20345 - Laserfiche WebLink

Home Browse Search

FOR OFFICE USE: s APPLICATION FOR SANITATION PERMIT Permit No. a-�-J--�__:.z1-�--`�- -------------- ----------------------- -------------' [Complete in Duplicate) Date lssued �___-------.•-----'� ----------------- ------- ------ ---------- ---------- -- This Permit Expires 1 Year From Date Issued --- -------- -- Application is hereby made to the San Joaquin Local Health District for a permit t construct and install the work herein described. AO.P pp 549. f This ti s made in cpm Banc with CountyO finance No. ,OO� SON-------- p D JOB ADDRESS AND L CATI S! ----- ------ -----'-- --'-'--'-�'F�-- --'- Phone------------------------------------ Owner's Name-------------=- p Address----••------------1- ---- ---- -- - ----•----------39--- ----------LA_T_HRO P.�.-------------- �------ } - Phone---------------------•--••------ Contractors Name__.__ U LL_ _____ ____ _ ______ _ __ Other ❑ . I�lotel ❑ will serve: Residence ❑ Apartment House ❑ Commercial Trailer Court ❑ ¢+ 4-- E14_G_�---------------------- Installation Number of living units _Number of bedrooms _- Number of baths _ - Cot size ___ � - . legit Water Supply: Public system El Community system El Private �epth to afie"r able - lf},• Adobe ❑ Harrigan ❑ Ga Loam Clay,.[] Character of soil to a depth of 3 feet: Sand Gravel ❑ Sandy Loam ❑ ixY�e„�� ❑ R t t 4 ,.,A\4.r � FNA/VA: Yes ❑ No ( . Previous Application IVlade: [if yes,date......... _. .. _ �--;lf No New Construction: Yes L '�o # TYPE-OF+INSTAL-LATION-AN D SRECIFICATIONS:. & }. P ewer is available within 204 feet.) I [ p �} fpistance from foundation-- . Q MVfe 'aI-- Rf� DWQQ ------ Tank: Distance from nearest wel{__-.7.� -- rNo se tic.tank or cess oolermttted if u tc s. Capacity---- Septictx!0-- fe--5_, Uy uid depth---- -~ r No. of compartments 148 �s� lw + - Disposal Field: Distance from nearest well_____)c7 :-Distance from foundat ------------ ion__.a* D� dthofttrencheSt [2 iF___ ___________ Nuimber of lines---.------ _-.- Length of each line---.� �� + t i.r Y t Type of.filter:.material,__ LK Depth of filter material------- F---iTotel leng lih`_._____.I�Q ---Distance from foundation----------- ___ Dishan tC nearest lot line. ......... Seepage Pit: Distance to nearest well..- 1 tDe th-----------------------------____ t ❑ Number of pits-------------------Lining material-----------------------Size: Diameter-- "-- p ol: . Distance from nearest well-______________Distance from foundation------------- ----- Liningmaterial--_-------_------.------._.__-_--_.. I Cesspo _ . Liquid Capacity_--------------------------gals• ❑ Size: Diameter-------------------------- ---------' p t Distance from earest bd.ilding-------- ---------- Privy: Distance fromnearest well.-'.-- - ► r -------------------- --------- El Distance Distance to nearest loft line--------------------------------------- n Remodeling and/or repairing describe):-------- a1 a l'a D l-,f}Tt-tRap--------- �Evv�K---------- f �lC? _ _ i ._r_.+_________________________________________ __ -------------------------------- I hereby certif that I ve pr ardibisas li the San Jahat ; a Work will be donetin accordance with San Joaquin County ordinances, tate la d rules dregulation Local Health District. _ -- --- -- ---------------- Owner an _ Contractor) �� (Signe � --------------------- -' ------ -- l ^ -w (Plot plan, showing size of lot,location of system in.relation to wells, buildings.,etc.,-can.be placed o reverse side). ` FOR DEPARTMENT USE ONLYI k � ----- ---- DATE------ ----- ~ ----------------- APPLICATION --=----" -'-APPLICATION ACCEPTED Y._ DATE---'--------------•---------------------------------------- REVIEWEDBY-------------- ----------- - ------------'---- ------------------ --------------- --------------- _ DATE----------------------------------------'-------------------- -- --- ----------------- _---------------- ' BUILDING PERMIT ISSUED _ . . _. �.. .�. _ .� . -� Alterations and/or recommendations:. -------- ;* -- -------------'---- ---'-•----'------- ---- I .-=------- ------- .....--------------............__-,__-__._------- _...._..--""..,F - -------------------- _ --------------------------------- .--------- ---. '- --. INSPECTION 0 y. -- Date------- ---r-- 1....... FINAL -- SAN JOAQUIN LOCAL HEALTH DISTRICT _ = 124 Sycamore Street 205 West 9th Street 1681 E.Hazelton Ave. 300 West Oak Street Tracy,California Lodi,California Manteca,California Stockton,California F.R.CO.