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Home My WebLink About025-200-030t Paul Converse 25-20-30 F NIS Prather Rd.,app.800'W.of Larkin E Rd., Gridley MPermit #2122-79E(e c.serv.change & cmisc. wir:g/SF) fAj4/�%�f q 25-20-30 Permit#5407-79B(reroof)SF VV_VjV 04=2181' CONVERSE, PAUL .535 PRATHER RD, GRIDLEY Cont: CONVERSE CONST RE -ROOF 0 X BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.neAdds PERMIT NO. BP042181 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 07/21/2004 APN: 025-200-030-000 the Business and Professions Code, and my license is in full force and effect. D 8' License Class: License Number: Site Address: 535 PRATHER RD GRI Date: Contractor: Map Index: Description: RE -ROOF (24 SQ.) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: CONVERSE PAUL E &MARIE G to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 535 PRATHER ROAD 7000) of Division 3 of the Business and Professions Code) or that he or GRIDLEY, CA she is exempt therefrom and the basis for the alleged exemption. Any 95948 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: CONVERSE PAUL E & MARIE G such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: CONVERSE CONSTRUCTION ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: 11 TOWN VIEW DRIVE OROVILLE, CA 95966 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 530-589-1718 ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit License #: 509817 is issued. 38 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Architect: insurance carrier and policy number Engineer: 5� Carrier: Policy ❑ 1 certify that in the performance of the work for which this permit is Total Square Ft: 0 S. F. issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Valuation: $0.00 and agree that if I should become subject to the workers Census Code' compensation provisions of Section 3700 of the Labor Code, I shall • forthwith comply with those provisions. Date:— ate:Applicant•WARNING: Applicant- WARNING:Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one n addition 0 the cost of hundred thousand dollars provided for compensation, damages provided for in Section 3706 of the Labor ^� y ys code, interest, and attorney's fees. v///, v/) �� /�� —� CONSTRUCTION LENDING AGENCY is e b i sue u er the applicable provisions of the Butte County Cod(- and/ r Tputimls I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is`issued (Sec 3097 Civ.)Name: _Rd o d' a e r i es have been paid. BDate: PERMIT EXPIRES Address: ON: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I here y authorize represent fives of Butte County to enter upon the above mentioned property for inspection purposes Print Name: tJ _ 0,1 f/Pr qe_� . Signature: Date:cT/ ❑ Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICATION "PLEASE PRINT CLEARLY" OWNER Laste0mverS,et14'0 L Address ,f / City /'�V" l State Zp Phone �Y6 3 ?� .. Fax E-mail APPLICANT NAME CONTRACTOR Name coo ✓ter!5�__ Address Ow�V Y -w city "l/� City stat zip p4�� P h o n s-o�� /�I� Fax E-mail E-mail Lic?/? ss APPLICANT NAME ARCHITECT/ENGINEER Name City Address lip City Fax State Tip Phone Map Book Fax E-mail Planner State License Number APPLICANT NAME Name Address City State lip Phone Fax E-mail APPLICANT SIGNATURE X For office use My. Zoning Prope�t'� Flood Zone Cross Street SRA Yes No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT No,2� g I B BIN # LOCATION AP# Z,0-650 Prope�t'� Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address es 'p 'on or Scope o i Sq. Footage O Structure Built vrithout Permits 13 Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Rece a by: Amount: SRA Receipt #: Sheriff GX SMIP Other �- Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE, ACCEPTED.. ALL PLANS MUST BE LEGIBLE AND IN INS. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamved and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER1 ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPERI ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION AFORMSMILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04 �Jy+, ��„,. y'.:� E,�l”.fi.Y..v..-.'�Mr.-.-►.y'--.�.-.*....--`j`«��,�..« � - •- • '.�. •..• A. • r. '.Yr.`' �'i l.�... M-�.-.