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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMI
PERMIT N0.
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.
ZONING,
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OWNER
PHONE NO.
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OWNER'S��yy DDRESS�,+�
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LOCATION OF BUILDI G
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USE OF BUILDING
SIZE OF STRUCTURE
240 'X
-0 _ _ � D o_ SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE
OTHER (Specify)
TYPE OF SIDI G
ROOF CO
ERI G
FLOOR TYPE
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ESTI ATED C ST OF CONSTRUCTION
$ ® O
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: r 1 — I
SJ J
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.
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 S �n� . Z. I y9v Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from L building permit.
FLOOD ARCEL P.D. ROOFINISSUE
Receipt No. 7 --� �lk
Director of Public Wor
BDate 6
White - DPW, Yellow - Assessor, Pink - B. L, Goldenrod - Applicant
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COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OR%M:LE;-E4WFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION -DATA SHEET
Permit No.
OWNER � LL/
/* Permit
L�-
Proposed Building Use �� �=�'� /�/ Building Inspector. Date
At ti7ofmit application,'I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
.ll
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)
Y
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
a
19.
Driveway permit (construction approval required prior to occupancy)'
20.
Pre -Inspection for required Pre-Inspec.request to
Building Inspector
(Date)
- 21.
Contractor's license information (No., Name Style, Classifications ...
22.
Certificate of Workmans Compensation Insurance ..................�
23.
Owner -Builder Verification (Given to owner o, Mail to owner D) .....
24.
Recorded copy of Agricultural Acknowledgment Statement .........
25.
Letter of signature authorization ...................................
26.
`
27.
When
you issue the permit, process as follows: Mail to owner.
Mail to contractor.
Telephone and hold for pickup at office.
Deliver w./inspector.
Other
Applicant A, oilq
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'i'tem 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--naiI—counter by ..date
Contractor, designer, owner, was advised of above required data by —phone _maiI—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in
Copy -DPW
File cabinet AP folder