HomeMy WebLinkAbout063-140-013BUTTE COUNTY SCHOOLS DEVELOPM,NT„FEE CERTIFICATION FORM
(One Form, -per Building)
A.P. Number 63 /4— / Building Department No.
School District
Property Owner
Project Location/Address
City. n County [:::] Jurisdiction
Subdivision Lot Number
Residential Development:
Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas) "
B-hilding,AOepartme t Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No.
OnIA4cla School District certifies that
(Applicant/Name) (Phone Number)
(Street Address
City
tate
(Zip Code)
has complied with the requirements of Resolution No. "yLGCO 7
by the payment of $ .0 representing
—I -square feet.
1
School District Representative Date
PAID BY CHECK NO.
BANK NO
REMARKS:
4�
I
'PAID BY CASH eW�n�N�DEP�
c 1 1 1991
white -applicant, yellow -building department) pink -school district
SCHOOL.FEE (8/88)
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
' (One Form.per-Building)
'
A. P. ' Number f -/,%-� Building -Department No.
�.
School District 'G (� j " City �] County Jurisdiction
Property Owner
Project Location/Address"! jc;0 ,54 C Ale— A,.-(
SubdivisionE�r
Lot Number
Residential Development•_ aq•
G�,Q�GI/QGQ� Footage
„i2-. of ,Living. MHI Addition ( oup R)
Units :Y
_ Commercial/Industrial: a 'Sq. Footage
New Addition (Including Extetior
Roofed Areas)
47
ilding epartme t'Representative m , •_.:-- _ . Da e
L (Floor Plans reviewed by Schooli:Dlstrlct Personnel) 5
4ti r. .ter ! t
=e'• .. i... i ,'. �.; �r.a. .. t.. L: r".�}. � YryZ ..� -.. •.'' ,- .. ! rs. .s t .. ,.~,.{ .. •'}. j
PAID -BY CASH
white -applicant, yellow -building' department, pink -school district
SCHOOL.FEE (8/88)
-(City)ti
,..,
:(State)
...,(Zip Code)
Resolution
has complied with
the requirements
of
No..
/
by the: payment of
$ 'OM! . o6 ,representing
p g
s uar feet.
o7 q
School District Representative
j•:- Date
PAID -BY CASH
white -applicant, yellow -building' department, pink -school district
SCHOOL.FEE (8/88)
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form' per '*Building) r
A. P. Number(�o 3- 0 Lt - 1 3 Building: Department No.
School District C�.�,', Ln City -,County Jurisdiction
Property Owner ob c�r�6
Project Location/Address E6 P P � e&^,. Cx -fir
Subdivision Lot Number
Residential Development: �y y Sq. Footage 13S
# of Living MHI Addition (Group R)
Units ,
Commercial/Industrial:
.y
4
r
a'Sq. Footage "
New Addition (Including Exterior
J.
Roofed Areas) t �!
Y
Building Department Representative
District Id No. e?!fQc�% 0
C -A % w C/l n i 7-i e A School. District certifies that
e-�?p 9,)Y -/?77
(Applicant Name) (Phone Number)
/ � M 4L2nq /Z)�� 61,=
(Street Address) �<C
( City) ( State) (Z,ip, Code)
has complied with the requirements of Resolution No.
by the payme t of $ %�j, S� representing ,square feet.
C)
chool District R pre ntative ate
PAID BY CHECK NO. �
BANK NO 90 - 3 p 7,6
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL . FEE (5/88)
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Certification 'WI-40W;
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ly ifield ;Report Y
' .. '.NAME r}
PROJECT
GU>*M' OR 1TNVNER',,
Tree CavityBackfill`''
Bob 'Mor fon 1;
88557
GENERAL LOCATION Or' WORK
OWNER OR CUEkm AEPRESENTATP/E
PAGE
Forest Ranch Wa Lot 3',Gary-EnBelder
GENERAL CONTRACTOR
GRADIt-4 CONTRACTOR
DAILY FIEL,C'A0bry SEQUENCE No.
Bob Morton
uar Rn elder :
2
TYPE OF VIIORK
GRADING CONTRACTOR'S SUPERINTENDENT OR FOREMAN
DATE yDAY OF THE WEEK
Backfill'
Chris Rasmusseni
12-20-88 Tuesday
� IAL ,.
SOURCE AND DESCRIPTION OF FILL MATER
N}+EATHM a
TECHNICIAN "
Valle Rock -3 �:" A re' r`'ate Base' Rock ,,
Cloud Showers
R. `Thacker
_
tT
KEY PE L ENGR., ARCHITECT, DEVELOPER,
ASONS CONTACTED (CIVIL E
( TC.) .
y
,
#
ELEVATION -. FIELD TESTING _
- REFERENCE CURVE
TEST NO
S'1" LOCATION
DRY
0° G#:" DENSITY
OISTUA 96 OF
CONTENT MAX. DRY
COMP AMkiMUM,,
CURVE DRY pENSrP,' oPTiMUM
MOIsfuRS
COMMENTS:
10elklu. fk;
% DENSITY .
NO. I Vcv. it CONTENT
2 Dgep Cavity. North Center
@O. G. ;133 A.
7`s 4 2
T-1 145.6 5.4
OK
.---
3 Shallow t✓avity. SW Corner
CO. G. 133 ,8{
5.6 2
T-1 1 5.6 5.;4
OK
DESCRIBE EQUIPMENT USED FOR HAULING, SPREADING, WATERING, CONDITIONING AND COMPACTING '
Kubota Tractor Wacker Type'Comp'actcr
NOTES, (DESCRIBE WORK COMPLETED DURING THE DAY, ANY PROBLEMS AND THEIR'SOLUTION)
-.Arrived on the 1030 hrs. 'Contractor had completed backfill and compaction--.
,iob'site<at
of both tree" ;cavities. rr ,formed nuclear density te'atint�' at
the 1'ocat onsshown above.,
than .the rectuz.red. 90X r
Both tests indicated create elatre
compaction: 'Reported test
results,i6 the contractors itiOresentative,.Chris' Rassmussen.
Departed`Aob site at 1100 `
,
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MITE COPY TO'OUR'FIELD FOLDER
COPY GIVEN TO.
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