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Home My Public Portal About10539 OLIVE ST_Sewer__ DEPART OF COs ENODUMM SEWER—SEWASE DISPOSAL }� DIVISION OF BUILDING AND SAFETY10 - ,: PERMIT APPLICATION :• O®mss ®r LOS �ra�=�INEER " � �c WILLIAM J. FOX, COUNTY ENGIUILDING DRESS �� o}"<.C.0 FOR APPLICANT TQ FILL IALITY BUILDING �( .- f- ALL l ADDRESS /J q r,• ` ✓lJI-{� SS ST.. ��`dC.K.Lj '''eLOCALITYSTRICT N0. SERIAL N0. PERR9IT/N0. NEAREST rC 4`n`�� F--" A � � Co S CROSS ST. + � -I�{{t r ( CEIVEDBY Ready for inapeotion DATEISSUED OWNERifi✓)?s:f f' b.� 1c1-�1:;'7(� ADQRESS } ,, USE ZONE OCCUPANCY MAP SK PG CITY TEL:NO. I CONTRACTp� l i form! „ COIMPN0 `L� � 4.x'3 13rE2ec� d"��'�r const.p-�.. . . . c�y': - ADDRESS 7 jj rr Co.-j earOVe A..rra v = JCB.N0. CITYM„ntehpl1 0 TEL.�Ifti on 3"r-n4 TRUNK-PERMIT NO. 6�d+ STATE.,' REGISTRATION NQ.()44&;_; C1.a t�eCOUNTY;'. ROAD PERMIT NO. " LEGAL DESCRIPTION LOT NC: y /'_ ,1-�H� et, STATE ENCROACHMENT r/ P` / �f � PERMIT NO. 1 BLOCK TRACT lo INDUSTRIAL- WASTE APPROVAL SIZE OF LOT 7,,,- a. CHARGES/90.OF NOW ON LOT USE OF BUILDINGS r CONNECTION C �RGE FEE / NO. DESCRIPTION OF WORK FEE =; REIMBURSEMENT FEE. HOUSE SEWER.CONNECTING TO PUBLICSEWER 00 $ 3.50 RECEIPT fib. /DATEI BY HOUSE SEWER CONNECTING. PRIVATE DISPOSAL SYSTEM 1.00 - CONNECT ADDITIONAL BLDG.OR EXCEPT 014 RECORDED WORK TO.HOUSE SEWER 1.00' ALTER OR REPAIR EXISTING' NO. I/ •UA,TE I BY SEWER OR DISPOSAL SYSTEM 1.00 DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 1.00 C• NNECTI.ON DATA SEPTIC TANK,SEEPAGE PIT-OR i PITS AND/OR DRAINFIELD 2.00 STATION ld 4 -7 DEPTH CESSPOOL—DRYWELL / MANHOLEREFERENCE SPECIAL CONDITIONS ONLY 2:00 7 6 . LOWER• TYPE OF CONNECTIOpy� LENGTH FROM,O t / OWNERS PERMIT $' i 00 $ lP M.L.TO P.L. �.3 AUTHORIZATION- - TOTAL FEE , 1 HAVE THIS DATE CONTRACTED:WITH THE HEREIN NAMED. CONTRACTOR.TO CONNECT THE ABOVE DESCIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE - DWELLING TO THELIC SEWERAL NEW HOUSE SEWER, SIGNED THI _..:�''DAY OR. _.._....___•19 + OWNER OR : ...... CONNECT ADDITIONAL OWNERS AGENT. A- . : BUILDINGOR WORK TANK.SEEP.PI T(8)SEPTIC ADDRESS..... ND/OR DRAINFIELD. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI•' CE13SPOOL[] DRYWELL CATION AND STATE THAT THE ABOVE IS CORRECT. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS. ALTER,REPAIR:SEWER OR REGULATING PLUMBING AND SEWERS. SEWAGE 018POSSEWEST R 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED SEWAGNDISPOECT AI AND AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONABANDON HOUSES EWER AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN= ER OF THE ABOVE .DESCR BED 'R�EES�IDENTIAL PROPERTY. BACKFILLSEPTICTANKS SIGNATURE �, j w �J SEEP.PIT(S)E] CES SPOOL�� _ OF PERMITTEE __-p _?. - ... !.•: f_ ��: !.._.._-•, .' 