HomeMy Public PortalAbout5825 TEMPLE CITY BLVD_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508PRMIT i
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE-0508_V609300001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X0�UILDI G ADDRESS:—
TR: 6561 LT: 619 EXIST OCC GRP: B �8TEMPLE CITY BLS
BLDGS. NOW ON LOT: 1 EMP-CA 917802113_
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: WYE NEAREST CROSS STREET: LAS TUNAS
8587-015-007 iORIGINATION: THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY
' LENGTH ML TO PL: STATION: 3+08.0 DEPTH:
T; MANHOLE REFERENCE: UPPER/LOWER: SSE ON: ROCESSED BY: PRS 0
09/30/96 TC /30/97
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: ' PLAN CHECK NUMBER: FINAL:DATEFINAL /: CODE:
MISCHENKO PHILIP A;SUSAN D (818) 286-9214- JOB NUMBER: 1/I/
5825 TEMPLE CITY BL TRUNK PERMIT NUMBER:
TEMP 917802113 ROAD PERMIT NUMBER: DESCR PTION OF WO
AFFADAVIT: NO CONNECT MEDICAL OFFICE TO SEWER D FILL CESSPOOL
WAIVER: NO
APPLICANT: T 0: EASEMENT: NO
ROCKET PLUMBING (818) 303-3123-
1927 PECK RD. RECORD INSTRUMENT NBR:, RECORD DATE: SPECIAL CONDITIONS:
MONROVIA CA HIGHWAY/STREET WIDENf.NG: ,� 0• r
' STATE ENCRO_AGHNEMT�`PERMIT''-NUMBER:!
CONTRACTOR: TEL. N0: =- " - _FEES,PAIDy' , APPROVALS DATE INSPECTOR SIGNATURE
ROCKET PLUMBING - + +' �
1927 PECK RD. LIC. NO FEE DESCRIPTI:OM� QUANT"I-T.Y:' UOM�, > AMOUNT: E HOUSES ER o /��
MONROVIA, CA 91016 612976 r, �• a,
!, 01(PERMIT�;ISSl1ANCE FEE \ `,27.75 CONNECT ADDITIONAL
03`"CONN;TO,PUBLIC'SEWER !x. 1.00 CUN ``,+„ ..'46.95 BUILDING OR WORK
ARCHITECT ORENGINEER: EL. 0: 1.7",DISCON/ABANDN'SEWERi-":. `1':00 SYS •,'" "30.30
!I ' ;: ! TOTAL FEES--/ ''' 105.00 SEPTIC TANK, SEEPAGE PI
LIC. N0: I __ !' I ' - -' AND/OR DRAIN FIELD
- DRYWELL
SEWER MAP BOOK: PA141 ( _ _ I ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCqNNECT PL UG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC ANKS
SEEP. PIT _ CESSPOOL _�a�.y a�
RA WA ERS STEM
I •
I
REPORT ID: DPR266 ROUTE TO BS0508
I ,
I