HomeMy Public PortalAbout10549 OLIVE ST_Sewer__ DEPAWfMENT OF COUNTY-ENG&EER SEWER-:-SEWAGE DISPOSAL
�--DIVISION OF BUILDMG'AND SAFEiT A I
COUNW OF LOS ANGELES ' PERMIT APPLICAT I 10 N
WILLIAM J. F'Ok. COUNTY ENGINICIER BUILDING
I ADORE
FOR APPLIC NT TOWILL IN LOCAL TV_'
UILDING NEAREST
A� CROSS ST.
ADDRESS
r
LOCALITY DISTRICT No. SERIAL NO. PERMIT NO.
A�_ _
5- A S
NEAREST
GROSS ST.
OWNER RECEIVED Ready for Inspection DATEISSUED
MAIL
A DRESS USEZONE OCCUPANCY MAP
CITY TEL.1110. A / - BIC Pa
CONTRACTOR
CO.IMP.NO.
A.OGRESS JOB NO.
CITY r_-l-ntobr_,llo ' 'TEL.NO. UjNiOn 1-5048 T UNK PERMIT NO.
REGISTRATIONNO. LC4445; C&O
CITUAhTTEY
LEGAL ROAD PERMIT NO.
DESCRIPTION LOT NO. STATE ENCROACHMENT
PERMIT NO.
BLOCK TRAar_ INDUSTRIAL
7 WASTE APPROVAL
OF SLOSS. I
SIZE OF LOT7,j NOW ON LOT CHARiES
NO.
USE OF
BUILDINGS ELAA CONNECTION CHARGE FEE
NO. DESCRIPTION OF WORK FEE REIMBURSERM-NTIEEE
HOUSE SEWER CONNECTING TO
PUBLIOSEWER @ $ 3.50 RECEIPT NO. �I)Aft By
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR
WORK TO HOUSE SEWER 1.00 _kX6EPTION RAMBDED
AL R ING NG- DATE
—SE ER OR DISPOSAL SYSTEM 1.00
DISCONNECT AND ABANDON SEWER
AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA
OEPTIC TANK.SEEPAGE PIT OR
PITS ANO/OR GRAINFIELD 2.00 STATION DEPTH
CESSPOOL–DRYWELL
PECIAL CONDITIONS ONLY 2.00 A.ANHOLE REFERENCE
A,,a lly UPPER COMEER
TYPE OF.0ONNE(fTI LENGTH FRO.M e7
OWNERS PERMIT $ 1 00 _811*13– in! M.L.TO P.L.
AUTHORIZATION I TOTALFEE
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC SEWER
SIGNED THIS__.–DAY OF Iq__ NEW HOUSE SEWER '54 m C-�e il-LL". S-,
OWNER CONNECT ADDITIONAL
/14d BUILDI NO OR WORK
OWNERS A0Q"ENTa4_._ �_t. ... ....
SEPTIC TANK,BEEP6 PIT(S)
ADDRESS AND/011 DRAINFIELD
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS P(OPLI- CESSPOOL[] DRYWELL
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER.REPAIR.SEWER OR
REGULATING PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT 1. AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED. BY LOS ANGELES COUNTY DISCONNECT PLUG AND
AND STATE OF-CALIFORNI THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER.
SCRJ �
2&R
ER OF THE A8017E DE 1 0 HESI�GEN IAL PROPERTY. BACKFILL SEPTIC TANKS
SEEP.PIT(S) CESSPOOLS 0
LSIGNATU -1
OF PERA
TU60D 663 2/53
96A6420 APPLICATION FOR PERMIT .• ,
ISI�I�ION OF BUILDING AND SAFETY SEWER-SEWAGE AGE DISP SAL
r Deportment of County Engineer
County of Los Angeles BUILDING
WM.J. FOX,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUP'T OF BUILDINGS LOCALITY A -a.;.R• '.-- mfr^`
_ FOR APPLICANT TO FML IN NEAREST
CROSS ST.
