Loading...
HomeMy WebLinkAbout058-170-023f SITE PLAN REVIEW APPLICATION Date: /2 / A 5 AP# Permit Number (if applicable) Bin Number APPLICANT INFORMATION Parcel Size: Owners Name: Owners. Address: -,,_ , C, 4 Telephone No.:2 F-3 L° Site 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) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ' ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition O ker to eptic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation/Issue: ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well ❑ Agricultural Buffer Form DEVELOPMENT SERVICES INFORMATION (For Staff Use Zone: IM - GP: T—W, Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval ❑ Resolved By Date _ lVeV, 1 ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Williamson Act Minimum Acreage: ❑ Residence can be built per contract Watershed Protection Overlay Zone SRA - (CDF to determine specific requirements) 100 -Year Flood Plain: • Flood Zone: t� • 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 ❑ Chapman/Mulberry ❑; Cohasset Area Use Requires: ❑ Use Permit ❑ Variance ❑ Agricultural Worker Affidavit ❑ Administrative Permit ❑ Minor Use Permit ❑ Minor Variance Zoning: ra'n' qo Applicable Building Setbacks: General Plan: ` IA4 ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side 2.S Side Street Rear S� Height Waterway N/A N/A N/A ❑ Setbacks identified on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. ❑ Use Permit/Minor Use Permit Permit Number: Date of Approval: Parcel Created By: Deeds: Date of Creation: Legal Access Provided: ❑ No ftYes 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: :1 No Yes Comments: tz 2. — 7 7774-,y GrrsE=-f-?),/r' 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 ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements [1 Subdivision Man/Parcel Map: Map Date of Recording: Lot: Book: Page: 3 "^T7Y•'^ ..... 1 ...RT'T9':':. .... .... . . .� ... .. i....sor . .... .... ......iaT'.... ; ....... . ......+.aT• ; ..-.tr.t• .. . . . . . ..... ;......;.... ..;. ....�;�-?�...........;. ....;.... .... (� : .. .....t :......�. �..� . .... .. ..........fit' .. .... ........ ....;......;..... • ... ...:...... .............:....:: .j..... ►. . �©• � .;..... ..;.. ..,.. �.. .; .;... .� � .. ... .... /,• Vii• LA ..�. 5� .. ...;................ ... .. .....;�.. ........ y. .. ...; ..... ... • ..E'�. ...... •... .... ... .... .... ...�.C1�` .. ...;......�.... ..... ..... VVV,V: • \ �• �...�? �. y. .•.'...�..•. ... 1......; .... ..... �..... ,. ;..... ..:.... ..... _. ...Ps .. zz� f......... j.. q. ..j....: �.... C . `:. ...... :..... ;.....;. �. . �;.... ....... .. ........................................ ........... ............... .......... ........... ........... ........... .......:.... ... ......;..... ........... .................. .... ... .... .... ............ .. .... ... .... .... ......: ..... ;......; ... . �. ,.....;..... .. ; ...... ......... .�.. ;� ..... ... :++.. .. :..... .... ' .... .' j.. ;�....;..... .. ... ............. ,�.,.;..... .... ✓. . ... .... ;..... 6111,11: ...;. (/2. .. j• ...1.� ....;......y..... ....;......;..... ... .... .... ... .... .. ... .... �.. ............. ....../..... ... .... b.... .i'n. ......... •... i. ................. .. .....;..... U T ENCROACHMENT PERMIT /• U ° County of Butte Department of Public Works ° °- 7 County Center Drive Oroville, CA 95965 ., Phone: (530) 538-7681 Fax: (530) 538-4356 All information except si ature must be typed or legibly rintedPermit #: Q Q03 ' ' ' ✓6 ` NOTIFY CQUNTYf24_HQURS'BEFORE WORK'IS TO BE STARTED! ."' "' ' ` ' " :: -:. : Property Owner'Ns ame: Jerome andeg Pgy. Camp . ,Assessor' (Rrqutred). _ PROPERTY Phone: //530. 283-4267 Pr�mAddress. Bardee . ..... _.,.....: ...,..__. .-, ._ .... _ .. s Bar road IyTeiliggAdd[ess.¢fDifferent): .:..,.,,._ OWNER . . .159.. :.. e.........._..� po.:box 144 Twain CA:�95984 Oroville CA. Work will be, 13 Contractor k' El Property Owndr Contractor's Name: kid P% A % ' j d, performed by: Phone: [ 30 . 3 6.5' r (/V Address: 41 O% ba Lt%9 4 p lrl� r /1I/00 Fex WORK ... Contractor's License // � 7 Olf✓ Certificate of Laurance currend 0—No file De°amnent? 