HomeMy Public PortalAbout4936Alessandro Ave_Sewer (2)'COUNTY OF LOS ANGELES
TEMPLE CITY # 0508
SEWER PERMIT
DEPARTMENT OF
PUBLIC WORKS
9701 LAS TUNAS
SE 0508 1311060005
BUILDING AND SAFETY
/ LAND DEVELOPMENT
TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID:
ISEWER / SEPTIC: SEWER
BUILDING ADDRESS:
TR: 16475 IT; 16
IEXIST OCC GRP:
I 4936 ALESSANDRO AV
IBLDGS. NOW ON LOT:
I TEMP CA 917803713
ASSESSOR INFORMATION NUMBER:
ICONNECTION TYPE:
I NEAREST CROSS STREET:
8590-023-013
(ORIGINATION:
I THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY
ILENGTH ML TO PL: STATION: DEPTH:
I
TENANT:
(MANHOLE REFERENCE: UPPER/LOWER:
ON: PROCESSED BY:
1
TISSUED
11/06/13 SR
(COUNTY IMPROVEMENT NUMBER:
I
OWNER:
TEL.
NO:
(PLAN CHECK NUMBER:
FINAL DATE FINAL BY: CODE:
CHANG, CINDY
(626) 617-5353-
IJOB NUMBER:
/
4936 ALESSANDRO AV
ITRUNK PERMIT NUMBER:
I �/,,. 'T Vl1`J
TEMP 917803713
IROAD PERMIT NUMBER:
CRIPTI
I ON OF\WORK
IAFFADAVIT: NO
(CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
(WAIVER: NO
I
APPLICANT:
TEL.
NO:
(EASEMENT: NO
I
YAN, THOMAS
(626) 378-7981-
219 S MARGUERITA AVE
IRECORD INSTRUMENT NBR: RECORD DATE:
ISPECIAL CONDITIONS:
ALHAMBRA CA 91801
(HIGHWAY/STREET WIDENING:
I
(STATE ENCROACHMENT PERMIT NUMBER:
I
CONTRACTOR:
TEL.
NO:
FEES PAID
(APPROVALS DATE INSPECTOR SIGNATURE
TOMS CONSTRUCTION
(626)
378-7981-
I
I
219 S MARGUERITA AVENUE
LIC. NO
IFEE DESCRIPTION: QUANTITY: DOM:
AMOUNT:INEW
HOUSE SEWER
ALHAMBRA CA 91801
974075
1
1 1�_�•ff
101 PERMIT ISSUANCE FEE
27.80
r''-/7-�i
(CONNECT ADDITIONAL 1 1
103 CONN TO PUBLIC SEWER 1.00 CON
47.00
(BUILDING OR WORK I
ARCHITECT OR ENGINEER:
TEL.
NO:
I TOTAL FEES
74.80
1
WU, HAROLD P
(626)
288-0708-
1
(SEPTIC TANK, SEEPAGE PIT
1168 SAN GABRIEL BLVD
LIC. NO:
I
1AND/OR DRAIN FIELD I
SUITE N
974075
ROSEMEAD CA 91770
I
DRYWELL
SEWER MAP BOOK: PAGE:
I
I
I I
(ALTER, REPAIR, SEWER OR I
ISEWAGE DISPOSAL SYSTEM
I
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I I
(DISCONNECT PLUG AND I
I
(ABANDON HOUSE SEWER I I
(BACKFILL SEPTIC TANKS
[SEEP. PIT CESSPOOL = I
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[ I
GRAYWATER SYSTEM [
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I• ADDITIONAL DATA ON FILE
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IMPORT ID: DPR266 ROUTE TO : BS0508
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