HomeMy Public PortalAbout5705AGNES AVE_Sewer (4)-11
COUNTY OF LOS ANGELES
DEPARTMENT OF PUBLIC WORKS
BUILDING AND SAFETY / LAND DEVELOPMENT
TEMPLE CITY
9701 LAS TUNAS
TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
# 0508 SEWER PERMIT
SE 0508 1402240009
LEGAL ID:
TR: 6561
LT: 423 BL: .001 UN: .002
ASSESSOR INFORMATION NUMBER:
8587-028-003
TENANT:
OWNER:
WANG, NICOLE C
9117 OLIVE STREET
TEMPLE CITY CA 91780
TEL. NO:
(626) 318 -3269 -
APPLICANT:
HUYNH, ANDY
9117 OLIVE STREET
TEMPLE CITY CA 91780
TEL. NO:
(626) 318 -3269 -
CONTRACTOR:
ANDY DUC HUYNH
9117 OLIVE ST
TEMPLE CITY CA 91780
TEL. NO:
(626) 318-3269-
LIC. NO
838986
ARCHITECT OR ENGINEER:
LEE, PETER
8748 E VALLEY BLVD SUITE L
ROSEMFAD CA 91770
TEL. NO:
(626) 280-9000-
LIC. NO:
838986 *
SEWER MAP BOOK: PAGE:
SEWER / SEPTIC: SEWER
EXIST OCC GRP:
BLDGS. NOW ON LOT:
CONNECTION TYPE:
ORIGINATION:
LENGTH ML TO PL:
MANHOLE REFERENCE:
STATION: DEPTH:
UPPER/LOWER:
COUNTY IMPROVEMENT NUMBER:
PLAN CHECK NUMBER:
JOB NUMBER:
TRUNK PERMIT NUMBER:
ROAD PERMIT NUMBER:
AFFADAVIT: NO
WAIVER: NO
FASEMENT: NO
RECORD INSTRUMENT NBR:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
RECORD DATE:
BUILDING ADDRESS:
5705 AGNES AV
TEMP CA 917802604
NEAREST CROSS STREET:
THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY CA
ISSUED ON:
02/24/14
FIFIAL DATE
PROCESSED BY:
SR
DESCRIPTION O WORK
CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
FIN BL BY: CODE:
SPECIAL CONDITIONS:
FEE DESCRIPTION:
01 PERMIT ISSUANCE FEE
03 CONN TO PUBLIC SEWER
* ADDITIONAL DATA ON FILE
FEES PAID
QUANTITY: UOM:
1.00 CON
TOTAL FEES
REPORT ID: DPR266 ROUTE TO : BS0508
AMOUNT:
27.80
47.00
74.80
APPROVALS
DATE INSPECTOR SIGNATURE
NEW HOUSE SEWER
CONNECT ADDITIONAL
BUILDING OR WORK
SEPTIC TANK, SEEPAGE PIT
AND/OR DRAIN FIELD
DRYWELL
ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT _ CESSPOOL
GRAYWATER SYSTEM