HomeMy Public PortalAbout5322 LOMA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0403180005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER SEPTIC: SEWER BUILDING S:
ON FILE EXIST OCC GRP: R1 5322 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917803001
ASSFSSOR INFORMATION E CONNECTION TYPE: NEAREST CROSS STREET: OLIVE
5388-008-021 ORIGINATION: THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH: '
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
03/18/04 VG 09/14/04
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. N0: PLAN CHECK NUMBER: FIL FINALyBV�: CODE:
CALVERT;EDWARD R (626) 422-2132- JOB NUMBER: � •
8844-ARDENDALE AVE', TRUNK PERMIT NUMBER:
SAN GABRIEL 91775 ROAD PERMIT NUMBER: ES�rO-A-SWORK
-
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. EASEMENT: NO
R D PLUMBING (909) 592-5263-
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS GATE INSPECTOR SIGNATURE
R D PLUMBING (909) 592-5263-
2041 GLADSTONE #C LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
GLENDORA, CA 91740 493529 C36 '
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEEWT TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PIT
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
M 64 SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC A _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508