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?°P4 U 11 44 ,11110 CHECK LIST ® DEMOLITION PERMIT <br /> .G <br /> a 2 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE : (209) 468-3121 <br /> �q•. :: o- INSPECTION REQUEST 24-HOUR RECORDER: (209) 468.3165 <br /> C% FOF� <br /> CHECKLIST <br /> THE FOLLOWING INFORMATION AND DOCUMENTATION MUST BE SUBMITTED TO DEVELOPMENT SERVICES Check- <br /> BEFORE YOUR APPLICATION CAN BE'PROCESSED. - Off <br /> 1 . One completed Application <br /> 2 . Obtain Environmental Health Department Approval on Demolition Permit Application. The final <br /> disposition of the well and septic sstem must be identified priorto application approval. <br /> 3. If your demolition project is 1200 sq . ft. or more you must obtain an approved Debris Diversion <br /> Plan from Public Works Solid Waste Division office at 1810 E. Hazelton Ave., Stockton, 468-3066, <br /> PRIOR to obtaining your Demolition Permit, <br /> 4 . Obtain Air Pollution Control District Approval on Demolition Permit Application. <br /> 5 . It is the applicant's responsibility to notify P.G:& E. and have utilities disconnected. It is also the <br /> applicant's responsibility to insure P.G.& E. notifies the Building Inspection Division that these <br /> utilities have been properly disconnected. Please contact P.G. & E. at 209-942-1495). <br /> Sco e of Work: <br /> Project Address : LoLOpk `i S2 <br /> fffff <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br /> e.�i <br /> Environmental Health Department Approval Signature: Date Issued: <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> AIR POLLUTION CONTROL DISTRICT. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 P+�nterprise Way 1868 E Hazelton Ave <br /> Modesto, CA Stockton, CA 95205 <br /> (209) 557-6400 (209) 468-3420 <br /> Demolition shall mea; the total demolition with the site left to grade, level, clean, and free from all debris. All foundations, <br /> porches, steps and other improvements to be removed and cleared from the property. If there is a basement atthe site <br /> it must be filled to ground level. cA,ll trees shall be protected. <br /> G1C 1 sRwe, SC_ 'til t> t6 <br /> /a c� x m lL l v✓h" <wi7/I <br /> GG fP se z � ffpor u/1 c/t= o 12 �d 0 . <br /> F : \Application Forms s Handouts \Building Application Checklists \Check List Demolition Permit . doc (Revised 6-30-14) <br />