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Home My Public Portal About9661 LONGDEN AVE_Sewer__ CE808 3-C4 76A642D APPLICATION R PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING B' ' S G 10HN A. LAMBIE, County Engineer WILLIAM A. JENSEN, Sup't of Building L I TY Z7. FLOCALiTY NEAREST -t FOR A CROSS ST. FII IN DESCRIPTION OWNER MAIL BLOCK ADDRESS NO, OF BLDGS. SIZE OF LOT NOW ON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY BK PG CONTRACTOR ADDRESS CONNECTIOM DATA v CITY - ,. STATION DEPTH T z TEL. NO. REGISTRATION STATE MANHOLE REFERENCE COUNTY LOWER NO. DESCRIPTION OF WORK FEE TYP EO F CONNECTIONji= LENGTH FROM HOUSE SEWER CONNECTING TO Y. _,CURB P.L. M.L.TO P.L. $5.0 PUBLIC SEWER 0 .......... SEPTIC TANK,SEEPAGE PIT OR a P.C.NO, >_ PITS AND'OR DRAINFIE CO.IMP.NO. JOB NO. CL AND; LID $10.00 HOUSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. 0 PRIVATE DISPOSAL SYSTEM @ $3.00 U CONNECT ADDITIONAL BLDG.OR 0 AFFIDAVIT WAfV ORD,INSTR.NO. DATE GL WORK 70 HOUSE EWER S3.00 OVERFLOW SEEPAGE PIT,DRAINFIELD fir0 EXTN CESSPOOL.DRYWELL.MANHOLE 0 $5.00 ALTER,REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $3.00 STATE ENCROACHMENT _PERMIT NO. z INDUSTRIAL WASTE APPROVAL OWNERS PERMIT $ 21 00 CHARGES AUTHORIZATION TOTAL FEE I F CONNECTION CHARGE FEE -1 HAVE AT THIS DATE A CONTRACT WITH THE HEREINNAMED 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 "01 NEW HOUSE SEWER OWNERS AGENT . .�:1j --- CONNECT ADDITIONAL ADDRESS_ BUILDING OR WORK I HFSEPTIC TANK,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SEEP,PIT(S) ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR ORAiNFIELD WITH ALL COUNTY 0 RDINANCES AND STATE LAWS REGULATING PLUMBING ING AND 5 EWERS. CESSPOOL C) DRYWELL ❑ IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED By LM THE LEGAL ANGLES COUNTY AND STATE OF 5 EWAGE DISPOSAL SYSTEM C ALIFORN I A OR THAT I AAL OWNER OF, AND INTEND TO - RESIDE IN, THE ABE PROPERTY RESIPENTIAL DISCONNECT PLUG AND ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE -MA(:(KFILL SEPTIC TANKS SEEP CESSPOOLS 0 "LTION ROBERT A. WOOD IDA CK. M.D. CASH SUPERVISING MECHANICAL ENGINEER 642D 3"64 76AAPPLICATION FOR PERMIT 76A64 •' COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS WILLIAM A. JENSEN, Supt of Building LOCALITY NEAREST FOR APPLICANT TO FILL IN CRD53 ST. LEGAL DESCRIPTION LOT NOS {j' ,�' .� j _OWNER -_ __..— MAIL e✓ BLOCK TRgj - ADDRESS '} OF SLID SIZE OF LOT NOW ON LOT CITY [,:t'./•^.+ C USE OF NO. ,,.� T. BUILDINGS �jy �r,rte,, DISTRICT NO. GROUP MAP ICESSIED BY BK PG CONTRACTOR '�� ADDRESS"/ C amu. CONNECTION DATA / �, CITY ,.'_.h',..