HomeMy Public PortalAbout5718 AGNES AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE'CITY # 0508 iSEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'St 0508 0310240003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
TR: 6561 LT: 421 UN: .002 EXIST OCC GRP: 5718 AGNES AV
BLDGS. NOW ON LOT: TEMP CA 917802603
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LAS TUNAS
8587-029-022 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
10/24/03 VG 04/21/04
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FI*L DATE FINAL BY: CODE:
HSU;WILLIAM (626) 286-9623- JOB NUMBER:
9110 WOOLLEY STREET TRUNK PERMIT NUMBER:
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. N0: EASEMENT: NO
CHRIS LOH (626) 447-5958-
1008 S BALDWIN #A RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ARCADIA CA HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
YUN LIN HSU (626) 575-6338-
9110 E WOOLLEY ST LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
TEMPLE CITY, CA 91780 777227 B
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: OPR266 ROUTE TO SS0508