HomeMy WebLinkAbout069-340-023COUNTY 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 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:
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 � ��_ ,Yl
Social Security Number
Date 10 Z 'yU
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.
}
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) !moi -e— 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 t
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 p
Social Security Numb ^
Date
NOTE: This Owner -Builder Verification is sent toyou as required by Sect4ons 19831 and
10832 -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.
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) V*' C
2. I (have/have not) U-PV_Q 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 fol lowing
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner A, '
Social Security Number
Date i ! �23� 7
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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