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HomeMy Public PortalAbout10333 OLIVE ST_Sewer__ 411 C5aos 10-62 D 75A.842APPLICATION FOR PERMIT �t COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL 41{ei! DEPARTMENT Of COUNTY ENGINEER BUILDING AND SAFETY DIVISION FUILDIN s — JOHN A. LAMBIE. County Engineer A"DDREs , � � ��•�.� WILLIAM A. JENSEi, Supt of $uilding NOONLOCAL 7Y - - __- NEAREST FOIA APPLICANT TO FML IN RAS' T — _ - - - - _ EGIAL OESCR FTION JT Ntj J V OWh ER �'- I„ 5 MA L BLOCK TRACT t' -lay JK�,�d ;r"S ---__ MODRESS 1 4C•'f _ _,j�.d` -_- -" '>aV��-. .3 - ____ NO. OF BL GS. `�?-- �,r•. -r - SIZE OF ( NOW ON LO' CiT'i 'P`E:I_. NO. LCT USE OF a G DISTRICT NO GROUP MAP PRG ESSED BY B(iILB t CONTRACTOR ADDRESS j - z- - CONNECTION DATA s CITY ®(•"yr _ - -._ T.L. NO. z �, a.� e STadT1Otd is / F DEPTH _ REGISTRATION NO a' G « TATE MANHOLE REFERENCE CIi COUNTY LOVJ R _._ NO. Dr.SCR P'?` ON OF WORK FEE TYP Or COQ E 71 LEN TH FROM _ µ [OUSE SEWER CONNECTING TO „T Y. , CUPPT. - V Py L.. _ - M..L 0 F_L PUBLIC_SEWER O $3.00 I '-- ".s "—'•,<.� f —� EPTIC TA NAC SEEPAGE PIT OR AND/OR DRAINFIEL;D �, $ifJ 0D CO.IMP NO. ,{ys d - JOB NO CONNECT ADDITiO NAL BLLG.OR ""T a HOU SEw ER L.ONNECTIIVG T O TRUNK RERMiT NO ROAD PERMIT NO. ��• d x RIMA IL DI POSAL SYSTEM $3.00 I � ,li LU �':DA ViY rwnlvice i ¢a.r eencwr I RECORD,INSTR.NO, D.4'YE 1 WORK TO HOUSE:SE'W'ER L $3.GO —p rOYERPLOJv Y,DRAINFIELD EXTN.,CES SPOOL,DRYW ELL,MANHOLE:@ $5.00 - I ALYER REPAIR OR 46AND.ON-NOISE— HWY. OR 5T,WIDENING SEWER OR DISPOSAL SYSTEM - - ___ .____ _—._..—_.—_.__.T 55_OQ. _—_. __. SPATE ENCROACHMENT µ. — PERMIT NO _ - -- INDUSTRIAL s j I WASTE APPROVAL, Fr O KW PERMIT 21 Qo - -- - - CHARGES _ - -- AUTHORIZATION TOTAL FEE it CpNNE ION CHARGE FEE I H.AV.':< .4'T THIS DATE A CONTRACT WITH 'THE:.HEREIN NAMED CON- REIMBURSEMENT F'EE TR"' TOR ,O CON N'ECG THF' ABOVE INSCRIBED EXISTING DWELLING APPROVALSTO THE PUB IC &EY,f"'R1 DATE NSPEC'TOR'5 SIGNATURE SIGNED nits---- SAY Off` ,_--------��---- --- --- ...--- _ OWNER ORNEW HOUSE SEWER i OWNERS AGENT..=^�' = Ji .__ .-- CONNECT ADDITI.'7tdAL —.._ BU ILDING OR WORMADD RES$— . SFP71C IANK,SEEP PIT(S) I HZREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OR D.RAINFIE_D I AND STATE THAT T'HE ABOVE. IS CORRECT AND AGREE TO COMPLY � - WITH AL.L COUNTY ORDINANCES AND STATE LAWS REGUL.AT'i NG 'i..UMBING AND ",EYY ERS. - CESSPOOL L DR"VWE'LL 0 I HEREBY CERTIFY THAT [ AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY IL ANGLES COUNTY AND STATE OF _NAGE DISPOSAL SYSTEM 1. CALIF RNIA OR.THAT I AM THE LEGAL OWNER OF AND INTEND TO —.. -- _.-- R ESiDE IN THE .ABOVE 'RIBPD RESIDENTIAL PRO $:R DISCONt4ECT PLUG AND � ABANDON HOUSE'SEWER SIGNATURE R> __— OF PERM.ITTE;E__ _ ,di,7�y'✓ �"' 'A BACKFILL 5L'r'TIL �AN}CS -"`-----"— � SEEP,Pn(S) 0 CESSPOOLS ALIDATION_ ROBERT A. WOOD f SUPFRi;ISING MECHANICAL ENGINEERR M.0. �CASN `..