9748 - Laserfiche WebLink

Home Browse Search

APPLICATION FOR .kNITATION PERMIT Permit No. P1 � (Complete in Duplicate) • g �1, t Date Issued ----------------------- Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. his application .is made in compliance with County Ordinance No. 549. --JOB ADDRESS AND LOCATION------------ ------------------------------------------------------- ------------------------ 501 SOUTH VENTURA Owner's Name----------------------------------------------ISTO.CK ONS-OAL.IF-ORIA--------------------------------------------- •----------------- Phone M l y I Address---------------------- _ Contractor's Name > ,` --------------------- ------------------------------ --•----------- ------ Phone. _ ---�--------- Installation will serve: Residence ❑ `'Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other Number of living units. _ZZ Number of bedrooms _Z!. Number of baths __42 Lot size ---------------------------------------- l' s Water Supply: Public system Community system ❑ Private ❑ Depth to Water Ta le f Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam y [] Adobe ❑ Har n 0 Previous Application Made: Yes ❑ No_2T New Construction: Yes W No ❑ FHA/VA: Yes ❑ NoA� TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or'cesspool permitted if public sewer is available within 200 feet.) Septic Tank: Distance from nearest well --1' -Distance rfrom foundation __;______.Material-----_. t --- ---- -- ----- Rd No. of com artmen __ts_. _______Size__ __.___ __ f1 I r/UG7. Disposal Field: Distance from nearest well!.' Distance from foundation--- �____.__Distance to nearest lot line- -- ---__=_-•- Number of lines__________ Length of each line--------'7--__5-1 -_-----.Width of french------ ___�__-- _-_------ Type of filter material-_ Depth of-filter,material--. .. .........Total length--_ -- Seepage Pit: Distance to nearest�weli,/��z-'__----Distance.from f �ndn `Distance to nearest lot line __ - -------- Number of pits------- -------------Lining material,.,-tom Size: Diameter_-_ _.._._Depth-------___. ______ --------- Cesspool: _ _,._Cesspool: Distance from nearest weld-----------------Distance from foundation--------------------Lining material----_-__-- ____-_---- _._-_�. F1 Size: Diameter------------ -------- ---- - -------De th----------------------- ----- ----Liquid Capacity--:Y : ga .l _ y f Priv Distance from nearest well-----________________ __ Y: - ------------------------Distance from nearest building------------------------------------___--. ❑ Distance to nearest lot lire- ------- ----------------------- -------- -------------------•-------------------------------------------- ------------------------- and' reprin g (*scribe)- E odelir�g7ai ,,/ `-- ---- -----------; ;�-�- ----- -= -- -------- ------ -�— ------- e- ----- --- ---- ------- --------- ------------------------;t�A!! I hereby certify that I have prepared this application and that the work will be done ianccordance with San Joaquin County ordinance ,ARCMeR` 'dE%Tff& hand regulations of the San Joaquin ocal Health District. 501 SOUTH VENTURA (Signed)----S;C}CK7U V� 1�AUk10Bhll� ---- -------------------------------------------{Owner an r Contractor) BY:--------------------=------------------------r- -- --------- - - - ---- ------(Title) -- ----------- s (Plot plan, showing size of lot, Iota+' of-!ys+e iia ion +o els, buildings, etc., can be p ' ew rse)We FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY--- -- - ------ - -- ------------------------------------------------------------- DATE------ ---- �J: -_- REVIEWEDBY------------------------------------- ---- - - - ------------------------------------------------ DATE--.-- - ---------•-----•--------•------------------------ BUILDING PERMIT ISSUED-------------- -- ---- - ---------- - -------- ------------ ¢.-- -------- D TE.---------------------111r ---------------------------------- eratio s nd o recommendati ns:---- �.__ ._ - _ -_ -�+i�_------------ ° _ • L - r_ ----- ------- - --------- - -- - -. -_- --- _-3j - --------- --- = - " -- ------ --- ------------------- ---- --- -- - ---- ---- n FINAL IAe Y- 7 NSPECTION BY:- Date___- �- _- - -- ------- f� ----------- ---------------------------•---- SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak Street 132 Sycamore Street 814 North "C" Street t Stockton, California Lodi, California Manteca, California Tracy, California ES-7-2M , Revised 1-57 F.P.CO.