HomeMy Public PortalAbout6005 LOMA AVE_Sewer__ COUNTY OF LOS ANGELES ` TEMPLE CITY # 0508 -SEWER PERMIT.
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE 0508 9811020001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (818)- 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: S BUILDING ADDRESS:
TR: 5904 LT: 352 EXIST OCC GRP: 6005_LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917801926
ASSESSOR INFORMATION NUMBER: CONNECTION-TYPE: NEAREST CROSS STREET:
5384-014-024 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:
11/02/98 UT 11/02%99
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL 'DATE FINAL BY: CODE:
NAVA ADOLPH D;CLARA A;TIMOTHY REX JOB NUMBER: ` 2
6003 LOMA AV TRUNK PERMIT NUMBER:
TEMP 917801926 ROAD PERMIT NUMBER: DESCRIPTIrON OF WORK
AFFADAVIT: NO INSTALL SEWER CLEAN OUT
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
MIKE DIAMOND (310) 259-5229-
3801 LENAWEE AVE. RECORD INSTRUMENT NBR:- RECORD DATE: SPECIAL CONDITIONS:
CULVER CITY, CA HIGHWAY/STREET:WTDENING:
STATE ENCROACHMENT-,,P,ERMI!T NUMBER---
_ CONTRACTOR: TEL. NO: /�/ FEES-�PAID V��� APPROVALS DATE INSPECTOR SIGNATURE
MIKE DIAMOND PLUMBING HEATING AND A (310) 838-0408-
3801 LENAWEE AVE LIC. NO FEE/DESCRI,PTION: r QUANTITY: UOM• \� AMOUNT: NEW HOUSE SEWER
CULVER CITY CA 90232 399170 C20 f
0,1/PERMIT�_ISSUANCE�`FEE-.jj - A 27.75 CONNECT ADDITIONAL
13/WORK TOo-HOUSE-SEWER` - ��`1.00 EAC\ V���30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: '— TOTAL FEES-,, `Z \58.20 SEPTIC TANK,
SEEPAGE PIT
LIC. NO AND/Oft DRAIN FIELD
r �—� � -`�117111'�
DRYWELL
SEWER MAP BOOK: PAGE: / - ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
� ABANDON HOUSE SEWER
BACKFILL- SEPTIC TANKS
SEEP. PIT _ CESSPOOL
GRAYWATER SYSTEM
r,c
REPORT ID: DPR266 ROUTE TO BS0508