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HomeMy WebLinkAbout064-400-017b. _ rA BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per'Building) A-. P. •Number. Building Department No. School District ��i1.�Qf� City n County ©/ Jurisdiction i l Property Owner Project Location/Address— Subdivision ocation Address 7 / Subdivision Lot Number Residential Development: © Sq. Footage # of,Living MHI Addition (Group R) Units Commercial/Industrial: D -.Sq. Footage New, Addition (.Including Exterior- ..Roofed xterior. Roofed Areas) ',- . Buildt'ng DepartmentVR.ep'resentative Date (Floor Plans reviewed by School District Personnel) District Id No. tt'Gt �_ /11 U1 'Ai School District certifies that (Applicant Name) (Phone Number) (Street Address) / 11 - (City) l (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ �! J i^ representing ��,r,�s square feet. School District Representative ( Date PAID BY CHECK NO. BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL . FEE ,-(8/88) COUNTY -OF BUTTE - Department.of Public Works 7 County Center Drive, Orovil.le, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916 -538 -7541 - An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. �. I personally plan to provide the majors abor and materials for construction of the proposed property improvement yes or no) �2 I (have/have not) signed an application for a building permit for the proposed work. 3:•'I have contracted with the following person (firm) to provide the proposed "construction: Name Address City Phone Co tractors License No. 4. J plan to provide portions of this work, but I have hired the following person to coordinate, upervise and provide the major work: Name Address � City Phone Contractors License No. 5. I will provide som4 of the work but I have contracted (hired) the following persons to providthe work indicated: Name Address . Phone Type of Work Signed: ..! Property Owner Social Security Number Date. %'—/9-99 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and . 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.