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HomeMy Public PortalAbout10412 OLIVE ST_Sewer__ "8 $ t0_�F. t5AS4D APPLICATION FOR PERMIT 2 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING � JOHN A. LAMBIE, County Engineer ADDRESS WILLIAM A. TEIHSEN, Sup't of Building - 1 L BALI Y NEAREST FOR APPLICANT TO .FILL IN CROSS sT _ S -- DESC.�lFffeaiY O'•'NO OWNER -A,I-- MAIL BLOCK TRACT � � ADDR�feS NO. OF SLOGS, SIZE 'DF LOT NOW ON LOT CITY 'TEL. NO. B`!LDIN 5 P D S fR.Ci N . .ROU MAP P 3 ROCESSEL BY BK PGCONTRACTOR�� -. v�n ADDRESS t._ v ✓ �_.." CONIaCTION-DATA -_ - OFFTH SV TION CI`fY tet.- L NO.E -'_� !- _ ___— y)4 pa...� Y`.y £; SC -ANHOLe RFIER JCE .� / -{p--UPPER REGI-.TRATION NO .Ij .. e C COUNT4' NO. _p_ESCRla7I N OF WORK FEE - ----- -- - -- - -- r _ TYP QD CON j. ff?!� LENGTH FROM HOU3C Sf_WER C:CNNECTING TO - .__.__- __— -_._ Y. CSi�Y;j F WL TO P L. +' PUBLIC SEWER $.:00 -_ t-:- P.C.Na SEPTIC TANK,SEEPAGE PIT OR CO.IMF NO ,yr,J ''. JCB NO, 41. PTS ANO/OR DRAINFIELD @ S1000 -...._ .. >:- _ .._- _ -.. - 0A HOUSE SEWER CONNECTING TO TRUNK ERMFT Na ROAD PERMIT NO, PRIVATE.DISPOSAL SYSTtP+4 @ S3.00 I - c ONNECT A691T!ONA BLDCv OR AFR'!DA17T wn!v H Ens ExEv RECORD.rNSTR NO. Id -EIATE VOR,T(>HOUSESEWER 53 .$3.00 � ...._.- -.- . .. I ' a4'ER FLOW 5EEPAG�PIT,DRAIN F[ELU E;t-T'N.,CES.`>FOOI:,GRY'dVEL6.,MANYOLE @ $5.00 - ---I -- -- --.-- ---�_._---- ---_ HWY.OR ST.WIDENING ALTER,REPAIR OR.48A NUON HOUSE OR DISPOSAL SYSTEM @ S3.00 SEWER—___ .STATE ENCROACHMENT PE4(M]r NO WASTE APPROVAL -VAL ✓t }-i, d� 1, ' - __ CHARGES OWNER'S PERMIT S z 00 --- — — ----...-- ------------ -- -� CONNECTION ION CHARGE FEE AUTHORIZATION TOTAL FEE I. HAVE AT THIS DATE A CONTRACT WITH '7H£ HEREIN .NAMED CON- REIMS ASF;ME NY_FEE TRACTOR TO CONNECT THE ABODE DESCRIBE[) EXISTING DWE.LLINt.. - ------ -- --- -T --------- TO THF PUBLIC SEWER. APPROVALS DATE 1 INSPECTOR'S SIGNATURE SIGNED THIS— DA!Y OF--------.------/S-^ _.--._ ---- -._-- ----- --._-:i ..------1--------------__-.,_::_._ I' OWNER OR NEW H.'FUSE SEWER �. OWNERS AGE N'i_ __— _ CONNECT ADO7','.:JIdAL BUILDING OR WOF`K ADDRESS._-.__--___.._, ...___ SE'P71C TANK,Zr I'll(5) : I I HEREBY ACKNOWLEDGE Ti9A I HAVE Rw:AD THIS APPLICATION AND/OR OPAINF'i LD ' AND 5TAPE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' WITHALL COUNTY O.RDI.NANCES AND STATE LAWS REGULATING � P LU MS.ING AND SEWERS. CESSPOOL [f LRYWELL I HEREBY CERTIFY THAT F AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER C-R LICENSED AS REQUIRED BY LOS ANGLES COU LAITY AND STATE OF SEWAGE DISPOSAL.SYSTEM C.ALIFORN IA OR THAT I AM THE LEGAL OWNER OF AA, D INTEND TO DISC Otv NECT PL-- -- ---- RES3DE IN, THE �}ESCRI8CD R£SiDENTlAL, �#pPERTY .,.