HomeMy Public PortalAbout6347 SALTER AVE_Sewer__ ED
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APPLICATION FOR PERMIT 1
do E• -
DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL
Depm'tment of County Engineer
County of Los Angeles BUILDING y
JOHN A. LAMBIE, COUNTY ENGINEER
- CASSA7T D. GRIFFIN, SUPT of BUILDING LOCALITY m� -
NEAREST
_ FOR APPLICANT TO FILL IN cRoss STo
LEGAL
_DESCRIPTION LOT NO ,`< -- — OWNER r V - 0,
MAIL
BLOCK TRACT _ADDRESS
NO. OF BLDGS. rD
-- --- TEL. N0. P 9T
SIZE OF LOT NOW ON LOT
USE OF ICT NO. GROUP MAP
BUILDINGS dye S t b r BK PG ,.
CONTRACTOR -
=:
r An
CONNECTION DATA
ADDRESSN DEPTH
CITYr% d EFERENCESTATEL� —x ,,..�_
VNO. I DESCRIPTION OF WORK FEE
f HOUSE SEWER CONNECTING 70 j^�� 7Y, E..OF CONNECTION LENGTH FROM r
PUBLIC.SkNER a ,a CURB P.L. M.L.TO P.L.
-' - 5 s.SD
- O t --- ka —
_ ___. -�
I
SEPTIC TANK SEEPAGE PR OR
PITS AND/OR DRAINFIELD - $3.001 _
OVERFLOW SEEPAGE PIT DRAI'NFIELDf - P. C. NO.
EXT $2.00
N.,CESSPOOL,DRYWELL,19ANHOLE ci -_�--� CO. IMP -Iv O. * ^,. -7 JOB N0.
C, 1 � - _
HOUTE SEWER CONNECTING TO
P IIVf TE DI5 POSAL SYSTEM qtr $1.00 I TRUNK PERMIT NO, ROAD PERMIT NO.
y.
I CONNECT ADDITIONAL BLDG.OR ! STATE ENCROACHMENT
WORK TO HOUSE SEWER � $LQO � PERMIT NO.
ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL
SEWER OR DISPOSA SYSTEM z $I,OD ; IWASTE APPROVAL
_._-----------------------CHARGES---------'-------------.
CONNECTION CHARGE FEE
OWNER'S PERMIT --� _i� oo -------' ---- --- ---—
----
REIMBURSEMENTFEE
AUTHORIZATION TOTAL FEE APPROVALS ( DATE INSPECTOR�SSICNATURE
.;
HAVE AT THIS RATE A CONTRACT WITH THE HEREIN NAMED Ca ON- ____________ ..__.___._,..._-_
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING I
TO THE PUBLIC SEWER, NEW HOUSE SEVlER
SIGNED THIS DAY OF�___._ ��__i0--.— ONNFCT ADDITIONAL
OWNER OR kyy BUILDI*i OR YJORK I
OWNERS AG �'_----- ..—_—. ._.- - R- - ----------�--- --------_.
'-''�"" SEPTSC TANK,SEE?.PIT(S)
ADDRESS--_-�_ _ AND/OR DRA:NFIELD
I YEREWACKN /'PLEDGE THAT I HAVE RLAD THIS AP'LICATION CESSPOOLD DRYWELL I^
AND ISTA E 1F. THE A_OVE IS CORREC. AND AGREE TO COMPLY ---_�
WITH ALL CO'—`,T'r OR,D :LANCES ,AND STATE L A*S PECULATING ALTER,REPAIR,SEWER OR i
PLUMBING A_,! SEYd[R5, SEWAGE DISPOSAL SYSTEM 1
I
HEREBY CERTIFY -;HAT I AM PROPERLY REGISTERED A.Pd D.%OR - ---- ---�— ---._..----'-.----�------
DISCONNECT PLUG AND
LICENSED AS REQUIRED 'BY LOS ANGELES COUNTY AND STATE OF
`
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER _
DESCRIBED RESIDENTIAL PROPERTY, BACKFILL SEPTIC TANKS[I — —� --'-
SIGNATURE F. .-�� S fE'.P. PIT(S? UCESSPOOLS D
OF PERMITTEE
�rMMM
JOHN A. LAMBIE,�OUNTY ENGINEER `i'AL TION ROBERT A.WOOD, C 1EF PL G. INS' Ec 1R
GASH
42 4 6
1I�
i�
E-663 31$5 APPLICATION FOR PERMIT
DIVISION OF BUMMING AND SAFETY SEWER-SEWAGE DISPOSAL
Deportment of County Engineer
County of Los Angeles BUILDING
WM-J. FOX, COUNTY ENGINEER __ADDRESS
CASSATT D.GRIF'F'IN,Supt OF BUILDING& LOCALITY :
e
FOR APPLI NT TO FILL IN NEAREST
cRoj 5T.
