HomeMy WebLinkAbout063-110-033zCOUNTY 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.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement *(yes or no) VeS
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
Sign
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.
BUTTE COUNTY SCHOOLS DEVELOPMENT,FEE CERTIFICATION FORM
- / (One Form per Building)
A. P. Number, " �f lc Building Department No.
School District U i�'_ City D County Jurisdiction
Property Owner r r t/
Project Location/Address
Subdivision
.q a I 1 S
'rol;�ti L il
Residential Development: � a
# of Living MHI
Units
nc
Lot Number
Sq. Footage'
Addition (Grou R)
690
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
p J111912
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No.
6AA0Z J -KA Lc Q 6. School District certifies that
v
AAAJJ
(Applicant Name)
(Phone Number)
Address)
% ,(,Street
~x'77'' l�l �!i � �l�' h � !' ,l [ C •'L.
� ��-7"
(City) (State)
(Zip Code)
has complied with the requirements of Resolution
No. l O' g
by the payment of $ 3S6, L40 representing W;
o square feet.
School District Representative
Date
PAID BY CHECK NO.
BANK NO eJd SlS�
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
x"C6UNTY OF BUTTE - Departteent of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
,Y
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: A
Name 0 /A --
Address
City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, super/vise, 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
Sign
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.
r
USWA L
err � tir.JsOrEMS '
�--.
TRUSWAL SYSTEMS:CORPORAXION ./ A SIGNORE COMPANY
WESTERN DIVISION /'3.85,0 E. MIRALOMA, ANAHEIM', CA 92806 (714)630-5100
.1r T�;° 13. , 1983
LONGFELLOW LUMBER CO.
P.O. Box 672
Chico., CA 95962
,
R
r Truswal's standard
pitched truss designs (24" o.c.) may he doub ed,
l for use as'a Dutch
Gable setback 6'-0" from the 'end wall. s;
If I may be of 'any
further assistance, please feel free to call.
Very ;truly yours,
TRUSWAL SYSTEMS CORPORATION
Scott R. Carroll, P.E.
Chief Engineer #
�dQ 9 Cq�
R,po
.yam
rn
No.29017
p7�
4* OF
SRC; rk
.
n
'P t
r.
µ M
r