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Home My WebLink About066-360-084BUTTE.COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District,CA Building Department No. A.P. Number Q W -3(p0' 08y(/ Jurisdiction: City County Property Owner -Pat A, Karin Property Location/Address JO 'I 'S- %f !m Subdivision Lot No. Residential Development M No of Living Mobile Home Add tioN *Supplemental to Units Installation Conversion Permit # '(No foundation inspection); Commercial/Industrial (Floor Plans reviewed by School District Personnel) I— School District certifies that :I Sq. Footage ;22,59 "&ro p�p R) Sq. Footage (Including Exterior Roofed Areas) .20-01 .I (Applicant) ,(Street Address) / (Phone Number) o (City) tate) (Zip Code) 9 has complied with the requirements of Resolution No. by payment of $ / S square feet. Paid by Check # Remarks: AB 2926 s FULL MITIGATION $ T Dat 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 660201a), 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.xls (10/987 ' [w � �. :µ i r.. •"[ : .♦rte" ., .moi ..........••.-.f'.: ,.^.F", lf+r:L,,,.v Ft. -...r..,,«.nc-+.i.`-^ :[rte. L BUTTE. COUNTY SCHOOLS IM PAGT.FEE CERTIFICATION FORM (One forin per Building) School District Y QV�L (/� r "� "� e Building Department No. A.P: Number 0 Q -1 Jurisdiction: `' City County Property Owner 'Pat A `a r 1 ✓1 r LL r Y1 `--> Property Location/Address ! y L' / u i m ,�_ r P—N o. Subdivision Residential Development r t7 No of Living Mobile Home Units Installation Commercial/Industrial.. „� D k New Addition i Building Department Lot No. ........... .............................................¢...................................................., q Sq. Footage �� ! Addition/ *Supplemental to ` CQ (Group R) Conversion Permit # Its '(No foundation inspection): Footage. k 4 (Including Exterior Roofed Areas) • 20.0/ Date Plans reviewed by School District School District certifies that J (Applicant) (Street Address) } (Phone Number) Q.i r (City) (State) (tip Code) has complied with the requirements of Resolution No. by payment of $ 4 repres nbng Q� square feet.2926 $ FULL- MITIGATION $ School Distract Repress �i Date Paid by Check # - Remarks: 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 (applicant), Yellow -(building department), Pink (school district) feeform.xis 110198)dmm T 1--A- OWNER-BUILDER . -s;. OWNER-BUILDER ,VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and rerun 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement., YES ... NO 13 1 I HAVE` HAVE NOT D signed an application for a building permit for the proposed work. 3. I have conVcted 'th the following person. (faro) to.proyie e. tt1e, proposed construct or: NAME: nf � - - A.... PHONE: ..: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: _ CITY. PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the workout I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED:) PROPERTYOWNER: - �C SOCIAL SECURITY NUMBER: DATE: � - n \ NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (One Form per Building) A.P. NumberX ... 64,�66 -Qi( Building Department No. r , School District ��,(�� City County A Jurisdiction Property Owner X_� Project Location/Address Subdivision Lot Number Residential Development: � a IZI �� v Sq. Footage # of Living MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior - Roofed Areas) Building Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District -Id No. �" # ![? School District certifies that • ��..� °' X73'='��5/� (Applicant Name) (Phone Number) (Street Address) City) J (!A State) Zip JT has complied with the requirements of Resolution No. by the payment of $ representing �,�rj square feet. 16A / 0 -to School District Representative r Date PAID BY CHECK NO. /� BANK NO PAID BY CASH REMARKS: white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) .1 � -3 COUNTY.OF BUTTE Department of Public Works 7 Coddfy'Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ' OWNER-BUILDER.VERIFICATION Attention Property Owner: 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. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) ZKS 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 Contractors License No. 4. )I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner Social Sec u 't N mber Date 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.