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H. BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541n�
AGRICULTURAL BUILDING EXEMPTION PERMIT
NO.
Agricultural building is defined as follows: Agricultural building is a structure desiVd and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural 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.
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LOCATION F BUILDING
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USE OF qU LDING
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SIZE OF STRUCTURE /
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X � SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME __2C_ STEEL CONCRETE OTHER (Specify)
TYPE OF SIDIN
ROOF CO RING
CoM
FLOOR PE
Wood
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ESTIMATED COST O ONSTRUCTION
$ l� J~�
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows: ' SS r 5 S I
FRONT SIDES REAR
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.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy. r
Date z Signature of Owner
Permit Fee - $60.00 The above described AG Building is exempt from a builonq permit.
FLOOD PARC P.D ROOR ISSN
Receipt No.
Manager Building Division
By Date 3
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
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COUNTY OF BUTTE f DEPAWT91 NTOF DEVELOPMENT SERVICES -BUILDING DIVISION
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7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-71,n
PERMIT APPLICATION DATA SHEET
i
OWNER e-Cll� Afit 14 U I" 1 A. P o.
Proposed Building Use
Building Inspector
Date
At time of p it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ..............
5. Hazardous Material Form.....................................1:,.: :-:..? �
6. Energy Design Compliance and supporting documentation.
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. ...:......................... .
12. California Department of Forestry plan approval/fees.`........................ .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16.\k lot plan and business license approval from City of Biggs/Gridley. .............
17. , Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. . .
Pre -Inspection requeis
20. Pre -inspection for required. .. to Building inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner . .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ....................................... .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on.building use . ........... ............................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access. .......... ............:................. .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits.
......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. 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 _ mail Counter by ft / Datei
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter bye` Date
Plans checked by Date Plans approved by"� Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works