- . -, TEL. NO. +K'" STATION DEPTH STATE MANHOLE REFERENCE �`'7 REGISTRATION NO. Lj COUNTY -! f� { ' "�[� R No. GESCRIPTION OF WORK FEE J ! ' r LOWER __ TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.TO P.L. PUBLIC SEWER_ @ $5.00 P.C.NO. b. SEPTIC TANK,SEEPAGE PIT OR - �IJOB NO. O. PITS AND/OR DRAINFIELD @ $10.00 I CO.IMP.NO. — -__ HOUSE SEWER CONNECTING TO -"" ---+++------ TRUNK PERMIT NO. ROAD PERMIT NO. U ..1��PRIVATE DISPOSAL SYSTEM @ $3.00 CONNECT ADDITIONAL BLDG.OR I AFFIDAVIT wale[ us[M[Nr RECORD.INSTR.NO. DATE �= WORK TO HOUSE SEWER $3.00 O OVERFLOW E SEEPAGPIT,DRAINFIELD —� �y EXTN.,CESSPOOL,DRYW ELL,MANHOLE @ $5.00 1 .hC/y1j�L. AtZE*.,_IXE,W .;.&-03ABANDON HOUSE -� ^�^ H WOR IDE1fIN - LULU SEWER .»� @ $3.00 1n �t -j.— STATE ENCROACHMENT - PERMIT NO. -- - INDUSTRIAL WASTE APPROVAL CHARGES OWNERS PERMIT $ 2i 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE '1 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 BUILDING OR WORK ADDRESS_ SEPTIC_ -- -- -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/O TANK,SEEP,PIT(S) AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY N9/QR DRAINFIELD WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL ❑ DRYW ELL ❑ I}- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND INTEND TO — --- -`--j - -- { T RESIDE DISCONNECT PLUG AND IN, THE ABOVE DESCRIBED RESIDENTIAL ROPERTY. ABANDON HOUSE SEWER SIGNATURE OF PERMITTEE /` � �" W�^ BAC KF'ILL SEPTIC TANKS ❑ ---"- - SEEP,PITS) ❑ CESSPOOLS ❑' VALIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER L ' "v DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER � BUILDING CASSATT D. GRIFFIN, SUP'T OF BUILDfNG ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUiLDING4� NEAREST ADDRESS 7 A4 � Y �. ,.� CROSS ST. LOCALITY DISTRICT NO. SERIAL NO. I PERMIT NO. NEAREST 7— _ CROSS ST-/ C ��s�` o'yj ' '}� L RECEIVED BY Ready for inspection DATE ISSUED OWNER -- MAIL USE ZONE I OCCUPANCY MAP ADDRESS BK PG CITY TELAO. CONTRACTOR �/f ! �' —� CHARGES REIMBURSEMENT FEE ADDRESS / REQUIRED _ .�= /L-fw,Jlj�;—L��, r'f NOT REQUIRED- CITY r TEL.NO./` /_6 JOB NO. CON--� yi11 NECTION CHARGE FEE REGISTRATION N0.`L• .4049 cJ3 !w COUNTY Co. IMP. NO. LEGAL ? RECEIPT NO. DATE I BY DESCRIPTION L_ BLOCK TRACT WAIVER FOR RECORDING SIZE OF LOTn NO OF BLDGS. " RECEIPT NO. DATE_ BY '.4 � ,) d c NOW ON LOT_ `3 USE OF c BUILDINGS .-y 9 yy _ TRUNK PERMIT NO. NO.I DESCRIPTION OF WOPK FEE — — H0USE SEWER CONNECTING TO ROAD PERMIT NO. PUBLIHOUSE EWER $ 3.56 I STATE ENCROACHMENT HOUSE SEWER CONNECTING TO PERMIT NO. PRIVATE DISPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG.OR INDUSTRIAL _ WORK TO HOUSE SEWER L00 I WASTE APPROVAL ,—IfI 6 If REPAIR EXISTING SEWER OR DISPOSAL SYSTEM 1.00 I CONNECTION DATA DISCONNECT AND ABANDON SEWER __AND/OR DISPOSAL SYSTEM 1.00 I STATION DEPTH SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 I MANHOLE REFERENCE CESSPOOL—DRYWELL U?