HomeMy Public PortalAbout6210 TEMPLE CITY BLVD_Sewer__ COUNTY OF IAS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0911030004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: (SEWER / SEPTIC: SEWER I BUILDING ADDRESS:
ON FILE (EXIST OCC GRP: 1 6210 TEMPLE CITY BL I
IBLDGS. NOW ON LOT: I TEMP CA 917801749 1
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: LONGDEN 1
15385-016-034ORIGINATION: I THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I (LENGTH ML TO PL: STATION: DEPTH: I I
ITENANT: IMANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: I
I 1 111/03/09 SR 11/03/10
I
1 [COUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: IPLAN CHECK NUMBER: 1FI AL&TE FI AL BY: CODE:
IPACIFIC ACKWORTH FOUNDATION (626) 644-9870- ]JOB NUMBER:
16210 TEMPLE CITY BL ]TRUNK PERMIT NUMBER:
ITEMP 917801749 IROAD PERMIT NUMBER: (DESCRIPTION OF WORK 1
] 1AFFADAVIT: NO (REPLACING THE COMPLETE SEWER SYSTEM FROM BUILDING AREA TO 1
(WAIVER: NO 1STREFT LATERAL 1
]APPLICANT: TEL. NO: (EASEMENT: NO
IRUDY'S PLUMBING (626) 358-1490- I I
1P0 BOX 407 1RECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS:
1MONROVIA, CA 91017 1HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
I
I I
ICONTRACTOR: TEL. NO: I FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE 1
IRUDY'S PLUMBING (626) 358-1490- 1 1 I
IP.O. BOX 407 LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT.INEW HOUSE SEWER I ] I
IMONROVIA, CA 91017 917340 1 1 I I
I 101 PERMIT ISSUANCE FEE 27.75 ICONNECT ADDITIONAL �1s
[ 115 ALT/REP HOUSE SEWER 1.00 EAC 30.45 1BUILDING OR WORK ( I 1
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.20 1 [ I
1 - I ISEPTIC TANK, SEEPAGE PIT]
1 LIC. NO: I IAND/OR DRAIN FIELD 1
I I ]
1 i 1DRYWELL
1 SEWER MAP BOOK: PAGE: I IALTER, REPAIR, SEWER OR I I I
I 1 ISEWAGE DISPOSAL SYSTEM
1 1 1DISCONNECT PLUG AND I I I
I ] 1ABANDON HOUSE SEWER I 1
] I IBACKFILL SEPTIC TANKS I I
I 1SEEP. PIT _ CESSPOOL
I 1GRAYWATER SYSTEM I I
I I I I I I
I I I I I I
I I I I I I
I I 1 I I I
I 1 1 I I I
1 I 1 I I
1REPORT ID: DPR266 ROUTE TO BS0508 1 I I