18452 - Laserfiche WebLink

Home Browse Search

FOR-OF KC_r�.USE: --------------------------------------------------------- - APPLICATION -FOR SANITATION PERMIT Permit No. /s -------------------------- ------------------ ------- --- --------------------------- ----------------------------- (Complete in Duplicate) ----------------------------------•_..........._....._.. This Permit Expires 1 Year From Date Issued Date Issued --- Application is hereby made to the San Joaquin Local Heal+h District for a permit to construct and install the work herein described. This application is made in compliance with County Ordi,nance No. 549. ES C Iq L-0 t\j f5l D F_= C& JOB ADDRESS AND LOCATION--- -------%------ Is------ --------------- Owner's Name-------------- If ai��_ .19---------RRbl.( fl---- - --------------- n------ --- Phone---.--':------------ ----------------- Address---------------- _3,7---------)E�------------- 7_-T-�=------ --------------- tR I\, J� - ---------------------------------- Contractor's Name--------e_07V_V(4� 6---- ------------------------------------------------------------------------------------------- Phone------------------- ----------------- Installation will serve: Residence Rj-__Apartment House E-1 Commercial F] Trailer Court E] Motel E] Other Number of living units: j--- Number of bedrooms I--- Number of baths _I--_.._ Lot size ----- -- --------------------- Water ------------ ------ Wafer Supply; Public system [:] Community systeM-E] Private Va"Depth to Water Table 15-ft. Character of soil to a depth of 3 feet. Sand DK-Gravel Ej Sandy Loam [j Clay Loam E] Clay E] Adobe E] Hardpan ❑ Previous p.licafion Made: (If ves,clAp -------------------- No _New,Consf ruction:,YesHA/y Yqs . ate TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is Available within 200 feet.) Septic Tank: Distance from nearest well____-5V----Distance from founclajtion__10-----------Maferia)----CPN_C-R_F_= T__.0--- ---- No, of compartmerifs------72—--------- Size_3_4_�._4_5 Liquid clep.th---------41. Capacity---9EZ�------ Disposal Field: Distance from nearest well--- Distance from foundation-----/P--------Distance to nearest lot line '/Y---------- ----.Length of each --- - ------------ Number of lines---------------(;-------- ch I�ne--------- �Widtk of trench----------7--y- T pe of filter material_____ -P filter material length---------:�_- -------f Type er a]----- __C_K --Depth of fl ---------------- Seepage Pit: Distance to nearest well....................--Distance from foundatlon-------_---------..Disfance to nearest lot line-_.__-.-_____--.. ❑ Number ine-------------- Number of pits----------------------Lining material----------.---.------..Size: Diameter-----------------------Depth-----------------_---------_---- Dis ' d Cesspool: fance from nearest well_._}------------Distance from found,iia'11----- -----------�._-,Lining material_._=,---------------------------------- ❑ I Size: Diameter.-- . ---------- ----------------"-------------------Liquid Capacity- ---------------------ga 15. Privy: Distance from nearest well__________________------------------------------Distance from nearest building--------------------------- Distarce to neares+ lot line-__._________-_,_.- e ---------- ------------------ ---------------------- ---------- ------------- -------------- ry Remodeling an repairing (describe)---- ---- OP------- J5- --_- - ----4`-- -------5_Y_5Tf 5_/--------- --------5-1 tv xS.... -------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------I---------------- ---------- ------ ------------------------------------------------------1-1--------------------------------------------------------------- --------------------------------------------------------------- I-hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin Co6ty ordinances, §*qe laws, and rules andr-e)gul ns f e ISjaJoaquin Local Health District. � -------------—---------------- ----------- ------�--.(Owner-an'd./.or!�Contracfor.).o-6-�-40 (Sigqed)�------------------ ------- By:------ ------ ------- --------------------------------------------------------------------------------------------------------------(Title)---------_-------------------------------------4�------jC (Plot plan-,showing size of-lot, location of system in relation to wells, buildings, etc., can be placed on reverse side}. 1% FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY---- - ---------- ---------------------------------------------------- DATE-------�Z_-73--A-7-—^-------------- r REVIEWED ------------- REVIEWEDBY------------------------------- ------------ ------------ ------_------------ -------------------------------------------- DATE------- ----------- -------------------------------- BUILDING PERMIT ISSUED-%.-.M--- ---------- ------- ----------------------------------------------------------- ------------- DATE------------------------------------------------------)1---- -Alterations and or reco'mmenclafion-s----------75-A-E74 H_-__ wi-pri........... 4ki-r L-Y 4E-s-s - ------------ -------- ------- -------- e Ef",�------ --- ------------- - --- --- ------------------------------------------------------ i-------------- -------- J, ---------- ------------------------- --------------------------------------------------- ------------------------- --------------------- ------------ ......... -------------------------- ------- -------------------- ---------------- ------------------------------- ------------------------------------ -------------- ................................ ------ . .............. -------- ------------------------------------------------------------- -------------------- F. -- ----- .. FINAL INSPEC ---- Date------------------- -------------- ------------- SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E.Huxellon Ave. 300 West:,Ciak Street 124 Sycamore Street 205 West 9th Street Stockton,California Lodi,California Manteca,California Tracy,California