15182 - Laserfiche WebLink

Home Browse Search

F R OFF1s�US 'I l z_ Per No. --�---•--•/•• •- ATION FOR SANITATION PERMIT ► - -- ---v---// _ (Complete in Duplicate) Date issued �1- •- -_ ----" -.--- This Permit Expires 1 Year From Date Issued Application is hereby made to the San Joaquin Local Heal} INoG f o a permit to construct and install the work herein described.This application is made in compliance with County Ordinance � r - -- - - ---------------------------------•------------------•---------••-- JOB ADDRESS AND LOCATION- 2s- "s b5------ _..__._ ----- Phonel_�7� .�1� 6 Owner's Name. C �4 .�/V --• i 1 ----•------•----------------------- Address-----------------------�-S4��J._----------- ---- - -- Phone.� �- � il ----.�N "�-- ------------------------- ----- -- Contractor's Name___: r �. � """ Motel Other ❑ Installation will serve: Residence W Apartment House ❑ Commercial ❑ Trailer Court ❑ ❑ � ! 1---- Lot size ._�__.�-----•--�---„�,,�'(x._•------•--.._... ` Number of living units: ---/-- Number of bedrooms _ "" Number of baths ” Community s stem ❑ Private 0 Depth ro Water Table :��p ft• Water Supply: Public system Y y Clay Loam ❑ Clay ❑ Adobe�Hardpan ❑ t Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam®' Y No ❑ Previous Application Made: (If yes date__"--_----:.-�- ---1 Na� New Construction: Yes No FHA/VA: Yes� C] [A TYPE OF INSTALLATION AND SPECIFICATIONS: v 1 (No septic tank or cesspool perrrritted if public sewer is available within 204 feet.) t �r C -------------- ---- Septic Tank: Distance from nearest well._?- .-----Dista f,o foundation uid depth-" "--"-" -- Capacity.... rw t No_ of compartments____. Size ---"- I vl • � + ---__..Distance to nearest'lot line---t�"..----•• , Disposal Field: Distance from nearest.welL_A3-Q-"" "_Length of from each 1 ne_a-----6."_0Q-------"Width of trench_____._ -��---- 1 Number of lines________. _De Depth of filter material-----� - ----• .Total length-----•--f Type of filter materlal.�e7 C/< --- p __.Distance #o nearest lot line_! "-.------- .1 , Seepage Pit- Distance to nearestiwell_/VO-----------Distance from foundation_ , Dep#h ��' Number of pits------- ------ Lining material- -----Size: Diameter___. Distance from nearest well______-___-- � Liquid Capacity--------------•-- Distance from foundation--------------------Lining material____-----------• ----"•" ---- -g Cesspool: --gals. �} f` _Li • - `f Size: Diameter 11 -----------------Depth--------------------------- ----------------------- q ❑ Distance from nearest building------------------------------------------ Privy: -"-----------•---- ----_. Privy: Distance from nearest well---____-------------------- ! --------------- ---- --------------------------- A---------------------•- Distance to nearest lot line_.__-____--" - -- " Sly Zt Remodeling and/or repairing (describe):--- � '� ------ o%l•.- s' ',s`T.�. .----• 1 �77 ---------------------------------------- te -------•-------•---. t-------•-----•-------------•--- -------•-----------------------•---------•--•--------- ---- I hereby certify that I have preparedulatons olf the San Joaqui the Local Heawill ltlr plsotrl�}n accordance with San Joaquin County ' ordinances, State laws, and rules and req i (owner and/or Contract • ----(ow d/o Signed �1s;'r� ------------------------ ------- ---------------------(r el- BY� C�z'J t (plot plan, showing size of lot, locati of system in relation to wells, buildings, etc., can be placed on reverse side). 1 ( FOR DEPARTMENT USE ONLY DATE..- •---. --_�------ - APPLICATION ACCEPTED By= ----- -- ------- 7 DATE------------------------------- ---------- ---------•-------- ---------- REV1E"WED By------------------------------------------- - • [. DAT --------•-------•-------- BUILDING PERMIT ISSUED--•-------•----------------•--- -------•---------- - 1 ,�•^-.�_" _.L _. ----------------- AhFerations and/or reaomme dations:_____�_-""--- ------------ ....... ----------------------------- 1 _- - ,---- ---------------- ------ -------------� -------- -- -------- -- ---------------- _ ----------- Date.....i--------.-.. ----------------- ----- FINAL INSPECTION BY:..-_�------ - -• - SAN JOAQU'N LOCAL HEALTH DISTRICT 124 sycamore Street 205 west 9th Street 130 South American Street 300 well Oak Srreet Manteca,California Tracy,California Slocktonr California lodir caiifornia E9 9 REVISED 8.59 2M 5.62 ATLAS