76A642D 663 1/53 „W4KERS'COMPENSATION DECLARATION MOMMI DPW 6189 I hereby o}Firm that I have o.:certificate of consent to self ;:,:;. D Insure, a"*cI+rtrfitate of•'Workers'Compensation Insurance, or a certified copy thereof?Sec. 3800. lab C.) ' '~ APPLICATION FOR PERMIT Policy No. _Company '��Certified copy is hereby furnished. SEWER SEWAGE DISPOSAL 1:3 Certifieducopy is filed with the county building inspection COUNTY OF LOS ANGELES BUILDING AND SAFETY department. ' Date Applicant FOR APPUCANT TO FILL IN CONNECTION DATA .ti. CERTIFICATE OF EXEMPTION FROM WORKERS' BUILDING. Q ` COMPENSATION INSURANCE ADDRESS d'�„7 �iM� .J�r STATION DEPTH (This section need not be completed if the work Involved by the MANHOLE REFERENCE UPPER OWER permit Is for one hundred dollars ($100)or less.) LOCALITY I certify that in the performance of the work for which this CROSSNEAREST TYPE OF CONNECTION LENGTH FROM t y P CROSS ST. Y CURB PL ML 1O P L permit is mued. 1 shall not employ any person in any manner LEGAL so as to become subject to the Workers'Compensation Laws. DESCRIPTION LOT NO. P C NO CO IMP NO JOB NO p� • f' Date Applicant BLOCK TRACT 'RUNK PERMIT NO ROAD PERMIT NO I ASSESSOR AfFIDAVIT WAIVER EASEMENT RECORD INSTR NO DATE NOTICE TO APPLICANT: If, after making this Certificate of MAP BOOK PAGE PARCEL Exemption, you should become subject to the WorkersNO.OF BLDGS. Compensation provisions of the Labor code, you must forthwith �, SIZE OF LOT NOW ON LOT HWY OR ST WIDENING comply with such provisions or this permit shall be deemed USE OF revoked. BUILDINGS STATE ENCROACHMENT LICENSED CONTRACTORS DECLARATIONPERMIT NO 1 hereby affirm that 1 am licensed under provisions of Chapter OWNER ALI, ell7 - 9 (commencing with Section 7000). of Division 3 of the Busi- MAIL �.- nese and Professions Code, and my license is in full force and ADDRESS ��yyAA� CHARGES i effect. CITY 42ML EL NO. 1z-Lr`T J `0 CONNECTION CHARGE FEE License Number Lic.Clos'S r CONTRACTOR REIMBURSEMENT FEE .. Contractor Date_ DISTRICT NO GROUP MAP PROCESSED BY ADDRESS , ❑ 1 am exempt under Sec. of the L.A:Co. CITY TEL.NO. 11A Plumbing Code and for Sec. of the STATE LIC. FINAL U LICENSE NO. CLASS DATE VALIDATION Z B. 8 P. Code for the following reason NO. DESCRIPTION OF WORK FEE O HOUSE SEWER CONNECTING TO FINAL. Date PUBLIC SEWER BY V I SEPTIC TANK SEEPAGE PIT OR IJ E Signature PITS-AND OR'DRAINFIELD �- HOUSE SEWER CONNECTING TO OWNER-BUILDER DECLARATION PRIvnrE DISPosAL SYSTEM ► Z I hereby affirm that 1 am exempt from the Contractor's License CONNECT ADDITIONAL BLDG OR GLaw for the following reason (Secion 7031.5, Buisness and Pro- WORK TO HOUtt SEWER is fessigns Cade): OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOUl.'DRYWELL.MANHOLE -ir •-' I,as owner of the property,or my employees with wages as ALTER REPAIR O ABANDON tiOUSF SEWER OR DISPOSAL SYSTEM their sole compensation, will do the work and the structure � ::�•:_ '_�._-.. R is not intended or offered for sole (Section 7044, Business ' tC .I I -.•;-.,- and Professions Code). t• =•••- .