HomeMy Public PortalAbout4908 ARDEN DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0107250007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
BK: 25270 PG: 02 PC: EXIST OCC GRP: 4908 ARDEN DR
BLDGS. NOW ON LOT: TEMP CA 91780
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA
ORIGINATION: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
07/25/01 UT 01/21/02
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. N0: PLAN CHECK NUMBER: FINAL DATE� FINAL BY: CODE:
LI-CHAD MA./JESSE K. WONG - JOB NUMBER:
2554 FALLING LEAF TRUNK PERMIT NUMBER:
ROSEMEAD CA 91770 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO NEW SEWER CONECTION
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
TOM KING HUBG (626) 307-2652-
2522 PINE ST RECORD INSTRUMENT NBR: _ ._ RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD CA 91770 HIGHWAY/STREET-
-WIDENING:-STATE ENCROACHMENT,>PERMIT_;NUMBERS
CONTRACTOR: TEL. N0: % �F,:EES',PAID APPROVALS DATE INSPECTOR SIGNATURE
T H CONSTRUCTION CO. (626) 307-2652- % �
2522 PINE ST. LIC. NO FEE DESCR,IP_TION- •r QUANTITY �UOM� AMOUNT: NEW HOUSE SEWER
ROSEMEAD, CA 91770 5124566j,'
01 PERMIT ISSUANCE FEE-.,_` `� \\ 27.75 CONNECT ADDITIONAL
03 :CONN.TO',PUBL.IC'SEWER 1.00 CON% 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: ° it I_ -Y TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. N0. ��--��-�', 1�1�111' AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: / ALTER, REPAIR, SEWER OR
L 57 SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AN
ABANDON HOUSE SEWER
i
BACKFILL SEPTIC TANKS _
SEEP. PIT _ CESSPOOL _
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508