� f. K, r _ r 7GA642D APPLICATION FOR PERMIT 7PA.84� COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING :s TOFFY A. L,ANIISIE, County Engineer ADDRESS "s WILLIAiih. A. JENSEN, Sup't of Building � k� LOC TY NEAREST OI? LICAiT TO 'IIs INcRcss s7 CRt/LpT VP7'l .07 NO _' ESCp �, 'v err, F {:� OWNER✓' x _ .+� C''� Y'P ., ,fy,� MAIL BLOCK 7RA.0 f 1' fr d ,lr�° ADDRESS NO. OF II DUS. SITE OF ._OT NOW ON LOT CITY TEL. NO.. Ae' 'may ` USE OF f BUILDINGS '�'"" DISTRICT NO. GROUP MAF' PROCESSED BY �.K PG IVCON" A TOR_._ k.+ �✓r.. � L P ,.��'. ADOR ,s ,.,j ". ---. '--_ —. ---,---- - '" CONNECTION DATA -- -- - S CITY - �' TEL NO. gG�o �✓ `.i _ � .. w—�✓^.TIflN DEPTH STATE. MANHOLE REFERENCE REGISTRATION NO _- { COUNTY NO. (DESCRIPTION OF WORK FEE -- - --- -�-- 8- LENGTH-- -- -- — CL - ,.-_ -TY'P�OF CON NEC;Yi.k F FROM HOL ESEd ER G 01`!A{ECriNU 70 - - __� -._ Y. CU P.L M.L.TO P.L. PUBLICSEWER @ $y 00 � � -- � a!"r� �`_d _ O FI tYr TA NK,SEEE PAGf'i T O'i { P./ NO I PITS AND/OR DRAINFIELD @ 5v.00 CO IMP NO_ JOB NO-_ F 7 1 F S£W P CGNNE('TINC YO I TRUNK PERMIT NO ROAD PrRMiT NO. a,l c/ PRIVATE DOSAL SY T .NT I C:ONNEG.T hODiTiC1N A7. RC.DG OR � I AFPIDA V!T w C!MEx 6.A5 eMeN4 S2LCOft Q. fNSTR.NO. DATE WORK TO HOUSE SEWER $5.00 � � � LLJ� R _ DD -_..IELD- - OVERFLOW SF_E?A:C=Pt7. RAlNFI -. .._--_.-._..L ERTN..CESSPOOL_,DRYWELL,MANHOLE $5.00 z .. ..—._—__ HWY.OR ST-WIDENING ALTER ..,REPAIR OR ABANDON Housx:' - - --�— & OR DISPOSAL ENCROACHMENT PERM?'T'90 s F-.—____� ....— .. INDUSTRIAL V WA TE APFROb AL ✓ _ CHARGES OVVNEWS PERMIT $1 AUTHORIZATION TOTAL FEE COtdNE.:730N CHARGE FEE' I HAVE AT THIS DATE A CONTRACT WITH THE HERE[N NAMED CON- REIMBURSEMENT FEE TRA.CTOR 7'O' CC NNECI THE ABOVE DESCRIBED EXi.STING D1iIEL.,'...ENG: L TO 7HI. FU B.Lir EWER. AS3'�9..lYAiw7 _I DATE. i 3NSPECTOR'S SGNAY'URE SIGNED THIS——DAY OF,__ _ _-- -- ---_-- ---�-- - - .--- --.. - 04VN_ftOR ��� � •' NEWHOUSE SEWER Q'Je'N-ftS.AGENT ,� -- -- -'--- CONNECT ADDITIONAL ALkDPF'4.S-.__._.. BUILDING OR WORDS s;~P71c TANK,SEEP,PIT(S) I FEREBY AC:KNOWLECt.E THAT I HAVE. READ i-1-115 Api'LI._AT?ON AND/OR GRAINFIELD AFib TATE THAT 'THE ABOVE IS CO R RECT ANO AGREE TO COMPLY ._ _ _--------- _ _.—�— --.-- W�iTH 1. COJNY\' OR64NdA NOES AND STATE LAW`.; REGULATING ; PLUMBING AND FWER'S CESSPOOLj DRYW ELL 0 3 HEREBY CERTIFY THAT F AM PROPERLY REGISTERED AND/OR ALTER',REPAIR,'Rt.W ER DR �--� LiCENSE D AS RLQUIRErO BY LOS ANGLES f OUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I AM TIIE LEGAL OWNER OF, AND INTEND TO DISCONNECT PLUG AND I REST D£ IN THE ABOV- D � CR15ED RESIDENT AL PROPERTY" ARAN DON F OUSESEWER SIGNATURE PPE M BACKFILL SEPTIC TANKSOF LRMt7T1EE _ __ _ - _ SEEP,PIT(S) CESSPOOLS L� VALIDATIQ ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER CK, M.O. C A�3Jt-s'` �1 s�F,. P�F,+ CJ J �S � ym F80810-6 6A5420 APPLICATION OR' PERMIT o 13 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DtPA.RTMENT OF COUNTY 'ENGINEER BUILDING AND SAFETY DIVISION RU II_D,NG JOHN A. LAMBIE, County Engineer oeR s e'_11: - WILLIAM A. JENSEN, Supt of Building -- LOC-ALT N'AREST �t FOR APPLICANT TO FILL IN ROSS ST -- � J � — -- f_F G AL DESCR P i^rN OT NO __— _ _...