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Home My Public Portal About9135 OLEMA ST_Sewer__ DEPAI TAXNT of COUNW ErTGEgEERSEER—SEWAGE DISPOSAL nYvisioN of BUILDINGAND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES -WILLIAM J. 'FOX. BUILDING COUNTY ENGINEER . ] w • ADDRESS FOR APPLICANT TOR IN LOCALI.TY ,,��J�� BUILDING NEAREST ADDRESS GROSSST... LOCALITY ,, DISTRICT-1110. SERIAL N.D. PERNIT.N'0., NEAREST A $ CROSS ST. RECEIVED`jBYt .Ready Tor Inspection j DATE.ISSUED OWNER la1 .. ea! " ' 1�6"I. G MAIL USE'ZONE OCCUPANCY MAP' .ADDRESS m BK PO CITY' �"_ TELAO. CONTRACTOR e.-� �,Id _ CO.IMP.NO. ADDRESS a C.�t.�.f�._ .,. r- ioBNo. CITY I TEL.NO. !R TRUNK PERMIT NO. ry w� g STAT R_EGISTRATIO 0. r�f'rP!r- S L'J COUNTY. ROAD PERMIT N0. LEGAL STATE:.ENCROACNMENT DE8CRIPTION' LOT N0. PERMIT NO. BLOCK TRACT INDUSTRIAL WASTE APPROVAL SIZE'OF LUT NO.OF BLOGS. NOW ON LOT CHARGES.. USE OF BUILDINGS CONNECTION CHARGE.F_EE NO.. DESCRIPTION OF WORK FEE REIMBURSEMENT FEE HOUSE SEWER CONNECTING TO PUBLIC.SEWER.. ® $ .8.50 RECEIPT NO. DATE IBY 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 DATE BY SEWER OR DISPOSAL SYSTEM 1.00. I I DISCONNECT AND ABANDON-SEWER AND/OILDISPOSALSYSTEM• 1.00 CONNECTION DATA SEPTIC TANK,SEEPAGE PIT OR _ PITS AN.D/OR GRAINFIELD _ 2.00 STATION DEPTH CESSPOOL—DRYW.ELL SPECIAL.CONDITIONS ONLY- 2.00 MANHOLE REFERENCE UPPER LOWER TYPE.OF'CONNEC.TION' LENGTH.PROM OWNERS PERMIT $. 1. 00 Y. CURB P.L.- M.L.TO P.L. AUTHORIZATION TOTAL PEE -- I HAVE,THIS DATE' CONTRACTED.,:WITH THE N.EREIN...N:A61ED CONTRACTOR T0. CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS 'INSPECTOR'8'•.810MATURE. DATE DWELLING TO THE. PUBLIC SEWER SIGNED THIS.._r:-_...__.:_DAY; I9�_ : NEW HOUSE SEWER CONNE.C.T ADDITIONAL OWNER. OR .: - ' OWNERS AGENT....__.._._._..-•-_•_---.._......_..__. .__._._.........__....... BUILDINO:ORWORK EPTIC EE ADDRESS........:......__._:..__,.,_._..... •_ AND/AR DRAINFIELD IT(8) 1 HEREBY ACKNOWLEDGE THATA HAVE'.READ THIS.APPLI= CESSPOOL DRYWELL CATION.AND STATE THAT THE ABOVE 18 CORRECT AND AGREE A f TO.COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,RE AIR,SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY, THAT' 1 AM 'PROPERLY REGISTERED AND LICENSED AS REOUIREO BY LOS ANGELES COUNTY. DISCONNECT-PLUG AND AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWN- ER ABANDON HOUSE SEWER. ER OF THE ABOVE DESCRIBED RES DENY. . BACKFILL SEPTIC TANKS SIGNATURE_ �BEEP.PIT(S)[ CESSPOOLS 0 �f OF PERMITTEE: — �• ...