LEGAL $'�'''`
DESCRIPTION LOT Nbs �+ OWNER ;
BLOCK TRACT ' MAIL
--- - ADDRESS _
NO. OFBLDGS.
SIZE OF LOT NOW ON LOT �' _CITY -
__--_ -.- _. #. �. TEL. NO.. 7]7
USE OF `
_BUILDINGS DISTRICT NO. I GROUP i MAP
- }
CONTRACTOR _ .i Y fX u?t�.t
yBK 'k,
ADDRESS ✓ " t r —
gCONNECTION DATA
mm
Jw ya
. oa ,Yld' _
CITY !w- 't
"" TEL. NO.� ( � *` STATION x DEPTH
. '. STATE MANHOLE REFERENCE�Q"
,>
REGISTRATION NO. S ✓ :� `-' COUNTY e� /NO. - DESCRIPTION OF WORK FEE X�
—'- I - -- TYPE OF CONNECTION LENGTH FROM -
�IN6USE SEYVER CONNECTING TO Y. CURB----- P_L. M.L. 'TO PAI,
PUBLIC SEW FR TfF? $ 0._50 _
HOUSE EV,`ER CONNECTING TING TO
PRIVATE DISPOSAL SYSTEM 1.00 --- ---- --- = --=_�`--- --�'- ..---- __
` CONNECT ADDITIONAL BLDG.OR — --- P C. N0.
_WORK. TO HOUSE SEATER 1.00 I__- _ Co._IIaP. NO �__ 3_. ,A 2- _ ,ICB_NO.
ALTER OR REPAIR EXISTING —^_.. -_ e5 n j
5 ii ER On DISPOSAL SYSTEM 1.00 TRUNK PERMIT NO. ROAD PERMIT N0j
D[S JIv1JEC AC,D ABANDON SEWER -y--d-
hND/OR DISPOSAL SYSTEM 100 STATE ENCROACHMENT
.
....�--- .._._� -00 _PERMIT NO,
SFPTIC TANk SFE°1GE PIT OR ------._--- '---_--"- ------ ----
PITS A.NU�OR DR lNFIE 6P _ 00 INDUSTRIAL
— L4S.;POQL pRYW c�L�1 !' Vs'AS'i'E APPROVAL
RECTAL COhk71T1
,mss CHARGES
OWNER'S PERMITCONNECTION CHARGE FEE
------ ---------
AUTHORIZATION TOTAL FEE y � ,c 1 - RE[mBURSei,IENT FEE
I HAVE THIS DATE CONTRACTED WITH THE HERE NAMED CON- 'p fd
TRACTOR '.`0 CONNECT THE ABOVE DESCR+BED EXISTING 'OW LLING APPROVALS DATE INSPECTOR'S SIGNATURE
TO THE FUSLIC SEWER '- _ — - ------------'---
NEW HOUSE SEWER
SSGNcD THIS—.—DAY OF— 19_
OYINER OR CONNECT ADDITIONAL -- - —
OWNERS AGENT _BUILDING OR WORK
SEPTIC TANK,SEEP,PIT(S)
ADDP.ESS— _A14-0/OR_DRAI_NFI£LD_
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIC14 CESSPOOL❑ DRY6WEL.L,[]
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING AND SEWERS. `ALTER, REPAIR,SEWER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR SEWAGE DISPOSAL SYSTEM
- --`��--"-"- -
LiCENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF ^DISCONNECT PLUG AND
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER_
DESCRIBED RESIDENTIAL P1 _s RTY. � BACKFILL SEPTIC TANKS
SEE t�
SIGNATURE ! r� P PITS) 0 CESSPOOLS
G
i ! >
OF PERMITTEE C. _r t.i- T42
p i >'
WILLIAM J.FOX, COUNTY ENGINEER VALIDATIOIN' R.A.WOOD, CHIEF#LBG.$NSPEC7OR
s
„: '
ED
i ®b:3[t.135
APPLICATION FOR PERMIT 1
do E• -
DIVISION OF BUILDING AND SAFETY SEWER--SEWAGE DISPOSAL
Depm'tment of County Engineer
County of Los Angeles BUILDING y
JOHN A. LAMBIE, COUNTY ENGINEER
- CASSA7T D. GRIFFIN, SUPT of BUILDING LOCALITY m� -
NEAREST
_ FOR APPLICANT TO FILL IN cRoss STo
LEGAL
_DESCRIPTION LOT NO ,`< -- — OWNER r V - 0,
MAIL
BLOCK TRACT _ADDRESS
NO. OF BLDGS. rD
-- --- TEL. N0. P 9T
SIZE OF LOT NOW ON LOT
USE OF ICT NO. GROUP MAP
BUILDINGS dye S t b r BK PG ,.
