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HomeMy Public PortalAbout9465 LAS TUNAS DR_Sewer__ 1 ESOO-D CAPPLICATION FOR PERMIT - esoe•e•sa COUNTY OF LOS ANGELES1 SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER. BUILDING AND SAFETY DIVISION BUILDING /tJ� ADDRESS JOHN A. LAMBIE, County Engineer b CASSATP D. GRIFFIN, Sup't of Building _LOCALITY \ NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL { _OWN i DESCRIPTION LOT N0. / BLOCK TRACT �s MAIL _ADDRESS NO.OF BLDGS. SIZE OF LO[�.S' L /� NOW ON LOT CITY TEL.N0. USE OF / y DISTRICT N0. GROUP MAP PROCESSED BY BUILDINGS _ ,IiK PG CONTRACTOR f, ADDRESS, CONNECTION DATA CI TEL. NO . ,3�D STATION i DEPTHSTATE s _ REGISTRATION NO. 5` COUNTY MANHOLE REFERENCE � fUPPERi NO. DESCRIPTION OF WORK FEE / LOWER HOUSE SEWER CONNECTING TO 9 PUBLIC SEWER @ $3.00 .fid �'� SEPTIC TANK,SEEPAGE PIT OR ,r ��,'r '.TYPE OF CONNECTION,,yl� LENGTH FROM PITS AND/OR DRAINFIELD @ $3.00 CURB /P.L. � M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD - y• `-•-�•J EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO fC P.C.NO: PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.N0. 9 JOB NO. CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00 SEWER OR D18POSAL SYSTEM HOUSE @ $1.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE O© REIMBURSEMENT FEE 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 TO THE PUBLIC SEWER. SIGNED THIS AY OF 19- _NEW HOUSE SEWER �Z I �' OWNER ORS.. CONNECT ADDITIONAL OWNERS AGE.IT _= '�^�r"' ��-=-"•- BUILDING OR WORK SEPTIC TANK,SEEP,PITS) ADDRESS _AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION L[I DRY-WELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _CESSPOO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE - DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS❑ SEEP. PITS) ❑ CESSPOOLS 171 SIGNATURE OF PERMITTEE OF VALIDATION`f ROBERT A.WOOD . CK. M.o. CASH� SUPERV^ISING MECHANICAL ENGINEER '=7L 79t e5aC8e� : 4PPLICA0AORPEoIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL. 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESSG 717L 4 45— JOHN A. LAMBIE, CountF Engineer CASSATT D. GRIFFIN, Sup t of Building LOCALITY NEAREST, FOR APPLICANT TO FILL IN CROSS ST. go- LEGAL DESCRIPTION LOT NO. OWNER .(: BLOCK TRACTMAIL ADDRESS ( NO.OF BLDGS. SIZE OF LOT _ �^ NOW ON LOT CITY / TEL. NO.eZe USE OF BUILDINGS DISTRICT NO. GROUP MAP PG IPRO�C,ESSSED BY CONTRACTOR � BK ADDRESS�a,� - CONNECTION DATA CITY !T-i / �. TEL.N0. STATION DEPTH STATE MANHOLE REFERENCE UPPER REGISTRATION N0. COUNTY LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN..CESSPOOL. DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ S1.00 CO.IMP. NO. JOB NO. CONNECT ADDITIONAL BLDG.OR ORK TO HOUSE SEWER $1.00 TRUNK PERMIT NO. ROAD PERMIT N0. W@ / SEWER OR PAIRO R ABANDON HOUSE STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEEcfZl REIMBURSEMENT FEE CON- TRACTOR TO CIONNECT THE ABO EDATE AT DESCRIBED EXISTWITH THE IINGAMED DWELLiING APPROVALS- DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR a CONNECT ADDITIONAL OWNERS AGENT_. VW� 1J�7 �'' BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY AT I AM PROPE REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQU ED BY LOS AN EL COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR T S I AM THE LEG L OWNER F THE A E DESCRIBED RES/ID TIAL PROPER Y. BACKFILL SEPTIC TANKS ❑ SIGNATUR / C° SEEP. PITS) ❑ CESSPOOLS ❑ OF PERM. DATIOROBERT M.0.1 CASH SUPERVISING MECHAA WOODNICAL ENGINEER OCT TEMPLE CITE'' CES08 a•S° APPLICATION FOR PERMIT E808 F° 7 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL i■ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING •r JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Sup t of Building _LOCALITY"- NEAREST FOR APPLICANT TO FILL IN CROSS ST. LEGAL / t" DESCRIPTION LOT NO. 7 OWNER BLOCK TRACT MAItRE ADD ^ LL NO.OF BLDGS. SIZE OF LOT O� NOW ON LO ,CITTEL. NO. USE OF BUILDINGS DISTRMAP PROCESSED BY S_ / BK PG CONTRACTOR e j f / (.da ADDRESS 2O/^N•NECTION DATAlCITY TEL.NO. G 3 f STADEPTH 1STATE MANHOLE R RENCE UPPER REGISTRATION NO. �T COUNTY LOWER NO. