The URL can be used to link to this page

Home My WebLink About017-160-008k . .. _ � '�•I tb 1: �..ri�i t:r�lt iuns�3.e:.�;Sd4fr.a �Eo�'`. '?: ,1 ENCROACH MENTPERMF DATEr r ,,. SITE PLAN REVIEW APPLICATION Date:. �� l �'0 AP# Permit Number (if applicable) APPLICANT INFORMATION Parcel Size: �'t 17 A L Owners Name: Owners Address: Telephone No.: Situs Address: L Proposed Use: Jdential ew Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer • ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ❑ Industrial Addition ❑ Industrial Remodel Ot er Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation if necessary): C�'r-�, {�Ly 1,01-7-44 30 t 5 DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) ❑ Approved Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Site Plan Stamped Approved By Date s Page 1 of 5 '1 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) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ® SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: IxI • Flood Panel No.: 8 S S O(✓ Index Date: 6-- $- 9-9 — ❑ 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) 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- Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways/ Fire Prevention Subdivision Map Front so � L Side C) 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 Impact ❑ 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 • 21 Deeds: Date of Creation: ) 0 2-OLegal Access Provided: ❑ No Yes Deed of Reference: 1 y 1_ Legal Access Required El No ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ® Yes, Road Name: Hod" QyN 2t> Complies with County Standards for Deed Creation: E] No ❑ Yes Comments: Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate 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 Environmental Health Department requirements ------------------------------------------------------------------------------- • Page 3 of 5 • n Subdivision Map/Parcel Mai: Map Date of Recording: Lot: Book: ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Ns Page: • Parcel Map/Subdivision Map/Use Permit Conditions ❑ Comply with the following Conditions of Approval: ❑ 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 P� 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 c wners responsible for roa IN Page 4 of 5 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. C:U.arrys\Building Permit Site Plan Reviewl.doc • Page 5 of 5 ENCROACHMENT PERMIT COUNTY Of BUTTE ♦ DEPARTMENT Of PUBLIC WORKS 7 County Center Drive ♦ Oroville, CA 95965 ♦ Phone: (530) 538-7681 ♦ Fax: (530) 538-4356'• Download Forms: www.buttecounty.net/publicworks NOTIFY COUNTY 24 HOURS BEFORE WORK IS TO BE DONE Phone: (530) 538-7339 I / WE, the under highways, all in a 1. Applicants Name: 2. Address: 3. Phone: 5. Location of Work to be 6. Appi>canrs Signature: 8. Conbactoes Name: 9. Address 10. Phone: 12. Contractor's Number 14. Contractofs Signature: 15. Authorized Agent eby apply to the County of nrith Coun ordinances//c [ I t Q-0-1 1 - 7 APPLICATION for an encroachment permit to f Lermit Number Distri Z/S91f the following work under or over the ( a Lj, C U , 4. Assessoes pane! CONTRACTORS INFORMATION roads and %J fi,000l 7. Darla: I—U5 —o::? - 11 11. Fax: G � 7 0 j 13. Certificate of Insurance: Yes o No TYPE OF WORK TO BE DONE 1s. please Check Curb: ❑ Gutter. ❑ Sidewalk: ❑ 17. Driveway (List Type): , `J 18 Other PERMIT GRANTED the above request, and subject to all terns, conditions (including those printed on the fission is herebv aranw 19. Corm na--0.)j �r0.VGI w ale Fa ►^ W 1 )7 W.1UV1%jJ% JJU %-MrvrM Wert tu.sA) must be notified two workirta days pdol 20. A All work sh11 11 all conform to accompanying: Detail 0 Plans O Spec 21. DateIssued: f 7 'Z GZ 22. E*adon Date: Mike Crump, Director of Public Works Conditions //4 By: %-A of this form) and ;3. Surety: Yes No 'Note: If permits are faxed to any number besides (530)538-4356, they can be delayed up to one week. eneral Con"Ons - See Page 2 Page 1 ort