My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
16663
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
EASTVIEW
>
4657
>
4200/4300 - Liquid Waste/Water Well Permits
>
16663
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/8/2018 10:14:10 PM
Creation date
12/4/2017 11:34:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
16663
STREET_NUMBER
4657
STREET_NAME
EASTWIEW
City
STOCKTON
SITE_LOCATION
4657 EASTWIEW
RECEIVED_DATE
12/04/1963
P_LOCATION
SAM HARRIS
Supplemental fields
FilePath
\MIGRATIONS\E\EASTVIEW\4657\16663.PDF
QuestysFileName
16663
QuestysRecordID
1721762
QuestysRecordType
12
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
FOIL OFFICE USE: <br /> -------------- <br /> -,Alt <br /> --------------- w. ��63 <br /> ---- <br /> -- APPLICATION FOR=SANITATION PERMIT Permit No. ... ....... ...... <br /> --- -------- --------------------------------------------- (Complete in Duplicate) 1 '1 / <br /> Date Issued :__.___-.---Irb <br />_ ---_-------------------------------------------------- This Permit Expires 1 Year From Date Issued I <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and insi-a{l the work herein described. <br /> This application is made in compliance with County Ordinance No. 549. <br /> _• , J ----------------- -----------------•-•--------------------------------•---- ---•-• f <br /> JOB ADDRESS AND CATION___ __ ___.___...�'�i_BiGJII--�(.rr��•------,----- <br /> Owner's Name �'' � ,, �s� ) -------------------•----- ------------------- ------------------ Phone------------------------------------ <br /> Address <br /> --------------------------•-•----------------------•------------------- <br /> i <br /> Contractor's Name--------- --- 4 _ --------------------------------------------------------- --------------- Phone---_----------------.--••------•---- <br /> Installation will serve: Reside a @.Apartment House ❑'-"Commercial'❑Trailei'Court"❑Motel ❑ Other ❑ <br /> sl <br /> Number of living units: _/__ Number of bedrooms_ Number of baths , Lot size `_-- <br /> t Water Supply: Public'system ❑ Community system rivate ❑ Depth to Water Table 4W_ tt. <br /> j <br />€ Character of soil to a dept h of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ 'Adobe[�1qardpan ❑ <br /> Previous Application Made: (If yes,date-----------.........] No New Construction: Yes o ❑ FHA/,VA: Yes 9�— No ❑ <br /> r <br /> TYPE OF INSTALLATION AND SPECIFICATIONS: , <br /> (No septic tank or cesspool:permitted A public sewer is available�wlthiny200 feet.) <br /> Septic Tank: Distance,from nearest well ---- ; --Distan frjpm founds ion__.f49-------Mater- !��--- ------- <br /> No. of;compartments___/ ------------ SizeJh-./_�_f _-___Liquid depth___ -- ..._ Capacity__ <br /> 4 �Q- __Distance to nearest lot line_t0_~f- <br /> Disposal Field: Distance from nearest well__-_._...__......Distance from faundation__�_._. __ Z � <br /> Numberlof lines-._-f f.._ ______'Length of each __.Width of trerich_._. <br /> Type of'filter materia -_ - Depth of filter material-___. ------Total length___/��_____---..____ _--_ J <br /> Seepage Pit: Distante*to-nearest-well------ _- `- Distance from foundation-_,-0---/_-�_._.Dis annce to nearest lot lice-h; <br /> (� Number•of pits:-- -.._----_.-Lining material e�/Size. Diameter --- Depth��__•�__..�"�� ° <br /> Cesspool: Distance from nearest well-----------------Distance from foundation-------------------Lining material---------------------_.--________-.-_. <br /> ❑ Size: Diameter-------------- - - Depth---------------------------------------------------Liquid Capacity---_----------- ----------gals. <br /> Privy: -. Distance from nearest well--------------------------------------------------Distance from.nearest building.------------------------------------------ <br /> --------------- <br /> _- _---________..__ + <br /> ❑ Distance to nearest lot line--------- --------- ---------- ------------------------ <br /> Remodeling <br /> ----- ------- J - <br /> t <br /> 1 ------------------------------•---- <br /> Remodeling and/or repairing (describe): -- - --------- ----------- •• -•- -- -- ------ -- - -- - - --...---� <br />} •--------------------------------------------------•--- ------=-------------------- --------------------•----------------•-------- ----- --------- - <br /> 1 <br /> ----- ----------------------------------------------------------------------- - <br /> 1 <br /> -- - ------------------------------------f-----------------------------'"3, :--------------------•--------------------------------------••--.------ :-----------------------------------•----------------- <br /> -- --- -y y P papplication ----- -- . .� <br /> I hereby certify that I have re ared this and that the work will be done in accordance with San Joaquin County <br /> ordinances, State laws, and rules-and regulations of the San Joaquin local Health District, <br /> �/� - --- - -=-- Contractor) <br /> (Signed) 'G�r� ---- <br /> g �• I --- ---- ------ -- <br /> y------------------------•---------- = :%% (Title). <br /> 4 <br /> (Plot plan, showing size of lot, location of system i ation to wells, buildings, etc., can be placed on reverse <br /> FOR DEPARTMENT USE ONLY <br /> APPLICATION ACCEPTED BY.____ Y <br /> �Z--- -- -------------------------------------- DATE-----/ f--- - <br /> REVIEWED.BY.------ ------ ----- -------------------- ----------------------------------------------- DATE------------------------------------------------------------- <br /> I <br /> BUILDING PERMIT ISSUED--•------------------------------ ----------------------------------------------- DATE <br /> Alterations and/or recommen atio�ls:. `...____ _�--�� <br /> ��� <br /> L �y --------------=---------- <br /> -------------------•----------------------------=----- ------------------------------------------------------•---------------- ------------------------------------------------------ <br /> I} ----------------•------------------- ---- ---------------------------- <br /> i ---•-----------•--------------- -- --------------------------------------------------------- <br /> - ----- - <br /> x <br /> I <br /> - SDateFENAL INSPECTION BY:--- <br /> ----- <br /> ; <br /> _-- --•- ------------------- <br /> ----- --- ------------- <br /> A TH DISTRICTSAN JOAQUIN�LOCA:�.HE <br /> 1601 E.Ha=ellon Ave. 300 West Oak Street 124 Sycamore Street \ 205 West 9th Street <br /> Stockton,California Lodi,California Manteca,California Tracy,California <br /> E6 9 REVIGED 6-59 3M 3-'63 F.P.00. <br />
The URL can be used to link to this page
Your browser does not support the video tag.