6362 - Laserfiche WebLink

Home Browse Search

(A - I� 1 APPLICATION FOR SANITATION PERMIT Permit No. (Complete in Duplicate) Date Issued ...... ('7 7 - o-zo-rrs Applica+ion is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. r This application is made in compliance with County Ordinance No. 549. Last house on tract, North side , :~ 195 3 E -. A16 -, 4 JOB ADDRESS AND LOCATION.�94-_Lot 15, , North Acres Estates . North Ave, M&n teca Jack Tomlinson - - - -------- - Owners Name-------•-----------•-- •- -------------------- ------•---------•------------------------ ---------- --------------------- ---- - - Phone----•------------------------------- Address--------------------------------2151 E . Myrtle Street.. Stockton - - ------------------------------------------------------------- - - -• ---•------•--------- --------------------------- ... ----------------------- Phone ----- Contractor's Name PARRISH -IN C . a 1 Installation will serve: Residence$1 Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units: �----- Number of bedrooms .-3__. Number of baths -_____ Lot size ______10 t X 24.0 t Water Supply: Public system ❑ Community system ❑ PrivateJ�] Depth to Water Table ________ ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑. Sandy Loam MClay Loam ❑ Clay ❑ Adobe ❑ Hardpan ❑ Previous Application Made: Yes ❑ No ® New, onstruction: Yes EX No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if�lblic sewer is available within 200 feet.) U� Septic Tank: Distance from nearest well._..__�_t.-._Distance from foundation--�-P.I________-Material___ CC Brick p2� �xr� `x Liquid depth._5dtt Capaci 0 Gals. No. of corn artments_._ Z_ ________________Size____ ty______ Disposal Field: Distance from nearest well._50..........Distance from foundation__�-0_1p�-uF]istance to nearest lot I�Ee___5.r_____... 0 41 Number 01 lines----- ____-- .n.-- Length of each line-75-1 7 -- _ .-----.Width of french------.2,41------------•-------- I k 18" 150.1-- Type of filter material__.- Depth of filter material-----------------------Total length----- _-------------------------- Seepage Pit: Distance to nearest well______________________Distance from foundation--------------------Distance to nearest lot line__--_____________ ❑ Number of pits. ------Lining material-----------------------Size: Diameter------------.-----.----Depth_.................•- __-.-.-----_ Cesspool: Distance from nearest well-----------------Distance from foundation Lining material-- Diameter______________________ __ Dept h-----------w------__ Liquid Capacity ____gals. � Privy:— – Distance from nearest well-------------------------------------------------Distance from nearest building._--------------- ❑ Distance to nearest lot line-- -------------------------- ---- ---------- ---------------------= ---------------------------------------------------------------------- Remodeling and/or repairing (describe):--------- or-_FHA-._sale-_of--•house.•-this--_�s__:the recommended specifxcatians, in North Ave Estates. ----------------------------------- -----------------------------------------------------------------------------------------------------------•----------------------_--.-------------------------------------------••------------------------------------------ I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. 5i ned PARRISH & SONS , -------------------------------------------------------------- ------- ( 9 } - --- SContractor) By:. --------------------------- ( } E s tuna or - Title ---------------------------------------------------------------- s (Plot plan, sh ing size of lot, Iota+' of system in relation to wells, buildings, etc., can be placed on reverse side). x FOR DEPARTMENT USE ONLY I APPLICATION ACCEPTED BY- -- ---- --------------- --------•-------------------• -•• -------•----------- DATE- -------------------------------------------------- --------- --- ------ DATE----�----------------------•---------------------------- REVIEWED BY------- --------- ------------- -------- - ---- -------------------------�-------•-------------------------------------._ DATE------ - - BUILDING PERMIT ISSUED------------------- - ------- --- -- -- ------------- Alterations and/or recommendations:------------------------ . 1' -------7-------------------------------- ----------------------------------------------------------------- + ---------- •------------------•-- ------------------------------------------- -----------------------•- ----------------- -----------------•--------------- --------------•------------------------- -•----------------------------------------------- i FINAL INSPECTION BY:.._.____._ F-_.` __- Date------------ �_ J+ - 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 145446 ATWOOD . 12-5a