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HomeMy Public PortalAbout9846 OLIVE ST_Sewer__ DEPARTMENT OF COUNTY ENGINEER SEWER-SEWAGE DISPOSAL 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER BUILDING CASSATT D. GRIFFIN, SUPT GF BUILDING ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDINGL NEAREST ADDRESS �— ,__;---- ------------------------ CROSS ST. LOCALITY DISTRICT NO. SERIAL NO. PERMIT NO. NEAREST CROSS ST. - RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL ADDRESS USEZONE OCCUPANCY MAP —� _—___ --- BK PG CITY TEL.NO. CONTRACTOR CHARGES REIMBURSEMENT FEE ADDRESS i - REQUIRED NOT REQUIRED CITY (EL.NO., - JOB.NO. CONNECTION CHARGE FEE --—=— -- REGISTRATION NO. STATE C^,UN-Tfi' CO.IMP.NO. LEGAL RECEIPT NO. f DATE BY DESCRIPTION LOT NO. BLOCK TRACT _ WAIVER FOR RECORDING SIZE OF LOT —i T—NO.OF BLDGS. RECEIPT NO. DATE i BY NOW ON LOT USE OF BUILDINGS NO.i DESCRIPTION OF WORK FEE TRUNK PERMIT N0. HOUSE SEWER CONNECTING TO T / PUBLICSEWER Q $ 3.54 ROAD PERMIT N0. HOUSE SEWER CONNECTING TO STATE ENCROACHMENT _ PRIVATE DISPOSAL SYSTEM 1.00 PERMIT NO. CONNECT ADDITIONAL BLDG.OR INDUSTRIAL __I WORK TO HOUSE SEWER 1.00 WASTE APPROVAL ALTER OR REPAIR EXISTING _ SEWER O_R_DISPOSAL SYSTEM 1.00 CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM L00 STATION DEPTH SEPTIC TANK,SEEPAGE PIT OR PITS AND/OR DRAINFIELD 2.00 MANHOLE REFERENCE CESSPOOL—DRYWELL I UPPER LOWER SPECIAL CONDITIONS ONLY 2.00 TYPE OF CONNECTION LENGTH FROM Y. CURB P.L. M.L.TO P.L. OWNERS PERMIT # t 00 --- AUTHORIZATION I TOTAL FEE.- HAVE EEHAVE 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_ NEW HOUSE SEWER _ .. 19 :, _ ^T_ OWNER OR CONNECT ADDITIONAL I OWNERS AGENT # .` BUILDING OR WORK y1 SEPTIC TANK,SEEP.PIT(S) ADDRESS .. ...) °" i. -$., AND/ORDRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLi- CESSPOOL DRYWELL CAT0ION AND STATE THAT THE ABOVE IS CORRECT AND AGREE !!! TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER,REPAIRSEWER 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 CALIFORNIA OR THAT I AM THE LEGAL OWN- ABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS I] SIGNATURE SEEP.P[T(S)[] CESSPOOLS[:] OF PERMITTEE.-: 76A6A2D 663 12/52 Y6A766 8 '° $2 842D APPLICATION FOR PERMIT � COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BLIILOING JOHN A. LAMBIE; County Engineer ADDRESS WILLIAM A. JENSEN, Sup''t of building LOCALITY .Pyo4'�'',/^. NEAREST rFOR APPLICANT TO FILL IN 'SS ST. DLSL t'f-Gid LO'"NO. OVd tJER �, , MAIL LOCK TF?ACT @,� ADDRESS EIL 547E Z LOT NOW NOWOM LOT CITY 4 TES.. NO. BUC, ILDINGS DISTRICT NO. GROUP MAP PROCESSED By CONYRAC OR Cr'"`''Y--'�L�s ��"'�,,' I.,+�-r°Y✓d*,.