HomeMy Public PortalAbout9211 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY W 0508. SEWER PERMIT
DEPARTMENT; O,� PUBLIC WORKS 9701 LAS TUNAS BE 0508 0507130003
BUILDING AND SAFETY / LAND.DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626( 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER - BUILDING ADDRESS:
TR: 12410 LT: 2 EXIST OCC GRP: 9211 BROADWAY
BLDGS. NOW ON LOT: TEMP CA 917802402
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET:
8500-002-002 ORIGINATION: '— THOMAS PAGE: 596 GRID: T4 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
07/14/05 JK 01/10/06
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE/ FINAL BY: CODE:
DUONG, CHIEN (626) 451-5952- JOB NUMBER:
9211 BROADWAY TRUNK PERMIT NUMBER:
TEMP 917802402 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
HD CONSTRUCTION (626(• 288-2651-
4418 FANDON AVE. RECORD INSTRUMENT NBA: RECORD DATE: SPECIAL CONDITIONS:
EL MONTE, CA 91732 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
H D CONSTRUCTION (626) 451-5952-
4418 FANDON AVENUE LSC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER ,
EL MONTE, CA 91732 636105 B -
01 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
WU, HAROLD P (626) 2BB-0708— SEPTIC TANK, SEEPAGE PIT
1168 N. SAN GABRIEL BL #N LIC. NO: AND/OR DRAIN FIELD
ROSEMEAD, CA 91770 636105 B "
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
D 133 SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND a
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP.. PIT CESSPOOL ,
GRAYWATER SYSTEM
' ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO PS0508