HomeMy WebLinkAbout026-223-004r.P. 2C -223 -
JOHN HARRIS
2572 South Villa Ave., Palermo
Permit 765-73P,E
(utilities for mob le home))
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SITE PLAN REVIEW APPLICATION
Date:'
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Permit Number (if ai)R icable) f -
Bin Number
APPLICANT INFORMATION
Parcel Size:
2, --Z30 --ooLj
Owners Name:rp
Owners Address: ` 4-L_ U
Telephone No.:
Situs Address: T�b fof�,�. —is
Proposed Use:
Residential
❑ New 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
Other
Septic
Agricultural Exempt Building
❑ Other:
Brief Explanation (if necessary):
❑ Single Family Remodel
0U7,T ,•
COUNTY
JUL 2 3 2004
❑ Commercial Remodel
❑ Industrial Remodel '
Well
Agricultural Buffer Form ❑ Applicable ❑ N/A
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
Site Plan Stamped Approved
RV Date 0�
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 Pian (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 desirequired)
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (See attached)
• Flood Zone:
• Flood Panel No.: % CD Index Date: iJt g
❑ Sacramento River Reclamation District (Approval must be obtained from the Cal' ornia 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
p �-( - - - -- requirements)
_ -.._._._.._......_..._._....._.....__fie----..�.
Cha man/11�ulbe See aitachedstandards andrequirements) - _ . _ .......... .
❑ Cohasset Area (See attached standards and requirements)
❑ Grading Zone (See attached handout)
Use Requires:
❑ Use Permit ❑ Minor Use Permit
❑ Minor Variance ❑ Administrative Permit
❑ Variance
❑ Detached Building Use Form ❑ Encroachment Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning: A 4. "
Applicable Building Setbacks:
Front
Zoning Code
I
Streets & &Highways
Fire Prevention
Subdivision Map
Side
Side Street
Rear
Z7
Height
Waterway
N/A
N/A
N/A
❑ Setbacks drawn on site Plan. ❑ CDF approval -needed for encroachments into SRA setbacks.
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
-------------W ._____------__--_----------_---__—
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 urill be made at the time of
the building permit.
Parcel Created By
Deeds: '
Date of Creation: 1/0 Li Leval Access Provided:' ❑ No ❑ Yes
Deed of Reference: - Legal Access Required ❑ No ❑ Yes
Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name:
Complies with Co}lnty Standards for Deed Creation:❑ No ® Yes
Comments: ' Vei
1 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
❑ Subdivision Map/Parcel Map:
Map Date of Recording:
Lot:
❑ Use Permit/Minor Use Permit
Permit Number:
Book: 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.
M
0
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.0 rryslBuilding Permit Site Plan Reviewl.doc
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Dri\y — Orc)rille, California 95965
Tel ephpne:534-4541
r
APPLICATION AND PERMIT
4
BUILDING
Owner V
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
Building Address
'
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50;
..
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W. C. Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd I
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20025
Receps., switches & fix outlets in
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. diso.or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen'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 become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.0-3
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ `,-
QuuWiicc icN�cacniau vca Ul Lilt:\-UUllly UI Milt: LU Cflli:f UPUn lnt3
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent ,
Receipt No.
Date
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 !O
Telephone: 534-A541
APPLICATION AND PERMIT
aLit"OFcc rep eoetltauves ul the uuun[y ai Butte to enter upon the
y above-mentioned property for inspection purposes.
1 /
` r ate J b y AD
Sign ZrI.
of Permite or Agent
Receipt No. /D 4 S/ 3 _
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date .7— 73--'7-3
uilding permit expires Date3-z3 -'7
BUILDING
Owner ����
SQ. FT. OCC. BUILDING VALUATION
Mailing Address / /U
/v `
U 'S
T le one No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address '
PLUMBING
No.1
@
FEE
PERMIT FILING FEE J$2.00
tit?
—
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. `—Z
Zoning I n ing
Gas piping system 1 - 5 outlets
1.50
i
Each additional outlet .30
F,pes
Sanitati n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
provements
Lawn sprinkler system 2.00
°�--49411.�"
-49411. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
r--
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
3aV
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil HomexiOthers ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbalRdio
Receps., switches & fix outlets 2u 2b
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disc). or D.W. 1.00
Air conditioner or heat pump
Water pump
Q
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
/
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$119
16ro
$ 0
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen'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 become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.1
@ I
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 71T � el
aLit"OFcc rep eoetltauves ul the uuun[y ai Butte to enter upon the
y above-mentioned property for inspection purposes.
1 /
` r ate J b y AD
Sign ZrI.
of Permite or Agent
Receipt No. /D 4 S/ 3 _
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date .7— 73--'7-3
uilding permit expires Date3-z3 -'7
. of
Septic system
Lune Countto be as per
quiremen ts,
y Health Dept: Re=
' BUTTE COUNTY
5epit',- 7o --n e BUILDING DEPARTMENT
N'
All ur,ility connections shall be
I d
within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
Ns set of plans and' specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
L
. of
Septic system
Lune Countto be as per
quiremen ts,
y Health Dept: Re=
' BUTTE COUNTY
5epit',- 7o --n e BUILDING DEPARTMENT
N'
All ur,ility connections shall be
I d
within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home.
Ns set of plans and' specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
N-1,
W-Wa
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Assessor's Parcel Number1 0 _ �' � 0 Scale: V'm f �� ►
Owner Name. �C— Cx 11-e
Address 0 Phone NO. 1 '�--� •�
zCgniact' Na nPo •'S, ES r.,s' I+.F � 1`L-,��� I�, % •Ptl@®6tle �' �-'-r r'• a"'� t '
0MU&V CD3
FOR OFFICE USE ONLY
Zoning:
General Plan ®esig:
Size, Acres
'—
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN.
USES: