15899 - Laserfiche WebLink

Home Browse Search

FOR OFFICE USE: ---------------- ---------------- ------------------------ ------------ --------------------:------------------------ APPLICATIdPi-� SANITATION PERMIT Permit No. C --------------------------------- -------- --------------- (Complete in Duplicate) Date Issued --------------- ------------------------ This Permit Exeires 1 Year From Date Issued 0-40, Application is hereby made to the San Joaquin Local Health.District for a permit to construct and install the work hereit scribed. This application" is made in corMliance with County Ordinance,No. 549. 2-m3- dS I PON JOB ADDRESS AND L0AATIOM ---- - -- ...MULE-------M-v.R_i>j4!. ----7Fj i a K --- --- -- Owner's Name[...............H.J-D.0--------- ----------------------------------------------------- Phone.................................... Address...........J P--..... . ---------;:Zl--;7........F�?..t-F N-I--------------------------------•-----------•--•---------------------------------- Contractor's Name............ NER----- ---777"77"77-------------------- ---------------I------------------------------------------- PhO�nO................................... .1 �, Apartment House ❑ Conmercial E] Traiiier Court ❑ Motel E] Other 0 Installafian wiOlserve: Residence kl�� Numberl:of living units: --I---- Nu ber of bedrooms Number oj baths Lot size --- ---- .......... " Water Supply:�'[ Public System El Coitimunityl,,systern I-] P& f 3"Depth' T Water Table:00 ft. Character of soil to a depth of 3 feet: SaincIA11/1 Gravel E] S.rdy(' 'Clay Loam [] layC] AdobeE] HardpnEl I /�a I [] Previous Application Made: (If yes,cich--------------------)!5oVNew Construction: Yes J. [-] FHA/VA.. Yes;�Z I TYPE OF INSTALLATION AND SPECIFICATIONS- -Nj N-4 I (No septic tank or cesspool perrAiffed=if-publicssewer-riS-,available,wifhin.200.feet.r)—..i Septi T k: 11 Distance from nearest well--s5t) ,D*stan e from foundation 04?--__-----.Mat ' 1 -AIKAJIFJF� ___ PV) T No. of comp iz ,!Ltme.nts----�&_�--------- Se -___ Disposal Field:! Distance from nearest well---,S---------Distance from foundation-;IV.........Distance to nearest lot line_----- -5...... Number of lines........I.......---------------Length of each I-ine 10b i" .-..-,Width of trench-------3b_ _1------------- Type of filter material._RC)CK�_,Depth of filter material---- length------------1,90------.......... I-----------------------Distance from f Seepage Pit: Distance to nearest well--------------------=-Distance ounclation-74-----------Disianc to nearest lot line-.._........__-.. Number of pits......................Lining' material-----------------------Size: ame r-----------------------Depth-;`-I----------------- 9 Jlmaterial-_-_-.----...-..----_-.--_-.--._--._ Cesspool- Distance from nearest well-----------------Distance from foundatio --------------------Lining Size: Diameter--------------------------------------Depth_------------------------------1--------------Liquid. Capacity----:.........-----_------gals. Privy: Distance from nearest well-------------------------------------------------Distance from nearest building--------_-:___-_----____-____---.--------. F1Distance to nearest lot line---------------------------------------------------- ........ 1_------------------------------•--------'-------- -----••------- -------------------- --------------------------- ----------------------------............ Remodel miring Remodeling a d p mn,, jdltscrke):----!�%--------- --- I �00v� *Z -----------I— -------------------------- yr-. ------------------------------------------------------------------- ------ ------------------------------------------------------------ -------------- {' I j .......... -----------------I-------------------------------------------------------------------------__--- --------------------------------------------------------------------- 1. ------------- -----------------r.......................I------------------------------------------------------------............... .................................---------------------------- I'hereby certify that I hayejprepared this application and that the work will bJ An-e in accordance with San Joaquin County ordinances, Siate laws, and rulq4tand regulations of the San Joaquin Local Health Qisirid. (Signed]----••-i ............. ------------------------------------------ -----.-.......----------------------------•-.-------------- --------------(Owner and/or Contractor). ....... ------*- ---- ----------------------------------------------- By 11... --------------------------------------- ---------------------------------------I---------------- j(r+le] (Plot plan, showing ing size of lot, location of sysfem in relation to wellift buildings, etc. can be placed on reverse tide). A.I I FOR DEPARTMtjT,OS,LQ_N,LY—...-J APPLICATION ACCEPTED BY------17L.-R-j-:10' I'! ... ------------------------------------------ - DATE------ ------------------ REVIEWED BY-------------------------*7DATE----------------------------- -_------------------------ �_ RATE_............ ------ BUILDING PERM.11—ISSWED. -------------------------------- ----------------- -----------------*------- ---- ----------- ...... :. _---•-----•-•- ------------------- ----------------------7=15___4_��---=.........Y'17"AA 1- .4-1....... _'k -------turr"------kqc --------------------- ------------ 6r r-1.------0-11 1<1—-----pRftld-----T.E2......13— r�Ke>-------- ---------------- -------------EDJUS------ ------------ -------------------- 0 .4 ------------- ----------------------- ------------------------------------------------ ................................ ................ - --------------4' ------------------- 'FINAL I<P,,ECTION B . . ... ...... . .... ..... Date----------- -------------------------- ILON BY4-.;r00 SAN JOAQUIN LOCAL HEALTH DISTRICT 130 Svuth�-Amswican Street 300 West Oak Street 124 Sycamore Street 205 West 9th Street Stockton,California Lodi,California Manteca,California Tracy,California ES 9 REVISED 6.59 ii ZM 5-62 ATLAS