HomeMy Public PortalAbout5926 AGNES AVE_Sewer_3/8/1999_ COUNTY OF LOS•ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE-0508.9903080014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: �Z
LEGAL ID: SEWER / SEPTIC: S BUILDING ADDRESS:
TR: 6561 LT: 45 EXIST OCC GRP: i59M AGNES AV I
BLDGS. NOW ON LOT: TEMP CA 917802217
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LAS TUNAS
8587-031-015 ORIGINATION: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
03/08/99 UT 03/08/00
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
CHAN;COREY CHOU;BELLA (626) 350-1227- JOB NUMBER:
5924 AGNES AVENUE TRUNK PERMIT NUMBER:
TEMPLE CITY, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO -CONNECT NEW RESIDENCE TO PUBLIC SEWER SYSTEM
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
MAPLE BUILDERS (626) 350-1227-
4700 MILLER DR.#B5 RECORD INSTRUMENT.NBR:_--- RECORD DATE: SPECIAL CONDITIONS:
TEMPLE CITY, CA HIGHWAY/STREET�WIDENING �
STATE ENCROACHMENT�,PERMIT-NUMBERc
'` MAPLEUe
CONTRABU�LDERS, INC. (626)N350-1227- j//d� FEE\ \ APPROVALS DATE INSPECTOR SIGNATURE
4700 MILLER DRIVE #B-5 LIC. NO FEE DESCRdPT'ION:� QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
TEMPLE CITY CA 91780 609931 B ?7 Ii"
01 P,ERMI-T ISSUANCEt FEE I—�� 27.75 CONNECT ADDITIONAL
U3 CONN TOIPUBL--I-C SEWER 11.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: �� �{ TOTAL FEES`�� 74.70
--- —- SEPTIC TANK, SEEPAGE PIT
LIC. NO11� _— - I `11111 1 AND/OR DRAIN FIELD
DRYWELL
I _
SEWER MAP BOOK: PAGE: �,�����n ALTER, REPAIR, SEWER OR
lJ �l �U� i�� I� SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
art*- BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
o LU
REPORT ID: DPR266 ROUTE TO BS0508