( ' ......- ..:�� ..' :31_ . TOA642D 663 1/53 -E808*3 1,6,A f 4?M ez APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION eUiLDIN'G B D N JOHN A, TLAMBIE, County Engineer ADDRESS WILLIAM A. JENSEN. Sup't. of Building LOCALITY N FrAL ��5 CROSS ST. FOR APPLICANT TO FILL IN LEGAL:— LOT'-110OWNER ---------- MAIL ADDRESS K TRACT NO. OF' BI_r'IGS CITY TEL. NO. -,IZE_OF LOT _NC1W ON LOT DiSTRICT NO. GR UP M. PPROCESSED By UK PG CONTRACT OR E TION DATA ADDRESS CO STATluN DEPTH CITY TEL, NO. STATE MANHOLE REFERFNCE U R-RE, COUNTY 'qEGjSrRAI1ON NO. '5.'ow"l NO. j DEICRiPTION OF WORK FEE -TYPE OF CONNECT ION LENGTH FROM CIU25E SEWER CON NF=NG TO Y. CURB M.L.TO P.L, CL PU i I , f" _______- -- ____ I S5WE.R P.C,NO 0 OR CO. MR. JOB NO. U R DRAfNFIELD ---I -NO. 3 E PT I r_-,�ANK7'F E P�G E PIT 0 H 0 6 WLR ECTINGT-0— 5 E S E C,"D N N TRUNK PERMIT NO. ROAD PERMIT NO. -?:VAT, E O!SPO5AL SYSTEM $3cjo 0 'AF VIDAV-1–T Fv_'_ R CONNECT ADDITIONAL,131-00.OR WAITrX EASCME4f RECORD-INITFi. DATE WO-RK TOHOUSF SEWER @ $3.010 G �PRFLOW SE AGE PIT.DRAINF QITN. �OL,DRYWELL,MANHOLE $5.00 ALTER-.REPAIR OR ABANDON HWY.OR ST,WIDENING "FWr STATE ENCROACH MENT PERMIT NO. INDUSTRIAL WASTE APPROVAL OWNER'S PERMIT 5 1 21 00 CHARGES CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I HAV11- Al THIS DATE A CON'T'RACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTCR TO -ONN2CT THE AE30VE DESCRIBED ExiSrING DWELLING 1 `AT_____j 1 -- 7- THE PUBLIC SE5F ;R. V APPROVALS 7DFNPrCTOR'SSIG_NATURE S;GN ED THIS DAY OF:_,,�, OWNER Or NEW HOUSE SEWER OWNERS AOLN CONNECT ADDITIONAL BUILDING OR WORK SFPTiC TANK,SEEP.P[Ttti) I HP'RFSY ACKNO��VDGE THAT I tIAVE READ THIS APPLWATION AND/OR DRAINFIrLD A Nr, 5TATO THAT THE ABOVE IS CORRECT A N-0 AGREE TO COMPLY I T— Will-i ALL COUNTY ORDINANCES AND STATE LAWS REGULATING rl_UMENNI� AND SEWERS. CESSPOOL ❑ ORYWELL Ej i+-REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LfCENSED AS REGUIRFO BY LOS ANGLES COUNTY AND STATE OF 5 EWAGE DISPOSAL SYSTEM CALIFOrNIA OR. THAT,j AM THE LEGA !_WNER OF, AND INTEND TO DISCONNECT P.LUG -AN-D RESIDE IN, THE AJ�V4 E' DESCRIBED #E 'DENTIAL PROPERTY. ABANDON H Otj SE SEWE SIGNATURE —7- OF I - PFRM TTEE � BA-KFiLL SEPTIC TANKS SEEP,PIT(S) ❑ CESSPOOLS —VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL- ENGINEER 11,O. CASH 41 r CEeosa.az 76A642D APPLICATION FOR PERMIT> -_ COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. County Engineer ADL�FES �_- WILLIAM