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HomeMy Public PortalAbout6347 SALTER AVE_Sewer__ 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 „: ' 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 „: '