The URL can be used to link to this page

Home My Public Portal About10305 OLIVE ST_Sewer__ ° Sa E-683 12.54 APPLICATION FOR PERMIT 1 S&E•6 DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL Department of County Engineer County o_# Los Angeles Aa�RssG '`" , ,7 WM.J. FOX, COUNTY ENGINEER CASSATT D.GRIFFIN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTST. � -- LEGAL DESCRIPTION i .� ----a---- NO. y _ OWNER BLOCK`' z � -T�*1 � J.0. MAIL SIZE OF LOT t� NO.OF BLDGS. - f' .r 9�1,r NOW ON LOT CITY TEL. N0. — - USE OF BUILDINGS DISTRICT NO. GROUP I MAP $K PG CONTRACTOR ADDRESS CONNECTION DATA C17Y TEL. N - . Sf1;:/� STATION • , DEPTH d � STATE MANHOLE REFERENCE,.. p REGISTRAT`ON NO. �'+ ,. _�. Y _.� J —,�,71 OWER_ TYPE OFCONNECTION LENGTH FROM - N0. DESCRIPTION OF WORK FEE ._ CURB^ P,L., MSL TO:P.L.. t f OUSt S- p COhNE..Y.I c- TO ' °•., ., �_— t PUBLI C_SEWrn tt+7 $ 3.50 1_�._.I. _ HOUSE SEWER CONNECT i NG TO PRIVATE DISPOSAL SYSTEM _ 100__i _ CONNECT ADDITIONAL BLDG. OR CO, I[?p.N0. / '.�.,f�^',' JOB. N0. L WORM TO HOUSE SEWER _-- - - 1,00 �. --�_" ALTER OR REPAIR EXIST;NG SEWER OR DISPOSAL SYSTEM .1.00 � _ _ _TRUNK PERMIT NO, ROAD PERMIT NO. DS NNE T AA+D A BAN LON ' '7N ER STATE ENCROACHMENT EM 1.00 --._ rEPA iT NO- SEPliC TAF,K, A E i-i ..R - — F s ,hD/Gk �A I'4r1�LD 2.00 j f INDUSTRIAL " CL DOI DF Y F LL 7AE.TE APPROVAL 7CIAL COND ION'S ONLY 2.00 I _ w CHARGES CONNECTION CHARGE FEE OWNER'S PERMIT 1 ! 00 ------ _ � AUTHORIZATION TOTAL`FidE ..— -- Id_6 R M2',l RSF.NLNT F2 - Ts�ogf c 1 HAVE THIS DATE CON CRACTED WITH THE HEREIN NAMED COIN- ' APPROVALS DATE INS? CTORtS S irNATURE TR.ACFOR TO CONNECT -114Z ABOVE DESCRIBED EXISTING DVLLLING -----.�- TO HE PUB+iC SEWER __ _-.. . . NEW HOUSESEWER SIGNED THIS DAY OF CA,NEft OR r CONNECT ADDITIONAL OWNERS AIE'VT.;JL44- a DU LDINC OR WORK SEPTIC TANK,SEEP, PIT(S) ADDRESS.__ A.,h+Df OR DRAINt:'IELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI CESSPOOL 0 DRYWELL 0 AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SE'NER5. SEWAGE DISPOSAL SYSTEM REREBY CERTIFY THAT 1 AA PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REGUIR_FD BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE __ABANDON HOUSE SELVER _ DESCRIBED RESIDENNA PROPERTY. BACKFILL SEPTIC TANKS CI 3' SEEP.PITS) [] CESSPOOLS, I SIGNATURE $ .-.._,._._._._..�...._._ OF PERMITTEE'_ - ._� _ i IVILLIAPM J. FOX, COUNTY , GINEER VALIDATION I By BY DEPUTY DEPUTY BY BY 0 DEPUTY DEPUTY se 16A 6421) APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING U I LOIN. .U' JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUP-T. OF BUILDING LOCALITY NEAREST 'S ST. FOR APPLICANT TO FILL IN CROSS ST. LEGAL DESCRIPTION LOT NO. OWNER MAIL TRACT BLOCK ADDRESS OF LOT NO. OF BLDGb. C I TY SIVE NOW ON LOT TEL. USE OF DISTRICT N6.1 GROUP SK MAP pa PROCESSED BY -I-,-- CONTRACTOR j 'hl L&' ADDRESS &--45� CONNECTION lin I A CITY TEL.