HomeMy Public PortalAbout5027 HELEO AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0109130003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L ID:
SEWER SEPTIC: SEWER BUILDING ADDRESS:
BK: 24742 PG: 2 PC: EXIST OCC GRP: 5027 HELEO AV
BLDGS. NOW ON LOT: TEMP CA 91780
ASSESSOR INFORMATION BER: CONNECTION TYPE: NEAREST CROSS STREET: LA ROSE
ORIGINATION: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TE MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESS BY: EXP[ ON:
09/13/01 UT 03/12/02
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL N0: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
NGUYEN, VAN (626) 487-0494- JOB NUMBER:
10115 LANDSEER TRUNK PERMIT NUMBER:
/-�'
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TEMPLE CITY, CA ROAD PERMIT NUMBER: DD SRI(s ON OF WORK
AFFADAVIT: NO NEW SEWER CONECTION FOR NEW SFR
WAIVER: NO
APP CANT: T NO: EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT_NBR:_.z RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET-WIDENING:::_
STATE ENCROACHMENT�P,ERMITSNUMBER:\�
PI���L-ni
CONTRACTOR: TEL. N0: // -FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - zU=p� �� - �
LIC. NO FEE,DESCRIPTION:j QUANTITY�UOM: AMOUNT: NEW HOUSE SEWER
// 01l PERMIT ISSUANCE FEEr} l" \ \` 27.75 CONNECT ADDITIONAL
f. 03 CONN TTOAPUBLI C,SEWER 1.00 CON\\ " 1 46.95 BUILDING OR WORK
CHEARCHITECTOR ENGINEER: TEL. N0: 4� y;�,^`T-TOTAL FEES �� �� � 74.70
CHEN, JASON (818) 918-8906I/ — i- (I I ' I I .��- _- �. ` SEPTIC AHK, SEEPAGE PIT
C(0 1139 GLENVIEW RD LIC. NOi . , , ; AND/OR DRAIN FIELD
W. COVINA, CA 91790 NONE -- I 1 _i,i I 1 �� _ i,
D YWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
1 .�i /•�`-"' _�'�. .1 A`J _. ACJ :�,. � SEWAGE DISPOSAL SYSTEM
'i — -- -
DISCONNECT PLUG AND
\l /} 6 y `, ABANDON HOUSE SEWER
BACKFILL SEPTIC TANK
SEEP. PIT _ CESSPOOL _
G A R SYSTEM
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REPORT ID: DPR266 ROUTE TO RS0508