The URL can be used to link to this page

Home My Public Portal About5120 SULTANA AVE_Sewer__ A`e i1109 APPLICATION FOR.PERMIT 1 DIVISION OF BUMDIIdG AND SAFETY ' SEWER---SEWAGE DISPOSAL Dopmiamunt of County Englam County of Los Angeles eUILDIxO JOHN A LAMBIE COUNTY ENGINEER ADDRElB I. El CASSATT D GRIFFIN SUP T OI BUILDING LOCALITYST FO APPLICANT TO FILL IN CRoS SST LEGALOWNEq DESCRIPTIOfl OT NO � 7' MAILBLOCK TRAC DRESS 512E OF LOT NOW OR LOT , USE OF I DISTRICT NO GROUP YAP BUILDINGS BK PO e • CONTRACTOR CALIF.SEWER CONST CO. .� ` ADDRESS 1317 COLEGROVE AVE. CONNECTION DATA - 1 p,Ty MONTEBELLaL RD PA 1-5048 STATION DEPTH MANHOLE REFERENCE 1 IMF 1 76 _V ATE ❑ STATE LOWER REGISTRATION NO 1 ❑ COUNTY , NO DESCRIFITION OF WORK FEE HOUSE SEWER CONNECTING TOTYPE OF CONNECTION LENGTH FROM PUBLIC SEWER III 3#0_ O Y CURB Y L TOP L SEPTIC TANK SEEPAGE PIT OR PITS AND/OR DRAINFIELD 3 00 OVERFLOW SEEPAGE PIT DRAINFIELD EXTN CESSPOOL DRYWELL MWMIMLE $2 00 CO IMP NO SOBPC KNNO HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM ® $100 TRUNK PERMIT NO ROAD PERMIT NO CON N ECT ADDITIONAL BLDG OR STATE ENCROACHMENT WORK TO HOUSE SEWER ® $1 00 PERMIT NO ALTER REPAIR OR ABANDON HOUSE INDUSTRIAL SEWER OR DISPOSAL SYSTEM ® S 1 00 WASTE APPROVAL CHARGES CONNECTION CHARGE FEE OWNER'S PEHI•IIT s o0 AUTHORIZATION TOTAL 1TFE AD REIMBURSEMENT FEE 1 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 SEIYR` NEW HOUSE SEWER ' A SIGNED THI r Y F 19.L CONNECT ADDITIONAL OW RER OR ' • BUILDING OR WORK OWNERB AGENT SEPTIC TANK,SEEP,PIT(S) ADORES AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION CESSPOOL❑ DRYWELL❑ AND STATE THAT THE ABOVE IS CORRECT AMU AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER REPAIR SEWER OR PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM I HEREBY CERTIFY THAT I AY PR PERLY REGISTERED AND/OR DISCONNECT PLUG AND LICENSED AS REQUIRED ANG ES LINTY AN STATE OF ABANDON HOUSE SEWER CALIFORNIA OR THAT AM T L NCR OF THE ABOVE DESCRIBED RESIDEN PROP ACKFILL 9YRir> - SIGNATURE .CEBlPpOl9 i _/ OF PERMITTEE JOHN A LAMBIE.COUNTY E G VALIDATION ROBERT A WOOD CHIEF PLSG INSPECTOR CK, Y 0 WH AC05986Ian` K" 11 0 A 5.00- F l DEessTMENT OF COUNTY ENGDNaes SEYNER^SEWAGE DISPOSAL 1 DIVISION OF BUMDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES WILLIAM J. FDX, COUNTY ENGINEER 1 BUILDING S/4 D �a/u CARBATT D GRIFFIN SUPT of Bul . lmo ADDRESS F/OR /A�PPLICA T TeO�RLL IN LOCALITY „ C t BUILDING L I L B - +3�. EARE f ADDRESS 7 _ ,y�� CRD888T Q µ��. Com/ LOCALITY •b/ 018TRICT ND SERIAL NO PERMIT NO NEAaESr D C- 5 A CR0888T �Q�RI�.�� RECEIVED BY Bndy Iw 110MMUNI Q� DA'T/E ISSUED OWNER . [4L .II7 /'QT` S MAIL / ADORERS USEZOKE OCCUPANCY YAP A BN PO CITY ' ' •f A TEL NO _ CONTRACTOR CHARGER 1 REIMBURSEMENT FEE ADDRESSA!V L^/ 4 REQUIRED NOT REQUIRED CITY/16/ -_-J „� L NO*"' M& JOS.NO CONNECTION CHARGE FEE J�� ri+r9 STATE REGISTRATION NO COUNTY 00 IMP NO LEGAL RECEIPT NO DATE BY DESCRIPTION LOT NO BLOCK TRACT WAIVER FOR RECORDING ` SIZE OF LOT NO OF BLDGS RECEIPT NO DATF BY UBEOFBUILDINGS NOW ON LOT BUINGS NO DESCRIPTION OF WORK FEE TRUNK PERMIT NO HOUSE SEWERRCOMNECTIN TO i 8� ROAD PERMIT NO HOUSE SEWER CONN CTING TO STATE ENCROACHMENT PRIVATE DISPOSALSYSTEM 100 1 A PERMIT NO CONNECT ADDITIONAL BLDG OR INDUSTRIAL WORK TO HOUSE SEWER 100 WASTE APPROVAL ALTER DR REPAIR EX STIR SEWER OR DISPOSAL SYSTEM 100 CONNECTION DATA DISCONNECT AND ABANDON SEWER AND/OR DISPOSAL SYSTEM 100 STATION DEPTH PT CTAN ,8E EPAS E PIT OR PITS AMD/OR GRAINFIELD 200 MANHOLE REFERENCE SESSPOOL—DBTWELL UPPER LOWER SPECIAL CONDITIONS ONLY 200 TYPE OF CONNECTION LENGTH FROM Y CURB PL ML.TO PL OWNERS PERMIT i I 00 AUTHORIZATION TOTAL FEE O 1 NAVE THIS DATE CONTRACTED WITH THE HEREIN NAMED CONTRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING APPROVALS INSPECTOR'S SIGNATURE DAT DWELLING TO THE PUBLIC SEWER SIGNED THIS DAY OF _ _ _ 19— NEW HOUSE SEWER OWNER OR CONNECT ADDITIONAL OWNERS AGENT _ _ _ _ _ BUILDING OR WORK ADDRESS __ _ _ _ AND/OR GEPTICRAINFIELD IT(8) 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- CESSPOOL Cr6RVWELL CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ALTER REPAIRSEWER REGULATING PLUMBING AND SEWERS SEWAGE DISPOSAL SYSTEM AND/OR LIICEBY LICENSED CERTIFY THAT BY PROPERLY ANGELES (COUNTY DISCONNECT PLUG AND AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWNABANDON HOUSE SEWER ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY BAC FILL SEPTICTAN NATURE L SEEP PIT(S)� CESSIRKS � OFn OF PERMITTEE TOA8/2D 663 12/02