30 - Laserfiche WebLink

Home Browse Search

A 6 APPLICATION FOR SANITATION PERMIT [Complete in Duplicate] 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. on lot. JOB ADDRESS AND LOCATION_________265 E. Home Streets _Sto_ckt_on---(Ness house gust roved -------------------- ---------------- -------- --- Owner's Name--------Sohn Vi=i`- t�Ln ch--------- ----------- Phone-------�-778{}V_0------ ------------------------------------------------------------------------------ - Address-----------------26 1_•E'...Main.._Street. Stockton-,--__Calif. ____--- ------------------------------------------------------------------ Contractor's Name------D' A'-_.P&rr sh--&- SOns... Inc_. ------------------------- �'.$ _ ----------- Phone-------•-- 5,--- ------------- Installation will serve: Residences Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units:JQ Number of bedrooms 91 Number of'baths [I Lo# size--- x_ 55' Water Supply: Public system Community system 91 Private/d/ Character of soil to a depth of feet: Sand ❑ Gravel`❑ Sandy Loam ❑ Clay Loam❑ Clay ❑ Adobe (Z Hardpan ❑ { , TYPE OF INSTALLATION AND SPECIFICATIONS: 1 W (No septic tank or cesspool permitted if public sewer is available within 240 feet.) Septic Tank: Distance from nearest well---. QQ i___Distance from foundation-------9_ _______.Material-Concrete Ciro-Brick l ® No. of compartments----------Z------------Capacity---------9dn--- `Size----- _ «rLiquid depth______ 2;____________ Cesspool: Distance from nearest well _Distance from foundation-------------------_Lining material________________________________-___.�, ❑ Size: Diameter--------------------------------------Depth-----•---------------------------------------------- Privy: Distance from nearest well-------------------------------------------------Distance from nearest building------------------------------------------ F1 Distance to nearest lot line------------------------------------------------ ------------- Se pa e Pit: Distance to nearest weil_____ a -=------Distance from foundation------ ____-___.Distance to nearest lot line._ _#_______.__ l Number of pits-_;�----------------Lining material_ G4nCrer'z� Diameter_______-_33�I.-_____.Depth________-' '-'- Disposal Field: Distance from nearest well---07 ___.Distance from foundation_____ _______Distance to nearest lot line_____- � Number of lines_____________ ___________________Length of each line----------1-Q_Y-------Width of french-------- p- �____-______ Type of filter material-____yr Depth of filter material-----------1.2--t___ Remodeling and/or repairing (describe):-------RV;----installation for 2 beC�oom house - - - -- ------------- ----------------------------------------------------------- -----------------------------------------------------------------•---------•----------------------------------------- --------•---------------------------------------------------------------------------------------------- --------------------------•-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•--- 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. (Signed) ------- A. P`4 ._..TSkf 8c SOhS, INC. go 0 [ X Contractor] B : ._. T�+le Estimator y { � 1 (Plot pi s owing ize of lot, locati n of system in relation to wells, buildings, etc., must be filed with this application}. FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY-------------- -'---, _=--- rl------------------------------------------------------------ DATE--------/ 3+ REVIEWED BY ` - --- L--- ------------ - ------------------------------ DATE-------'p-=--. ------ ------ - --- BUILDING PERMIT ISSUED------- -- ------------------------------------------------------------------ DATE---- Alterations and/or recommendations--------- ----------------------------------------------------------••-•---•--•---------•---------------------------------------------------------------------- -----------------------------------------------------------•-----------------------------------------------------------------------------•---------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------•-----------------------------------------_------------------ --------------------------------------------------------------------------------------------------------------------------------------•--------------------------- ---- -- ---------------------------------------------- •--------------------------------------------------------•- ----------------------------------------------------•-------------------------------------------------- ------ - PERMIT No---------- -- ----- ISSUED--04- --- ----------&-(Date) FINAL INSPECTION BY:----- ------- ---------------------------.-----.----------- i � r ,k Date A -------------- SAN JOAQUIN LOCAL HEALTH DISTRICT / 130 South American Street Stockton, California E$--9-2M 9-50 W-1639 i