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SITE LAN REVIEW APPLICATION nn
Date: —, at 02 A.P#
Permit Number Cf applicable)
APPLICANT INFORMATION
Owners Name:
Address:
Telephone No.:
Situs Address:
Proposed Use:
Parcel Size:
5, 3 % A L'
cf�_5q '// Y& X3,4�jl
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
Other
[� Septic -
❑ Agricultural Exempt Building
❑ Other:
O'Commercial Remodel
❑ Industrial Remodel
❑ Well
CfWNTY
OCT z 3 20014
DEVELOPMENT
SERWES
Brief Explanation
DO NOT WRITE BELOW THIS LINE
DEVELOPMENT SERVICES INFORMATION (For Staff' Use)
Approved ❑ Conditionally Approved ❑ Resolve Problems Prior to Approval
IN Site Plan Stamped Approved*
BY
Date JIJ Df
'I'd
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) r,n,b&e �
SRA - (CDF to determine specific requirements)
100 -Year Flood Plain: (See attached)
o Flood Zone: x
Flood Panel No.: 06 Z SL Index Date: 6 ` -
❑ 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
El Minor Variance El Administrative Permit
❑ Variance
❑ Detached Building Use Form ❑ Encroachment -Permit
❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement
Zoning (J (U`s
Applicable Building Setbacks::.
Zoning Code Streets & Highways Fire Prevention Subdivision Map
Front a
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.
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 will be made at the time of
the building permit.
Parcel Created By J
Date of Creation: �r3�)&o
Deed of Reference: 0. ILIgra
Parcel Frontage on Publicly M tained Road:
Complies with County Standards for Deed Cre
Comments: . 1�0 Q•uaGA�t-Al typl z
❑ Parcel Deemed to be legal
Legal Access Provided: ❑ No MYes
Legal Access Required ❑ No ro Yes
❑ NoYes, Road Name: 01 a
El No.
Yes
❑ 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
.4 _ .
❑ Subdivision Map/Parcel Man:
Map Date of Recording:
Lot:
❑ Use Permit/117inor Use Permit
Permit Number:
Book: page:
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 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
❑0
0
0
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.
C,-EarrysSuilding Permit Site Plan Reviewl.doc
4Y
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
November 15, 2004
Ted Runge
C/o Harold Balaz
P.O. Box 347
Palermo, CA 95968
Subject: Environmental Health Permit — 061-410-012
Dear Mr. Runge:
The Butte County Department of Development Services, Planning Department, has reviewed the
submitted Environmental Health Permit 061-410-012, and require the following information to
continue the review process.
• Creation Deed: the deed that created this specific parcel (a title company or realtor will
have, or obtain the document).
Please return the applicable information 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.
Sinc•r ly,
T
Stephen Streeter
Planning Manager
REOOtegte6 RKWI STS tsY �OFFICIAE RECO�OS
BUTTE COUNTY- ALIF
tam 7?D Rf.. 7ESTFD 26.
..rmt wl..... ruL,o SG L5 • l0 3ill`Y ISEI
Mr. and Urs. Russel' Po»ard fU
CLARK A. RELSON �i
1042D Creston Drive COUNTY RECOiOEB A —_
Los Altos. California
FEE .
35109
TideOtdcTNo� F"'�"�nMC`ASOVETMISUNEFORREGOROERSYSE
.......•••�•••••" = AtFut I.R.S.S tN THIS SPACE
-Same as Above _.
Aew>sw
joint Tenancp ]Deeb
3nb b t
fur TTT.,a rpwr ro- .os
ERT C• JOHNSON and PATRICIA A. JOHNSON
FOR VA1ug RECEIVED.. his wile,
B
/. .
GRANT -10 RUSSELL E. POLIARD and MARIE E. POLLARD. his wife, .
as IOINr TENANTS 20 d- teal FoPeM E7tuate in the
Butte , Sate o[ California. desrn-bed as toOows:
Ca+ntY Of .. ..
A portion of Seetioa S. Township 21 North, Range 6 East.-M.D.B. G M.. and
more particularly described as follows:
Commencing at the Northwest corner of the Southeast quarter of said
Section ST thence South TO 481 24" East along the West line of the South-
east quarter of said Section S a distance of 1264.86 feet to the point of
beginning for the
uth 48' 24" East, 316.21herein cfeet; thenceeSouth 890 3rom said 611nt
Of beginning.
34" Past, 400 feet to a point is the .center line of the Old Oroville-
Quincy Road. as the same existed;August 1, 1967; thence Northerly along
the center line of 'the,iOld Oroville-Quincy Road. 316.21 feet. more or
less, to �pn`eet oTttbears h 89° 3So34b West. 470 feet tost from the the pointooftof be-
begin-
gi nq T'{o, -
sing.
4 S ^
19-kZ—
W
�1
STATE OF CALiPORNIA Butte
r of
O La berr IR19�Z� bdole /wC. die Vw�T��' FOR NOTARY SEAL OR STAMP
apa�aodtaT.ad CIC18 O OSOa
t o nson a
_ P.rbme came 'ranp�raw.lt.111' 1
aabmibcd to the i-vw and adnoakdsed to an tb.: 1Rr. Dp:�,1A L A7 IR�w
t the acme. P It�t'^L N L;
�L eT60ted t BVTi'e. l-Uc.% i i
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tame ct1'Fe or named: Em OF 'DOGo-90
c^rte
rAILTAX ePATEMO:TS AS DIRECTED ABOVE
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• Assessor's Parcel Rlumber. ❑ ❑ ❑ ❑ ❑ - ` ° 0' F,o, x�w� ICE USE PROVIDE FOR ALL
�Zornngti� ADJACENT PARCELS
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Owner Name � P, A v� -� � v ,s-�- ® `' � ° � �� X� � .
_ • to GeneralFPlan� SIZE (AC):
Address /Phone No �� - G 1 I� - oto - o2ti v; /te y �� { °; ;:m AW ��� Deng ZONING:
,.> C: UEN� a� , � ,� z GEN PLAN:
Site Location o �: i� �` C . !�,� n ��K� 2a 1. _�.ao- USES:
�r� � � 6fli_•2- ��S hone S� ��l ��. b� jpr}, st� � � , � !M_,� 3.7_,_
'Contact:. Name A .P ��r.�-�sr
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