HomeMy Public PortalAbout9903 LA ROSA DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0605150005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
BK: 147 652 PG: PC: E%IST OCC GRP: 9903 LA ROSA DR
SLOGS. NOW ON LOT: .1 TEMP CA 91780
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: BALDWIN
ORIGINATION: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
05/15/06 JK 11/11/06
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL TE FINAL BY: CODE:
ELLIS, ARTHUR (626) 285-9028- JOB NUMBER:
9903 LA ROSA DR. TRUNK PERMIT NUMBER:
TEMPLE CITY, CA ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO INSTALL CLEAN OUT
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
COMES
RECORD INSTRUMENT HER: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
GEORGE BRAZIL PLUMBING (310) 838-0408-
3801 LENAWEE AVE LIC. NO FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: NEW HOUSE SEWER
CULVER CITY CA 90232 432734C10
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
15 ALT/REP HOUSE SEWER 1.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20
SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYWELL _
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM lAbTi (C-_
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BSO508