HomeMy Public PortalAbout4911 CLOVERLY AVE_Sewer__ r COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0906240003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 11454 LT: 9 1EXIST OCC GRP: 4911 CLOVERLY AV 1
1 1BLDGS. NOW ON LOT: TEMP CA 917803811 1
ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA
18590-021-010 (ORIGINATION: THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPEL CITY, Cl
(LENGTH ML TO PL: STATION: DEPTH:
TENANT: IMANHOLE REFERENCE_ : UPPER/LOWER: (ISSUED ON: PROCESSED BY: EXPIRES ON:
1 106/24/09 SR 12/21/09
1COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: IPLAN CHECK NUMBER: IFI AL DAT FINAL BY: CODE:
1LIN, KENNETH (626) 579-6060- 1JOB NUMBER: 1 .
12990 SOMMERSET 1TRUNK PERMIT NUMBER: 1� tm
1
1SAN MARINO, CA 911081ROAD PERMIT NUMBER: 1DESCRIP IO OF WORK 1
1AFFADAVIT: NO - 1CONNECT NEW RESIDENCE TO PUBLIC SEWER 1
1 1WAIVER: NO
(APPLICANT: _ TEL. NO: (EASEMENT: NO 1 1
1PCL PLUMBING INC. (626) 945-5451- 1 1 1
1P.0. BOX 1928 (RECORD INSTRUMENT NBR: RECORD DATE:
1SPECIAL CONDITIONS:
1ROSEMEAD, CA 91770 1HIGHWAY/STREET WIDENING: 1
1 1STATE ENCROACHMENT PERMIT NUMBER:
I
I I
I
(CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1
IPCL PLUMBING INC. (626) 945-5451- 1 1 m1
IP.O BOX 1928 LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
1ROSEMEAD, CA 91770 518704 C36 I 1 1
1 101 PERMIT ISSUANCE FEE 27.75 1CONNECT ADDITIONAL 14 v1
1 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 1BUILDING OR WORK 1 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 TOTAL FEES 74.70 1 11 1
1 - 11SEPTIC TANK, SEEPAGE PITI 1 1
1 LIC. NO: 1 JAND/OR DRAIN FIELD 1 1 1
I 1DRYWELL
1
1 SEWER MAP BOOK: PAGE: 1 1ALTER, REPAIR, SEWER OR I I
1 1SEWAGE DISPOSAL SYSTEM 1 1
1 1 IDISCONNECT PLUG AND 1 1 1
1 (ABANDON HOUSE SEWER
1 1 1BACKFILL SEPTIC TANKS 1 1 1
1 1SEEP. PIT _ CESSPOOL
1 1 1GRAYWATER SYSTEM 1 1 1
1 I I I I I
I I I I I I
1 I I I I I
1 I I I I I
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1 1REPORT ID: DPR266 ROUTE TO BSO508 1 1 1 1
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