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Home My Public Portal About9642 LIVE OAK AVE_Sewer__ ) .�, TEMPLE CRTY D CE808 8.58 APPLICATION FOR PERMIT fi808 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER IMIIIIIIIIIIIII BUILDING AND SAFETY DIVISION BUILDING / /� / ADDRESS I., V� OHN A LAMBIE, County Eng�aeer C TT D. GRIFFIN, sup t of Building LOCALITY /ICE �/T / CIgAIF, NEAREST �Lr �6T L.✓Di FOR APPLICAN,T/ T/O FILL IN CROSS ST. LEAL DESCRI -PTION LOT N0. 7y �' � b / OWNER W4.frHl YCTE/Z eZ / ES //y/✓ G'/�!/�N� MAI t! BLOCK TRACT ��~ of A DRESS / //2 �i f/✓E ®moi K y SIZE OF LOT p.1�' NOW ON LOTNO.OFS CITY /�iU_ e/TY TEL NO T 9/ BUILDINGS Cf/U,QCN DISTRICT NO. GROUP MAP P ESSED BY I CONTRACTOR BK PG ADDRESS CONNECTION ATA IF CITY dlAn TEL.N0. STATION DEPTH STATE MANHOLE REFERYCE UPPER REGISTRATION NO. 8 COUNTYLOWER NO. I DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $3.00 TYPE OF CON ECT ON llXGTH 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.N0. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. WORK TOT THOUSEISEWERPE BLDG.OR @ $1 00 TRUNK PERMIT NO. RMIT N0. S WER ABANDON HOUSE @ $100 STATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION FiOTAL FEE 1 3 1 REIMBURSEMENT FEE i HAVE AT THIS DATE A CONTRACT,WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTORS SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OF 19_ NEW HOUSE SEWER OWNER OR �Q CTIIdiTEd� CONNECT ADDITIONAL OWNERS AGENT/ Q7� BUILDING OR WORK ADDRESS ` ` `� C �ic AND/ORD ASEPTIC IINFEELDPIT(S) 1 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 1HEREBY CERTIFY THAT 1 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 ROPE BACKFILL SEPTIC TANKS ❑ ` SIGNATURE t SEEP PIT(S) CESSPOOLS OF PERMITTEE ®r VALIDATION ROBERT A. WOOD CIL M.Q, �gtl SUPERVISING MECHANICAL ENGINEER LAW 7 5 3 1 - J,AN 2 9 3.0 0 � . x CES088-ss APPLICATION- FOR PE MIT clseoe COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LANBIE• CountyEngineer ADDRESS } oC �- �+ e� / 111 CASSATT D. GRIFFIN, Supof Building LOCALITY NEAREST FOR APPLICANT TO FILL IN ^^ � CROSS ST. coo t C• DESCRIPTION ION LOTNO.S� r ?iI AL (� OWNER ��. 6� rVj �� /C ( ,f MAIL ,e BLOCK TRACT/(d/ .GI�St� �"',1J ADDRESS & �l ( A L/r E7. �y 0 OF BLDGS. _ /� 1 L z SIZE OF LOT /f a� ' OW ON LOT I CITY / Gi r'/-" TEL N0. J USE OF DISTRICT N0. GROUP MAP �PROCESOSPBY BUILDINGS PG CONTRACTOR ADDRESS �j CONNECTION CITY TEL.NO. 3 STATION D /3 STATE MANHOLE REFERENC9' UPPER REGISTRATION N0. I/c3 `Com'-- "�� LOWER NO. 1 DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO +��+ PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FRO / SEPTIC TANK,SEEPAGE PIT OR Y. CURB P.L. M.L.TO P.L. PITS AND/OR DRAIN FIELD @ $3 00 '171y OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN. CESSPOOL DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. PRIVATE DISPOSAL SYSTEM @ $1 00 CQ '". JCa.i 8— CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT NO. ROAD PERMIT NO. WORK TO HOUSE SEWER @ $100 ALTER,REPAIR OR ABANDON HOUSE T( SEWER OR DISPOSAL SYSTEM @ $100 ERM O. INDUSTRIAL WASTE APPROVAL CHARGES OWNER'SP T $ 2 00 CONNECTION CHARGE FEE 0—V AUTHORIZATION TOTAL FEE 4%-0 REIMBURSEMENT FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGN TURE TO THE PUBLIC SE R NEW HOUSE SEWER SIGNED THIS_ DAY OF ��' 19�� s I _ OWNER OR CONNECT ADDITIONAL OWNERS•AG pT t BUILDING OR WORK r4`/ SEPTIC TANK,SEEP.PIT(S) ADDRESS AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE T AT 1 WAVE' READ THIS APP ATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL ❑ DRYWELL ❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING pLTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT 1 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 RESID L PROPER Y. BACKFILL SEPTIC TANKS ❑ SIGNATURE SEEP.PIT(S) ❑ CESSPOOLS ❑ OF PERMITTE , ®" , VALIDATION ROBERT A. WOOD CIL H.o. GSH SUPERVISING MECHANICAL ENGINEER ��n✓ �) DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES - WILLIAM J. FOX, COLINTY ENGINEER BUILDING ADDRESS 69 FOR APPLICANTITO FILL I LOCALITY BUILDING /J �� --ISS v� ANEAREST DDRE1 [[ CROSS ST. V LOCALITY DISTRICT NO SERIAL NO. PERMIT NO. NEAR-EST CROSS ST. RE EIVED`BY Ready for Inspection DATE ISSUED OWNER L -3-� MAIL � DDRESS USE ZONE BK I OCCUPANCY I MAP APG aAjjl CITY TEL.NO. 4 CONTRACTOR BRISM enR►('TmlVAT►nR!n CO.IMP.N0. ADDRESS P. O. BOX 192 JOB.NO. CITY MONTEBELLOi"RIFORNIA- TRUNK PERMIT NO. ATE REGISTRATION 010. � ��A t? 9 3 COUNTY ROAD PERMIT NO. LEGAL p l q STATE ENCROACHMENT DESCRIPTION LOT NO. PERMIT NO BLOCK TRACT �d'A U tcC�.d' INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLOBS. CHARGES NOW ON LOT O USE BUILDINGS CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FE HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $ 3.50 RECEIPT NO. 1I\ DATE I BY HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR y. EXCEPTIO-N`ECORDED WORK TO HOUSE SEWER 1.00 v ALTER OR REPAIR EXISTING NO' I DAT BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 CONNECTION D A SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 STATION EPTH CESSPOOL-DRYWELL SPECIAL CONDITIONS ONLY 200 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L TO P L. OWNERS PERMIT ; I I 00 - AUTHORIZATION I TOTAL FEE I �_ G o 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 NEW HOUSESEWER CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT.................................................. -._._._ SEPTIC TANK,SEEP.PIT(S) ADDRESS..............._.----.-••....-..........__._.- ... AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE 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 OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS An SEEP.PIT(S)E:] CESSPOOLS❑ SIGNATURE kjn OF PERMITTEE ................... --------•- 76A642A 663 7/53