HomeMy Public PortalAbout5000 CLOVERLY AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0507070002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
LEGAL ID SEWER SEPTIC SEWER r BUILDING ADDRESS
TR 13329 LT 44 EXIST OCC GRP 5000 CLOVERLY AV
BLDGS NOW ON LOT TEMP CA 917803812
ASSESSOR INFORMATION NUMBER CONNECTION TYPE NEAREST CROSS STREET LA ROSA
8590-019-001 ORIGINATION THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY C
LENGTH ML TO PL STATION DEPTH
TENANT MANHOLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED BY EXPIRES ON
07/08/05 JK 01/04/06
COUNTY IMPROVEMENT NUMBER
OWNER TEL NO PLAN CHECK NUMBER FINAL DATE FINAL BY CODE
KAI, HENRY (626) 833-2792- JOB NUMBER
5000 CLOVERLY AV TRUNK PERMIT NUMBER
TEMP 917803812 ROAD PERMIT NUMBER DESCRIPTION OF WORK
AFFADAVIT NO CONNECT RESIDENCE TO PUBLIC SEWER
WAIVER NO
APPLICANT TEL NO EASEMENT NO
SAME AS OWNER -
RECORD INSTRUMENT NBR RECORD DATE SPECIAL CONDITIONS
HIGHWAY/STREET WIDENING
STATE ENCROACHMENT PERMIT NUMBER
CONTRACTOR TEL NO FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO FEE DESCRIPTION QUANTITY UOM AMOUNT NEW HOUSE SEWER /j f
01 PERMIT ISSUANCE FEE 27 75 CONNECT ADDITIONAL 6 v
03 CONN TO PUBLIC SEWER 1 00 CON 46 95 BUILDING OR WORK
ARCHITECT OR ENGINEER TEL NO TOTAL FEES 74 70
- SEPTIC TALAR, SEEPAGE PIT
LIC NO AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK PAGE ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID DPR266 ROUTE TO BS0508