40 - 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. This application is made in compliance with County Ordinance No. 549. JOB ADDRESS AND LOCATION---------3520 West Lane , Sto ck'hon-------------- ------------------------------------------- ----------C---- Owner's Name Agent:StoneBro-g---Re��'ty-------------------- Phone---------------6-69-5------------ Address ------ - --------------•-------- ----- - Address--•---------------------------------------- 2�1 E. Weber Ave. Stockton ------------------------------------------------------------------------------------------------------- --- Contractor's Name------D.---A!!----Parrish & Sons. Inc-.........-"------!---------- ----------- --•---'------ Phone�_5.59----------------- Installation will serve: Residence ['N Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑/ Other ❑ Number of living units: ] Number of bedrooms ZI Number of baths [I Lot size------ -------------------------------- CQ Wafer Supply: Public system ❑ Community system ❑ Private A Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe) Hardpan p i TYPE OF INSTALLATION AND SPECIFICATIONS: 1 (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well____ 0.11__Distance frm foundation ________.Material.___�fl� ��ue Cir -Elx ---- No. of compartments___2-------------------- ® _____Liquid depth_C_-------------- 'Cesspool: . Distance from nearest well_________________Distance from foundation-------------------- material_________________________________-__ E❑ Size: Diameter---------------------------------------Depth------------------------------------------------ Privy: ---- ---------------------- ------Depth-------------------------------- Privy: Distance from nearest well-------------------------------:_.----------------Distance from nearest building------------------------------------------ 171 Distance to nearest lot line------------------------------------------------ ------------ Seepage Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance to nearest Iqt line____'-___�____. I ❑ Number of pits----------------------Lining kstance terial-----------------------Size: Diameter.------------------------Depth--------------------------------- Disposal Field: Distance from nearest well___.# a from foundation______ -----------Distance to nearest lot line___�_8_�_= Number of lines____''___ Length of each line__r_ -_. S__•3oWidth of trench_____2 ��______________________ I� Type of filter material-1p QdOSDepth of filter material___1V1 ___________ Remodeling and/or repairing (describe): Replacing existing-----------------------------------------------------ld septic k a.nd - constructing; s�z�ple�ent �q exi�tin� �0 off' leaching � __drain. -------- ------------ --------- -------- -------------- C4 f RA�,p o NF---------- -- ---------- a �->� �� v r� --------------------------------------- 0. hereby certify than I have prepared this application and that the work will be done in accordance with Sdn Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. (Signed) D• �'ARRT `' - --- • • 0�IQUA Contractor , r ----_-- 1 i-xs (Title) Estimator liy:. t _ -- -------------------------------------------------- (Plo+ plan owing size of lot, location of s em in rela+ion+o wells, buildings, etc., must be filed with this applica+ion). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY----- ------------ ------------------ - ---------------------------------------- DATE----------- " ��r' ` ----------- REVIEWEDBY----------------------------------------/7------------------------------------------------------------------------------... DATE----------4'---f-6 =----------------- BUILDINGPERMIT ISSUED----------------- ------------------------------ =----------- --------------------------------------- DATE------- �----------------------------------;---•------- Alterations and/or lte at sand/or recommendations:_____I _ u __ dr_ 1_�.�±r___rfo__ {.Q�_-�-- R p.��r! -�, c �",--i �E e � -------------------------------- ---- •-- ----- - r� N = k A 5.. AP�m 11 7tk_!_.f_--- ----6V-- 1 C_AJ P_- -------------- ,t fA-6�----- e.._�f_�fc�"�A_ __t.. -'•----------------------------------------------------------- ' ----------------------•-----•--- ---------------------------------------•---------------- " -3 °' ? � --------1--/j--- K�+ =---------------------------------1------�------------------------------- ` y (Date) FINAL INSPECTION BY:___ ��`: ' `>:-_ - � PERMIT No------------------------- ISSUED------------------------------------------ - -- - :---: ---- -`�"'------- Date-----} -- -------------------------------------------------- SAN JOAQUIN LOCALH�ALTH DISTRICT 130 South American Street Stockton, California ES-9-2M 9-50 W=1639