HomeMy Public PortalAbout5747 GOLDEN WEST AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0211070002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 6561 LT: 464 EXIST OCC GRP: 5747 GOLDEN WEST AV
BLDGS. NOW ON LOT: TEMP CA 917802504
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: WORKMAN
8587-023-011 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
11/07/02 JK 05/06/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
DAVID LAU (626) 446-6279- JOB NUMBER:
83 W SANDRA AVENUE TRUNK PERMIT NUMBER: y' Zq ' 3
ARCADIA 91007 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT SFR TO SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
DAVID LAU (626) 446-6279-
83 W SANDRA AVENUE RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ARCADIA 91007 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
LEGEND ESTATE (626) 446-6279-
83 W. SANDRA AVE LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
ARCADIA, CA 91007 732527 B
D1 PERMIT IS FEE - 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON' 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. N0: - -- AND/OR DRAIN FIELD
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 SS0508