HomeMy Public PortalAbout9200 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0712050001
BUILDING AND SAFETY/ LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS: • 1
IBK: 207 PG: 76 PC: 1 IEXIST OCC GRP: 1 9200 BROADWAY
I IBLDGS. NOW ON LOT: TEMP CA 917802401 -
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET-
18588-030-056 (ORIGINATION: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: STATION: DEPTH:
I TENANT: MANHOLE REFERENCE: UPPER/LOWER: JISSUED ON: PROCESSED BY: EXPIRES ON:
112/05/09 SR 06/02/08
(COUNTY IMPROVEMENT NUMBER:
TOWNER: TEL. NO: (PLAN CHECK NUMBER: (FINAL D Ems/ FIN�L�$Y: CODE:
1CONNIE HIRSCH (626) 287-3245- (JOB NUMBER-
19200
19200 BROADWAY (TRUNK PERMIT NUMBER: {A I!/
ITEMP 917802401 (ROAD PERMIT NUMBER: IDPSCRIPTTON tF WORK
AFFADAVIT: NO I4" SEWER LINE REPLACEMENT
(WAIVER: NO
(APPLICANT: TEL. NO: (EASEMENT: NO
IEXPRESS PLUMBING & ROOTER (800) 628-5553- I I
17949 AJAY DR. IRECORD INSTRUMENT NBA: RECORD DATE: ISPECIAL CONDITIONS:
SUN VALLEY CA 91352 (HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: I _ FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
IEXPRESS PLUMBING & ROOTER (800) 628-5553- I
7949 AJAY DR. LIC. NO FEE DESCRIPTION: QUANTITY: UDM: AMOUNT:INEW HOUSE SEWER
ISDN VALLEY, CA 91352 887603 C36 I
1 101 PERMIT ISSUANCE FEE 27.75 1CONNECT ADDITIONAL
115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 IBUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. N0: I TOTAL FEES '58.20 1
- I ISEPTIC TANK, SEEPAGE PITI
LIC. NO: AND/OR DRAIN FIELD
D
IRYWELL
I I
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
' ISEWAGE DISPOSAL SYSTEM
I I I
IDTSCONNECT PLUG AND
ABANDON HOUSE SEWER I I I
BACKFILL SEPTIC TANKS
ISEEP. PIT _ CESSPOOL _
GRAYWATER SYSTEM
I I I I I I
I I I I I
' IRE PORT ID: DPR266 ROUTE TO 850508