3036 - Laserfiche WebLink

Home Browse Search

�— [ .• APPLICATION FOR SANITATION PERMIT----^ Permit No. --.________ 0 (Complete in Duplicate) �� y--- g �� Date Issued ______f!___ 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_•-__-_-184 - Berkeley Avenue Stockton Owner's Name_____________________------_---------- ------------------------------------------------------------------------------------------------------- PhFRANK WHITAKER 3.1575 Phone Same Address--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Contractor's Name-------------------------------D, A. PARRISH & SONS, INC-- , :- ------------------------- Phone--- A607-__-.--------- Installation will serve: Residence IN Apartment House E Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units. _3-___ Number of bedrooms 2____ Number of baths ----I- Lot size ___60 X],00 4_________________-___-__._--__-_ Water Supply: Public system IV Community system El Private E] Depth to Water Table �-- ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobe Hardpan ❑ 1 Previous Application Made: Yes ❑ No ❑ New Construction. Yes ❑ No ❑ 4 TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available,tithin 200 feet.) Septic Tank: Distance from nearest well------------------Distance from foundation--------------------Material-__-_--_----_-_ -_________________________-_____- ExiMting No. of compartments-----------------------:--Size--------------------------------Liquid depth--------------------------Capacity----------------------- Disposal Field: Distance from nearest well--------------------Distance from foundation--------------------Distance to nearest lot line_________________ ❑ Number of lines-----------------------------------Length of each line----------:-------------------Width of french----.-.--------__------------------ Type of filter material-------------------------Depth of filter material,--------------- ------Total length------------------------------------------ Seepage Pit: Distance to nearest ell____NflAP______Distance from foundation_:____Z .__.___.Distance to nearest lot line____5_________ Q(} 1 Number of pits-------�.--------_-Lining material---CC__Br�- e: Diameter-------- --------------.Depth------z5__------------------- Cesspool: Distance from nearest well-_________-_____Distance from-foundation____________________Lining material-------------------------------------- El _____________--_________----____.❑ Size: Diameter----------------- --------------------DepPh-------------=-----------.---------------------------Liquid Capacity-------- -----------------..gals. xt r Privy: Distance from nearest well-------------------------------------------------Distance from nearest building------------------------------------------ 0 t ❑ Distance to nearest lot line------------- ---------------------------------------------------------•----------------------------------------------------------- Remodeling and/or repairing (describe):----------------------------------------------- •----------------------------------------•----------------•-----------------------------•----------..----- ---------------------------------------------------------------------•-----------------------------------------------------------------------------------------------------------------------------------:------------------ --------------------------------------•----------------------•---.-----------------------------------------------•-------------------------------------------- ------- -------- ---------•----- -- 1 hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin Coun ordinances, State laws, and rules and re'gulati of the San Joaquin Local Health District. » A» PARR�s & soy Nc {Signed} t.= -` --- ----- J { � Yr Contractor] i {Title)______.Estimator B ' --------------- (Plot pla owing s' a of lot, location of system i elan n to wells, buildings,,etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY ` DATE-------- -----------21 REVIEWEDBY------------------------------------------------------- --------------------- ---------------------------------------------- DATE----------- -------- IBUILDING PERMIT ISSUED------------------------------------------------------------------- ---------------------------------- DATE------------------------------------------------------------- Alterations and/or recommendations-- --------------------------------------------- ---------------------------------------------------------------------------------------------------------------- - --I------------------------------------ ----- ------------------------------------------------- r , ------------------------------------------------ --------------------------------------------------------- -------- --------------------------------------- -------------------------------------------------------------------------------- -------------------- -------------------------------------------------------`-- --------- -------. -. --------------------- ------------------------------------------------------------------------------------- - FINAL INSPECTION BY:-, fr' ' . ��. Date------ -- - --------------------------------------------------------- SAN -------------- -- ----------------------------- 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 8-51 Revised W-2100 .� _ i