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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 FOLLOWINGINFORMATIONANDDOCUMENTATIONMUSTBE SUBMITTEDTO DEVELOPMENTSERVICES CheV-BEFORE YOURAPPLICATIONCANBE PROCESSED.off <br />1.One completed Application.v <br />2.Obtain Environmental Health Department Approval on Demolition Permit Application.The final <br />disposition ofthe 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,/PRIOR to obtaining your Demolition Permit. <br />4.Obtain Air Pollution Control District Approval on Demolition Permit Application.1/' <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)942-1526. <br />'TR-~I Mob,f·---Scope of Work:h i)"""'-e <br />Project Address:-Sq~LI N.I-IlN'-t ~~rr:a."•..If po Cj e.~oC?o( <br />DEPARTMENTS LISTED BELOW MUST GIVE AP.fROVAL PRIOR T;?ISSUING DEMOLITION PER,MIT <br />Environmental Health Department Approval Siqnat:~_"Jf]~LA'j"Date Issued:'1-I1 'VI ~/J'--San Joaquin Valley Unified Air Pollution Control Date Issued:'C ,, <br />District Approval Signature <br />AIR POLLUTIO CO TROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br />4800 Enterprise Way 600 E.Main Street <br />Modesto CA Stockton,CA 95202 <br />(209)557-6400 (209)468-3420 <br />W€w e:-O ~UJEP ~1W/~tiU 182-AnZIt:6uT <br />~U-~OV S'f2-o~6~~2- <br />F:lApplication Forms &Handouts\HANDOUTS\Check list Demolition PermiLdoc (Revised 1-11-11)