HomeMy Public PortalAbout6055 ROWLAND AVE_Sewer__ • • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
"DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0704240002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: DING ADDRESS:
[SEWER / SEPTIC: SEWER
TR: 6561 LT: 28 UN: .002 [EXIST OCC GRP: I BUIL1
[ 6055 ROWLAND AV I
[ASSESSOR INFORMATION NUMBER: IBLDGS. NOW ON LOT: I TEMP CA 917801721 [
]CONNECTION TYPE: [ NEAREST CROSS STREET: GARIBALDI 1
I5385-028-001 [ORIGINATION: I THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: [ I
ITE�T: (MANHOLE REFERENCE: UPPER/LOWER: ]ISSUED ON: PROCESSED BY: EXPIRES ON:
104/24/07 JK 10/21/07
[ [COUNTY IMPROVEMENT NUMBER:
[OWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE FII CODE:
ICHANG, ROBERT (626) 696-7437- IJOB NUMBER: i _/'r6 [
16055 ROWLAND AV ITRUNK PERMIT NUMBER:
�E
ITEMP 917801721 [ROAD PERMIT NUMBER: jDE8CRIPTrlON OF WORK 1
IAFFADAVIT: NO ICONNECT HOUSE SEWER TO PUBLIC SEWER 1
I (WAIVER: NO
1APPLICANT: TEL. NO: 1EASEMENT: NO 1 I
1PAUL ROBERTS (626) 798-0725- 1 I I
13228 ALANREED AVE. IRECORD INSTRUMENT NBR: RECORD DATE: ]SPECIAL CONDITIONS: 1
�ROSEMEAD, CA 91770 HIGHWAY/STREET WIDENING: 1 I
(STATE ENCROACHMENT PERMIT NUMBER: 1 I
[CONTRACTOR: TEL. NO: 1 FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE ]
(PAUL ROBERTS (626) 798-0725- 1 I I
13228 ALANREED AVENUE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER 1 I
]ROSEMEAD, CA 91770 561193-C42 I I I
] 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL I I
I 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK ] I
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1 I I I
I - I ISEPTIC TANK, SEEPAGE PITI I I
LIC. NO: I [AND/OR DRAIN FIELD I I I
[ I IDRYWELL
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SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR I I I
I (SEWAGE DISPOSAL SYSTEM
I ] IDISCONNECT PLUG AND I I I
1 i (ABANDON HOUSE SEWER
I I 133ACKFILL SEPTIC TANKS I ] I
[ I ISEEP. PIT _ CESSPOOL _1 I
I I 1GRAYWATER SYSTEM 1 I
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IREPORT ID: DPR266 ROUTE TO : BS0508 1 I I I
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