�tv -ext f 0 i r, l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. R Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee Vor Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning $ Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR SLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.Ccup- 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: NEW CONSTR BRANCH TLET (MULTI BRANCH CIRCUITS 2.50ea ....RES'..CIRCUITS) NEW CONSTR. (POWER APPARATUS 6 NON-RESID. `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES'B L@; Ex. Occup. OUT ETS p(RESID )KEA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 , ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. R Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Building permit expires Date Owner //// F / 1 Mai I i n Address Contractor Mai I i ng Address Building AddressIF ,(I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -- OroviIle; California 95965 Telephone: 554-4541 APPLICATION AND PERMIT Telep one No.. Telephone No. A. P. No. ;l.J D Zoning & Planning F Sa Fire Dept. Fire Zone Use Permit EQA I Plans Parking I Declaration p p Parcel Parcel Ma 60' R/W I Improvements B Parcel Approval I Plans Approval NE ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 12LI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X Date Signature of Permitee or Agent Receipt No.�� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant C2,1,2,9_ —/i _ BUILDING L/ SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee B rs¢� BAL�1 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / OR ADDNS. \ DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. NnN.RFSIo_ (MULTI.OUTL T l BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 !¢sq tt FEE FEE Ex. OCCUO(OUTLETS OR FIXTURES) B rs¢� BAL�1 EX. OCCUp• ( FIXED APPLNS. OR \ OUTLETS (RESID.) EA) 2 00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ?i.Q Permit Fee MECHANICAL PERMIT FILING FEE Heatina Cooling $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the But County Code and/or resolutions to do work indicated abov or which fees have been paid. DECT F PUBLIC WORKS f of, CA Dat Building permit expires Date ;`q PERMIT NO. 5407-79B i PERMIT EXPIRES 8/31/80 OWNER PAUL romzERBE CONTR. Owner LOCATION (A.P. 25-20-30 ) !NIS Prather Lane, app 800' W of Larkin Rd { I , 'r f Temp. Power Pole ' Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB a FINALED (Date) (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers ' Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Insulation Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab y Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam .FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling - Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBIL.EHOMEINNSTALL�AL1 N --------------Support Elec.Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /V' / ' BUILDING Owner �/Q1/(, GO�V E2S SO. FT. OCC. BUILDING VALUATION O SQ. _. 00 Mailing Address Rr 3 Boy 3145- 6R1b[_6Y, C/4_ 9s_ -leg I Tele hone o.7�9 8 (0 - Contractor 0 WAJEe— ff 0 Mailing Address Fireplace PERMIT FILING FEE Total Valuation Sb.QO Main service EA. ADD'L 100 AMP Telephone No. Permit Fee ®a Building Address/V �j /2RAT)+E _ (moi J, 4pP goo' Plan Checking Fee&/or Penalty NEW CONSTR. NON.RESID_ Permit Fee r 00 Gv • U La/z�ln% f7• PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 (:�12lbL&Y Repair drainage or vent piping 1,50 A. P. No. L!r:;-•' 2 -3 O Zoning a Planning Water piping 1.50 Each gas water heater or vent 1.50 Rees I V14C- 3arr Moon I Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BId5_l1krts-R0T'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0— iPE ,ecoT- w1774 66"P 5'H1AJ LES RAID LCOGH LC- APP 8-/0 S #T5 5/tE19TH 1 AJ61. Single Family [E�— Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. 5 ACC. BLDGS. NEW CONSTR. NON.RESID_ (MULTI.OUTL T l BRANCH CIRCUITS @ FEE $3.00 5.00 2.50 25.00 1.00 t¢sq ft Ex. OCCUD(OUTLETS OR FIXT11RES 'BA' BAL@1 FIXED APPLNS, OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ;C 9 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heatina Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. )4, (�' I certify that in the performance of the work for which this J�J permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X9"'Z, Date 3oag Signature of Permitefee or Agent Receipt No. Z ,5,' ;3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of t tte County Code and/or resolutions to do work indicated abov for w ich fees have been paid. I CT10R OF PUBLIC WORKS q B Date? -3/-77 Building permit expires Date AGRICULTURAL BUILDING Exemption from Permits I, n owner of the property located at (please print) is y, RA Rim x 20 0' U msl z� ��ki Assesso"r7 Parcel`,# 2 intend to construct an. agricultural, building on this property that is not subject to permits. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a.place of human habitation or a place of employment where agricultural products are, processed, treated, or packaged, nor shall it be a place used by the public. f understand that if I change the use or occupancy of this building in the future, that I will be subject to the necessary permits, inspections, and approvals from'the Butte County Building Department. e t Signature of Property Owner `) Date