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028-440-006
3 ��st .'1� jcf I�x r ,rl j'tzFg w3. �Y t 'It'll t I. � vt rs lost i v i SITE PLAN REVIEW APPLICATION Date: l 1q( 7k V AP# Permit Number (if applicable) EAJ✓- APPLICANT INFORMATION Parcel Size: �I 1 4C e -mss Owners Name:���� Owners Address: 0 r C qs Telephone No.: Situs Address: Proposed Use: Residential ❑ New Single Family Residential ❑ Single Family Addition ❑ Single Family Remodel ❑ Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie)�'a'f ' ❑ Temporary Travel Trailer 0,Y Y ❑ Multi -family JUL ? Non-residential SERVICES S���C�S ❑ New Commercial ❑ Commercial Addition ❑ Commercial Remodel ❑ New Industrial ' ❑ Industrial Addition ❑ Industrial Remodel Other Septic ❑ Well ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval i Site plan Sta i3ed Approved By - Date '" ' a. co 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) IM SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone: _ 6 • Flood Panel No.: ®(5 coo 76ldar p 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) 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: 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 �� < Side S^ r Side Street Rear e b. 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 i ❑ 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 ❑ 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 Environmental Health Department requirements ------------------------------------------------------------------------ Subdivision Map/Parcel Map: Pr" d t vu�lt7✓ ���GQ%v �S�`�✓� Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: Book: Page: 1 oo . 7 Date of Approval: 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 tact 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 0 01 Summary of Specific Requirements: This information provided in this summary is based on the application information and on the best available data at thtime e y of review. CM2rryslBuilding Permit Site Plan Reviewl.doc 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 August 9, 2004 C. Sullivan 11849 Calle Vivenda San Diego, CA 92125 Subject: Environmental Health Permit — 028-440-006 Dear Mr. Sullivan The Butte County Department of Development Services, Planning Department, has reviewed the submitted Environmental Health Permit 028-440-006, and require the following information to continue the review process. Current Vesting Deed: the deed that created parcel 028-440-006 (a title company or realtor will have, or obtain the document). Please return the vesting deed for the subject parcel 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. . Sincerely, eph W. Baker Planning Manager cc. Ted Bigelow FROM C SULLIVAN FAX NO. 858-6744496 Aug. 17 2004 02:25PM P2 _• hYNll�tll�i�llhl�lhllp MiD VALLEY T1116 A ESCROW CO. aeeerard PEE 10.60 r A"YAM 02001WIM)Maf1TV. T Officialyheardc i 36.50 CHIdSTOPHER J. SULLIVAN, TRUSTEE BUTTE I MAftlt.TN J. SULLIVAN, Titv$TEE cmum J. 8Ru88S I 11849 CALLS VMXNDA RecorderI AcisE) y DICKMN 1 !IAN DMGo, CA 92128.3308 Nssie44ant I fay "IOtlAII 2B-Jae,288is I page 1 of 2 ORO -C Spic Abayc :Tia Lim foi Rn*1dsr's Ua: Ooly A.P.N.: 0211.44044 Ordar No.: 177736 Esmw Flo.: 177736 GRANT DEED TIM UNDHIM103"P O TORis) QEClARG(s) TRAr DOCLInWA]tY TUNSPMTAX >S: COUNIY 0,i9. 50 ) couWted on foal value of property conveyed, or 7 eampuwd on full value less value of almsDar eegnua6mm test�lning at fte of sale, DjusiA tporaw area: t I City of -. ano FOR A VALUABLE CONMDERATION. Rooetpt of wWcb is hathy tlolmowledget. BONP90N P"MY TRUSP LDUTED PSP beaby GRANT(S) to CMUVOPM L SULLIVAN AND MABMN J. SMJVAN, �MUSTBES OF TR IMLIVAN FAMMY 12U9T DA'IBb DECFNMBR 3Y,1989 V the following daac:ibed property in the erolneawpoj0led urea ed the County of Bdife Statecf QWL16rnia; • .: ` F SU ATrAC9m LEGAL DESCBIPnw $04PSON FAM LY TT1US'i UMITED PARTHERSHP . 