�- »�.. ABANDON HOUSE SEWER SIGNATURE .,y°'��qd ,y^ .J .+" _._. - __- —___- OF P`EIRMITTEE Hf4CKf"ILL SEP7iC.TANKS cP. IT SF) ❑ CESSPOOLS ❑� VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER O. CASH -'el 4ffl A642�D �As$� .52 APPLICATION FOR PERMIT COUNTY OF Los ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FR�E )YSHN A. LAMBIE, Counter Engineer WILLIAM A. JENSEN, Sup'L of Build ng FOR APPLICANT TO FILL IN CROSS ST a a D' CR t TION OT NO -OWNER MAIL , $-LOGY TRACT ADDRESS- 4. NO. OF BLDG.S. SIZE OPLOT NOW ON LOT CITY TEL. NO. USE OF BU(LG'?ti GS - DISTRICT NO. GROUP- MAP PROCESSED BY BK PG ACDR . , SON ECTiON D F J T l x 7 ATA S .TION �. �. UFRf31 J CI77' M° _ •T L N41 O,.y � +L--STATE MANHOLI REFERENC R G.ERATION NO ._.. `' ,,..1J COUNTY L�ESCRI FEE NO HO A E'SS WJFR4flNO i NG 70 Y K .._ A .O;S _TY_ P F CST P L+�__ �L GI HP FROM. _,�����•__ _ A P C SEPID/ SEE,:AfrE P1T OR CO.TMP NO, 7 '' 4 -a JOB NO. I PITS AND/OR OR DRAIN FiE LD @ $10-00 i `�-- _ g� HOUSE c+ YEfx CONNECTING TO T tUNK PERMIT NO ROAD PERM NO;;' 'f �r 1 PR;V1T -OSPOSLSYSE'M Q $300- _._:_ - - -_ ��� �'��-.. Fy� CONNFT'•T 4bDl fOh Ai BLDG OR AFFIDAVIT wA1l�£R LA5CM ENT Rz'�ORD..INS7-t NC- - DATE. Si.1 AA ORh TO HO SE SEWER @ %9 DO hi EXTN,CESSPOOL,DRYWREPA ( OANH OLE $S.O©- HWY.OR Sr WIOENtiG ALTER, IR OR ABANDDONN 40Lu siz,.�. ___ 5 W ,R OR F_— CNCROACHh EN'T PERMIT ND INDUSTRIAL— ,r�y+3"f ff a WASTE APPROVAL y�ry� qq�� �a so.nMIm.HSxeJ PI"R.1IT _ 2 60 - _.—_. _,_-_—. .____.,—.. _.('fiARGE3 ._ r,HO • O ..CNNECTION GARGE.FEE ATICN I 'DOTAL FEE T J i HAVE. AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE IRACTOR TO C NNFC:T THE .430`fE DESCRIBED EXISTING DWELLING ____-_.__ __-/-qty.----_..._.. To THE. PUB L!C SEWER. APPROVALS 1 D4 TE INSPECTOR S SIGNATURE SIGNED 'THIS— --DAY G7F—"---- ._.4�__ ----------------------_-r— `-------"--.__.. OWNER OR NEW HOUSE SEWER OWNERF AGENT—____ CONNECT ADDITIONAL BUILDING OR WORK ADDRESS _.__-_T SEPT IC TANK,SEEP.FIT(5) i 3 HEREBY A.:., 'v OY!'.-..:ABODGE TtiA't HAVE; READ AND GRE APO COMPLY ANDj OR DRAINFIFLD I AND STATE 'THAT THE ABOVE iS CORRECT AND AGREE TO COMPLY- ----..------------- -----;----.--� _--_-_ W ITHALL' COUNTY ORDINANCES AMD STATE LAWS REGULATING _ PLUMBING ANL] EWERS CEsSPOOL DRYWELL I' HEREBY CERTIFY THAT i .ABS PROPERLY RE:GIfsTERED ANDO.R ALTER,REPAir-SEWER v'R L:!£EN5ED AS REQUIRED BY L!OS ANGLES COUN'T'Y AND STATE OF SEWAGE DISPOSAL SYSTEM ' CALIFORNIA OR THAT I AM THE LEGAL OWNER-PF,F, AND INTEND TO '-"— 'C _PL "-- ---� -- - CISC'ONNEGT PLUG AND RESIDE IN, Tr!-f° ABY,;.V, DESCRI rP RESIDEN ! L PROPERTY. .»^q, ABANDON HOUSE EWs.C? y/ — -- — SIGNATURE OF PERMITTEE,( _ BA KF'ILLSEPTICTANK !