The URL can be used to link to this page

Home My Public Portal About5916 MUSCATEL AVE_Sewer__ '6A6420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS D JOHN A. LAMBIE, COUNTY ENGINEER "DRE"S COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY` NEAREST CROSS ST. FOR APPLICANT TO FILL IN DESCRIPTION LOT NO. OWNER MAIL AA _BLOCK TRACT ,,� ADDRESS NO, OF SLOGS. SIZE.' OF LOT _NOW ON CIT TEL. N.- DISTRIC MAP BUILDINGS T NO. GROUP PROCESSED BY SK PG CONTRACTOR144 ;i 1"I"f ADDRESS CONNECTION DATA STATION DEPTH CITY NO. STATE LIC UPPERMANHOLE REFERENC _LICENSE NO,_ CLASS LOWER NO DESCRIPTION OF WORK FEE TYPE Or CO-NE TION FROM Y B P PC-ON 'L TO i Ho-us-F--SEWE CONNECTING TO UR P.L. > PUBLIC SEWER @ 'S DO CL SEPTIC TANK,SEEPAGE PIT OR 0 PITS AND/OR DRAINFIELD @ $10,00 Co.IMP. NO / j IN,0.O. u --H-OLFSE SEWER CONNECTING TO TRUNK PERMIT NO. ROAD PERMIT NO. PRIVATE DISPOSAL SYSTEM @ $3,00 i 0 CONNECT ADDITIONAL BLDG OR -AFFIDAVIT WAIV ORD. INSTR.No. DATE WORK TO HOUSE SEWER $3.00 EXTN..CESSPOOL.DRYWELL,MANHOLE $5.00 ALTER,REPAIR OR ABANDON HOUSE HWY,OR ST.WIDENING > ____4_SE)A�ROR DISPOSAL SYSTEM @ $3.00 TATE ENCROACHMENT PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWNER'S PERMIT $ 2 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEEI ------ C I HAVE AT THIS DATE A CONTRACT WITH THE HEREININAMED CON REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXIST -01"VELLING IToTHE P USLIC SEWER, APPROVALS DATE INSPECTOR'S SIGNATURE SIGNEDTHIS..-DA w- S R') � OW'�NER OR _NEW HOUSE SEWER OWNERS AGE CONNECT ADDITIONAL BUILDING OR WORK AD SEPTIC TANK,SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COU NTY ORDINANCES AND STATE LAWS REGULATING PLUMBING ING AND SEWERS. RS. CESSPOOL 0 ORYWELL ❑ I HERESY R-TIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSE[) A EQUiRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM R �SIGNCALIFORNIA THAT I M THAT I AM THE LEGAL OWNER OF, AND INTEN�ll DISCONNECT PLUG AND R AS_VE _E., PqNPERT' SEWER ES4DE IN. T ABOVE DESCRIBED RESIDE ABANDON HOUSE � ATURE BACKFILL SEPTIC TANKS ❑ OF PERMITTEE. SEEP.PIT(Si ' CESSPOOLS LS ')l,VALIDATION JACK R. ALLEN SUPERVISING MECHANICAL ENGINEER CK„,'” M.O. CASH E808, APPLICATIONQ FOR PERMIT ` I '8A642D COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FA..RE NG - JOHN A. LAMBIE, COUNTY ENGINEER SS COLEMAN W. JENKINS. SUPT. OF BUILDING ��fFF a �_ T YTFOR APPLICANT TO FILL IN ST. L F _ --_— DESCRIPTION LOT NO. Z,-'l — —MAIL BLOCK TRACT ADDRESS 44 NO. OF BLDGS. a- SIZE. OF LOT NOW ON LOT CIT _tT5L. NO. BUILD! p _s DISTRICT No. GROUP MAP PROCESSED BY -- _ --- BK PG f� e CONTRACT _ADOREPS 4 _ a CONNECTION DATA CF --�— TEL. O STATION DEPTH ' STATE ^'� LIC MANHOLE REFERENCE T UPPER _.- LICENSE NO 0 3 GLASS LOWER No.j .DESCRIPTION O WORK- FEE --- .