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CHECK LIST -DEMOLITION PERMIT <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E.HAZELTON AVENUE,STOCKTON CA 95205 <br />BUSINESS PHONE:(209)468-3121 <br />INSPECTION REQUEST 24-HOUR RECORDER:(209)468-3165 <br />CHECKLIST <br />THE FOLLOWINGINFORMATIONAND DOCUMENTATIONMUST BE SUBMITTEDTO DEVELOPMENTSERVICES Check- <br />BEFORE YOURAPPLICATIONCAN BE PROCESSED.off <br />1.One completed Application. <br />2.Obtain Environmental Health Department Approval on Demolition Permit Application.The fmal <br />disposition of the well and septic system must be identified prior to application approval. <br />3.If your demolition project is 1200 sq.ft.or more you must obtain an approved Debris Diversion <br />Plan from Public Works Solid Waste Division office at 1810 E.Hazelton Ave.,Stockton,468-3066, <br />PRIOR to obtaining your Demolition Permit. <br />4.Obtain Air Pollution Control District Approval on Demolition Permit Application.(Residential <br />structures with four or less dwellings are exempt from this requirement.HOWEVER,if <br />the structure is to be burned,or if the property involved has been used for or is being <br />cleared for a commercial or public use,the approval is required.) <br />5.It is the applicant's responsibility to notify P.G.&E.and have utilities disconnected.It is also the <br />applicant's responsibility to insure P.G.&E.notifies the Building Inspection Division that these <br />utilities have been properly disconnected.Please contact P.G.&E.at (209)942-1526. <br />Scope of Work:~d '?4~cd ~~7,A-if <br />Project Address:gt/{}-('C41,I'J t_N lL":/:,/'_A JrtD1I h/7t?-/~O ./t)if- <br />DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRI9R Tp ISSUING DEMOLITION PERMIT <br />Environmental Health Department Approval Signatur~QI1I/JA...)~4"'1 Date Issued:/!J7Jbo// <br />San Joaquin Valley Unified Air Pollution Control Date Issued:( <br />District Approval Signature <br />AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br />4800 Enterprise Way 600 E.Main Street <br />Modesto,CA Stockton,CA 95202 <br />(209)557-6400 (209)468-3420 <br />FF:\BUILDING\HANDOUTS\Check List Demolition Permit.doc (Revised 07-28-09)