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041-290-104
r t � 5 ( i n � r� -5 i.. 64' i r�k��}xty ,fit �p rx. ti; t -�It 'S t �,r Ss.t tY�k'�• r'�� ,L� _.3.��� I ''. i} i SYT S • 1 1 r I .. } + I k i Y. t•. }r( �t . 1 } y't. rf •y��6� � d� `r i Y, r ll* +i. •ps{,fylr } ,. ,; ; Nf °ic >� `r �'2'�'�'; n 7� V w NI{. 1 � } i , + yt I��N. sT t � i�p �� •. r + = Ly ) k}V"r t 1 t ` ,♦, ,y�.'��y" y`t3 SITE PLAN REVIEW APPLICATION Date: Permit Number (if applicable) AP#6 Bin Number APPLICANT INFORMATION Parcel Size: �c Owners Name: 4 'AJQ� • Owners Address: 6, 13 Q X / Xe-eAQ1/n d { e -'Q Telephone No Situs Address: Proposed Use: 5'.0 V^ If R 0 Email: O/ -e_9 a AJ 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 ❑ 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 t By u Date �� C�S.- 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) �7v� SRA - (CDF to determine specific requirements) ❑ 100 -Year Flood Plain: (See attached) • Flood Zone:' • Flood Panel No.: q 5-C Index Date: `S ❑ Sacramento River Reclamation District (Approval must be obtained from the C ifc(raia 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: GP -P Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Zoning Code Streets & Highways Fire Prevention Subdivision Map Front ; Side 5-1 501 Side Street /d F Rear l5 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 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 Date of Creation: J`% X71 Legal Access Provided: ❑ No 8;Yes Deed of Reference: a,3 q j - ,:�,Zq 1 Legal Access RequiredNo Yes Parcel Frontage on Publicly Maintained Road: ❑ No 0Yes, Road Name:0tC o?-) Complies with County Standards for Deed Creation:❑ No ❑ Yes Comments:. Z eCr— 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 I ❑ 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 M!jp/Parcel Map: Map Date of Recording: Lot: ❑ Use Permit/Minor Use Permit Permit Number: t:.. Date of Approval: 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 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 roa VNI 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. CALanys\Building Permit Site Plan Reviewl.doc O•f O&L RECCROS 1 RN' TO: CERTIFICATE. OF COMPLIANCE Lo"'TTE cOUI1'CA-JF- r p�1anning Dept. Iss»ed to: Robert L. thleen �:iiryfa5 -- ' 1701 r.rkview Dr'. � San Bruno, CA 94066 CLARX A, `FEE 1.3338 This. Certificate of Conoliance' is hereby issued by f,;e County of Butte to certify that the land division which created the parcel of oronerty identified below complies with aoalicable .provisions of the Subdivision [Nap Act and of Chaoter 20 of the Butte County Code. } 1. Property location: on Oregon Gulch,' Ravine.. 2. Assessor's Parcel Number: AP.41•-29-10q Descrintion: All that certain orooe•rty 1 of Butte, State of Californ described as follows: All that portion of the N of the S of the NFk of .Sec 34, T20N, R4E, MD$&M, lying easterly of the centerline of s Oregon Gulch Road, being a portion of lo.tc 5 and 47,. ac, zhown on.Government Survey Map of said Sec 34. Issuance of"this certificate is conditional- upon the follow- ing conditions +rhici have been imoosed oursu'ant to Butte County Code Chaliter 20-48 and Business. and Professions Cede Section 115832_(b) to protect the. public health and public,•safety. NONE' • .. - .. rrlyam�. • t County of Butte } subdivision Committee- By ommittee By SITE PLAN •. .. ....... . -- : ._ •....... . .......... . . . . ..:..:.. .................... __ .. ............. ...... ..... ...... ............. ............. .............. ............. .. .. .. ...... ...... :..... .. .. .. .. .. . . ..................... . -;� ------ x L..— ............ .. ........... ..............._T..... ._ ... .. ... .. .. ._ .. ._ - . ..... <.. ._ ..... ..... ...... :...... :................... :.....:...... ::, ... ............ .. .................................... .. .. .. .. : : : l................ .............. .....<... ................. •. .. -- .. .. ... .. -- :. < ..... >. ..... :. .. ... �" ... .. ............................•-----..._----- • ...... .................... ............ .. ...... ... .. .. ............ ............ .. .. .. . . ............ _............. 7""'7 ..... o............ .. .. .. a — . • �_ ...... .- . ... -. .. .. . - . . ._ .. . -- �,�v .1. :(;j CANN yG D1VfSi01V'= U([;Dt(VC�'PCAI APPROVAL .. 1 �1•= :Q !Ll -S LED.. . • °f ' U �_U�tir ...._. �' ng: I.ana...... e: Pei o (. osnec CY .. f..: . i;� 1 i .... .. :�: _ ... - ............ ...... ... .. .. .. .. .. ... .......................... ............ . .. .. �r� f... ........... .. .. ............. _ ... ............. .............................. _ ... 1.......... .. .. ... .. .. .. .. .. .. .. . . ... .. ............ ............ .. i. ...........<......:...... ......:...... >..... <_.....:.................;.....................;.... ... ......................... .. = ............ . ... .. ............ .. .. ... .................._.................._...................................... . Assessors Parcel Number ®© 0—[ Q 1E— 21 0 Lq Scale: 1 Owner Name � q -e-- Address / Phone No. P 0)82_)� a o V�L 0 (Lo / `l S ,6 r Site. Location G v `-e-'-i P Contact: Name I`� �iL-v rip' gA LA 4- �'ruT..Phone S� =3� S� ^l`y4u oatob.?k =m FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres ! 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES: