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Home My Public Portal About5421 SANTA ANITA AVE_Sewer__ 7SA64ZD t,5-66ZI I2�54 APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Depcatment of County Engineer County of Los Angeles 13 )IS`!�G BUIL WM,J. FOX, COUNTY ENGINEER ADWDRE CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST _LFSCRIF�TICN I OT0. OWNER x BLOCK TRACT 'c' MAIL NO. OF BLDGS. ADDRESS NOW ON LOT CITY TEL.No. USE OF BUILDINGS.-wilt DISTRICT NO, GROUP MAP CONTRACTOR ADDRESS k CONNECTION DATA CITY TEL. NO, STATION DEPTH STATE MANHOLE REFERENCE RE'GISTRAT NON NO. `J Ll COUNTY UPPER L!)WER ........... TYPE OF CONNECTION LEN6TH F M No. DESCRIPTION OF WORK FEE Y. C R a P.L� .----.,M.L Tr, P. - -T0 - -- N G' -- C SEWER 6N NECT?. PUSLIC 3.s0 HOUSE SE5R CONNECTING TO PkPVATE WSPOSAL SYSTEM 1.00 CONNECT ADDITIONAL BLDG, OR CO weO. w N J 0 B. _L, ORK TO HOUSE SEWER 1.00 ALTER OR REPAIR EXISTING SPVFR OR DISPOSAL SYS ROAD FERM IT M 1.00 TRUNK PERMI-1 .1w DISCONNECT AND ABANDON SEWER STAT� &4ORMENT- ANNOR DISPOSAL SYSTEM 100 4*04,C, SEPTIC 7AN-1, SEEPAGE PIT OR PITS AN.D/OR CRAINFIELD __ 2.00 PPROVAL CESSPO.OL- DRYWELL alu, SPECIAL CONDITIONS ONLY 2.00 CHARGES CONN .ON CHARGE FEE OWNER'SPERMT 5 —TOTAL AUTHORIZATION FEEr7 REIMBURSEMENT FEE I HAVE THIS DATE CONTRACTED WITR,.THE HEREIN NAMED CON- DATE INSPECTOR'S S!CNATURE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC E�/ER w I_1 -_ -_ --I----_____- I SIGNED THIS, DAY OrNEW HOUSE SEWER 12 19. ' OWNER CONNECT ADDITIONAL 0 R 130ILDING OR WORK OVv%E.2 S AGENT SEPTIC TANK,SEEP,PIT(5) AND/OR DRAINFIELD - - I HEREBY ACKNOWLEDGE THAT I �,AVIE READ THIS APPLICATION CESSPOOL iD DRYWELL El AND STATE THAT TIiE ABOVE IS CORRECT AND AGREE To COMPLY WITH A6� COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER, REPAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGiSTERED AND/OR LICENSED AS REQUIRED, BY LOS PNGELES COUNTY AND STATE OF DISCONNECT PLUG AND CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE ABANDON HOUSE SEWER DESCRIBED RESIDENTL�L PROPERTY. BACKFILL SEPTIC TANKS)3 SEEP.PIT(s) 0 CESSPOOLS D' SIGNATURE /1, OF PERMiTTEE7eL WILLIAM J. FOX,COUNTY ENGINEER VALIDATION By BY DEPUTY DEPUTY ply BY DEPUTY DEPUTY 'GA . 66 1-2.54 APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department,of County Engineer County of Los Angeles BUILDING 7 ADDRESS WM,J. FOX, COUNTY ENGINEER CASSATT 0. GRIFFIN,SUPT Or BUILDING -LOCALITY FOR APPLICANT TO FILL IN NEAREST LEGAL '_...�L __R_kLl�R 10� LOT NO.LPT OWNER BLOCK 3= TRACT2 MAIL _ ADDRESS .1 —_ LDGS. LOT, TEL.NO. USE OF DISTRICT NO. GROUP I M AP CONTRACTOR BK P ADDRESS CONNECTION DATA CITY TEL. NO. _—STATION DEPTH El STATE IllA!4_q"L_REFLRENCE REGISTRATION NO, CI COUNTY UPPER' CONNECTION LENGTH FROM N DESCRIPTION OF WORK FEE 0'_"c"'. P.L. i M.L.TO P.L. -.HOUSE SEWER. CONNECTING TO 0WRLIC SEWER s HOU . ...... MERC N tCTING TO I PRIVA ISPOSAL SYS-fEM _ CONNECT A UIONAL BLDG. OR WORK To HOUSffSSWER too CO. IMP, NO, JOB..NO. AL R OR AIR EXi�REPAIR _7Si__+4 G TE LW ER OR DISPOSAL SYST.-M, 'RUNK PERMIT t 0. s, ROAD PERMIT NO. 'ffW,E R DISCONNECT AND ABANDON,S 13TATE ENCROACHMENT ANP.ORD ,q5AL SYSTJ:,M. 1.00 1�j _ PERMIT NO, SEPTIC TANK. SEEPAGE PIT OR P TS AND/OR DRAINFIELD —6 F��l PaH_,13WY��'_ELI 'YASTF APPROVAL SPECIAL-60NDFNONS ONLY `x,,2,00 CHARGES CONNECTION CHARGE FEE y_k-_ OWNERPERMIT'S c'0 RPINISURSEMCINIT FEE AUTHORIZATION TOTAL FEE I HAVE THIS DATE CONTRACTED AlTH THE HEREIN NAMED ICON-DES'� TRA TOR TO CONNECT THE ABOVE RIB'D I'XISTING_D:>AvELLING APPROVALS DATE INSPECTOWS SIGNATURE TO THE PUBLIC,' SEWER SIGNED THISDAYOFI9__ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL 3UILDING OR WORK OWNERS AGENT-- 3,EPTIC TANK, SEEP, PIT($) SND/OR DRA!NFIELD I HEREBY ACKN,)WLCDCC THAT I HAVE READ THIS APPLICATION CESSPOOL Cl DRYWELL 0 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS' ALTER, REPAIR,SEWER OR SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/On LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE 0 DISCONNECT PLUG AND CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEABANDON HOUSE SEWER DESCRIBED RESIDENTIAL PROPERTY. BACKFILL SEPTIC TANKS 0 V � v SEEP.PITS) Cl CESSPOOLS Q__ SIGNATURE /7 OF PERMITTEE WILLIAM J. FOX.COUNTY ENGINEER -P, VAIMATION .7 5 1 Lo By BY DEPUTY DEPUTY BY By 0 DEPUTY DEPUTY ranaaztr APPLICATION FOR PERMIT DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN, Sur,"—,OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESTCROSS ST, LEGAL DE CRIPTION LOT NO, OWNER MAIL BLOCK TRACT ADDRESS - NO OF BLDGS. NOON LOT CITY TEL. NO. USE OF BUILDINGS DISTRICT NO. CROUP MAP BY PG CONTRACTOR ADDRESS TIOCONNECTION DATA STAN CITY TEL, NO. Y__ DEPT-14 MANHOLE REFERENCE UPPER STATE REGISTRATION NO. COUNTY 7 NO ESUTPT N OF WORK FEE TYPE OF CONNECTION LENGTH FROM HOUSE SEWER CONNECTING TO Y. CURB P.L. M.L.To P.L. PUBLIC SEWER- T S 3.50 5 EPTI C TANK.SF,EPAGEPVf6R PITS AND/ORDRAINFIELD @ 3.00 OVERFLOW SEEPAGE PIT, DRAINFIELD P. C. NO, EXTN.,CESSPO,-L,-nRYWELL,IiANHOi.E 2.00 -Co. IMP, NO. JOB NO. HOUSE SEWER CONNECTING TO i I DISPOSAL ca, 1.00 TRUNK PERMIT NO. ROAD PERMIT NO. CONNECT ADDITIONAL BLDG.OR —STATEENcR0—AC-H W - HOUSE SEORK TO _W ER PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM L CHARGES .._ __. r ____. CONNECTION CHARGE FEE OWNER'S PERMIT I- REIMBURSEMENT FEE AUTHORIZATION I TOTAL FEE I PAVE Al' This DATE A CONTRACT WITH THE APPROVALS DATE E HEREIN NAMED CON- __NSPECIOR'SSI,5NATURE ,VACTOP, -10 CONNECi- THE ABOVE DESCRIBED EXIS'fiNG DWELLING TO PUBLIC SEt,'Ek, NEW HOUSE SEWER