HomeMy Public PortalAbout5337 CAMELLIA AVE_Sewer__ COUNTY OF LOS ANGEI&S TEMPLE CITY V 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TONAS SE 0508 0810020003
B=IN G AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 ETT:
LEGAL ID: SENER SEPTIC: SEWER BUILDING ADDRESS:
TR: 17780 LT: 7 ESI9T OCC GRP: 5337 C-MC LA AV
BLOGS. NOW ON LOT: Th70? CA 917803245
ASSE99OR INFORMATION NUMBER: CONNRCTION TYPE: NUkRE.gT CROSS STREET:
8589-001-023 ORIGINATION: TI-JOMAS PAGE: 597 GRID: A4 LACALIT'Y: TE PLE CI'T'Y, C
LENGTH ML TO PL: STATION: DEPTH:
TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EZPIR- 9 ON:
10/02/08 SR 03/31/09
COUNTY 134PPOVEI4KRT NUMBER:
OWNER: TEL. NO: PIAN CHECK NUMBER: FINAL PAU CODE:
CHU LIM;CHIN-WEI (626) 285-7568- JOB NUMBER: `
5337 CAMELLIA AV TRUNK PERMIT N0;4BER:
TTS 917803245 ROAD PERMIT NUMBER: Dk9CZtVrMN OF WORK
AFFADAVI-T: NO TO REPLACE THE IMSE MAIN SAM I= FROM FR.(HPT YARD 31
WAIVER: NO CLEAN-OUT TO BEFORE CURB
APPLICANT: TEL. NO: EASEME!TP: NO
PAN (626) 284-5721-
1604 S. MONTEREY ST. RECORD INSTRUMENT NBR: RECORD LATE: SPECIAL CONDITIONS:
ALMU4BRA, CA 91801 HIGHWAY/STREET WIDE129G:
STATE ENCRQA M4fENT PERMIT NUMBER:
CONTRACTOR: TEL. NO: FEES PAID APPROVALS DATE INSPRCTOR SIGNATURE
DZEN K-00 PAN (626) 284-5721-
1604 MONTEREY ST LIC. NO FEE DESCRIPTION: QUANTITY: VON: AMOUNT: NEW TOVSE SEWER l
ALFAMBRA CA 91801 518456 C36
01 PERMIT ISSUANCE FEE 27.75 CONNECT ADDITIONAL
03 CONN TO PUBLIC SEWER 1.00 CON 46.95 BUILDING OR WORK
ARCHITECT OR ENGINEM: TEL. NO: TOTAL FEES 74.70
SEPTIC TANK, SEEPAGE PTT
LIC. NO: AND/OR DRAIN FIDI,D
DSZYW= -
SEWER FOP BOOL: PAGE: ALTER, REPAIR, SEWER OR
SEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
ABANDON HOUSE SEWER
BACA+II.L SEPTIC TANKS _
SEEP. PIT CESSPOOL
GRAYWATER SYSTEM
REPORT ID: DPR.266 ROUTE TO BS0508