HomeMy Public PortalAbout5121 SERENO DR_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY C 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TURAS SE 0508 0204180005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE (626) 285-0488 ENT
LEGAL ID SEWER-7 SEPTIC Y BUILDING ADDRESS:
ON FILE EXIST OCC GRP 5121 SERENO DR
BLDGS NOW ON LOT TEMP CA 917803040
ASSESSOR INFORMATION NUMBER CONNECTION TYPE NEAREST CROSS STREET ROSEMEAD
5388-017-019 ORIGINATION: THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
LENGTH ML TO PL STATION: DEPTH
TENANT MANHOLE REFERENCE UPPER/LOWER ISSUED ON PROCESSED By EXPIRES ON
04/18/02 JK 10/15/02
COUNTY IMPROVEMENT NUMBER
PLAN CHECK NUMBER FINAL DAItFI/� / -
FLORES SHIRLEY 8 RAMON (626) 487-7248- JOB NUMBER
UN '/
5119 SEREMO DR TRK PERMIT NUMBER
TEMP 917803040 ROAD PERMIT NUMBER 6ESCRIPIIONIOF WORK
AFFADAVIT NO SEWER FOR NEW SFR
WAIVER MO
APPLICANT TEL. NO EASEMENT: NO
SHIRLEY FLORES -
RECORD INSTRUMENT-NBR RECORD DATE SPECIAL CONDITIONS
HIGHWAY/STREET-WIDENING
STATE ENCROACHMENT:PERMIT�NL ER
CONTRACTOR: TEL NO FEES APPROVALS DATE INSPECTUMM9TUff—
M AND R HOME IMPROVEMENT AND (626) 524-9678- ���V ,1'\
MAINTENANCE INC LIC NO FEE,DESCR I PT ION QUANTITY QUANTITY `UOM\
� AMOUNT NEW HOUSE SEWER
2703 PECK RD 771863 B 1,,/ /t I \ `\
EL MONTE CA 91733 / 01 PERMIT ISSUANCE FEE \1� 27 75 CONNECT ADDITIONAL
IC SEWER
03 CONNkTO`PU)L1 00 CON 46 95 BUILDING OR WORK
ARCHITECT OR ENGINEER: I� f TOTAL FEES/%'� 74 70
Lit MO.1SEPTIC i SEEPAGE PIT
AND/OR DRAIN FIELD
ALTERTDRYWELL
VLREPAIR SEWER OR
)II II ILl II �l� G�1If� SEWAGE DIiPO L SYSTEM
1 T� DISCONNECT PLUG AND
ABANDON HOUSE SEWER
�i�J lIll n 1 /F 'q\ 7// BAZKFILL SEPTIC TANKS.
r� , �/� SEEP. PIT — CESSPOOL —
l LJ �✓ /
ol
S�IVIce
REPORT ID' DPR266 ROUTE TO BS0508