HomeMy Public PortalAbout5500 PERSIMMON AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1101030001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS: ]
ITR: 13613 LT: 12 (EXIST OCC GRP: 5500 PERSIMMON AV 1
1BLDGS. NOW ON LOT: TEMP CA 917802805
IASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET: 1
18573-009-001 (ORIGINATION: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
I ILENGTH ML TO PL: STATION: DEPTH: ]
]TENANT: MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY: I
101/03/11 SR I
I ICOUNTY IMPROVEMENT NUMBER: 1
]OWNER: TEL. NO: (PLAN CHECK NUMBER: IFIIJAL DATE FINDL BY: CODE: 1
MCKIERNAN, PATRICK (626) 372-7888- JOB NUMBER: IL^/
15500 PERSIMMON AV (TRUNK PERMIT NUMBER: I /- I
ITEMP 917802805 [ROAD PERMIT NUMBER: ID SCRIPTION OF WORK 1
IAFFADAVIT: NO (INSTALL OF SEWER CLEAN OUT 1
I IWAIVER: NO I 1
(APPLICANT: TEL. NO: [EASEMENT: NO [ I
RESCUE ROOTER (626) 358-9289- 1 I I
1475 E. ARROW HWY IRECORD INSTRUMENT NBR: RECORD DATE: ISPECIAL CONDITIONS:
IAZUSA, CA 91702 ]HIGHWAY/STREET WIDENING:
] ]STATE ENCROACHMENT PERMIT NUMBER: -Vee
ICONTRACTOR: TEL. NO: I FEES PAID ]APPROVALS ) �r DATE INSPECTOR SIGNATURE 1
IRESCUE ROOTER (626) 858-9284- 1 1 I
1475 E ARROW HWY LIC. NO IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW HOUSE SEWER I I I
IAZUSA CA 91702 765155 C36 I I I I I
1 101 PERMIT ISSUANCE FEE 27.80 (CONNECT ADDITIONAL ] I 1
1 115 ALT/REP HOUSE SEWER 1.00 EAC 30.40 BUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. NO: 1 TOTAL FEES 58.20 1 1 1 1
1 - 1 ISEPTIC TANK, SEEPAGE PITI I
] LIC. NO: ] ]AND/OR DRAIN FIELD I 1 1
I I IDRYWELL I I I
1 SEWER MAP BOOK: PAGE: ] (ALTER, REPAIR, SEWER OR 1 I I
1 1 ISEWAGE DISPOSAL SYSTEM 1 I I
I 1 IDISCONNECT PLUG AND
I 1 ]ABANDON HOUSE SEWER I I 1
1 ] ]BACKFILL SEPTIC TANKS =I I I
1 1 ISEEP. PIT _ CESSPOOL I ] I
1 I 1GRAYWATER SYSTEM I I
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I IREPORT ID: DPR266 ROUTE TO : BS0508 I [
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