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HomeMy WebLinkAbout065-320-066A.P. los 3a-(vS + (JJ PAUL E. LEE r 1035 Northwood, 1•4ag is Permit 2418=72B4� /%Z (patio cover for m ile home) A.P. PAUL LEE ; 035 Northwood Dr�Eome�l_/4`�/�­ A.P. Lot 27, P.P.#1 ermit 2620-72Bti• o :� r (deck for mobile 5 - PAUL LEE 1035 Northwo"od._Dr..,_Lot 27j P.P.#1. CONTR: M. K. Williams,, Paradise Permit 3133-72B 3hl9/r7� (ramada f or mobil � l , 65-32-65 j WOODSON MORRIS x'1035 Northwood �Rd. Paradise ') Permit ##1876-76P (inst, gas pip- ing to ex. site) Nffi`9/�r ` Contr:.Ray Reed- *: 65-32-65 a ntr:,Northstate Alumipum,_Chico Permit`#4614-'76B new private detached garage) J6 a M MA- - R W�� IMT�M-1 . - .r P&MIT NO. '4614-76B PERMIT EXPIRES OWNER Woodson Morris CONTR. Northstate Aluminum, Chico LOCATION (A.P. 65-3'•2.'=65: 7 103 5'' N o r. th w e e d=`Rd.. f k: r ,1 f F a o Temp. Power Pole k Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Cafled PG&E ' JOB �. "FINALED (Date) ILI -e (Signat e h .r P&MIT NO. '4614-76B PERMIT EXPIRES OWNER Woodson Morris CONTR. Northstate Aluminum, Chico LOCATION (A.P. 65-3'•2.'=65: 7 103 5'' N o r. th w e e d=`Rd.. f k: r ,1 f F a o Temp. Power Pole k Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Cafled PG&E ' JOB �. "FINALED (Date) ILI -e (Signat e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RE -CORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal l Sidin Slab Roof Sheathing(/ Piers Roofing Garage Fdn. Vents Footings StemwaI I Garage Vents Insulation Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure, Slab Final V44fi Patio FIREPLACE Footings Footing Masonry Walls "Throat Soil Piping 1st Floo 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELE RICAL Keint. steel Final Fixtures Bond Beam FIR PRINKLERS Motors i Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA IC Grd. Fault Prot Scratch Heating Service Brown Cooling Temp. Poli Finish Ducts Under rou d Interior Lath Ventilation Permanen Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) v ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Ue6ville, California 95965 Tel epbone: 534-4541 APPLICATION AND PERMIT (I BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 103 el egEl .��J 34:. �� Fireplace Contractor r Total Valuation Mailing Addresd.D Permit Fee Plan Checking Fee&/or Penalty on No. Permit Fee Building Address /d PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Q • r + 1 Water piping 1.50 Each gas water heater or vent A. P. No. �)�— ,3�— �jGas Zoning & Planning piping system 1 - s 1.50 Each additio flet 30 F Sa on Fire Dept. Fire Zone I Use Permit Build' sewer 5.00 EQA Plans Parkin Declaration Parcel Map 60' R/W Improvem nts Lawn sprinkler system 2.00 g. Plans Recd I Parcel A proval PlofM Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 Main service 6011 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service R 600V 1100EAMP OR LESS 5.00 Main service EA, ADD'L AMP 1.00 NEW CONST. OWE G OCCUP. & OR ADDNS, BLDGS. ) 2,tsgft NEW CONS MULTI -OUTLET NON -R ( BRANCH CIRCUITS) 2.50ea NE R. ONSTPOWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of l�� L Ex. Occup(OUTLETS OR FIXTURES)@@2S2 BALC�1 Ex. Occup. ( OUTLETS P(RESID )REA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License N "D Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code w ich requires every employer to be insured against liability for W men's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I certify that in the performance of the work for which this permitis issued, I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws oft California. MECHANICAL No. @ FEE PERMIT FILING FEE $3. nn Heating Cooling ilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEEis II G aUURJIICC feP1eScniaLIVe5 UI nle L.ounry or Butte to enter upon the abov-entioqgAoperty for inspection purposes. X Date l �' Sro— e of Permitee or Agents ReceipI S -' (012O White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OFiRUBLIC WORKS BY wilding permit expires Date � rjlDl/6/g/ O 9z6` �U b,. J, i '��oo I% COUNTY OF BUTTE —4 ,'RTMENT OF PUBLIC WORKS mar 7 County Center Drive - OroviIle, California 95965 Telephone; 534.4541 APPLICATION AND PERMIT autnonze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign ure of Permitee or Agent Receipt No. S 7 �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 001 DIRECTO OF PUBLIC WORKS 2 By ® r Date %6 permit expires Date _j�%% BUILDING Owner W a 0 g, SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �ey Total Valuation Mailing Address S'\© Permit Fee Plan Checking Fee &/or Penalty 14 ®. Telephone No. ,Z Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 �- N /� J �% vK Each Trap 