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Home My Public Portal About9538 LIVE OAK AVE_Sewer__ DEPARTMENT OF COUNTY ENGnvEF>Ft SEWER—SEWAGE DUSPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION L-~ COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING ADDRESS `` FOR APPLICANT Tg FILL IN ,c LOCALITYBUILDING )Lig ADDRESS (rQ� !. CROREST SSST. " LOCALITY J� �DISTRICT -3NO. SERIAL NO. PERMIT)NO. c CROSS ST 1 W ('�l i r A /�.11 / ?_S �f °� RECEIVED BY Ready for Inspection DATE ISSUED OWNER aiw,k A7 /Q .l\�L s!s�, �'�� o 7— �-o MAILC _w, v ADDRESS �J'^'Y,w USE ZUNE I OCCUPANCY BK MAP PO CITY TEL.NO. CONTRACTOR P CO.IMP.NO. /I ADDRESS &0/,S JOB.NO. CITY EL.NO. TRUNK PERMIT NO. REGISTRATION NO. - STATE LEGALady COUNTY ROAD PERMIT NO. - - �s � F J; DESCRIPTION LOT NO . Z.J / /a STATE ENCROACHMENT ,- PERMIT NO. BLOCK TRACT KW, f ! JIJ P WASTE APPROVAL SIZE OF LOT �3, NO.OF BLDGS. NOW ON LO_T CHARGES USE OF BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO y PUBLIC SEWER @ = 3.50 RECEIPT N0. I DATE BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR EXCEPTION RECORDED WORK TO HOUSE SEWER 1.00 NO. I DATE I BY ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 I CONNECTION DATA SEPTIC TANK,SEEPAGE PITS AND/OR RA NFIIELDT OR 2,00 I STATION jam` `� �A DEPTH CESSPOOL-*DRYWELL SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE• UPREW `�(� LOWER TYPE OF CONNECTION LENGTH FROM OWNERS PERMIT $ I 1 00 _Y-__`k CURB P.L. M.L.TO P.L. AUTHORIZATION I 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_J�� NEW HOUSE SEWER OWNER OR / CONNECT ADDITIONAL M4 I BUILDING OR WORK OWNERS AGE T �!"-'rt----- �..tl y .............. PIT (S) TANK,SEEP.PIS) ADDRESS.. ---- ARD/ORDRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAV' READ THIS APPLI- CESSPOOL[:] DRYWELL CA TIONAND 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 II HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY ABANDON HOUSE SEWER AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESID NTIAL PROPERTY. BACKFI LL SEPTIC TANKS i SEEP PIT(PIT(S)E] CESSPOOLS SIGNATURE 7 2/-, OF PE RMITTE � r 76A642D 663 1/53 \/ 76A842D APPLICATION FOR. PERMIT ; - ceeoe-e.se COUNTY OF LOS ANGELES SEWEE;-SEW/Q►GE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION , , BUILDING IOHN'A, LAMBIE, County Engineer ADDRESS .CASSATT D. GSIFFINL'Sup't of Building LOCALITY mzmmmm go Emma NEAREST FOR APPLICANT TO FML IN ceoss sr. LEGAL- DESCRIPTION LOT NO. OWNER " BLOCK TRACT` / 'MAIL ADDR 0. BLDGS. SIZE OF LOT NOW ON LOT CITY EL.NO. USE OF BUILDINGS DISTRICT N0. GROUP MAP'P6 PROCESSED BY H • CONTRACTOR' ADDRESS ' 'ONNECTTON ATA CITY t TEL.NO. Q $ STATION DEPTH �(E MANHOLE REFERENCE UPPER REGISTRATION NO, B COUNTY NO. I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 SEPTIC TANK, SEEPAGE PIT OTYpE OF CONNE fON LENGTH FROM R •CURB P.L. M.L.TO P.L. PITS AND/OR DRAINFIELD Q $3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1,00 CO.IMP.NO. JOB NO. CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1,00 TRUNK PERMIT N0. ROAD PERMIT N0. ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT - SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL _ WASTE APPROVAL ' CHARGES OWNERS PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION I TOTAL FEE 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. � � P SIGNED THIS DAY OF ,pg_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT BUILDING OR WORK SEPTIC TANK,SEEP,PIT(S) ADDRESS AND/OR DRAINFIELD r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE 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 THAT r-AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PjtOP BACKFILL SEPTIC TANKS❑ SIGNATURE - - ' SEEP.PITS ❑ CESSPOOLS. OF PERMITTE ®p AIJDATION ROBERT A.'WOOD pa E.Q, cult >suF*RVI1;IN6 MBC:.HANICAL ENG1N6fiR e^ . _ - � - - - it��i' "'" SWM/ •. eq CE88.8 APPLICATION FOR PER T 1 eoe•e-se COUNTY OF LOS ANGELES SEWER-MAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN, Supt of Buflding LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS T. LEGAL J...�� OWNER - DESCRIPTION LOT N0. BLOCK TRACT 77 MAIL -) J/' DRES SIZE OF LOT �� ONO. OF NOW ON LOTS CITY yy►� 6 1 yl�o'�'sn--. TEL. NO. CAILvJ USE OF BUILDINGS mss- DISTRICT NO. GROUP ' ��/gK MAP PG � PROCESSED BY CONTRACTOR );.I(,�l- rj� �`• �J ADDRESS �yf r CONNECTION DATA CITY TEL'N0. =-/4a 4C 7 STATION X - DEPTH STATE MANHOLE REFERENCE ' f- rU—PPER–) ` REGISTRATION N0. fZ� � COUNTY NO. DESCRIPTION OF WORK FEE " teweR HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $9.00 SEPTIC TANK, SEEPAGE PIT OR . TYPE OF CONNECTION - LENGTH FROM PITS AND/OR DRAINFIELD @ $3.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIELD - EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO , P.C. NO. - PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. CO NN TO ADDITIONALOUSE BLDG.OR @ $1 00 TRUNK PERMIT NO. ROAD PERMIT NO. R `Z q SEWER OR DISPOSAL SYSTEM HOUSE @ $1.00 STATE ENCROACH PERMIT NO. / INDUSTRIAL WASTE APPROVAL\ I CHARGES OWNEWS PERMIT S 2 1 00 CONNECTION CHARGE FEE : AUTHORIZATION I TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INS&ECTOR'S SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. - ,M1 SIGNED THIS SAY OF 19— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL g. OWNERS AGENT BUILDING OR WORK \•!' v SEPTIC TANK,SEEP,PIT(S) v /t' I ADDRESS AND/OR DRAINFIELD \ I HEREBY ACKNOWLEDGE THAT I HAVE 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 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❑ / SIGNATURE i SEEP. PITS) ❑ CESSPOOLS OF PERMITTEEa•� " Or / VALIDATION ROBERT A.WOOD cK. N.o. CASH SUPERVISING MECHANICAL ENGINEER LACO 3 2 1 7 SEP 2 8 1 0 A 5.00 x