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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 SUBMITIED 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.(Residential <br />structures with four or less dwellings are exempt from this requirement.HOWEVER,if <br />the structure is to be burned,or if the property involved has been used for or is being <br />cleared for a commercial or public use,the approval is required.) <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)942-1526.-- <br />Scope of Work:f2...e I/J.-?n ~VvJt<iLJJ <br />Project Address:J?/0 ~/q r.,/.L,p -+/.e (,.trr c<-LA...And r ~t/1 J q <;-,;?l.f 0 <br />~ <br />DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ,ISSUING DEMOLITION PERMIT,....~-L.Date Issued:#/7I/oEnvironmentalHealthDepartmentApprovalSignatury.'IJ",.-.-(.J <br />San Joaquin Valley Unified Air Pollution Control -r Date Issued:I- <br />., <br />District Approval Signature <br />AIR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br />4800 Enterprise Way 600 E.Main Street <br />Modesto,CA Stockton,CA 95202 <br />(209)557-6400 (209)468-3420 <br />~MJ-r ~O->I?gO <br />~?5~I/!!I&M/~ <br />FF:\BUILDING\HANDOUTS\Check List Demolition Permit.doc (Revised 07-28-09)