HomeMy WebLinkAbout041-320-023HIBB FA AG O1-59
HIBBS FAMILY TRUST
SUEL DR. OROVILLE
AG EXEMPT PERMIT
�BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
A6 az- C�
Agricultural building is defined as follows: Agricultural building is a structure designed 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.
ASSESSOR PARCEL NO.
041 _ Oa
ZONING
OWNER
Y`
PHONE NO.
OWNER'S ADD ESS
(� d
LOCATION OF BUILDING
USE OF BUILDING
SIZE OF STRUCTURE
1v—I!P—' _
' X
SQ. FT.
TYPE OF CONSTRUION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE IDI
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$ y--, p
AG Buildings shall comply with the minimum front, side, and rea ya;
Ordinances as follows: 1
FRONT SIDES
etbac requirements f the lica a County
r
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.
Date G
Permit Fee - $60.00
Receipt No. 61��
Signature of
The above described AG Building is exempt from _ Ilding pe It.
Manager Building Di 'ion
By
(y
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
Date
COUN Y OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PE"IT APPLICA TION DA TA SHEET
OWNER: ��5 ASSESSORPARC ER:
Proposed Building Use: Building Inspector: Date: J
At time of permit applicati , I was ad ' ed the following data must be submitted prior to perm' -pros ss' g and/or issuance:
111. All items have been submitted.
02. Plot plans, 3/4 sets, signed by the preparer of plans.
113. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes!
116. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
1:18. Hazardous Material Foran.
1:19. Manufactured Home data and installation instructions including Tie Down Specifications.
1110. Fees of $
❑ 11. Impact fees as shown on the attached schedule.
1112. California Department of Forestry plan approval/fees.
❑ 13. Flood elevation certificate.
❑ 14. Sanitation and plot plan approval Health Department.
❑ 15. City of Chico plumbing permit.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy).
020. Pre -inspection for required.
021. Contractor's license information. (Number, Name Style, Classification).
022. Workers' Compensation carrier and policy number.
1123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑).
024. Letter of signature authorization.
025. Recorded copy of Agricultural Acknowledgment Statement.
❑26. Letter of intent on building use.
❑ 27. Manufactured Home utility clearance.
1128. Existing violations and/or expired permits.
029. 1143 A, 11 Grant Deed, ❑ M.H. Title, Cl Check to H.C.D $
030. Other:
When you issue the permit, process as follows �viail to owner, ❑Mail to contractor.
❑ Telephone
and hold for pickup at
office. ❑ Deliver with inspector.
Applicant: Date:
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In
order to renew action on an application after expiration, a new application, plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within
two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for
permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing
fees, plan checking fees for work plan checked and other department costs are not refundable.
Original - Applicant
• ..� � . _ . - • . a._ .• • w7T Y' �--• r �+yr j+-s+..�.•�r•�^"vR�^'�1i�F" "'gr'r.'._"^"T'�"r��N' '-� "-.�1`"`�c� -�r,�-n ^�-aw�+_+�.r�-^�c r
UN7�YOF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
�; 7 COUNTY CENTER DRIVE' OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
f
PERMIT APPLICATION DATA SHEET
OWNER: `4� S ASSESSOR PARC /' (D� ts
Proposed Building Use: Building Inspector: ER: Date:
At time of permit applicati h, I was ad ' ed the following data must be submitted prior to perm` prod ss' g and/or issuance:
F Date Received By
❑ 1. All iiems have been submitted --------------------------------------------------------------------------------------
112. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
06. Energy Design Compliance and supporting documentation.----------------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ---------------- f --------------------------------------
❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------
❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications.
❑ 10. Fees of $-------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule.----------------------------------------------------------------- _
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13 Flood elevation certificate.---------------------------------------------------------------------------------------- _
014.; Sanitation and plot plan approval Health Department. ------------------------------------------- _
!'❑ 15.'City of Chico plumbing permit.----------------------------------------------------------------------------------- _
❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- _
❑ 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18.,Contact Land Development about 0 Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑20.1Pre-inspection for required Request to -Building Inspector on �, (Date)
K
021. Contractor's license information. (Number, Name Style Classification) „°''-- """--
- - --
❑22. Workers' Compensation Gamer and policy number. -------=---- = ~--------------------u-»*�"�
023. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
❑ 24. Letter of signature authorization. -------------------------------
❑25."Recorded copy of Agricultural Acknowledgment Statement. -
❑26.'Letter of intent on building use. ----------------------------------
1127. Manufactured Home utility clearance. --------------------------
028. Existing violations and/or expired permits. -----------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
1130. Other:
When you issue the permit, process as follows Mail to owner, ❑Mail'to contractor.
❑Telephone and hold for pickup at office. ❑ Deliver with inspector.
Applicant: Date:
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: : ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division 6ounter, by r Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, 6y Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by . Date:
Plans reviewed by: Date: Plans approved by: ' . y Date: t
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.