HomeMy Public PortalAbout5622 BALDWIN AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1405270010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: 1
ITR: 16957 IT: 16 IEXIST OCC GRP: 1 5622 BALDWIN AV 1
I IBLDGS. NOW ON LOT: TEMP CA 917802628 1
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: 1
18586-021-003 (ORIGINATION: I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY CAI
LENGTH ML TO PL: STATION: DEPTH:
TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: 1
1 1 105/27/14 SR
I
1 (COUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FI BY: CODE: I
ILISCHKE JACK;MAURINE B (626) 447-0359- IJOB NUMBER: I -7
OF
15622 BALDWIN AV ITRUNK PERMIT NUMBER: 1 s"✓r" /
ITEMP 917802628 1ROAD PERMIT NUMBER: 1DESCRIPTI OF WORK 1
IAFFADAVIT: NO ISEWER CLEANOUT & SPPT REPAIR 1
1 (WAIVER: NO
1APPLICANT: TEL. NO: 1EASEMENT: NO 1
ITODHUNTER, STACY (626) 858-9284- 1 1 I
1475 E ARROW HWY IRECORD INSTRUMENT NPR: RECORD DATE: ISPECIAL CONDITIONS: 1
1AZUSA CA IHIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
I I
. ICONTRACTOR: TEL. NO: I FEES PAID IAPPr=ALS DATE INSPECTOR SIGNATURE I
IRESCUE ROOTER (626) 858-9284- 1 I 1
1475 E ARROW HWY LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I I
1AZUSA CA 91702 765155 * I 1 1-1 1
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I I 1
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.30 1 1 I 1
1 - I ISEPTIC TANK, SEEPAGE PITI I I
. LIC. NO: i (AND/OR DRAIN FIELD I 1
1 I IDRYWELL
SEWER MAP BOOK: PAGE: 1ALTER, REPAIR, SEWER OR I I
ISEWAGE DISPOSAL SYSTEM
I I I
1 1 IDISCONNECT PLUG AND I I 1
1 1ABANDON HOUSE SEWER
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1BACKFILL SEPTIC TANKS =I I I
1 ISEEP. PIT _ CESSPOOL
IGRA,WATER SYSTEM 1 1
1 I I I I I
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I I I I I I
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I* ADDITIONAL DATA ON FILE
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1 IREPORT ID: DPR266 ROUTE TO : BS0508 I I 1 I