71-640 - Laserfiche WebLink

Home Browse Search

rlJ w .ice K Urrltt U t: �f `►.G1— l 7�-mss { F�' ` ---- ______ ___________ _ AP�PLICATI�QN Fv�c ANITATION PERMIT Permit No. . ._G_- - " : (Comple+e•in Duplicate) ....--- ---- ------------ ----- ---- --- This Perri Expires 1 Year From Date Issued Date Issued Application is hereby made to the S 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-_.___ -- -_ ---__--___-- _ g00 � iwar--Q9,--S •ac}cton,._-California Owner's Name-------- D x______Kaiser�-Aetna_-Com an p ...... --------------- Phone_.937 x595 Address 9- --------- to_ ktorx, t;aLifoxnza------------ -�.�OD--laior_th...��wa .s ---------------------------------- Contractor s Name._-----------Pa X'isb! Il a_ �� ------ ------- ----- Phone--- M----_------•- Installation will serve: Residence ❑ Ap ,tment.House,❑ Commercial ❑ Trailer Court [9x Motel �. ❑ Other ❑ Number of living units: __ ----- Numb, of bed-rooms -------- Number of baths-------- Lot size _____ ___ ________ __ Water Supply: Public system E] Comm . ity`syster�in ❑ Private ®c Depth to Water Table _6C- ft Character of soil to a depth of 3 fee I Sad ❑ Gravel ❑ Sandy Loam ❑ Clay Loam DPC Clay ❑ Adobe ❑ Hardpan ❑ Previous Application'Made: (If yes,dalel0 _ --- -- ---►.. ) No:R New Construction: Yes ❑ No ❑ FHA/VA: Yes ❑ No ❑ TYPE OF INSTALLATION AND SPEAylfie a' TIONS:;.. (No septic.tank or cesspool}per ` if'publicIsewer is available within 200 feet.) Septic Tank: Distance from neapsf eiI_--____3 Distance from foundation-------------------- ❑ -._ Material -- -------------- ------ ---------- -,.K....-�.._�� No. of compartments--- -----'......._......Size------ ------ -----------Liquid depth--------- ---- Capacity v f Disposal Field:10' Distance from nearest ell.'— ,Distance from foundation--------------------Distance to nearest lot line_________________ ❑ Q` Number n ine ------- _------- L Length of each line-- ---------------------------Width of french-----------_----------_- Type of filtpr�materiaL__ ------ -.-Depth of filter material____._ ------.Total length---------------- ---------- Seepage Pit: Il� Distance to;nearest well.__-_nOne�.-. 2pp1 t pistance from foundation__________________ Distance to nearest lot line__._--10-_---- ®X r�1 Number of,prts -------•------Lining.material------R(?Pk------ $ze: Diameter--_6611-----------Depth-----25_1---I Q r Cesspool: Distance fro-M tie est wel!----.-. ----Distance from foundation--- _---------- Lining material________--------------------------- ------------------- ______________ ❑ Size: Diameter_ - ------- .Depth. --- -- .--. __-_ _-____.Liquid Capacity. •� - ----------- - --- ---teals. Privy: Distance from neare'�t we l! - - — _—T -u_l --- r -------- ----------------- --------- ----Distance from nearest building ❑ Distance to near-es std lie _ ,- p__-------_- -------------- ___ - Remodeling ancl/'or repairing (describe):_- __- ---�'___. Drainage--for--eff luent from sewage plant N • --- --------------------- ------------- ,..1 ._i ---------------- -- ti -- -- -- ---------------------------------- -------------------- ----------- ----•---------------------------------------------- I hereby certify that l have•p"repared A.Is appIA-f ion and that the work will be done in accordance with San Joaquin County ordinances, State laws, and mles.and regulations ofAe San Joaquin Local Health District. (Signed) - Parrish Inc-:p t' ! .. - -:p J.r -a40� -------- ---- (Owner and/or Contractor] �, r ------------------- --------------------------•-----------(Title)------ --- ------ ----PY'es..----------- .--- --- - Plot fan, showin ��' '� ( p g°size of lot, location of s tem7in relation to wells, buildings, etc., can be placed on reverse side). a ?° _4 —. 'FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED B /___.- DATE__._ 7f REVIEWED BY.........�-►s J ------------- -------- ---°"'t DATE------------ ---- ------------ BUILDING PERMIT-13-SUED -- -- toy Alterations and/or recommendations:.__ ._. . --- �---------------------- --------------- --------------.- DATE--------- ------------------------- ------------------------- -----------------------------------*- ---- -Apt. ---------------•----------- ----- ------------•--------- ---------------- ----•----------------••----------- -------- F %0. N -- ------- i ------- ---- - - FINAL INSPECTION B ------ r r �O SAN JOAQUIN LOCAL HEALTH DISTRICT 1601 E.Ma:dlon y?_4" "(�?j 300 West Oak Street 124 Sycamore Street 205 West 9th Street 'A 16 Stockton,Callfarnia Lode. California Manteca,California E.H.9 2M 1-67 Van yard Pr Tracy,California - 9 's i . � a 0