CONTRACTOR -
=:
r An
CONNECTION DATA
ADDRESSN DEPTH
CITYr% d EFERENCESTATEL� —x ,,..�_
VNO. I DESCRIPTION OF WORK FEE
f HOUSE SEWER CONNECTING 70 j^�� 7Y, E..OF CONNECTION LENGTH FROM r
PUBLIC.SkNER a ,a CURB P.L. M.L.TO P.L.
-' - 5 s.SD
- O t --- ka —
_ ___. -�
I
SEPTIC TANK SEEPAGE PR OR
PITS AND/OR DRAINFIELD - $3.001 _
OVERFLOW SEEPAGE PIT DRAI'NFIELDf - P. C. NO.
EXT $2.00
N.,CESSPOOL,DRYWELL,19ANHOLE ci -_�--� CO. IMP -Iv O. * ^,. -7 JOB N0.
C, 1 � - _
HOUTE SEWER CONNECTING TO
P IIVf TE DI5 POSAL SYSTEM qtr $1.00 I TRUNK PERMIT NO, ROAD PERMIT NO.
y.
I CONNECT ADDITIONAL BLDG.OR ! STATE ENCROACHMENT
WORK TO HOUSE SEWER � $LQO � PERMIT NO.
ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL
SEWER OR DISPOSA SYSTEM z $I,OD ; IWASTE APPROVAL
_._-----------------------CHARGES---------'-------------.
CONNECTION CHARGE FEE
OWNER'S PERMIT --� _i� oo -------' ---- --- ---—
----
REIMBURSEMENTFEE
AUTHORIZATION TOTAL FEE APPROVALS ( DATE INSPECTOR�SSICNATURE
.;
HAVE AT THIS RATE A CONTRACT WITH THE HEREIN NAMED Ca ON- ____________ ..__.___._,..._-_
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING I
TO THE PUBLIC SEWER, NEW HOUSE SEVlER
SIGNED THIS DAY OF�___._ ��__i0--.— ONNFCT ADDITIONAL
OWNER OR kyy BUILDI*i OR YJORK I
OWNERS AG �'_----- ..—_—. ._.- - R- - ----------�--- --------_.
'-''�"" SEPTSC TANK,SEE?.PIT(S)
ADDRESS--_-�_ _ AND/OR DRA:NFIELD
I YEREWACKN /'PLEDGE THAT I HAVE RLAD THIS AP'LICATION CESSPOOLD DRYWELL I^
AND ISTA E 1F. THE A_OVE IS CORREC. AND AGREE TO COMPLY ---_�
WITH ALL CO'—`,T'r OR,D :LANCES ,AND STATE L A*S PECULATING ALTER,REPAIR,SEWER OR i
PLUMBING A_,! SEYd[R5, SEWAGE DISPOSAL SYSTEM 1
I
HEREBY CERTIFY -;HAT I AM PROPERLY REGISTERED A.Pd D.%OR - ---- ---�— ---._..----'-.----�------
DISCONNECT PLUG AND
LICENSED AS REQUIRED 'BY LOS ANGELES COUNTY AND STATE OF
`
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER _
DESCRIBED RESIDENTIAL PROPERTY, BACKFILL SEPTIC TANKS[I — —� --'-
SIGNATURE F. .-�� S fE'.P. PIT(S? UCESSPOOLS D
OF PERMITTEE
�rMMM
JOHN A. LAMBIE,�OUNTY ENGINEER `i'AL TION ROBERT A.WOOD, C 1EF PL G. INS' Ec 1R
GASH
42 4 6
1I�
i�
E-663 31$5 APPLICATION FOR PERMIT
DIVISION OF BUMMING AND SAFETY SEWER-SEWAGE DISPOSAL
Deportment of County Engineer
County of Los Angeles BUILDING
WM-J. FOX, COUNTY ENGINEER __ADDRESS
CASSATT D.GRIF'F'IN,Supt OF BUILDING& LOCALITY :
e
FOR APPLI NT TO FILL IN NEAREST
cRoj 5T.
LEGAL $'�'''`
DESCRIPTION LOT Nbs �+ OWNER ;
BLOCK TRACT ' MAIL
--- - ADDRESS _
NO. OFBLDGS.
SIZE OF LOT NOW ON LOT �' _CITY -
__--_ -.- _. #. �. TEL. NO.. 7]7
USE OF `
_BUILDINGS DISTRICT NO. I GROUP i MAP
- }
CONTRACTOR _ .i Y fX u?t�.t
yBK 'k,
ADDRESS ✓ " t r —
gCONNECTION DATA
mm
Jw ya
. oa ,Yld' _
CITY !w- 't
"" TEL. NO.� ( � *` STATION x DEPTH
. '. STATE MANHOLE REFERENCE�Q"
,>
REGISTRATION NO. S ✓ :� `-' COUNTY e� /NO. - DESCRIPTION OF WORK FEE X�
—'- I - -- TYPE OF CONNECTION LENGTH FROM -
�IN6USE SEYVER CONNECTING TO Y. CURB----- P_L. M.L. 'TO PAI,
PUBLIC SEW FR TfF? $ 0._50 _
HOUSE EV,`ER CONNECTING TING TO
PRIVATE DISPOSAL SYSTEM 1.00 --- ---- --- = --=_�`--- --�'- ..---- __
` CONNECT ADDITIONAL BLDG.OR — --- P C. N0.
_WORK. TO HOUSE SEATER 1.00 I__- _ Co._IIaP. NO �__ 3_. ,A 2- _ ,ICB_NO.
ALTER OR REPAIR EXISTING —^_.. -_ e5 n j
5 ii ER On DISPOSAL SYSTEM 1.00 TRUNK PERMIT NO. ROAD PERMIT N0j
D[S JIv1JEC AC,D ABANDON SEWER -y--d-
hND/OR DISPOSAL SYSTEM 100 STATE ENCROACHMENT
.
....�--- .._._� -00 _PERMIT NO,
SFPTIC TANk SFE°1GE PIT OR ------._--- '---_--"- ------ ----
PITS A.NU�OR DR lNFIE 6P _ 00 INDUSTRIAL
— L4S.;POQL pRYW c�L�1 !' Vs'AS'i'E APPROVAL
RECTAL COhk71T1
,mss CHARGES
OWNER'S PERMITCONNECTION CHARGE FEE
------ ---------
AUTHORIZATION TOTAL FEE y � ,c 1 - RE[mBURSei,IENT FEE
I HAVE THIS DATE CONTRACTED WITH THE HERE NAMED CON- 'p fd
TRACTOR '.`0 CONNECT THE ABOVE DESCR+BED EXISTING 'OW LLING APPROVALS DATE INSPECTOR'S SIGNATURE
TO THE FUSLIC SEWER '- _ — - ------------'---
NEW HOUSE SEWER
SSGNcD THIS—.—DAY OF— 19_
OYINER OR CONNECT ADDITIONAL -- - —
OWNERS AGENT _BUILDING OR WORK
SEPTIC TANK,SEEP,PIT(S)
ADDP.ESS— _A14-0/OR_DRAI_NFI£LD_
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIC14 CESSPOOL❑ DRY6WEL.L,[]
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING AND SEWERS. `ALTER, REPAIR,SEWER OR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR SEWAGE DISPOSAL SYSTEM
- --`��--"-"- -
LiCENSED AS REQUIRED BY LOS ANGELES COUNTY AND.STATE OF ^DISCONNECT PLUG AND
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER_
DESCRIBED RESIDENTIAL P1 _s RTY. � BACKFILL SEPTIC TANKS
SEE t�
SIGNATURE ! r� P PITS) 0 CESSPOOLS
G
i ! >
OF PERMITTEE C. _r t.i- T42
p i >'
WILLIAM J.FOX, COUNTY ENGINEER VALIDATIOIN' R.A.WOOD, CHIEF#LBG.$NSPEC7OR
s
„: '