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Home My WebLink About068-130-084l 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 a jor labor and materials for construction of the proposed property i ement : YES' NO ❑ I. I HAVEHAVE NOT ❑ si;nied 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: 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 SOCIAL SECURITY U►i - . • DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- l ear.,....:.:.:•::>: :..:......;.::a.�:.,.. .. , ..,; .. ,. Sim ir.�i s�r �" �'�� :??eo:::�:•'•:r,'<: .:.'ate• :�:::: :air:- N. �..• �,., moo•• :F ':::�>.v ,: ,y N . .....L:: iiv:•x:;y.,;•:a:+.::n; .•..: ..x.nnv ..:vw:in}::..n}:�?:: i:: xii: i?C;:; :.. �.:: :..,. ... 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 la r and materials for construction of the proposed op improvement : YES NO j ]. 2. IgA HAVE NOT[ ] sign 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: ADDRADDRESS: Com' E; CONTR.JkCTOR'S LICENSE NO. PHO4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAM E: ADDRESS: ��' PHRE CONTRNCTOR'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 PHO, 'TYPE OF WORK SIGNED: PROPERTY OW SOCIAL SECURITY DATE: NOTE: This owner -Builder Verification is required by Section 19331 and 19332 of the California Health and Safety Code. This verification must be completed and returned to our office before Nye are permitted to issue the permit. OVER 0 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit: No building permit will be issued until this verification is received: 1. I personally plan to provi the major labor and ma*00 for construction of the proposed property ' provement (yes or no) 2. I (have /have not) signed an applicat,'on for a building permit. for the propose 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, vrd grovide the major work: Name _Address z City Phone tontractors.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 S ign 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 permitted to issue the permit. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 'Phone: 916-534-4541 OWNER -BUILDER VER]F ICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please complete and return this information in the envelope provided at.your earliest opportunity to avoid unnecessary delay'in processing and issuing your build- ing'permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and mat als fo construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an applic tion for a building permit for the propos! d work. 3. I have contracted w th 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 S ign 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 permitted to issue the permit. I COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,.Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provid he major labor and mat is construction of the proposed property ovement (yes or no) 2. I (have/have not) igned an a pl ion for a building permit for the proposed work. } 3. I have contracted with the following person (firm) to provide the proposed construction: Z% Address. Contractors License No. City, I v 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supr2j rvise, and provide the major work: Address Phone C ity tors 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 S igned : 17" Property Owner mal .ficial Security mbar DateV. c NOTE: This Owner Builder Verification is se to you as required by Sections 831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. ' COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 • Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION 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 in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verifiC*tion is received, 1. I personally plan to prow the -major labor and?ma,als for—construction of the proposed propertovement (yes or no) 2. I (have/have not) gned an'-appln for -a building' permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: / �_• Name AddressCity Phone ContractorsJUicense No. 4. I plan to provide portions of this work, but -I have hired the following person to coordinate, upervise, 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: Al/1"�Property Ownery Social Security number . �= — Date Z 1 =4EI 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 permitted to issue the permit. %ze A')L ' >L l is GliP/G+E .i7� .v�', Com/-' S 4lOfc �/J f'.z� 7i� / /� ✓ �: COUNTY OF BUTTE - Department of Public Works 7 County Center Drive; Oroville, CA 95965 Phone: 916-534-4541 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 proVde the major labor and erials for construction of the proposed property i VPC vement (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 followi person (firm) to provide the proposed construction: Name Address City Phone , Contractors License No. 4. I plan to provide portions of th'- work, but I have hired the following person to coordinate, supervise, a 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 nercnnc to nrnvirla tho rnnrk indira}-nri- 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. t�.,f ... i �• r COUNTY OF BUTTE - Department of Public Works 7 County Center Drive,,OToville, CA 95965 Phone: 916-534-4541 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 pr i the major labor an f ateri for construction of the proposed property m ovement (yes or no) 2. I (have/have not) ___ signed an a lication for a building permit for the proposed work. ,J 3. I have contracted with he following person (f' m) to provide the proposed construction: Name A*aL�.) Address City Phone Contractors License No. 4. I plan to provide portions of this work, I have hired the following person to coordinate, supervise, and provi he major work: Name Address City Phone Contractors License No.. 5. I will provide so of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work NOTE: Sign 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 p '�� G �'..l xMi'��'� �4F i'�+�ii�k� A::. _ •�z.r _ � r �q!+ ��'G'y yµ� 4i I� w iu� N I s cp A .:: ,. ,. rte+. ,.tia,•... .. ... ,. ,.:. 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