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HomeMy Public PortalAbout9653 OLIVE ST_Sewer__ 76A62D APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER—SEWAGE ❑ISPt��AL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FDR G J0HN A. LAMBIE Caunily Engineer —.— WILLIAM A. JENSEN, Sup'i ®1 Building � YFOR APPLICAIN'T TO FILL IN <<�..sST �. � � '-- ------------- LOCAL 3ESCR!P.ION. OT NO. OWNER i__+ -- - .O" el 6i..O:.:K RACLA/ -p5 <,r 4DDRF_S5 � .s� NO. OF FLOGS. ,�-, •� SIZE CSP LE?; NOW ON LOT CITY J�,/'�"�;7 J��' ,�YEL. NO. USE OF BJ t.DINi.,S ,g. _a'�t°�E _' - ---- DISTRICT NO.1 GROSJ,?, MAP PROCES511v PG COT RACTOR ADDRESS .r:-"- . ✓� "` 4°. 1°dIIlECTIOl`d DATA - i >✓ S'�rA!ON '�� 7� DEPTH r — I `" REGISTRATION N, ✓- - MANHOLE REFERENCE-HDLFFEft6NCE 9 °- .� C.1 COLiNTY No. bESCIRIPTION ©�' YV©RK eEE -- -¢-- -._.� _ XC E Q CQfN N ECTi��/�,,,,+++ - L£N TH FRO d' — HOUSE SEWER C.ONNF NG O �. � «� '�" �� i- M L TO P.L. �� _— P'S PUBLIC Ir.- —SEWER $'l_00 I - 5J Y P.C.NO L T C'TANK SEEPAGE P11 OR - � G0...1MFF' NO. { �/ -.�l f r rfr ArvD RDRAlr IEL.D C, 16:00 i -- —'z""_ J' TRUNK PERMIT NO. ROAD PERMIT NO. PRWATE C P7SA.L bYSTEN, $3.00 � ¢� WAIVEEASEMENT�7 NsLG. R . . pATECOrEC' Uj WORK,TO POUSE SEWER- @ $9.00 � _-.- OVF-2 F'LC. Y .,_EPAGE. uT".D62A i'dF -LD EXTN C 3P00 L.DR.WEL.L,lw•A N. 1?_E�� $9.00 -._ HWY. OR SS.WIDEN;NG A.LT_2.R4 Allo'.OR ABANDON riO�.iSE.. EW'E)2 ON D! Pari L ! 3.C6 ,2',--=`-'- C> STATE ENCROACHMENT PER' .T NO INDU'l ftlAt WASTE APPROVAL' ^_ _.-- _— OWNEws ' MIT J CONNE —ION CHARGE rEEAUIHORIZATION -- ---- -- 1 ED C.Ov_ _HAVE AT THIS DATE A CONTKACT' WITH THE HEREIN NAMRE:PSHUP.SE MEN"Y FEE c., ___ _ TRA.C.T R r(3 CCNN£CT T IE ABOVE DP5f_ GXi.,"YIN^ DWEING Rlp U TO )HE PUBLIC SEP A DATE `INSPECTOR'S SIGNATURE SIGNED T;iIS -- OWNFR OF; ,r eye _ NEW}tOU.�L6EWER I OWNERS AGE'NY a— r _T -__ ___. ------ T -�- y :,J' �c BUILDING OR WOZONAL i r ADDF .. �, WORK i SEPTIC TANK.SEEP,P!'YPSI I H 'F'` A. P BL'KNOWLE.DCE THAT I HAVE READ THIS APPLICATION AND/OR DRP.!-NFIDLD.- I AND TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL`: L- W-ITHAt _ COUr TY ORDINANCES AND STATE LAWS REGULATING ( ----_ �-------�---_-- PLUMHfNG :1 ND SEM9ERs. CESSPOOL DRYWELL C7 1 1 HF_Rray CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ALTCR,FCPA iR,SEWER OR LICENSED AS R£Q IR p��;Y LOS ANGLE'S�E.-`A BALkY AND STATE OF SEWAGE DISPOSAL S`f57'EM CA',L ORNIA OR THAT f.I AMs T'HF LEGAL C*YAIR OP'-A.ND INTEND T9,#I OE: IN, THE 1 - DISCONNECT PS UG WLH hS E 4£ECRi'3EO6S'R£l�"f f.�y�TQTI �Pt� PFP,'iY �3' AB-_ON HOUSE S dLH SIGNATURE �1. y� / —.. ------- OF _ `E. " BACK F6 L S PT TANKS Q.F PEt2M1TTEC_ f,. '� =-�-� [j _Fssp DOLS �I .,VALIDATION ROBERT A. WOOD CK. M.O. ;;ASH SUPERVISING MECHANICAL. ENGINEER "S ..i ... 