- 1.;sw ❑ I.as'bwner of the property, am exclusively contracting with OWNERS Permit S �^ L7 licensed Contractors to construct the project (Section 7044, ^.'R AUTHORIZATION Business and Professions Code). TOTAL FEE � '•:�•`-'='''• CONSTRUCTION LENDING AGENCY ; HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CONTRACTOR TO f'. y;' I hereby affirm that there is a construction lending agency CONNECT THE.ABOVE DESCRIBED EXISTING O'ATELLINC,.TO THE PUBLIC SEWER I I"fD for the 'performance of the work for which this permit .s > ,' Issued(Sec. 3097, Civ. C.3 SIGNED THIS DAY OF 19L- r -MNER OR 5 s.r I lender's Nome OWNERS AGENT -1 �'`F`' Lender's Address ADDRESS I certiWthot 1 have read this application and state that the above information is correct. 1 agree to comply with oil County Ordinance}.ond•State. laws regulating Plumbing and Sewers, and hereb thorize re eMatives of this Cour+ty to Hier upon Th or Inspect ve-menti roperty ion pure .s. I ig atur It Pe i e Date SEE.REVERSE FOR EXPLANATORY CANWAGE ,E808 10-63 APPLICATION FOR PERMIT r COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL �? DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION n�:)LOING l JOHN A. LAMBIE, County Engine r -------------._-.-- WILLIAM A. JENSEN, Sup" of Building p �" LJGR:5-, -'ROSS{(T f- FOR APPLICANT TO FILL IN -- — -- — /f ESC)RIF( ON LOi. NO O`NNER }AAIL BLOCK TRACT -. DRESS NO. OF BLOCS. --1-7 Si LE OF LOT NOW ON LOT CITY .q �. �. TEL. NO. 6-z--_ __ !� _-- DISTRICT N GROUP :+" MAP PROCESSED BY BU ILDINCS -1 Au BK PG --- --- -_ - -=- - CONTR�. TDR _� _-- -- _ ---— -- - ADDRESS -' d,_/ CONNECTION DATA STATION DEPTH CITY i � T Pi O., "�Y+ dd� �. rt - '— = — - -- - --------- - - - STATE MANHOLE REFERENCE REGISTRATION NO. v COUNTY LOVdER. NO { GESCftIPTION OF WO FEE---- —�� TYPE )F COPNNEC710N -- LENGTH FR O.h1 __-- _--_ �'(OUS�SFWEft COt.�NE CTING TO — — --�—�— Y. CU RP9 P L__- _M_L TO P.L. a- j P)BLIC SEWER _ '@a` `35:00 _^ _ EPT C TANK.56 EPA CE PiT OR ----- -- �— CC IM.P NO P C.NO. 05 NO, PITS A.1D OR DRA MFIELD @ X10.00 I -- --h -- ---- _'.--'- --- '--- '--- - -�tHbtJS€SEVJ R CONNECTIPG TO 1 TRUNK P£t4{IT h47 tr ,^.:JA.L PERMIT NO. at PRIVATE D SP03AL SYSTEM $9.00 ! 0 I CONNECT ADDITIONAL BLDG.CR - AFFIDAVIT I wAivex EASEMENT F2Ec:ORT.INSTR.ND. i DATE WORK TO HOUSE SEWER $3.00 OVERFLOW SE PFiC PI DRAIN FI EtD �_--___ EAXi-WN+'t,C-'-_E F2_e:rSPO�=L_,D_RtWELL,.tM+I 3NHO..L-E_li $5._:.-6__0 ave3vABAeD__ ._�...-.- HWY. OR ST.WIDENING .W_.I_D_.-E.NI N-G ON H0Jyy �SEE -klel @ $3.00 STATE ENCROACHMENTt� _-_ PERMIT P<O. INDUSTRIAL --_-----_ I WASTE APPROVAL CHARGES OWNER ---- ---- --__ --------- ----- __- CONNECTION CHARGE FEE AUTFaORIZATION TOTAL FEE n, 'I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON REIMBURSEMENT FEE TRACTOR TO CC,NNECT THE ABOVE DESCRIBED EXISTINIG DWELLING -----.__ �,;y TO THE: PUBL.C. SEWER. APPRO V ALS DATE INSPECTOR S SIGNATURE' SIGNED THIS-._- DAY fl€' -'----- ---1� _.. --- -----.--' -t-- ----- OW'NER OR NEW HOUSE SEWER OWNERS A GENT".__--__--_-__-_�__.