HomeMy Public PortalAbout6123 ENCINITA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0304070005"
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
G SEP C: X BUILDING ADDRESS:
TR: 5904 LT: 291 EXIST OCC GRP: 6123 ENCINITA AV
BLDGS. NOW ON LOT: TEMP CA 917801637
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LONGDEN
5384-012-025 ORIGINATION: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
MANHOLE REFERENCE: UPPER/LOWER: ISSUED 0 PROCESSED S N:
04/07/03 JK 10/04/03
COUNTY IMPROVEMENT NUMBER:
OWN TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
ZHAN HAD LIU (626) 285-6938- JOB NUMBER:
6123 ENCINITA AV TRUNK PERMIT NUMBER:
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DDUTRM1aN OF WOR
AFFADAVIT: NO CONNECT GUEST HOUSE TO HOUSE SEWER
WAIVER: NO
PL L. EASEMENT: NO
SAME AS OWNER
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
dC .L'
CONTRACTOR: TEL. NO: t -,,FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNERC�
LIC. NO FEE DESCRIPTION: QUANTITY,: LION: AMOUNT: NEW HOUSE SEWER
ISSUANC
01 PERMIT E FEE-��� \ 27.75 CONNECT ADDITIONAL
19 CONN ADDTNL BLDG(S) �� 1.00 EAC 30.45 BUILDING OR WORK
ARCHITECTNEER: EL. O: -- 1L-'- TOTAL�FEES `� 58.20
/ 1 -sE"-lc-7XNK, EP P[
LIC. NO: / AND/OR DRAIN FIELD
IDRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT UG AND
ABANDON HOUSE SEWER
-
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508