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Home My WebLink About071-370-014._� , , � O• B• _ 1 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 C& NO 0 2. I HAVE Ift HAVE 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 proposed construction: NAME: ADDRESS: CITY: 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 work but I have contracted (hired) the following persons. to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: & DATE: j _/ Z _/ 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. OVER i"'�4.-.�-.,iFit;;,r�r!"''rn...�,K"-'�'�,;...+'"`t:.+n.--rri.-sr*l,.f`lV-r'^•.p-�..n, 4�r,.i-^.r"�,n.lx•..�'''��.M:.tir^S�trY..S'.+m•:.w...�-r.1...- ,li/•�'Gl r......,.c*.--.•,......,•.:...r . ,. . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District Building Department No. A.P. Number' 3�D i'�y Jurisdiction: City € County Property Owner Property Location/Ac Subdivision r Lot No. r District Identification No. �} i 1„* I1(('�� Y1(C?jr1 .�� d;✓ School District certifies that (Applicant-) VID (StreettrAddress) � I (City) --.A I (State) has complied with the requirements of Resolution No. representing �� square feet. School District Representative Paid by Check # , Remarks (Zip Code) by payment of b .1 M . 1'1� � AB 292fi S ' FULLMITIC3ATION '�. _ 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 660201a), within 90 days from the date fees are'paiif�'Failure to submit a timely written protest will prohibit you, from challenging the imposition of the fees in any court action. x 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 10EQA). 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 110/981dmm 1 4 .4`� • `a ^•x , .... �..-.. ,��_�.+r eTf`� .�. n 'M�+t MM.�,ti�,r_/" .�_ _..s,�. acri .,�iY4'.;4...�.....r". r...�if�::.".+rr...r.""'•...r:.>f_ H BUTTE COUNTY SCHOOLS.DEVELOPMENT FEE CERTIFICATION FORM .(One Form per Building) A.P. Number Building Department No. School-District,ak City Q County l5g.. Jurisdiction Property Owner 4jo," . Project Location/Address Subdivision Lot Number 7i Residential Development:. a— Sq. Footagev-193 i # of Living MHI Addition (Group R) Unit's i Commercial%Industrial :r)r Sq:'' Footage < tNew Addition (Including Exterior Roofed Areas) Building epartment Representative M1 * D teT (Floor Pldns reviewed by School District Personnel) V District Id- No. 910.131 ' v t School District certifies that (Applicant Name) f (Phone Number) 13 0 _7r11 /. I V✓ %o' `.GAJ ,O (;kreet Address) t (City) { ...(S;ta"te) 4 (Zip Code) has complied with the requirements of Resolution No. fir- Jr by the ayment of $__q799, 3 representing q 9. square' feet . Nd& /0? SWP Di trict Represpiktative Date PAID BY CHECK NO. REMARKS: BANK NO q -' -7 0 01 , PAID BY CASH A- r f white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88;) +` r COUNTY .OF BUTTE - Department of Public Works 7 County 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) ^jL - 2.--I (have/have not) /tJ4% signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed constructs n: Name 'R Address 6A I0WQ-(Z-U--4IAD71e City c/tpriJllQ, G� Phone Contractors License No. 41L73 5 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 L �,wT1_c e-7aA!/ CyvOA1- T 0 &2 a- Ll� /S P29 Address Cit Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following N persons to provide the work indicated: Name Address Phone Type of Work G/-Kv"..a-Gvt.l4a4-,-, I Signed: \ ir��" GGI� G'� `�4�C �"" ��'1 � (� Q- Property Owner ,( 'L ��' Social Secur' y N mber� Date 7 o7u' 9D 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. 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[] NO[ ]. 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: 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 work but I have contracted (hired) the following persons to provide the work indicated: NAME . ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER DATE: 7 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. OVER O.B.- I .... `< 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ ✓ - NO[ J. 2. I HAVE[ 4--I-'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: 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 work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: - PROPERTY O SOCIAL SECURITY NUMBER: DATE: LA -a L_� --ot Co 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. OVER O.B.-1 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[ NO ]. 2. I HAVE[ -] HAVE NOT[ ] signed an application fora building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: 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 work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: ''n r/^n PROPERTY OWNER: A1C, K� Q�ci✓' SOCIAL SECURITY NUMBER: , DATE: q - 2- CK 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. OVER