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/ <br />CHECK LIST -DEMOLITION PERMIT <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E.HAZELTON AVENUE,STOCKTON CA95205 <br />BUSINESS PHONE:(209)468-3121 <br />INSPECTION REQUEST 24-HOUR RECORDER:(209)468-3165 <br />CHECKLIST <br />THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check- <br />BEFORE YOUR APPLICATION CAN BE PROCESSED.off <br />.1:One completed Application.4.!:2.~btain Environmental Health Department Approval on Demolition Permit Application.The final <br />disposition of the well and septic system must be identified prior to application approval. <br />E ~If your demolition project is 1200 sq.ft.or more you must obtain an ap proved 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.e- <br />~Obtain Air Pollution Control District Approval on Demolition Permit Application. <br />~ <br />19 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 />X Scope ofWork~~O "O\.L~'f .-/\--<._A"J \CA Cc w\~O~~~ <br />'j.Project Address:I /.g g~~EJ~hol<../ <br />DEPARTMENTS LISTED BELOW MUST GI~APP~OVAL PRIOR ro ISjiUING DEMOLITION~PERMIT-....Environmental Health Department Approval Signature\...~17~~~Date Issued:zII..1./(3 <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 />F:\Application Forms &Handouts\HANDOUTS\Check List Demolition Permit.doc (Revised 1-11-11)