HomeMy WebLinkAbout066-010-020BUTTE COUNTY SCHOOLS IMPACT, FEE CERTIFICATION FORM
(One form per Building)
School District { 1 Se In Building Department No.
A.P. Number �i� W �V! V O /Jurisdiction: CityLa J
County
A— C f-� _
Property Owner / to r C J 7Y Q S
Propedy Location/Address
Subdivision Lot No.
Residential Development
No of Living Mobile Home Addition
Units Installation
Commercial/Industrial
(fioor rians reviewea Dy scnooi uistnct r•ersonneu
Sq. Footage S�o
(Group R)
Sq. Footage
ilncl'udmg Exterior
'Roofed Areas)
Date
Dis rict Identification No.
School District certifies that
(Applicant)
(Stree ddress) (Phone Number)'
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. by payment of $
representing square feet.` �� B 2926 $
i[.FULL MITIGATION $ t .
School District Representative
Paid by Check # Remarks:
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days. from, the 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.
If, 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 reviewediunder the California, Environmental Quality Act (CEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis (2/97)dmm
School District.
A.P. Number
Property Owner
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
r Building Department No.
Jurisdiction: ® City County
!'lit An.te-- _S Tf24- Lt _(_f .
Prdperty Location/Address /,7j—,7/ t. -Ai &L-e—pg=
Subdivision Lot No.
Residential Development
Commercial/industrial
Building
Sq. Footage
Addition
New Addition
moor runs reviewea Dy scnooi uistnct rersonneq
Sq. Footage
wtuup ni
%mciuumg Cxtenor
Roofed Areas)
9 -.70 -
Date
District Id ntification No. .. 1TO
- ool District certifies that lwaUL
(Applicant)
fi' 0.
(Street Address) (Phone Number)
(City)
has complied with the requirements o Resolution No.
re ge'nting � square feet.
Representative
Paid by Check # �(
,� M Remarks:
(State)
(Zip Code)
by payment of $
((J
B 2926 $
ULL MITIGATION $
Date #
l0 A
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the strict, in compliance with
Government Code Section 66020(6), within 90 days from the 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.
If, 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 impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xis 12/97)dmm
BUTTE COUNTY DEVELOPMENT FEE♦vTTF
CERTIFICATION FORM
Paradise Recreation & Park District .couN�y.
Assessor's Parcel Number (s): 066-010-020
Property Owner (s)
Project Location/Address:
STRAUSS, MARCUS G
13531 PARK DR
Project Description: ADDITION TO SF (1320), COV(160)
Permit Type: MISCELLANEOUS
Building Permit Number:
MAGALIA
Type of Residential Development
Permit Subtype: Room Addn-First Stry
Building Type: Addition to Dwelling New/Additional Sq Ftg: 1,320
Certificate of Existing Square Footage
Existing Sq Ftg: ,
Existing Construction Type: Residential - Conventional
Demo Permit Issued?:
Verified by Building Records:
Comments:
Buil ing Department epresentative
MH Replacement:
Demo Permit Issued Date:
Verified by Assessment Records:
10/27/2008
Date
B07-2761
❑ F�RjRnP^D CARD C�PRPD ❑ DRPD
certifies that:
A•❑ G
/ I UJ �/ �l/I �S / �� ✓✓VL SS
Y23 -
Applicant Name
Phone Number
fly/
Mailing Address ity
State Zip
Has complied with requirements of the Butte County Board of Supervisors Resolution No.
by Payment of:
Dwelling Units @ $
per unit for a total of $
1520 Square Feet @ $ � �
per sq foot for a total of $ V �
Remarks:
Paid by Check No: Paid by Cash:
Receipt No: 0 ✓ / a
= 14
Recreation a6d Park District Representative
/0 7
Date
School District
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One form per Building)
paffx&tS� UN -d Building Department No.
A.P. Number olL! `� D'v.V Jurisdiction: = City
Property Owner IY1GkrCots �rckk ss
Property Location/Address �31 Paf
Subdivision
Tax Rate Area No.
County
Lot No.
�•7-1h1
Residential Development 0
_
0
.............................................................................................:
Sq. Footage
No of Living
Mobile Home
Addition/
'Supplemental to
(Group R)
Units
Installation
Conversion
Permit # Cr. Demo - (
)
. ..................................................................................................
'(No foundation inspection) existing sq. ft.
see attached
Net total sq. ft.
I
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 Department Representative
District Identification No.
fl' CkCCL a I &, Unk LQAchool District certifies that
(Street Address)
ii/ OL C-0—
(City) v (State)
has complied with the requirements of Resolution No.
Date
(Payor)
(Zip Code)
by payment of $
representing t.JaU square feet. B 2926 $
Representative
Paid by Check # - Remarks:
(Phone Number)
FULL MITIGATION $
I2 S D Fr
Date
Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with
Government Code Section 66020(a), within 90 days from the 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.
If, 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 impact on the school district's schools.
White (school district), Yellow (building department), Pink (applicant) feeform.xis (12/06)dmm
I ,1