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Home My WebLink About071-370-022 School District A.P. Number • Property Owner Property Location/Address Subdivision BUTTE, COUNTY SCHOOMIMPACT FEE CERTIFICATION FORM (One form per Building) r V t Building Department No. 50--junsdiction: CityjCounty I � / A n Residential Development No of Living Mobile Home Units Installation �cial/Industrial FI New Addition Department Representative Lot No. ................................................................................................................... Sq. Footage Addition/ 'Supplemental to Conversion Permit # '(No foundation inspection): ......................... :.................................................................................. ...... Sq. Footage tnoor runs reviewea Dy bcnooi vistnct versonneo District Identification No. .020065 �64Y) int chool District certifies that��eX� t (Applicant) ' n pi _ 532-----' M v1 bb0 (Group R) (Including Exterior ofed reas) Date (City) has complied with the requirements of Resolution No. represer jng 11 —702 square feet. ,State, t0s�9c� AB 211 926 (Phone Number) (Zip Code) tent of $ �� • I `' S ►rv�z--�` • "-,3bUA-2, /9Y/2J o t Representative ) Date . 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.xls (10/98)dmm e 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 ' provet : YES NO13 2. I HAVERmenHAVE NOT 0 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the propor A construction: NAME: !Sffsg ADDRESS- C 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: 1 ADDRESS: / CITY: PHONE: CONTRACTOR'S 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: PROPERTYOWNER: SOCIAL SECURITY NUi ER: DATE: 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 CsIII� RAVISIONS By 111, A TA 11!=0 CQACH I KANI 4/12/49, LP CAtjgpNUC00t;CrJA0QATmOKTfftZ2Jl AND 1UJLQ 1"4 arrmN. FATE X 3- ATE ... J 04/14/00 YW.1 SZ13MX PICkS III IFOURVATIPAON - DS OuTumt OF NOBILZ caim *1 .71 1-' .7 7 I* CCN$WnW WrM S;= LVS LOAA WOW tAiA AM SWUM ZAMIF PA POSTING 61001A Poor." U4611A WA� 41 w TH11 DOW LOAN IML LW.A a" I r iX"AU;Bp=p*"2UA9WXJlMW*WMp(A$PKVV �mmNa 3/V THREADED 3/16* PLATE LEGS ROD 7 Yp or 4 4. AIL KCIMAUTO$gKPOMSYMKLMWUMMUMSMCXMMWa- FOOT" AU 0 ML "Aam AND 4"J" K CWATM V=,.L0CAL'WL 5/161 PLATE 0980= fm low m TM411A 5/9, X 1 1/4, I I JOLT WITH HODENE9 VAS"Elt sn"CONFORMITOASIUA36F *XKS1 &MINIM SE-ISMIC PIER Not to'-SC:ale 1'. UWA. = VA§MAIW jajM_iNo J* AW $MVWAMM. CY sK wSim Acdow" To Awl "%cpvATlot* C.P. SEISMIC P1ER#1 PATENT PENDING L.