0 Yes BY Number: N"' on with : Applicant is: , O Property Owner O Property Owner's Agent `P Contractor ❑ Other: ' I / WE, the undersigned, hereby apply to the County of Butte for an encroachment permit to do the following work under or over the County roads and hi6wa s, all in accordance with Cotinty ordinances and general laws. Signature: Date Sign ! / Road affected: BardAg tar road Time and Duration of Encroachment: Permanent Encroachment Temporary: From To LOCATION Type of „ Driveway' ❑ Roadway CuvertEncroachment: „.,y. -•. ..., .. .., . 0 Fence 0 Pipe/Pipeliire SigiiBillboard " 011ier Site Plang; Q`Yes .. '�'No`' Attached: PERMIT.M ❑GRANTED ❑ DENIED Conditions:. In compliance with the above request, -and subject to all =,-conditions (including those ogpage 2 of this permit'forin) ands eciaYconditioas written below,; ermission is herebygranted."" ' "' _..:..... _.._..,w.. 1:.,E7; Underground' Serviee, Alert (U.S:A.) must be notified two working days prior to any excavation. 800-227-2600 2. ❑ All work shall confovn to accompanying: O Detail ' ' ❑Plans ❑Special Conditions 3. ❑ Other Conditiotis: b4) li -UR L -c &—Zf STD: .;.44 t C .GOi�tJZ CONRD IONS (To be filled in by County) Date Expiration Surety: Issued: Date: Date Amount Paid 1 Check Receipt Paid: Paid: By: --No: No.: Mike Crump, Director of Public Works By :. Y • ° Road District;Inspe°ted gy; Inspection ❑ Completed - OK ❑ Completed – Not OK Results: a County ❑ Additional Comments Attached For Use Only Comments: Note: If permits are faxed to any number besides 530 5384356, they can be delE ed up to one week Fon: 2°o506EP Page 1 of 2 0 } SITE f?LAN ........................... .....•-•......•---.........._....._...............--.-.... = — --_ l' .. ... .. .. ... .. ......... .. .. .. .. ... .. .�. .. .. .. .. .. ... .. ... .. .. ... .. .. .. .. .. ... .. ...................... ... .. .. .. ._ .. .. .. ... _.............. .. _._ .. .. ... ............... .. ... .. .. ... ........................................ ..................=... . .. ... .. ... .. ._ ............ .. ............. .. .. .. .. ................... ............... .. ... .. .. ... .. .. ... [ 4 F r 7 ............... ....................... .. ... .. .. ... .. .. ... .. .. .. .. .. .. ... .. .. .. ... .. .. .. .. _ "aye\, : . 2GtJI�Z . �� c.= :fig �1: �.. i d � v 'D - r : - :......:.... .: :..: :..... ...-- ••. • ... ...... ................ A r U.. . :....: :. :....." ...:: �� ►. : .. .. .._... .. .. :o� p4,� �rv•o e� � � .. .. .- ' -- .. .. ...r _ .. .. .. .. .. . • ._ .. .. .. .. .. _. ._........................................• ....� s s a t :! '1•,I :Y d ax a :i : : : : : : : : : I :;t O `PLA�lNIf�G DI�/ISI : N - { = .% VAL - ... _...................................... :...._......._. P.S II... ........--•....••-- :._.. .....\. ........_.. 5�..... .... =...........:......:.....:.....BUILp..... kNARPRQ..... ..... a^ : ` :Use:. F Dai r �. . �� �rs� � `.fit fit•.. �.. _ -y�✓ R� a� �� � kin • 9�- Landscapin 9:. �.... .. cc .. 3 ...._ ... ... .. •I• :, DthE't•.. 0• l � [r F' .. .. .. .. .. ..- .. .. ;.. y. F.. .�.. ... .. ;. : ``h[F[[ C _ .............d I: .. ... .. .. # .. 1-.... .. ... .. .. .. a j.. ... ... .. .. -- . r = �� c -` .. ... �. 5.x.....7. .. ...�i. ,I 'Y CA m — �y a •E Ad lac 0 � � :J - a I ... ..,.. .... . ......... rh :.....•..........:.....:......:...........:....:......:....:......�......•.....:. .... .............................: !!. ;............;.... ..;:!... .. ... .. (;. .. .. . .;....,.. . w/ IV r :.... :o E ............���..r.�..... ... ........ .. Q•.... .. .. _ 4 I -- -�L Fi :� .. ... .. .............. .. .. ... . ......... • .f.....:................ ... <.............. .. .. .. ............. ..:....:. .:.. i....ti...f.. .. .. .. ...................... .. .. ............. ............. • . .. �. :....:..:....:....:..:....:....:. .. 0 �c �. !-IT :.: Assessor's Parcel Number Owner Name 'o—r- go Address / Phone No. PD Site Location X592 Contact: Mame FO -10® — ©ElRO — 000 Scale: I$$ F C0rnn isiW UCL. �l5 F�oQ.c�i' Phone 7c -/O / I FOR OFFICE USE ONLY Zoning: General Plan Desig: Size, Acres 4.00' PROVIDE FOR ALL ADJACENT PARCELS SIZE (AC): ZONING: GEN PLAN: USES:-