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C=?F GF 1VF.I-) <br /> MAR - 3 ?11?fl <br /> SJVAPCD <br /> NORTHERN REGION <br /> 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 our 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: ?--Crro rp y! ,tet u LA Cl- V I t. r1 e-, F P-G t-x Fv- ^%51!5 <br /> Project Address: 333 S. H 5z 6G1=YOrJ GA <br /> DEPARTMENTS LISTED BELOW ST GIVE APPR AL RI R TO ISSUING DEMOLITION PERMIT <br /> Environmental Health Departmen Approval gigUt—ui J Date Issued. ZO <br /> San Joaquin Valley Unified Air Pollution Control Date Issued <br /> District Approval Signature x A+0 3 <br /> AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 1868 E Hazelton Avc <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 /> 1FltS I,A0LIULAQ_ IS F-O(L. SiT-'ifLG- <br /> F:\Applies l:i.on Forex G Ila ndouts\nil!l.d my App]!rat ion Check ists\Cberk 1J51: Uemo].i.L.xan Permitdo c(Revised 6 30 14) <br />