The URL can be used to link to this page

Home My Public Portal About9221-9229 PENTLAND ST_Sewer__ 9 2&c66 APPLICATION FOR PERMIT 1 DI DIVISION OF BUILDING AND SAFM SEWER—SEWAGE DISPOSAL Deporbament of County Engineer - County of Los Angeles BUILDING ]�,4 JOHN A LAMBIE COUNTY ENGINEER ADDRE99CASSATTO GRIFFIN SUPTOFBUILDING LOCALITYFOR APPLICANT TO FILL IN cassca sT� I OECRIPTION LOT NO 0, S e FL a i'i� 4 L6isOWNER BLOCK TRACT 12Z O �— ADDRESS , � 19 NOOFBLDGSCITY TEL NOMAIL SIZE OF LOT NOW F LOT USE OF BUILDINGS L'ra eq DISTRICT NO GROUP NAP CONTRACTOR �- y S- ADDRESS CONNECTION DATA STATION DEPTH CITY TEL NO UPPER MANHOLE REFERENCE ❑ STATE LOWER REGISTRATION NO ❑ COUNTY No DESCRIPTION OF WORK FEE HOUSE SEWER CONNECTING TOTYPE OF CONNECTION LENGTH FROM PUBLIC SEWER @ $3 50 Y CURB P L M L TO P L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD S 3 00 OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EXTH CESSPOOL DRYWELL MANHOLE $2 00 CO INP NO 'JOB NO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM Q $1 00 TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER t[{, S 1 00 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM ® S 1 00 WASTE APPROVAL - CHARGES CONNECTION CHARGE FEE OVtrm'S PERMIT $ 1 00 AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE INSPECTOR SSIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC SEWER NEW HOUSE SEWER SIGNED THIS DAY OF 19 ICONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT SEPTIC TANK SEEP PIT(S) ADDRESS 1AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDEN IAL PROPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(SI ❑ CESSPOOLS❑ OF PERMITTEE F JOHN A LAMBIE COUNTY ENGINEER VALIDATjOrj__-,,ROBERT A WOOD CHIEF PLBG INSPECTOR ��7925L "FAY 8 39 48751 �A 9&It Go APPLICATION FOR PERMIT p p C Opi 11 !O 7 DIVISION OF BUILDING AND SAFETY SEWER—SEWAGE DISPOSAL 1 ; Dep. ant of County Engineer Co=ty of Los Angel" BUILDING �� JOHN A LAMBIE COUNTY ENGINEER ADDRESS nU m CASSATTD GRIFFIN SUP TOP BmLQirvp LOCALITY ' E � �� v, NEAREST FOR APPLICANT TO FILL IN CROSS T LEGL C DESCRIPTION LOT NO �,,J �'J� .4O I ��II F' OWNERyi A AIL ♦� (/J]�F s aAnl y� BLOCK TRACT I `2i Q A S ADDRESS y,9 r�N�L. ANO F-- NO OF BLDGS I y. SIZE OF LO NOW ON LOT CITY L _ 1 TEL NO AT USE DI DISTRICT NO MAP BK PG BUILDINGS rj .