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CHECK LIST - DEMOLITION PERMIT <br /> c• \ " /' , SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> " ' j 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> cq,- <.. P INSPECTION REQUEST 24-HOUR RECORDER: (209)468-3165 <br /> �lFA� <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. ✓ <br /> 2. Obtain 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 /> 3. If your demolition project is 1200 sq. ft. or more you must obtain an approved Debris Diversion <br /> Plan from Public Works Solid Waste Division office at 1810 E.Hazelton Ave.,Stockton,468-3066, X <br /> PRIOR to obtaining our Demolition Permit. <br /> 4. Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5. 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 /> Sco a of Work: Vs*Ao of 1152 se 1..t®t,ttc eff «z 6. ,% dr <br /> Project Address: 19400 tJ. H"t r ®11 Ae m4ro c,.p. `t'322.0 <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br /> Environmental Health Department Approval Signature: Date Issued: <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 1868 E Hazelton Ave <br /> Modesto,CA Stockton,CA 95205 <br /> (209) 557-6400 (209)468-3420 <br /> F:\Application Forms&Handouts\Check lists\Check List Demolition Permit.doc(Revised 1-11-11) <br />