HomeMy Public PortalAbout6055 TEMPLE CITY BLVD_Sewer__ COUNTY QF-LOS A`,tGELES TEMPLE CITY # 0508 SEWER PERMIT
" DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0612190002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER SEPTIC: SEWER BUILDING ADDRESS:
TR: 6561 IT: 210 A�UN: 02 EXIST OCC GRP: 6055 TEMPLE CITY BL
BLDGS. NOW ON LOT: TEMP CA 917802060
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: GARIBALDI
5385-013-002 ORIGINATION: THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
12/19/06 JK 06/17/07
COUNTY IMPROVEMENT NUMBER: Lq/�'g/1y
OWNER: TEL. PLAN CHECK NUMBER: F; r ��/ FINAL
L • Y CODE:
CHANG, PEIWEN (626) 524-4-1676- JOB NUMBER: -r�(1'
2216 S. 2ND. AVE TRUNK PERMIT NUMBER:
ARCADIA, CA 91006 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
APPLICANT: TEL. NO: BASEMENT: NO
CHANG (626) 524-1676-
2216 S. 2ND. AVE RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ARCADIA, CA 91006 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
D H LIU CONSTRUCTION (626) 524-1288-
1441 HUNTINGTON DRIVE LIC. NO FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: NEW HOUSE SEWER
SOUTH PASADENA, CA 91030 400345 B
O1 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
! 03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
LIU, EDDY (626) 354-1288- SEPTIC TANK, SEEPAGE PIT
1441 HUNTINGTON DR. #3080 LIC. NO: AND/OR DRAIN FIELD
SOUTH PASADENA, CA 91030 NONE
DRYWELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508