^-E*1: LOWER SPECIAL CONDITIONS ONLY 2.00 I TYPE OF CONNECTION LENGTH FROM Y. CURB -P.L. M.L.TO P.L. I OWNERS PERMIT s I oo — AUTHORIZATION TOTAL FEE IHAVE THIS DATE CONTRACNAMED CONTRACTOR TO CONNECT THTE ABOVE DESCRIBEDWITH THEI EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS___... OF_................_......._._. 19........ NEW HOUSE SEWER OWNER ORff�� j/ CONNECT ADDITIONAL OWNERS AGENT '..f....y{�✓.__ . -� °'". BUILDING OR WORK _....... ADDRESS,)(----- �'.. ..... -. SEPTIC D/OR DRAINFIELD PIT(S) �- I HERESY ACKNOWLEDGE THAT 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 RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S)0 CESSPOOLS OF PERMITTEE--... ----- ----_..... ------- 76A642D 663 12/5" DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING CASSATT D. GRIFFIN, SUPT OF BUILDING ADDRESS FOR APPLICANT, TO ILL IN LOCALITY BUILDING � NEAREST ADDRESS CROSS ST. LOCALITY DISTRICT N0. SERIAL NO. PERMIT NO. c+ I c NEAREST ' _ _ A _ S GROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER ZWK MAIL USE 70N£ � OCCUPANCY MAP ADDRESS BK PG CITY CONTRACTOR CHARGES REIMBURSEMENT FEE ADDRESSREQUIRED e ---"�—�—�► NOT REQUIRED CITY JOB NO. CONNECTION CHARGE FEE STATE G0.IMP. NO. I BEGISTRAT N NO. OUNTY LEGAL ) RECEIPT NO. I DATE BY DESCRIPTION LOT N _ BLOCKf TRACT WAIVER FOR RECORDING SIZE OF LOT. +} NO.OF BLDGS. RECEIPT NO. DATE BY fes- � NOW ON IST USE OF �.. �' .` BUILDINGS TRUNK PERMIT NO. NO.{ DESC IPTI,ON OF WORK F — - — HOUSE SEWER CONNECTING TO ROAD PERMIT NO. S PUBLIC SEWER S 3.50 HOUSE SEWER CONNECTING TO I 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 1 SEWER OR DISPOSAL SYSTEM 1.00 ! CONNECTION DATA '-.. DISCONNECT AND ABANDON SEWER -_"[)/OR DISPOSAL SYSTEM_ t.00 STATION DEPTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR ORA]NFIELD _ 2.00 I MANHOLE REFERENCE CESSPOOL-DRYWELL UPPER LOWER SPECIAL CONDITIONS ONLY 2.00 TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TOP.. OWNERS PERMIT $ I 1 00 - AUTHORIZATION I TOTAL FEE IHAVE THIS CONTRACTOR TDO CONNECT THATE TE ABOVE DESCRIBED ED WITH THE IEXISTING AED PPROVALS INSPECTOR'S SIGNATURE DATE DWELLING TO THE PUBLIC SEWER SIGNED THIS---------_..--•---DAY OF-.-................................ ..19........ NEW HOUSE SEWER CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERSAGENT.....-------................................_.....--..--.................._ SEPTIC TANK,SEEP.PIT(S) ADDRESS----------- ------ - - AND/ORDRAINFIELD t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. CESSPOOL[] DRYWELL Q 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 t AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY G AND _DISCONNECT ABANDON HOPLUGUSE AND STATE OF CALIFORWA OR THAT 1 AM THE LEGAL OWN- — ER OF THE ABOVE D ' ED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS SIGNATURE n -. C SEEP.PIT(S)E] CESSPOOLS < r�rt OF PERMITTEE_ ...... ........... . --..-•-..- ;r,0642D E63 12/5:2