A. JENSEN, S,up't of buildingLOCALITY NE t.REcT ROSS ST FOR APPLICANT TO FILL IN _-- L F G A L - DESCRIPTION OT N0 OWNER - _ - - _N SRA L p BLOCK TRACT 5 •�. � 4 G, ADOBE'S ' 4'✓ X '> - Y p ! y'y NO. OF BL,DGS. - slzi, OF LOT NOW CN LOT 'CI Y "� 'fEL.. NO. UOP' -__-- BUILOtNG$ DiSTRICP NO, GROUP MAP PPOCLS&ED BY PC h ADDRESS d - SONCTICIN DATA _ d R-� i • T '"yF 6 8TA'Gi''PN _ra DE- - Ci"CY ..�f: , T L NO: •� .— ✓ f �STATh"_ MANHOLE REFERENCE N_E 13$'PER-- REGISTRATION NO �;,., CCU NTY 4,OWER. __— NO_ T"JESGR iPTION OF WORK EEE ___ -.TYPE OF CONNECTION LENGTH FROM TT- I NCJSE SE�h R CONNECTING TO Y. CURB P. M-L.TO P.L, RL PU BL.iC SEWER __ ;$s,00 - -- -- -- - —- ------ tv ..__. --- _._.. ..._.r_.�__ SEPTIC TANK.SEEPAGE r-IF OR CO. IMP.NO. JOB N0. PITS AND"OR DR.AiNFIELD C Slc).00 _—___:__.___ - HOUSE SEWER CONNECTING TO — MIT NO ROAD PERMIT NO, p'p PR V.eT DISPOSAL SYS EM $3 GO 0 .--__ .1 �CONNE-T ADDITIONAL BLDfi C:2 - AFFIDAVIT WAIVER—1 LR:STM€N7 I RECORD'..INSTR 1.10.i DATE I TRUNK PER __.. WORK TO HOUSE EWER $3.00 OVERFLOW SFEPAGE PIT,DRAINFIELD Eh Yh CESSPOOL.DRYWELL,MA NHCLE 0 $5.00 �I HWY. OR ST.WIDENING ALT.ER,R PA R OR ABk Nb ON HdUSE SEWER 017 U_POS 1 S STEM @ 33 Go --- - STA"iE 0 �>CH Nc:N-f PER I+H iT NO. WASTE APPROVAL, R' PEaRIVIIT_... - $ CHARGES 6S ATa SdJk&�PJZATI)N TOTAL FEE ` — —i � x b CONNECTION CHARGE £:E I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIAN k3U RSEM EN'T FEE - CONNECT THE ABOVE DESCRIBED EXiSTiNG DWELLING ---,----- - - - --- -_.___. TR:,'v',TOR '70_ .-. - 7O THE PUeL C SEVE+R, APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS —�-' -4..—DAY OF. _ 19-x•._�� ..-.-- ------- - - - -..�-- ------ — - ---- OWNIR OR � ` �[ r,y) NEW HOUSE SEWER j OWNERS AGENT— CONNECT ADDITIONAL I - ),. BU IL.DING OR WORK -- SFP7tG TANK.SEEP,Piz(:S4 �:...' � L C13Y A KNOWLE•DCC THAT i HAVE RFAb TH{ APPLICATION AND/OR DRAINFIrl-0 Ai E. THAT THE ABOVE, iS CORRECT ANDAGREE TO COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULA"PINGNG AND SEWERS. CESSPOOL L� DRYWELLF.BY CERTIFY THAT AM PROPERLY REGISTERED ANL'IOR ALTER,REPAIR,SEWER OR I ID AS REQUIRED PY LOS ANGLES COUNTY AND STAYE OF SEWAGE DISPOSAL YSTFMNtA OR TteAY AM TiiE LEGAL OWNER OF, AND INTEND TC - —DISCONN EC'T PLU AND N, 'i'HC ABOV E f,RIS D R SIDENTIAL PROPERTY.Eft . ABANDON HOUSE EW..RURE0 R.M.ITT„E__ 4 BACKFILL 9EPT_If TANKS [� SEEP,PIr(s) cE`u.:tiP.OL7L5 �_— )VALTDATION ROBERT A. WOOD SUPERVISING MECHANICAL., ENGINEER .. 4 (C ASH j� M.0 . CASH