HomeMy Public PortalAbout4909 CAMELLIA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0108310004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER 7--SEPTIC: X BUILDING ADDRESS:
TR: 14467 LT: 41 EXIST OCC GRP: 4909 CAMELLIA AV
BLDGS. NOW ON LOT: TEMP CA 917804243
ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8589-015-018 ORIGINATION: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON:
08/31/01 JK 02/27/02
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FILL BY: CODE:
CHIU, ERIC WING (626) 291-5534- JOB NUMBER: �rj f't-a ` 5
4909 CAMELLIA AV TRUNK PERMIT NUMBER: -^-
TEMP 917804243 ROAD PERMIT NUMBER: DESCRIPTION OF WORK
AFFADAVIT: NO SEWER FOR ADDITION
WAIVER: NO
APPLICANT: L. NO: EASEMENT: NO
SAME AS OWNER -
RECORD INSTRUMENT NBR: _ RECORD DATE: SPECIAL CONDITIONS:
HIGHWAY/STREET-WIDENING:
STATE ENCROACHMENT�PERMITNU
/i �• MBER:'-
i �_� �n,�
CONTRACTOR: TEL. N0: ���� �F,T� AIDS APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO FEE
,DESCRIPTION:�.^ = OUANTITY:"UOM:.' AMOUNT: NEW HOUSE SEWER
w /F � f _\ ` ` o I
i 01 PERMIT ISSUANCE FEE �� 27.75 CONNECT ADDITIONAL
!/ 13 WORKwTO.HOUSE-SEWER 4.00 EAC\ 30.45 BUILDING OR WORK
ARCHITECT OR ENGINEER: TEL. NO: •�. '? , �' TOTAL FEES i--\ 58.20
SEPTIC TANK, SEEPAGE I
LIC. N0:'� AND/OR DRAIN FIELD
DRYWELL
SEWER MAP BOOK: PAGE: - ALTER, REPAIR, SEWER OR
1 _ SEWAGE DISPOSAL SYSTEM
DISCONNECT N
ABANDON HOUSE SEWER
BACKF``.
ILL SEPTIC TANKS _
SEEP. PIT _ CESSPOOL
i
GRAYWAIER SYSTEM
C
'q ?ervice
REPORT ID: DPR266 ROUTE TO BS0508