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HomeMy WebLinkAbout071-400-025a N TOM ODEKIRK 71-40- 2 5 app 14 mi. off E/S Quincy Rd; app 1 mi. above the T i:dwe-11 Bar -Br-idy Oroville Permit #3241-76E(temp pow pole) for p mp & future const. 71-08-54 » Tom Odekirk 1 mi. App -14 mij,.off WS Quincy Rd.,app- above Bidwell Bar Bridge, Oroville . Permit #2486-77B,P,E,M (new single family) 00' r-----� - 71-08-54 ' ermit #4375-78B(lst renewal)SF 4 71-08-54 ntr: Liberty Const.,; Oroville ,, Permit #123-79B(addcovered dec. SF L Q 71-08-54 Permit#1679-80B(2nd renewal/ 2486-77) SF 071-400-025 PERMIT#95-0324, ODEKIRK,'=Thomas, -` 623 Simmons Rd. 'Orov.ille. Ele Wal!,er .Heat/SF 7 7. + �3 0 H V PERMIT NO. P, E,M PERMIT EXPIRES OWNER Tom Odekirk CONTR. owner LOCATION (A.p. 71-08-54 App.lk mi.off E/S Quincy Rd.,app.1 mi". above Bidwell Bar Bri4, Oroville /Vgo pj /� 0 'P, 0 Temp POW Pole Called PG&E Templea Serv. 91 lied PG&E Te p. Gas Serv. Called PG&E 71 0 E3 /0 FINALED (D to r. (Signature) 6 + COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS'. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor l 61,2 Main Bldg. Restroom Finish 2nd Floor --- Footings Windows =7 E 44 3rd Floor Stemwal I Siding To out -z -y / - `% Slab Roof Sheathing er Pi In /�- 3e 7id, 1 ` Piers S 7 _rte Roofing Sewer Garage Fdn. Vents - ,0^ D J Fixtures Footings Garage Vents Water Htr./®- Stemwal I Insulation Heaters Slab Prov. for phslcally Appliances > Carport handicapped Conformance of ex. V Gas Piping & Test Footings structure Tem . Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final V 2 Fixtures Bond Beam FIRE SPRINKLERS Motors Framin Z -I Test Water Htr. —//-- Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole • ) Finish Ducts Underground Interior Lath Ventilation Permanent t t Door Closer Final Final �® MOBILEHOME UTI ITIES ' Elec. Pedestal ------------------ Elec. Service Water Piping Sewer Gas Piping t OBILEHOMEINSTALLATI N --------------Support Elec. Continuity -- Water Piping Drainage Gas Piping DATEREMARKS OR CORRECTIONS b/< Tv 5Cf F(06 ol ' wf /10 47 (NOTE: An entry must be ma on this form each time you vislt the job site.) r_ 00 w/, 3 i467- "xP j Feu4wtuvc, o" 4 54,11- (46 Bo" 4 Ej RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION RE LATIONS AT J3 ATAl.,S, a' C S"77,wo"s /Zl / ��� "F�F ' 4 ...c �/ (location) BUILDING PERMIT N0. ZS/M-7-7 !3, p; zF A.P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge.- Fdn. Walls.. �//� Floors Walls Ceiling/Roof /'_7, Ducts / `' Circulating Pipe s_&-4— APPROVED HEATER_ APPROVED WTR.HTR. GLAZING: Single Glazed _11L1,4 Special (Insulated) CERT.•& LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS/j/- INTERMITTENT IGNITION DEVICES CERT. APPLIANCES !/ I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED 9 IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of ease print) Insulation Applicator State ss'�V ntractor Licensee NoNo.. 'General Contractor/Owner Namepig 0Inc f,,41 Signature of (please print) General Contractor/Owner�06&1,Z_ Date % el State Contractors License No. --- THIS CERTIFICATE MUST BE ON FILE WITH H THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroVille, California 95965 //1 �c T,elephone: 534-4541 /- APPLICATION AND PERMIT a (J BY Date 3 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uilding permit 2pires BUILDING Owner 9 O Le SQ. FT. OCC. BUILDING VALUATION Mailing Address /� L �^ ! Telephone No.�j� Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee ,p'O Building Address � ✓�q� Plan Checking ee&/or Penalty Permit Fee `­-A PLUMBING No. @ FEE . PERMIT FILING FEE $3.00 Each Trap 1.50 &( <z Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6e< W-C,r S Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI ans ec d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE 17��tka PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family=LOW Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST l ACCLBLDGSDWELING �CUP- !:) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y NEW CONSTR MULTI -OUTLET NON.RESI D. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 NON- ( RESID. (SINGLE OUTLET CIR. 250 Ex. Occup(OUTLETS OR FIXTURES) a �@ FIXED APPLNS. OR Ex. QCCUp2.00 • OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 'I am exempt from the Contractors License Laws of the State of California. Permit Fee $ is WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so s to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspecti purposes. X Date Land Development Fee $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been pa' .. OF,PUBLIC WORKS BY Date 3 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Uilding permit 2pires 41 u to ount LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENTf OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 • H. W. McDONALD Deputy Director March 19, 1980 Tom Odekirk RE: Building Permit #W6-77 & lot 8311 Merrimac;Star Route A.P. #71-08-54 ",,.MM AL #4375-78 Oroville, OA., 95965 Dear Mr..Odekirkz, With reference to the above subject, we have been advised by one of our building inspectors that there are items requiring corrections for the work which you have done as follows:. 1. Renu permit (e—m-1-red 7/26/79). 2. Label breaker. 3. Install air gap on dishwasher. 4. Install smoke detector. 5. Install plate over J box at water heater. 6. Install light in closet. 7. Install t -straps for post 6 beam. 8. Finish stairs. 9. Finish grade around house., 10. Install flex at pump house wiring. 11. Install proper outside,lights. 12. Furnish certificate. of insulation. Since these items must.be corrected before.'we can final the job or'issue the required Certificate of Occupancy, please make the above corrections and contact this office within ten (10) days of the date of this letter and request final inspection. Your cooperation in resolving these items in a timely manner will certainly be appreciated. Should you have any questions.concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Publ' rks .F`. Glander JFG:dd/-,/Assistant Director cc:' Building Inspector - Jerry Stilwell f r F AP 71-08-54 f ! RECEIPT FOR CERTIFIED MAIL --300 (plus postage) �� '• Tom Odekirk POSTMARK '? OR DATE + :.... . STREET AND N0. ... , < - .., .�.��-. �.,.- f :,,8311 MerrilnacStar, R yatxy '� °� r;� liz3/L20/80 .I oute r,)' P.O., STATE AND ZIP'CODE Tv Orovill: CD e, .'=''L u t9 £uR_L;wL'-" ou N + .,,OPTIONAL SERVICES .FOR ADDITIONAL FEES, t "th=h' YI ' X10RETURN ' t- Shows to whom and tlate delivered ..:..:. RECEIPT I . With delivery to addressee only ............ 65¢ + Y. Shows to whom, .O 1 date and where delivered .: 95¢. 0,,,_� V_• ;�� DELIVER_T *r •. _ With delivery to addressee only.....:...: DELIVER 70 ADDRESSEE ONLY ...:.....:............................................ 60¢ Ju OI 4, r 1 rSPECIAL DELIVERY.(extro fee " — required)...... .............................. ..t., .. f..,.,. ....�- . PS Form "NO. COVERAGE PROVIDED-. Apr. 1971 '' 3- (See'other side) 4 NOT FOR INTERNATIONAL MAIL �. - a GPO: 1972 O - 460-749 0 SENDER: Complete items I, 2, and 3. Add your address in the "RETURN TO" space on reverse. I. T following service is requested (check one). Show to whom and date delivered .......... F] Show to whom, date, and address of delivery.'._¢ RESTRICTED DELIVERY Show to whom and date delivered .......... RESTRICTED DELIVERY. Show to whom, date, and address of delivery.$_ (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Tom Odekirk 8311 Merrimac Star Route Oroville, CA. 95965 3. ARTICLE DESCRIPTION: REGISTERED NO. CERTIFIED NO. INSURED NO., 532040 I I I (Always obtain signature of addressee or agent) I have received the article described above. SIGNATURE❑ Addressee C] Authorized agent p 4. 