�P CONTRACTOR ADDRESS O E(,J bG O-r s , CONNECTION DATA CITY E- TEL NO AT I 0 O T L MANHOLE ♦ DEPTH MANHOLE flEFERENCE ' { �B O A LT STATE LOWER REGISTRATION NO J W V ❑ COUNTY NO DESCRIPTION OF WORK FEE TYPE OF CONNECTION LENGTH FflOM HOUSE SEWER CONNECTING TO t Y CURB P L N LTOPLPUBLIC SEWER @ $3 50SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD @ $3 00OVERFLOW SEEPAGE PIT DRAINFIELD P C NO EKTN CESSPOOL DRYWELL MANHOLE ® S Z 00CO IMP NO IDB NOHOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM B $1 00TRUNK PERMIT NO ROAD PERMIT NO CONNECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER 0 $I 00 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL s SEWER OR DISPOSAL SYSTEM 0 1 00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PEtlbI1T s I oa AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON APPROVALS DATE INS ECTOR$SIGNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC S R NEW HOUSE SEWER n SIGNED THI p`pAY OF 19 CONNECT ADDITIONAL OWNER OR- , Q / , BUILDING OR WORK OWNERS AGENT_ L -,/ SEPTIC TANK SEEP PIT(S) ADDRE95 AND/OR DRAINFIELD IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWEROR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR DISCONNECT PLUG AND LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BACKFILL SEPTIC TANKS❑ SIGNATURE SEEP PIT(S) ❑ CESSPOOLS OF PERMITTEE JOHN A LAMBIE COUNTyt ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR Y 0 CASH LkC08087—� 9f 13 4 _ 450 N N ; EERDE PERMIT, FOR SEWER TBA laze ` COUNTY OF LOS ANGELES SEWAGE D I S P O I FLI DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION euILOINo / 2 JOHN A LAMBIE COUNTY ENGINEER •DDR Eep COLEMAN W JENKINS SUP T OF BUILDING , LOCALITY NEAREST FOR APPLICANT TO FILL. IN , • c.Oep STLEGAL DESCRIPTION OWNER Or /CFA4 f i / 12 MAIL TRACT Z D ESS No oP el.oa6 sae of LOT �Z.O K f now oN Lor 1 CITY TEL NO �G USE OF ^ � BU ILDINOS ClrY A 1(` DISTRICTNO OROUP MAP PgOC[ Y CONTRACTOR ADDRESS COIEC ON DASA 1�` IIT ' STATION J Of PTN 1 CITY TEL NO STATE CFNLC NO CL Be MANHOLE REFERENCE [ f• LOWCq NO DESCRIPTION OF WORK PEE TYPE OF CONNECTION LENGTH Fw HOUSE SEWER CONNECTING TO _ 1 Y CURB P L • ML TO P PUBLIC SEWER ® fS Do SEPTIC TA NK SEEPAGE PIT OR PC NO PIT$ANO/OR DRAINFIELD ® SO Go CO IMP NO JOB NO MOUSE SEWER CONNECTING TO TRUNK PERMIT NO j ROAD PIRMIT NO O PRIVATE DISPOSAL SYSTEM LJ Go CONNECT ADDITIONAL BLDG OR • AFFIDAVIT vMval uaRaa RLCORD INSTR NO GATE ' V WORK TO HOUSE SEWEfl a L30p I W OVERFLOW SEEPAGE PIT DRAINFIELD LU EAT" CESSPOOL DR ANHOLE O $SOO ' ALTER REP A HOUSE HWY OR 6l WIDENING t LEW[RO ISP ® f]OO STATE ENCROACHMLNT CC PERMIT NO W OL, INDUSTRIAL D WASTE APPROVAL OWNER'S PERMIT S z CHARGES ' CONNECTION CHARGE FEE AUTHORIZATION SosAl FEE 1 , 1 HAVC AT THIS DATE A CONTRACT WITH THE HEREIN ON REIMBURSEMENT FEE TRALTOR TO CONNECT THE'ABOVL DESCRIBED EXISTING DWELLING To THE PUBLIC SEWER ' READ CONDITIONS'BELOW SIGNED THIS DAY OF 19_ OWNER OR — THIS FORM WHEN PROPERLY MACHINE VALI- OWNERS AGENT 'DATED BELOW IS AA PERMIT`TO DO THE"WORK ADDRESS DESCRIBED ' 1 H RE ACKNOWLEDGE THAT [e AT I