HomeMy Public PortalAbout6223 AVON AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0308070004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 5903 LT: 27 EXIST OCC GRP: 6223 AVON AV
BLDGS. NOW ON LOT: SGAB CA 917752607
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5386-007-018 ORIGINATION: THOMAS PAGE: 596 GRID: G2 LOCALITY: SAN GABRIEL, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
08/07/03 JK 02/03/04
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: F7L DATE Fl.NQL BY: CODE:
LU ELSADAS (626) 672-5548- JOB NUMBER: `j/ / (/ F
124 E WELLS ST TRUNK PERMIT NUMBER: Q [ `�
SAN GABRIEL 91775 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT NEW SFR TO SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER (626) 625-5997-
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
6223 AVON AVE, SG HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
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
CHAN, KAI (626) 282-9209- SEPTIC TANK, SEEPAGE PIT
730 ADELYN DR LIC. NO: AND/OR DRAIN FIELD
SAN GABRIEL, CA 91775 NONE
' 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: DPR266 ROUTE TO SS0508