HomeMy Public PortalAbout5131 BARELA AVE_Sewer__ COUNTY 0 i_0_: ANGELES TEMPLE CITY 9 0508SEidE rERi�1T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0410110001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0483 EXT:
LEGAL ID: SEWER / SEPTIC: SEWER BUILDING ADDRESS:
TR: 15683 LT: 68 (EXIST OCC GRP: ! 5131 BARELA AV
BI.DGS. NOW ON LOT: TEMP CA 917803847
ASSESSOR INFORMATION NUMBEP.: CONNECTION TYPE: � NEAREST CROSS STREET: ELACKLEY
8589-012-009 ORIGINATION: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:—�
COUNTY IMPROVEMENT NUMBER: 110/11/04 JK 04/09/05
R TEL. N0: 1 JOBP! CHECK NUMBER: 7I ir�l' DATIF.L FI IAL BY: CODE.
BAGH
GHDADLiAN, HOURI G (626) 286-2$52- �J08 NUMBER:
5131 AARELA AViTRUNK PERMIT NUMBER:
TEMP 917803847 .ROAD PERMIT NUMBER: .I?ESCRIPTION OF WORK —
IAFFADAVIT: NO 1CONNECT RESIDENCE TO PUBLIC SEWER
IWAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO
.SAME AS OWNER - !�
!RECORD INSTRUMENT NBR: RECORD DATE: iSPECIAL CONDITIONS: -
i {HIGHtAY/STREET WIDENING:
r STATE ENCROACHMENT PER,TT ^'.UMRER: i
3M
CtiNTRACTt7r:
TELNO: FEES PAID ��APPROVALS DATc INSPECTOR SIGNATURE
SAME AS OWNER -
i LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IidEW HOUSE SEWER 5
01 PERMIT ISSUANCE FEE 27,175 (CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON -6.95 (BUILDING OR WORK
-ARCHITECT OR L. NO
ENGINEER: TE : �� TOTAL FEES 74.70 !
!TORRES, :'FREN (626) 235-9797- i !SEPTIC TANK, SEEPAGE IT
1"nr'z INDIAN CREEK RD LIC. NO• (AND/OR DRAIN FIELD �
,•.sv VJ
jCcrcfiiTOS, CA 9u7032340 CIV(
IW QEF i?AP BOOK: "'Air: —�� �ALTEF o }tE AI2 "i u
SEWAGE DISPOSAL SYSTEM, -I
j DISCONNECT PLUG AND �— !
j ! ABANDON HOUSE SEWER
ISACKFILL SEPTIC TANKS —
t (SEEP. PI? —
CESSPOOL
I !
�GRAYWATER SYSTEM ---
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REPORT ID: DPR266 ROUTE TO BS0508