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HomeMy WebLinkAbout017-040-01001I_77_0_010 CENTERVILLE ROAD 1 LAND DEVELOPMENT SHEET i tp D . SITE PLAN REVIEW APPLICATION —7 Date: -7 01 AP# Permit Number (if applicable) PS Owners Name: Owners Address Telephone No.: Situs Address: Proposed Use: Bin Number Parcel Size:. A 71.E 6 V_ d . 2� Email: Rest .ential E"ew Single Family Residential ❑ Single Family Addition ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Ej ®t zi Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel BUTTE COUNTY JUL 2 7 2PO4 DEVELOPMENT SERVICES ❑ Well 1:1 Agricultural Buffer Form ❑ Applicable ❑ N/A DO NOT WRITE BELOW THIS LINE DEVELOPMENT SER VICES INFORMATION (For Staff Use) Is Approved ❑ Conditionally Approved ElResolve Problems Prior to Approval if Site Plan Stamped Approved By Date O Page 1 of 5 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) . ❑ Watershed Protection Overlay Zone (See attached standards and requirements) e - Expansive Soils (Test for expansive soils and if verified proper foundation design required0�' ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached • Flood Zone: • Flood Panel No.: 06#00740' 7SL Index Date: ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ Chapman/Mulberry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) ❑ Oroville Enterprise Zone Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance --------------------------------------- -------------------- —---- —----------------- -------- -------- ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: r iZ 02.0 Applicable Building Setbacks: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front I Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount ' Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage. ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Drainage Area ❑ Thermalito Urban Area. ❑ Other Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) Check with school district to verify actual fee if pre -application review. A final determination will be made at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ❑ Yes Parcel Frontage on Publicly Maintained Road: ElNo ❑ Yes, Road Name: Complies with County. Standards for Deed Creation:❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑ Provide Deed of Creation ❑ Obtain a Certificate of Compliance/Notice of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environrnental Health Department requirements Page 3 of 5 Pm iLI i -" (�1) Subdivision Map/Parcel Map: Map Date of Recording: 7 q f 7 Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: /q / Page: Date of Approval: Parcel Map/Subdivision Map[Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ Attached ❑ None ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ In lieu of a pressurized water system or water storage tank, payment into the appropriate Battalion Water Tender Fund may be required. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. ❑ Property owners responsible for road maintenance, and stop sign maintenance. 0 Page 4 of 5 x Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at the time of review. CALarrys\Building Permit Site Plan Reviewl .doc Page 5 of 5 BUTTE COUNTY PUBLIC HEALTH DEPARTMENT' Division of Environmental Health P. O. BOX 5364 7 County Center Drive 411 Main StreeteurrF° Oroville, CA 95965 Chico, CA 95928 (530) 538-7281 (°°°�"`y° (530) 891-2727 FAX (530) 538-7785 FAX (530) 895-6512 Phone No.(y/d APPLICATION FOR PERMIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name tl0nr 2o7 -t, Assessor's Parcel No.O ZI —%70 —y/�) Applicant's Name V0,V z Phone No.(y/d Mailing Address 33-2°af — 4-/ sFS i Soiiv Fes"C,,S'Gy 1. Construction Site 0-% 0ey f)"cte. C`l-IN'1064 1!?n . slleeTanUnum er or Irec Ion an fiance to nearest crossroa 2. Lot Size AO 'ge'e x S feet x feet Acres 3. APPLICATION FOR: E. New system for new building ❑ Auxiliary or secondary system ❑ Repair of or addition to old system ❑ New system to replace existing facilities 4. Type of building to be served by proposed system: ■I ■ Mobile Home (size ) No. Bedrooms Garbage Disposal? House No. Bedrooms Garbage Disposal? Other (Specify) 5. Water supply for premises: (Must be safe, potable water) Community ❑ Private Well Other Water supply for adjoining properties: Community ❑ Private Well Other 6. WORKER'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code, which requires every employer to be insured against liability for Worker's Compensation. ] I have placed on file with the County of Butte a Certification of Worker's Compensation Insurance. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be subject to the Worker's Compensation Laws of California. 