HomeMy WebLinkAbout076AG4IT-CE40712.73 APPLICATION FOR GRADING PERMIT �-
COUNTY OF LOSANGELESsITE
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DEPARTMENT OF COUNTY ENGINEER
ADD NESS
BUILDING AND SAFETY DIVISION
LG CA LITY 1,T'`•, :`, f�Y g,..,,,_,.r
FOR APPLICA T TO FILL IN
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DISTRICT ND. MAP NO. STATE HWY, PROCESSED BY
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CONDITIONS
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DATE AGENCIES REQUIRING CLEARANCE
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CITY L✓ W'ri, 7-7/ qII
ENGINEER'; /?,�{ t- STATE REG, NO,
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GRADING TEL.
CONTRACTOR {, NO.
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ADDRESS
SURETY; BOl�O~
BOND -NO.
PROPOSED USE OF GRADED SITE(S)
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CUOMPANY
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REC-D.
CASH RECD. DATE
DEPOSITS BY FILED
CHECK IF SUPERVISED GRADING
THIS IS A LIMITED TIME PERMIT
SIGNATURE
OF APPLICANT
ALL WORK AUTHORIZED MUST BE COMPLETED BY
TEL.
ADDRESS NO.
TIME LIMIT:
CUBIC YDS. «.Sin's P.C, $
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HANDLED: r FEE
EXTENDED TO: BY:
$
FEE ,+.,%1
EXTENDED TO: BY:
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
INITIAL DATE INSPECTOR'S SIGNATURE
APPLICATION AND STATE THAT THE ABOVE IS
CORRECT AND AGREE TO COMPLY WITH ALL COUNTY
q RD, PREP.
ORDINANCES AND STATE, LAWS REGULATING EXCA-
VAT NO AND GRADttING. A
COMPACTION
REPORT RECID.
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SIGNATURE OF �� /r- :�
CERT ERE C'D.
PERMITTEE� Y t' �."' '/ *' y.r'J..s, --
ROUGH GRADING
APPROVAL
AGENT FOR
PLANTING AND
IRRIGATION -
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SUP, ENGR'S,
FINAL CERT.
ADDRESS'•'"'
FINAL
MAKE CHECKS PAYABLE TO:
APPROVAL
HARVEY T. BRANDT, COUNTY ENGINEER
SURETY GOND -
RELEASE.
PLAN CHECK VALIDATION <';,u> M.O. CASH PERMIT VALIDATIWf 'cK. M.o. CASH
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -FACILITIES
DIVISION OF BUILDING AND SAFETY
STATEMENT TO BE SIGNED BY OWNER PRIOR TO ISSUANCE OF SWIMMING POOL PERMIT
Water drained from swimming pools must not encroach on abutting property.
The following are legal methods of swimming pool waste water disposal:
to To a sanitary sewer through a 3" P -trap legally installed under
permit from the Building and Safety Division of the County of
Los Angeles. This applies only to property which is connected
to a public sewer. Swimming pool waste water shall not dis-
charge to a private sewage disposal system.
2.) To a storm sewer or established storm channel which abuts the
property if permission can be obtained from the County Flood
Control District. The general information telephone number
there is (213) 226-4111.
3. To the street if a permit is first obtained from the County Road
Department (213) 226-8188.
+ On the property if the property is large enough to insure that
runoff will not encroach on abutting property.
5. In the case where none of the above can be accomplished, the pool
contents must be removed by tank truck.
This is to certify that I have read and understand the foregoing and agree
to pa this informa "�:,Z
on sheet on to the next subsequent owner.
2!j- e
Owner's Signature Date
Subsequent Owner's Signature
Subsequent Owner's Signature
Subsequent Owner's Signature
EEW:mm 53
Form G - Two copies required.
Owner retains one.
Date
Date
Date