HomeMy Public PortalAbout6149 LOMA AVE_Sewer__ t COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0311250002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
'PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 5904 LT: 252 EXIST OCC GRP: 6149 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917801633 _
ASSESSOR INFORMATION N CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5384-010-017 ORIGINATION: I I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED 0 C 0 :
COUNTY IMPROVEMENT NUMBER: 11/25/03 JK 05/23/04
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE:
WENDT REYNALDO A (626) 497-6320- JOB NUMBER: - —7
6149 LOMA AVENUE TRUNK PERMIT NUMBER: (/'� �� �' --
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DDb°CPIPTION OF WORK
AFFADAVIT: NO CONNECT NEW SFR TO SEWER
WAIVER: NO
PL EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: R-EV HOUSE SEWER Gn
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINE EL. O: TOTAL FEES 74.70
S911IC TANK, SEEPAG P T
LIC. NO: AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER 0
SEWAGE DISPOSAL SYSTEM
DISCONNECTUG AN
ABANDON HOUSE SEWER
BACKFILL SEPTIC TAN _
SEEP. PIT CESSPOOL
GW WA ER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508