— 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. SEPTIC TANK SEEPAGE PIT OR � PTS AND/OR DRAINFIELD @ $10,00 I CO.IMP.NO. JOB NO. HOUSE SEWER CONNECTING TO w PRIVATE DISPOSAL SYSTEM $3.00 TRUNK PERMIT NO. ROAD PERMIT NO. 0. @ (�c CONNECT ADDITIONAL BLDG OR AFFIDAVIT WAIVER EASEMENT RECORD.INSTR-NO. DATE / WORK TO HOUSE SEWER— _@ $3.00 -- --- I tOVERFLOW E P SEEPAGIT.DRAINFIELD EXTN..CESSPOOL.DRYWELL,MANHOLE@ $5.00 gp) ALTER.REPAIR ORR ABANDON NDON HOUSE T } IWY.OR ST.WIDENING I SEWER OR DISPOSAL SYSTEM @ $3.00 __—. .__t_— STATE ENCROACHMENT -- ---_� - - PERMIT NO, INDUSTRIAL WASTE APPROVAL OWNER S PERMIT g~ �— _______cHARGEs p 00 --- - --—---- --�-- CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE S sy 1 C rl� -- ---- — REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- '" — --- TRACTOR T0C ONNECT THE ABOVE DESCRIBED EXISTING DWELLING --- - -- TO THE PUBLISEWER. APPROVALS DATE INPECTOR'S SIGNATURE SIGNED THIS.. DAY OF 19_ --`---- ' OWNER OR NEW HOUSE SEWER ) OWNERS AGFNT— CONNECT ADDITIONAL - BUILDING OR WORK ADDRESS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION SEPTIC TANK.SEEP,PIT(5) AND/OR QRAINFlELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEW ERS. CESSPOOL ❑ DRYWELL El I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALE TER,RPAIR.SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT .AM THECL OWNER OF, D INTEND TO DISCONNECT PLUG AND RES!D N, E A0 E bESCRI D RESIDE L ROP TY. ABANDON HOUSE SEWER SIGN BACKFILL SEPTIC TANKS ❑ ` -- - ❑ CESSPOOLS ❑ V LIDATION JACK R. ALLEN CK. MO. SUPERVISING MECHANICAL ENGINEER . CASH Ery f 76AC42V, APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles P U I LD ING JOHN A. LAMBIE, COUNTY ENGINEER Al 44 CASSATT D. GRIPFIN, SUPT OF BUILDING LOCALITY ,k/1" ��FAREST. 4V FOR APPLICANT TO FILL IN SS ST L E GAL F C OWNER S R!PT;ON L 6 MAIL ADDRESS BLOCK TRACT NO OF BLOTS SIZE OF LOT Ilk NOW* ON LOT .ITV TEL. NO, USE OF 1! '§ "I �y Z /' DISTRICT NO, Y-'— GROUP MAP j i Bu CONT PG RACTOR A DD RESS CONNECTION DATA —----- �TATION DEPTH crry TEL N0. `',.' MANHOLE REVERENCE, STATE '.LOWER _HGISTRATI0.ON 4 COUNTY NO. 1 DESCRIPTION OF INORK FEE TYPEOF fi-t7NNECTION LENGTH FROM HOUSE SEWER CONNECTING TO CURB P�L. M.L.TO P.L. _! PU3LIC SEWER @ 1 SEPTIC TANK,SEEPAGE PIT OR PITS ANDtOR DRAHNFIELD @ 3,00 OVERFLOW SEEPAGE PIT,DRAINFIELD P e . C. NO, EXTN_CEiS POOL,DRYWFLL,V*==v=v Cm $2.00 1 CO, 114P NO.. 2 JOB NO. I HOUSE SEWER CONNECTING TO PRIVATE D15POSAL SYSTEM Cb $1.00 'RUNK PERMIT NO. ROAD PERMIT CONNECT ADDITIONAL BLDG.OR, iiTATE ENCROACHMENT -WORK 10 HOUSESEWER ca, s I-Go PERMIT NO, ALTER,REPAIR OR ABANDON HOUS E —----- INDUSTRIAL SEWER OR DISPOSAL SYSTEM rz WASTE APPROVAL CONNECTION CIARGE FEE OWNER'S PERMIT S '71t 00 ------ AUTHORIZATION TOTAL FEE M r REIMBURSEMENT FEE APPR( 1 HAVE AT THIS DATE A COD TRACT WITH THE HEREIN NAMED CON- :)VALS DATE 1 N S P E CTO R'S S 1 G N A T UPF. 