HomeMy Public PortalAbout6012 AGNES AVE_Sewer__ COUNTY OF LOS ANGELES; TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1207090001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: (SEWER / SEPTIC: SEWER I BUILDING ADDRESS:
ITR: 6561 LT: 50 UN: .003 (EXIST OCC GRP: 1 6012 AGNES AV
I IBLDGS. NOW ON LOT: TEMP CA 917801707
1ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET: WOODRUFF
15385-028-015 !ORIGINATION: I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
1 1LENGTH ML TO PL: STATION: DEPTH: I I
(TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
1 1 107/09/12 SR !
I ICOUNTY IMPROVEMENT NUMBER:
!OWNER: TEL. NO: IPLAN CHECK NUMBER: (FINAL DATE FINAL BY: CODE:
1LIU, PAUL (626) 274-7384- IJOB NUMBER: 1�f ,..4 3 -1&^
16159 CAMELLIA AVE. !TRUNK PERMIT NUMBER: /�4/-� -�\tl'1
ITEMP 917801707 IROAD PERMIT NUMBER: I MSCRIP ISI' OON F WORK
IAFFADAVIT: NO ICONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
(WAIVER: NO
(APPLICANT: TEL. NO: (EASEMENT: NO
ILAI, KAMEN (626) 288-2651-
18748 E..VALLEY BLVD. IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I
ITEMPLE CITY CA 91780 1HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
I
ICONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE
(PLC CONSTRUCTION INC! (626) 274-7384- 1
16159 CAMELLIA AVENUE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
ITEMPLE CITY, CA 91780 944538-B 1
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL ! I !
1 103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK I I
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1
ILEE, PETER (626) 280-9000- 1 (SEPTIC TANK, SEEPAGE PITI I 1
18748 E. VALLEY BLVD. SUITE L LIC. NO: (AND/OR DRAIN FIELD
ROSEMEAD, CA 91770 944538-B * * -
IDRYWELL
I SEWER MAP BOOK: PAGE: 1 !ALTER, REPAIR, SEWER OR !
' ISEWAGE DISPOSAL SYSTEM I I
IDISCONNECT PLUG AND
• i (ABANDON HOUSE SEWER ! ! I
! I IBACKFILL SEPTIC TANKS
ISEEP. PIT _ CESSPOOL - I
- IGRAYWATER SYSTEM I !
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I* ADDITIONAL DATA ON FILE
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REPORT ID: DPR266 ROUTE TO BS0508 I I 1
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