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Home My WebLink About079-380-0540 7 1,J SITE PLAN REVIEW APPLICATION Date: SCJ ^ AP4 i �� V --eq 5 y Permit Number (if applicable) ( NN /� APPLICANT LmFORAIATI0N Parcel Size: Owners Name: J �' Owners Address: �loln/� 5 �� a� Z/ 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) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other Septic ❑ Agri.cultnral Exempt Building ❑ Other- Brief ther Brief Explanation Cif necessary): ❑ Commercial Remodel ❑ Industrial Remodel DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) 0 Approved(.7��0 Conditionally A�� ed �G� El Resolve Problems Prior to Approval ALL ITEMS CICED 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) 100 -Year FIood Plain:tac See attached) ' ( ed) • Flood Zone: • Flood Panel No.: (7 4l') -7C ( e) -) 5 n Index Date: 0 0 ❑ Sacramento River Reclamation District (Approval must be obtained from the talif6rnia Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific PIan (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 winor Variance El variance ' e Permit ❑ Detached Building Use Form ❑ Encroachment -Permit El❑ Agricultural Worker Affidavit Agricultural Acknowledgement Statement Zoning: &P -/tx, Applicable Building Setbacks: Setbacks drawn on site Plan, ❑ CDF approval needed for encroachments into SRA setbacks. Applicable Development Fees: Standard Fees ❑ 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) Amount Formula * 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 AN Subdivision Map/Parcel Man: Map Date of Recording: Lot: .(a ❑ Use Permit/Minor Use Permit Permit Number: Book: '134 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 wa`er system or water storage tank, payment into the appropriate Battalion Waxer Tender Fund may be required. ❑ Measures shall be taken to control Awtive 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 Bute County Department of Development Services, Building Division."' ❑ Engineered foundations are required. ❑ Class A roofs are required, ❑ Property owners responsible for roa D LTJ -1 W 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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C. -.II1 I I I ► I / / / !TOTES // /14re,4.-& Pw N (lAIA�FKCO Ff EE JCT<AG1 A%. 7.) PEIPLOPNEAIr OF Ti/!JE /w.PC6Yr M ✓ 9! rU<i6cr f0 EU.YE CIXfLiY irPERF/A4GHEN L./4 rlo 7Y</OE.P FEE -1. i.I AO .PFJ/fly/AG Omrdt .L/Lr J.✓AGG 9! LOIAr P Wirth</ X Of li'E t<A/rliuAP O�>A/<fW.P.f GW! EArIroGOY w//in� ' CEofrK 7.1(�fOOFGXJY/[/4 q/Q!7/TT�<AJf AYOIIr/OL! ,A MW/c0-eeweO[/EA/r ead4rA'[ rlaA/O! PN<cq✓M6A�T Alr/✓rnBr Al.✓Y77F /[E6 aw ./Y/Osco 4PTifWezRS774,d,.PA r,IadzO.lre</<Ij.OY444ETcE.deiyc/ AO/f •' O-Olre 7V.4reW T4/,- AT/?'.(?',GL rAUVIrJ Oif.1E' vlvlle'L"TU fA�' LLPrL/pAL ACAOU?lEr Ec/lLYic/rCPEm S.)vin SUPPQESS/ON SPRINKLER SYSTEMS k//r" /RE /AKT IOMA IN ALL NEW sroucruzev r4"44A4NCE rAIC TUE N47/ONAL F/RE PRCT,e4r,e A/ASSOC/, w O IF AMO Rn FOR 771E /NSTOLL4T/ONOf SPR/NA. SYSTEMS /N CNE ANO 7NC fAHICY RWELL/✓GSA A MC91LE ROME$, N. F. P q. ST4N04Rn /9 0- 6-) A SEPTIC CQ L.C4CUFIELO M RE PLACEn W/T/l/N TUE IVRUNE E45EMEA/T AS SUOWN NCREOA/. 7.) 4 rR4FF/C MITl04T/ON fee CFl7T0 FOR E4CN NEW CR 4nnl7LON4L L/V/AlC UN/T 5N4LL RE Ad/OAT Tl/E 71NC CF RU/LO/Aq PERM? 4PPL/CATLON P.P/OR TC /SSU44KE OF R// m"c PERMnY, WE .4ppv A4/T SU4u PAY 77/E 4MMCUNr 4V rr47,En /N TNE.OEREEMEA/T SU,PVEYOPS r,TQTEMEit/T T{/ '5e101Ed/O,PS5;rA4 EM PECO?/)EQS CEQT/F/GATE TNH M P?EPA?plJ 9YME O?ONIJE? MY LT/ON 4NQ TN/5 ,�LFOl7MS W1 r" THE ?p OU/ /99Asp?UPoNBU90/ MOP dCzT O.W/NTNE lArmlNPS Ot f9/0L0pK0_7N/ OF y OF ANTOOFKp THE 9119?/V/S/ PdCT ONOLO ?O/NANCE.OC4ORON4CE4r 4 T PdOE_H — Q NE ?EQUME.9T/ N OF rTA/OT rA/H P4R.Z MOP 6U6 NFORM0 WT l4:Y e. 124 TpOl aomNmriov4u✓4/m? err c NY. rue w.Llw/w.Lwn 6E?/QL N= 9l/OWN Mp?LIpN4 PYp CN4?4LTp?ONO Mp Po!/T/LW4 CAN?4CEJ .WJ/COTpO Rp/N PLdC4AN04RP ¢/fF/C/PNr p TNp COUNTY RECO? f!/RVP Pw esriawin� ' ♦LACE% •/00' r/.v A o naL/ec NeerdlElr.✓owY,Lo?ina/AcgGrrrNwfiod MidP rl//OL'NATTQ(/L sYVAOJEd ac4rxrcvie¢d4luLhnae4 Al Of 1.L�EA74T<OF f/Ltd.{ AdA' Ar A/OT /w/rEL;OE9 r0 gflELT KELOO/! T/TLE /,dTE.pFfT. /PE/�ea LOT 34•f -fhfRV-V 1Z1, %OOA' 76, 4i ,-lAee G7, 4 o0?i1O.[/OF ih-",OZ-'1*1✓Esr W OF Eshfi M.O.M./LdisIEG/.0//.L/GO,QPO.PATE.O.4,PEA Of qC/i TEGOLf.G/i7!G4C/fD.Q,L%4. "Oe Up SURVEYING PARCEL MAPS &associates 515 SOILS iEST$ P.O. BOX 986 OROVILLE, CAL.95965 Ph. (916) 534-9587 . ........ LrN ci A I 6z i: gj