HomeMy Public PortalAbout9218 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
' DEPARTMENT OF PUBLIC WORKS 97,01 LAS TUNAS - BE 0508 1209250003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
_ PHONE: (626) 285-0488 EXT:
LEGAL ID: - SEWER.'/ SE PT IC:.SEWER - BUILDING ADDRESS:
ON FILE _ EXIST OCC GRP: - 9218 BROADWAY
- IBLDGS. NOW ON LOT- TEMP CA 917802401
ASSESSORINFORMATIONNUMBER: CONNECTION TYPE: NEAREST CROSS STREET:
118588-030-030 - - - (ORIGINATION: THOMAS PAGE: 596 `GRID: J4 LOCALITY: TEMPLE CITY, Cl
• ILENGTH ML TO PL' STATION: DEPTH:'.' '
ITENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
- 109/25/12 SR
COUNTY IMPROVEMENT NUMBER:
TOWNER: TEL. NO: (PLAN CHECK RUBBER: IFINAL DATE- FINAL BY: CODE:
HUANG, .SHADYI - ., (626) 809-2280- IJOB NUMBER:
19218 BROADWAY (TRUNK PERMIT NUMBER: I
TEMP 917602401 ROAD PERMIT NUMBER: IDES RIPTION OF WORK
TAFFADAVIT: NO CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
WAIVER: NO -
APPLICANT: TEL. NO: EASEMENT: NO T
ILAI', KAMEN (626) 288-5651,.,. I
18748 E. VALLEY BLVD. - IRECORD INSTRUMENT NEE: RECORD DATE: ISPECIAL CONDITIONS:
IROSEMEAD, CA 91770 HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
T CONTRACTOR: TEL. NO: FEES PAID (APPROVALS:` - DATE - INSPECTOR SIGNATURE
SIGNET DESIGN AND CONSTRUCTION (714) 293-1576-
11100 IRVINE BLVD #183 LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
TUSTIN CA 92780 756780-B '
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL.
_103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: - 'I TOTAL FEES 74.80 1'� _
IWO,.HAROLD PING - (626) 288-0708- 1 ISEPTIC TANK, .SEEPAGE PITI' r,
11160 SAN GABRIEL BLVD. LIC. NO: I, 1ANI)/OR DRAIN FIELD 'I
[ROSEMEAD, CA 91770 35693 C
DRYWELL _
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
ISEWAGE DISPOSAL SYSTEM
(DISCONNECT PLUG AND
ABANDON HOUSE SEWER
II I 1 I I I
.'IBACKFILL SEPTIC TANKS
ISEEP. PIT CESSPOOL _
. GRAYWATER SYSTEM
I I I II I I
11 z I I I I II
ADDITIONAL DATA ON FILE
.. (REPORT ID: DPR266 ROUTE TO BS0508