964 - Laserfiche WebLink

Home Browse Search

APPLICATIONTOR FOR SANITATION PERMIT Permit N0. 6 ------ (Complete in Duplicate) Date Issueda 4A�pplicpip,onhereby made to the San Joaquin Local Heaith District for a permit to construct and install the work herein descriibed. is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION------900 block North ©live----- Owner's Name Name--------------P4rry--Hunter -------------------------------------------------- ----- -------------------------------------- Phone n0--------------------------- Address.--------__900-_block-_No-rth---01f.ve__-St. Contractor's Name-- Delta Phone 3_3955 - --- -- - - -- Installation will serve: Residence] Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units:3.------ Number of bedrooms _Z___ Number of baths __I__ Lot size -----50XIOQ-------------------------- _ Water Supply: Public system [2 Community system ❑ Private ❑ Depth to Water Table -------- ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe [3t Hardpan ❑ Previous Application Made: Yes ❑ No IN New Construction: Yes I4 No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well_________________Distance from foundation_______8,--------Material__.__ ement-brick ---- e --�---- --------- � No. of compartments-------2----------------Size--- t� t$h_--__--Liquid depth----�-1------ -------Capaci � ------_--- Disposal Field: Distance from nearest wall---------------Distance from foundatio -_---------_____-Distance to neares# o line_____ ------ 19 Number of lines_______QJ!_8-_-_----_______--_Length of each line---75............-------.Width of french---2 �_______________________ Type of filter material-------------------------Depth of filter material-----------------------Total length_______-___-_-___________-________-__-___ Seepage Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance to nearest loft line_________-_____-_ ❑ Number of pits----------------------Lining material-----------------------Size: Diameter-----------------------.Depth---_---.•---.-------------------- Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material-__________-______-___-----______,___. ❑ Size: Diameter--------------------------------------Depth----------------------------------------------------Liquid Capacity----------------------------gals. Privy: Distance from nearest well-------------------------------------------------Distance from nearest building----------------------------------------- 0❑ Distance to.nearest lot line-------------------------------------------------------------------------------------------------------------------------------------------- .v Remodelingand/or repairing (describe)--------------- NOW--------------------------------------•----------------- ---•----------•-----------•----------------------•------------------- ----------------------------------- ,------------------------------------------------------------------------------------------------------------------ -------------------------------------------------•----------------- I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ordinances, S't'ate laws, and rules and regulations of the San Joaquin Local Health District. (Signed)-------- -------•--- - ---------------------------------------------------------------------------------------(Owner and/or Contractor) By:----------- erry-- -arthan - (Title)---Owner--Mgr.----- . ------------------------ (Plot plan, showing size of lot, location of stem in relation to wells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTEI7.BY r_ + - -- ------- DATE- All- -----�� REVIEWEDBY------------------------------------------------------------------------------------------------------------------------------ DATE ------- --- BUILDING PERMIT PERMIT ISSUED-------------------------------••-------------------------------------------------------------------- DATE------------------------------------------------------------- Alterationsand/or recommendations-----------------------------------------------------------------------------------------------•-----------•-------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------•--------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------••------------------- FINAL INSPECTION BY:..... d--Y--------------------------------- f/ Date l --------------'------------------------------------ SAN -------------------------------- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy. California f ES-9-2M 8-51 Revised W-2100 j