HomeMy Public PortalAbout4941 CAMELLIA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SE 0508 0302280005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: SEWER / SEPTIC: X BUILDING ADDRESS:
TR: 14467 LT: 36 EXIST OCC GRP: 4941 CAMELLIA AV
BLDGS. NOW ON LOT: TEMP CA 917803864
ASSESSOR INFORMATION NUMB R: CONNECTION TYPE: NEAREST CROSS STREET: LOWER AZUSA
8589-014-023 ORIGINATION: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESS EXPIRES ON:
02/28/03 JK 08/27/03
COUNTY IMPROVEMENT NUMBER:
OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE / FINAL BY: CODE:
MAC IRENE T (626) 475-9631- JOB NUMBER: j >p
4941 CAMELLIA AV TRUNK PERMIT NUMBER:
TEMP 917803864 ROAD PERMIT NUMBER: SCRIPTION OF WORK
AFFADAVIT: NO CONNECT GUEST HOUSE TO SEWER LINE
WAIVER: NO
APPLICANT: TEL. N0: EASEMENT: NO
ELITE DESIGN INC (KAMEN) (626) 288-2651-
8748 VALLEY BLVD #K RECORD INSTRUMENT NBR: RECORD DATE: SPECIAL CONDITIONS:
ROSEMEAD 91770 HIGHWAY/STREET WIDENING:
STATE ENCROACHMENT PERMIT NUMBER:
CONTRACT-OR: TEL. N0: FEES PAID APPROVALS DATE INSPECTOR SIGNATURE
OSMOND CONSTRUCTION AND DEVELOPME (621) 451-0699-
1108 S. CALIFORNIA ST. LIC. NO FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW HOUSE SEWER
SAN GABRI EL, CA 91776 7913698
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
OR
19 CONN ADDTNI BLDG(S) 1.00 EAC 30.45 BUILDING OR WORK J�
ARCHITECT OR ENGINEER: TEL. N0: TOTAL FEES 58.20
LEE, PETER (626) 280-9000- SEPTIC TANK, SEEPAGE PIT
8748 VALLEY BLVD., #L LIC. NO: AND/OR DRAIN FIELD
ROSEMEAD, CA 91770 3948
R WELL
SEWER MAP BOOK: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT U AND
ABANDON HOUSE SEWER
BACKFILL SEPTICTANKS _
SEEP. PIT CESSPOOL
RA WATER SYSTEM
REPORT ID: DPR266 ROUTE TO BS0508