HomeMy WebLinkAbout047-680-030BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
'(One form per Building) ,
School District (-? I �`^ Building Department No.
A. P. Number 0-1-4-,:P (a 0- MrPUi'IJurisdiction:City County
Property Owner
Property Location/Address 2
Subdivision Lot No. ✓ D
.....................................................................:............................................ /
Residential Development i Sq. Footage
No of ming Mobile Home AdditioN *Supplemental to (Group R)
Units Installation Conversion Permit #
'(No foundation inspection);
i...................................................................................................................
Commercial/Industrial
L�l
Building Department Repre
r
New Add@ion
Sq. Footage
.(Including Eiderior
Roofed Areas)
Date
r (floor Plans reviewed by School District Personnel)
District Identification No. Q 116Z 5 Z,
CS UD School District certifies that
(Applicant)
mcl -
(Street Address) (Phone Number)
C1� e Com- 959a 6
(City) (State) < (Zip Code)
has complied with the requirements of Resolution No. .
representing OQ square feet.
�x. w ,
School District Representative
Paid by Check #
! Remarks:
01 V by payment of. $ 5 7 '7. �V
11AB 2926 $
FULL MITIGATION $
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Planning Agency that this project is being reviewed "under the California Environmental Quality. Act ICEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/98)dmm
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3UILD
ING DEPARTMEV,,�
APPROVED
SPA GENERAL
SPECIFICATIONS
Vl
SPA TYPE: MDL #
DIMENSION:
DEPTH:
COLOR TOTAL GALLONS
SPAJETS TILE
HEATER:
PUMP & MOTOR:
AIR BLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SO. FT. PANEL
i!
PANEL TYPE PANEL SIZE
v!
NUMBER PANELS PLUMB RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
A
SINGLE 0 DOUBLE 0 ELECTRIC BY:
JOB NO.
MAP BOOK NO.
LEGAL DESCRIPTION
LOT NO.
TRACT NO.
BOOK—PAGE—BLOCK
ESCROW CLOSE
TENTATIVE DIG DATE 5 EAr DI
PERMIT OFFICE
MGR.
SALESMAN ejCr- 0–je4K e ov -i-S
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
POOL OR SPA
NAME Su5AW 5tIAE'r
ADDRESS 1iZ31)
CROSS STREETS
RES. PHONE 343-9617
BUS. PHONE 41Z 8
Environmental Health
.JAN 122001_
Chico, Califomla
SEPTIC
r A5 PER
BUTTE GO.
HEALTH
' cv
I � .
I 41. .. PROPOSE`67 HOUSE _ q' -
&5& PLAN,
m09r1c55
LOT 5CL. ft.
BUILDING - 351 5ci.. ft.
GO'✓ERAOE q °o
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Count N
SITE PLAN
-� I 0=40 ._0„
LOT 30 LOT
GREGORY A. P E I T Z AUTUMN PARK SUBDIVISION /'')"
for. '3 O
ARCHITECT � RITCIl� HOMES �,J
383 Rio ll.& Am miw. Ca. 95926 (530) 894-5719 CMCO CALEFORNIA
.21raAN J0411VAI
139M • 'n
1-78.51'
ErtVironmentai Health
JAN 12 Zoo) _
Chico, Callfomla
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57"5TEM
- A5 PER
BUTTE G0-
�v;�7 HEALTH
.ry
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tY ?656 PLAN,
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Magness C o u r t N
LOT ��IaS 5�. Ft. SITE PLAN eD
BUILDING Ft.
COVERAGE a 0/0
LOT 30 LOT
GREGORY A. P E I T Z AUTUMN PARK SUBDIVISION
for. 30 ,
vvv
ARCHITECT. RITCHIP; HOMES
383 Rio Iindo Ave. Woo- CA 95926 (530) 894-5719 CHICO CALIFORNIA
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Envit0n1rent Health
• SEP - 4 2001
Chico, CA
SPA GENERAL
`th
SPECIFICATIONSf
SPA TYPE: MDL k
DIMENSION:
DEPTH:
T:
COLOR TOTAL GALLONS
;. SPAJETS TILE
HEATER:
PUMP & MOTOR:
:
AIR BLOWER:''
GAS LINE:
PLUMBING FOR SPA:
a
ELECTRICAL: CLOCK:
kI I
EXCAVATION:
d_
DECKING
w4 MISCELLANEOUS:
SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
1+
a` NUMBER PANELS PLUMB RUNS,
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE ❑ DOUBLE ❑ ELECTRIC BY:
JOB NO.
MAP BOOK NO.
44
LEGAL DESCRIPTION
pz
n —�o- 030
--
LOT NO.
TRACT NO.
:9 BOOK PAGE BLOCK
mak`
ESCROW CLOSE
``. TENTATIVE DIG DATE 5 960TOI
1
PERMIT OFFICE
.i
MGR.
:,'.•
SALESMAN i Cr. 0 -le -mew-'
OWNER:
TO DETERMINE
b:
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
' . CLOSING AND SELF LATCHING.`
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
4`
POOL OR SPA
f
} ` NAME SL15M 5NAE'r
ADDRESS IZ36 `,55 Ct
CROSS STREETS
RES. PHONE 343.9617
PHONE Z 8 6570
{ £� •. p it '3a�1 '.
.