HomeMy Public PortalAbout5002 CAMELLIA AVE_Sewer__ COUNTY OF LOS ANGELES TEMPLE CITY g 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9901 LAS TUNAS BE 0506 1212170003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: (SEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITS; 14467 LT: 70 (EXIST OCC GRP: 5002 CAMELLIA AV
' JBLDGS. NOW ON LOT: TEMP CA 917803853
ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET: LA ROS
18589-017-017 (ORIGINATION: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI
I ILENGTH ' ML TO IN STATION: DEPTH: 1 1
TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
112/17/12 SR
(
ICOUNTY IMPROVEMENT NUMBER: _OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINAL BY: CODE: III
JMCCORMICK SERRY;NORMA (626) 207-5779- SOH NUMBER I
15002 CAMELLIA AV [TRUNK PERMIT NUMBER:
(TEMP 917803853 (ROAD PERMIT NUMBER IDESCRIPTION OF WORK 1
AFFADAVIT: NO INSTALLING SEWER CLEAN OUT
I
(WAIVER: NO
APPLICANT: TEL. NO: (EASEMENT: NO
COLEMAN, RUSSELL (626) 858-9284-
1475 E ARROW HWY (RECORD INSTRUMENT NER: RECORD DATE: (SPECIAL CONDITIONS:
AZUSA CA 91702 (HIGHWAY/STREET WIDENING:
STATE DNCROACHMEET PERMIT NUMBER: F- \A�
(CONTRACTOR: TEL. NO: FEES PAID APPS ��
1RESCUE ROOTER (626) 858-9284- PATE INSPECTOR SIGNATURE
475 E. ARROW HIGHWAY LIC. NO 1FEE DESCRIP^_ION: QUANTITY: UOM: AMOUNT: INEW HOUSE SEWER
1AZDSA CA 91702 765155
01 PERMIT ISSUANCE FEE 27.80 1CONNECT ADDITIONAL
1 _115 ALT/AEP HOUSE SEWER 1.00 EAC 30.50 ISUILDING OR WORK 1 11 1
ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 58.30 1 [
- I ISEP 'IC TANK, SEEPAGE PIT
LIC. NO: I AND/OR DRAIN FIELD
I I I
DRYW'ELL
SEWER MAP BOOK: PAGE: IALTSR, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
1 I I � 11 11 I
(DISCONNECT PLUG AND
[ ABANDON HOUSE SEWER
I I �
11 11RACKFILL SEPTIC TANKS -I
SEEF. PIT _ CESSPOOL
iGRP.YW'ATER SYSTEM
I I 1
I I 111 I I
I I 111 I 111 I
ADDITIONAL DATA ON FILE
I I I
1 11 11 I I 11
1REPORT ID: DPR266 ROUTE TO >BS0508