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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 PERMIT
1
°/ PERMIT NO.
OS //
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.
ARSIIE-S RAZ L N e -
ZONIN . VV\ '2_0
OWNER
PHONE NO.
OWNER'S ADDRESS d
LOCAT ON OF BUILDING
:3G Doe MJ( RCA . Fre"i. eza �. c k
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USE OF BUILDING
SI oR �1Gi� - -
SIZE OF STRUCTURE
�^ X e2- 4.—'
SQ. FT.
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TYPE OF CONSTRUCTION:
WOOD FRAME —X-- STEEL CONCRETE OTHER (Specify)
TYP QF SIDING
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.ROOF COVERING
Cfl'
FL TYPE I
I;�JrJC)r
Wdod
ESTIMA` ED COST CONSTRUCTION
$
AG Buil Ings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows:
FRONT .Sb ' �--^ SIDES—
REAR �c7
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 MI R41
Permit Fee - $25.00
Receipt No. v
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Signature of Owner
The above described AG Building is exempt from a building permit.
FLOG IP
pARC P.D ROOFIN ` ISSUE
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White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
Director of Public Works
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By Date 4 411
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Gt ��- A. P. No.
Proposed Building Use4 Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED 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 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
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 ❑, Mail. to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment
25. Letter of signature authorization .......... ...................... r
26.
27.
When you issue the permit, process as follow Mail to owner. Mail to contractor.
Telephone916 X53-3176 and hold for at o e. Deliver w/inspector.
Other
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---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 File cabinet AP folder
:y a
Copy—DPW