HomeMy WebLinkAbout018-440-086OWNER -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 0. . NO D
2. I HAVE 0 HAVE NOT 0 signed an application for a building permit for the proposed work.
3. I have cc
NAME:
"w the followingrso�. (firm) tA.prQ!ice,tpe proposed. cop
sdructon:
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
DATE:
NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our oJylce before we are permitted to Issue the permit.
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County of Butte '-1k
DEPARTMENT OF,PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
.......................................................................................................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify -this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
Date.............................. Inspector ..........................................................
Do Not Remove This Tag
(400-4)