1.50 Repair drainage or vent piping 1.50 3 Z Water piping 1.50 Each gas water heater or vent 1.50 .. / A. P. No. b Zoning 8 Planning Gas piping system 1 - 5 outlets - ^ Each additional outlet .30 Fe tiSerert- FireDept. Fire Zone Use Permit Building sewer 5.00 Et"JR Plans Declarration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval r Permit Fee $/-3— ^ N NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 - Main service 600V OR LESS 100 AMP OR LESS 5.00 z4ffOVER Main service EA. ADD•L 100 AMP 2,50 Single Family ❑ uplex ❑ Mobil Home Others ❑ 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW CONST, ( DWELLING OCCUP. & OR ADDNS, ( ACC• BLOGS. ) 22sq it NEW CONSTR. MULTI.OUTLET NON•RESID. (BRANCH CIRCUITS) 2.50ea NEW CONST(POWER APPARATUS & NON • R RESID, (SINGLE OUTLET CIR• CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of alifornia usiness & Professions Code under the name Styl 21, f: L 25 Ex. Occup(OUTLETS OR FIXTURES) BAL@@104 FIXED APPLNS, OR EX. QCCUp.(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 _&-x ;z ��i.t, Mobile Home Facilities 15.00 License No. CZ r l Classification - �) Misc. Wirin���%'^G g 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FLE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ / autnonze representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign ure of Permitee or Agent Receipt No. S 7 �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. 001 DIRECTO OF PUBLIC WORKS 2 By ® r Date %6 permit expires Date _j�%% PERMIT NUMBER B, 2418-72B P E PERMIT EXPIRES 12. 0 -7-3 i OWNER Paul E. Lee -1CONTR: owner LOCATION (A.P. 57-55-65 1035 Northwood, Ma alfa I y 'COUNTY OF BUTTE Department of Public Works BUILDINGINSPEC7TION RECORD Zoning Setback % ��� 7Z �,1� Forms Foundation_ Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t Date Signature if Permitee or Agent ,ceipt No. 14— �D.P.W. - Pink-lispector - Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By �/-lam - _ Dater' " 7-tj 7 'Z Building Permit Expires Date �� BUILDING Owner e4kzle SQ. FT. OCC, BUILDING VALUATION Mai I i ng AddressA�°` Fireplace Contractor Total Valuation Mailing Address Permit Fee "D 0 Plan Checking Fee&/or Penalty Permit Fee $ $ ,Gp Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1 X50 A. P. No '^ ^���g '-- oning I 50 Gas piping system 1 - 5 outlets $ _-1. Each additional outlet .50 Fire Zone IF ire Dept. Sa itation Planning Building sewer 5.00 Plans Fees _4__01W. C. R/W I Encroachment Lawn sprinkler system 2.00 Permit Fee $ NEW ❑ -'ADDITION ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTJRE Single Family ❑ Duplex ❑ Others�--- ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets alai CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification L71I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Feeff-i $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of tie provisions of Section3700 of the California Labor Code which recuires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation �• Permit Fee $ $ I certify that I -lave read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby State Fee for Strpng Motion $0.07/$1000 Evaluation Ilnstrumentation Program $ �� TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t Date Signature if Permitee or Agent ,ceipt No. 14— �D.P.W. - Pink-lispector - Goldenrod -Assessor - Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF UBLIC WORKS By �/-lam - _ Dater' " 7-tj 7 'Z Building Permit Expires Date �� PERMIT NUMBER - B 3133-72B P E PERMIT EXPIRES 73 OWNER Paul Lee CONTR:. M. K. Williams., Paradise P LOCATION (A. 57-55"65 1035 Northwood Dr., Lot 27, P.P.#l, Magalia Zoning _ Foundation Rgh. Plumbing Rein. Steel Framing Wtr. Htr. Firewall ELECTRIC Temporary Final COUNTY OF BUTTE. Department of Public Works BUILDING INSPECT(O'N RECORD Setback _� �' ��! "%� Forms 7y - Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS BUILDING Temporary Cert. of Occup. Final Final DATE REMARKS OR CORRECTIONS /,p,'3�--1� N/5 C//a5S 1719/;C €Co«v "5" 5"c6- ice,. /-soar? B 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive, --Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION /R19 3, 5',92, OU Mai I i ng Address Fireplace Contractor Total Valuation 13 �� � n � Mailing Address /y Permit Fee Plan Checking Fee&/or Penalty ls/C b,7 Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $2.00 Q NO%?T// L_i 000 OR/61 C Each Trap 1.50 ' Repair drainage or vent piping 1.50 Water piping 1.50 P/1/?