HomeMy WebLinkAbout017-260-177
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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.informatiori 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 (yAZ or no)
2. I (have /tavee ffet) 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 ZI,�
Social Security Vmber `
Date
C �ti
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.
B.1 REQUEST FOR INSPECTION PermitNo.
S&i U24U4
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0 w Wne r: EfiSH Contractor or Tenant:
Complaint: a -Ad T,T- tu[b
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BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
Form
Rough
Rough
Corrections
Frame
Top Out
Temp. Service
Final
Stucco Lath
Gas Piping/Test
Service
Stucco Brown
Temp.Gas
Underground
Fireplace
Sewer Piping
Well Circuit
OTHER
Bond Beam
Water Piping
Light Niche
Insulation
Shower Pan
Corrections
Corrections
Corrections;
READY
Final
Final
Final
FOR INSP. OhNiL—�–�
0
Date: _Time:_
Note:
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PRE -
INSPECTION
Housing
Job Status
Permit Renewal
Verify Utilities
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