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Lott 1 Historical Map App #: - <br /> <br />Job Site Address: 1484 N. WHITE LANE STOCKTON Cross Street E. GARNICA COURT <br /> <br />Owner Name: MILLS, DONALD J 8 LINDA AIR APN: 10128001 <br />Owner Address: 6055 GARNICA CT, STOCKTON CA 95215-1200 <br />Precise Location: ON THE NORTHEAST CORNER OF EAST GARNICA COURT AND NORTH WHITE LANE, <br />STOCKTON <br />Subdivision Name: GARNICA COURT <br />School Districts: LINDEN UNIFIED, LINDEN UNIFIED <br />Current Zoningd R-VL j Setbacks: I Front-30' I Left-4' I Right-30' I Rear-4' I Height-16' <br />I Fire District: WATERLOOMORADA <br />Inspection Area: 2C <br />Date: 07-19-2021 <br />Plan Check Only z.--2.„.4ire Road Required:0 <br />Planning Approval: <br />. . . <br />kijii3:4) <br />BUILDING PERMIT APPLICATION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />1810 E. HAZELTON AVENUE, STOCKTON CA 95205 <br />BUSINESS PHONE: (209) 468-3121 <br />INSPECTION REQUEST-24 HOUR RECORDER: (209) 468-3165 <br />THE APPLICATION MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR BUILDING <br />PERMITS. <br />Scope of Work: .,/} D 1,1_, <br />Project Address:i Lilt il lAjithe.- (2i ( <br />Project Valuation: Contact E-mail: ii , i') de m /.//5 by, Frey/Hai l , (co <br />OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS <br />Name: D 0 n alod 4- 6 ii dr, firt,11 s Name: 6 n chi _ Ito 7 c <br />Address: 006-S (.2.wirne:cr.a.„ Cl jr) L. .,- , 0_ CDur+- Address: (,035 6 <br />CitY:c-Sh,C-P-- State: e.:4- City:51-Ddik4c. ., State: Ci- <br />ZIP: 9c,-,:) is-- ph#(.-A )qqt _79-1.13 ZIP: 9 5c)-15— Ph#(.20$ VW), 3a9.5-- <br />CONTRACTOR INFORMATION Ph* ) <br />Lic. No: Company Name: <br />Address. City: St ZIP: <br />DESIGNER INFORMATION Ph* ) <br />Lic. No Company Name <br />Address- City: St: ZIP: <br />LENDING AGENCY Ph#( ) <br />Company Name: <br />Address: City: St: ZIP: <br />Permit will be issued to an "Owner-Builder Yes g] No 0 <br />If yes, a completed Owner-Builder Verification Form must <br />be signed and submitted along with copy of the owner's <br />identification prior to issuance of the building permit. <br />OFFICIAL USE ONLY <br />Verified owners identification: <br />DECLARATION BY CONSTRUCTION PERMIT APPLICANT <br />By my signature below, <br />lam 0 a California <br />behalf (requires <br />I have read this construction <br />with all applicable <br />takes steps to preserve <br />identified property <br />Applicant's Signature <br />For your convenience <br />are available at the <br />I certify to one of the following: <br />licensed contractor or CI the property owner or 10 authorized to act on the property owner's <br />written approval and Owner/Builder Verification Form signed and submitted). <br />permit application and certify the information I have provided is correct. I also agree to comply <br />county ordinances and state laws which govern this project. During the course of construction I will also <br />all survey monuments. In addition, I authorize representatives of this county to enter the above- <br />for inspection p <br />' Date /I <br />checklists detailing any additional submittal requirements for various building permit types <br />Building Division counter. Demolition permit and mobile home on foundation require check-list. <br />F.Application Forms 5 Handou:s \Budding Forms and HandoutsOuilding Permit Applicatton 10-17 doc (Revised (10-6-17)Page 1 of 2 <br />SITE INFORMATION AND AUTHORIZATION <br />San Joaquin County <br />Community Development Department <br />1810 E. Hazetton Ave., Stockton, CA 95205 <br />Phone (209) 468-3121 Fax (209) 468-3163 <br />Improvement Plan Type Project Subtype: _ <br />MINOR: GENERAL: H MAJOR Li N/A: II Planning Project* <br />SPECIAL AREAS <br />Exp. Date: <br />Subsidence Area: EXPA Expansive Soil Area: EXPA <br />Fire Hazard Area: none Airport zone: none <br />Enterprise Zone: IN (2008) SJAFCA: no <br />COMMENTS <br />PREVIOUS MH ON SITE DEMO'D WITH BP-1602360 (FINAL) <br />Approved Use: DETACHED ADU ACCESSORY TO (E) SFR <br />PUBLIC WORKS DEPARTMENT <br />Sewer District: none Water District: none Storm District: none <br />Flood Certificate Required Prior to Final Inspection: Yes 0 No El- <br />Storm Drainage Pond Required On-Site: Yes LI No <br />Total Volumne of Rgq_uired Rentention Pond: (Required for All On-site Ponds) <br />PS* ').J 0 24.44 <br />Preliminary Plan Check Clearance Approval: Date' <br />All Public Works requirements have been met and release is <br />hereby approved for Building Permit issuance. <br />No Release Certificate ivequired. <br />Date: 7. P.L. Public Works Approval Signature: