HomeMy Public PortalAbout4921 GLICKMAN AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 9903250017
BUILDING AND SAFETY / LAND DEVELOPMENT_ TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: S BUILDING ADDRESS:
TR: 52592 LT: 08 EXIST OCC GRP: 4921 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 0 :~
COUNTY IMPROVEMENT NUMBER: 02/07/00 U7 08/05
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
COMSTOCK CROSSER & ASSO. . (310) 546-5781- JOB NUMBER: ..2,Ii
321 12TH STREET TRUNK PERMIT NUMBER: 6
MANHATTAN BEACH, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO NEW SFR-CONNECT TO PUBLIC SEWER SYSEM
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
COMSTOCK CROSSER & ASSO. -
RECORD INSTRUMENT RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDEN�ING:-�--_-__
STATE ENCROACHMENT P.ERMIT-NUMBERe'=>_
CONTRACTOR: TEL. N0: —EEES:_PAID, APPROVALS DATE INSPECTOR SIGNATURE
E AND R CONSTRUCTION INC. (626) 338-8405-
945 WELLINGTON RD LIC. NO FEE 'DESCRI•P_TION: ;�^ QUANTITY:""UOM:;., AMOUNT: NEW HOUSE SEWER
SAN DIMAS, CA 91773 449476 C42 a: ' ;f` <> =' Z
01 PERMIT ISSUANCE FEE'c _� . ` ? 27.75 CONNECT ADDITIONAL
`03 CONN`l;TOrIPUBLI&iSEWU - -1.00 CON'`, �°.'' ^;, 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. N0: Ah'-'—f—TOTAL FEES 74.70
WILLIAM HEZMALHALCH ASSOCIATES (714) 250-0607.-'r t �II r „_ , _ SEPTIC TANK, SEEPAGE PIT
17875 VON KARMON #404 LIC. NO:: (____-�l_._� j — —� ' ''` AND/OR DRAIN FIELD
IRVINE 92714 NONE ;';1 l " — 1 ' "111111: �i�
DRYWELL
ir
SEWER MAP BOOK: PAGE: u r t�`; fl `_',, ;, '' ? '_ �,-_ , ALTER, REPAIR, SEWER OR
I 'I �!��i;' ,� '� SEWAGE DISPOSAL SYSTEM
Y -- ---- -- — ----- — ---- --- ---— - — DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS —
SEEP. PIT _ CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508