HomeMy Public PortalAbout9120 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY U 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0603070004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ERT:
LEGAL ID: SEWER / SEPTIC: SEWER. BUILDING ADDRESS:'
TR: 11218 LT: 9 BL: B EXIST OCC GRP: 9120 BROADWAY '
BLDGS. NOW ON LOT: TEMP CA 917802304
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET:
5388-002-009 ORIGINATION: THOMAS PAGE:-596 GRID: H4 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: - MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
03/07/06 JK 09/03/06
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DAT FINAL BY: CODE:
MR. KOK KENNY (310) 783-SD22- JOB NUMBER: G a
9120 BROADWAY TRUNK PERMIT NUMBER:
TEMP 917802304 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
PAUL ROBERTS (626) 798-0725-
3228 ALANREED AVE RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD, CA 91770 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
PAUL ROBERTS (626) 798-0725-
3228 ALANREFD AVENUE LIC. NO FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: NEW HOUSE SEWER
ROSEMEAD, CA 91770 561193-C42
O1 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70 1
SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
i
DISCONNECT PLUG AND _
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP`. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508