3730 - Laserfiche WebLink

Home Browse Search

APPLICATION FOR SANITATION PERMIT Permit No.� (Complete in Duplicate) Date Issued 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---------454-_SO, 'Magner" Avenue, Stockton, Owner's Name JC3I�T). M� Phill- Phone 7^7 53 - ---- ------- -- Address--------------_ _ same ------------------ --------------------- --------------------------------- ------------- Contractor's Name-----------------------------PARR ISH INC, 9. 9 07 f = Phone_. ----------•------------------- Installation will serve: Residence [X Apart1.ment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units: _2____ Number of bedrooms____,2-Number of baths _---2 Lot size___6C f. X: 159f Water Su 'I Publics stem i pp Y� y Community system [l Private ❑ Depth-to Water Table, .�_ ft. t Character of soil to a depth of 3 feet:t Sand ❑ Gravel ❑ Sandy Loam E] Clay'Loam El Clay E] Adobe ] Hardpan Previous Application Made: Yes� No ❑ New Construction: Yes ❑ No ❑;;.,-,,Dra.l age TYPE OF INSTALLATION AND SPECIFICATIONS: , (No septic tank or cesspool permitted if public sewer is available within 200 feet.) f r Septic Tank: Distance from nearesttwell----� _ _t `� Distance from foundation_____!�______--Material___-______�_ _ _ RX- r No. of com artments- ---_..�--------------Size-----•-- � `_3c ; p 9 Liquid depth-- �------f Capacity-----Q -- 1154 Disposal Field: Distance from nearest wel� ...__._._._Distance from found i Distance to nearest lot Number of (ines____'_�_ � Length of each line___:=�___ ._ Width of trench..____.- "-__" p g T e of filter mate�ial:�.__ -""_"_-_-----_-Depth of filter material___ ____--_--____Total length---- ---_-------------------_--- Seepage _ _____ See a e Pit: Distance to nearest,welI" t ]X Number of pits_..-(------I. 100�'n mD{s aanl g� ro$r C a,onDia ---__.--_-- ante to nearest I ne-_ ---___"-- L `J Lining - tz _ meter__. ------------Depth. --Z" . ne-------- Cesspool: Distance from nearest well ___.__...___Dist e from fo � ions --------------Lining material__. ❑ Size: Diameter---------____ " .Depth----- -`F - -- ---- --- "rLi xCa atit " `----�.9 w rivy: Distance from nearest well -__ _.______ _�..-________4._____-----Distance from nearest building-: ❑ Distance to nearest lot line-------------------- ;--------""-•- ,, , :. ---------------- ---------- ' -- i ------ ►` 3 1- ----------- Remodeling and/or repairing (describe):-------'---------- ---------- --_- --._ -------------------- • ._:_._y • ----------------------------------------------------- L w .. .w.._ .. ..,�.._ - _.,_ v I. , . _ A. _--•--------------------------•---------------------------------------------------------------------------------------------------• ------ -------------- I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ` ordinances, State laws, and rules and regulations of the San Joaq in Local Health District. (Signed)-.-,--------PARIgISH IPSC. --------------- -- ----- ------------------------------------- Contractor) BY: ---------- = Estimator {Title}---___--- -__ ------" -_ P of plan, showing.size of lot, of sys em in relation to IIs, buildings, efc., can be placed on reverse side). FOR: EPARTMENT USE ONLY 4 ' .._. - APPLICATION ACCEPTED BY----�--- --- -- - -- --- ------------ - --------�-----'---------�'---�----T---- DATE--------� ---�-�---'-�------------- ---"- - `REVIEWED BY---------------------------------- ' ------- •-------- - -------•---------- �--- ------- ------------ DATE BUILDING PERMIT ISSUED------------------------------------------------------------------- ---------- DATE ---------- Alterations and/or recommendations__________________ _____ ---------------------------------------------------------•------------------- ---------------------------------------------------------- ------------------------------ FINAL INSPECTION BY: t `�CIIfJ' ' " Date-------- ---------- ------•-------------------- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 30D West Oak Street 132 Sycamore Street $14 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California ES-9-2M 10-52 Revised W-2100