SIGNED THIS-------DAY OF __A9_ CONNECT ADDITIONAL OWNER OR BUILDING OR WORK OWNERS AGENT— SEPTIC TANK,SEEP, PfT05) ADDRE$S_ AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STAGE THAT THE ABONCOMPLY VE IS CORRECT AND AGREE TO CESSPOOLD. DRYWELL(j WITH AIL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,9FFAIR,SEWER OR PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY 't 'C I Am' PROPERLY REGISTERED ANDJ/OR --------- S --;Ji DISCONNECT PLUG AND LICENSED A R, RED BY LCIS ANGELES COUNTY AND STATE OF ABANDON HOUSE SEWER CALIFORNIA Of THAT I AV, 7HE LEGAL OWNER OF THE ABOVE ------- DESCRIBED RESIDZNIIATPR_"PERTi. [I BACKFILL SEPTIC TANKS SIGNATURE SEEP.PIT(S) 'D CESSPOOLS[- OF PERMITT E�-_ 10HN A. LAMBIE, COUNTY ENGINEER VALIDATIO ROBERT A.WOOD,CHIEF PLOG, INSPECTOR FE4 26 4 A -9 4 lqr� 3.00 6 70A42D APPLICATION FOR PERMIT 76A6 COUNTY OF LOS ANGELES SEWER-SEWAGE DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F- FOR LD!NG JOHN A. LAMBI£, County EngineerWILLIAM A. JENSEN, Sup't of BuildingALITYREST APPLICANT TO FILL IN COSS_ST ,� DESCRIPTION LOT NO S --- OWNER ,q CA-4. –. --►`�t_'�.: ,,,,,,ssssss aa j: MAIL BLOCKK �i _ TRACT _ .'�,d � ADDRESS NO. OF SLOGS. SIZE OF LOT NOW ON LOT CITY .d_-',,..'TEL. NO. USE OF �-- BUILDINGS ,� DISTRICT NO, GROUP , MAP T+ROCESSED BY — BK PG Y � --�spy CONTRACTORYa'.SX ADDRESS .-_ - i"`~ CONNECTION DATA - STATION DEPTH CITY l' ,. TEL. N UPPER STATE MANHOLEREF ERENCE _ REGISTRATION NO. _ COUNTY LOWER NO. DESCRIPTION OF WORK FEE_ TYPE OF CONTl6QTION LEOM HOUSE SEWER CONNECTING TO Y. CURB P.L. ASrL:TO P.L. PUBLIC SEWER $5.00 _—' - 9'- SEPTIC TANK,SEEPAGE PIT OR �-jam,='P.C.NO. >- PITS AND/OR DRAINFIELD $10.00 I CO.IMP.NO. OB NO, d HOUSE SEWER CONNECTING TO I -- THUNK PERMIT ��:.'^;� -/�`y ROAD�P`WMIT Nerd y PRIVATE DISPOSAL SYSTEM @ $3.000_ �J V CONNECT ADDITIONAL BLDG,OR I _ AFFI_D_AY.IT- WAIVER EAREMENT RECORD. INS7R'1,iN0. DATE W WORK Tp HOUSE SEWER $3.00 1 OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN„CE 5 SPOOL,DRYWELL.MANHOLE @ $5.00 �y ,,r' y� U HWY.OR ST.WIDE y�+J �°�,Z o.y.. ,�.. LU ALTER REPAIR OR ABANDON HOUSE =�!J . �-'�.. ''�,` D" SEWER OR DISPOSAL SYSTEM $3.00 C C/) -- STA ENCROACHMENTS" .( I T N O d0 yy,s �f✓;/ ,, ..P.- _.-- / WASTE APPROVAL CHARGES O, RAS _PERMIT $ 21 Oo — — ,� CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE =y ?y -- 'I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- REIMBURSEMENT FEE TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING APPROVALS TO THE PUBLIC SEWER. DATE INSPECTOR'S SIGNATURE SIGNED THIS DRAY OF OWNER OR � NEW HOUSE SEWER OWNERS AGENT p) _ •�"'-��`-� CONNECT ADDiT ZONAL BUILDING OR WORK 'Sf ADDRESS__ SEPTIC TANK.SEEP,PIT(S) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANDIOR DRAINFIELD AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING AND SEWERS. CESSPOOL C1DRYWELL [II HEREBY CERTIFY THAT I AM FROPERLY REGISTERED AND/OR ALTER,REPAIR,SEWER OR LICENSED AS REQUIRED BY LOS ANGLES COUNTY AND STATE OF SEWAGE DISPOSAL SYSTEM CALIFORNIA OR THAT I By LEGAL OWNER OF, AND INTEN ':TO DISCONNECT PLUG AND RESIDE IN, THE ABOVE,DESCRIBED RESIDENTIAL PROPERTY. ABANDON HOUSE SEWER y SIGNATURE /)' p` - -N OF PERMITTEE - �j ',-- BACKFILL SEPTIC TANKS ❑ SEEP,PIT(S) ❑ C€SSPOOLS ❑ VALIDATION ROBERT A. WOOD SUPERVISING MECHANICAL ENGINEER i CK. M.O. CASH ;0 6 a COT 1 2 D 5.00 I, A-175 E8088-61 APPLICATION FOR PERMIT 6A6420COUNTYOF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER SEWER—SEWAGE DISPOSAL BUILDING AND SAFETY DI`IISION BUILDING , JOHN A, LAMBIE, County Engineer ADDRESS 5`��2) Double LJ r WILLIAM A. JENSEN, Sup't of Building LOCALITY ;�a i n` S NEAREST FOR APPLICANT TO FILL IN CROSS ST. T e =;l v C it-3' LEGAL DESCRIPTION LOT N0. OWNER - BLOCK TRACT ✓ ! ADDRESS 1.40.OF BLDGS. SIZE OF LOT "WON LOT CITY" TEL. NO USE OF BUILDINGS DISTRICT NO. GROUP MAP PROCESSED BY eM _ BK - PG CONTRACTOR ADDRESS B O x 408 CONNECTION DATA CITY ! Monte TEL.N0:4 4 4—1 5 S� STATION � � ✓ DEPTH f - STATE MANHOLE REF£RENCE�''`� ' UPPER REGISTRATION N0. 4 <'7� COUNTY ,r NO. I DESCRIPTION OF W0RK FEE - HOUSE SEWER CONNECTING TO PUBLIC SEWER @ $9.b0 J CSC TYPE OF CONNECTION LENGTH FROM SEPTIC TANK,SEEPAGE P17 OR Y. CURB P L` M.L.TO P.L. PITS AND/OR DRAiNFIELD @ $9.00 _� ` OVERFLOW SEEPAGE PIT.DRAINFIELD EX N..CESSPOOL.DRYWELL @ $2.00 HOUSE SEWER CONNECTING TO P.C.NO. O PPoIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP. NO. JOB NO. U CONNECT ADDITIONAL BLDG.OR TRUNK PERMIT O "ROAD PERMIT N0.ROA --- "------ WORK TO HOUSE SEWER @ $1.00 - ALTER,REPAIR OR ABANDON HOUSE STATE£NCROACHMEN7 0 SEWER OR dSPOSAL SYSTEM @ $1,00 PERMIT NO. 1 a STE APPROVAL VS ■��+� C Z ®trl�r+i��S PERM 3 27 00 C NN O�Is�"' F"`'-"f AMOORIZATION TOTAL FEE i R IMB`UR'SEMENTFEE I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NAMED CON- _ TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING x. AF LJ1 tWS SIGNATURE TO THE PUBLIC SEWER. SIGNED THIS DAY OR _ 19_ NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT -- BUILDING OR WORK ADORES S SEPTIC TANK.SEEP.PITS) ` AND/OR DRAINFIELD I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CESSPOOL 0 DRYWELL LDESCWITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR RiBED AND SEWERS. SEWAGE DISPOSAL SYSTE CERTIFY THAT I AM PROPERLY REGISTERED AND/OR DISCONNECT PLUG AND S REQUIRED BY LOS ANGELES COUNTY AND STA-k9 OF ABANDON HOUSE SEWER OR THAT i AM THE LEGAL OWNER OF THEr ABOVE ESTIAL P[jgPER BACKFILL SEPTIC TANKS s!C" ✓ ; ✓ SEEP,PITS 0 CESSPOOLST' '� AMATION ROBERT A. WOOD ' CK, N.C. CASH SUPERVISING.MECHANICAL.ENGINEER