HomeMy Public PortalAbout5641 LOMA AVE_Sewer__ a ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0004250001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 16134 LT: 4 EXIST OCC GRP: 5641 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917802451
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LAS TUNAS
5387-022-016 ORIGINATION: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
04/27/00 UT 10/24/00
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
HUYNH;NGOC (626) 451-6595- JOB NUMBER: p
5641 LOMA AV TRUNK PERMIT NUMBER: 0
TEMP 917802451 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT ADDITIONAL BUILDING TO PUB C SEWER SYSTEM
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER
RECORD INSTRUMENT NBR:: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREE:T%-W,IDEN3•NG:_-
STATE EK_ENNTeR�R�MT.T, BER
CONTRACTOR: TEL. NO: / ®� "FEE\AID APPROVALS DATE INSPECTOR SI TURE
SAME AS OWNER - d
LIC. NO FEE DE 11ION: QUANTITY: UOM AMOUNT: NEW HOUSE SEWER
y// /r 14
/ 01 PERMIT ISSUANCEIFEE, 27.75 CONNECT ADDITIONAL
0, 1'9 GONN'ADDTNL_BLDG(,S) 1'.00 EAC 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20
CREATIVE DESIGN (714) 288-0308 SEPTIC TANK, SEEPAGE PIT
P 0 BOX 4535 LIC. NO., / 1111111 AND/OR DRAIN FIELD
ORANGE CA 92867 NONE L
DRYWELL
SEWER MAP BOOK: PAGE: �r U
D L C O ALTER, REPAIR, SEWER OR
ILLII SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
O ❑ f t± BACKFILL SEPTIC TANKS -
n �} SEEP. PIT - CESSPOOL _
GRAYWATER SYSTEM
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sery-ce Via
REPORT ID: DPR266 ROUTE TO BS0508