HomeMy Public PortalAbout5818AGNES AVE_SewerCOUNTY 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 1404290007
LEGAL ID:
TR: 6561
LT: 415
ASSESSOR INFORMATION NUMBER:
8587-030-015
TENANT:
OWNER:
WANG, ZHONG QUIG
5818 AGNES AV
TEMP 917802215
TEL. NO:
(626) 759 -8566 -
APPLICANT:
LUY, JASON
2309 S SANTA ANITA
ARCADIA CA 91006
TEL. NO:
(626) 922 -9928 -
CONTRACTOR:
LUY CONSTRUCTION AND DEVELOPMENT
2309 S SANTA ANITA AVENUE
ARCADIA CA 91006
TEL. NO:
(626) 922-9928-
LIC. NO
637318
ARCHITECT OR ENGINEER: TEL. NO:
T AND W CONSULTING ENGINEERING (626) 288-0708-
1168 N SAN GABRIEL BLVD #N LIC. NO:
ROSEMEAD, CA 91770 NONE
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
EASEMENT: NO
RECORD INSTRUMENT NBR:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
RECORD DATE:
FEE DESCRIPTION:
FEES PAID
QUANTITY: UOM: AMOUNT:
01 PERMIT ISSUANCE FEE
03 CONN TO PUBLIC SEWER 1.00 CON
TOTAL FEES
REPORT ID: DPR266 ROUTE TO : BS0508
27.80
47.00
74.80
BUILDING ADDRESS:
5818 AGNES AV
TEMP CA 917802215
NEAREST CROSS STREET:
THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
ISSUED ON:
04/29/14
FINAJ, DATE
PROCESSED BY:
SR
DESCRIPTION OF WORK
CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
SPECIAL CONDITIONS:
APPROVALS
DATE INSPECTOR SIGNATURE
NEW HOUSE SEWER
CONNECT ADDITIONAL
BUILDING OR WORK
6{4
evy
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