3628 - Laserfiche WebLink

Home Browse Search

5 j APPLICATION FOR SANITATION PERMIT Permit Nom k_A._fl.__._ ,y (Complete in Duplicate) 1- Date Issued .11-In?------ 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-----------3&l __E._._MyrtlStreet--Stocktq _______________________ _ ------------------------- Owner's Name--------------------------------------------N1P8-' ILoretl@ Gh�?- ----- ------ ------------------------------------- Phone-- �-4147--------------- Address---------------------------------------------------------- ---St«-----------------....-------------------------------------•------------------------ Contractor's Name-----------___---------------- PARR- S-1iI C-------------------• ----------------------------------------------- Phone__9--9607--------------- Installation will serve: Residence ❑ Apartment House ❑ Commercial El Trailer Court [-IMotel F] Other t DUPleXeS Number of living units: __-8 Number of bedroo4A-_-_ Number of baths -8---- Lot size ____---__100 t--- ___________________ Water Supply: Public system Community system F] Private ❑ Depth to Water Table 4Q__ ft. Character of sail to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe IN Hardpan ❑ Previous Application Made: Yes ❑ No [X New Construction: Yes & No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) Septic Tank-.8 Distance from nearest well--NOne---Dista fromxfoundation___�Q-1___-----.M t.er.iai_�'--_-Brick 2 XNo. of compartments___ _._�CYI_..___Siz 6, x5-6....-m----Liquid depth__5�-----------------Capacity_Ba20 gals Disposal Fieldi3 Distance from near st welL.N021e---Distance from foundation___10 t----.----Distance to nearest lot line_,_.___ 2 Number of lines___- - e81W$ _ __-____Length of each line----50"_eaCh___-Width of trench-Z41--_____-____---------- Type of filter material_Z�_._... ._-___Depth of filter material-,.18"------------Total length-5.9 -- -------------------- 1 Seepage Pith Distance to neare�i-ewell adhNOSle--------Distance from foundation__10-=______-_.Dista�ce to near to ine_ -_1Q____ 2 k i• ---------Linin material--Off''---Brlekize: Diameter------------- - 2 � each Number of pits--- ------- g � 48- -------- Depth-----�.----------------------- Cesspool: --- ------- Cesspool: Distance from nearest well-----------------Distance from foundation.-.-_-____________..Lining material______.____________________--_--_. ❑ Size: Diameter-------------------------- -----------Depth----------------------------- ----------------------Liquid Capacity- --------------------------gals. Privy: Distance from nearest well.------------------------------------------------Distance from nearest building----:_____.__-----_________--_________._. ❑ Distance to nearest lot line--------------------------------------------------------------------•------------ Remodelin and/or repairing (describe :2._.sY_s-tems___On-__Ba e.__.a..Qtc_ .__a0_.Sj_ Uated Om Aad tf�---evenly__ distrbu�e---the---load--(__. units__on__each.--Sx�tena_ ---a] 1Q___asiare._frex: floint___of--_-___---- -----sewa-e_- o-_ the---�y_�tems---from__the---farthest Poing, - ------------------------------------- -----------------------------------------------------------------------•----------------------------------- ---------------------------------------------------------------------------------------------------------- I hereby certify that I hav ared +his application and hat the work will be done in accordance with San Joaquin County ordinances, State laws, and r es and gulations of the San aquin Local Health District. ( g }----•----PARRISH I—�------------- ----------- -- OYKXa� Si ned ------------------- - ( Contractor( By: -- --• - (Ti+le] Estimator ---- -- ----------------------------------------------------- (Plot plan, showing siz of lot, locatio ystem in rela 'on fo ells, PIdings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY - $;(- ------------------- DATE--------------7— REVIEWEDBY------------------------------------- --------------------------------------- ----- ---------------------------------------- DATE----------- -------------------- BUILDING PERMIT ISSUED-----------------------------------------------------------•------------------------------------- -- DATE Alterations and/or recommendations:_. ------------------------------------- - -----•---------------------------------------•-----------•------ --------------------------••------------------------•------•------------------------•-------------- ------------------------•-------•------------------------._...--------------------------------------------------------- --------------------------•-----------------------------------------------------------------------•------------------------- ---------------------------•---------------------------------------------------•--------------- ----••---------------------------•-•--- -•----------------•-----------------------•----------------- ----------------------------------------------------------------------------- ------------------------------------- ----------------------------------- ------- ---------------------- -------------------------•----------------------------• --- --- ------ ---------------------------------------------- FINAL INSPECTION BY:----- `- ------------------- Date--. .- SAN ate--. -SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street Stockton, California Lodi, California Manteca, California Tracy, California ES-9-2M 10-52 Revised W-2100