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SITE INFORMATION AND AUTHORIZATION San Joaquin County Community Development Department 1810 E. Haaelton Ave., Stockton, CA 95205 Phone (209) 468-3121 Fan (209) 468-3163 SFR Approved Use: DETACHED ADU ACCESSORY TO E Subsidence Area: EXPA Fire Hazard Area: none Expansive Soil Area: EXPA Airport Zone: none Enterprise Zone: IN (2008) SJAFCA: no' Inspection Area: 2C Date: 07-19-2021 Plan Check Only:0 ,__Eire Road Required;El Planning Approval: Storm District none Water District: none Sewer District: none Date: Yes 0 No (Required for All On-site Ponds) Storm Drainage Pond Required On-Site: Total Volumne of Required Rentention Pond: PS #: _J 244 Preliminary Plan Check Clearance Approval: Date: 7. P.2_ ( All Public Works requirements have been met and release is hereby approved for Building Permit issuance. No Release Certificate i(:_s,,,required. Public Works Approval Signature: BUILDING PERMIT APPLICATION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 BUSINESS PHONE: (209) 468-3121 INSPECTION REQUEST-24 HOUR RECORDER: (209) 468-3165 THE APPLICAT ON MUST BE COMPLETELY FILLED OUT BY THE APPLICANT IN ORDER TO APPLY FOR BUILDING PERMITS. Scope of Work: A- Du_ Project Address: IL is LI ( .0Atfe... ( a /1e Project Valuation: Contact E-mail: 7, /) cia, /),) A Ip, r.-/-,6-},-/H4, i , (,),,,, OWNER NAME AND ADDRESS APPLICANT NAME AND ADDRESS Name: ON-) a /0 ) 4 (1 , j,/,: 1)1). IIC Name: L., /I di_ /4di s _ Address: (1-C5-S 6 a (. n Cc , 0_ c I Address: 6:, 055- (L'7 71 . ro. C. o v 4 /7 / I ._ , CiIr(li-1)-Y-N State: er ,l_ City:SI-n(4-4-6,, State: (- ZIP; qs-,),,,s— ph#G0)qr-fc 74;/,(-3_ ZIP: ci5 15-- phiveh 1/7-6. 3."-- CONTRACTOR INFORMATION Plift( ) Lic. No: Company Name: Address: City: St: ZIP: DESIGNER INFORMATION Ph#( ) Lic. No: Company Name: Address: City: St ZIP: LENDING AGENCY Phlt( ) Company Name: Address: City: St: ZIP: Permit will be issued to an "Owner-Builder Yes fiCI No D If yes, a completed Owner-Builder Verification Form must be signed and submitted along with copy of the owner's identification prior to issuance of the building permit. OFFICIAL USE ONLY Venfied owner's identification: DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify to one of the following: I am 0 a California licensed contractor or In the property owner or 0 authorized to act on the property owner's behalf (requires wiltten approval and Owner/Builder Verification Form signed and submitted). I have read this construction permit application and certify the information I have provided is correct I also agree to comply with all applicable county ordinances and state laws which govern this project During the course of construction I will also takes steps to preserve all survey monuments. In addition, I authorize representatives of this county to enter the above- identified property for ins tion,p po Applicant's Signature war' Date 1/i 9' 7.) For your convenience checklists detailing any additional submittal requirements for various building permit types are available at the Building Division counter. Demolition permit and mobile home on foundation require check-list, FlApplication Forms & Handouts1Buikling Forms and HandoutslBuilding Permit Application 10-17 doc (Revised (10-6-17)Page 1 of 2 Job Site Address: 1484 N. WHITE LANE STOCKTON Cross Street: E. GARNICA COURT Owner Name: MILLS, DONALD J & LINDA A TR APN: 10128001 Owner Address: 6055 GARNICA CT, STOCKTON CA 95215-1200 Precise Locatiorr. ON THE NORTHEAST CORNER OF EAST GARNICA COURT AND NORTH WHITE LANE, STOCKTON Subdivision Name: GARNICA COURT LOP 1 Historical Map App #: - SPECIAL AREAS COMMENTS PREVIOUS MH ON SITE DEMO'D WITH BP-1602360 (FINAL) Current Zoning :I R-VL Setbacks Front-30' I Left-4' I Right-30' I Rear-4' Height-16' I Fire District: WATERLOOMORADA School Districts: LINDEN UNIFIED, LINDEN UNIFIED Project Subtype: _ MINOR: El GENERAL: H MAJOR: Li N/A; Planning Project #: Improvement Plan Type Exp. Date: PUBLIC WORKS DEPARTMENT Flood Certificate Required Prior to Final Inspection: Yes LI No ff