� --'"" - SEEP,PIT(.,) CESSPOOL'S �f! 1-1—VALIDATION ROBERT A. WOOD / SUPERVISING MECHANICAL. ENGINEER CK. p M,O. CASH `EA°@ 3-62 76A6420 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION BUILDING ^; JOHN A. LAMBIE, County Engineer —.---- WILLIAM A. JENSEN, Supt of Building NEAREST FOR APPLICANT TO FILL IN CROSS 4T. CESCRIPTION r OT P40 3 / - OWNER y MAIL 8L0 'c'EtAL7 l� Jr °._. 4 N ADDRESS NQS. Or` @L fkGS: SIZE OI': NOW ON LOT CITY TEL.. NO- UsE r- ;3UIi.DiNGS DISTRICT NO.,GROUP MAP PROCES56'8Y BK PG CONTI RACTOR ADDRESS CONNECTION DATA - L!TY�" Trt NO. 6 „4 9, ' pp STATION /_.+ L PTH c / Sy _ 0. �j Tr -AN--LE RE aER Nr.E .> y' PPEfiR BEC-I`,7RA(ION 'a / ` r-I- COUN -AN--LEyaf �a,7 i '.✓ �.. . ,f NO. I�EsC RIFTI QPJ OF WQRK. PEE ;TYPE OF CONNECTION LE�Nt'TH PRSYFA HOUSE E N 'd.cOT4NE v_!'i,NO TOv Y CURB P WL.70 PA__. „ UH!_.CSEWER $ OO - / @ .5i. 2.- P.C.___ NO..-_ SEPTIC 7.,3,ik rt. EC'aA E P7T QR CO.IMP NO: JOB NO P TS AND/O2 DRAINFfELD ID SYQ.00 � - HCUSESSEWR CONNECTING TO- -- -- - ---- RUN1C hf_'.RMf7 AI O. ROAD PERMIT �� PRIVATE D SPO`AL SYSTEM s.00 yi 1 ..._v - 1 CJN Ni.t l GJ !OtrA L.BLDG.OR - i AFFIDAVIT � tvnlVF9t _ ...__._.__ __-._— 0-_T' ___ ..A SEME-: C RECORD.!NSTR.NO. DATE WORK HOUSE SEWER $3_,6-0 )Vf P.OYSE.EPAGE_F -DNA NPiED E Xt N,C.E 45P0 aL.ORY VJFLL A<A NHO LE @ $S.00 -- --- ��y -- --.- -.-_ HWY. OR.ST.WiOVNING .€. A IER.REPA^OR AOANDO d HOUSE I � .„ W:ROI SPOGAL SYSTEMCLQ v3.00 _ STATE ENCROACHMENT i PFPPn: NO INDUSTRIAL. i WASTE APPROVAL ' OWNER'S PERMIT 00 --- ------- GONlvEt'TIfDN CHARGE FEE A€3THORIZATION DOTAL FEE r x I HAVE. AT THIS: DATE A CONTRACT- WITH THE HEREIN NAMED CON- REIF49UR'EMENT FEE------ ------------- TORTHER-L B.LO bFW rR THE ABOVEDESCRIBED E,AC;STING DW£LLfNG APPROVALS ROVALS D,Y,E-TIN$PECTOR S SIGNATURE�- SIGNED TH rS----,[DAY - Gi�`dER OR £'W HCU5E.SEWER { OWNEN _- __..__._ --_ CONNECT ADDITIONAL ” 6L 4 D tG OR WORK A 0 R F.55, ND ,a, _— A /O Yn N.',rEF`,PIT f,u i hr REBY ACKNOWLEDGE 'THAT READ EAD TSi;S APPLICATION AND/OR UftA%tak IEI.D _ CESSPOOL L7 DRYWELL F JI "' AT THE ABOVE IS CORRECT AND AGREE TO COMPLY Vv'T•, Cc-'UN N 'f OPOINANCES AND 5,AT LAWS REGULATING FI.t;McaINC. ;v N.. SF'W Pt25. HERc6Yis_..RT,FY THAT I Aho PROPERLY REGISTERED AND/OR .ALTER,REPAIR,SEWER OR LiCENS.ED AS REGUIRCD QY LOS ANGLES COUNTY AND STATE OF SiWAGE DI POSE. SYSTEM i CALIFORNIA OR THAT I ARI THE LEGAL OWNER Or AND INTE r{D TO UI Cf QN N£Ct ?'� t' AND � �--� ^.-- ----_-- FIE 5 1 17t IN, THE AE E llk�f:R3 E IDEiV 71vs, RQ,PERT �d ABANDON HO JSt SEWER .i F'E:RM5i Gi A URFERM BA.:KF[Lt SEPTI TANKS OF 9T'T s- "!� - - '� `-.. SEEP,PIY:.S) LJ CESSPOOLS �I I ALIDATION ROBERT � O SUPERVISING„-M (f 'NIC L M ]NEER .OA! .. CAS P{Z aa'e'"*tsmu