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t' COUNTY OF SAN JOAQUfN FRITZ BUCHMAN <br /> DEPARTMENT OF PUBLIC WORKS Deputy Director <br /> c c f P.O.BOX 1810- 1810 E.HAZELTON AVENUE MIKE SELLING <br /> STOCKTON,CALIFORNIA 95205 Deputy tyDirector <br /> THOMAS GAU (209)468-3000 FAX(209)468-9324 STEVEN WINKLER <br /> Director www.sjgov.org/pubworks Deputy Director <br /> ROGERJAMES <br /> Business Administrator <br /> Activity#: PS-1201776 <br /> Issue Date: 07/24/2012 <br /> BUILDING PERMIT RELEASE FORM <br /> PROJECT APPLICANT <br /> APN 25528002 Quad: SW Name HALL,RON <br /> Address 30803 S RUTH CT Address 30803 S RUTH CT <br /> TRAC,CA 95304 City TRACY CA 95304- <br /> Telephone Telephone 209-814-8820 <br /> PROJECT NAME/PA#: <br /> PROJECT DESCRIPTION: ADDITION TO(E)SFR <br /> FLOOD HAZARD INFORMATION: <br /> Zone:X COMMUNITY PANEL: 060299-0765F DATE: <br /> 0 This site is not located within a Federal Flood Insurance Rate map Designated Flood Hazard Area. <br /> This site is located within a Federal Flood insurance Rate map Designated Flood Hazard Area. <br /> The 100-Year Flood Elevation will be approximately 0 feet NGVD. <br /> The 100-Year Flood Depth will be approximately 0 foot/feet above natural ground elevation. <br /> ❑X Finished Floor is EXEMPT from 100-Year Flood Elevation. <br /> IMPROVEMENTPLANS REQUIRED ❑ <br /> CALTRANS PERMIT REQUIRED ❑ <br /> RECLAMATION DISTRICT REQUIRED <br /> ON-SITE DRAINAGE(RESIDENTIAL) REQUIRED ❑ <br /> RESIDENTIAL DRIVEWAYONLY.• <br /> ❑Paved or Concrete Driveway(s)required priorto final occupancy. I acknowledge the Driveway(s)will he paved as required <br /> by the Encroachment Permit(EP)and inspected by the Department of Public Works prior to the Final Building Inspection. <br /> A TEMPORARY GRAVEL DRI VE WAYAPPRAOCH SHALL BE CONSTRUCTED PRIOR TO STARTING BUILDING <br /> CONSTRUCTION. <br /> �I acknowledge that the existing driveway is paved with Concrete or Asphalt Concrete, therefore an Encroachment Permit <br /> (EP) is not required. <br /> TNotApplicable. <br /> APPLICANT SIGNATURE-TITLE: DATE: Z <br /> I Z <br /> The Department of Public Works hereby authorizes the issuance of the Building Permit as noted above and that all the required fees <br /> and conditions have be 6 satis}ed. <br /> Z <br /> Approved By: DATE: / )y <br />