HomeMy WebLinkAboutDPC-04_Flood_Plain_Declaration_Form
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FLOOD PLAIN DECLARATION
I declare the market value of the proposed construction work under building
permit application number: at the location of
Assessor’s Parcel Number: for
the construction of an addition and/or remodel consisting of ___________________
will not equal or exceed the definition of “Substantial Improvement” as defined below.
I am aware the building site is located within special flood hazard area zone _______
Community Number, Map Panel, and Suffix _________________ dated ______, and
may be at risk of flooding although I am not required to comply with flood plain
management criteria.
Property Owner:
Address:
Phone Number:
Print Name:
Signature: Date:
*Substantial Improvement is defined as follows: any reconstruction, rehabilitation, addition, or other
proposed new development of a structure, the cost of which equals or exceeds fifty (50) percent of the
market value of the structure before the “start of construction” of the improvement. The Substantial
Improvement cost is cumulative and includes all improvements that are not listed below as being excepted
and that have occurred within the proceeding five years. This term includes structures which have incurred
“substantial damage”, regardless of the actual repair work performed. The term does not, however, include
either:
a. Any project for improvement of a structure to correct existing violations or state or local health, sanitary,
or safety code specifications which have been identified by the local code enforcement official and which
are the minimum necessary to assure safe living conditions; or
b. Any alteration of a “historic structure” provided that the alteration will not preclude the structure’s
continued designation as a “historic structure.”
Note: If the improvement percentage, cumulative over the last 5 years, equals or exceeds 40% of the market
value of the structure before the “start of construction” of the improvement, a certified appraisal shall be
required to verify the proposed work will not constitute a substantial improvement.
Substantially improved structures shall meet the minimum building standards of the National Flood
Insurance Program & Butte County’s Flood Plain Ordinance (BCC 26-21)
Butte County Department of Development Services
PLAN CHECK
7 County Center Drive, Oroville, CA 95965
Main Phone (530) 538-7601 Fax (530) 538-7785
FORM NO
DPC-04
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Substantial Improvement Worksheet for
Projects within FEMA Floodplain
APN: ___________________________________________
Date: ___________________________________________
EXISTING BUILDING:
USE AREA SF-VALUE TOTAL
______________ X __________________X _________________= ________________
______________ X __________________X _________________= ________________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
PROPOSED ADDITION-REMODEL:
USE AREA SF-VALUE TOTAL
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
______________ X __________________X _________________= _______________
REMODEL CONTRACT: _______________
Improvement Percentage = IV =
ESV
Existing Structure Value (ESV):
Improvement Value (IV):