HomeMy Public PortalAbout6143 GOLDEN WEST AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1406040002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ON FILE IEXIST OCC GRP: 6143 GOLDEN WEST AV
IBLDGS. NOW ON LOT: TEMP CA 917801756
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: GARIBALDI
15385-020-007 (ORIGINATION: THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY CAI
I ILENGTH ML TO PL: STATION: DEPTH: _
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
I 106/04/14 SR
_ICOUNTY IMPROVEMENT NUMBER: I_ I
(OWNER: TEL. NO: IPLAN CHECK NUMBER: IF D TE FIN BY: CODE: I
IFURUMOTO IKUO;REGINA (626) 285-4078- IJOB NUMBER: I
16143 GOLDEN WEST AV ITRUNK PERMIT NUMBER: I 1
ITEMP 917801756 IROAD PERMIT NUMBER: IDESCRIPTION OF WORK 1
IAFFADAVIT: NO REPI:ACE 4" SEWER LINE FROM CURB TO HOUSE
IWAIVER: NO
(APPLICANT: TEL. NO: 1EASEMENT: NO
IDE LEON, ANDY (562) 405-1321- I
18721 LYNDORA STREET IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
IDOWNEY CA 90242 IHIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
ICONTRACTOR: TEL. NO: I FEES PAID 1 P kJVALS DATE INSPECTOR SIGNATURE 1
IJ C PLUMBING (562) 405-1326- 1 1 1
18721 LYNDORA STREET APT B LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER I I
IDOWNEY CA 90242 907706 * I I I
1 101 PERMIT ISSUANCE FEE 27.80 ICON:7ECT ADDITIONAL I
I 115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 IBUILDING OR WORK II
(ARCHITECT OR ENGINEER: TEL. NO: 1 TOTAL FEES 58.30 I 1-1 1
- I ISEPTIC TANK, SEEPAGE PITI I I
1 LIC. NO: IAND/OR DRAIN FIELD I 1 i
I 1 DRYWELL 1 1 I
I I �
1 SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR
1 ISEWAGE DISPOSAL SYSTEM
{ IDISCONNECT PLUG AND I I I
IABAtIDON HOUSE SEWER
I I I
1 IBACKFILL SEPTIC TANKS I 1 1
ISEEP. PIT _ CESSPOOL
1 1 IGRAYWATER SYSTEM I I 1
I I I I 11 I
I I I I I I
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I* ADDITIONAL DATA ON FILE I I
1 IREPORT ID: DPR266 ROUTE TO BS0508