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•-.` -,� Permit No. ..��.D�--- APPLICATION FOR SANITATION PERMIT (Complete in Duplicate) Date Issued to the San Joaquin Local Health District for a permit to construct athe work herein described. nd ins#all Applica+ion is hereby made 9 This application is made in compliance with County Ordinance No, 549. 2200 block West Washington Wtreets Stockton. JOBADDRESS AND LOCATION------------------- ------------------------------- ---------------------------------------------------------•-•-------- Warehouse building: Craft Construction Co. Phone--------4o--9-4-5-1----------- Owner's o--94' 1----------- Owner's Name----------------------------------------------------------------------------------------------------- 2812 Sanguinetti Lane ---------- Address----------------------- ---------------...------•-----------------------------------------•------------------------ g-907" ---------------------------•1111--1111-- --------1111.- Contractor's Name---"--_--•------_-• - pAaRISH IN C Phone---•---•----•---------------------- ------------------------------------------- ---1111-- -----------1111-- -------•----------••1111-•------------1111-- Installation will serve: Residence ❑ Apartment House ❑ Commercial ❑ Trail e i rt �n Motel [] Other s OLts+9�, '�oi�ie'L`� 1 15ox- --------------------------------- Number of living units: _---____ Number of bedrooms __.__--- Number of baths _______. of size ____ 0 ___ __ Water Supply: Public system � Community system ❑ Private ❑ Depth to Water Table _2--It. Character of soil to a depth of 3 feet: Sand ❑ Gravel ❑ Sandy Loam ❑ Clay Loam ❑ Clay [N Adobe 6 Hardpan ❑ Previous Application Made: Yes ❑ No A New Construction: Yes �] No ❑ TYPE OF INSTALLATION AND SPECIFICATIONS: (No septic tank or cesspool permitted if public sewer is available within 'A feet�rpm oadi CpBrickrm p9ne Distanc f o ndation---------------b _____Mat r t� Sep#ic Tank: distance from nearest wgl________.__---__ rr}�, u 'Capacity gt o gels No. of compartments------33 - ----- ----Siza---- -W-- �i --o---- P Y 1555 ,� tt3__.t c� f`�8 �e--1111-- - - - Dis Disposal Field: Distance from near t weii_-NOne Distance from foundatioA _-....Distance to ne h 24ti�line____------ .- O P JC '_ __.Width of fren h0 Number of lines_____ ------ Len ti, of each line_______--_ - ---------------------------- �-n- -r�k-- p ,t1111- - -- , of filter material____ -9____1---.---De Depth of filter material ---- ---- Tf&& ly' ------------------------------------ Type Q rmfixt One ----Distance ro foundption____________________Di42riFe to nearest lot�r�er Seep�1age Pit: Distance #o nearest e ____._____..._ - { C�3ri �F V Number of pits.--- Lining material - e: Diameter-----------------------Dept'n--------- ----------------------- 2-Cesspool: D+stance from nearest well-----------------Distance from foundation--------------------Lining material--------------------------------- ____. ❑ Size: Diameter--------------------------r-----------Depth--------------------------------------------------Liquid Capacity----------------------------gals. �. , . ,�.� �_._ _----._ ance• rorn. Distfnearest building Privy: Distance from nearest well - = r Distance to nearest lot line---------r------------------------------------------------,-------------------------------------- ---------------------- k Septic to be domed for i trezagth -since area. will ~ __________________ Remodeling and/or repairing (describe)_______________"---_ .__ ______--____-_ n�1111-- - ----- ------------------••----- ------------•------------------_._-------- •-�-„.. �i =' c. be subject to some heavy traffic a _ wiZ7 be ant .re y ---------------------- ______________ __-_ _ -_ _ _ _____.______•____..___________________-__-___..._____-__._____._________________________--_____-______-_____--______---___--_________________-_._"----_______._.--------_ I hereby certify that I have prepared this application and that the work will be done in accordance with San Joaquin County .. ordinances, State laws, and rules and regulations of the San Joaquin Local Health District. 5i ned PARR IS INC, --------------------------------- --------------- --(6 )4 Contractor) ( g -•1111--1111-- ------------•------------I----------- ---------- 11---1111-- -1111 ----- -------1111--- Esttmatnr BY:--------------------- ---------------------------- --(Title)__ --- = ----------------•--------------------1111-- -------1111-- -------------1111-- (Plot plan, showing size of lot, location of system in relation to wells, buildings, etc., can be placed on-reverse side). FOR DEPARTMENT USE ONLY APPLICATION ACCEPTED BY�---------------------- --------------- -------------- --------------------------------------- DATE_.F_..�►---------------.------------------------------- - REVIEWED BY-------111111 11=---1111-- 1111-•- - -1------------------- ---------- --------------------------------------------- DATE----- -j;-------------------------------------------------- BUILDINGPERMIT ISSUED-------•-- -------------------------------------------------------------- DATE-------- ------------------------------- -------------- Alterations and/or recommendations:------------------------- 11---1111-- ------------------111111 11---1111-- ---------1111-- ------------------4 -------------•------------------------------- ---------------- - ----- --------- ---- ----- - ... - - --- 1111-- -- - -------1111-- - -- ----- .�-�---111111 11--1111-• - - - - ---- ---- -t'� 1111•• - ----- - -- 1111 --- ---------- - - 1111 - - � --- 1 111---1111-- ------1111-- -------1111-- - -------1111-- --------1111.- d5 --- -- ------------- --- 11---1111-- •-------------------1111-- 1111-- ------------------ -- �-----111111 11-111111 11--�----- - ✓ -------------------- - ---- - �- FINAL INSPECTION BY-------------- -- -- - Date ------- = SAN JOAQUIN LOCAL HEALTH DISTRICT 300 West Oak Street 132 Sycamore Street 814 North "C” Street 130 South American Street Trac California Stockton, California Lodi, California Manteca, California y ES-9-2M 10-52 Revised W-2100