LEGAL -�
DESCRIPTION LOT NO, JJ OWNER
-BLOCK TRACT tr' MAIL
ADDRESS / '"`
E_OF LOT A .. NO. OF BL
_S12it NOW ON LOT
„r' s CITY -"*y�e� . TEL. N0.
€SSE
_BUiI.DJiNGS ". a+ c. ",..tom: sDISTR€CTJ3Ck... GROUP E MAP
- _ BK P
CONTRACTOR A._•' `
-- — - _
F: CONNECTION DATA
ADDRESS " ,�- .;,��
CITY- =.11` TEL. N0. STAT€ON -- --'-_-- DEPTH
,J4 STATE M"'%HOLE REFER ENCE _UPPER-
REGISTRATION NO. COUNTY .- __-__. LOW _
ER
a u)
N0. DESCRIPTION OF WORK FEE ---TYP.:.OF CONNECTION Lf NG'h FROM -^---�--
HOUSE 5 4ER CONNECTING 70 Y. CURB L. d L TO P.L.
v�PUBLIC WER_ e_S 3.50 P_
- '-- - - - - -
,) HOUSE SEWER CONNECTING TO
PR€JATE DI POSALSYSTE1.00 i� --- -- ---- - -- - - -
—� ---. M. �-,- P. C. N0. `'�-11111i
CONNECT ADDITIONAL BLDG.Oft r �!
--S_MAK TO H:OUSF.SOWER L00 I-TM Co. P70.'`_ JOB NO.
ALTER OR REPAIR EA.ISTiNG -v -- --^-` - -
SEWER OR DISPOSAL SYSTEM 1.00TRUNK PERMIT NO., ROAD PER M;T.NO.
DCOM wECT AND A_}A€NDDN SEWER -_
ANDIOP _STATE E1.YCROACNkRENT..--'_-- _�---_
01SPOSAL SYSTEM 1.00 PERMIT NO.
--
SEPTIC TANK,SEEPAGE PIT OR ..__ .NDII ___-_----- _ -- --
_ PIT$AND/OR DRRAJNr EI_D ,,-..00. 1NRtISTR1AL
f SSPO S - DRYLY ELL - - WASTE APPROVAL
_ SPECIAL CONDITIONS ONLY 2._00 -1 CHARGES,
CONNECTION.C'HARGE FEE
® I3ER'S PERR'IIT i oo� --- —:..— -- -
AUTHORIZATION � TOTAL FEE � �� �EirlauRses ErT FEE
I HAVE THIS DATE CONTRACTED V41TH THE HEREIN NAMED CON- 7� 2z s2 �+
- TRACTOa TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPAOVAI.S DATE 'INSPECTOR'S SIGNATURE
- - -- -
TO THE PUBLIC SEWER
' q^ NEW HOUSE SEWER.
SIGNED THIS 'Ay OF
OWNER OP, CONNECT ADDITIONAL
' f - .� ....�.. .�
OWNERS AGE',iT� TANK,�� r_ � � �.._. _--_. __Bt!€LDING OR WORK_ !.
SEPTIC TAN , SEEP, PIT(S)
_-^^-_-- —_---
ADDRESS__-__ dd _ AND/OR DRAINFIE_LD_ _
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION VCESSPOOL IID DRY'WELL❑
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 SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT I All PROPERLY REGISTV.!M' AND/OR V --
LICENSED .AS REQUIRED BY LOS ANGELES OUNT AND STATE OF DISCONNECT PLUG AND
CALIFORNIA OR THAT I AM THE, LEGW N OF. THE ABOVE LBANDON HOUSE SEWER
DESCRIBED RESIDENTIAL 'PROPERTY. . BACKFILL SEPTIC TANKS
`F SEEP. PIT(S) �I GESSPOOLS'y7_ _
SIGNATURE
OF PERMITT,jr
Jig
WILLIAM J.FOX.rp<mfy ENGINEERAUDATIQN R.A.WOOD,CHIEF PLBG. INSPECTOR
a° '. 7.