0 - E OF DELIVERY T�Aftl(>t� 0851 5. ADDRESS (Complete only if requested) y4"" V w 6. UNABLE TO DELIVER BECAUSE: LE(' I/ 4d K * opo: 6te �z-3ez �.1 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIO PE ALI Q:TO USE TO Print your name, address, and ZIP Code in pace beM. OF • Complete items 1, 2, and 3 on th QersNA R 211 • Attach to front of article if space p mits.IMI". ise affix to back of article. Endorse article "Return Receipt Requ ed?,9 8F:) cent to number. RETURN TO OFPT OVH%Y OF , Yog Gurrr 4".. (Name of Sender) County of Butte A� l�igR Dept. of Public Works C-101,9�r4j�`r P. ' 17 County Center Drive I49/z Oroville, California 12,a/ �+ 95(city. State. and ZIP co e LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 H. W. McDONALD Deputy Director January 30, 1980 Tom Odekirk RE: Building Permit No. 2486-77 & let RENEWAL 353 Skyline Blvd. Expired 7/26/79 #4375.78 Oroville, CA. 9596.5 (A.P. No. 71-08-54) With reference to the above subject, our records indicate that your building permit has expired. Building permits are valid for one year and should construction not be - completed at the expiration date of the permit, the permit shall be renewed for 1/2 the original fee. Kindly contact this office within ten (10) days to renew your permit. Should our records be in error or should your construction be completed, please advise this office immediately. Thank you in advance for your prompt.attention concerning this matter. Yours very truly, Clay Castleberry Director of Public Works F. G1 nder 4Feidd Chief Building Inspector P.S. For your convenience, we are attaching a renewal application form which may be completed and signed by you where indicated and returned to this office together with the fee shown. cc: _Building Inspector - Jerry Stilwell cc: PnjYqTM& luabccyoL VOWPSL OTCY FPG 100 QaVa' po combTsovq sbq WvGq A " Wl"G TrqYcugsq IDq IGYPxUsq to v?js L'a, Eox Xonx COVAGaTencol me SKS WgrecPIM •v Lm�mzj- IEC: qq, CIA coarispGZA, _rap a ZSLA 9MIM Mug AW Y UqAwncs 100 Max bxowhg-vVCsvgjov coucozojoR gpla ti, ;"j ollice WCOLge Po ju SLLOX ox eponjq A= c000CmcgTog pG-cowbIsreq, bISVeG UqAqat rpl. yjuqjX coursc; ggTa ol;lcs m1pplu gsu (10) ,1 . .. ..... ,,, Q,,,, Ql� rye OXTRIMay comblecoq sc 9yo tsys,,, ,L pea vxblxeq, YnTIVSK bOMM szo ASIT9 101 onc Mut qmq aponyq C0=100VI00 00t PG MAP 16MGM0 CO CPV WAS anpleer' Cat?;.zscmqa TvqTcoge 9PUY ML P0jYqjnH PSIMY.� .......... NE: ie' IVJ " D F) X V D CEMIEM owmrm , cw1kowMa?8Q2 Cr" VA DII-01-ICU DEbVMINEll-'l 0!1- brIFIFIC C0U01i 'OF'BI9TT-E — DEP'AR•TMENT OF PUBLIC WORKS 7 County Center Drive Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 77q"j authorize representatives of the County of Butte to enter upon the above -men 'oned property for inspect n purposes. X DateL— 2, — �7 Signature of Permitee or Agent Receipt No.��++��.." White-D.P.W. — Ye�� w,o ^in -In spec or — G denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DR OR Q LIC WORKS By Date ' Building permit expires Date -7—A6 7� BUILDING, Owner /� Q E x g- SO. FT. OCC. BUILDING VALUATION 6 670 Mai I i ng Address 3 L Q 4 ' JFireplace �LL�, Tile hone No. s Contractor Q LS{'L_° Total Valuation 910 Mailing Address Permit Fee _ P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee Building Address Ano/Y41 M 7n S`1 PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 - 0 If/"C ,Bb 116- 1 Each Trap Ul 1.50 — Repair drainage or vent piping 1.50 Water piping 1.50 ®,Q(� V I L L Ca'' Zoning Verificatian QWJ Each gas water heater or vent 1.50 A P. No. 7 l �pG -s Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 to SI n�*L.A Fire Dept. Fire Zone Use Permit Building sewer 5.00 EGA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. I e Parc pproval Plans 4rpproval Permit Fee $< 1-- 1-3 NEW ADDITION UTILITIES ❑ OTHER [:]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR 100 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex Mobil Home Others ❑ ❑ ❑ Main service OVER 600V 100 AMP OR LESS 25.00 0 AM 1.00 �a o Main service EA. ADD•L 1LING 0 WE OR ADDNSNEW T (ACCLBLDGS &) 20sgft 7 - NEW CONSTR. MULTI.OUTL NON•RESID. BRANCH CIRCUITS) 2.50ea� NEW CONSTR. (POWER APPARATUS &) NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: {7 Ex. Occup(OUTLETS OR FIXTURES) BA�L21 Ex. OCCU FIXED APPLNS. OR P• OUTLETS (RESI D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ .� I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby L14 o® -DEL) ` Ft:,e TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above -men 'oned property for inspect n purposes. X DateL— 2, — �7 Signature of Permitee or Agent Receipt No.