HomeMy Public PortalAbout6207 ENCINITA AVE_Sewer__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 SEWER PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - SE 0508 1304020005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID; (SEWER / SEPTIC: SEWER BUILDING ADDRESS:
ITR: 5904 LT: 285 (EXIST OCC GRP: 6207 ENCINITA AV
I BLDGS. NOW ON LOT: TEMP CA 917801640
ASSESSOR INFORMATION NUMBER: (CONNECTION TYPE: NEAREST CROSS STREET:
5384-012-016 (ORIGINATION: THOMAS PAGE: 596 GRID: S2 LOCALITY: TEMPLE CITY CA
I ILENGTH ML TO PL: STATION: DEPTH:
(TENANT: (MANHOLE REFERENCE: UPPER/LOWER: (ISSUED ON: PROCESSED BY:
1 104/02/13 SR
(COUNTY IMPROVEMENT NUMBER:
I
OWNER: TEL. NO: PLAN CHECK NUMBER: Fl.NAL/DATE FIN Y: CODE:
LID, PAUL (626) 274-7384- JOB NUMBER:
116159 CAMELLIA AVE (TRUNK PERMIT NUMBER:
ITEMPLE CITY CA 91780 (ROAD PERMIT NUMBER: (IDE CRIPTION OF WORK `
AFFADAVIT: NO (CONNECT NEW SINGLE FAMILY DWELLING TO PUBLIC SEWER
(WAIVER: NO
APPLICANT: TEL. NO: EASEMENT: NO -
ILIU, PAUL (626) 274,7384-
16159 CAMELLIA AVE (RECORD INSTRUMENT NBR: RECORD DATE: (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 (HIGHWAY/STREET WIDENING:
ISTATE ENCROACHMENT PERMIT NUMBER:
CONTRACTOR: - TEL. NO: FEES PAID - (APPROVALS DATE INSPECTOR SIGNATURE
IIP L C CONSTRUCTION INC (626) 274-7384- 1
1
16159 CAMELLIA AVENUE LIC. NO IFEE DESCRIPTION: QUANTITY: QOM: AMOUNT: INEW HOUSE SEWER 1
ITEMPLE CITY CA 91780 944539
101 PERMIT ISSUANCE FEE 27.80 ICONNECT ADDITIONAL V
103 CONN TO PUBLIC SEWER 1.00 CON 47.00 IBUILDING OR WORK
(ARCHITECT OR ENGINEER: TEL. NO: I TOTAL FEES 74.80 1
(SEPTIC TANK, SEEPAGE PITT
LIC. NO: I IAND/OR DRAIN FIELD
I I I I I I
'iDRYWELL
SEWER MAP BOOK: PAGE: JALTER, REPAIR, SEWER OR
ISEWAGE DISPOSAL SYSTEM
DISCONNECT PLUG AND
(ABANDON HOUSE SEWER
BACKFILL SEPTIC TANKS
ISEEP. PIT CESSPOOL
GRAYWATER SYSTEM
I 11 I I
II I 11 I I I
II 1111 I 1111 111 1111
I I I I I
IREPORT ID: DPR266 ROUTE TO 13S0508
I I I I I I