HomeMy Public PortalAbout8611 HERMOSA DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0305050001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 5903 LT: 98 EXIST OCC GRP: 8611 HERMOSA DR E
BLDGS. NOW ON LOT: SGAB CA 917753006
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: BURTON
5386-014-052 ORIGINATION: THOMAS PAGE: 596 GRID: G3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: XPIRES ON:
05/05/03 JK 11/01/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL,DATE FINAL BY: CODE:
PHAN;THANH (626) 674-3014- JOB NUMBER:
9334 DE ADALENA ST TRUNK PERMIT NUMBER:
ROSEMEAD 91770 ROAD PERMIT NUMBER: DESCRIP l f]ON OF WORK
AFFADAVIT: NO CONNECT SFR TO PUBLIC SEWER
WAIVER: NO
APPLICANT: T-97 NO: EASEMENT: NO
LAP NGUYEN (626) 674-3014-
1139 GLENVIEW RD RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
WEST COVINA 91790 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO. FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
H D CONSTRUCTION (626) 695-0444- / J
4417 FANDON AVENUE LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
EL MONTE, CA 91732 636105 B * �i - �_
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYW LL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANK _
SEEP. PIT CESSPOOL
GAWA ER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR266 ROUTE TO BS0508