707 - Laserfiche WebLink

Home Browse Search

APPLICATION FOR SANITATION PERMIT (Complete in Duplicate) Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. Thisapplication is made in compliance with County Ordinance No. 549. JOBADDRESS AND LOCATION----------------------------1-7-0-West---Lane_-----------------------------------------------•--------------------------------------------- OwAr's Name-----------------------------s O7!1 _ BI'05__R al CQ------------------------------------------- - ---------- Phone----6-X6958------------- AdclIpd�e ss_.--.------------------ ------------23 - Wvenu .------------------------------------------------- ------------------------------------------------------------- E• eber-_Ae Contractors Name-----------------------�x---�-�---�s��'i'3.5�1_--&--'-S--9X1 -�----Inc---------------------------------------------- Phone------9?!-9 Q-rl------------- Instal�llation will serve: Residence 00 Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ ��11 Number of living units: '[2. Number of bedrooms [33 Number of baths M Lot size_____�Qt----K....200!------------------------- Water Supply: Public systeml Community system ❑ Private ❑ t' -- Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe ® Hardpan ❑ TYP OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) P Sep is Tank: Distance from nearest well_____—NOneDisfance from foundation---101----____.Material----�%Qn�_a__C�.�'4°----aztck k No. of compartments------------------•-------Capacity-----$Q0G S6__$3F?___R63 d depth _p_-----__ � rr n aqui p tt; 2 ____--Size_-.. ----- CessTpool: Distance from nearest well-----------------Distance from foundation--------------------Lining material__--------___-_________--____-___._-. Size: Diameter-------------------------------------Depth------------------------------ - illi ��1 ;Privy: Distance from nearest well------------------------------------------------`Distance from nearest building------------------------------------------ Distance to nearest lot line------------------------------------------------ .Seepage Pit: Distance to nearest well____Mone-_____Distance from foundation-___--5t_____.Distance to nearest lot line----a-Q1_-___ Number of pits-------1------------Lining material---GC---Brj_C ze: Diameter----33"-----------Depth------ _Q_t-------------------- Disiosal Field: Distance from nearest well----- Qne Distance from foundation---15t_________Distance to nearest lot line______ Number of lines-----------1--------------------Length of-each line---------- of trench____- 2tt_-_________-_-- ` Type of filter material-------1*"___RkDepth of filter material------1$11__- Remodeling and/or repairing (describe):--------- -----------------•--•----------------•-----------•-----------•---------------------------•--• -------------•--------------------------------------------------------------------------------------------------------- -------------------- -------- --------------------------------------------------------------------------- - --------- 1 Y - prepared ------------------------------------------------------------------------------------------------------------------------------------------------------------- - - --------------------- II I hereb certifythat I have re ared this application and that the work will be done in accordance with San Joaquin County orl��nances, St to laws, and rul and regulati ns of the San Joaquin Local Health District. (Signed) ----------P ISH - ---"`'0 -- --INC------- &----------------A-----------------------[ Contractor) • '`� = k------- -------- --------------------------------------------------- Title --------ES_timat—or------------------------------- (PIL ans, sh ing size of lot, location of system in r ati to wells, buildings, etc., must be filed with this application). dh FOR DEPARTMENT USE ONLY A APPLICATION ACCEPTED BY .' _r -�' ------------ - ------- -------- DATE Y?'Cc REVIEWED BY —'`---- ------ . &0 DATE ry ` I,. BUILDINGPERMIT ISSUED------------------------------------------------------------------------------------------------------ DATE------------ ----------------------------------------------- Al�Frations and/or recommendations------------------------------------------------------------------------------------ --------------------'------------------------------------------------------------------------------------------------------I--•----------------------------------------------- --------------------------------- ----------------------------------------------------------------------------------------------------------------------------------•---------------------------------------- ----------- - ----------------------------------------------------------------------------- -----------------------------------•----------------------------•---•-•----------------------------------- PE M1T No. - ISSUED---�' -�--7-5� --- ---------(Dafe) FINAL INSPECTION BY:--�------=`a� -- --� ------------------ Date ��1 41 ------------------------------------ €. SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street Stockton, California ESiI�9_2M 9-50 W-1639