HomeMy Public PortalAbout4911 DOREEN AVE_Sewer__ -COUNTY OF LOS ANGELES TEMPLE CITY # OSOB SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0605150006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EAT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
TR: 13645 LT: 52 EXIST OCC GRP: 4911 DOREEN AV
SLOGS. NOW ON LOT: TEMP CA 917804117
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET:
8585-024-038 ORIGINATION: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
05/15/06 ix 11/11/06
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHEER NUMBER: P FINAL BY: CODE:
DE ARTOLA, VENANC IO (626) 498-4419- SOB NUMBER: INAL
4911 DOREEN AV TRUNK PERMIT NUMBER:
TEMP 917804117 ROAD PERMIT NUMBER: - 5 SFj CRI T ON OF WORK
AFFADAVIT: NO CONNECTION TO SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
DE ARTOLA (626) 44B-4419-
4911 DOREEN AVE RECORD INSTRUMENT WEB: RECORD DATE: SPECIAL CONDITIONS:
TEMPLE CITY CA 91780 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
DE ARTOLA, VENANCIO (323) 750-1442-
4911 DOREEN AVENUE LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
TEMPLE CITY, CA 91780 NONE
O1 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
13 WORK TO HOUSE SEWER 1.00 EAC 30.45 BUI"DING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20
- SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTSR, 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