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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL 13U1146NIG EXEMPTION PERMIT
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO.n
It
ZONING �Q
OWNER S fiM Q-
PHONE
OWNER'S ADDRESS / / ���. ��
LOCATION OF BUILDING r� /�� /,4pi/
USE OF BUILDING Fon^ P -UL- 5 14e
! Y
SIZE OF STRUCTURE
X D = SQ. FT.
TYPE OF CONSTRUCT N:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF tV'00-0
ROOF COVE NG ^
FLOOR TYPEESTIMATD
COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT ss SIDES 2 S / REAR 2 5 -
AG
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall 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.
/r
Date ✓.�` Signature of Owner v
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No.
/9Sl C ICA,+;,01- awe
White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant
Director of Public W ks
By �"� Date R —/8 -9l
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FLOOD
PARCE
P.D./
ROOFING
ISSUE
V
" '
Director of Public W ks
By �"� Date R —/8 -9l
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74 p!
COUNTY OF BUTTE - DEPARTMENT;OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - 01`10�11�!_E,,CIQNLIFORNIA 95965 -.TELEPHONE: 916/538-7541
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PERMIT APPLICATION DATA SHEET
ermit No.—
A. P. No.
At time of permit application, I was advised the following data must be submitted prior -to permit processing
DATE RECEIVED
:)r issuance:
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 prior to '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 al6proval 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. Pre -Inspection for required ... P,e-inspec. request to
Building Inspector (Date)
21.. Contractor's license information (No., Name Style, Classificati 0 n)
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner
24. Recorded copy*of Agricultura'14Acknowledgment Statement .........
25. Letter of signature authorizat1fon ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. —MAil to contractor.
- Telephone and hold for nirkiin At Affirin naii,,n,
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. -----Air Pollution Date
Copyofplanssent ____HeaIthDept. —FireDept. —Cither— Date By—
The following data must be sub . mitted 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---jnal I —counter by—..date
Contractor, designer, owner, was advised of above required -data by—phone _rna I I —counter by— date
Plans checked by Date Plans approved by Date
Sets of plans on hold in —File cabinet.- _'AP folder
Copy—DPW