HomeMy Public PortalAbout9811 BROADWAY_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1210240002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: (SEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 13805 LT: 20 (EXIST OCC GRP: 1 9811 BROADWAY
BLDGS. NOW ON LOT: TEMP CA 917802634
((ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: ENCINITA
10588-012-016 (ORIGINATION:
: DEPTH: , THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY,
ILENGTH ML TO PL: STATIONC�
ITENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
I 110/24/12 SR
I (COUNTY IMPROVEMENT NUMBER:
IOWNER: - TEL. NO: (PLAN CHECK NUMBER: FINAL DATE FINAL Y: CODE:
MIU, ANNIE (626) 864-0392— 1JOB NUMBER: Xn •AI
19811 BROADWAY (TRUNRM
K REMIT NUMBER: 1
ITEMP 917802634 (ROAD PERMIT NUMBER: Dc CRIPTION OF WORK
I AFFADAVIT: NO ICONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
IWAIVER: NO
(APPLICANT: TEL. NO: IEASEMENT: NO
ILIN, DAVID (626) 926-4876— 1 1 I
15917 OAK AVE #372' (RECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 IHIGHWAY/STREET WIDENING: I
I ISTATE ENCROACHMENT PERMIT NUMBER: I
I I I
ICONTRACTORe TEL. NO: I FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
EDMOND HANK KWONG (626) 926-4876— 1
(DEA SIGNET DESIGN & CONST LIC. NO IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT:INEW HOUSE SEWER
1360 E FIRST STREET #500 756780
TUSTIN CA 92780 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL
103 CONN TO PUBLIC SEWER 1.00 CON 47.00 ISUILDING OR WORK
IARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1 1 1
IT AND W ENGINEER, INC. (626) 288-0708— 1 ISEPTIC TANK, SEEPAGE PITI
11168 N SAN GABRIEL #N LIC. NO: I IAND/OR DRAIN FIELD
ROSEMEAD, CA 91770 86693 1
IDRYWELL
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SEWER MAP BOOK: PAGE: ISLIDE, REPAIR, SEWER OR
(SEWAGE DISPOSAL SYSTEM
IDISCONNECT PLUG AND
(ABANDON HOUSE SEWER
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' IREPORT ID' DPR266 - ROUTE TO BS0508
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