HomeMy Public PortalAbout9856 OLIVE ST_Sewer__ T)EPARTIIENT OF COUNTY F-NGINFXR SEWER---SEWAGE DISPOSAL 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER BUILDING
ADDRESSBUILDING r
FOR APPLICANT TO FILL IN LOCALITYNEAREST
ADDRESS .__ r CROSS ST.
LOCALITY CDISTRICT NO. C-SERIAL NO. PERMIT NO.
c.,
NEAREST � ' � ,-
CROSS ST. �. i ----
RECEIYfD B Ready for Inspection DATE ISSUED
OWNER
MAIL
ADDRESS USE ZONE OCCUPANCY BK
MAP
CITY TELAO. ,
CONTRACTOR CO.IMP.NO.
ADDRESS Sea yl s JOB.NO.
CITY TEL.NO. - 6 7
47TRUNK PERMIT N0.
TNTE
REGISTRATION NO, IiR0 NTY ROAD PERMIT N0.
LEGAL ` STATE ENCROACHMENT
DESCRIPTION LOT NO. PERMIT NO.
BLOCK 'TRACT INDUSTRIAL
WASTE APPROVAL
N0
SIZE OF LOT .OF BLOGS. GH GES
{ ± �� NOW ON LOT _ _
USE OF
BUILDINGS ►_t CONNECTION CHARGE FEE
NO. DESCRIPTION OF WORK FEE
REIMBURSEMENT FEE
HOUSE SEWER CONNECTING TO -
PUBLIC SEWER 0 $ 3.50 I RECEIPT N0. I BY
HOUSE SEWER CONNECTING TO
PRIVATE DISPOSAL SYSTEM 1.00
CONNECT ADDITIONAL BLDG.OR EXCEPT N REC DED
WORK TO HOUSE SEWER 1.00
t ALTER OR REPAIR EXISTING P!0' I DATE i SY
SEWER OR DISPOSAL SYSTEM 1.00
DISCONNECT AND ABANDON SEWER
AND/OR DISPOSAL SYSTEM 1.00 C NNECTION DAl'iA
SEPTIC TANK,SEEPAGE PIT OR
PITS AND/OR DRAINFIELD 2.00 I STATION DEPTki
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
UPPER LOWER
_ TYPE OF CONNECTION LENGTH F OM
OWNERS PERMIT $ I 1 00 Y. CURB P.L. M.L.TO P.L.
AUTHORIZATION I TOTAL FEE
1 HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLIC SEWE
SIGNED THIS...... .........DAY OF.4 ^ _19_._, NEW HOUSE SEWER
�
OWNER OR CONNECT ADDITIONAL OWNERS AGENT....-...............-----••--......--•--•........_.._......_..-......... BUILDING OR WORK
SEPTIC TANK,SEEP.PIT(S)
ADDRESS...................................................... AND/OR DRAINFIELD
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL[] 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 DISPOSAL SYSTEM
I HEREBY CERTIFY° THAT 1 AM PROPERLY REGISTERtD DISCONNECT PLUG AND
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY DISCONNECT
HOUSE SEWER
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE ESCRIBED RV TIAL PROPERTY BACKFILL SEPTIC TANKS E)
SIGNATURE _,�w ✓ SEEP.PIT(S)[] CESSPOOLS
OF PERMITTEE.--.-------.........
- - .......- -....__< ..... - .;.
7GA642A 663 7/53
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 I ADDRESS I
7.0
FO_ APPLICANT TO FILL IN LOCALITY j f'
BUILDING NEAREST
ADDRESS ' �j CROSS ST. 14
LOCALITY ` DISTRICT NO. SERIAL NO. PERMIT NO.
As
NEAREST
CROSS ST. /r� y-Al' y— �J
------ fJ � .r'
` / RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Jar[ F//"` _ 3/ zG'o}t. 7 ' ,, ..
MAIL { j rUSE ZONE OCCUPANCY BK MAP P6
ADDRESS /�,.�d
CITY r TELAO.
CONTRACTOR e, IZ450,6
A3 o
CO.IMP.N0.
ADDRESS JOB.N0.
CITY �TEL.NO. ' rO ,ra. TRUNK PERMIT NO.
TATE
REGISTRATION NO. 4 COUNTYf
ROAD PERMIT N0. s
LEGAL STATE ENCROACHMENT
DESCRIPTION LOT NO. — PERMIT N0:�, y'
BLOCK TRACT INDUSTRIAL
— WASTE APPROVAL-,
SIZE OF LOT N0.OF BLDG3. .. CHARGES
NOW ON LOT _
USE OFf �J`,4'j� I/i ,0000
SUILOINGSr"' t, t' i y r' CONNECTION CHARGE FEE
NO. I DESCRIPTION OF WORK FEE
REIMBURSEMENT FEE
J.HGUSE SEWER CONNECTING TO
PUBLIC SEWER @ $ 3.50 RECEIPT NO. DATE (BY
HOUSE SEWER CONNECTING TO
;PRIVATE DISPOSAL SYSTEM 1.00
y.' CONNECT ADDITIONAL BLDG.OR E;h EPTION RECORDS&
WORK TO HOUSE SEWER 1.00 N I DATE 1 BY
ALTER OR REPAIR EXISTING
_SEWER OR DISPOSAL SYSTEM 1.00
DISCONNECT AND ABANDON SEWER
_ AND/OR DISPOSAL SYSTEM 1.00 CONNECTION DATA
SEPTIC TANK,SEEPAGE PIT OR
PITS AND/OR DRAINFIELD 2.00 STATION y DEATH
CESSPOOL—DRYWELL
SPECIAL CONDITIONS ONLY 2.00 MANHOLE REFERENCE
UPPER Low-ER
TYPE OF CONNECTION LENGTH FROM
t Y. CURB t.L. M.L.TO P.L.
OWNERS PERMIT $ I oo
AUTHORIZATION TOTAL FEE
I HAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED
CONTRACTOR TO CONNECT THE ABOVE DES IBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DATE
DWELLING TO THE PUBLVO SEWJER ---
i:r
SIGNED THIS.....__...._._ . .......�. 'Y.._. NEW HOUSE SEWER
..:.__. _
OWNER OR CONNECT ADDITIONAL
OWNERS AGENT.......-_..__- .__._.._. BUILDING OR WORK
SEPTIC TANK,SEEP.PIT(S)
ADDRESS......-..................................... ..__.....__....-_.._................... AND/OR GRAINFIELD
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- CESSPOOL E] 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 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, OR THAT 1 AM THE LEGAL OWN. ABANDON HOUSE SEWER
ER OF THE ABOVE DESCRIBED RESIDENTIAL PPOPERTY. BACKFILL SEPTIC TANKS E]
SIGNATURE(, '. R SEEP.PIT(S)(] CESSPOOLS[] r !
OFPERMITTE - - ...� .. : ... _..... ....
76A642A 663 7/53