HomeMy Public PortalAbout5223 GOLDEN WEST AVE_Sewer__ ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0301140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER SEPTIC: X BUILDING ADDR
TR: 15683 LT: 2 EXIST OCC GRP: 5223 GOLDEN WEST AV
BLDGS. NOW ON LOT: TEMP CA 917803247
ASSESSOR 0 NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: OLIVE
8589-010-002 ORIGINATION: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSEFF: IR ON: t
01/14/03 JK 07/13/03
COUNTY IMPROVEMENT NUMBER:
TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
VRANGA;EMILIO & CAROLINA JOB NUMBER:
5223 GOLDEN WEST'AV TRUNK PERMIT NUMBER:
TEMP 917803247 ROAD PERMIT NUMBER: DESCRIPTION OF WOR
AFFADAVIT: NO REPLACE 25FT OF CLAY PIPE OF SEWER LINE
WAIVER: NO
APPLICANT: L. EASEMENT: NO
STEVE LONG (626) 337-7000-
1100 HERALD ST RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
WEST COVINA HIGHWAY/STREET9WIDENING:-_�
STATE ENCROACHMENT-PERMI-T`NUMBER:
CONTRACTOR: T L. NO: � �F,EES` \ APPROVALS DAT INSPECTOR SIGNATURE
LONG, STEVE (626) 337-7000 ®
1100 HERALD ST LIC. NO FEE/DESCR'IP6TION: QUANTITY: UOM. AMOUNT: NEW SSEWER
WEST COVINA, CA 91790 712192-B /// /e � �G�a � q.
f01 PERMILT ISSUANCE„FEE 27.75 CONNECT ADDITIONAL
A15 ALT/REP HOUSE SEWER 1,.00 EAC 30.45 BUILDING OR WORK
ARCHITECT-UR MTREERF T . NO: / TOTAL FEES 58.20 SEPTIC ANSEEPAGE T
AND
LIC. NO:� 1111111 /OR DRAIN FIELD
L WEL
SEWER MAP BOOK: PAGE: r n (� /� /7 �/J ALTER, REPAIR, SEWER OR
� I�{j II UII \}1� 01LOR,}�` � SEWAGE DISPOSL SYSTEM
�l LLLLII» ��'J L� �7 V V LJ Ll U DISCONNECT G
AND
O 0 ABANDON HOUSE SEWER
4 � BACKFILL SEPTIC
N _
Q Q SEEP. PIT CESSPOOL
- -
� G A Y M
REPORT ID: DPR266 ROUTE TO SS0508