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HomeMy Public PortalAbout9652 LIVE OAK AVE_Sewer__ I, DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DOSPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES G^ ` WILLIAM J. FOX, COUNTY ENGBUILDINGINEER �I ADDRESS FAVIS OR APPLICANT TO FILL INBUILDI LocAurr ' 1 i CR SS ST.s ,� ;• DISTRICT N0. S RIAL N0. ` PERMIT N0. C NEAREST v �� A CROSS ST. ECEIVED BY Ready for Inspection DATEtI`SSUED OWNER fG ken MAIL USE ZO 1� OCCUPANCY MAP ADDRESS — I I BK PG CITY TEL.gO. `— CONTRACTOFV_ C. Nottingham rn_ of Temple Cid CO.IMP.N0. ADDRESS 5933 N. CLLO•�VyE�RLLYYLAVE. JOB.NO. CITY � P�TEL'W4?'"�"�9 TRUNK PERMIT N0. STATE REGISTRATION NO. Ej COUNTY I ROAD PERMIT NO. LEGAL STATE ENCROACHMENT DESCRIPTION LOT N0. PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE OF LOT NO.OF BLDGS. CHARGES NOW ON LOT USE BUILDINGS 9 CONNECTION CHARGE FEE NO. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLICSEWER @ $ 3.50 RECEIPT NO. 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 I DATE I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER _ AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD A / 2.60 STATION- DEPTH CESSPOOL—DRYWELL SPECIAL CONDITIONS ONLY 2.00 00 MANHOLE REFERENCE UPPER LOWER TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L,TO P.L. OWNERS PERMIT $ I 1 00 AUTHORIZATION I TOTAL FEE I 3 V HAVE Da CONTRACTOR TO CONNECT THDATE E AED BOVE D SCRIBEDWITH THE I EXISTING I ED APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS....____._.......DAY OF.____________ .___ _19_____ NEW HOUSE SEWER OWNER OR j CONNECT ADDITIONAL OWNERS AGENT.................... BUILDING OR WORK SEPTIC TANK,SEEP.PIT(S) ADDRESS--------------_ -______....__________.._..•--•--•--._._....-_._._....... , ° AND/OR DRAINFI D 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 DISCONNECT PLUG AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY —ABANDON HOUSE SEWER AND AND STATE OF CALIFORNIA OR THAT I AMT LEGAL OWN-' ER OF THE AB(JE59'�� 7 LMQPERTY. BACKFILL SEPTIC TANKSEl SIGNATURE _" o fir. 1 I 7lA4pw SEEP.PIT(S)Ej CESSPOOLS El OF PERMITTEE.. 7GA642A 663 7/53 CEa08-8-58 APDL OCATMfel FOR PERM T . - COUNTY OF LOS ANGELES SEWER—SEWAGE ®0SP®SAL DEPARTMENT OF COUNTY ENGINEER >..:• ,,, BUILDING AND SAFETY DIVISION BUILDINGE AD ADDRESS JOHN JL LAMBIE, County Engineer /j A CASSATT D. GRIFFIN; Sup't of Building °_' LOCALITY c FOR APPLICANT TO FILL LEGAL " C OSS ST. DESCRIPTION LOT NO. /,} j t'+ OWN ERj BLOCK TRA ..A V MAIL ADDRESS NO.OF BLDGS. •� 'n SIZE OF LOT NOW ON LOT CITY TEL.N0. USEOF o BUILDINGS r DISTRICT NO.R GROUP MAP PROCESSED BY CONTRACTOR J !�(71�p y BK PI ADDRESS ��. S CONNECTION DATA - u4 _ CITY 'j TEL.N0. �� I DEPTH �/ STATE REGISTRATION N0.J �� `7 �— OLE REftRENCE 6j / , I U0 ER ; No. DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TO 31 �� , PUBLIC SEWER @ $3.00 TYPE OF CONNECTION LENGTH FROM 2T SEPTIC TANK, SEEPAGE PIT OR Y. CURB P L. M.L.TO P.L. PITS AND/OR DRAINFIELD @ $3,00 47 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. ZiJOB NO. CONNECT ADDITIONAL BLDG:OR TRUNK PERMIT N0. ROAD