��++��.." White-D.P.W. — Ye�� w,o ^in -In spec or — G denrod-Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DR OR Q LIC WORKS By Date ' Building permit expires Date -7—A6 7� • r COUNTY.OF BUTTE = It EPA,RTMEN T OF PUBLIC WORKS t' 7 County Center Dri�q �— OroviIIe, California 95965 Tztephone: 534-4541 APPLICAYION AND PERMIT -2 7,--2 -2, This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRPUBLIC WORKS By ECT OF Date 11 ilding permit expires Date 7— o BUILDING Owner 7'b ��� %/L SQ. FT. OCC. I BUILDING VAL ON 0 0 Mailing Address Telephone No. Contractor Mailing Address RIOpy ��� $T Fireplace' l Total Valuation 1/1 LL 4::X '9K5;6? Tele hon^" js3 Permit Fee Building Addressf% ®� Q!J/11%� ' Plan Checking Fee&/or Penalty Permit Fee /� Dl PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 ®� Q Repair drainage or vent piping 1.50 A. P. No. /— Qg — -5-14 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F S i 'on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� Bldg. P nl. Recd Parcel A caval Plans App o Lawn sprinkler system 2.00 NEW ❑ ADDITION Q�UTILITIES [:]--OTHER ❑ Permit Fee $ $ A O jar" ELECTRICAL No. @ FEE 6912. 43 f(ra,.2 PERMIT FILING FEE $3.00 Main service 600V OR LESS 10o AMPLESS 5.00 Single Family Q1Duplex E] Mobil Home ❑ Others ❑ Main service E4. ADD'L 100 AMP 2.50 Main service OVER 600 25.00 100 AMP OR LESS ' EA. ADD'L 100 AMP 1.00 Main serviceNEW CONST./ NG OR ADDNS. C ACCLBLDGS.CCUP, 4� 22sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y Zw-� NEW CONSTRES,., -OUTLET NON.RESID BRANCH CIRCUITS) 2.50ea NEWCONSTR./POWER APPARATUS 9 NON .RESID. (SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES 50 @250 BAL@1 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 _ License No. Classification 41S Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. hI hlave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ i This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRPUBLIC WORKS By ECT OF Date 11 ilding permit expires Date 7— o COUNTY OF BUTTE — D-EPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 e, California 95965 Telephone: 534-434-45441 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti Oed property for inspectio purposes. X c� Date Signature of Permiteeee or Agent Receipt No./ -2/3 24;1 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D E*expires OF PU IC WORKS BY7VIDate 7� Building permit Date 7 02 BUILDING Owner (? O ' SO. FT. OCC. BUILDING VALUATION Mailing Address r , Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee �C1 Building Address ' r e Plan Checking Fee&/or Penalty Permit Fee D Ip c — 0 L PLUMBING No. @ FEE �+✓O O PERMIT FILING FEE $3.00 Each Trap 1.50 , V[ 1,L Repair drainage or vent piping 1.50 _ A. P. No. Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F&5s' Sarl*t-Oion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. R5 -a ssRRec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 EW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ teL &--'7,7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS//% CONST.DWEACCLBLDGS.LING CCUP. Y� 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %( NEW RESID.CONSTBRANCHMULTI-OCIRCUITS) NON.RE51 D. BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 6 NON .RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES g L2; Ex. OCCU FIXED APPLNS. OR Occup.(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 2�ram exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 'w have placed on file with the County.of Butte a certificate of orkmen's Compensation Insurance. �I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -menti Oed property for inspectio purposes. X c� Date Signature of Permiteeee or Agent Receipt No./ -2/3 24;1 2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D E*expires OF PU IC WORKS BY7VIDate 7� Building permit Date 7 02 t7 10 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aU II IUIILV IC111C0CIIIGlIVCS UI UIU Luunly UI inulle to enter upon ine above-mentioned property for inspection purposes. X Date' Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date BuHd4ft permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Y f.. Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ r r Building Address `, t( Ir. = - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ( MSI }JrI "� ;'i ,)) Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 A. P. No. ` v Zoning 8 Planning Each additional outlet .30 Fees C. 'Sa on 'Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking"' Plans -parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 T; , 01V 01 LES Main service 100 AMP ORS SLESS 5.00 • r A Main service EA. ADO'L 100 AMP 2.50 - Single Family EJ Duplex EJMobil Home ❑ Others � OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 _ NEW OR LING O ADDNST ( ACCLBLDGS.CCUP. & 22sgft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea ( NEW CONSTR. (POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) �Dq Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 [3'1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ -� $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. * I certify that in the performance of the work for which this t' permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE aU II IUIILV IC111C0CIIIGlIVCS UI UIU Luunly UI inulle to enter upon ine above-mentioned property for inspection purposes. X Date' Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date BuHd4ft permit expires Date COUNTY OF BUTTE — DEFrARTMtNT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,,• •- F ac i.v.­G L e vvunry vI DUlle w unrer upon me above -me ioned property for ins ection purposes. // X Date 6 `l L Signature of fermiteeee or Agents Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 ^Beifdtwg.permit expires Date BUILDING Owner G K ®a/� Y SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 9 J^' A4 L Ld A L G A v z Qv -a u e L L. t, Telephone No. 5 33 —9S o S Fireplace Contractor Total Valuation Mai I i ng Address @— Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address APPftXI -- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 U l Pr, t (A . Each Trap 1.50 d Repair drainage or vent piping 1.50 Water piping 1.50 (((( l i Each gas water heater or vent 1.50 A. P. No. oning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. t Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parkinl Plan s Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 dD OR LES Main service 10000 AMP ORLESS5.00 r Main service EA. ADD'L 100 AMP 2.50 _ Single Family ❑ Duplex ❑ Mobil Home ❑ Others 7 OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUR. & OR ADDNS. ACC. BLDGS. ) 20sgft NEW CONST-. (MULTI -OUTLET N.N.RESID. BRANCH CIRCUITS) 2.50ea NEWC ON ST R. POWER APPARATUS & NON .RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@SQ BALCA02I FIXED APLNS. Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 (j — Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 13 av $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. Mcertify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE 1$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby fr n TOTAL PERMIT FEE $ OZ3 ,,• •- F ac i.v.­G L e vvunry vI DUlle w unrer upon me above -me ioned property for ins ection purposes. // X Date 6 `l L Signature of fermiteeee or Agents Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 6 ^Beifdtwg.permit expires Date Owner: /:-o ,�4 �Q Address k A6o ve Tenant: i�� Building Location: Type of Inspection requested: G <'- BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A. P. # F: F e if i9' -z Tz' To 6 e ,1Housing / / 2. Financing Tlt'-- . other (specify) Present use of building: Date of Ins�peect/ion Inspector_/ 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of ,insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall 'construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments• C. Electrical 1. Se a and ground: eceptacles- 3. 4. D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) :. E. Other t 1. Maintenance and repair: j 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering:_ 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6... 