HomeMy Public PortalAbout9129 BLACKLEY ST_Sewer__ COUNTY OF LOS ANGBLES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
SE 0508 1201310002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS: 1
1 ON FILE IEXIST OCC GRP: 1 9129 BLACKLEY ST 1
1 IBLDGS. NOW ON LOT: I TEMP CA 917803015 I
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET: i
15388-011-001 (ORIGINATION: I THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH:
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: IISSUED ON: PROCESSED BY:
1 101/31/12 SR
I
ICOUNTY IMPROVEMENT NUMBER: 1
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IFI AL DATE FIN BY: CODE: 1
IHO, WING (626) 231-6734- IJOB NUMBER:
15171 SERENO DR. ITRUNK PERMIT NUMBER: I �
ITEMP 917803015 IROAD PERMIT NUMBER: D CRIPTION OF WORK 1
I IAFFADAVIT: NO ICONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER I
(WAIVER: NO
(APPLICANT: TEL. NO: (EASEMENT: NO
IZHU, BENJAMIN (626) 294-9638-
1111 S. WALNUT GROVE IRECORD INSTRUMENT NBR: RECORD DATE: (SPECIAL CONDITIONS: 1
ISAN GABRIEL CA (HIGHWAY/STREET WIDENING:
1 I
1 (STATE ENCROACHMENT PERMIT NUMBER: I
ICONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1
IWING LEUNG HO (626) 286-2038- 1 1 054
15171 SERENO DRIVE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I 1
ITEMPLE CITY CA 91780 693825 * I 1 11
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL 1 1 1
I 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK 1 1 I
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1 I I I
IT AND W CONSULTING ENGINEERS (626) 288-0708- 1 ISEPTIC TANK, SEEPAGE PITI I 1
11168 N. SAN GABRIEL BLVD. #N LIC. NO: I 1AND/OR DRAIN FIELD 1 1
IROSEMEAD, CA 91770 35693 C I I 1 1 1
IDRYWELL _ 1
I SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I I
ISEWAGE DISPOSAL SYSTEM I I 1
1 I IDISCONNECT PLUG AND 1 1 1
I I 1ABANDON HOUSE SEWER
I I I
1 1BACKFILL SEPTIC TANKS - 1
I I (SEEP. PIT _ CESSPOOL
IGRAYWATER SYSTEM I 1
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1 I I I I I
1 I I I I I
1 I I I I I
1 I I I I I
1 I• ADDITIONAL DATA ON FILE
1 (REPORT ID: DPR266 ROUTE TO BS0508 1 1
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