HomeMy Public PortalAbout9227 BLACKLEY ST_Sewer__ y COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0907140001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID ISEWER / SEPTIC SEWER BUILDING ADDRESS
ITR 11492 LT 15 BL 001 1EXIST OCC GRP 9227 BLACKLEY ST
1BLDGS NOW ON LOT TEMP CA 917803137
ASSESSOR INFORMATION NUMBER lCONNECTION TYPE NEAREST CROSS STREET ENCINITA
18590-001-019 JORIGINATION THOMAS PAGE 596 GRID J4 LOCALITY TEMPLE CITY, Cl
LENGTH ML TO PL STATION DEPTH 1
TENANT IMANHOLE REFERENCE UPPER/LOWER JISSUED ON PROCESSED BY EXPIRES ON
07/14/09 SR 07/14/10
COUNTY IMPROVEMENT NUMBER
OWNER TEL NO IPLAN CHECK NUMBER IFINAL DAT FINAL kY CODE
INGAR MEI HSIN (626) 807-7395- IJOB NUMBER
14902 WILLMONTE AVE ITRUNK PERMIT NUMBER ZA
ITEMPLE CITY CA 91780 IROAD PERMIT NUMBER ID CRIPTION OF WORK
IAFFADAVIT NO ICONNECT NEW RESIDENCE TO PUBLIC SEWER
1 WAIVER NO
APPLICANT TEL NO (EASEMENT NO
ICHAN (626) 524-2901- 1
168 GENOA STREET #A IRECORD INSTRUMENT NBR RECORD DATE ISPECIAL CONDITIONS
IARCADIA, CA 91006 HIGHWAY/STREET WIDENING
ISTATE ENCROACHMENT PERMIT NUMBER
CONTRACTOR TEL NO FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
ISIGNET DESIGN AND CONSTRUCTION (714) 293-1576- I
11100 IRVINE BLVD #183 LIC NO IFEE DESCRIPTION QUANTITY UOM AMOUNT INEW HOUSE SEWER I 1
ITUSTIN CA 92780 756780 B 1 1
1 101 PERMIT ISSUANCE FEE 27 75 ICONNECT ADDITIONAL I
103 CONN TO PUBLIC SEWER 1 00 CON 46 95 IBUILDING OR WORK 1 I I
(ARCHITECT OR ENGINEER TEL NO I TOTAL FEES 74 70 1 I 1
ICHEN, DAN (909) 598-8858- 1 ISEPTIC TANK, SEEPAGE PITI I -
120548 VEJAR RD LIC NO I (AND/OR DRAIN FIELD I
WALNUT, CA 91789 756780 B • i IDRYWELL _ 1
I SEWER MAP BOOK PAGE I (ALTER, REPAIR, SEWER OR I
ISEWAGE DISPOSAL SYSTEM 1 I
IDISCONNECT PLUG AND I
1ABANDON HOUSE SEWER I
IBACKFILL SEPTIC TANKS
ISEEP PIT _ CESSPOOL
GRAYWATER SYSTEM I I
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I I I I I I
I I I I I I
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I* ADDITIONAL DATA ON FILE I I I
IREPORT ID DPR266 ROUTE TO BS0508 I 1 I
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