HomeMy Public PortalAbout5214 PAL MAL AVE_Sewer__ • COUNTY OF IAS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS BE 0508 0706120001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER I BUILDING ADDRESS: I
ITR: 12205 IT: 32 (EXIST OCC GRP: 1 5214 PAL MAL AV I
IBLDGS. NOW ON LOT: I TEMP CA 917803435 I
,ASSESSORINFORMATION NUMBER: (CONNECTION TYPE: 1 NEAREST CROSS STREET:
8585-030-037 (ORIGINATION: THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
ILENGTH ML TO PL: STATION: DEPTH: I
1 TENANT: IMANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
106/12/07 SR 12/09/07
1COUNTY IMPROVEMENT NUMBER: I
OWNER: TEL. NO: IPLAN CHECK NUMBER: IFINAL DATE FINAL BY: CODE:
TRANG MINH NGUYEN (626) 712-8131- 1JOB NUMBER: 1AT
1
5214 PAL MAL AV TRUNK PERMIT NUMBER:
TEMP 917803435 IROAD PERMIT NUMBER: IDESCRIPTI N OF WORK i1
IAFFADAVIT: NO ICONNECT NEW RESIDENCE TO PUBLIC SEWER 1
IWAIVER: NO I I
(APPLICANT: TEL. NO: (EASEMENT: NO I I
IRICK YEN (909) 444-9272- I I I
122288 ROUNDUP DR. IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS: 1
1WALNUT CA 91789 1HIGHWAY/STREET WIDENING: I 1
STATE ENCROACHMENT PERMIT NUMBER:
(CONTRACTOR: TEL. NO: I FEES PAID (APPROVALS DATE INSPECTOR SIGNATURE 1
IPC CONSTRUCTION, INC. (626) 831-7905- 1
14011 WHISTLER AVENUE LIC. NO 1FEE DESCRIPTION, QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER 1
IEL MONTE, CA 91732 739052 H
I 101 PERMIT ISSUANCE FEE 27.75 1CONNECT ADDITIONAL I I I
I 103 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK I I I
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.70 I I I I
IKBR AND ASSOCIATES (909) 444-9272- I ISEPTIC TANK, SEEPAGE PITI I I
122288 ROUNDUP DRIVE. LIC. NO: I (AND/OR DRAIN FIELD I I I
1WALNUT, CA 91789 NONE 1 I1 1
IDRYWELL _
SEWER MAP BOOK: PAGE: 1 (ALTER, REPAIR, SEWER OR I I I
I 1 1SEWAGE DISPOSAL SYSTEM 1 1 I
I I IDISCONNECT PLUG AND I I
I I (ABANDON HOUSE SEWER I I
IBACKFILL SEPTIC TANKS
ISEEP. PIT CESSPOOL
1 1 �GRAYWATER SYSTEM 1 1 1
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!REPORT ID: DPR266 ROUTE TO BS0508 1 I I I
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