HomeMy Public PortalAbout5830 HART AVE_Sewer__ ~ COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 - SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS _ SE 0508 1303250021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
(LEGAL ID: ISEWER / SEPTIC: SEWER I -BUILDING ADDRESS: - I
ITR: 5905 LT- 89 IEXIST OCC GRP: 1 5830 HART AV
I IBLDGS. NOW ON LOT: ..I• TEMP CA 917801910 I
(ASSESSOR INFORMATION NUMBER: - (CONNECTION TYPE: I NEAREST CROSS STREET: LAS TUNAS I
15387-016-035 (ORIGINATION: I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: . PROCESSED BY: I
I I 103/27/13 SR I
I ICOUNTY IMPROVEMENT NUMBER: I I
(OWNER: TEL. NO: - IPLAN CHECK NUMBER: • IFINAL DATE FINAL CODE: 1
ICHEN, GRACE (626) 292-2526- IJOB NUMBER: I I
15830 HART AV ITRUNK PERMIT NUMBER: 1lbi _ 1
ITEMP 917801910 IROAD PERMIT NUMBER: IDEDE CCRIPTI�OP OF WORK 41
1 IAFFADAVIT: NO ICONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER 1
I (WAIVER: NO 1 I
(APPLICANT: TEL. NO: (EASEMENT: NO
I.HSU, WILLIAM (626) 673-4893- 1 1 I
19070 E FAIRVIEW AVE IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: - I
SAN GABRIEL CA 91775 1HIGHWAY/STREET WIDENING: 1 I
(STATE ENCROACHMENT PERMIT NUMBER: 1 1
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE I
IHYL CONSTRUCTION INC (626) 673-4893- 1 - 1
19070 E FAIRVIEW AVENUE LIC. NO IFEE DESCRIPTION: - QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER - I
(SAN GABRIEL CA 91775 777227 * I I I I
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I I
i 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK 1 I
(ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES- 74.80 1 1 I I
I - I ISEPTIC TANK, SEEPAGE PITI I I
1 LIC. NO: 1 (AND/OR DRAIN FIELD I ( I
I I
DRYWELL
I SEWER MAP BOOK: PAGE: (ALTER, REPAIR, SEWER OR I
ISEWAGE DISPOSAL SYSTEM
• IDISCONNECT PLUG AND I
1 1 (ABANDON HOUSE SEWER
1 IBACKFILL SEPTIC TANKS
(SEEP. PIT _ CESSPOOL
1 I IGRAYWATER SYSTEM 1 1
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I IREPORT ID: DPR266 ROUTE TO BS0508 1 I I 1
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