HomeMy WebLinkAbout018-450-019REQUEST FOR INSPECTI
ermit NO.
rcation--
Owner:
—Contractor or Tenant:
Complaint:
--I �LDG
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
PRE -
Form
Rough
Rough
Corrections
INSPECTION
Frame
Top out
Temp. Service
Final
Housing
Stucco
Gas Piping/Test
Service
Job Status
Fireplace
Temp. Gas
Underground
OTHER
Permit Renewal
Bond Beam
Sewer Piping
Well Circuit
Verify Utilities
I . on
Water Piping
Correction
Shower Pan
Corrections
Final
Corrections
Final
READY
a
Final
FORIN S P. 0 N$�,
19
Date:_Time:_Note:
COUNTY OF BUTTE - Depprtment 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 a erials for construction of
the proposed property improvement (yes or no)
2. I ave ave 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 Security um er
Date 1114•` 9
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.
i 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)
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 : l
Property Owner
Social Security Number
Date�.P 133� _
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.
",,,__LMPORTANT MESSAGE-
A.M.
DATE OTIME-- PM.
M
OF If
PHONE
AREA CODE N B �ER -IN r
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE
SIGNED
LITHO IN U.S.A.
3002.P'3MH. S. CROCKER CO-.. INC.