44- a--=dmaw BMR, MW3OKr ' Doeumeat Date: ,_ Sun OF cAutopiu As COUNTY OF Butte 1 cm Jtmunry 4, 3000 U�mmw !l•:ctatlle A._ MlIer, Dlotaxj► Pt411is )bmomlywamd Betty R. 51toRaeott kw" is me (a proved to ale ee 40 belie of wtk'" n'I Uwx Oo be Jti ptSimi(sl whm his) lucre tUbGetlbe'd 0 the Oft (littlYlt�ta end eet�" to Rm dal %9NMMft tzMlbd ®o MW M eryheenelae aoQwrtted espactly(I8) am ORt by b1sawltbelf tll.TitVK4) op the ktavmeat Lu of tae eetir npm how of whets da pcmnm Ulm, caw a0 an trleaameoc wmms my bard wd G&W No. A. MW 111N14 M1 OSt Gree for of 3l aonrm ant. OttlbCoewr,�l�olRb . wea.uioret�ilul.>!, mac Mail tax Smw mte to. SAME AS ABOVE or Addm" NOW Below 1 ti • I i FROM C SULLIVAN FAX NO. 658-6744496 Aug. 17 2904 02:25PM P3 ORDER NO. BU -1777::6-3 DESCRIPTION THE L4*W R$FERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COM -n OF BUTTE, AND 16 DBSCRISID AS FOLLOWS: LAT 2. AS SHOWN ON 'HAT CERTAIN MAP ENTITLED, "FORD & FOWLER 6`JHDIVISION°, WHICH MAD WO RB.CORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 9, 1916, IN BOOK 8 OF MAPS, AT PACE (G)'7, 8 AND 9. 8XCBBTYXG THEREFROM THAT PORTION 00MYED TO THE COUNTY OF BUTTE SY GRANT DUD RECORDED AFRIA 25, 1996, SJDiDER BUTTE COUNTY RECORDER'S S161tIAL NO. 96-15607. APN .029-440-006-000 TGTgL F.;33 BUTTE COUNTY PUBLIC HEALTH DEPARTMENT Division of EnvirT�0JJeI P. O. BOX 5364 lMInP l Y 7 County Center Drive 411 Main Streete°T Oroville, CA 95965 Chico, CA 95928 .::, g gg (530) 538-7281 (530) 891-2727 °ouwty� J U L 2 7 2004, FAX (530) 538-7785 FAX (530) 895-6512 7 County Center Ur;vr APPLICATION FOR PERMIT TO CONSTRUCfW`ftfT' AGE DISPOSAL SYSTEM i Owner's Name �� �'� �" `�� °y Assessor's Parcel No. fig^ Applicant's Name '9G "'o Phone No. 7 -/� a 5 g Mailing Address 1. Construction 2. Lot Size 3. APPLICATION FOR: feet x New system for new building ❑ Repair of or addition to old system feet Acres - ❑ Auxiliary or secondary system ❑ New system to replace existing facilities 4. Type of building to be served by proposed system: ❑ Mobile Home (size ) No. Bedrooms Garbage Disposal? ® House No. Bedrooms Garbage Disposal? T ❑ Other (Specify) 5. Water supply for premises: (Must be safe, potable water) Community ❑ Private Well 4 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. , = 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 bac d, or put Into use. I also understand that a safe potable water must be supplied to the new buil for occupancy can take place. Signe Owner ❑ Authorized Agent M Licensed Contractor Date— �_ D L� (An original letter of authorization must accompany this application in order for an authorized agent to sign). FOR OFFICE USE ONLY Legal parcel? Zoning Use per fitted? Access Water plans cleared Potable water Receipt No. ®/� Amount 5` Comment App/SewDi sposa[Sys/ 112003 i4). 46 ...._.................................................................. .. ................................. ... ...........:......:.....:......:......:.....:......:.......... ;......;... .. .. .. ... _....... ... .. ........ .. .. .. ... .. .. .. .. .. .. .. .. ... .. .. ... .. .. ............ ... ...... .... ........... .:...... :............ :...:. .:.. �.. - .:....:................... ...••.... .. ............... ......................_ .. ............. ..nay 3AIHa 2131M AIN ......:.....:......:......:.....;......;... ;.....:................: :tea .. .. .. .. Z Q .................... .. ... .. .. ... .. .. .. .. 7 a. 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Assessor's Parcel Number: 0 ® ® _ IE ® 0 — 0 2 ® Seale: lee ® 0 0 Owner Name 9 f - Address f Phone No. Site Location Contact: Name / /�_j Phone �z� �y—527 FOR OFFICE USE ONLY Zoning: General PIan Deslg: Size, Acres /y p9p�p 1 - '47.Gi�11' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN_ USES: