HomeMy WebLinkAbout058-590-0151
M9ahuinn''
e
Oak
E S Rr
/ �,n A pp.k mi.E.of Yankee
ill Rd'.-; Yan - _-- .
ermit #4643-81B,P �n w single family)
Permi 718-82B(install wood burning
s 6/4643 -81 -)SF
James Mahurin
E/S Oak Ravine, app 4 mi. E of Yankee Hi
Rd, Yankee Hill Area
Permit # 40-82A
AGRICULTURAL BUILDING EXEMPTION PERMIT
21
0c ~ w :
4643-.91B,P,E,M.
ERMIT NO.
PERMIT EXPIRES
OWNER James E. Mahu:rin
CONTR. owner
ASSESSOR PARCEL 41-51-15
LOCATION E/S Oak Ravine, app. -k mi.E.of
Yankee Hill Rd., Yankee Hill
t;
Temp Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
\j
Temp. Ga`s Service
Called PG&E
.000
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
- = Not Applicable MOBLLEKOMES
* = Not Ready
t
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's +
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) L , xcept 6
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Sta r_s-Rails
4. Water; Local ion- Test- Easerent Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts- Beams-RItrs.-Connec.-Shthg.-Rfg. -Bracing_
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.us..res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors '
7. Utility Clearance
7. Elec. -•
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -91 Date '
MOBILEHOME INSTALLATION (Plans) OK except N's °
Card -BI
Date
_
Date 'Card -BI' Date
POOLS (Plans) OK except tl's
1. Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector �_
3. Pool Structure; Steel -Connections -Thickness -Dead MW- En, g
4. Electricity; MH Test -Crossovers -Breakers -Clearances
_
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector -
S. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
_
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged -•
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date....,-
Gard -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
t
.1
R
0 = Not OK
- = Not Applicable - RESIDENTIAL, (Single and Duplex)
* = Not Ready
Date UNDERFL OR Plans OK except N's
Date FRAMING (Continued)
1. in requirements -Setbacks -E ments
4
roperty Line Firewall & Openings
2 ., Main; Soils-Steel-Elec rnd.- //L/" Ftg. Depth
46
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. F ., Garage; Soils -Steel- / /" Ftg. Depth
50KStairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4kT!q., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Jywood on Roof Overhang -Attic Vents -Rafter Outriggers
QP�Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel- lockouts -Wrapped -Slab
53,-SWzG9
1nh-Drip Screed-Fdn. Vents-Underflr. Access
7. da4,5fs_-Firepla Ft .- eel
5
Gazing Area -Glass Protection -Skylights -Plastic
W.V.: FEW-Fi4f1gs- est -2 way C/O -Sewer Test
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
41-27 10. Wel Test-Anchors-Regulato Service est
11. Electric; Underground
12 a &Ducts; Clearance -Material -Support -Ins.
�rJ 13 irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -P)
Date —1 rd -BI Date
C I
Card -BI
Dat -1. ;/Card -BI '`, Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date FINAL
a�
(Plans) OK except #'s
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
_ 14.--Va4er-KL; Vent -Ac ess-Combustion Air
t. Steps -Door & Sidelight Protection -Landings
.
Wk*
S_rpeVa Detector
-Furnace; Vents -Clearance -Comb. Air -Connector -
In rage; Above Floor-Ducts-Mech. Protection
15. Water Pipe Anchors -Nail Protection
Fttngs & Anchors= r
Bedroom Exiting
Shower Pan; Test, First Floor -Tub Access
& Bath Fixtures & Tub Access
r1$.--Ias4_.Tub & Shower, 2nd Floor -Tub Access
Trim & Subpanel; Breaker Sizes -Labels
_
I& --- --6eeHaipe; Size & Anchors
s & Rails
_
F' ace or Stove; Clearances -Hearth
E Outlets at Wood Panel; Int. & Ext.
Card -BI Date - ZCard-BI Date
Ki t. & Appliance; Grnd.-Air Gap -Cooking Clearance
C -BI Dat -2 rd -BI Date
ar`flec
Outlets & Receptacles at Kit. Counter
Date ELECixtICAL Permi[ OK except N's
6
g -C loser
n arage-Damper
2&--F ure & Transformer Clearance -Ins. Protection
.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
J"arage; Above Floor-Mech. Protection
2krlec. Receptacles Spacing -Lights &Switches at Doors
ize Boxes & No. of Conductors -Stapled
Plb., Elec. & Mech. Equip. Listed for Location
2iiiF{omex Installed Close to Edge of Studs & C.J.
ep ac es to Garage; (G.F.I.)-Ro x Protec.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7
-Guard
rysniation-Foam-Looked in Attic es
o
25.
25. 2 Appliance Circuits in Kitchen & Conductor Size
. fa
is Deck Construction -Post Caps
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or'
T-Vents &Crawl Hole -Drainage & Wood -Earth Clearance
Looked under Floor LTYes
27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes (�
-�SPrvice-Riser Conductors & Ground -Main Disconnect
75.
Following instld.: Dr�Z ❑ Yes o; Walks C] Yes o;
Planters ❑Yes L�
JNo
7
a9! Equip. Clearances; Panels-Motors-Mech. Equip.
7
C. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
—_/Clothes Closet Light -Shower Light
7
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
er W II; Disconnect, Electrical, Plumbing
Card B -I Date I -'rd-BI Date
8
erior. Elec. Trim; G.F.I. Receptacle -Underground
61.
elation throughout House
Card B -I Date Card -BI Date
Date MECH ICAL (Permit) OK except N's
GI as6 Protection
_
orrections from Previous Inspections
- r agged; Gas -Electric
-__ Duces; Insulation &Support
er & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Vent Fan; Exhaust above Insulation
_ _33. Condensaterain & Overflow; Size & Grade
Furnace-Ve Access -Comb. Air -Return Air Vent -115V outlet
35. Attic AccessA Platform if Furnace in Attic
- -----
1.
C I Date Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dateand-BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMING POK) OK except k's
_ 3 SilSills; Proper Material & Anchors
3Y. /Walls; Studs -Nailing, Spacing & Bracing -_Plates_ -Sound
3ry clearing Walls_over Girders & Floor Nailin-g__ _
- -
3 ftStop in Walls (rat proof)
_
Fire Stops; Furred Ceilings -Stairs h Tub
ader & Beam -Size & Bearing
4 gers-Post Caps -Anchors -Connectors -
4 Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
r Z 44.Fireplargi-T4ms or Type A Flue -Fir ce roat
/Attic
-
_
qY Access; Size &_ Romex Protection -Draft Stop -Ins. Baffles
4Pe-Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _
*-.Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
_y.iwR
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'196 Memorial Way, Chico — Phone: 891-2751,
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
/
.1
Inspectorf Date l
'i
f
.1
Inspectorf Date l
'i
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
'196 Memorial Way, Chico — Phone: 891-2751 '
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explagation, please contactethis office immediately.
Inspector
7—:3
Date
JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS EFW NO.
7 County -Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSES30R AROEL NUMBER/
S
ZONI
7---—
'
BUILDING PERMITIt
OWNE
TELEPHONIlE
v
SQ. FT. OCC. BUIL
PING V LUATION
OWN MAIL NG A DRESS
}�
V 7 /
53 9 v
CONTRACTOR'S NAM T EPHONE
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
p
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
,$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ =0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ( rM
Penalty
$
ARCHITECT OR ENGINEER'S MAILING AD RESS
Permit fee
$
BUILDING DURESS
U
PLUMBING PERMIT
Filing Fee 10.00
V
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,� ,� USE OF STRUCTURE
SF E? Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
^
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work:
Permit Fee
$ L
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR ORSLESS
1,030
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP,y
OR ADDNS. l ACC. BLDGS.
qfte
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElNON
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense No. Classification
`L• I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST R -OUTLET 2,50 ea
NON-RESID BRA CH CIRC ITS
NEWCONSTR POWER APPARATUS D\
- RESID, SINGLE OUTLET CIR. /
T
Ex. Occup OULETS OR FIXTURES a e
FILEXED APPLNS. OR
Ex. OCCup.(O UT LETS (RESID.) EA.) 2.00
Temporary service 10.100
Mobile;Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury icheck one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
o9 Consent to Self -Insure.
Ig --1 shall, not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
23,
Ventilation
Permit Fee
1
S 631 Do
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ainst said County in conse uence of the granting of this permit.
