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_•,�� Permit No. cz...(/1�l./-" " q TION PERMIT FOR OFFICE Ull 51 F �Q— � : ! Date issued .� � - " I APPLICATION 4n Duplicate ---- work herein described. -------- Y This Permit fires l Year From Date Issued ' - ti e permit to construct and install the (ShWAcres RCBt dome San uin Local'Health District or - --- 544. Ordinance No. Road, Ko ------•--------- b. of`Krell -- p pPlication iii 4� rey made to tf'leance w th County �K�ey ------•- French CSP This application is made in !�mp _ l ll �li -_- -------- ------------ --------------- t+b5""3 Rt. Phone.- ---------- d Joseph�n �.- -- --- . e Stone LOCATION -------- JOB ADDRESS AND LOC fford and -- ----- ---------- o- S -�crs-Beat Hoene - - Phone._ Rest or . Owners Name.. . ] Same ----------------------•--•----------------•--------------•------------------------- - ascent Iso Address_.-_._-• - & NIGH';`Se•tic Tank Sery s® --------------------- ------------------ Motel ❑ O# � l i DAY Trailer Cour# 5 AcreB ------------------ Name----- s•---- --- --------•--•--•--•-- - _ Re - Commercial ❑ -------------------------------------- Contract'-. ------------- - Contractor's -" Apartment House ❑ Lot size ----------- .t. -• lidence ❑ Number o{ baths ----- _ Installatr nwill serve: {a 'pan❑ Number of bedrooms - --- �{ Depth to Water Table ft• Adobe Number of living units: ---- stem ❑ Private L� Clay ❑ No ❑ ., ' Community system Clay Loam ❑ Yes Public system ❑ Sandy Loam No FHA/VA: ❑ a 1, Water Supply Gravel ❑ Yes'❑ s til of 3 fee}; Sand ❑ New Construction" Character of soil to a depth �b3159. } No ❑ Mad e: llf yes, icatidate.-- Previoust Applon C INSTALLATION AND 5PECIFICATIONS: TYPE OF permitted if public sewer is available within 200 feet. Material--------- (No septic tank oh cesspool p ' th --------capacity- ------------ Liquid dep 15-1 -- k.. � I Distance from nearest wel -----------------Distance from foundation ---- . --------------- F Septic�ank: ----Sixe__---•-- 20' Distance to nearest lot fine------ - -------- - 24"-- -------- =----- Ek:jSt YID' compartments t Y . Mo. comp Width of trench-� Length of each line------ tjt---------Total length-_---- ----------- -------------------- ' Dis}ante from nearest well..----�------.Distance Pram four -- Iq� Disposal Field: -- Sf3 t1C Rk th of filter material--------------------- -Dis#ante to nearest lot 4ine-_-------------- R sting i mber of lines------------ ---- Nu " TYpe:of filter materia4_-- p ponce from founds#ion Depilh-------------------- Type �' i � - Size: Diameter.------------ ----- Seepage Pit: DiMance to nearest We Lining material- ' • -Lining matenal -- ---------------------------------- T.,... els. .�' Number of pits-------------- -- Liquid Capacity---.----------------- ❑ dh -- ------- Dis#ante from nearest well Distance from foundation on_----- cesspool: ---Dept ----------------------- g----------------- Distance:from nearest building - -•----------------------- Size: Diameter- ---- ----- - - --------------------- 0 ---------- - k ❑ il -------- `----- Distance from nearest Well -- ---- --- -- --- -- -- ----------- Privy: DgNAGE ❑ Distance to nearest lot line_.. - -. -_•-------------- ------- SUPPT�'�_ _T ---- -------- or I�e airing [describe: -------- - -- ------------------ ----•- - ------ Remodelin and p g Il ---------------------------------------- I�------------ -_ --ha} }he work will be done in accordance with San Joaquin Count ----- -----1 ---- t lication an _------------- Y Y that ave prepared this app Joaquin Local Health Dtstric . Contractc I hereb` certify eve and regulations of t ordinances. State la['' , a to ------------- ay �' `1ijkt ----- ._.__. -- -- - --- retie ------ --- - - > C - ( ac n reverse� - I ed o r s de)- > sEF'TlC ry0 6 --•- buil Ings, etc., can be p (signed-------. -raNtc"s 3841 ------- 2915 E!MinerAve--------------- • -- anon to wells, BY� ' stem in tP4ot plan. showing size of lot, location of system SE ONLY .t FOR DEPARTMENT --- ----- --- ------------------------- DATE ------ ------- ---------------- -- ---- I - DAT ._... -------------------- ------------- APPLICATION ACCEPTED By- - - ----- DATE----- ------- ----------------- -... REVIEWEDBy----'---------- ----------------- - -------------=-.---------------- BUILDING PERMIT ISSUED---------------------------------------------------------------------- --------- ------------------- or recommendations:----- ------------------ Alterations and/ ------------------ ---------- - ---- ------------ - ---•---- F _ -------- --------------------- / lz - - -------- ----- - - Date....---------- -- -- C<-—- ._._.---- FINAL INSPECTION BY:-.------------- SAN JOA4UIN LOCAL HEALTH DISTRICT 205 West 9th Street 124 SYcamare Street Tracy,California 300 West Oak Street Manteca,California 1601 E,tlazellon AYQ• Lodi,California Stockton,COMID nla ' Il