HomeMy Public PortalAbout5520 GOLDEN WEST AVE_Sewer__ L -
' COUNTY OF LOS ANGELES TEMPLE CITY, # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0402050002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER B L NG D R S
TR: 11131 LT: 10 EXIST OCC GRP: 5520 GOLDEN WEST AV
BLDGS. NOW ON LOT: TEMP-CA 917802518
ASSESSOR INFORMATION NUMBERCONNECTION TYPE: NEAREST CROSS STREET: BROADWAY
8588-012-018 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: ,_ _ : DEPT H:• - - -TENANT: MANHOLE REFERENCE: UPPER/LOWER: SS 0 ROC SS D BY: EXPIRES ON:
02/05/04 VG 08/03/04
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINA AT FINAL BY: COD
HUNG UNG T;QUACH CHAU HUE (626) 451-9863- JOB NUMBER:
5520 GOLDEN WEST.AV TRUNK PERMIT NUMBER:
TEMP 917802518 ROAD PERMIT NUMBER: OVSCRIPTqnN OF WORK
AFFADAVIT: NO CONNECT ADDITIONAL WORK TO HOUSE SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
WANG + HA ASSOCIATES (626) 991-2161-
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:.
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
T D T GENERAL CONSTRUCTION (626) 291-2851-
4923 GOLDEN WEST AVE. LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
m —
TEMPLE CITY, CA 91780 626477 B G
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
13 WORK TO HOUSE SEWER 1.00 EAC 30.45 BUILDING'OR WORK
ARCHITECT OR EN ER: TEL. NO: TOTAL FEES 58.20
WANG AND HA ASSOCIATES (626) 991-2161- SEPTIC TANK, SEEPAGE PIT
1815 AZALEA DR. LIC. NO: AND/OR DRAIN FIELD
ALHAMBRA, CA 91801 NONE
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508