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"T" SAIN JOAQUINCOUN"FY COMIMUNITY DE%r'ELOP1MEN T DEPARTMENT <br /> 1810 E. HAZEL TON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> -HOUR RECORDEFZ: (209) 468-31605 <br /> INSPECTION R _-ST 24 <br /> .. ....... <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED To DEVELOPMENT SERVICES JCheck_- <br /> L 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 systera 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, <br /> PRIOR to obtaining your 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. Itis also the <br /> applicaDfs responsibility-to insure P.G.a—E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G.&E. at(209 942-1495.11 <br /> Scope of Work: <br /> Project Address: <br /> DEPARTMENTS LISTED SELO\JV MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br /> Environmenial Health L)epartment Approvaignature: <br /> ace Issued: <br /> —1 <br /> San Joaquin Valley Unified Air'Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR.POLLUTION CONTROL DISTRICT E?z,VIRONYIENTAL BEALTE DEPARTMENT <br /> 4800 Enterprise Way 1868 E H-azelton Ave <br /> Modesto, CA Stockton,CA 95205 <br /> (209) 557-6400 (209)4,68-3420 <br /> FAApplication Forms&Handouts\Check lists\Check List Demolition Permit.doc(Revised 6-30-14) <br />