HomeMy WebLinkAbout059-072-013
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
7/6 41
79eM 3'e- �0 t7 C 0 7Z -
owner location AP #
Z3 4 has been issued for the above property.
Driveway permit 77 U
si ature date
COUNTY OF
BME
- Deoarlccnen c OE Public
f o r:cs
7 Councy
Center
Drive,•Oroville, CA
A
95763
Phone: 9L6-5388_73;1
OWL'iER-BUILD EQ 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 earl;est 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) V Q ,
Ik
2. I (have/have not) k ai,e signed an apo—Iicacion 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 Cicy
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 T,
ype of Work-
Signed:
Jork
Signed:
Prooerty.OwneT
Social Security Y ber - -
Vate 9' o`'L
DOTE: 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.
4
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One,,Forcm� per' Building )
t. A.P. Number' f '072- oo Building, Department No. %� — dc -
School District 19,VA 4 Q1Se„ City D County Jurisdiction
Property Owner A a�,�-/
Project Location/Address ,l%/n� e S c7, SP�GR.� �,� 9 C -r
Subdivision 57-,,1 Ll Aj I Ci"�?' °'I Lot Number
Residential Development:
Sq. Footage. O c7
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
u-r-ldi�ng Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. �!"- C) ko
P& #A A tt �LA School District certifies that
(Applicant Name) (Phone Number)
(Street Address) ,
q�qh_,l
44', a4_1 7 d7—
(Clity) (State) (Zip Code)
has complied with the requirements of Resolution No.
by the payment of $ ��4, representing square -feet.
S,,c ool District Representative Date
PAID BY CHECK NO. �
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)