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SU0006801 SSCRPT
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SU0006801 SSCRPT
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Entry Properties
Last modified
5/7/2020 11:32:43 AM
Creation date
9/4/2019 5:26:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SU0006801
PE
2622
FACILITY_NAME
PA-0700410
STREET_NUMBER
27
Direction
S
STREET_NAME
DEL MAR
STREET_TYPE
AVE
City
STOCKTON
Zip
95215
APN
15903503
ENTERED_DATE
10/25/2007 12:00:00 AM
SITE_LOCATION
27 S DEL MAR AVE
RECEIVED_DATE
10/23/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DEL MAR\27\PA-0700410\SU0006801\SSC RPT.PDF
Tags
EHD - Public
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FOR OFFICE USE: <br /> APPLICATION FOR- SANITATION PERMIT <br /> ------------" ------------ ------ --- T/ -lam/ <br /> (Complete in Triplicate) Permit No- ---------------------- <br /> ------------------------ This Permit Expires I Year From Date Issued Date Issued <br /> i 1r <br /> Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein <br /> described. This application is made in compliance with County Ordinance No. 549 and existing Rules and Regulations: <br /> JOB ADDRESS/LOCATION -- - --i��----, (?''-- ` <br /> ----- -------------- --- ---------CENSUS TRACT <br /> _' <br /> Owner's Name `` //' --l---------------------------- --------- <br /> Address ... ------ ----- ----- hone <br /> ------- -�------ <br /> - city i _Contractor's Name .. __ .�. ' <br /> --' � -`���---------- ------------- ------ License.# J;�_ ��--- � ----------- <br /> -- -- ®" Phone %��?- -- <br /> Installation will serve. Residence XApartment House❑ Commercial []Trailer Court ;❑ <br /> Motel ❑Other <br /> ------------------ <br /> Number of living units:---/----- Number of bedrooms �� _ <br /> __ __Garbage GrinderA/e__- Lot Size ,f S`��`�---------------- <br /> F <br /> + Water SuPPIY Public System and name- ?__- - <br /> ---------- <br /> ------------------------Private ❑ <br /> Character of soil to a depth of 3 feet: Sand❑ Silt❑ Clay ❑ Peat❑ Sandy Loam ❑ Clay Loam <br /> Hardpan ❑ Adobe ' Fill Material ------------ If yes, type ____________________________ <br /> { (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc. must be placed on reverse side.) <br /> NEW INSTALLATION: (No septic.tank or seepage pit permitted if publie.sewer is available within 200 feet,) `, V <br />` PACKAGE TREATMENT [ ] SEPTIC TANK <br /> r� Size.-. <br /> �u ��---���-i ------------------- Liquid Depth- - <br /> Capacity ' TYp - f <br /> - ------------.---=` <br /> � - -- ✓_ Material-f_414-__---- No. Compartments ` -_______________ <br /> y Distance to nearest: Well _____ ---------- -------Foundation -4.5-f- _----__- Prop. Line . - <br /> ------ _ <br /> LEACHING LINE No. of Lines ______ <br /> ( �`------------- Length of each line-- L�----------------- Total Length ------- <br /> 'D' Box)/X- Type Filter Material/ 6r/ 1Depth Filter Material 1101" __-.-_____.---_ ------•-__--- <br /> Distance to nearest: Well% __________ Foundation _'_____ Property Line. <br /> --------•-----•--•--•--- <br /> SEEPAGE PIT [f} Depth __ -s -___ Diameter : _ _- Number ---- -------._-------- Rock Filled YesA No fl <br /> Water Table Depth -- } = -------------------------Rock <br />[ roe <br /> Distance to nearest: Well -------__ -------------Foundation _rl---------- Prop. Line _.07-----_--_ <br /> REPAIR/ADDITION(Prev. Sanitation Permit# --------------- -- —r----------------- Date --------.-------------------------} <br /> r <br /> Septic Tank (Specify Requirements) <br /> ) -------------------------- <br /> Disposal Field (Specify Requirements) ------------------------------------------------------------------------------------------------------------------------------------- <br /> F ---------------------------------------- <br /> - <br /> ------------------------------- -------------------------------------------------------------- - ' <br /> - ---------------------------- <br /> raw existing and required addition on reverse side) i <br /> I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin <br /> County Ordinances, State Laws, and Rules and Regulations of the San Joaquin local Health District. Home owner or licen- <br /> sed agents signature certifies the following: <br /> "I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in such manner ' <br /> as to become subject to Workman's: Compensation laws of California." <br /> Signed - Owner I <br /> i BY ------------- -------- ;Z�2 <br /> ---------------------------------- Title <br /> F .._ ?� �.. <br /> (I her than owner) <br /> FOR DEPARTMENT USE ONLY <br /> F, APPLICATION ACCEPTED BY__/ <br /> DATE 7� <br /> BUILDING PERMIT ISSUED -------------------------------- ------------------------------------------------------------DATE <br /> - - -- -- <br /> ADDiTIONAL COMMENTS ------- --------------------------- = <br /> ------------------------------------------------------------------------------------------- <br /> ---------------------------- ------------------- M <br /> -------- --- --------- <br /> -- --- -------- --------------- - - - <br /> Final Inspection b <br /> r <br /> P y Dat <br /> 3 ----- j_ <br /> F SAN JOAQ IN LOCAL HEALTH DISTRICT ';y <br /> i <br /> E. H. 9 1•'68 Rev. 5M <br /> i <br />
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