__- _OWNER_. M11L r` 'BLOCK TRACT ,>'' i A'DRESS NO. OF Ua G S. SIZE OF LOT NOW oN _ clTw r �. ✓d t_ EL. N0. _t > USE OF -._. ,,+ ✓ -- —. TND, GROUP . ' R,p. SED B13K PGY BJILUINGs_ _ _ DISTRICT MAP P "£5 CO NT RA r70jA�. 4- d ADDRESS fr' CNNECTIO*I ATA . ., � -__ '' ✓' STATION ( DEPTH CITY /TEL r r —yp- ✓J I I-' P' E MANHOLE REFERENCE 1�pjj,� REGISTRATION {O_.—. .�, q/'. -.- r _ LJ COUNTY Y Y � _—LOWER N0 DESCRIPTION OF WORK FEE :TYPE OF CONNECTION O --- - -- .,. ION LENGTH FIR ,�-r H'SU SE 5 WER CONN EC:TfNG TO I _�� Y y'- CURB P.1.:, M.L_TO T-'L PUBLIC SEWER $ .0L) 45 -- s _ ___�. _ _—_. P.0 .NO. Sr'_PTFC TANK,SE:ER'kdE PiT OR - P.TS AND/ORDRAINF"EL.D @ $10.00 CO . IMP.FJ O._ FiO SEE ,NER c CONNECTING TCCt RUN:.P RA41Y NO ROAD.PERMIT P{O PRIVATE DISPOSAL SYS :,M $3,00 _DATE - CONNEC' L DD TIGNABLDG r OR AFFIDAVIT WA!'1FF.ASEMFNT RECORD.INNS T'R NO, R t°^^ WORK TO HOJSE SEWER @ $3.00 T OVERFLOW SEEPAGE PIT,DRAINFIELD !EYTIV,.CES POOL.GRYWELL,MANHO.LE @ $S.GO HW"Y. OR ST.WIDENING 4LTER,R PA R OR ABANDON HOUSE 1 WE:ft Ort DISPOSAL SYSTEM $3.00 STATE ENCROACH MENT PERMIT NO. INDUSTRIAL u 111ASTE APPROVAL OWNER'S CaEl'a7 P�,RIiRIT $ 00 CHARGES "----"" — _L_ '�--"-- r— N? ECTI n CHARGEFEE AUTHORIZATION TOTAL FEE � ' 'I HAVE AT T'HiS DATE A CONTRACT WITH THE HEREIN N,MED CON- R _M,B 'RSEMENT FEE TRACTOR TCJ CO NNE,Y THE ABOVE DESCRIBED EXISTING DWELLING -- --R--------------'—_-"'—`—'T --' ------ YO THE PU BLfC SEWER. APPROVALS DATE IN PEC.TGI R'S SIGNATURE SIGNED THIS-._ DAY OF—_,'___ t OWNER OR ,r �,- C NEW HOU ' SEWER OWNERS AGEPdT_T___ — CONNECT ADDITIONAL BUILDING OR WORK ADt7RES._—'_. —_ _ __. - -.. � —_-- —._—_. _____.__ _-- 1--_�____—__--.__-_. SEPTIC TANK,SEEP.PIT(9) I HEREBY ACKNOWLEDGE THAT i HAVE REAL) THIS APPLICATION i I I Asti D:OR UR A!C�F!ELD .AND STATE THAT THE ABOVE IS CORRECT AND AGREE 7U COMPLY WITH ALL Cl,Jt6 Y ORDINA N:_ES AP.D STAT:: LAWS REGULATING I. I FLU M8iNG ANf SE1�V E.Rb: CESSPOOL � DP.YWELL ❑_._ 1 HEREBY 'CE!TIFY THAT 1 AM PROPERLv REGIS FRED ANC/OR ALT'.R R PAIR.SEWER OR I LICENSED S' RE 34+-.RED 1\ LOS ANQ)LES COUNTY AND STATE OF EWAGE L SPOSa>_SYSTEM CALIFJRN44� OR Ia+AT ! A.M. THE OWNER-OF AND INTEND TO DISCONNECT PLUG ANC RESIDE * T'H ,(BOVE ULTf:.RI Bo,.f gE57CEN�I'P-L. P OPERYS ABANDON HOUSE SEWER S!GNAT U� -.,:..c,_ y"•`" r -, a OF `4-->n. .!i. .� �' � Z- :...i BA.�It P's4L SEPTIC APaKS �] PERMITTEE_ _ — .__! �__ _ __— —,;�^" SEEP,PIT(.S, CESuPOOLS [j! £ VALIDATION ROBERT A. WOOD i` SUPERVISING. MECHAN:CAL ENGINEER CK. M.O CASH