWNER OR f NEW HOUSE SEWER OWNERS AGENT idO CONNECT ADDITIONAL ADDRESS BUILDING OR WORK SEPTIC TANK,SEEP,PIT(5) 1 HEREBY ACKNOWLEDGE THA(/ 1 VE 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 LICENSED AS REQUIRED BY LOS .ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM. CALI FORNIA OR THAT IAM THE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND - RESIDE IN, THE ABOVE DESCRIBED ARES IDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE �jJ�r .. ❑ OF PERMITTEE moi(/ J r. Yet-^' BACKFILL SEPTIC TANKS , SEEP,PIT(5) ❑ CESSPOOLS ❑ VALIDATION CK. M.O: CASH 6ic✓,- DEPARTMENT OF COIINTY ENGINEER :3,; ;;,SEWER_--SEWAGE .DISPOSAL IVISION OF BUILDING AND,SAFETY PERMIT APPLICATION COUNTY OF LOS ANfjELE9w " WILLIAM J. FOX, COUNTY ENGINEER I BUILDING v ADDRESS FOR APPLICANT TO FILL IN LOCALITY ' BUILDING ADDRESS y y� yr - - CROSS ST . LOCALITY ~�_^ DISTRICT NO. A A SERIAL NO. PERMIT N0, c NEAREST _ J CROSS ST. � RECE.Iy,V�E3D�B,Yy�� Ready for Inspection DATE ISSUED OWNER MAI REBS Ya D ,(� USE 20N OCCCUUPANAC BK°M'AP PG CITY �n TEL.NO_ ( �� 9pxllo 0 S CONTRACTOR V (� CO.IMP.NO. ADDRESS �J JOB.N0: CITY ( EL.NO: a ri TRUNK PERMIT N0.STATE- ,y REGISTRATION NO. 9-COUNTY, ROAD,PERMIT NO. Z LEGAL _j DESCRIPTION LOT NO. /1 STATE ENC OACHMY N i erml 1 d { / PERMIT NO. T BLOCK TRACT .:INDUSTRIA a.'IitY....d'...�l�./..r! r... .:................................ . !J WASTE APP SIZE OF LOT AAft0 NO.OF.BLDGS. J O NOW ON LOT / CHARGES'`-r .USE OF BUILDINGS CONNECTION CHARGE EE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FE_E HOUSE SEWER CONNECTING TO >- PUBLIC SEWER $ 3.50 I S. 15'4 RECEIPT NO. .: DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 ` CONNECT ADDITIONAL BLDG.OR = ECEPT DN RECORDED WORK TO HOUSE SEWER 1.00I N DATE BY ALTER OR REAIR PEXISTING J SEWER OR DISPOSAL SYSTEM 1.00 I . DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM I.00.I f CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR I �^ PITS AND/OR-DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYW ELL ;, SPECIAL CONDITIONS ONLY 2.00 I r: 40. MA_RH PEE%q. FERENCE 0.4 C /r LUWER TYPE OF_CON,N CTION LENGTH FROM /I;URe` CgM*. M2L.TOP.L. OWNERS PERMIT gI I 00 I AUTHORIZATION I TOTAL FEE - I,f � �Q.IVAl, 49 &. - 1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING' APPROVALS "INSPECTOR'ssIGNAruRE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS...-.-.----.-..---DAY OF....... `..--._..�.19 NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AG ... .... ........... .. .. -----ADDRESS Jt - AND%OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI CESSPOOL[:] DRYWELL E] 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 IAM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENT AL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE / /J,',/�J/J SEEP.PIT(S)EI CESSPOOLS IZ OF PERMITTEE — -+•• ... --Y�:I^!�.-1 ......- '76A642D 663 1/53 DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND.SAFETY. - PERMIT APPLICATION COUNTY OF LOS-ANGELES" WILLIAM J. FOX, COUNTY ENGINEER BUILDING ,) ADDRESS T FOR APPLICAN TO F LL IN LOCALITY BUILDING �L /. n � NEAREST L� v ADDRESS K IQJ s�- i CROSS ST. LOCALITY DISTRICT A SERIAL NO. PERMIT NO. C NEARESTIla lJ / G-3-) S CROSS ST. RECEIVED//BY "Ready for Inspection DATE ISSUED OWNER MAIL USE ZONE OCCUPANCY BK MAP PG ADDRESS I I 1 CITY n TELAO. A CONTRACTOR_, O v� o sdfyyfioll � CO.IMP.N0. ADDRESS 4-/9s JOB.N0. CITY TEL.NO. TRUNK PERMIT NO. f STATE REGISTRATION�0. /�JS l'f''••.. COUNTY ROAD PERMIT NO. LEGAL /� 7�Q� W 1-D �� STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. h L� 31?,I.....3 y® INDUSTRIAL BLOCK TRACT WASTE APPROVAL NO.OF BLDG SIZE OF LOT D NOW ON LOTS CHARGES USE BUILDDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ S 3.50 RECEIPT NO. I DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING NO. DATE BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER _AND/OR DISPOSAL SYSTEM 1.00 d CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE UPPER REFERENCE LOWER TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. AUTHORIZATION OWNERS I PERMIT ; I I 00 TOTAL FEE I �L 7 l CONTRACTORHAVE TO CONNECT THDATE E AED BOVE D SCRIBEDI EXISTING ED APPROVALS INSPECTOR'S SIGNATURE. DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS...._..............DAY OF..._.-__..... NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT..........:_.-_. BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS..............................._......................................................... AND/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI , CESSPOOL I] DRYWELL El 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY, ABANDON HOPLUGAND AND STATE OF CALIFORNIA OR THAT 1 AM THE.LEGAL OWN- ER OF THE AB E DESCRIBED RESIDEN •IAL ROPERTY. BACKFILL SEPTIC TANKS SIGNATURE ❑ ,d SEEP.PIT(S) CESSPOOLS E].. I /� /A _ 4,�� OF PERMITT 76A642A 663 7/53 ��