�( Date / L - 3 0 _C9(
S gn ture of Applicant — Owner Contractor ❑ Agent ❑
A SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
/
PARCEL
PI
a
Ho
ISSUE
/
This permit is hereby issued under
sions of the utte County Code and/or
work in to above fo which
D ECT PUBLIC
By
PE PIRES date'-
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date t
__J`1
Receipt No. S --8'7,3j
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF. BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.2
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 Z�
APPLICATION AND PERMIT 000
ASSESSOR PARCEL/
ARCEL/qjMS
ZON1A'./ 12—
BUILDING PERMIT
W ^VIts
T PH N E
SO. FT. OCC. BUILDING VALUATION
OW ER' S MAI LI 8AACIRESS
X 2 P O/2e�ll& 5 G9—
CONTRACTOR'S NAME fITELEPHONE
t
CONTRACTOR'S MAILIAPA606 ESS
Fireplace
6c)Q —6D
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRE s
Permit Fee
$ L U a
ARCHITECT OR ENGIN ER
LICENSE NO.
Plan Checking Fee
- $
$
ARCHITECT OR ENGI EEPenalty
'S MAILING ADDRESS
Permit fee
$
B NG ADDRESS /,V ��i A,1 .
S /nT L ��'
PLUMBING PERMIT
FiIingFee 10.00
)-L�' )2T
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
I
SUBDIVISION NAME
PARCEL- MAP
J ?-0
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Q Remodel ❑ Ut�ilitJ)-es ❑ Installatiioon�Dj ,,O1her
Describe work: �� LIC/40401D /�/v
CC�� ��, VVV
6�y IV,e � � ' - {Lr5 � /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi)ingFee 10.00
Main service 100 AMP OR00V OR LESS5.00
T
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. (DWELLING OCCUP.8i
OR ADONS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
%❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEWCONST
NTS 2.50 ea
O IDTR BRANCH CIRCT
NEW CONSTR. (POWER APPARATUS S1
NON.RESID. SINGLE OUTLET CIR. Jr
50@290
Ex. Occup OUTLETS OR FIXTURES BAL 01 00
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date Z �' L
I nature of Applicant — Owner$4 Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ov r 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $,
OCCUP. GROUP
I TYPE OF CONST.
JPARCFLJ
PD HD
ISSUE
Thi pe it is hereby issued under
si s e utte County Code and/or
w it Rie a ve fgr which
R CTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORK/111/8
Date _
_ Y
/ / _v
Receipt No.
WHITE-D.P.W., YELLOW -ASSES R. PIHK-INSPECTOR. GOLDENROD -APPLICANT
RF.4TTIF.NTTAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location
BUILDING PERMIT NO.
A. P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors I. -
Walls v
Ceiling/Roof L_
Ducts
Circulating Pipes
APPROVED HEATER & //I
APPROVED WATER HEATER
GLAZING:'
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS. AIIJ4
BACK DAMPERED FANS ,/ /A
INTERMITTENT IGNITION DEVICES Xj /,-
CERT. APPPLIANCES &ZA
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
(please print)
Signature of
Insulation Applicator
State Contractors
License No.-
General
o.General Contra r/Owner- ame �R �, a S C . m d,.- A?.
1.Q-rr6
(please print)
Signature of
General Contra r/Owner <f Date Z - �-
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovilte, California 95965 -Telephone 916/534-45
AGRICULTURAL BUILDING EXEMPTION PERMIT
ERMITVO. n
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, t,eated,
or packaged, nor shall it be a place used by the public.
ASSESSOR PARCEL NO. `
/ — J5/ �- 16-
ZONING ,p�Z
iiLL !.
OWNE
PHONE NO.
go,,
-2k�d�
OWNS 'S DDRESS
r
S ��
LOCAT ON OF BUILDING
44l/I Ahs *PP•
L
14
USE OF BUILDING �Ap � � /M �LE�E�/ /
S/6//`�►-'-/ E
SIZE OF STRUCTURE f 2
�
769
TYPE OF CONSTRUCTION:
WOOD FRAME `� STEEL CONCRETE
OTHER (Specify)
TYP OF SIDING
/44/-DBOAAE�,D
ROOF COVERING
60"POSITIOld
FLO R TYPE
�N ATE
ESTIMATED COST OF CONSTRUCTION
C) C)
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the'applicable County
Ordinances as follows;
Sb litSIDES
S
FRONT
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 / Signature of Owner
Permit Fee - $25.00 The above described AG Building is exempt from a building permit.
Receipt No. 7/132 2 Director of Public Works
By Date I'O" J— &Fz
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
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