Laserfiche WebLink
SAN JOAUUUV COUNTY PUBLIC HEALTH SERVICES _ <br /> ENVIRONMENTAL HEALTH DIVISION I ✓r'��'/p/ <br /> P.C.BOX S8&,w4 EAST wEBER AVENUE,STOCKTON,CA 2291-W <br /> 0914693426 <br /> EON ROPURDARLE FENMIT 5'PIM 1 TEAR FROM DATE ISSUED <br /> r..ku YI iFWDnbI <br /> ft�-ATION It HEREBY MADE TO THE BAN bAWIN E.BNTY FOR T PLANTE TO CONBTRVCT AFDMIR W STALL THE WOR(DESCRIBED.THIS MPI CATRHI IB MADE M COMPLIANCE WEEK BAN <br /> OVM C,OFVELDPMEM TILE C,NAAPIE{{RB.1L�111,^0..T2 ANB THE ST..OF BAN JOA4NIN COUNTY PUBLIC WWLTN 6ERWCE4nEANNRONMEMAL MALTN dVT6ON. a.)y2z-I '5J3k <br /> - .00M6410R ATFNH L7G V-TF`�11r'(�11� ^�LA _ �J CT' L-kTI'k Q6? LOT SIZLQ1/,(a <br /> NIMANE V1AMB`IJy YFIT [VL.�D AODRESfl L�(J O 1 [-1.�{'F -e RIONE <br /> *MS,, 4LE 451 Fh�Ic1Crfk L�1 ucE 17 'i°!fi RTHE 951-D-1'1� <br /> SOMRACTOn ABOREFS. hTW1, CA L97 Z.I Z;:141 uCH PXQNE <br /> x.TFRG WORIL: XCW mATUJATnx E3 ...D.m odm.To..❑ <br /> yEpTC 6YBTEM PERMITTED IF RIDLK SEWER IS AVARA%F WITMN 300�P±.F BUROWHJ PRG TORTNI I 1 XOW MANY <br /> APdkHm P <br /> 'AMAM.WILL.. REMORKE❑ COMMERCIAL Of OTHER <br /> 61 Of TMX.UMTS:_.—AA BEEJI Ed0M <br /> 10B: NUMG R <br /> ROF SEOYTES: <br /> yALTER pF WR TD A.l BTS FELT: RIJ D RT,/m•MP SOIL CNAMC[EH: SM.1 D WATER TABLE OERTN /D F <br /> RIC T1xXIMFP4F TRAP LffiTVPE/MED EICISIINCR� 'WNU��FA.CMHLETY��Cl I.LFFIJ NO.COMPAMMFMB 'Z <br /> TRFATMEM PIPIT❑ ELUTANCE TO..T: WELLFOUNDATION S'1OrBRT:LINE <br /> L1Ei AT..Q DRE TVEE OF.'MR SAND dL RE"ARAMN ENCLOSED SYSiENI <br /> IWA UNE NO,A LENGTH OF UNE. Z" O O pSTAHCE TO NEAAE8i:WFLL MUNDATXH ICC/ PRSPEMI'LINE I SU H <br /> L7♦I BED ❑WIDTH LENGTH DEPTH_MSTANCE TO NEAREST:WELLFOUNDATION_PROFERlY LINE <br /> MOED ❑W10TH LENOTX_�CICTANCt To xEMEST:WELL MUNDATSN PRORERTY LINE <br /> A.MS ❑OEFTN BIDE NVMBER _DIST.TO NF,A,ST:WFM_FOUNDATION PROPERTY LINE <br /> a ❑WTLITH LENBTH OEFTEt—..TANCE TO MARESF:WELL--FVUTAATION�RVPFRTY LINE <br /> BAA MIIDS ❑WIDTH IFNOTX DEPRi�0RD.FCE TO NEAREST:WELL_FOUNOATON_PROPERTY LXq <br /> RBY CERTIFY THAT 1 NAVE PREIAREO iM9 APRICATgN ANO THAT TXE NUIK WILL BE DONE IN ACCORDANCE WITH SAN AAOUW COVNTY ORDINANCES AND STATE LAW.,AND MILE. <br /> REGULATIONS OF THE BAN JOAOUM COUNTY.NOME OWNER OR LICENSED ADENUES SIGNATURE CERTIFIES THE FOMOURNO:'I CERTINTXAT W TNERFORMNCEOFTHE WORL FM W RICH <br /> RMIT I.ISSUEO.I SHALL NOT EMPLOY ANY PERSON W BUSH A MANNER AS TO BECOME SUBJECT TO WOA:MANS COMPSUGATION LAWS OF CALOSPBRA.- CONTIMCTOTS NINNG M <br /> �ONERACEUNB SIGNATURECERTIFIES TEE FOMOVi1NG:'I CERTIFY THAT M THE Fi1SORMANCE OF THE WORK FOR WHICH THIS FEWAR 15 MMIEO,I SHALL EMPLOY PERBONE BUSUOST TO <br /> MAN'S COMPEN.(XAA�TION LAWS(OF_CAUROBWA: THIS AFPUCAET MUST CALL BA MUSA IS ADVANCE FORAM RREQ\-U�IRRE�D�IDPEC/TIIOON6. COMPLETE DRALMHOByMCW- } <br /> FSX �'f�"' SLf6rT�L TRI.E�:/ U/�I(�/yIII T"IT`L'�F� DATE: <br /> PLOT RAN DRAW TO SCALER SCM' •E !_ LSI <br /> MES OF STREETS OR ROADS NEAREST TO OR BOUNDING THE PROBE IE. 4.LOCATION OF....REWAOE M RDIM,SYSTEM OR EFORDSEO <br /> SBR.lWE OF THE RIGH.WITH dMFNSpH6 AHO HDRTH d.ECTGN, EXP.ANBION OF SEWAGE gRPSUL L SVBTEM I. <br /> IM HURGI ED OVTURIN ANO LOCATION OF ALL EXISTM.AND RbM8E0 STRUCTURES, C. LOCATION OF WELLS NTMM RADWS OF ONE HUNDRED RFT:ET.ON <br /> CWMNO COVTJEO AREAS SUCH AS PATIOS,DNSMNAYA AND WALKS. THE PROPERTY OR ADAINING RbRflTY. <br /> SIIS <br /> 'A <br /> k^ <br /> L1C8` ICfze <br /> ro j V i qgf <br /> PC <br /> !I <br /> I <br /> 1 <br /> MAR , <br /> I AnOH ;e— <br /> ACCEPTED ' ` 1 , � _ �APFA ' 1 ''. <br /> C PR OA B..,INSFEC E_/f{/p/j/�IIY DAT / 1 FINAL INSPECTION BY DATE / / <br /> TMLAA COMMENT S:PL Y H bJv'/}.yl 3-1 p- 317?1 /A)5 IOU <br /> SBI <br /> CCOUNTMO GOT: AIDE ---- � <br /> FEETNFO PMOAMI R@M IT. CHEC RAN DEC EN,18T " DATE SRIPFRMJT NIIMSET INVOICEI <br /> SIB-/2 `� �:_i L <br /> ,D HSBYII SBH.-EBwO.174 <br /> 7751 / �� a 178-34x3 <br /> 1r-Ct I.Tu N�C�D F✓ <br />