HomeMy Public PortalAbout9802 BROADWAY_Sewer__ COUNTY OF LOS ANGELES - TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0803110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - ISEWER / SEPTIC: SEWER BUILDING ADDRESS: "
ITR: 13805 LT: 26 IEXIST OCC GRP: 9802 BROADWAY
I IBLDGS. NOW ON LOT: TEMP CA 917802633
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: GOLDEN WEST
18568-016-001 (ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: _ STATION: DEPTH: III I
ITENANF - IMAN HOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: I
1 ` 1103/11/08 SR 09/07/08
UM
I COUNTY IMPROVEMENT NBER:
IOWNER: TEL. NO: PLAN CHECK NUMBER: (FINAL DATE FINAL CODE:
ZHANG, PAUL (626) 625-5103- (JOB NUMBER:
19802.BROADWAY TRUNK PERMIT NUMBER: •" I�
TEMP 917802633 (ROAD PERMIT NUMBER: IDaSCRIPTION IF WORK _
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PU13LIC SEWER
(WAIVER: NO
(APPLICANT: TEL. NO: (EASEMENT: NO
ISDN (626) 333-5541- 111—
116010 PHOENIX DR. IRECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS: - 1
ICITY OF INDUSTRY (HIGHWAY/STREET WIDENING: 1 1
ISTATE ENCROACHMENT PERMIT NUMBER:
I
CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
• IJ AND R CONSTRUCTION MANAGEMENT (626) 823-3444- 1 1—
• 12218 SAN GABRIEL BLVD. LIC. NO IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
ROSEMEAD, CA 91770 846941 B
ty1 101 PERMIT ISSUANCE FEE 27.75 (CONNECT ADDITIONAL ILI
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK
zc, 1ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1
IMICROSUM DESIGN (626) 333-5541- 1 - ISEPTIC TANK, SEEPAGE PIT1 1
IPETER CHAO ASSOCIATES LIC. NO: I - (AND/OR DRAIN FIELD 1 1 1
116010 PHONIC DR. NONE
(CITY OF INDRUSTRY, CA 91745 1 DRYWELL _
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SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
ISEWAGE DISPOSAL SYSTEM
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II IDISCONNECT PLUG AND I -
I ABANDON HOUSE SEWER
(BACKFILL SEPTIC TANKS
ISEEP. PIT CESSPOOL
1 I IcRAYwnzeR sYszeM I I 11
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IREPORT ID: DPR266 ROUTE TO ES0508
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