HomeMy Public PortalAbout5621 GOLDEN WEST AVE_Sewer__ • COUNTY OF LOS ANGELES TEMPLE CITY. # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0807210002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 11131 LT: 3 IEXTST OCC GRP: 1 5621 GOLDEN WEST AV
-IBLDGS. NOW ON LOT: I TEMP CA 917802521
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET: LIVE OAK
18588-011-003 (ORIGINATION: I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(LENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: JISSUED ON: PROCESSED BY: EXPIRES ON:
107/21/08 SR 01/17/09
ICOUNTY IMPROVEMENT NUMBER: I I
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATES FINAL BY: CODE: I
KHAN, SUNNY (626) 294-0606- IJOB NUMBER: I �! 01 1
11105 S. FIRST AVE. (TRUNK PERMIT NUMBER: 1 _o
ARCADIA, CA 91006 (ROAD PERMIT NUMBER: IDESCRIPTION OF WORK
I IAFFADAVIT: NO (CONNECT NEW RESIDENCE TO PUBLIC SEWER I
I (WAIVER: NO I1
(APPLICANT: TEL. NO: (EASEMENT: NO 1
(HYDRO TECH PLUMBING CORP. (626) 443-6366- I 1
11432 B CHICO AVE. (RECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
IS. EL MONTE CA 91733 IHIGHWAY/STREET WIDENING: I I
I (STATE ENCROACHMENT PERMIT NUMBER: 1
I I I I
(CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE" INSPECTOR SIGNATURE i
(HYDRO TECH PLUMBING CORP. (626) 443-6366- I 1
11432 B CHICO AVE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I I
IS. EL MONTE, CA 91733 906249 C36 I I A
1 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL 1 ��- 1 Q1
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK I I 1
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1
1 - I (SEPTIC TANK, SEEPAGE PITI I I
I LIC. NO: I (AND/OR DRAIN FIELD I 1 1
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1 IDRYWELL _ I
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SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I I I
I (SEWAGE DISPOSAL SYSTEM 1
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1 IDISCONNECT PLUG AND I1 1
1 (ABANDON HOUSE SEWER I I I
I I (BACKFILL SEPTIC TANKS _I I I
I 1 (SEEP. PIT _ CESSPOOL -I 1
GRAYWATER SYSTEM I I
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I 11 I I I I
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I IREPORT ID: DPR266 ROUTE TO BSO508 1 I I 1
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