�Ao R/46r, UN/t Each gas water heater or vent 1.50 A. P. No. ✓ ,SSr 65 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Saitaiinn_ Planning Building sewer 5.00 � lanan�s� Fees Z� W. C.1/ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE _ PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 5101-N 7 7,421 Oven, Cook -top or space heater 1.00 Light fixtures .200 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name t rhe Of / h Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. /-2-15-72— Classification ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ` �' � - � Z- Date z Signature of Permitee or Agent /i pt No. IO O -3 Op r// � — `).P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant jPermit Instrumentationrr� ogromion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ 6 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date—/7--//-7 Z /- Building Permit Expires e /Z" 3 PERMIT NUMBER _ B 2640-72B P E PERMIT EXPIRES 73 OWNER Paul Lee { CONTR:. owner } LOCATION (A.P. 57-55-65 1035 Northwood Dr., Lot 27, P.P.#l, Magalia h COUNTY OF BUTTE Department of Pudic Works BUILDING INSPECTION RECORD Zoning Setback Foundation Piers & Girders Rgh. Plumbing Bond Beam Rein. Steel Gas Piping & Test / Framing l Pimg. Topout Wtr. Htr. Furnace Firewall Garage Vents ELECTRIC GAS Temporary Temporary Final Final DATE Forms Fireplace Lath & Plaster Found. Vents Rough Elec. Kitchen Vent Sanitation & Water BUILDING Cert. of Occup. Final REMARKS OR CORRECTIONS COUNTY OF BUTTE - DEPA14TMENT OF PUBLIC WiN � 7 County Center Drive — Orovi Ile, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L/P.W. Dat�n_2 gnSiatureo Permitee or Agenteipt No. ���� — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /o— -3 " 2 Z Building Permit Expires Date %'-,' — 3 — 7-_� BUILDING Owner �Q� lee — SO. FT. OCC. BIJILDING VALUATION o 0 00 Mailing Address C7 3l 600 40" 1/ 8/� Gl/ Fireplace Contractor Q ,7 AV Total Valuation D, oD Mailing Address Permit Fee ,3-" pO Plan Checking Fee&/or Penalty Permit Fee $ Building Addresso3� Dr PLUMBING No. @ FEE PERMIT FILING FEE $2.00 /r/ aps Each Trap 1.50 1074- Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. S%—��f—,.. ��`— Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees I W. C. I R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHERM Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 O /�/� O Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets b CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification ❑-rdm exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of AWor en's Compensation Insurance. X I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation $ Permit Feeto $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ograrnion $0.07/$1000 Evaluation Y $ Q �Pr!$trurnentation TOTAL PERMIT FEE $ D� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L/P.W. Dat�n_2 gnSiatureo Permitee or Agenteipt No. ���� — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date /o— -3 " 2 Z Building Permit Expires Date %'-,' — 3 — 7-_� School District A.P. Number Property Owner BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) ,?Oro ck e: On* i- r1;:M(4 Property Location/Address Jurisdiction: City j"nefl- A Building Dep"nent No. County Subdivision Lot No. Residential Development .................................. ................. ...................................... Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation Conversion Permit # l ....................................................................... *(No foundation Inspection) ! .......... ............ . .... Deed Restricted Sq. Footage (Attach a signed copy of Deed Restriction and Notice of Limited Use Facility document) Commercia!&dCs@61 Q Q Sq. Footage Now Addition (including Exterior Roofed Areas) District I en ' ication No. School District certifies that v (Street Date (Applicant) ar)V' -r-/- (Phone Number) (City) ki (State) (tip Code) has complied with the requirements of Resolution No. by payment of $ representing square feet. 2926 $ IFULL MMGATION L gi-ttod'l t1istifici Representative nate le - Paid by Check # Remarks: Notice: You may protest the Imposition of the fen Identified above by submItting!a-written protest to il�6`D1strIct-.In —'%.Iancs with ' , - ^ i Govei in wit Code Section 66020(a), within 90 days from the date fees an paid. Flilureto,submit a tlmslyw�. protest will'prohlbit you from challenging the Imposition of the fees In any court acticin. K, subsequent to the School District Repnimentative signing #6 Butte County SchoolwInvact Fee Certification Form, the School District is nstlfbd byth**Wlm " Local Planning Agency that Oft project is being rwiewunder the California Enviromnental ChWity Act (CEQA), this p ol rl maybe subled to additional school fen to hdly mitigate.111s.Impact on the school dbbkft schools. White (applicant), Yellow (building department), Pink (school district) feeform.xis (10/03)dm.m