HomeMy Public PortalAbout6128 HART AVE_Sewer__ 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0304030007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 5904 LT: 224 EXIST OCC GRP: 6128 HART AV
BLDGS. NOW ON LOT: TEMP CA 917801628
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5384-010-005 ORIGINATION: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
04/03/03 JK 09/30/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
ZHUO;ZHUO Y AND YUET F (626) 379-6926- JOB NUMBER:
6124 HART TRUNK PERMIT NUMBER:
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT HOUSE & WORKSHOP TO SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET:WIDEN'ING:
STATE ENCROACHMENT-PERMIT NUMBER:
CONTRACTOR: TEL. N0: FEES-PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ���
LIC. NO FEE.DESCRIPTION: QUANTITY,: 'UOM >, AMOUNT: NEW HOUSE SEWER
01 PERMIT ISSUANCE FEE \ 27.75 CONNECT ADDITIONAL
03CONNTO'PUB LIb,,SEWER" 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: 19rCONN�ADDTNL—BLOG(S)_ X1,.00 EACH 30.45
ELITE DESIGN DEVELOPMENT, INC. (626) 288-2651 j I� ,TOTAL FEES 105.15 SEPTIC TANK, SEEPAGE PIT
8748 VALLEY BLVD, #K LIC. NO': � ! AND/OR DRAIN FIELD
ROSEMEAD, CA 91770 NONE
DRYWELL _
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
f BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
lC1G=f"b� e /I 7-
REPORT
REPORT ID: DPR266 ROUTE TO BS05O8