-'{�'->r""�"" i ! _ ,j - ADDRESS -'a �'1 g d, -' — - . CONNECTION DATA. STATION DEPTH CITY f•"r _�� .,f...,,_Eta. MO. ' ,A 'gip STATE /i'ta R REGISTRATION N6 7 `•. MANHOLE.REFERENCE � �^ '' COUNTY LOWER NO. j Dc CR PTIOTJ OF WORK FEE OF --__-_- -__ _ TY�C OF CONNECTION LENGTh FROM 0.J NOUFIE SEVdER CONN k.CTING TO __._-__i Y. CURLS P.L. M.L.TO P.L. U PUBLICSEWER '� $5.00 ____—.- __ -_.. -. -- —_T_ _"— P.C.NO 09 EA ,ANN SEEPAGE PIT CIR I -- C©..IMP NJ jOS NO PITS A.-D UH RAINFIE D S10.00I _ --- _.--_- __._._ S 0 VSE SEWER LO'v NE 1.TING TO�aTRUNK PERMIT NO. ROAD PERMIT NO. s RIVA'i s' .��=AL SYSTEM M � 53.00 r GO NECT ADDITIONAL � .-_ I AFFIDAVIT wA;VER RECORC INSTR NO. I DATE bM1ORK 7'O HOU E SEWERL 67.00 1 - f ...Rh' _.-- ..__ . .- 0V R}'L._ ? OW SC_ AGE ,DPfTA FIELU �X1N Ct SSrOOL,DRYWaLL-.Mi+MFtJtS� �J:OU � .-__ _ ALTEW,P.._ P _ AFR7_R A ._ BYNDO_N (OUSE HWY.:OR ST.WIDENING I.. 1 SEAVER OR LIS'+'OSAL SYSTEM @53-DO STATE ENCROACHMENT I PERMIT ND. ; INDU.STRIA1.__. WASTE APPPOV AL - \ OMWE w a PEI�lMIT cr+aRCLs I z -- -- r — --� SAO..,._ CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE I ENT FEE 1 HAVE A?' THIS ON"CE A CONTRACT WITH THE HEREIN NAMED CON- R£.MBURSEM - -------�------ TRACTORTO r O- NT�CT THE ABO-VE DESCRIBED EXISTINGDWELLING ----e - r---- -- --- - '1'0 THE PURL. S NCR. APPROVALS DATE INSPECTORS SIGNATURE I SIGNED 'THis_.._._.—DAY OF" t9__ -_-_ ._..__-....__� _ _. OWNER OR NEW MOUSE SEWER j —,ADD- OWNERS AGENT - .._ --' CONNECT gDD BUILDING OR WORK ._._ SEP-iCC YANKSEEP.PIT{.S) I "ERFOY A4A td C)Ve i_EJC:E THAT I HAVF: HEAD YH.S APPLICATION. AND/OR ORA:INFIELD AND STATE THAI THE ABOVE t5 CORRECT AND AGREE 'ToC.OMPL Y WITH ALL COUNTY ORDIN.ANCE5 AND STATE LAWS REGULATING P LUMSiNG AND 'SEWERS, CESSPOOL. Lj DRYWELL 0 # HEREBY CERTSFITHAT 1 AM PROPERLY REGISTERED AND/AOR ALTER,REPAIR.SEWER OR Lw,'-FN-9E0 .4S R£.QVIREO BY LOS AS:Gi_EE COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALtFORNtA OR 'T LSAT I AM TYE LEGAL. OWNER OF AND INTEND TO --.-_ —_—_--_._�_..._.. DISCONN ELY PLUG A;.GD RESIDE IN, 'THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. � { - ABANDON HOUSE SEWER SIGNATURE ' . y BACKFILL SEPTIC TANKS OG PERMITTEE T- - SE EI•1'I Q:T) rj cLS5P6"1Ot5 ')VALIDATION ROBERT A. WOOD SUFERVi.SING MECHANICAL ENGINEER CK. M.O. CASH f y.