'RACTUR TO CONNECT THE ABOVE DESCRiSEV EXISTING DWELLING TO 14 HE PUBLIC SF'WEA, NEW HOUSE SEWER SIGNED T}i!S____ DAY OF '_0NNECT ADDITIONAL OWNER ORBUILDJNG OR WORK OWNERS AGENT— SEPTIC TANK,SEEP,PIT(S) A DDRE !'ND/OR DRAIN_FIELD I I HERESY ACKNOWLEDGE THAT I HAVE: READ THIS APPLICATION rESSPOOLE] ORYWELLL] AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR PLUM8iNC AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 14EREBY CERTIFY THAT E A.14 PROPERLY REGISTERED AND/OR LICENSED AS RErUIPED BY LOS ANGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA. OR THAT I AM THE LEGAL OWNER OF THE ABOVE _AR_A,NDON HOUSE-SEWER DESCRIBED RES!DENTIALyPROPERTY, BACKFILL SEPTIC TANKS L7 SIGNATURE SEEP.PIT(S) L! CESSPOOLS 6" 0 OF PERMITTEE . A4 4 4 6 1OHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLE3G, INSPECTOR cy, MQ. CASH j PE808-OAS42D � 8-58 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r"7 ADDRESS C JOHN X LAMBrE, County Engineer CASSATT D. GRIFTIN,Supt of Building LOCALITY rNEARFST — FOR APPLICANT TO FILL IN CROSS 51'. LEGAL DESCRIPTION LOT NOw At OWNER BLOCK TRACT 14AIL ADDRESS NO.OF BLDGS, SIZEOFLOT rib NOW ON LOT CITY TEL.N0, USE OF DISTRICT NO, GROUP MAP P GROU BK PG RDCESSED BY CONTRACTOR a ADDRESS CONNECTION DATA CITY TEL. NO, STATION DEPTH STATE' REGISTRATION NO. COUNTY_ MANHOLE REFERENCE UPPER NO. DESCRIPTION OF WORK FEE z LOWER HOUSE SEWER CONNECTING TO I -� -�L31 UBLIC SEWER @ $3.00 SEPTIC TANK,SEEPAGI PIT OR TYPE OF CONNECTION LENGTH FROM ITS AND/OR DRAINFIY,LD q $3.00 Y. CURB P.L. M.L.TO P.L. OVERFLOW SEEPAGE PIT, DRAINFIE!D EXT N_CESS POO L,D RYW EL I,.MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO, PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO, JOB NO, CONNECT ADDITIONAL BLDG.OR N t1 TRUNK PERM K TO HOUSE S EWU R $1.00 IT NO. ROAD PERMIT NO. ALTER, REPAIR OR ABANDON HOUSE STATEENCROACHMENT SEWER OR DISPOSAL SYSTEM @ $1.00 PERMIT NO. INDUSTRIAL WASTE APPROVAL CHARGES OWMR'S PERMIT $ 2 00 CONNECTION CHARGE FEE " 1,5rC) REIMBURSEMENT FEE: AUTHORIZATION TOTAL FEE w —�� I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER. I I ? I ) NEW HOUSE SEWER SIGNED THIS DAY OF OWNER ORCONNECT ADDITIONAL OWNERS AGE T BUILDING OR WORK p-; SIEPTI C TANK,SEEP,PITS) ADD!ZESS==z� AND/OR.DRAINF5ELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL[I DRYWELL El WITH ALL COUNTY ORDINANCE'S 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 MOUSE SEWER CALIFORNIA OR THAT, I AM THE LEGAL OWNtR OF THE At3OVE DESCRIBED RESIDENTrXL-P-AOP£RTY. FACKFTLL SEPTIC TANKS El SIGNATURE SEEP. PIT(S) CESSPOOLS [I OF PERMITTFEj- e� VAIJDATION ROBERT A.WOOD CK. mw 0. CASH SUPERVISING MECHANICAL ENGINEER