HomeMy Public PortalAbout4811 CAMELLIA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 1402180010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0486 EXT:
ILEGAL ID: ISEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITS: 14467 LT: 50 (EXIST OCC GRP: 4811 CAMELLIA AV
IBLDGS. NOW ON LOT: TEMP CA 919804241
I ASSESSOR INFORMATION NUMBER: ICONNECTION TYPE: NEAREST CROSS STREET: AZUSA
0589-015-027 (ORIGINATION: THOMAS PAGE: 599 GRID: A5 LOCALITY: TEMPLE CITY CAI
I ILENGTH ML TO PL: STATION: DEPTH:
TENANT: IMAN HOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
1 1 102/18/14 SR
I ICOUNTY IMPROVEMENT NUMBER:
IOWNER: TEL. NO: (PLAN CHECK NUMBER: IFINAL DATE FINAL PY: CODE:
APITZ, EDUARDO - SOB NUMBER: I (�
14811 CAMELLIA AVE (TRUNK PERMIT NUMBER: I
ITEMPLE CITY CA 91780 (ROAD PERMIT NUMBER: IDESCRIP ION CIE WORK
1 AFFADAVTT: NO ISEWER. CLEANOUT INSTALLATION
I (WAIVER: NO
(APPLICANT: TEL. NO: (EASEMENT: NO
STUART, LISA (626) B58-9284-
1475 E ARROW HWY (RECORD INSTRUMENT NSR: RECORD DATE: ISPECIAL CONDITIONS:
IAZUSA CA 91902 iHIGHWAY/STREET WIDENING:
1 iSTATE ENCROACHMENT PERMIT NUMBER: ✓ /\O x\� 1/� ` 1 �Tt\��
(CONTRACTOR: TEL. N0: I FEES PAID APPROVNLS DATE„ Y I PECTOR SIGNATURE
IRESCUE ROOTER (626) 058-9284- 1, 1
1495 E ARROW HWY LIC. NO FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: INEW HOUSE SEWER
)AZUSA CA 91702
]65155 * 1
I 01 PERMIT ISSUANCE FEE 29.80 CONNECT ADDITIONAL 1
115 ALT/REP HOUSE SEWER 1.00 EAC 30.50 (BUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. NO: TOTAL FEES 58.30
ISEPTI_: TANK, SEEPAGE PITI I I
LIC. NO: (AND/OC DRAIN FIELD
I DRYWE i,L _
SEWER MAP BOOK: PAGE: - ALTE REPAI SEWER OR
- (SEWAGE DI SAL SYSTEM
IDISCCANECT PLUG AND
(ABANDON HOUSE SEWER
(BACKFILL SEPTIC TANKS
ISEEP. ,PIT _ CESSPOOL
GRAYWATER SYSTEM
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I I* ADDITIONAL DATA ON FILE
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1 (REPORT ID: 0PR266 ROUTE TO B50508 I I 1 1
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