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SITE PLAN REVIEW APPLICATION
Date: D j/ AP#
Permit Number (if applicable) LJ /"i)
.--
Parcel Size: _�> k) ou
Owners Name:
Owners Address:
Telephone No.: " 139/ , l +
Situs Address: /' /,�.1'�I?�✓[>
Proposed Use:
Residential
❑ New Single Family Residential
❑ Single Family Addition ❑ Single Family Remodel
❑ Mobile Home
❑ Residential Accessory
❑ Permanent Second Dwelling
❑ Temporary Mobile Home (Aunt hEnnie)
❑ Temporary Travel Trailer
❑ Multi -family
Non-residential
❑ New Commercial
❑ Commercial Addition
❑ New Industrial
❑ Industrial Addition
Other
❑ S eptic
❑ Agricultural Exempt Building
❑ Other.
❑ Commercial Remodel
❑ Industrial Remodel
Well -
Brief Explanation ('if necessary):
Volt A- S�197-r','--
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMAT 10N (For Staff Use)
Approved ❑Conditionally Appr Resolve Problems Prior to Approval
ALL ITEMS CHECKED APPLY TO TBIE 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 verifiedro er foundation design
p p required)
SRA - (CDF to determine
specific requirements)
❑ 10'0 -Year FIood Plain: (See attached)
1 i Flood Zone:
• Flood Panel No.: 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 andattached standards and requirements)
ElChapman/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
El Minor Variance El Administrative Permit
❑ Variance
❑ Detached Building Use Form ❑ Encroachment==*
❑ Agri cultural Worker Affidavit El Agricultural Aclmowledgement Statement
Zoning: I j - COF��
Applicable Building Setbacks:
Zoning Code Streets & Highways Fire Prevention
Front , v
Side ,
Side Strut
i
Rear I
Height v
Waterway ISI/A N/A N/A
Subdivision Map
Setbacks drawn on site Plan, IM 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 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 wiU 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: ❑ No ❑ 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
❑ 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 Eavirozmental Health Department requirements
❑ Subdivision Map/Par LI Map:
Map Date of Recording:
Lot: Book: page;
❑ Use Permit/Minor Use Permit
Permit Number: Date of Approval:
Parcel Map/Subdivision Afap/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 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.
❑ la 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
constnzcdon 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 roa
u
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Lel
Summary of Specific Requirements:
This information provided in this summary is based on the
of review. application information and on the best available data at the time
C*U-WrSuUdmg Permit Sitt Plan Rn in LdDt
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
April 18, 2005
Luis Robles
P.O. Box 1029
Oroville, CA 95965
Subject: Environmental Health Permit (APN: 027-100-051); Well
Dear Luis:
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted permit, and require the following information to continue the review process.
• Creation Deed: the deed(s) that created this specific parcel. The document(s) could be
obtained at the County Recorders Office, or through a title compan land
granted for value received could have create efore 4 March 1972, and gift
deeds could have created r a 9 February 1993. However, the legitimacy of a
land division s on the specific date, and meeting all applicable requirements at
Please return the document(s) to Butte County Development Services, .Planning Department.
Should you have any questions please feel free to call Chris Tolley; Assistant Planner, between
the hours of 8:00 a.m. and 4:00 p.m. Monday through Friday at (530) 538-7603.
Sin rely,
ii
Yephen Streeter /
Planning Manager
54i 1 P�v ll�.�
SITE PLAN
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Signature:
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Assessors Parcel Number: o ® ® — 0 R� 1E — ® 2 ®Scale: 1" _
Owner Name
Address 1 Phone No. @r n ei
Site Location p fj ± 0 A 96-gna 01
Contact: Name Li. A• U b0 A "P ,1 f). Phone _ � '
FOR OFFICE USE ONLY
Zoning:
General Plan Desig:
Size,�Acres
4.00"
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN PLAN:
USES: