HomeMy Public PortalAbout6012 GOLDEN WEST AVE_Sewer__ -- ' COUNTY OF LOS ANGELES TEMPLE. CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0406030004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (526) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
TR: 6561 LT: 85 EXIST OCC GRP: 6012 GOLDEN WEST AV
BLDGS. NOW ON LOT: TEMP CA 917801718
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5385-027-018 ORIGINATION: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
COUNTY IMPROVEMENT NUMBER: 06/03/04 VG 11/30/04 i
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL ,D" fI BY: CODE:
LI, JING HUA(LILY) (626) 353-0888- JOB NUMBER:
6012 GOLDEN WEST, AV TRUNK PERMIT NUMBER:
TEMP 917801718 ROAD PERMIT NUMBER: DESCRIPTIOIN' OF WORK --
AFFADAVIT: NO CONNECT GUEST HOUSE TO P_UBLIC.SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
INFRA + ARCH DEVELOPMENT, INC. (626) 458-8111-
1028 WESTMINSTER AVE RECORD INSTRUMENT NBP,: RECORD DATE: SPECIAL CONDITIONS: r
ALHAMBRA, CA 91803 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
LI, JING HUA(LILY) (626) 353-0888-
6012 GOLDEN WEST AVE. LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUS'E". SEWER LIZ-4
--
TEMPLE CITY, CA 91780 NONE _&l.-
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL ! �
03 CONN TO PUBLIC SEDER 1.00 CO`! 46.95 BUILDING OR WORK
ARCHITECT OR NuINE R: TEL. NO: TOTAL FEES 74.70
INFRA AND ARCH DEVELOPMENT, INC. (620) 458-8111- SEPTI! TANK, SEEPAGE PIT
1028 WESTMINSTER AVE. LIC. NO: AND/O" DRAIN FIELD
(ALHAMBRA, CA 91803 NONE
DRYWELL
SEWER, MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
-� DISCONNECT PLUG AND �
ABANDON HOUSE SEWER
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BACKFILL SEPTIC TANKS
SEEP. P'_T CESSPOOL
GRAYWATERSYSTEM
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e.
REPORT ID: DPR266 ROUTE TO BS0508
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