HomeMy WebLinkAbout064-690-013BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
O FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
0 CHICO AREA RECREATION AND PARK DISTRICT (CARD)
PARADISE RECREATION AND PARK DISTRICT (PRPD)
DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (ss) UCD � C Q '-013 Building Permit Number.
Property Owner (s)
Project Location /Address
Subdivision Name
Assessable Sq. Ftge
Type/of Residential Development (check one)
New Development ✓ Single Family -Detached Single Family -Attached
Alteration/Addition(s) Non -Residential to Residential Multi -Family Dwelling
Mobile home � Mobile home replacement verified by Assessor Department
Demo Permit (4ate issued ) t verified by Building Department
Comments:
Department
❑ FRRPD ❑ CARD >`PRPD 0 DRPD certifies that:
�-rj7UC A 5?0 _ 9� 1 L�
Applicant Name Phone Number
35-5 c LI= ,41 PCL,-Vzdz�
Mailing
City
State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
Square Feet @ $
per unit for a total of $
Vper sq foot for a total of $ 9 .�- 09�;'
Remarks: z", Aagg,
Paid by Check No: Paid by Cash:
Park
T. APr)RMC\RTITT.T)TNC; FORMS\nark-recstandard form rev t.doc
Receipt No: l-2 .3 �I/
y -a2 R-0.6
Date
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
School District �%� ,(� Building Department No.
A.P. Number D&4 (ji o -013 Jurisdiction: City =ffcourft
Property Owner
Property Location,
051 q S
Subdivision Lot No.
Residential Development Q Q Q Sq. Footage
No of Living Mobile Home Addition/ 'Supplemental to (Group. R)
Units Installation Conversion Permit # n �/
.(No foundation inspection) -r
Deed Restricted Sq. Footage
(Attach a signed oopy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial 0 0
New Addition
Department
Sq. Footage
(Including Exterior
Roofed Areas)
) �) &L s
Date t /
District Identification No. d
i!School District certifies that
`� (Applicant)
(Street
(State)
has complied with the requirements of Resolution No.
representing_ square feet.
School District
Paid by Check # !
(Phone N
by payment of $
JFB 2926 $
PULL MITIGATION f
Date
Notice: You may protest the Imposition of the fees Identified above by submitting a written protest to the District, In compliance with
Government Cods Section 66020(a), within 90 days from tha 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.
H, 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 (CEQA),
this project may be subject to additional school fees to fully mitigate Its Inrpaet on On school distrlcre schools.
White (school district), Yellow (building department), Pink (applicant) feefonn.xis (3105)dr'nM
COUNTY OF BUTTE
bEPAR'TMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
F.,
CORRECTION NOTICE
13
, OWNER
PERMIT
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.
Apb� A'0'W/- 1,4 37A /a //-, scatr &4h
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71 - 5-3
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Date— Inspector—
S W
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. n,
lnter-Departiiontal"-.,",Memorandum
TO:
F ROM:
SUBJECT:
DATE:
tFFAXE OF CALIFURNIA k-UMMUNMALI H LA
SS. TITLE INSURANCE COMPANY
COUNTY OK
0. ore me,
a Notky Public in andfor said/ State, personally appeared e��,e 42 P'ersonally (known to me)
for proved to me on the basis of satisfactory evidence) to be n whose nadr- OR All -scribed to the within Instru-
ment, a Witness thereto, o being by me dt sworn, d oses and says:
n
n
That, reside gy _2L tha0Q--k W 7
77-d 4, if , and as pr nt and saw
- , personally known to— llw_�
to be the same person— described in and h name subscribed to the within and annexed Instrument as
Part thereto, execute and deliver
ac now g W sa a ant t
.executed the same; and that said aff iant subscribed
Lqj — name thereto as a Witness.
WITN IS my hand an�d��..
Sig_t_�
Form 3214 (CA 12-82)
OFFICIAL SEAL
MARY ANN ROSS
-CALIFORNIA
NOTARY PUBLIC
Buttia Coun2y
My Commission Expires MOM11 31, 1992
(7%is area for official notarialsEND Cf D0(XMENT
APA
OWNER (f A (�rffylz--
PERMIT It,
MH UTIL..CLEARANCE DATE
INSPECTOR (91 902,�5
ELECTRIC
GAS
Support
Struc.
Compaction
Test. eq.
Service Other
Pipe
YES
NO
YESI NO
Size Load
Type
Size
Length
I
rlv�5 r
r4
146
TO,-- Building Depart.r�.tnta-
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
/V,4 �&e�4 ao�
OWNER
42- 3
LOCATION AP #
Plans app.roved for: Sewage Disposal K Water Supply
Hold final for: Water Supply
Final Clearance.O.'K. for: Water Supply
2-1-1 )(6o' To / m4, q Y- q 17;r4,6
Clearance for bedroom mobile home. Other dLe
Clearance for addition of
Notd!**
TARIAN DATE
HE
r
TO: Building Department
FROM: Encroachment Permit Section
RE: 'Diiveway Clearance
Kla
owner location AP #
Driveway permit
n
signa,Cure
has been issued for the above property.
date
MOBILEHOME INSTALLATION ACCEPTANCE
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
Address or location of mobilehome
Owner's name I
Owner's address
Insignia or hud number
PERMIT NO. -
�-.j . <. -
Manufacturer's name r
Serial number of V.I.N. Year of manufacture 7�;
(Official Approving Installation) (Date)
IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLAT11%
ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN TH
MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM.
513B White - Owner, Yellow - Installer, Pink - D.P.W.