7. SITE PLAN TO BE FURNISHED - Draw to scale on site plan the following: a. Property lines. e. Show direction and approximate amount of slope. b. Location of all proposed and existing buildings, f. Source of water. Structures, driveways and parking area. g. Water lines. c. Location of large trees, rocks, or other obstacles. h. Set back lines and easement. d. Location of any well, spring, creek or other body I. Proposed sewage disposal system and area for of water on the. parcel and within 100 feet of property line. replacement. I hereby state that the information above or attached hereto is correct and true to the best of my knowledge. I understand that the permit must be obtained before any construction is begun either on the building or on the sewage disposal system, and that a satisfactory inspection of the system is required before the new building or dwelling. may be occupied or the system backfilled, or put Into use. I also understand that a safe potable water must be supplied to the occupied. or buil g or dwelling before occupancy can take place. Signed Owner Authorized Agent ❑ Licensed Contractor Date c2_3 (An original letter of authorization must accompany this application in order for an authorized agent to sign). FOR OFFICE USE ONLY Legal parcel? Zoning Useerr it t i Access I Water plans cleared Potable water Receipt No. G' Amount 'v Comment App/SewDi sposal Sys/112003 BUTTE COUNTY ENVIRONMENTAL HEA17h,r JUL 2`3 2004 AGRICULTURAL BUFFER NOTIFICATION AheW CALIFORNIA UNUSUAL CIRCUMSTANCES REQUEST Butte County requires a 300 foot buffer between neighboring agricultural operations and a residence. This dimension is based on environmental assessments and studies. The Agricultural Commissioner may identify unusual circumstances where the 300 foot buffer cannot be met on existing parcels. This exception is not available for lots being created, divided or subdivided. Owner or Authorized Agent must complete the following and return with the required site plan to: Development Services Department, 7 County Center Drive, Oroville, CA (530) 538-7601 Name: le n1- 1/'0r/ /9?67-Z Mailing Address: 33—n w E -Mail address Assessor's Parcel Number. Reason you believe you qualify for the unusual circumstances exception: Irv.- Owner or Authorized Agent's signature Phone/ —0 -21P'41,11 r4 e, Date UNUSUAL CIRCUMSTANCES DEFINITION: An exceptional or extraordinary condition where the existing lot size or shape or an existing improvement (well, septic systems, structures etc.) does not allow for the standard condition of a 300 -foot buffer zone. SITE PLAN REQUIREMENT: submit 4 copies with this form Refer to the Site Plan Submittal handout for specific requirements ................................................................. InternalDept. Contact Info:............................................................................... ❑ Env. Health ❑ Planning Building ❑ Other Contact Person: Phone: FORWARD THIS FORM TO LARRY IN DEVELOPMENT SERVICES FOR PROCESSING ..................................................................... For Agricultural Commissioner office use only: .....................lete...afte......bmit al "'...... ... .. ... ... (to be completed after submiftal ) DISCRETIONARY PERMITS (Planning) MINISTERIAL PERMITS (Building) ❑ Exception Recommended ❑ Exception Granted with the ElException NOT Recommended following conditions: Reason/Conditions/Specific setbacks from adjacent agricultural operations: Agricultural Department Signature: Date: - YMC 7/1/03 LAND DEVELOPMENT OROVILLE / ��.,� BUILDING 1.^' PERMITCLEARANCE Building Permit No. OWNERS A.P. alb NAME i t. (- m a n/J 1 e. NUMBER _ PRINT LAST NAME FIRST I n r ADDRESS / LOCATION: COUNTY ZONING T DESIGNATION: FLOOD MAP: FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: ✓ RESOLVE PROBLEMS PRIOR TO APPROVAL: DEED INFORMATION: PARCEL CREATION BY DEEDS OR MAP V t DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION: DATE OF RECORDING: LOT_ BOOK 41 PAGER 9 9O COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES V NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DMSION UNLESS OTHERWISE NOTED. _ 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all eAsting wells. —5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 8. Conned to a public water supply. —9. Conned to a public sewer system. —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of,$ —12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) —13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. —14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. • Payment to be made to the Planning Division. —15. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requirements of the Uniform Building Code. _ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Artide II of the Butte County Code. 19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. —20. If any cultural resources are encountered during ground disturbing activities, all worts shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. 21. .22. 23. 24. 25. 26. �1143Yidclw00w LD 'aft 19 30 ,klWoD r FORNOLD� UET CLEARANCE a3N3o3a e HATCHES pENOTE.AREAS WITH SLOPES /At EXCESS -OF 30°7. , "UMSUITABL.E SEE NOTE 1. rOR SEW4GE OISPUSAL:' SD' DRA INA G E NO DEVELOPMENT ZONE / (SEE NOTE 2 \I r- / I\ NVELL LEACNFIELO SET'TACK � 7,A P /,4N `q4a ROCK* �1,�' ` �-1 T.J • �7--�� t F E� PA bpAw / \ C 70,\ i' so a. S. L. •r��a F OM RD 514CO 1 �hO F •� . �A . 0 ti rp 0 W Nd 1 AF V014 jeo m 3 3.-`1 cy ) G -e an s .3-0 to /00' LEACHFIELO SETBAc!<Z"fz lhIAfeq FROM HISHWATER LINEaC . ENVIRONMENTAL HEALTH JUL.:2 1 2004 CHICO, CALIFORNIA 30' B.S.L. S F L. ...