2207 - Laserfiche WebLink

Home Browse Search

!��. .� APPLICATION FOR SANITATION PERMIT Permit No. cE` _ ___7___ �' 'S (Complete in Duplicate) S f I1 r � �R � Date Issued�-��--___-� y � Application is hereby made to the San Joaquin Local Health District for a permit to construct and install the work herein described. This application is made in compliance with County Ordinance No. 549. 1888 W. Washington. Street Stockton J08 ADDRESS AND LOCATION--------------------------------------------------------------- wa er Rea1t Comma-- 7 7867 Owner's Name--------------------------------------- y ------------------------------------------------- Phone-- ------------------------ Address......._--------------------------------------- 343 E. Weber Avenue ------ -------------------------------------------------------------------------------------------------------------------------------------------------------- Contractor's Name--------------------------------D-. A.. PAR RISH & SONS INC w -- _4 `----------------- Phone-__ Installation will serve: Residence partment House E] Commercial ❑ Trailer Court ❑ Motel ❑ Other ❑ Number of kving units: _.3___ Number of bedrooms _Z____ Number of baths __1___ Lot size _ Water Supply: Public system [N Community system 'ElPrivate ❑ Depth to Water Table -------- ft. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay ❑ Adobeu Hardpan ❑ Previous Application Made: Yes R] No ❑ New Construction: Yes 99 No ❑ 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 None to fro fou dation_l�_�_-________.Material___f'___ ___Br Ck__________________ ��--x3 '"x�3n 2" No. of compartments--------------------------Size--------------------------____--Liquid depth-------�-----------------Capacity_____$nQ-_Geld Disposal_Field: Distance from nearest w 11110 nI'-----Distance from found i 10! Distance to nearest lot line____________ I �`�3p� 24" Number of Lines_____________ a___ Length of each line_______ __ Width of trench__--_______-- _-------_-____-_-___ -�! Type of filter material__Z_.___._Rk- Depth of filter material��________________Total length_______1I�_r_______________________ Seepage Pit: Distance to nearest well__r11Q�__Distance from fou dation___I_I .__.Distance to nearest lot line____,«_"_"µ__ Number of pits-------/------ g 4' [ .►� Depth_ '' --00 -/=�r'-`�-- Linin material_____ __ `� Size: Diameter_____.__ Cesspool: Distance from nearest well_______________Distance from foundation-----------.--------Lining material___________________________________ ❑ Size: Diameter--------------------------------------Depth----------------------------------------------------Liquid Capacity----------- ---•---gals. Privy: Distance from nearest well-------------------------------------------------Distance from nearest building____.--__-________--__.--_-___--_--_-___-. ❑ Distance to nearest lot line -------------------------------------------------•-----------------------------------------------------r� -_-------------------- ----- - ------ w - � ------- ----------------- > "7 Remodeling and/or repairing (describe):____��__-- --- ------- -------------------------------------- ---- --------- -----`---------- ------ ------------------------------- -:----------------------_-1- - ----------------------------------------------------------------------------------------------------------- ------ ------- . ---------------------.--------------.------------------------------------ I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County r ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. D A. ARRISH & SONS INC. . (Signed) (� r Contractor) g : Estimator Y ---- --- -------------------------------- -----(Title) { (Plot plan, s wing size of lot, location of stem in elation to wells, buildings, etc., can be placed on reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY--- `------------------------------------------------------------------------------------------ DATE--��------------------------------------------------- REVIEWED BY---------------------------------- ---- -- DATE----- --------------------- 1' -------------------------------------------------- -------------------------- BUILDING PERMIT ISSUED---------- ---- ---------------- ---------`------- € '--- --/-►-- 1y ,��? �- j 'DATE ---- _�_/ } Alterations and/or reckommendations:_:-----___ !_ ��: _____ _ ____ __ c_____ / } 11�`R .d.!"i!4 _♦ l=r^">! T - - -- - ------- -----�`--- e ---------1 (�1-------------- C i -------- -- --"`---- --- ----- - �----`°="---�-`��i'------ -ta- +�--± ---------------- ------------------------------------- - --- ------------------------------------ ----------------- ---------------------------------------------------------------------------------------------------------- -------------------------------------------- --------- -- - --�--------- --- ----------------------------- -----. FINAL INSPECTION BY:_____ _______ Date________________ SAN JOAQUIN LOCAL HEALTH DISTRICT 130 South American Street 300 West Oak S+reet 132 Sycamore Street 814 Norfh "C" Street S+ockton, California Lodi, California Manteca, California Tracy, California ES-9-2M 8-51 Revised W-2100 1