HomeMy Public PortalAbout9221 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 1112080004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER
BUILDING ADDRESS:
ITR: 12410 LT: 4 1EXIST OCC GRP:
9221 BROADWAY
BLDG-. NOW ON LOT: TEMP CA 917802402
1855E-0OR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET: ENCINITA
18588-002-004 (ORIGINATION: - THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: STATION: DEPTH:
ITENANT: IMAN HOLE REFERENCE: UPPER/LOWER: JISSUED ON: - PROCESSED BY:
I 1 112/08/11 SR
I (COUNTY IMPROVEMENT NUMBER: -
1OWNER: TEL. NO: PLAN CHECK NUMBER: FI AL DATE FIN BY: CODE:
ZHANG, ZHOU YING (626) 678-5523- JOB NUMBER:
19221 BROADWAY TRUNK PERMIT•NUMBER:
1TEMP 91]802402 ROAD PERMIT NUMBER: -
I
_ IDESCRIPTION OF WORK
AFFADAVIT: NO (CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
(WAIVER: NO
(APPLICANT: TEL. NO: 1EASEMENT: NO _
LIN, DAVID (626) 926-4876-
15917 OAK AVE #372 IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
;. ICONTEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
LIN,, DAVID pAVID .(626) 926-48]6-
1591] PRE 372 LIC. NO (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I 1
TEMPLE CITY, CA 91780 NONE
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL
1 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 (BUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL.-NO: I TOTAL FEES 74.80 1
IT AND W CONSULTING ENGINEERING (626) 288-0708- 1 ISEPTIC TANK, SEEPAGE PIT1 1 1
11168 N SAN GABRIEL BLVD #N LIC NO: 1 1AND/OR DRAIN FIELD
ROSEMEAD, CA 91]]0 NONE I
" I DRYWELL
, I .
SEWER MAP BOOK: PAGE: (ALTER, REPAIR, SEWER OR
ISEWAGE DISPOSAL SYSTEM
I I
DISCONNECT PLUG AND
1 1ABANDON HOUSE SEWER
I I
BACKFILL SEPTIC TANKS
ISEEP. PIT _ CESSPOOL _1 1
GRAYWATER SYSTEM
1 I I I
I 1 I I
I 1 I I I I
1 I I I I I
I I 1 I I I
REPORT ID: DPR266 ROUTE TO BS 0508
I I f I