HomeMy Public PortalAbout6374 ENCINITA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0512150003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
ON FILE EXIST OCC GRP: 6374 ENCINITA AV
SLOGS. NOW ON LOT: TEMP CA 917891316
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: OLEMA
5382-017-028 - ORIGINATION: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
CASA ROBLES RETIREMENT CENTER 12/15/05 JK 06/13/06
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FI L DATE FINAL BY: CODE:
MOYER, DAVID (626) 2B6-9455- JOB NUMBER-
6374 ENCINITA TRUNK PERMIT NUMBER:
TEMP 917801336 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO INSTALLATION OF ON-SITE SEWER CONNECTION FROM RESIDENCE TO
WAIVER: NO SEWER. LATERAL AT FRONT OF PROPERTY (CURB)
APPLICANT: TEL. NO: EASEMENT: NO
GOPHER CONSTRUCTION (818) 352-2253-
10164 TUJUNGA CANYON RECORD INSTRUMENT HER: RECORD DATE: SPECIAL CONDITIONS:
TUJUNGA, CA 91042 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
GOPHER CONSTRUCTION (BIB) 352-2253-
10164 TUJUNGA CYN BL. LIC. NO FEE DESCRIPTION: QUANTITY: COM: AMOUNT: NEW HOUSE SEWERS-
TUJUNGA, CA. 91042 A ' Ltl
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
15 ALT/REP HOUSE SEWER 1.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES $8.20
SEPTIC TANK, SEEPAGE PIT
LIC. N@ AND/OR ➢RAIN FIELD
ORYWELL _
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE pISPOSAL SYSTEM '
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS
SEEP. PIT _ CESSPOOL G
/^ GRAYWATER SYSTEM
/11
* ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO BS0508