HomeMy Public PortalAbout5606 NOEL DR_Sewer__ DEPAKTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J FOXv COUNTY ENGINEER I ADD EISS,4' Q d /y L
i
FOR APPLICANT TO FILL IK LOCALITY �/j � C,
BUILDNEARES
ADDRESS J O b Vf///�/ CROSS ST {�
LOCALITY . DISTRICT NO SERIAL NO PERMIT NO
NEAREST A 343 7�'V_
CROSS 8T 4 RECEIVED BY Ready for Inspection DATE ISSUED
OWNERMAIL
ADDRESS .S—OC O ���p�/L - &SEZONE OCCUPANCY BK MAP PG
-� TEL NO
CITY � LL
CONTRACTOR
ADDRESS JOB NO
CITY TEL NO Sf TRUNK PERMIT NO
i SiMI*E
REGISTRATION NO a COUNTY ROAD PERMIT NO
LEGAL e) STATE ENCROACHMENT
DESCRIPTION LOT NO /t, PERMIT NO
BLOCK TRACT �� ��NO OFLOWASTE APPROVAL
SIZE OFLOT��x� 20 NOWONLOTS
CHARGES
USE OF �` L
BUILDINGS �L. CONN ON CHARGE FEE
NO DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT
PUBLICSEWER ! s 350 RECEIPT NO TE IBY
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 100
CONNECT ADDITIONAL BLDG OR XCEPTION RECOR
WORK TO HOUSE SEWER 100 NO
ALTER OR REPAIR EXISTING DATE B
SEWER OR DISPOSAL SYSTEM loo
DISCONNECT AND ABANDON SEWER
AND/OR DISPOSAL SYSTEM 100 CONNECTION DATA
SEPTIC TANK,SEEPAGE PIT OR
CPITS AND/011
88 OOL—DRYWELLELD 200 STATION LJ/�G`S� DEPTH
SPECIAL CONDITIONS ONLY 2000 NH�OLE�REFERENCE
l0 ER
TYPE OF CONNECTION GTN FROM
Y CURB PL ML TOPL
OWNERS PERMIT ; I 00
AUTHORIZATION I TOTAL FEE 3
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INS Eq TOR'S8IGNATURE DATE
DWELLING TO THE PUBLIC SEWER,,"
SIGNED THIS l DAY OF 71*-tr_ - _ I NEW HOUSE SEWER ,9�,�, N
OWNER OR e� ECT ADDITIONAL
OL ING OR WORK
WNERS AGENT'c
/, /�� SEPTIC TANK SEEP PIT(8)
ADDRESS 7,0w/--6, -f"�F � � AND/OR DRAINFIELD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL DRYWELL I]
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWER OR
REGULATINGPLUMBING 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 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS
SIGNATURE SEEP PIT(S)E] CESSPOOLS
OF PERMITTEE _r
7UG42A 063 7/53
DEPARTMENT OF COUNTY ZKGnrEER SEWER—SEWAGE DISPOSAL 1
' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BILDING
WILLIAM J. FOX, COUNTY ENGINEER I ADDRE880 e /$e,0t-'L,
FOR APPLICANT TO FIL LOCALITY ?" C ,
ADDRESS [pD , ZI NEAREST
�loo'cl
LOCALITY DISTRICT NO Ready for Jpobtloo PERMIT NO c
NEAREST I (_ y� �- J
CROSS ST
RECEIVED BYBB DATpE� ISSUED BY DATE
OWNERZth Ap
MAIL USE ZONE OCCUPANCY BK MAP PQ
ADDRESS
CITY e eil
TELNO P,—),&1
CONTRACTOR r I Q �, C 9-
JOB N
ADDRESS A/1+�O
CITY GS� CSD UIN�EL NO ��e ���3 TRUNK PERMIT NO
STATE
REGISTRATION NO a COUNTY _
ROAD PERMIT NO
LEGAL n
DESCRIPTION LOT NO STATE ENCROACHMENT
/` PERMIT NO
BLOCK TRACT /6 �. INDUSTRIAL
WASTE APPROVAL
812E OF LOT /O�� I Q NOW ON LOTS / CHARGES
USE OF L -� .i.!n_i 1_�D P�
BUILDINGS w CONNECTIO ARGE FEE
NO DESCRIPTION O ORK FEE
HOUSE SEWER CONNECTING TO REIMBURSEMENT FEE
PUBLIC SEWER 0 $ 3 U RECEIPT NO I BY
HOUSE SEWER CONNECTING TO
_ PRIVATE DISPOSAL SYSTEM 100
CONNECT ADDITIONAL BLDG OR CEPTION RECORDED
WORK TO HOUSE SEWER 100
ALTER OR REPAIR EXISTING NO DATE BY
SEWER OR DISPOSAL SYSTEM 100
_ AND%OR DISPOSAL SYSTEMT AND N SEWER 1
00 CONNECTION DATA
PEND% RRNFET ORTSAOOAIIILD 200
STATION � DEPTH
CESSPOOL—DRYWELL w
SPECIAL CONDITIONS ONLY 290 ♦ MANN E REFERENCE LOWER
TYPE OF CONNECTION . LENGTH FROM
OWNERS PERMIT $ I 00 Y cues P L M L TO P L
AUTHORIZATION I TOTAL FEE
I NAVE 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 OF 19_ NEW HOUSE HEWER
OWNER OR CONNECT ADDITIONAL
OWNERS AGENT BUILDING OR WORK
ADDRESS _ _ .._ _ -- - ----
SEPTIC TANK
DRAINFIELD IT(8)
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL I] DRYWELL
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIR SEWER OR
REGULATING PLUMBING AND SEWERS SEWAGE DISPOUL SYSTEM
1 HEREBY CERTIFY THAT I AN PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT PLUS AND
AND STATE OF CALIFORNIA OR THAT I AN THE GAL OWN- ABANDON HOUSE SEWER
ER OF THE ABOV RIB RESIDENTIAL P PERTY BACKFILL SEPTIC TANKS
SIGNATURE �A� SEEP PIT(S)[] CESSPOOLS 0
OF PERNITTE •v
76A042D S&E 663 4/64