HomeMy Public PortalAbout4835 CAMELLIA AVE_Sewer_5/10/2010_SE 0508 1005100004 COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS IDEAS BE 0508 1005100004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 265-0488 EXT:
LEGAL ID: ISEWER / SEPTIC: SEWER
BUILDING ADDRESS:
TR: 14467 LT: 46
EXIST OCC GRP: i 4835 CAMELLIA AV
1 IBLDGS. NOW ON LOT: TEMP CA 917804241 1
ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET:
18589-015-023 (ORIGINATION: THOMAS PAGE: 597 GRID: AS LOCALITY: TEMPLE CITY, Cl
ILENGTH ML TO PL: _ . STATION: DEPTH: II
TENANT: MANHOLE REFERENCE: UPPER/LOWER: JISSUED
N: PROCESSED BY
105/10/10 :
ICOUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: IFINAL DATE FINALn BY: CODE:
LMV DEVELOPMENT, LLC. ( IJOB NUMBER:
PO BOX 2052 ITRUHC PERMIT NUMBER:
(CHINO HILLS CA 91709 ROAD PERMIT NUMBER:
DESCRIPTIOOF WORK 1
AFFADAVIT: NO CONNECT NEW RESIDENCE TO PUBLIC SEWER
WAIVER: NO
1APPLICANT: TEL. NO: EASEMENT: NO
LAI, KAREN (626) 288-2651- 1
8748 E. VALLEY BLVD. IRECORD INSTRUMENT HER: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD CA 91770 IHIGHWAY/STREET WIDENING: 1 1
ISTATE ENCROACHMENT PERMIT NUMBER:
I I
CONTRACTOR: TEL. NO: FEES PAID 1APPROVALS DATE INSPECTOR SIGNATURE
IWILD RIVER CONSTRUCTION INC. (951) 232-5190- 1
IPO BOX 2235 LIC. NO IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER Ii
)CHINO, CA 91708 NONE I I Ia
101 PERMIT ISSUANCE FEE 27.75 (CONNECT ADDITIONAL
103 CONN TO PUBLIC SEWER 1.00 CON 46.95 iBUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 74.70
WU, HAROLD P (626) 288-0708- (SEPTIC TANK, SEEPAGE PTT 1
11168 SAN.GARPIEL BLVD LIC. NO: AND/OR DRAIN FIELD
ITE -
,. .
L,.,_,L .r NONE
ROSEMEAD CA 91770
DRYWELL
SEWER MAP HOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
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ABANDON HOUSE SEWER
I
BACKFILL SEPTIC TANKS
SEEP. PIT _ CESSPOOL-_
I I
GRAYWATER SYSTEM
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* ADDITIONAL DATA ON FILE
REPORT ID: pPR266 ROUTE TO HS0508
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