HomeMy WebLinkAbout068-343-009COUNTY OF BUTTE - Departpent-Q.f Public Works
.7.Cou6ty Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
If
Phone: 916-538-7541
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) e..f
2. I (have/have not) (a_A_t� 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 Number
Date
. t
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.
Y i
COUNTY OF BUTTE Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Phone: 916-538-7541
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 per
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) yell
2. 1 (have/have not) ,4zur-e_, signed an application for a building permit
for the 'proposed work.
3. 1 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: �(ir.1a
Property Ownere.lo••-
Social Security Number
Date 4e I f b~
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the,.Californii Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit..
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) a 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
S ig n ed :
Property .Owner _1 "(.0. /fid it _
Social Se/cur. y Number
"Date 2 Nei
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 issuethe permit.
Px,*7 O /741a (O h
COUNTY OF BUTTE - Department of Public Works,
7 County Center Drive,-Qroyille, 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) o
2. -1 (have/have not) 4.y-2, 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 s Address . Phone Type of Work
4
Signed: r ,
Property.Owner�
Social Security Number
Date
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 ar"e per-
mitted to issue 'the permit.
to
1
COUNTY OF BUTTE -.Department ofPublicWorks
7 County•Center Drive, Oroville, CA 95965 Phone: 916-,538-x7541
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) hemp, 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
7
Signed: /1
Property Owner orr r ���-
Social Security Nub rS23-
Date W2 ,? z
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. ,
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processional engineer regarding conventional ,framing.. Opposite side=-?-0-0 of span framing t'o the T.C. j.B.t. split.
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puz lins spaced at a maximum of 24" 4. C. , unless plywood Xs
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