HomeMy Public PortalAbout6227 LOMA AVE_Sewer__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0304240069
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDINGADDRESS:
TR: 5904 LT: 246 EXIST OCC GRP: 6227 LOMA AV
BLDGS. NOW ON LOT: TEMP CA 917801635
ASSESSOR INFORMATIONNUMBER: CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5384-009-022 ORIGINATION: THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED SS .
04/24/03 JK 10/21/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. 0: PLAN CHECK NUMBER: FIN DA7E F I N CODE:
WANG STEVEN (626) 307-5914- JOB NUMBER:
4855 TEMPLE CITY TRUNK PERMIT NUMBER: d A
TEMPLE CITY 91780 ROAD PERMIT NUMBER: DESCRrPTJON OF WORK
AFFADAVIT: NO CONNECT NEW SFR TO PUBLC SEWER
WAIVER: NO
APPLICANT: L. EASEMENT: NO
ELITE DESIGN (626) 288-2651-
8748 VALLEY BLVD #K RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD 91770 HIGHWAY/STREEL-WIDENING:
STATE ENCROACHMENT-,PERMIT-NUMBER:,
CONTRACTOR: TEL. N0: /� �' -�-`SFE ,S PAID APPROVALS DATE INSPECTOR SIGNATURE
INNOVATIVE CONSTRUCTION (626) 287-7908-
5989 IVAR AVE LIC. NO FEE/DESCRI PTION: �a\ QUANTITY.:'UOM:\\ AMOUNT: NEW HOUSE
TEMPLE CITY, CA 91780 793659-B
01 PERMIT ISSUANCE FEE , '� 27.75 CONNECT ADDITIONAL /T-
03 CONN, TO_+PUBLPC-SEWER`,. 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT0 GIN 0: L TOTA.LFEES \ ' '�� 74.70
CE AG
LIC. NO: I AND/OR DRAIN FIELD
DRYWELL —
SEWER MAP : PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECTG AN
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508