HomeMy Public PortalAbout5343 PERSIMMON AVE_Sewer_4/1/2010_SE 0508 1004010001 • COUNTY OF LOS ANGLES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1004010001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER
BUILDING ADDRESS:
JTR: 13613 LT: 39
EXIST OCC GRP: I 5343 PERSIMMON AV
1BLDGS. NOW ON LOT: TEMP CA 917802802
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: 1
8573-004-018 ORIGINATION: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
]LENGTH ML TO PL: STATION: DEPTH:
TEST MANHOLE REFERENCE: UPPER/LOWER: JISSUED ON: PROCESSED BY: EXPIRES ON:
104/01/10 SR 04/01/11
1 IOOUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: IPLAN CHECK NUMBER: IF TE FINAL Y: CODE: 1
1PHAN, THANH ( IJOB NUMBER:
19303 DE ADALENA ST. TRUNK PERMIT NUMBER: I r
( 1
IROSEMEAD, CA 91770 IROAD PERMIT NUMBER: ID SCR PTION OF WORK I
1AFFADAVIT: NO ICONNECT NEW RESIDENCE TO P LIC SEWER I
(WAIVER: NO i 1
(APPLICANT: TEL. NO: (EASEMENT: NO
INGUYEN LAP (626) 674-3014- I 1
1139 GLENVIEW ROAD IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: I
(WEST COVINA CA 91791 (HIGHWAY/STREET WIDENING: I 1
STATE ENCROACHMENT PERMIT NUMBER: I I
(CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1
IH D CONSTRUCTION (626) 695-0444- 1
13221 GLENHURST AVENUE LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER
ILOS ANGELES, CA 90039 636105 B * I
1 101 PERMIT ISSUANCE FEE 27.75 (CONNECT ADDITIONAL I I 1
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 IBUILDING OR WORK I 1
ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 1 I I 1
ITAGUDAR, FRED (626) 674-3014- 1 ISEPTIC TANK, SEEPAGE PITI I 1
11139 GLENVIEW RD. LIC. NO: I (AND/OR DRAIN FIELD 1 1
(WEST COVINA, CA 91790 C33612
IDRYWELL
SEWER MAP BOOK: PAGE: I (ALTER, REPAIR, SEWER OR I I I
ISEWAGE DISPOSAL SYSTEM 1 1 1
IDISCONNECT PLUG AND 1 I 1
1 I JABANDON HOUSE SEWER
1
(BACKFILL SEPTIC TANKS
SEEP. PIT _ CESSPOOL _I I
GRAYWATER SYSTEM 1
1 I I I I I
1 1 1 I I I
1 I 1 I I I
i* ADDITIONAL DATA ON FILE
I 1 1 1
]REPORT ID: DPR266 ROUTE TO BS0508 1
I I I I