HomeMy Public PortalAbout4915 GLICKMAN AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 9903250020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: S BUILDING ADDRESS:
TR: 52592 LT: 05 EXIST OCC GRP: 4915-GLICKMAN AV
BLDGS. NOW ON LOT: TEMP CA 91780
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA
ORIGINATION: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON.
02/07/00. UT OS/0
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY- CODE:
COMSTOCK CROSSER & ASSO. (310) 546-5781- JOB NUMBER: `i
321 12TH STREET TRUNK PERMIT NUMBER: `--20-ft
MANHATTAN BEACH, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO NEW SFR-CONNECT TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
COMSTOCK CROSSER & ASSO. -
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET-W-DENING:
STATE ENCROACHMENT -
i
CONTRACTOR: TEL. NO: - ^•EEES.:PAID APPROVALS DATE INSPECTOR SIGNATURE
E AND R CONSTRUCTION INC. (626) 338-8405 -"
945 WELLINGTON RD LIC. NO FEE'DESCRIFTION: _�/:, QUANT ITY''.UOM:;: AMOUNT: NEW HOUSE SEWER -00SAN DIMAS, CA 91773 449476 C42 '"
r,;01' PERMIT ISSUANCE FEE,�1 � 27.75 CONNECT ADDITIONAL
03 CONN`7TO�iPUBLI_C_`'`SEWER %` 1.00 CONI',, 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. N0: f j �! TOTAL FEES " 74.70
WILLIAM HEZMALHALCH -ASSOCIATES (714) 250-0607 �� �� ��: SEPTIC TANK, SEEPAGE PIT
17875 VON KARMON #404 LIC. N0;'. !�; I — 4 i AND/OR DRAIN FIELD
-- 111111.
IRVINE 92714 NONE II l w
-� LL._,_ ter` 1 f DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
Ll
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS
' _
jSEEP. PIT _ CESSPOOL
GRAYWATER SYSTEM
`s =$'t
REPORT ID: DPR266 ROUTE TO BS0508