HomeMy Public PortalAbout5103 DOREEN AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY H 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0704260006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
(LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 11290 LT: 17 BL: C IEXIST OCC GRP: 1 5103 DOREEN AV 1
I JBLDGS. NOW ON LOT: TEMP CA 917803439
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET:
18585-023-030 (ORIGINATION: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I (LENGTH ML TO PL: STATION: DEPTH: I
I TENANT: MANHOLE REFERENCE: UPPER/LOWER: 11SSUED ON: PROCESSED BY: EXPIRES ON: I
1 104/26/07 JK 10/23/07
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE FINAJ, BY: CODE:
TADONG, ALLEN (626) 675-4009- JJOB NUMBER: I V S
5103 DOREEN AV JTRUNK PERMIT NUMBER: 1
TEMP 917803439 ROAD PERMIT NUMBER: ID SCRI PTIO OF WORK
AFFADAVIT: NO CONNECT 2ND: UNIT TO PUBLIC SEWER
IWAIVER: NO
(APPLICANT: TEL. NO: EASEMENT: NO
ELITE DESIGN DEV. INC. (626) 288-2651- 1 1
18748 VALLEY BLVD, IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS:
IROSEMEAD, CA 91770 IHIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
I I
CONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE I
IPOLYTEK GROUP D B L CONSTRUCTION (714) 476-7777- 1 1 1
3512 ALMOND ST. LIC. NO IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER
IRVINE, CA 92606 B70469 B
101 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK I I
IARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1 1 1
IHUONG SHAG-MING (626) 336-8769- 1 ISEPTIC TANK, SEEPAGE PITI I
116505 EMBER GLEN RD. LIC. NO: I AND/OR DRAIN FIELD I
I HACIENDA HEIGHTS, CA 91745 36602C I I I
I I DRYWELL _
I I I
I SEWER MAP BOOK: PAGE I IALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
� I I
DISCONNECT PLUG AND I
(ABANDON HOUSE SEWER
I I I
IBACKFILL SEPTIC TANKS
(SEEP. PIT _ CESSPOOL
GRA'fWATER SYSTEM
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I I I I
I I I I I
REPORT ID: DPR266 ROUTE TO BS0508
I I I I I I
• COUNTY OF IAS ANGELES TEMPLE CITY k 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0704260005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91080
PHONE: (626) 285-0488 EXT:
(LEGAL ID: (SEWER / SEPTIC: SEWER 1 BUILDING ADDRESS: 1
ITR: 11290 IT: 17 BL: C (EXIST OCC GRP: 1 5103 DOREEN AV 1
IBLDGS. NOW ON LAT: I _ TEMP CA 917803439
(ASSESSOR INFORMATION NUMBER: ;CONNECTION TYPE: I NEAREST CROSS STREET:
18585-023-030 (ORIGINATION: ; THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: STATION: DEPTH: ; 1
(TENANT: (MANHOLE REFERENCE: UPPER/LOWER: ;ISSUED ON: PROCESSED BY: EXPIRES ON:
104/26/07 JK 10/23/07
1COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. N0: PLAN CHECK NUMBER: IFINAL DATEy FINAL BY: CODE:
ITRUONG, ALLEN (626) 675-4009- 1J0B NUMBER: I
15103 DOREEN AV (TRUNK PERMIT NUMBER: I ' ✓ 1'
ITEMP 917803439 1ROAD PERMIT NUMBER: (DESCRIPTION OF WORK 1
I IAFFADAVIT: NO 1CONNECT MAIN HOUSE TO PUBLIC SEWER 1
I (WAIVER: NO I
(APPLICANT: TEL. NO: IEASEMENT: NO I
IELITE DESIGN DEV. INC. (626) 288-2651-
18748 VALLEY BLVD. RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD, CA 91770 (HIGHWAY/STREET WIDENING: I
I (STATE ENCROACHMENT PERMIT NUMBER: I
I I
CONTRACTOR: TEL. NO: I FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
IPOLYTEK GROUP D B L CONSTRUCTION (714) 476-777'- 1 11
13512 ALMOND ST. LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER 1
11RVINE, CA 92606 870469 B I I �✓ I� ;
1 101 PERMIT ISSUANCE FEE 27.75 (CONNECT ADDITIONAL
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 (BUILDING OR WORK 1
ARCHITECT OR ENGINEER: TEL. N0: I TOTAL FEES 74.70 ;
IHUONG SHAO-MING (626) 336-8769- 1 ISEPTIC TANK, SEEPAGE PITT ;
116505 EMBER GLEN RD. LIC. NO: I AND/OR DRAIN FIELD
(HACIENDA HEIGHTS, CA 91745 36602C
I I IDRYWELL
I
SEWER MAP BOOK: PAGE: JALTER,
SEWER EWAGE DISPOSALSSA
TEM
1 (DISCONNECT PLUG AND 1 I
ABANDON HOUSE SEWER
(BACKFILL SEPTIC TANKS _I
(SEEP. PIT _ CESSPOOL _I
I IGRAYWATER SYSTEM
I I I I I 1
I I I I I I
11 I I I I I
(REPORT ID: DPR266 ROUTE TO BS0508 I ;
I I I I I I