- gulcrwm: rx L VLATI& ANTU AK AMA397. 8L ANCIM 111101M NOTE- SOURS '. US MS-AIJU A40 -MM A323 W11111SAW NOV COW =AWN LOW CAMM WUDAXZ 180 IN -POUNDS IS EQUIVALENT ict, t5 rT-P"Ds -AU1111TALCOMPONVITS DAMLMINO NASUS & SCR9WS = 02 To n ntOTECTM COATM 29 A7 s. Tla "MT MUM= UL" " C"no WfTH SM"M WKIIAMS E6140 OIL El A"ROVO tQLVALJM AND SHALLW LAM AND I.A311111M By CUMM TUTM AND CONRLTM 2 - 3/8' x V BOLTS 1uv MM VW To FOUDWIM 11.0AM, FIELD DRILL HOLES OPTION OF 1ATUALA t70i Iii: MAX 4 #14 TEX STS COACH C b6 _1I11111TIC-A1.: 13W lk MAX OR J SEAM C04UMM WrMinwnvoft4ALOK .7. THIS FM"ATMV 11M. KAOW x 'Cammm 1/4'x2'xV Ep T T /A/' PLATE ANGLE 3' WIDE' KMBI De"WTOKO"MCMEIN A FAIlLy tZVU81717 WITH NO VQSTW SM. ED Lij Impot"UTM mosims. w aTnxmwrocct= ma TO MIX101141411s Nam 2. roum"nom PAN 0 MV"ACn= "OWSS SH" U .111. M AREAS Wan NrkRbCML atnAMW PL) CAW - r 4 - 112' f1pom IT Ame "Ato][111juy AFM= TILL 1.11111111 Of TKI, Scismic RKADXWM WON -DJt VX4= LW* OR T DOLTS PIER MAMNACTURM WOUL to. TMSYSTMIS . ADAPTANS 1rdtTANDARD H0LWW MAWNRY IILOCK FIE". or 1010101.9 COACH Q '" L TYPICAL BEAM, DOUBLE WIDE TYPICAL SINGLE WIDE -TYPICA 4" FQUN Lp NO=. CONNECTIONS 20'. 24'. 24' OR 28, FOUNDATION 1a na"'Irwow rMj0UWnW FAD ON AnM N AP112"TCONCIIIE111 .0 PLAN PLAN Not to scaie� V0UKQ4T= PAD MAY W UM AN ALTUMATIL DOUBLE WIDE MOBILE COACH -,-.SINGLE-WIDE MOBILE COACH- - ---- -- Scale: 1" .10' seatill. 1* - 101' go DVEIV$IZE f[P C"""M PAM q9;< cook COMER 80Kit C, MORE THAN TRIPLE WIDE UNITS. SUBMIT STANDARC PIER 104TING SPACING FN AT3111 DAM8111111M AM MAMIFACTURID11Y STANJTZ WZKW CONCOM PER HOWLS !r%,ME MANUFACTUR9R*S LAYOUT TO THARP A ASSOC. FOR APPROVAL INSTALLATION MANUAL UMPADOK=rAnWWMBZMPONnUSTRAT7=L=40MUMWN(WTUtADU STANDARD PMR & FOOTING SPACING PER MOBILE HOME MANUFACTURZRI HALF Of THI PADS IN A INSTALLATION MANUAL wH&n mW COMM 19%= W NOTATJOK NO MORE THAN OpipaW 0F7V1 PADS ARS PARAUX8,70 1 1.44,101101— TRAV111111221iJIMICAN 119MAMIDWATT991LOR 13' 24* M COACH PLUL 4. nw=N1S-QA3". mile 36 112' QUO vr i 1 34 rt"" &Wt 1. - MA)MwRJM LZNM1i OF 04MA *V6 COACH $111 MY. #W ow t 3.5' f 2. MA=M1jMT11OVWU1KSW=CQACff-7#MT. 4x4-4#4 WVf_1 L I PW P= ON" WIZIB COACH b. 10RST 11MV=1111ILKW1101SCOACH118 a PRECAST CONCRETE. 