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CONDITIONS OF APPROVAL <br /> PA-1900240, PA-2000014, &PA-2000019 <br /> JASBIR S. GILL FAMILY, LTD PTP/GILL WOMEN'S MEDICAL CENTER, LLC <br /> Site Approval Application No. PA-1900240 and Development Agreement Application No. PA-2000019 <br /> was approved by the Board of Supervisors on November 8, 2022. The effective date of approval is <br /> November 8, 2022. This approval will expire for Phase 1 on November 8, 2027, which is five (5) years <br /> from the effective date of approval, and will expire for Phase 2 on November 8, 2032,which is ten (10) <br /> years from the effective date of approval, unless (1) all Conditions of Approval have been complied <br /> with, (2) all necessary building permits have been issued and remain in force, and (3) all necessary <br /> permits from other agencies have been issued and remain in force. <br /> Unless otherwise specified, all Conditions of Approval and ordinance requirements shall be fulfilled <br /> prior to the establishment of the use and the issuance of any building permits. Those Conditions <br /> followed by a Section Number have been identified as ordinance requirements pertinent to this <br /> application. Ordinance requirements cannot be modified, and other ordinance requirements may <br /> apply. <br /> 1. COMMUNITY DEVELOPMENT DEPARTMENT(Contact: [209]468-3121) <br /> a. BUILDING PERMIT: Submit an "APPLICATION-COMMERCIAL BUILDING PERMIT". The Site Plan <br /> required as a part of the building permit must be prepared by a registered civil engineer or licensed <br /> architect. This Plan must show drainage, driveway access details including gates, on-site parking, <br /> landscaping, signs, existing and proposed utility services, and grading (refer to the "SITE PLAN <br /> CHECK LIST"for details). Foundation and soils investigation shall be conducted in conformance with <br /> Chapter 18 of the California Building Code at the time of permit application. A fee is required for the <br /> Site Plan review. (Development Title Section 9-884) <br /> b. APPROVED USE: This approval is to establish a hospital campus with accessory medical office <br /> building facility in 2 phases over 10 years, as shown on the site plan dated January 9, 2020. (Use <br /> Type: Public Services— Essential) <br /> Phase 1,with permits to be issued within 5 years,to include the construction of a 36,000-square-foot, <br /> single-story, 12-bed hospital including alternative birthing services (including labor and delivery), <br /> emergency room, emergent medicine, and outpatient surgery services. <br /> Phase 2, with permits to be issued within 10 years, to include the construction of an additional <br /> 140,000-square-foot, three-story, 100-bed, full-service hospital with emergency helistop; and a <br /> related 60,000-square-foot, two-story, medical office building. <br /> c. CAPITAL FACILITY FEE:This project may be subject to the Capital Facility Fee. If the Capital Facility <br /> Fee is applicable, the County shall collect the fees before the issuance of any building permits. <br /> (Development Title Section 9-1245.2) <br /> d. MITIGATION MONITORING AND REPORTING PROGRAM: The project shall comply with all <br /> required mitigations included in the MMRP dated August 2022. <br /> e. LOT ADJUSTMENT/MERGER: A Lot Line Adjustment or Merger must be approved, finalized, and <br /> perfected prior to the issuance of any building or grading permits for Phase 1. A fee is required for <br /> these applications. <br /> f. AGRICULTURAL MITIGATION: Agricultural mitigation consistent with Agricultural Mitigation <br /> Ordinance in effect at the time must be provided prior to issuance of any grading or building permit, or <br /> at an earlier date should the applicant elect. (Development Agreement PA-2000019) <br /> PA-1900240, PA-2000014, & PA-2000019—Conditions of Approval 1 <br />