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HomeMy WebLinkAbout072-090-003COUNTY 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 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 propo ed work. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 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'. 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 0M 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 are permitted to issue the permit. e . r fir.• .w 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 materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)-iftA2J 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 N P Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, su ervise, and provide the major work: Name tv X 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 N A- Signed: Property Owner Social Security number Date - i'-Ic 0 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 a 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 provide the major labor and materials for construction of the proposed property improvement (yes or no) I. I (have/have not) AA ucz 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 r s a .Signed: Property Owner Social Security number _ Date GI -) -iii- TOTE: 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, Droville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "o-dner-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) 1 L,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 Rhone 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. 1 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 NOTE: Th2s Owner -Builder Verification is sent to you as required .by Sections 19831 and 19332 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 FormperBuilding) A. P. Number - .79 U - 0 03 Building Department No. School District City D County.Q Jurisdiction el Property Owner K _ 07.1 r Project Location/Address CY A Subdivision Lot Number Residential Development: a � Sq. Footage 72.c9 # of Living MHI Addition (Group R) Units ; f i Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building"Department Representative Date ******************************************************************* (Floor Plans reviewed by School District Personnel) District Id No. % -7fN "-I' i 1. (" ,1 School District certifies that (Applicant Name Street Address) Phone Number t ; ,,,%iA i_- C_',(�Lii :1y rqkL (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of representing �_ square feet. t� `School District Representative Date PAID BY CHECK NO. � REMARKS: BANK NO II - S_ -) PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) COUNTY OF BUTTE -.Department _o.f Public Works 7 County Center Driie,-aroville, 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) A4u(-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 I 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-/ct P^4 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.