HomeMy WebLinkAbout024-080-08224-b8-82
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-P5C1\_
AGRICULTURAL BUILDING EXEMPTION PERMIT
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Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, orother horticulutral products. This structureshall not
be a place of human habitation or a place of employment where agriculturai products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSESSOR PARCEL NO. 0
ZONING
OWNER
971 LIJ
(Vi C5 T
PHONENO
'1/ 6 9-4 6 0 -3-2—
OWNER'SADDRESS 111-7 I_Je4gllk 4Z2 69IDLE-Y 9�5�;Vg/
LOCATION OF BUILDING Lq4-e11J AVE V4 SHELVO.V
USE OF BUILDING
SIZE OF STRUCTURE
0-
X SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME - STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
1h E�nt C-,.,
F
ROO CO ERI G
LOOR TYPE
ESTIMATED COST OF CONSTRUCTION
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AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: .1 .1
FRONT 5-5- SIDES REAR i5—
AG Buildings shall be a,minimum of five (5) feet from any septic tank or leach fields.
AG Buildings lessthan 1000 sq. ft. in floorareashall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greaterthan 1000 sq. ft. in floorareashall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. loo Z&
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
Director of Public ks
By Date I-.;- 17 -
FLOOD
I PARCEL
I P.D.
I ROOFING
I 1,13��SU]E
Director of Public ks
By Date I-.;- 17 -
J,
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING D . IVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIF09NIA 95965 - TELEPHONE:`W'GiS38-75�1�
PERMIT APPLICATION DATA'SHEET'i:,
OWNER
64�E rx A'. P:�N` 20
ZZ
PrRposed Building Usd--2 2ft
6�:2
�2 Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit proc*e-ss'in'4'Wnd/6r issuance:
Copy of Haz-Mat form sent —Health Dept. ----Fire Dept. ---Air Pollution Date
Copyofplanssent ---HealthDept. ----FireDept. �Other— Date— By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone ---Mai I —counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked by Date -Plans approved by Date
—Sets of plans on hold in
Copy -DPW
File cabinet —AP folder
DATE RECEIVED APPROVED
1 .
All items have been submitted . ........................
2.
Plot plans in duplicate/triplicate, signed by preparer of plans .........
3.
Complete plans in duplicate/triplicate, signed by preparer. of plans
4.
Complete engineered plans and calcs, with wet signature on plans
5.
Hazardous Material Form ................................ ............
6.
Energy Design Compliance and supporting documentation ..........
7.
Statement of Intent for Non -Heated and AC Buildings ................
8.
Engineered truss details and layout in duplicate (required priorto--plan check)
9.
Mobilehome installation data including manufacturer's installation
instructions ........
10.
Fees of $
11.
Chico Urban Area fees paid .......................................
12.
Park fees paid .....................................................
13.
School District fees paid ..............
14.
Sanitation approval from Health Department
15.
City of Chico plumbing permit .....................................
16.
Plot plan and business license approval from City of
(see City for other requirements)
17.
Planning approval for (A) Use:—(B) Parking: . ......
18.
Improvements may be required. Contact Land Development Section DPW
19.
Driveway permit (construction approval required prior to occupancy)
20.
21.
Pre -Inspection for required ... Pre-Inspec. request to
Building Inspector
Contractor's license information (No., Name Style, Classification) ...
(Date)
22.
Certificate of Workmans Compensation Insurance ..................
23.
Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
-- 25.
Letter of signature authorization ...................................
26.
-27.
When
you issue the permit, process as follows: --L�Mail to owner.
Mail to contractor.
Telephone and hold for pickup at _office.
Deliver w/inspector.
Other
Applicanvt",��,/, ,
'1,
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IT—
Copy of Haz-Mat form sent —Health Dept. ----Fire Dept. ---Air Pollution Date
Copyofplanssent ---HealthDept. ----FireDept. �Other— Date— By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by —phone ---Mai I —counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
Plans checked by Date -Plans approved by Date
—Sets of plans on hold in
Copy -DPW
File cabinet —AP folder