PERMIT N0. pp WORK TO HOUSE SEWER @"$1.00 ��tl� SEWER OR DISPOSAL SYSTEM HOUSE @ $1 00 STATE ENCROACHMENT - PERMIT NO. i INDUSTRIAL - - 'WASTE APPROVAL CHARGES OWNER'S PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION FTOTAL FEE O REIMBURSEMENT FEE P�f4 7- 1. HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATE INSPECTOR'S SIGNATURE s TRACTOR TO-CONNECT THEA OVE DESCRIBED EXISTING DWELLING f TO THE PUBLIC SEWER. s SIGNED THIS ig_ NEW HOUSE SEWER -' OWNER OR CONNECT ADDITIONAL , OWNERS_AGENT 'BUILDING OR WORK _ t SEPTIC TANK,SEEP,PIT(S) IJ ADDRESS ' - ''} AND/ORDRAINFIELD I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS'APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY ;' CESSPOOL❑ DRYWELL❑ m; WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' ALTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I P P RLY REGIST D AN R t DISCONNECT PLUG AND LICE NSED AS REQUIRED BY OS E S, NTY D OF !;_ ABANDON HOUSE SEWER CALIFORNIA T I A T E L NER T E ABO DESCRIBED ESIDEN AL P OPE BACKFILL SEPTIC TANKS❑ " >>� SIGNATOR SEEP.PIT(S) ❑ CESSPOOLS[I ®P ALIDATI®N ROBERT .WOOD gg; H.@« CASA SUPERVISING MECHANICAL ENGINEER 7 1:5.'6'� i OV A 5.0D 0 r " r yew �,�- I� �EBoBe »e APPUC A ION FOR f�C�RMT COUNTY OF LOS ANGELES r 'SEWER—SFwAGE DISPOSAL ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUIL DING ^ ADDRESS y V / ' JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN. Sup't of Buildfag LOCALITY NEAREST` FOR APPLICANT. TO FILL IN CROSS sT. i�tl�'r'� .IsJ LEGAL 'DESCRIPTION LOT N0. q� OWNER" BLOCK TRACT L ��{/ �+ MAIL ADDRESS N0.OF B OT _. � - - SIZE OF LOT' NOW ON LOT CITY. TEL.N0. USE OF _ :--- - r_.?.,i }. :u. _ r .. BUILDINGS 4 DISTRICT NO.fl GROUP MAP PROCESSED BY '•v PG CONTRACTOR , 44¢ dam "" jo ADDRESS0 7 CONNECTION DATA 4 CITY g TEL.N0. L� PTH a STATE OLE RE RENCEr J UnEp REGISTRATION N0. 7C / �7Y 'n' NO. DESCRIPTION OF WORK FEE 'HOUSE SEWER CONNECTING TO PUBLIC SEWER Q $3,00 a 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 SEEPAGEPIT,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 q .TRUNK PERMIT NO. ROAD PERMIT'NO. WORK TO HOUSE SEWER @ $f.00 ALTER,REPAIR OR ABANDON HOUSE STATE ENCROACHMENT SEWER OR DISPOSAL SYSTEM' @ $1.00 PERMIT NO.' INDUSTRIAL,. -, a WASTE APPROVAL_ CHARGES - ° - O�TNER•S PERMIT $ CONNECTION CHARGE FEE AUTHORIZATION 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-A VE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. y SIGNED THIS A J9_ NEW HOUSE SEWER_ ' OWNER OR CONNECT ADDITIONAL OWNERS AGENT. b BUILDING OR WORK" " SEPTIC TANK•SEEP,'PIT'(S) j, ADDRESS AND/OR DRAINFIELD - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND. AGREE TO COMPLY i. CESSPOOL❑ DRYWELL❑ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING € pLTER,REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PRO RLY REGISTE N DISCONNECT PLUG AND :i LICENSED AS REQUIRED BY N S c TY. D 0 ABANDON HOUSE SEWER CALIFORNIA T I A TH G L ER E ABO DESCRIBED ESIDEN L P OPE Y BACKFILL SEPTIC TANKS❑. v" SEEP.,. IT(S) ElCESSPOOLS'❑ SIGNATURE 'i OF PERMIT ®P` MMATION ROBERT A.•WOOD- 6K. m,g, cull SUPERVISING MECMANICAL.ENGINEER