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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 SUBMITTED TO DEVELOPMENT SERVICES <br />Check - <br />BEFORE YOUR APPLICATION CAN BE PROCESSED. <br />Off <br />1. One completed Application. <br />2. Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br />, <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. <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: DEMOLISH AND REMOVE BURNT HOUSE AND SEPTIC TANK <br />Project Address: 22092 S. SEXTON ROAD - ESCALON <br />DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br />Environmental Health Department Approval Signature A& 1� ��M <br />Date Issued: ZQ� <br />San Joaquin Valley Unified Air Pollution Control <br />Date Issued: <br />District Approval Signature <br />AIR POLLUTION CONTROL DISTRICT <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />4800 Enterprise Way <br />1868 E Hazelton Ave <br />Modesto, CA <br />Stockton, CA 95205 <br />(209) 557-6400 <br />(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 />F:\Application Forms & Handouts\Building Application Checklists\Check List Demolition Permit. doc (Revised 6-30-14) <br />