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE PIT OR Y. CURB P M.L.TO P.L. ITS AND/OR DRAINFIELD @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN..CESSPOOL. DRYWELL @ $2.00 HOUSE SEWER CONNECTING TOP.C.NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO,----- O JOB NO. CONNECT ADDITIONAL BLDG.OR TRUN ERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $1.00 _ ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OVMER'.S PERMT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC S WER. �//'� — - SIGNED THIS A OF 19w NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK ADDRESS SEPTIC TANK,SEEP.PIT(S) AND/OR DRAINFIELD Tc— I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECTAND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ElWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1ICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL 0 NER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERT t BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP,PIT(S) ❑ CESSPOOLS ❑ OF PERMITTE ®F ALIDATION ROBERT A. wood M.0. CASH SUPERVISING MECHANICAL.ENGINEER 1.. .Ir o CJ I� 7C E808 6A642-62D APPLICATION FOR PERMIT 6A642i.1 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7LDG /�� JOHN A. LAMBIE, County Engineer S !� LfWILLIAM A. JENSEN, Supt of Building �`LYT �/ �lFOR APPLICANT TO FILL IN C5T. Y LEGAL DESCRIPTION LOT NO. OWNER _ MAIL BLOCK TRACTADDRESS NO. OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF /''�'y� y�p BUILDINGS DISTRICT NO. GROUP MAP �G P ESSEJBY CONTRACTOR -1C U BK C' ADDRESS `�j �/' W CON14ECTION bATA ` �a� •� STATION DEPTH CITY �_ TEL. NO. �J STATE UPPER J REGISTRATION NO. �,/O�Y' El COUNTY MANHOLE REFERENCE - '� "1 NO. DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y.•` CURB P.L. M.L.TO P.L. O PUBLIC SEWER @ $5.00 SEPTIC TANK,SEEPAGE PIT OR P.C.NO. V PITS AND/ DRAINFIELD @ $10.00 CO.IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 1 O PRIVATE DISPOSAL SYSTEM @ $3.00 4J CONNECT ADDITIONAL BLDG.OR AFFIDAVIT WAIVER EASEMENT RECORD.INSTR.NO. DATE WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $5.00 ALTER.REPAIR OR ABANDON HOUSE HWY.OR ST.WIDENING SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL OWNERS PERMIT $ 2 00 CHARGES AUTHORIZATION I TOTAL FEE OO CONNECTION CHARGE FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- " REIMBURSEMENT FEE TRACTOR TO CONNECT .HE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEW APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED T S DAY OF 19 ' OWNER OR NEW HOUSE SEWER OWNERS AG CONNECT ADDITIONAL / r BUILDING OR WORK ADDRESS I HEREB ACKNOWLEDGE THAT 1 HAVE READ IS APP ATION 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 ❑ 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSEDAS 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 ABO DESURIBED IDENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE / BACKFILL SEPTIC TANKS SEEP.PIT(S) ❑ CESSPOOLS VALIDATION ROBERT WOOD SUPERVISING MECHANICAL ENGINEER CK. M.O. CASH 76A 6420 -C'EBOB-10-71 APPLI CATION ISR PERt T COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER r�N /\ BUILDING AND SAFETY DIVISION BUILDING LAS 1V1TC15 ADDRESS () L65 LOCALITY TEMPLE 'CITY NEARE FOR APPLICANT TO FILL IN CROSSSST. OUVERLY LEAL DESCRIPTIONLOT NO. ! �— OWNER FRANK RAMIREZ MA BLOCK TRACT _ .