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CHECK LIST — DEMOLITION PERMIT <br /> 2 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> y: { 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br /> BUSINESS PHONE: (209) 468-3121 <br /> cgt7Fo ��p INSPECTION REQUEST 24-HOUR RECORDER: (209) 468-3165 <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 is ell and septic system must be identified prior to 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) 942-1526. <br /> Scope of Work: De Ao(: 54 Ovs e L Se +rL k <br /> Project Address: f'; c, CAr <br /> L4 C(5Z3t <br /> DEPARTMENTS LISTED BELOW MUST GIVE APPROVAL PRIOR TO ISSUING DEMOLITION PERMIT <br /> Environmental Health Department Approval Signature: Date Issued: r y <br /> San Joaquin Valley Unified Air Pollution Control Date Issued: <br /> District Approval Signature <br /> VR POLLUTION CONTROL DISTRICT ENVIRONMENTAL HEALTH DEPARTMENT <br /> 4800 Enterprise Way 600 E. Main Street <br /> Modesto, CA Stockton,CA 95202 <br /> (209) 557-6100 (209) 468-3420 <br /> w ro �� 2 �r C-t—, <br /> J <br /> '7(q <br /> ,r C <br /> \� 9b <br /> FAApplication Forms&Handouts\HANDOUTS1Check List Demolition Perm it.doc(Revised 1-11-11) <br />