HomeMy Public PortalAbout9309 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0402170067
BUILDING AND SAFETY / LAND DEVELOPMENT, TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID ER / SEPTIC: SEWER BUILDING ADDR SS:
TR: 12410 IT: 8 EXIST OCC GRP: R3 9309 BROADWAY
BLDGS. NOW ON LOT: TEMP CA 917802404
ASSN IArQHMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: ENCINITA
8588-002-OOS ORIGINATION: THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
_
LENGTH ML TO PL: STATION: . - DEPTH: ^ -
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
COUNTY IMPROVEMENT NUMBER: 02/17/04 VG 08/15/04
OWNER: TEL. N0: PLAN CHECK NUMBER: F17L DATE FINAL BY: CODE:
PHUONG MARY (626) 487-0494- JOB NUMBER: 00,,11
5027 HELEO AVE. TRUNK PERMIT NUMBER: ! ---
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL-NO' EASEMENT: NO
KAMEN LAI (626) 288-2651-
8748 VALLEY BLVD # K RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD 91770 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
H D CONSTRUCTION (626) 695-0444-
4418 FANDON AVENUE LIC. NO FEE DESCRIPTION: QUANTITY: UOM:. AMOUNT: NEW HOUSE WE
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
AR�TT-ECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70 _
SUNSHINE DESIGN ASSO (626) 289-6300- SEPTIC TANK, SEEPAGE P T
301 4. ROSEMONT BLVD. LIC. NO: AND/OR DRAIN FIELD
SAN GABRIEL, CA 91775 NONE
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR,. SEWER OR
D 133 SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWA ER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO BS0508