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HomeMy Public PortalAbout9556 LIVE OAK AVE_Sewer__ DEPARTAIENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF 'BUILDING AND SAFETY PERMIT APPLICATION COUNTY-OF LOS ANGELES' a ' WILLIAM J. FOX, COUNTY ENGINEER BUILDING'F ��� �1 CASSATT D. GRIFFIN, SUPT OF BUILDING ADDRESS Lf lel �0 Old I/® FOR APPLICANT TO FILL IN 1 LOCALITY e y71 , A /► I BUILDING ADDRESS CROSS ST. LOCALITY oD f DISTRICT NO. SERIA,QNO.. PERMIT N0. Or c NEAREST c� A CROSS ST. .- OWNER RECCA EpJ3Y Ready for Inspection �AT 1-&3 MAIL j �,/(,//K •e('�S lJ ADDRESS f USE ZONE OCCUPANCY MAP BK PG CITY TEL.NO. CONTRACTOR? //��� CHAR ES ,11 REIMBURSEMENT FEE ADDRESS�D x / T, REQUIRED CITY F TEL.NO.4,,XIj jj p NOT REQUIRED j� JOB.N0. CONNECTION CHARGE FEE REGISTRATI NO. v COJIASTATE N CO.IMP.NO. — LEGAL RECEIPT NO. I DATE BY DESCRIPTION LOT N0. ��.�- —' 'BLOCK; TRACT �ilio�l•.u+^ ..L�r.J g-�C.iLdo ' WAIVER FOR RECORDING SIZE OF LO a �v/ G N0.OF BLDGB.L � (/, YM of �� NOW ON LOT .r.� RECEIPT N0. -BY USE USE BUILDINGSLe:t� TRUNK PERMIT NO. r• - "'""' " NO. DESCRIPTION OF W%3RK FEE _ '_HOUSE SEWER,CONNECTINO TO •ROAD''PERMIT N0. " PUBLICSEWER' li, Q $-,3.50 0 HOUSE SEWER CONNECTING TO STATE ENCROACHMENT ' PRIVATE DISPOSAL SYSTEM 1.00 PERMIT NO. CONNECT ADDITIONAL BLDG.-OR INDUSTRIAL WORK TO HOUSE SEWER 1.00 WASTE APPROVAL ALTER OR REPAIR EXISTING SEWER OR DISPOSAL SYSTEM- 1 00 CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 001 SEPTIC TANK,SEEPAGE;PIT OR STATION 2 -7- vF'� DEPTH 7 PITS AND/ORDRAINFIELD _MANHOLE REFERENCE ' / /��' CESSPOOL—DRYWELL 'NPP-EER---- OWER SPECIAL CONDITIONS ONLY 2.00 I _ I TYPE OF CONNECTION LENGTH-FROM f _ CURB 4-.::rr ML.TO P L.`- OWNERS PERMIT $ . 1 00 AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED WITH THE HEREiN NAMED CONTRACTOR TO'CONNECT THE ABOVE DESCRIBED EXISTING- ''APPROVALS ` fNSPECTOR'SSIGNATURE DATE DWELLING TO THE PUBLIC SEWER \ h SIGNED THIS_-_.-..._.. .. .D Y O � , -------•_--------�-------------. 19�-- ) NEW HOUSE SEWER ��� f vi,�i.s. ,• - OWNER OR /� '�� CONNECT ADDITIONAL OWNERS AGENT .... ... J.:C�`� BUILDING OR WORK - - t - - ADDRESS ' S SEPTIC TANK,SEEP.PIT(S) - --- ---------- AND/OR DRAINFIELD IHEREBY AC OWLEDGE THAT I HAVE READ THIS AAPLI. CESSPOOL f j DRYWELL E] l �� f CATION AND ST E THAT THE ABOVE IS CORRECT AND AGREE •5 h/� �liGff TO COMPLY WITH ALL COUNTY ORDINANCES,AND STATE LAWS ALTER,REPAIR SEWER 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 I AM THE LEGAL OWN- ER OF THE ABO DESCRI RESIDE TIAL PROPERTY. BACKFILL SEPTIC TANKS SEEP.PIT(S)[-] CESSPOOLS SIGNATURE OF PERMITTE -- - its ro 76A6421) 663 12/52 - - ' ' r DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS-ANGELES ` y WILLIAM J. FOX, COUNTY ENGINEER ADDRESS ,x"3'8 CASSATT D. GRIFFIN SUP;r DF BUILDING FOR APPL CANT TO FILL IN LOCALITY 70Pm oa BUILDING NEAREST ADDRESS CROSS ST. LOCALITY DISTRICT NO. SE IAL NO. PERMIT N0. c NEAREST A (y}p ��4,0 J CROSS ST REC VED B Ready for Inspection DATE ISSUED OWNER MAIL ADDRESS (,p USE ZONE OCCUPANCY MAP BK PG CITYT�L.NO. ��� CONTRACTOR CHARG S REIMBURSEMENT FEE - s ADDRESS REQUIRED 1 NOT REQUIRED CITY TEL.NO JOB.N0. � CON NEC •ON C AFiGE.F_EE REGISTRATI N NO. STATE [p Q COU T CO.IMP.NO. I c` LEGALRECEIPT N0. DAT_E BY DESCRIPTION LOT N0. �"`I��f BLOCK TRACT WAIVER FOR RECORDING SIZE OF LOT �i NOW ON LOT NO.OF BLDGS. USE RECEIPT..N—N0I T . DAE °8Y` BUILDINGS 6 Y DC1 I NGS pL/ NO. DESCRIPTION OF W RK FEE NO. PERMIT N0. HOUSE SEWER CONNECTING TO ROAD PERMIT NO. PUBLICSEWER @ $ 3.50 HOUSE SEWER CONNECTING TO STATE ENCROACHMENT ~ PRIVATE DISPOSAL SYSTEM t.00 PERMIT NO. i CONNECT ADDITIONAL BLDG.OR INDUSTRIAL WORK TO HOUSE SEWER 1.00 Q WASTE APPROVAL ALTER OR REPAIR EXISTING r SEWER OR DISPOSAL SYSTEM r 1 00 CONNECTION DATA N DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1 1.00 STATION DEPTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD - 2.00 MANHOLE REFERENCE CESSPOOL—DRYWELL I I UPPER LOWER SPECIAL CONDITIONS ONLY 200 TYPE OF CONNECTION, LENGTH FROM Y. CURB P.L. M.L.TO P.L. OWNERS PERMIT $ I 00 AUTHORIZATION TOTAL FEE bD 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._= A.__li4-1� I ----- NEW HOUSE SEWER - -------------------------- OWNER. OR CONNECT ADDITIONAL /sem OWNERS AGENT - Rf/ /----- •-Y--- _ BUILDING OR WORK ADDRESS.-............ - � SEPTIC TANK,SEEP.PIT(S) - _- - -------•------ AND/OR DRAINFIELD I HEREBY ACK OWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL(�DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIR SEWER REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I 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 R [DENTIAL PROPERTY. BACKFILL SEPTIC TANKS Ej i I SEEP.PIT(S)E] CESSPOOLS❑ SIGNATURE � " OF PERMITTE - .....I...... 76A642D 663 12/52