HomeMy Public PortalAbout5832 AGNES AVE_Sewer_4/28/2011_ • 5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1104280003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 6561 LT: 413 (EXIST OCC GRP: I 5832 AGNES AV
BLDGS. NOW ON--LOT.:- TEMP CA 917802215
(ASSESSOR INFORMATION NUMBER: 1CONNECTION'TWE: `� ._� '`-.� NEAREST CROSS STREET: 1
18587-030-012 (ORIGINATION:1 �' THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML�TOPL- - STATION: DEPTH:' 1 I
TENANT: {"�'•. "�-
(MANHOLE REFERENCE':""� � `, UPPER/LOWER: (ISSUED ON: PROCESSED BY: I
I I 104/28/11 SR I
I ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE FINAL Y: CODE: 1
ILUY, SIMON (626) 922-9928- JOB NUMBER: ^��• 7
15458 TYLER AVE. I I 1-- /Iv
ARCADIA, CA 91006 ITRUNK PERMIT NUMBER:
1 (ROAD PERMIT NUMBER: ID SCRIPTION OF WORK 1
1 1AFFADAVIT: NO ICONNECT NEW RESIDENCE TO PUBLIC SEWER
1 (WAIVER: NO 1
1APPLICANT: TEL. NO: (EASEMENT: NO 1 1
ILAI, KAMEN (626) 288-2651- 1 1
18748 E. VALLEY BLVD. IRECORD INSTRUMENT NBR: RECORD DATE: 1SPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 (HIGHWAY/STREET WIDENING:
I ISTATE ENCROACHMENT PERMIT NUMBER:
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE
ILUY CONSTRUCTION AND DEVELOPMENT (626) 922-9918- 1 1
12309 S. SANTA ANITA AVENUE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I
IARCADIA, CA 91006 637318 1 1
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL rI
103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK 1
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1 1
ILEE, PETER (626) 280-9000- 1 ISEPTIC TANK, SEEPAGE PITI 1 1
18748 E. VALLEY BLVD. SUITE L LIC. NO: I1AND/OR DRAIN FIELD I
1ROSEMEAD, CA 91770 637318 * I I I I 1
IDRYWELL
1 SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR
(SEWAGE DISPOSAL SYSTEM
I 1DISCONNECT PLUG AND 1 I
(ABANDON HOUSE SEWER
1
I I I I I I
1BACKFILL SEPTIC TANKS _
1 (SEEP. PIT _ CESSPOOL
1 I GRAYWATER SYSTEM _
I I I
;E .c
I I I I I
I 1 I I I I
1 I I I I I
I I I I I I
I I I I I I
1* ADDITIONAL DATA ON FILE
IREPORT ID: DPR266 ROUTE TO BS0508 I 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1305160003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS:
ITR: 6561 LT: 413 IEXIST OCC GRP: I 5832 AGNES AV
I 1BLDGS. NOW ON LOT: I TEMP CA 917802215 I
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET:
18587-030-012 (ORIGINATION: I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH:
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: 1
I 105/16/13 SR
I
ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: (PLAN CHECK NUMBER: IFI AL DATE FINAL BY: CODE: I
1LUY, SIMON (626) 922-9928- (JOB NUMBER:
15458 TYLER AVE ITRUNK PERMIT NUMBER: I '� I
1ARCADIA CA 91006 IROAD PERMIT NUMBER: (DESCRIPTIO OF WORK I
I 1AFFADAVIT: NO IREPAIR SEWER FRONT YARD ARE SIDEWALK 1
(WAIVER: NO 1
(APPLICANT: TEL. NO: 1EASEMENT: NO
(GLENN, MIKE (626) 825-8108- 1 i
1136 E SANTA CLARA #1 IRECORD INSTRUMENT NBR: RECORD DATE: ISPECT_AL CONDITIONS:
IARCADIA CA 91006 IHIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
ICONTRACTOR: TEL. NO: FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
IWESTERN SUPREME ROOTER (626) 448-6455- 1 1
1136 E SANTA CLARA #1 LIC. NO ;FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER ��Kh I
IARCADIA CA 91006 725320 * X 1
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL 1
I 15 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK I
1ARCHITECT OR ENGINEER: TEL. NO: j TOTAL FEES 58.30 1
I - I (SEPTIC TANK, SEEPAGE PITI I I
LIC. NO: (AND/OR DRAIN FIELD
DRYWELL
I I
SEWER MAP BOOK: PAGE: 1 !ALTER, REPAIR, SEWER OR I I
ISEWAGE DISPOSAL SYSTEM
1 1 IDISCONNECT PLUG AND
1 (ABANDON HOUSE SEWER I
I
I (BACKFILL SEPTIC TANKS _1
I (SEEP. PIT CESSPOOL
I � -
GRAYWATER SYSTEM I 1
I I I
I I
I I I I I I
I I I I I i
i
I I I I
I I I I I I
I* ADDITIONAL DATA ON FILE I I I
IREPORT ID: DPR266 ROUTE TO BS0508 1 I
I I I I I I