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SITE PLAN REVIEW APPLICATION
Date: )--yq AP# e 6 / ^3s—
Permit Number (if applicable) C)
APPLICANT INFORMATIONS
Owners Name: —
Owners Address:
Telephone No.:
Situs Address:
Proposed Use:
Bin Number
Parcel Size: S
S 3 � -4 16t L) Email:
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
By r `E�-- � VW Aro� Date
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)
® SRA - (CDF to determine specific requirements)
F -1100 -Year Flood Plain: (See ttached)
• Flood Zone: QQ
• Flood Panel No.: _�Cp 06"1 Qkpo -S C Index Date: L - n � U
❑ 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)
❑ Oroville Enterprise Zone
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: A
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
Side Street
Rear
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
❑ Fire
❑ School*
❑ Parks/Recreation
❑ Roads
❑ Sheriff
❑ Drainage
❑
Ni--SP/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
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/Notice 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
F]Meet current Environmental Health Department requirements
-
Im
Subdivision Map/Parcel Map:
Map Date of Recording:
Lot: .Z-
❑ Use Permit/Minor Use Permit
Permit Number:
:..
167
Date
Date of Approval:
Page: L-A -2—
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.
❑ -
0
Page 4of5
❑
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.
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Del Siemsen, TENTATIVE PARCEL MAP, AP 61-35-22 ptn., 4 parcels on
the ' south side of Enumclaw Rd.', approx. 1200 ff. west of its
intersection with Bald Rock Road. Bald Rock area. Engineer: Ron
Graves and Associates
Public
Works conditions:
3
/ 1}I
Provide two-way traversable access RS -B -LD -I to each parcel from
a county maintained road or state highway.
W-Access
to be reserved in deeds as per county ordinance and offered
for dedication on the final map.
�CL3 7U
Show 50 ft. building setback line measured from centerline of access
easement.
d K 4
Provide road maintenance agreement.
Ott-
Show all easements of record on the final map. G'Srs" O ALC V15
0
Provide street name signs per requirements of the Department of �L; etiL.
X
Public Works prior to recordation of the final map. 1/-
5G
cv�'. •� AA A14 a��veovdd &
0�-- 7
Pay off any assessments.
OxIL.()8�
Provide cul-de-sac at the end of the street.
9
Pay any delinquent taxes or current taxes as required.
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MeetCO)
Meet the requirements of the Division of Forestsry re: Timb1:_r_
A
Harvest Report: OA-
� Planning Dept. condition: A
Planning
1
All parcels are to comply with the A-5 zoning.
Health Dept. cnditions:
12
Show a 50 ft. leachfield setback from the drainage way on parcel 1.
13
Indicate on the map that areas with slopes in excess of 30 percent
are unsuitable for sewage disposal.
- The following'mitigation
measures are required:
14
Note on map: All cuts'to be,2 ft. or less.
15
Note on map: No earthwork during the rainy season.
16
Note on map: All wells, pools or water storage shall be fitted
with.CDF-approved drafting connections if required by CDF.
SIEMSEN, TPM '
17 All development and buildings -on lots 2, 3 and 4 are to be
located within 350 ft. of the southerly line of lot 1 with the
remainder of lots 2, 3 and 4 to be designated as a no
development area.
18 Note'on map: Recommend all buildings and mobile homes be constructed
with fire resistant roofing and siding.
19 Note on map: Recommend fencing to be limited to a minimum of 18"
above ground, and maximum of 48" ablve ground.
20 Evidence of water shall be submitted prior to recordation of final
map.
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Assessors Parcel Number: ®�,
Owner Name
Address /Phone R9®. /4' H X9a-ev r r
Site Location ' �:`e
Contact: Name :�♦✓
® 0 El F5-1 Scale: 101
=
Phone
FOR OFFICE USE ONLY
Zoning: A ' S_
General Plan ®esig: Ak--
Size, Ams 1�-
4.00r
PROVIDE FOR ALL
ADJACENT PARCELS
SIZE (AC):
ZONING:
GEN. PL N: .
USES:
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