88 - Laserfiche WebLink

Home Browse Search

' APPLICATION FOR SANITATION PERMIT (Complete in Duplicate) Application is hereby made to the San Joaquin Local Health District for e permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. • s JOB ADDRESS AND LOCATION------344---aQ----_Wa_ k-er_-- -------------------------------- Owner's Name-----_--- -fg__-SII 1th.---•--------------------------------------------------------------------------------------------------- Phone------NO------------------------- Address------------------------------ 4-4.--So....WalYer.-L-aae---------------------------------------------------------------------------------------=------------------•--•------------- Contractor's Name. D. A. Parrish. &--- 3_ons:--I-nc.-----*_ `r -- Phone$-a59_7 7--------- --------------------------------------------- ------- Installation will serve: Residence ® Apartment House ❑ Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of living units: 10 � Number of,bedrooms l] Number-of baths [I Lot size______-50_1---X___5Q_3------------------------------- Water Supply: Public system ❑ Community system ❑ Private IN ' I Character of soil to a depth of 3 feet: _Sand Gravel Sand Loam Clay Loam Clay -Adobe Hardpan P E Gravel ❑ Y ❑ Y ❑ Y ❑ �� p ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 200 feet.) ' Concrete Ciro-BI Septic Tank: Distance from nearest weIl___ Q _.____Distance from foundation_________ _1.__ Material________________________________________________ ❑ No. of compartments--------------------------Capacity------------------------Size------------~ =-----------Liquid depth--------------------------- Cesspool: --------- ----- Cesspool: Distance from nearest well �___Distance from foundation______--F_-______.Lining material 6 !!'_ 1�4 ___?r` C_-__ - D- j Size: Diameter-62 _ f�El th------- ✓ IoV ' -----Zat------- Privy: Distance from nearest well------------------ -----=-Distance fromnearest building___________ ❑ Distance to nearest lot line_________________f------------------------------ Seepage Pit: Distance to nearest well----------------------Distance from foundation--------------------Distance to nearest lot line_________________ ' ❑ Number of pits----------------------Lining material-------------.---------Size: Diameter------------------------Depth----------------•---------------- Disposal Field: Distance from nearest well------------------Distance from`fodndation--------------------Distance to nearest lot•line____________._.__ ❑ Number of lines___________________________________Length of each line------------------------------Width of trench________________________ Type of filter material_________________________Depth of filter material____________---_--_____ — Remodeling and/or re ns (describe:_______-T_P�ul p2rc^+ 1I1 -- a lo--- -- ��Z'60Yi__dts_E'1�211 . . �/ -----rn )q -6'"-----V---m a t'{a 1 `% - '1-�� --------------------------- ----------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------ `° I hereby certify that I have prepared this application and that the work will-Ine done in accordance with San Joaquin County ordinances, State laws, and rules an regulations of the San Joaquin Local Health District. D. A. IParrish & Sans Inc. (Signed)------------------------------- ----- ----------------------------------------------------------------------------------------- ----------------------------(ig4QCMW& Contractor) BY:-----------------------------------------I----------------------------------------------------------------------------------------(Title) Es ator. .`.= (Plot plans, showing size of lot, location of system in relation to wells, buildings, etc., must be filed with this application). } FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BYs 1 - DATE -------- -.. REVIEWED BY--------------------------------------- r ------------------------------------------------------------------ DATE - D BUILDING PERMIT ISSUED...•---------------•------- ----------------------------------------------------------------- ----- DATE--- Alterations and/or recommendations:------------------------------------------------ ----------- -- --•-------•------------_--------------------------------------------------•------------ - ------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------•-------------------------------•--------------- ------------ = ---------------------------------------------------------------------------- ----•-•--------------- ------ ---------------------•-----------------------•------ ----------•--------------------------- n. - F --------------------------------------------------------------------------------------•---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ----- ----------- --__-_-r----'-•------------------------------'----'----- -------------- -- ----- ----- - PERMIT No........... ---�-__---- ISSUED------I_fl_'—_____J__--s_Q(Date) FINAL INSPECTION BY---------- ----- - --- -- -- -------------- --- ----------- Date -G/--- ---- � �t SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street Stockton, California y E5-9-2M 9-50 W-1639