HomeMy Public PortalAbout5343 PERSIMMON AVE_Sewer_2/7/2011_SE 0508 1102070003 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1102070003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS:
ITR: 6561 IT: 658 (EXIST OCC GRP: [ 5717 PRIMROSE AV 1
IBLDGS. NOW ON LOT: I TEMP CA 917802508 I
(ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: I NEAREST CROSS STREET: 1
8587-011-004 (ORIGINATION: I THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: 1
102/07/11 SR
I tICOUNTY IMPROVEMENT NUMBER:
(OWNER: TEL. NO: 1PLAN CHECK NUMBER: [FINAL DAT FINAL BY: CODE: I
IVAROON, WONG ( [JOB NUMBER: I I
15717 PRIMROSE AV ITRUNK PERMIT NUMBER:
ITEMP 917802508 [ROAD PERMIT NUMBER: IDES RIPTION OF WORK 1
I IAFFADAVIT: NO ISEWER REPLACEMENT
(APPLICANT: TEL. NO: (EASEMENT: NO I I
IMALOUMIAN, VICKEN (626) 826-4000- 1 1 I
17949 AJAY DR. IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I
ISUN VALLEY CA 91352 (HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
I
I_ SS I�1�eY. I
ICONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE I
(URGENT ROOTER (818) 504-9404- I 1 I
17949 AJAY DR. LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER
ISUN VALLEY, CA 91352 887603 C36 I I �`� I I
1 101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL [ I I
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.40 IBUILDING OR WORK I [
(ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.20 1 I I I
I - I ISEPTIC TANK, SEEPAGE PHI I I
I LIC. NO: 1 (AND/OR DRAIN FIELD I I I
IDRYWF.LL
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SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I I
I i ISEWAGE DISPOSAL SYSTEM
I (DISCONNECT PLUG AND 1 I 1
I I (ABANDON HOUSE SEWER
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I 1 (BACKFILL SEPTIC TANKS I I I
I 1 (SEEP. PIT _ CESSPOOL
I I I GRAY•r7ATER SYSTEM
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REPORT ID: DPR266 ROUTE TO BS0508
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