7. 8. Improvements: Zoning: Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended:' A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: a rC 74 15s '� ,�i��-•�.� s x. F 071-400-025 PERMIT#95-0324.' ODEKIRK, Thomas ;e 623 Simmons Rd.., Oroville Ele Wall Heater/SF COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroviller, Calif fnia 95965 - Telephone (916) 538-7541 PERMIT NO, APPLICATION AND PERMIT' 0 ASSESSOR PARCEL NUMBER 071-400-025ZONING BUILDINd PERMIT OWNER THOMAS ODEKIRK TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS 623 SDMNS RD OROVIUE, 95966 CONTRACTOR'S NAME INNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS ° Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 423 SIMMQNS RD PERMITFEE $ ROVIUE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar Or heat pump water heater 23,00 USEOFSTRUCTURE SF 9 Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities EX Installation ❑ Other ❑ Describe Work: EI+EMIC WALL ITER — �} Mobile Home IS I GI W1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service EOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am"exempt from the Contractors License Law for the following reason: a ,.I L. I, as owner of the property; or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BUDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CMR. Ex. Occup. (OUTLET OR FIXTURES ) 2U o I.00 BAL .50 Ex. Occup. (oUILETsAPLNs (RE IS RA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00. PERMITFEE _ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall � forthwith comply with th a provisions.-- ---- —_ Xt _ __ Date Z -Z3 -9S' Signat ire of Applicant - l Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PER MIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF pgRCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have b n paid. ! 7 / BY Q Date / PERMITEXPIRESON iI (� (Date) -3 Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville,-Calife,onia 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 03� ASSESSOR PARCEL NUMBER 071-400-025 -ZONING � UILDI G PERMIT OWNER THOMAS ODEKIRK TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 623 SIMMONS RD OROVILLE, 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNIDJOWN Total Valuation Is LENDER'S MAILING ADDRESS Fling Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 623 SIMMONS RD PERMITFEE $ OROVILLE PLUM BINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF 1� Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities IX Installation ❑ Other ❑ Describe Work: ELECTRIC WALL HEATER Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 2 0:0 0 Main Service EOOV OR LESS ( zooA OR mss ) 23.00 Main Service ( 200A TO I000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class IL No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Q� I, as owner of the property, army employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR s0. OR ( 8 ACC. ) 3.S¢ FT. NEW CCNS. ONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 O +•50 BAL 50 Ex. Occup. OUTLETS (RESID.j FEE ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ -35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply with th 'se provisions. Date _�'�3=) Signa re of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE I TOTAL FEE $ 35.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PO I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for which fees have be n paid. n BY Date 7 PERMITEXPIRESON (Date) Receipt No. 175363 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE Department of Development Services Building bivision Oroville:, 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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) E'5 2. Iave/ ave not) 3. signed an application for a building permit for the proposed work. 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 followipg 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 Signed: -� Property Owner Social Security Number sxjc— ? - '3 ($v 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 are permitted to issue the permit.