HomeMy WebLinkAbout065-320-064BUTTE COUNTY DEVELOPMENT FEE CERTIFICATION FORM
0 FEATHER RIVER RECREATION AND PARK DISTRICT (FRRPD)
❑ CHICO AREA RECREATION AND PARK DISTRICT (CARD)
PARADISE RECREATION AND PARK DISTRICT (PRPD)
❑ DURHAM RECREATION AND PARK DISTRICT (DRPD)
Assessor Parcel Number (s) �6 � 6> Building Permit Number
Property Owner (s)
Project Location /Address 0Y'Z-7V,-t'" b01D p2.
Subdivision Name Assessable Sq. Ftge S �^
Type of Residential Development (check one)
New Development
Alteration/Addition(s)
Mobile home
Demo Permit (date issued
Comments:
Single Family -Detached
Non -Residential to Residential
Mobile home replacement
Single Family -Attached
Multi -Family Dwelling
verified by Assessor Department
verified by Building Department
0 FRRP`D ❑ CARD XlPRPD 0 DRPD certifies that:
'973 -433b
Applicant Name Phone Number
S d r-l�u�aoc(Dy-
MailingAddress 5
Ci State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No. 0 W Q
by Payment of:
Dwelling Units @ $ per unit for a total of $
�J� Square Feet @ $ r per sq foot for a total of $ % 40
Remarks:
Paid by 3ZIi4ck No: Paid by Cash:
Park 'District ReptWntative
K:\FORMSTUILDING FORMS\park-rec standard form rev I.doc
Receipt No: '70,50
Date
` BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM'
` (One forth per Building)
Schoo/ S� /
l District � Building Department No.
A.P. Number (26 S ^ 3 ZO risdiction: city County
Property Owner
Property LocatiordAddress L/
Subdivision Lot No.
Residential Development 0 Q E7Q Sq. Footage
No of Living Mobile Home Addition) 'Supplemental to (Group R)
Unita Installation Conversion Permit #
*(No foundation inspection)
................................................................................................
Deed Restricted Sq. Footage
(Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document)
Commercial/Industrial Q Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Building partf6enrllepresentative Date
Di trict Identification No.
r f
ryA41 School District certifies that
(Applicant)
(Street Address), Q„ (Phone Numbed +'
(City)
has complied with the requirements of Resolution No.
representing square feet.
School Dist:•ict Representative
, 11
Paid by Check # / Remarks:
Ll
0
(Tip
by payment of $ 7f�'I:o, v
2926 :
FULL MRIGATION =
Date
ti
Notice: You may protest the Imposition of the fess Iderdifled above by submitting a written.protest to the District, In compliance with
.11
Govemment Ccde Section 66020(x), within 90 days from the data fees aro paid. Failure to submit a timely written protest wlll'prohlbit
you from droll ing the Imposition of the face In any court action.
N, subsequent to the School District Representable signing fhb Bull* County Schools Impact Fos Certification Form, the School District Is
rrWill by the applicable Local Planning Agency that this project Is being reviewed under On California Environmental Quality Act (CEQA)
this project may be sub)sd to addklonalaes act" fen to fully ~9. Its Impact on the school dbtrki% schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls (10/03)dmm
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NOTE:Fir y__ arlergy
See the attached The 2001 CBC, CMC, CPC, CEC, P16itriurm, � 11ij,
qefiq
and 2001 California Energy
Residential Construction kxal
Requirements.. Efficiency Standards as amended by
!Z Pages Butte County apply to this project ��an Pevkovr
Fasteners for pressure -preservative treated and
THIS PROJECT S14ALL COMPLY fire -retardant treated wood shall be hot-
: dipped zinc coated galvanized, stainless steel, -- j4(�_S_
WITH ALL CALIFORNIA silicon bronze or copper per CBC 2304.3. The
DEPARTMENT "fFORESTRY (CDF) h-il,4-r is responsible for compliance with the
REQUIREMENTS proprietary hardware manu facturer's specific
requirements for corrosion -resistance.
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