HAVE READ THIS APPLICATION 'PGrmlttee hereby authorized to Install the work AN TATE THAT THE ABOVE I$ CORRECT AND AGREE TO COMPLY as Shown In accordance with Provisions of Ordin WfYH ALL COUNTY ORDINANCES AND STATE LAWS R[OULATING once No 2280 and related Ordinances LUMBING AND SEWERS IHEREBY CERTIFY THAT 1 AM PROPIKRLY REGISTERED AND/OR 'This Permit becomes null and Vold if work 1s not COm LICENSEO�AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF menced within 80 Days from date of ussuance ' CALIFORNIA OR THAT I AM TH LEGAL OWNER F AHD TEND TO , D[ If 0.r0[I' 16 suspended at any 11IDB duan li ELIOE IN THE ABO E`DE IB gf31 E L PROP TY P y g COn- 31c.IAruge strucno[f\lor a Period of 120 days or d any work m OF FERMTTTEc done on the Said budding or structure in violation of the County Ordinances State laws ,Q VALIDATION JACK R ALLEN 1 SUPERVISING MECHANICAL ENGINEER 1 1 I ��'- 3 9 .4 2P WIR 4 4 0 D .00''* Q `6A $ 0 F APPLICATION FOR PERMIT 0 ceA +sU COUNTY OF LOS ANGELES SEWER—SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRE.. 9221 Pentland COLEMAN W JENKINS SUR T OF BUILDING Temple City LOCALITY N[AREer ♦ � FOR APPLICANT TO FILL IN C.G.. pT GA p DESCRIPTION LOT NO OWNER 1 n BldSB. MAIL BLOCK TRACT ADDRESS NO OF SLOG{ SIZE OF LOT NOW ON LOT CITY TEL NO ..E OF DIIITRICT NO GROUP MAR PROCESSED BY SU ILDING{ BK Ra CONTRACTORowell QB. Plumbl IIIA ( � '�_ �} ADDRESS 426 No. Baldwin Ave.� /3(� CONNECTION DATA 1ITYE1 Monte TEL NO 443-007 STATION DEPTH STATE 31 LIC UPPER LICENSE ND CLAS. MANHOLE REFERENCE LOWER NO DESCRIPTION OF WORK P[C TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y CURS P L ML TOP L PUBLIC SEWER $5 DO SEPTIC TANK SEEPAGE PIT OR PC NO PITS AND/OR ORAINFICLD B f1000 CO IMP NO Joe NO I HOUSE SEWERONNECTING TO TRUNK PERMIT NO NBA.PERMIT NO PRIVATE OISPOBCAL SYSTEM ® E300 CONNECT ADDITIONAL E SEGS OR AFFIDAVIT uv •F... RECORD INSTR NO DATE V W ORK TO XOUBH SE WE R 8 .]0000 OVERFLOW SEEPAGE PIT DRAINFIELD Oc E.T. CER POOL ORYWELL M AN X OL EY SS OO HWY OR ST WIDENING ~ ALTER REPAIR OR ABANDON HOUSE SEWER OR DISP034L SYSTEM ® .300 STATE ENCROACHMENT w PERMIT NO Cn INDUSTRIAL Z WASTE APPROVAL OWNERS CHAR e 4T lYLlI J PEAM17 s z o0 AUTHORIZATION TOTAL FEE 5 C0 CONNECTION CHARGE FEE I HAVE AT THIS DATE w CONTRACT WITH THE HEREIN NAMED Co. REIMBURSEMENT FEE TRACTOR T�CO AIN SEWER TXC ABOVE DESCRIBED EXISTING DWELLING TO THE PUBLIC BEW[R APPROVALS DATE INSPECTOR e616NATUflE SIGNED THIS DAY OF �g OWNER OR NEW HOUSE SEWER OWNERS AGENT_- CONNECT ADDITIONAL AODR[68 BUILDING OR WORK k; C-J SEPTIC I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND/OTANK ACCP PIT(Bl AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY AND/OR