____ - CONNECT ADD TONAL BUILDI"tU OR WORK . SPTIC TANK, SE EP,PIT(`") - ---- DGE I HAVE. IS PPLICATION OR FIELV A NDfASY.f TE THAT THEI,ABOVL�ST CORRECT AND AGREE: TOTOS COMPLY CESSPOOL pRAiIPi_GRYWELL 1--i WIT 1'Fi �L., COUNTY ORDINANCE_ AND STATE LAWS REGULATINGI EEf PL UMBINGAND SEW-R" ' Y CERTIFY THAT°T 1 AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR � i AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISP'SA SYSTEMIA OR .HAT I AM HE _.EGAL OW LER OF AND INTEND TOG, L ANL- THE ABOVE PTESCRI�£O RE511 NTfAL ROPE. Y. ABANDON HO E EWERE �° � _- -- QITT.EE S BAf KF�LL S p I TANKS f-" -"-- ---- --- SCEF,.Ii(S) CESSPOOLS [f� _..,VALIDATIOImI ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER I CK- W O.. CASH L APPLICATION FOR PERMIr 76ACI;?D COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL BUILDING AND SAFETY DIVISION SUILC ING JOHN A. LAMBIE, County Engineer A L OR F.SS WILLIAM A. JENSEN, Sup'i of Building .TY LOCALITY PiF_.AT FOR APPLICANT TO FILL IN CROSS ST. OFSCR11FION LOT NO.. --.Fll f MAIL ADDRESS No. OF BL ET C, SIZE 1 _UT NOW_9N LOT. C f-T Y TEL. NO. 15v 0 F - BU;LDINGS DISTRICT NO.1 GR?UF11 MAP PROCESSED BY 13K PG 7- ADDRESS CONNECTION DATA c IT y NO� STATION DEPTH _z STATE REG 1ST RAI QN_NO� MANHOLE.'REFERENCE UPPER LOWER N OF VVORK FEE 0: 11 DESCRiPTION TYPE OF CONNECTION LENGTH FROM s E s C-0—NIN E_c-_T I Y. CURB PL. MA, TO P.L. j SFPTI(' CANK, 5HEPAGE.PIT OR NO. I-ro A N 0,'(7,R 0 R A;N I E t D @ $10.00 _CO.IMP.NO. Joe No. L? HOUSE SEWF R CONNECTi NG-0 TRUNK PERMIT NO ROAD PER-MIT NO. PRIVATE DISPOSAL SYSTEM $3.00 T 1DAV!T EASE.Elir RECORD.iN5TR. W)NNECT ADEI:TIONAL.BLDG.OR ORn TC HCijSF LEWER @ $3.00 PIT,DRAINFIELD $500 AL -R.Rt-3f lla. HOI;s-E HWY. OR ST.W!DEN I NG SEW= �R_ORO,5pos��SYSTEM a $3.00 3 SATE ENCROACHMENT PERMIT NO. 1; INDUSTRIAL WASTE APPROVAL _—CHARGES OVMER'S PERMIT ;2' 00 CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE ct) I HAVE P AT THIS DATE A CONTRACT WITH THE HEREIN NA.MFD CON- R6tMB_LJR�FM.ENT FEE TRACTOR. TO CONN E CT THE APOVE DESCRiBEO EXISTING DWEI..LItjG - TO THE IJBL IC SEWER. APPROVALS DATE 1 INSPECTOR'S SIGNATURE S!GNEE) THIS DAY OWNER OR NEW HOUSE SEWER OWNERS CONN ECT ADD IT'i ON A BU!LE);NG OR WORK SEPTIC TANK,SKEP,PIT(S) I I HEREBY ACKNOWL.EDGE THAT I HAVE READ THIS APPLICATION AND/Of ORAiNFIELD AN STATE THAT HE ABOVE IS CORRECT AND AGREE TO OMPL 'r y CES TATE LAWS RtGUL.ATtNG WITH ALI. TY ORDINANCES AND 5 PI_, 4G AND SEWERS. CESSPOOL [3 DRYWELL C-i I q RTIFY THAI' I AM PROPERLY REOESTERED AND/OR ALTER REPAIR,SEWER OR L E 1 `�rqE By �C NSE D AS REIQUIRED BY LOS ANCI,FS COUNTY AND STATE OF S€WAGE DISPOSAL SYSTEM CAI-IFORNIA OR THAT t AM THE LEcoAL OWNER OF. AND INTEND TO _m`SC0_NN_ECTP,L_U_C,_AND RZ, 1.14, THE ABOVE Ot CRIBEgrRESIDENTIAL PROPERT�, 3 ABANDON HOUSE SEWER SIGNATURE OF PERM'TTEE 13ACKPiLIL.SEPTIC TANKS SEEP.PIT(S) D CESSPOOLS VALIDATION ROBERT A. WOOD C K,., M 0. CASH 5 L)F F_R V I S I N G NIECHANICAL FN(�INEER