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CHECK LIST - DEMOLITION PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> { 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <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. <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, <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. 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 (209 942-1495). <br /> Scope of Work: Demolish house and shed <br /> Project Address: 1375 Bacon Island Road Stockton <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR T ISSUING DEMOLITION PERMIT <br /> Environmental Health Department Approval Signature: Date Issued: 2 j <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 /> Demolition shall mean the total demolition with the site left to grade, level, clean, and free from all debris. All foundations, <br /> porches, steps and other improvements to be removed and cleared from the property. If there is a basement at the site <br /> it must be filled to ground level. All trees shall be protected. <br /> F:\Application Forms & Handouts\Building Application Checklists\Check List Demolition Permit.doc(Revised 6-30-14) <br />