29 - Laserfiche WebLink

Home Browse Search

APPLICATION FOR SANITATION PERMIT (Complete in Duplicate) Trf- Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION------V C Q_ ',---2nd-__p k_ S>; --- e- D---QZ---I&Xt ---Vi_C_tar Owner's Name......VALLEY FRUIT DISTRIBUTORS, adi 2 - -- - ------------------- Phonj-- - - --5-9 ----------- Address------Et---0 ---DraK r Contractor's Name...n*___A=___Parrish & Sons, Inc. . ----_-___- Phone__8-8597 - -------------------------- ---------------- Installation will serve: Residence ❑ Apartment House ❑ Commercial-T] Trailer Court ❑ Motel ❑ Other ❑ Number of living units: -❑ Number of bedrooms ❑ Number of baths ❑ Lot size___-3___d;'___inQ 'e_-_aCx' $___--______ Water Supply: Public pp y: uc system ❑ Communitysystem Private X] Y ❑ X] � Character of soil to a depth of 3 feet: Sandy] Gravel ❑ Sandy Loam ❑ Clay Loam fl Clay ❑ Adobe ❑ Hardpan TYPE OF INSTALLATION AND SPECIFICATIONS: E (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well_________________Distance from foundation--------------------Material _-------------- ----------•------- ---- -•- ❑ No. of compartments--------------------------Capacity----------------------Size------------------ -------.._..Liquid depth ----- Cesspool: Distance from nearest well-----------------Distance from foundation--------------------Lining material------------_:_: __ ❑ Size: Diameter--------------------------------------Depth----------------------•----------------------------- ;Privy: Distance from nearest well______________________________ _Distance from nearest 'building___________----------------------------------------- Distance to nearest lot line_______________ Seepage Pit: Distance to nearest well.-_2PV--------Distance from foundation-_-_25.1--------Distance to nearest lot line__.�-2_1_____. " ] Number of pits.-------1----------Lining mti17UT` CSize: Diameter_-_Fall-----------.Depth-----3.0_l------•------------- Disposal Field: Distance from nearest well------------------Distance from foundation--------------------Distance to nearest lot line_________._______ ❑ Number of lines-----------_----------------------Length of each line---------_------- -----.Width of trench Type of filter material-------------------------Depth of filter material------------------------ Remodeling -_________________-Remodeling and/or repairing (describe):_-__Supp'le_mentary drainage for water created by mbel.ting ------------------------------------in e_bre--cQolin ani storage room. ----•--------------------------------------------------------------------------------------------------------------------------------------------- -----------------------•------------------------------------------------ I hereby certify that I have prepared this application and +hat the work will be done in accordance with San Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. (Signed)•-=--D.---A-'----PARRISH---`�`---SONS,,- __TM-' ' ----- --------- --jM) i'326X C Contractor) By-------------------------------------------------------------------------------------------------------------- - - Estimator - -- ------------(Title)----- - --�--------------------------------• ---------- (Plot plans, showing size of lot, location of system in relation to wells, buildings, etc., must be filed with this application). FOR'DEPARTMENT USE ONLY �1 APPLICATION ACCEPTED BY----------------- _---- ------------------------------------------------------------ Su DATE_ /d ,'� -------------------- REVIEWED BY--------- - -� ---------------------------------------------------- - DATE-------------,rA._ BUILDING PERMIT ISSUED----------------------------------------------------------------------------------------------------- DATE—_=_ _- -- ----------------------------------- Alterations and/or recommendations: = -----------------------------------•--•---------------------------------- --------------------------------------------------------------------------------------.------------------- ----•------•-------------------•--------------------------------------------------------------------------------------•---------------------------------------•------------------------------•-----------•--------- f -------------------•------------------------------------------------------------------•- -----------•-•--------L•---------------------------------- -------- -- - - ---------------------------- -------------- PERMIT No.------ - -------- ISSUED......3��--1- --------------(Date) FINAL INSPECTION BY:---- Datel� f- -------------------------------------------------- E SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street Stockton, California ES-9-2M9-50 W-1539