7 6A64 2© APPLICATION FOR PERMIT 8AB4 COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION —auILO ALAMBI , CnttEngineer AR WILLIAM. RESui3axg of — ;yam/ _-- -----__------ LOCALITY d ,f`. `,.� W '�> d✓ .,: FOR APPLICANT TO FILL IN CROSSSST DFS'6.k4TION LOT NO f OWNER ecaa�s`t,�✓�° �.7`,y+"w'du✓' - '-_-�-- %31.0 K T eAc'k' i.f.o'' d ,d"' d +'.r``4-..l A., ORE ir'' -°�=' '`—./✓A'�':.----------------- - - - -- dr NO.. OF BLDG5. .._� 514E05: �_OT R`W ON LOT CtTY' r .� _.__.____.___.._—. ��,-„. 's .y. !, ��' TEL. NO. USE OF DISTRICT NO. GROUP MAP PROCESSED BY EJ.K PG CONTRA 7C A0DRESs',.�'_ " �, ,'.: - CONNECTION DATA 37 Y, TEL DEP H _ N e STATE MANHOLE REFERENCE REO!STRA IOt4 NC �' i� ✓23.x" � �..+'COUNTY --� I Jl � �LOWER CL N D SC 2tP�..,ON OF WORK—_-FEE:. � r{q TYPE td,,,, qP,�C:;Q� ((Et T/ONt �I-ENG Hj=iOM p 0 ` ! OUSE IEWF CONNECTING To -- I _ ,} #� r've �S$� -.--�� M.: TO PJfL_ e UB�1C SEWE --Q L P c-Na — 4. PTC TANK S EPAGE PiT OR - PITS ANO/OR D-2 A.VNf"sELDIO.00 � sit �. WEs CON NEC TING TC TRUNK PERMIT?40ROAD PERMIT NO. P NATE DISPa ALYSTEM. @ S3.00 _ ?TO HGJSE SEW ER $360 AF'FIDAV4T _ wA vart' EASE:seryt RECORU.INSTR NO. I PATE —- — O VERFj.OW SEEPAGE PIT, S7 bRAsNFIEL EX TN.;CESSFOOL,DkY WELL..MANHOLE S".00 ____ -- Al TER,PEP.;R OR Ak3ANDONHOUSE —. I____._-.�_______ HW't. OR it WIDENINGSEvVER OR D6.;P OSA[ S 3YE.M $3.00 I 1 _�. _....... STATE ENCROACHMENT —� INDUSTRIAL I WASTE APPROVAL CbR`; I�ERMIT zl 00 _ b � --- -- _.__-- CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE � �' �" =y -- --- ------- - --- ------ ----- I Ha VE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBU?:E MEN'T FEE RJ19EU EXISTING DWEL.f ING TRF,CT4rT TO (O NEC"r THE ABOVE GCSE. @wry`T q - TD THE PUBLIC S W%:.Ft _ APPROVALS ALS I DATE INSPECTOR'S SIGNATURE: SIGNED THIS .�_DAY QP OWNER O. NEW r SEWER HOUSE OWNERS \GENT�,,,,a, CONN.E.,T ADDINONAL� f ®LIILOING.OR WORK ADDRESS SEPTIC TANK,SEEP,PITIS) 1 HE.t $Y,_.ACKNOWLEUGE THAT . HAVE READ THIS APPLICATfJ-Ot Atc UiO i D`t AI NF"I.E LD AND ST A'TE THAT THE ABOVE ISCOR RE;CY AND AGREE TO COMPLY i: HL_ COUNTY ORDINANCES AND STATE L:A`PTS P,EGULANNG PLUJVE3 NG AND SEWERS. CESSPOOL iJ DRYWELL. r] ' t H REBY CERTFY 'THAT i AM PROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER.OR— _--- LiCENSEDAS REQUIRED BY LOS ANGLES COUNTY AND STAY;. Or SEWAGE DISPOSAL SYSTEM � �-_----_--__-_— CALI OPN IA OR THAT' I AM THE LEGAL OWNER OF AND INTEND TO - -- RESiUE Ik. Tr A3 [} SCRIR D tlL^I•k7,�AL PROPERTY DISCONNECT PLUG AND "" ABAN DON rfOU.SE SEWER L SIGNATURE. OF FERMPTTEE ^ ' " � BA KI`; SEPTIC,TANKS SEEP,P'iTCS) � ❑ CESSPOOLS ql 1 VALIDATION ROSERT A. WOOD ✓'CK. M..0. CAS:. SUPE:RVISfNG MECHANICAL ENGINEER' I. pf' > 75A E-66$,t..