DRAIHFIELO WITHALL COUNTY ORDINANCES AND STATE LAWS RWULATING [3PLU MSING AND SEWERS CESSPOOL C1 ORYWELL 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR ALTER REPAIR SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND IITATE OF BCWAOE 019P09ALSY9TEM CALIFORNIA OR THAT I AM TN GA OWNER OF NO INTEND TO DISCONNECT PLUG AND RESIOC IN THE AB E_ ES Q RESI NTIA PCRTY ABANDON HOUSE SEW 6R °1OF GN^TURF [ BACKFILL SEPTIC TANKS ❑ PERAISEEP PITISI ❑ CESSPOOLS VALIDATION JACK R ALLEN cK M G CASH SUPERVISING MECHANICAL ENGINEER 4 5 Ofz'`JM17 1 0 0 5.00: `O. 642. APPLICATION FOR PERM j ,'la lJ [ COUNTY OF LOS ANGELES SEWER-SEWAGE DPOSAL DEPARTMENT OF COUNTY ENGINEER y BUILDING AND SAFETY DIVISION BUILD'na JOHN A LAMBIE COUNTY ENGIN!!R ADDR[SS COLEMAN W JEN KINE SUPT of BUILDING LOCALITY N6AR[BT FOR APPLICANT TO FILL IN CROSS BY (// D[SCR.,:TON LOT NO OWNER / O _• M1 �� MAIL BLOCK TRACT Z ADDRESS 5:939 YFf No O 4OWO CITY 7 T[L81Z[ OF LOT (CX OGNO USE O --lrX A BUILDINGSDISTRICT MO WUll MAP PgOCES Y PN RO CONTRACTOR ADDRESS CONNECTION DATA CITY TEL NO STATION l DEPTH STATE LIC MANHOL[p✓✓✓EFERENCC �l LICENSE NO CLASS LOWER NO SE SEWER ON OF WORK FEE TYPE OF CONNECTION M L TO FR HOUSE BEW Eq GONNECTINO TO Y CUR° p L M L TOP L PEPTIC SEWER @ S]OO SEPTIC TANK S EPAGE PIT OR PC NO PITS AND/OR DR AINFIELD Q flO GO CO IMP NO JOB NO MOUSE SEWER CONNECTING TO TRUNK PERMIT NO ROAD PERMIT NO PRIVATE DISPOSAL SYSTEM O S]m CONN E CT ADDITIONAL 01-DO QR ARIDA VIT NAIYI• A[u[ RECORD INSTR NO DATE TMJ' WORNTO HOUSE SEWER f]00 VERFLOW SEEPAGE PIT GRAINFIELD ..TN CESSPOOL DRYWE ANHOLE m 53 GO ALTER g6PAIR OR AN HOU6E Hwy OR 9T WIDENING V SEWERO 16 ' rJ: B $3 GO gTATE ENCROACHMENT PERMIT NO (n INOUSTPIAL y0 WASTE APPROVAL !VT OTIIRTL+O Q ,MM•IIT s 2 CHARGES AUTHORIZATION TOTeAL FEE ON NECTION CHARGE FEE 1 HAVE AT THIS DATE A CONTRACT WITH THE HEREIN ON REIM°URSEMPNT FEE TRACTOR T4 CONNECT THE ABOVE DESCRIBED EXISTING OWELLINa TO THE PUBLIC SEWER APPROVALS DATE INSPECTOR P SIGNATURE SIGNED THIS DAY OF 19_ OWNER OR NEW HOUSE SEWER OWNERS AGENT_ CONNECTADDITIONAL ADDRESS BUILDI ND OR WORK LALTER ANK SEEP PIT(S) HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION DRAINFICLO AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING PLUMBING AND SEWERS I L ❑ DRYWELL ❑ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORREPAIR SEWER ORLICENSED AS RECLINED BY LOS ANGLES COUNTY AND STATE OF DISPOSAL SYSTEM CALIFORNIA OR THAT I AM TH LEGAL OWNER F AND 1 TEND TOECT PLUG ANpREeIOE INTHE ABOVEOES E pE61 EN PgOR Y N HOUSE SEWER816NATVREOF PERMITTEE L SEPTIC TANKST 18) ❑ CESSPOOLS ❑ VALIDATION : JACK R ALLEN SUPERVISING MECHANICAL ENGINEER fit 3 9 4 2R hl,R 4 4 0 D .O 0, A