HomeMy Public PortalAbout6028 LOMA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0109200002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA .ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
TR: 5904 LT: 371 EXIST OCC GRP: 6028 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917801925
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: LAS TUNAS
5384-013-009 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:
09/20/01 VG 03/19/02
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
CHANG DAVID;JOYCE (626) 286-8285- JOB NUMBER:
6028 LOMA AV TRUNK PERMIT NUMBER:
TEMP 917801925 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT ADDITIONAL WORK TO HOUSE SEWER
WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET=WI-DENING -
STATE ENCROACHMENTP�ER_M�I NUMBER.
Cn
CONTRACTOR: TEL. NO: -EEES`P,AID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER /
LIC. NO FEE DESCRIPTION: QUANTITY: UOM:, AMOUNT: NEW HOUSE SEWER
D/
01 PERMiT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
/
X19 CONO DDTNL BLDG(S,) 1,.00 EAC 30.45 BUILDING OR WORK q 2 l /
ARCHITECT OR ENGINEER: TEL. NO: TO AL,,FEES 58.20
CHOU, HUNG (626) 574-01011/ SEPTIC TANK, SEEPAGE PIT
511 S. 1ST AV., #161 LIC. N0: 1111111 AND/OR DRAIN FIELD
ARCADIA, CA 91006 C17559
�U L DRYWELL —
SEWER MAP BOOK: PAGE: Ir f1 (� n (] j� /J ALTER, REPAIR, SEWER OR
111 {mil IL11 11V�/\1`�/ ILI,�'l{1lI�K``\ SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
-( ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
l
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508