�� APPLICATION FOR PERMIT 1 g& .es DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS _� •, -"'°�� __ ...- '1 CASSATT 0.GRIFFIN, SUP'T OF BUILDINGS LOCALITY NEAREST ;FOR APPLICANT TO FILL IN CROSS ST. '- z LEGAL DESCRIPTION LOT NO. OWNER '' �' e1'J, ,> -- - MAIL BLOCK _ _RACY s^"- ADDRESS L.,�••'.g' NO. OF BLDGS, SIZE OF LOT NOW ON LOT CITI TEL. NO. USE OF BUILDINGS DISTRICT _ GROUP I MAP BK PG CONTRACTOR ADDREss : ,. CC�NI�TECT%ON DATA_ CITY STATION TEL..NO < _STATION DEPTH _ MANHOLE REFERENCE UPPER _ STATE ti_ LOWER REGISTRATION NO ❑ COUNTY .a �!—_ ,•• NO, DESCRIPTION OF WORK FEE T HOUSE SEWER CONNECTING TO TYPE OF C6NNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L.PUBLIC SEWER @ $3.50 — SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD_ r $3.00 —� OVERFLOW SEEPAGE PIT, DRAINFIELD I P. G,N0. EXTN.,CFSSPOOL,DRYWELL MANHOLE r_$2,00, C -%."^'P:"`NO• - J:t-np. '''I' SSSS- SSSS- ._ .3 i HOUSE SEWER CONNECTING TO � I PRIVATE,DISPOSAL SYSTEM 1..00_I + TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG OR --- STAT- ,.- ---" - ----y- - -"-�- WORK TO HOUSE SEWER (u STATE ENCROACHMENT - -- - - -- - $iA0 PERMIT NO. ----..---- j ALTER,REPAIR OR ABANDON HOUSE I INDUSTRIAL SEWER OR DISPOSAL SYSTEM -_ �a $1:00 t WASTE APPROVAL - {. CHARGES - -.-..� SSSS ------'-- -- --' SSSS ---"—--- -SSSS-- -----------...-- CONNECTION CHARGE FEE OWNER'S PERMIT � � 1 00 SSSS-- SSSS— - -- REIMBURSEMENT FEE AUTHORIZATIOrN TOTAL FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON. APPROVALS DATEINSPECfORSIGNAI'URE TRACTOR 0'""i'9FNNECI THE ABOVE DESCRIBED EXISTING DWELLING -- j_._.-- TO THE(PUBLIC SE.uVER. NEW HOUSE SE�S!ER � SIGNEI>JHIS DAY OF T ADDITIONAL --- _ -- OWNER O lsl v ,� 3UILG NG OR WORK -� OWNERS Al '.a -e,:.a.•�f� :/� .{Lr" y...... --- -- SSSS - -- �' - SEPTIC TANK,SEEP, PIT(Sr ADDRESS —_ AND/OR DRAINFIELD ��----- -- i AERFBY ACKNOWLEDGE THAT 1 HAVE READ IH1S APPLICATIONDRYi ELL 1 _--_---"------- CESSP OL[.] [] I J AN6 STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Wltlf ALL COUNTY ORDINANCES AND STATE. LAV%,S REGULATING ALTER,REPAIR,SFA�ER OR ^� PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG ANII _ LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON OUSE SEWER I CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE SH SSS -US DESCRIBED RESItr IAL PRGPERT' `y B-ACKFtLL SEPTIC TANKS[] J SIGNATURE SEEP PIT(5) LI CESSPOOLS El {{ — -- _ - - SSSS J- -•- 1 ----'''� OF PERMIT s" f JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A, WOOD.CHIEF PLBG, INSPECTOR