4. K* rU" 11010111COACH11111, mumsma PIAQWVff FAnW M MOWN Of THII ==A WM MIMS FOUNDATION PAD COACK SCALE- V - 1.5' 3. FOR MY COMM S= 0=1111 THAM AS 00" ON n= MAN Olt REFUMCW ASOM THS PIRK AND PAD LAYOUT M"UUVOnVIDAND AMWMBYDONALD ILT"V&AMOCIATU • 3/4' PLYWUOD SHEXIS I= dam SCRrVED IUGEIHER WITm 1. BPACM SHOWN ON TAN IKM All FIX COACHES WTM to M AND 13 RMCII KAMM OR I BCH PAW 112'. FHVS PLYWOOD 2. AM MU I INCH WAM IS NOT TO CANTUM MONS THAN 6.6 rUT ON SACH VW OF UNIT AND AWAfnMCW2MMWMU CAIN WT =0 T. wlt Ls f OR i NWFOUNDATION 1YM M= AM &Affff C*D& SXWN p 1/2' CIL 111 101 APPROVED 1FA*x04'xJ/4 Na. San K.YWOOD SUR=TO ColuzcTiON's 140im ~V&DO1l3IV'TAUTHOR=O %CMFROM RAMROVIAkY Cm mu"411m or. Afttllftm�a tv&m r Auto am dfcd&ma ELEVATION NOT TO SCALE bm C _111040 aAMARLIS ALTERNA VE PLYWOOD FOUNDATION PAD am - PATENT 00 .5,59-5366 SCIAL FV=15' ?-ZlbHnANwW&pw_z6.6 4 RENEWAL OF . a STATE SUBMITTAL 30-5F MAX TUK HEIGHT BOLTS 8, SW307 Tuat x T 14' LONG IUK 2' DIA 4'- 3/1111 SID PIPE ml ml ICJ 17.1 x KLYS 0 3/14* PLATE I IWTEfI TO too CLAN!' I* CCN$WnW WrM S;= LVS LOAA WOW tAiA AM SWUM ZAMIF PA POSTING 61001A Poor." U4611A WA� 41 w TH11 DOW LOAN IML LW.A a" I r iX"AU;Bp=p*"2UA9WXJlMW*WMp(A$PKVV �mmNa 3/V THREADED 3/16* PLATE LEGS ROD 7 Yp or 4 4. AIL KCIMAUTO$gKPOMSYMKLMWUMMUMSMCXMMWa- FOOT" AU 0 ML "Aam AND 4"J" K CWATM V=,.L0CAL'WL 5/161 PLATE 0980= fm low m TM411A 5/9, X 1 1/4, I I JOLT WITH HODENE9 VAS"Elt sn"CONFORMITOASIUA36F *XKS1 &MINIM SE-ISMIC PIER Not to'-SC:ale 1'. UWA. = VA§MAIW jajM_iNo J* AW $MVWAMM. CY sK wSim Acdow" To Awl "%cpvATlot* C.P. SEISMIC P1ER#1 PATENT PENDING L.- gulcrwm: rx L VLATI& ANTU AK AMA397. 8L ANCIM 111101M NOTE- SOURS '. US MS-AIJU A40 -MM A323 W11111SAW NOV COW =AWN LOW CAMM WUDAXZ 180 IN -POUNDS IS EQUIVALENT ict, t5 rT-P"Ds -AU1111TALCOMPONVITS DAMLMINO NASUS & SCR9WS = 02 To n ntOTECTM COATM 29 A7 s. Tla "MT MUM= UL" " C"no WfTH SM"M WKIIAMS E6140 OIL El A"ROVO tQLVALJM AND SHALLW LAM AND I.A311111M By CUMM TUTM AND CONRLTM 2 - 3/8' x V BOLTS 1uv MM VW To FOUDWIM 11.0AM, FIELD DRILL HOLES OPTION OF 1ATUALA t70i Iii: MAX 4 #14 TEX STS COACH C b6 _1I11111TIC-A1.: 13W lk MAX OR J SEAM C04UMM WrMinwnvoft4ALOK .7. THIS FM"ATMV 11M. KAOW x 'Cammm 1/4'x2'xV Ep T T /A/' PLATE ANGLE 3' WIDE' KMBI De"WTOKO"MCMEIN A FAIlLy tZVU81717 WITH NO VQSTW SM. ED Lij Impot"UTM mosims. w aTnxmwrocct= ma TO