\141. STATION DEPTH STATE LIC MANHOLE REFERENCE L ICRNSE NO. CLASS /' t/I LOWER No. _ DESCRIPTION OF WORK FEE F CONNECTION LENGT FR M HOUSE SEWER CONNECTING TO Y- CURB P.L. M.L. P,Ll PUBLIC SEWER a $5.00 SEPTIC TANK, K,SEEJOB NO. PAGE PIT OR P.C.NO. PITS AND;,OR DRAINFIELD @ $10.00 Co' IMP. NO. HOUSE CONNECTING TRUNK PERMIT NO. ROAD PERMIT NO. CL PRtV ATFSPOSASYSTEM $3.00 6 , 7'T NN TAD6 .NAC BLDG R FF VITI WAIVER EAStMENT RECORD.INs-rR.No, E CO WORK TO HOUSE SEWER @ $3.00 JI OVERFLOW SEEPAGE PIT.DRAINFIELD I EXTN..CESSPOOL.DRYWELL.MANHOLE @ $5.00 F- 4-- - BANDON HOUSE HWY.OR ST.WIDENING C-) STEMa $ - -- ---H—— 300 -STATE ENCROACMENT PERMIT NO. INDUSTRIAL VX /3�11 W A S T E A P P_RaVAL J,,, �1, ZZ 22i CNA GES OWNERS PERMff —$10 --- AUTHORMATION 'AL FEE — 1 21 0CONNECTION CHGEFEE HAVE AT THIS DATE A CONTRACT WI TH THE HEREIN NAMED CON- IREIMBUI�SEMIE�NT FEC TRACTOR TO,CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER. APPROVALS DATE INSPECTOR'S SIGNATURE SIGNED THIS—DAY OF_l 9_ OWNER OR NEW HOUSE SEWER OWNERS AGENT— CONNECT ADDITIONAL ADDRESS 0.UILDING OR WORK SEPTIC TANK.SEEP I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �PIT(S) AND/OR GRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMe ING AND SEW F_RS, CESSPOOL ❑ DRYWELL 1HEREBY CER-TIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER.REPAIR,SEWER OR LICENSED AS WEQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM C PLUG OR'-T-k�-L-I-A-M THE LEGAL0,WNER OF, AND INTEND TO DISCONNECT LUG AND RESIDE IN, THE ABOVE f)ESCRIBED RFtribENTIAL PROPERTY. ABANDON HOUSE SEWER SIGNATURE SEPTIC'E OF PERMI"TTE�� SAC."LL S TANKS ❑ SEEP.PIT'S) El CESSPOOLS VALIDATION JACK R. ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENGINEER D ...................... 2 'E808 6.A 6420`70 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING RiU JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY , .. NEAREST S FOR APPLICANT TO FILL IN CROSS IT (PRINT OR TYPE ONL.Y1 DESCRIPTION LOT NO. OWNER MAIL BLOCK TRACT ADDRESS NO. OF BLDGS SIZE OF LOT _N W ON LOT CITY TEL. NO.X BUILDINGS O!STRICT NO. GROUP JCLAS "AAl 51 11K p qONTRACTO A-/ CONNECTION DATA ADDRESS J CITY _TEL� NO. STATION DEPTH STATE LTC UPPER MANHOLE REFERENCE LICENSE NO, CLASS OF WORK No. RK FEE TYPE OF CONNECTION LENGTH FROM Y. CURB M.L.TO P.L- -j---jpUqLiC SEWER sS,00 ':7 SEFT[C TANK /c/ '�- P.C.NO.,SEEPAGE PIT OR @ Co.IMP.-NO. JOB NO. AND/OR DRAINFIELD _HOUSE S1 eV R CONNECTING'TO ------ TRUNK PERMIT NO, ROAD PERMIT NO. SYSTEM $3.00 FIDAVIT WAIVER IkSENE 11 RECORD.INSTRNO. DATE— WORK TO ATEWORKTO HOUSE SEWER $3.00 _EXTN.,CESSPOQL.DRYWELI-MANHOLE HWY. OR 57.WIDENING REPAIR OR ON HOUSE 1��Ej.q D�SPOSALSYSTY. S3,00 –STATE ENCROACHMENT PERMIT No INDUSTRIAL WASTE APPROVAL Z CHARGES OWNEWS-1 PERMIT A L-t'–00 CONNECTION CHARGE FEE AUTHORIZATION 1 TOTAL FEE /L7 I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRiSED EX;STING DWELLING PPRdS' -- TO THE PUBLIC SEWER AV Ls sIGNAT1IRE. S!G N ECJ THIS-_DAY 0 OWNER OR NEW HOUSE SEWER OWNERS AGENT--. CONNECT ADDITIONAL BUILDING OR WORK AD0RgSS-------- - ------ SEPTIC TANK.SEEP.PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR ORAINFIFLD AND 5 TATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUM B ING AND SEWERS. RS. CESSPOOL 71 ORYWELL HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTER,REPAIR.SEWER OR L;CEN - AS REQUIRED BY LOS ANGLES STATE OF G S E 0 COUNTY AND ST SEWA E DISPOSAL SYSTEM CALIFORNIA OR THAT I AM.,THE LEGAL OWk4ER OFA..--AND INTEND TO D.ISCONNECT PLUG AND DE RES _ IN. THE �30".E DES�'�;0 RES;D I.— P06PERTY. ABANDON HOUSE SEWER SIGNATURETANKS X BACKFILL.SEPTir- OF PERMrT E E. SEEP.PIT( CESSPOOLS "VALIDATION- JACK R. ALLEN CK. M.O. SUPERVISING MECHANICAL ENGINEER CASH vj'l