�X� ADDRESS 0 W. BROADZIVAY SIZE OF LOT NO. OF BLDGS. SAN GABE= v NOW ON LOT CITY TEL. NO. USE OF DISTRICT NO. GROUP MAPS PROCESSED BY BUILDINGS "(pp��- rj �..6� BK PS CONTRACTOR J&D PLUMBING 5. o o F— ADDRESS -SO. SAN- GABR ILL BLVD o CONNECTION DATA CITY SAN GABRIE.UTEL. N-2877832 STATION DEPTH STATE / LIC C-36 MANHOLE REFERENCE UPPER LICENSE NO, o CLASS LOWER NO. -DESCRI ION OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER @ $7.00 P.C.NO. SEPTIC'TANK.SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $10.00 CO.IMP. NO. JOB NO. HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 4. PRIVATE DISPOSAL SYSTEM @ $3.00 O CONNEAVIT EM CT ADDITIONAL BLDG.OR AFFIDwAiYEE "EAS EMT RECORD.INSTR.NO. DATE U WORK TO HOUSE SEWER @ $3.00 OVERFLOW SEEPAGE PIT.DRAINFIELD O EXT N..CESSPOOL.D RYW ELL, @ $5.00 HWY.OR ST.WIDENING AL..I- l OR ABANDON HOUSE (� SEWER OR-BtSP0"Al'�SYST M @ $3.00 OlJ STATE ENCROACHMENT LIIJU MANHOL PERMIT NO. $7 a d Aid @ .00 - N INDUSTRIAL WASTE APPROVAL OWNER'S PERMIT s 3 Oo. CONNECTION CHARGE FEE CHARGES ' AUTHORIZATION TOTAL FEE Q 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 INSPECTOR'S SIGNATURE SIGNED THIS DAY OF 19_ 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 WIT HALL COUNTY ORDINANCES AND STATE LAWS ,REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYWELL Cl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER, REPAIR.SEWER OR .� LICENSEDAS REQUIRED BY LOS ANGLES COU Y AND STATE OF � e�p CALIFORNIA OR THAT I AM THE LEGAL OWNERAND INTEN TO p,JSCONNECT PLUG AND RESIDE IN, THE ABOV 'BED REST ENTI PRO PERTV ABANDON HOUSE SEWER SIGNATURE BACKFILL SEPTIC TANKS ❑ """— OF PER MfTTE SEEP,PIT(S) ❑ CESSPOOLS ❑ VALIDATION CK. M.O. CASH 7 :2 `8:ru_'J ifi 12 .. i c . A ''' 76A642D CEBOBIRGV.6/781 APPLICATION FOR PERMIT ©s ' SEWER - SEWAGE DISPOSAL COUNTY OF LOS ANGELES BUILDING AND SAFETY PA ?? FOR APPLICANT TO FILL IN DISTRICT NO. GROUP MAP PROCESSED BY �"(G✓ BK PGING s �/SS+ J_ CONNECTION DATA ITY � �ST STATION DEPTH ST. UPPER �^) MANHOLE\REFERENCE LOWER R J`* GS 4 `i{ �i7 TYPE QF CONNECTION LENGTH FROM Y. \\ CURB P.L. ,{ M.L.TOP.L. SS 2�' �_ J,- - ----•P:C7NO% _ CO.IMP.NO. JOB.7. • TEL.NO.GAL TRUNK PERMIT NO. ROAD PERMIT NO. IPTION LOT NO.�•"3 IC�f�( 9 Zj� AFFIDAVIT WAIVER EASEMENT RECORD.INSTR.NO. DATE K TRACT �Z 4,NO.OF BLDGS. F LOT �/ ZL� NOW ON LOT HWY.OR ST.WIDENINGUSE F BUILDINGS ?M/� ' -ln` a J +o STATE ENCROACHMENT PERMIT NO. /� INDUSTRIAL CONTRACTOR lj AMg-,5 k S'v WASTE APPROVAL CHARGES ADDRESS�1 S. !J ll A T. /o _ / CONNECTION CHARGE FEE CITY (� 7 - TEL.NO.-;7j4--(p3- � J } STATE �j LIC. REIMBURSEMENT FEE - LICENSE NO. �� / CLASS NO. DESCRIPTION OF WORK FEE APPROVALS _ DATE INSPECTOR'S SIGNATURE (� HOUSE SEWER CONNECTING TO /T. `) t PUBLIC SEWER NEW HOUSE SEWER �1 l f+ "��--i,e' O SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD CONNECT ADDITIONAL 1. - HOUSE SEWER CONNECTING TO BUILDING OR WORK PRIVATE DISPOSAL SYSTEM SEPTIC TANK,SEEP.PIT(S) ' CONNECT ADDITIONAL BLDG500G AND/OR DRAINFIELD f. WLSCfF TO HOUSE SEWER OVERFLOW SEEPAGE PIT,DRAINFIELD CESSPOOL C3DRYWELL[:1EXTN_CESSPOOL.DRYWELL,MANHOLE ALTER.REPAIR OR ABANDON HOUSE ALTER,REPAIR.SEWER OR SEWER OR DISPOSAL SYSTEM SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND - - ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS❑ SEEP,PIT(S)❑ CESSPOOLS❑ OWNER'S Permit s 7 AUTHORIZATION TOTAL FEE I ljfjoeVALIDATION I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN N ED CON- OY1 TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTIN DWELLING TOTHE PUBLIC SEWER. SIGNEDTHIS DAY OF 19_ 21.011 4.00 OWNER OR OWNERS AGENT 1,01-1!.00 ADDRESS 1'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 01.24-79 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH' ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWNER OF,AND INTENDTO RE- SIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE - OF PERMITTEE