HomeMy Public PortalAbout5363 LOMA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0502180002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
BUILDING-LEGAL ID: SEWER / SEPTIC: SEWER .
TR: 11218 LT: 2 BL: E EXIST OCC GRP: 5363 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917803002
ASSESSORR 0 CONNECTION TYPE: NEAREST CROSS STREET: OLIVE
5388-007-002 ORIGINATION: THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY 91
LENGTH ML TO PL: STATION: DEPTH:
MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
03/10/05 JK 09/06/05
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: ODE:
CHANG CHUN HUNG;CHIANG KUEI JAN (626) 378-8743- JOB NUMBER:
5363 LOMA AV TRUNK PERMIT NUMBER:
TEMP 917803002 ROAD PERMIT NUMBER: D•ESCKIPTION OF WORK
AFFADAVIT: NO CONNECT RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. N0: EES PAID APPROVALS DATE INSPECTOR SI
SAME AS OWNER -
LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT - TOTAL FEES 74.70
KWOK, TERENCE (323) 697-2120 I
260 E GARVEY AVE. LIC. NO: AND/OR DRAIN FIELD
MONTEREY PARK, CA 91755 NONE
DRYWELL
SEWER MAP BOOK: A ER, RE AIR, SEWER 0
SEWAGE DISPOSAL SYSTEM
DISCONNECTD
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS
SEEP. PIT CESSPOOL
GRAYWATER
REPORT ID: DPR266 ROUTE TO BS0508
s