HomeMy Public PortalAbout5655 LOMA AVE_Sewer__ COUNTY GF LOS ANGELES' TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1305290013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 16134 LT: 1 IEXIST OCC GRP: 5655 LOMA AV
I IBLDGS. NOW ON LOT: TEMP CA 917802451
ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET:
15387-022-013 (ORIGINATION: I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
1 I 105/29/13 SR
ICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE F;NAL BY: CODE: I
ILO, LEANN (626) 318-3269- IJOB NUMBER: I
19117 OLIVE ST ITRUNK PERMIT NUMBER: 1 41
ITEMP 917802451 IROAD PERMIT NUMBER: IDACRIPTIO OF WORK
IAFFADAVIT: NO ICONNECT 2ND: UNIT TO PUBLIC SEWER 1
1 1WAIVER: NO I I
1APPLICANT: TEL. NO: 1EASEMENT: NO I
IHUYNH, ANDY (626) 318-3269- I 1 1
19117 OLIVE ST IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1HIGHWAY/STREET WIDENING: 1 1
ISTATE ENCROACHMENT PERMIT NUMBER:
I I I I
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1
(ANDY DUC HUYNH (626) 318-3269- 1 1 1
19117 OLIVE ST LIC. NO (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER 1
ITEMPLE CITY CA 91780 838986 1 1 1
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL I 1
I 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK
1ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1 I I 1
ILEE, PETER (626) 280-9000- 1 ISEPTIC TANK, SEEPAGE PITI 1 1
18748 E VALLEY BLVD SUITE L LIC. NO: I (AND/OR DRAIN FIELD I I 1
ROSEMEAD CA 91770 838986 * 1DRYWELL
I I I I I I
SEWER MAP BOOK: PAGE: (ALTER, REPAIR, SEWER OR
1 1 ISEWAGE DISPOSAL SYSTEM 1 1 1
1 1 IDISCONNECT PLUG AND 1 1 1
ABANDON HOUSE SEWER
I I I I I I
IBACKFILL SEPTIC TANKS
(SEEP. PIT _ CESSPOOL
I I I I I I
GRAYWATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
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* ADDITIONAL DATA ON FILE I 1 I
I I I I I I
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(REPORT ID: DPR266 ROUTE TO BS0508
I I I I I I
- COUNTY bF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1305290012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 16134 LT: 1 IEXIST OCC GRP: 5655 LOMA AV
IBLDGS. NOW ON LOT: TEMP CA 917802451
(ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: I NEAREST CROSS STREET:
15387-022-013 (ORIGINATION: I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
LENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: IMANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
1 1 105/29/13 SR 1
ICOUNTY IMPROVEMENT NUMBER: I 1
10WNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL TE FINAL BY- CODE: 1
II LO, LEANN (626) 318-3269- (JOB NUMBER: Fy��
9117 OLIVE ST (TRUNK PERMIT NUMBER: / &,--(4
ITEMP 917802451 (ROAD PERMIT NUMBER: IDE CRIPTION OF WORK i1
1AFFADAVIT: NO ICONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
(WAIVER: NO 1
(APPLICANT: TEL. NO: 1EASEMENT: NO 1 1
IHUYNH, ANDY (626) 318-3269- 1 1 1
19117 OLIVE ST IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1HIGHWAY/STREET WIDENING: 1 1
ISTATE ENCROACHMENT PERMIT NUMBER: 1 1
I I I I
ICONTRACTOR: TEL. NO: 1 FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1
1ANDY DUC HUYNH (626) 318-3269- 1 1 1
19117 OLIVE ST LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: (NEW HOUSE SEWER 11
ITEMPLE CITY CA 91780 838986 1 1 1 1
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL 1 1
1 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK I 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1 I 1 1
LEE, PETER (626) 280-9000- 1 ISEPTIC TANK, SEEPAGE PITI 1 1
18748 E VALLEY BLVD SUITE L LIC. NO: I 1AND/OR DRAIN FIELD I 1 1
IROSEMEAD CA 91770 838986 * I I 1
I i 1DRYWELL _ 1
1 1 I I
I SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR
1 1 (SEWAGE DISPOSAL SYSTEM 1 1 1
I I I I I I
1 1 IDISCONNECT PLUG AND 1 1 1
1 1 1ABANDON HOUSE SEWER 1 1 1
I I I I I I
1 1 IBACKFILL SEPTIC TANKS
I (SEEP. PIT _ CESSPOOL - 1
I I I I I I
1 1 1GRAYWATER SYSTEM 1 1 1
I I I I I I
I i I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I i
I I I I I I
I I I I I I
I I I I I I
1 1* ADDITIONAL DATA ON FILE I 1 1 I
I I I I I I
I I I I I I
1 IREPORT ID: DPR266 ROUTE TO BS0508 1 1 I I
1 I