MIX101141411s Nam 2. roum"nom PAN 0 MV"ACn= "OWSS SH" U .111. M AREAS Wan NrkRbCML atnAMW PL) CAW - r 4 - 112' f1pom IT Ame "Ato][111juy AFM= TILL 1.11111111 Of TKI, Scismic RKADXWM WON -DJt VX4= LW* OR T DOLTS PIER MAMNACTURM WOUL to. TMSYSTMIS . ADAPTANS 1rdtTANDARD H0LWW MAWNRY IILOCK FIE". or 1010101.9 COACH Q '" L TYPICAL BEAM, DOUBLE WIDE TYPICAL SINGLE WIDE -TYPICA 4" FQUN Lp NO=. CONNECTIONS 20'. 24'. 24' OR 28, FOUNDATION 1a na"'Irwow rMj0UWnW FAD ON AnM N AP112"TCONCIIIE111 .0 PLAN PLAN Not to scaie� V0UKQ4T= PAD MAY W UM AN ALTUMATIL DOUBLE WIDE MOBILE COACH -,-.SINGLE-WIDE MOBILE COACH- - ---- -- Scale: 1" .10' seatill. 1* - 101' go DVEIV$IZE f[P C"""M PAM q9;< cook COMER 80Kit C, MORE THAN TRIPLE WIDE UNITS. SUBMIT STANDARC PIER 104TING SPACING FN AT3111 DAM8111111M AM MAMIFACTURID11Y STANJTZ WZKW CONCOM PER HOWLS !r%,ME MANUFACTUR9R*S LAYOUT TO THARP A ASSOC. FOR APPROVAL INSTALLATION MANUAL UMPADOK=rAnWWMBZMPONnUSTRAT7=L=40MUMWN(WTUtADU STANDARD PMR & FOOTING SPACING PER MOBILE HOME MANUFACTURZRI HALF Of THI PADS IN A INSTALLATION MANUAL wH&n mW COMM 19%= W NOTATJOK NO MORE THAN OpipaW 0F7V1 PADS ARS PARAUX8,70 1 1.44,101101— TRAV111111221iJIMICAN 119MAMIDWATT991LOR 13' 24* M COACH PLUL 4. nw=N1S-QA3". mile 36 112' QUO vr i 1 34 rt"" &Wt 1. - MA)MwRJM LZNM1i OF 04MA *V6 COACH $111 MY. #W ow t 3.5' f 2. MA=M1jMT11OVWU1KSW=CQACff-7#MT. 4x4-4#4 WVf_1 L I PW P= ON" WIZIB COACH b. 10RST 11MV=1111ILKW1101SCOACH118 a PRECAST CONCRETE. 4. K* rU" 11010111COACH11111, mumsma PIAQWVff FAnW M MOWN Of THII ==A WM MIMS FOUNDATION PAD COACK SCALE- V - 1.5' 3. FOR MY COMM S= 0=1111 THAM AS 00" ON n= MAN Olt REFUMCW ASOM THS PIRK AND PAD LAYOUT M"UUVOnVIDAND AMWMBYDONALD ILT"V&AMOCIATU • 3/4' PLYWUOD SHEXIS I= dam SCRrVED IUGEIHER WITm 1. BPACM SHOWN ON TAN IKM All FIX COACHES WTM to M AND 13 RMCII KAMM OR I BCH PAW 112'. FHVS PLYWOOD 2. AM MU I INCH WAM IS NOT TO CANTUM MONS THAN 6.6 rUT ON SACH VW OF UNIT AND AWAfnMCW2MMWMU CAIN WT =0 T. wlt Ls f OR i NWFOUNDATION 1YM M= AM &Affff C*D& SXWN p 1/2' CIL 111 101 APPROVED 1FA*x04'xJ/4 Na. San K.YWOOD SUR=TO ColuzcTiON's 140im ~V&DO1l3IV'TAUTHOR=O %CMFROM RAMROVIAkY Cm mu"411m or. Afttllftm�a tv&m r Auto am dfcd&ma ELEVATION NOT TO SCALE bm C _111040 aAMARLIS ALTERNA VE PLYWOOD FOUNDATION PAD am - PATENT 00 .5,59-5366 SCIAL FV=15' ?-ZlbHnANwW&pw_z6.6 4 RENEWAL OF . a STATE SUBMITTAL 30-5F