HomeMy Public PortalAbout9023 JAYLEE DR_Sewer_1/12/2000_SE 0508 0001120001 sewer COUNTY OF LOS ANGELES TEMPLE CITY # 0508 oSEWER PERM.,I_T ----
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 050$:`000112000
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BU.I.LDING -ADDRESS:
ON FILE EXIST OCC GRP: - 90233SJAYLEE�DRj
BLDGS. NOW ON LOT: SGAB_CA 9177,52059
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST.CROSS STREET: SULTANA
5382-019-012 ORIGINATION: THOMAS`PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
01/12/00 UT 07/10/00
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE-
LIU;OLIVIA ( JOB NUMBER: �^ ZQ
4-k"9023 JAYLEE AVE. TRUNK PERMIT NUMBER: ' % Q
SAN GABRIEL, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO ADDITIONAL WORK TO HOUSE SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WI'.DEN'dN� ,
STATE ENCROACHMENTPERM•I-Tz NUMBER:
CONTRACTOR: TEL. NO: —�,FEESIPAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO FEE DESCRIPTyION: QUANTITY: UOM:" AMOUNT: NEW HOUSE SEWER
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
13 WORK�SOyHOUSE'§EWER 1.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: OTAL FEES 58.20
�J i T
\ SEPTIC TANK, SEEPAGE PIT
LIC. N f� _ 1Z 111111 ,I AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: l r �� ��'1 —� ALTER, REPAIR, SEWER OR
PER��� �����L�� � SEWAGE DISPOSAL SYSTEM
— ��--------- --- / DISCONNECT PLUG AND
ABANDON HOUSE SEWER
9 cl, d / BACKFILL SEPTIC TANKS
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
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REPORT ID: DPR266 ROUTE TO BS0508