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HomeMy WebLinkAbout072-320-006072-320-0062 3083 EVENSON, DAN & MARILYN 1235 HURLETON RD.,OROVILLE ELEC. SERVICE FOR WELL 072-320-006 02-3083 EVENSON, DAN & MARILYN . 1235 HURLETON RD., OROVILLE ELEC. SERVICE FOR WELL OFFICE COPY ` Address GAS Meter Date TRIf ELECC �� -0 Meter Meter T 1 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION • `' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PER T N' (Rev. 12/96) APPLICATION AND PERMIT Z r�6 ASSESSOR PARCEL NUMBER -1 ZONING BUILDING PERMIT OWNER �%�A oNE SO. FT. OCC. BUILDING VALUATION MAILING ADDRE S V - OWNERSMn; 1 ! n - n CONTRACTOR'S NAME r TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRICAL SERVICE EM WELL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ".A' OR LESS 23.00 3 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 Llc. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. O 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 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 Main Service TO 46.00 NEW CONST. DWELLING OCCUCUP. SO OR ADONS. ( 8 ACC. BLDS. 3.50F7_ NEW SID. ANCHOU CUT 97,50 POWER APPARATUS & SINGLE OUTLET CIR. 20 1.00 EX. OCCU OUTLET OR FIXTURES SAL 60 FIXED APPLNS. OR Ex. Occup. OUTLETS REBID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre -Inspection PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 forthwith comply with those provisions. X (�% ?ir n • �. ` �" %" �--_ Date /� v1 Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 66.00 HAz. D. FEES IMP I FLOOD CDF pgRC0. PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Punty Code and/or Resolutions to do work indicated ab6ve f r hichifees have been paid. �/ ^ By 1111-7 % t - PERMIT EXPIRES ON ate ReceiptNo. %i,l I ;el" 1 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 �� �JTZ3(Rev.12/96) APPLICATION ANUPERMIT l� ASSESSOR PARCEL NUMBER 079-390-006 ZONING TJ /Q BUILDING PERMIT OWNER . OWNERS MAILING ADDRE S CONTRACTOR'S NAME % 7 E TELEPHONE, SQ. FT. OCC. BUILDING VALUATION CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ELECTRICAL, SERVICE FOR WEJ 1. Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home TFFql W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600V OR LES Main Service 20.A OR LESS 23.00 2.3-00 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.PSINGLE 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: ❑ 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 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 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 forthwith comply with those isions. X �� `� Date /� G�� =�Z _ Signatur of Appli ant - ❑ 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. Main Service 200A TO ICOOA 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 8 ACC. BLAS. 3.50FT. NEW REOMULTI. SID. OU CULT @7,50 OWER APPARATUS 8 OUTLET CR. EX. OCCU OUTLET OR FDCTUREs BAL p 1.00 0 Ex. Occup. DFlxuTIEEis a DRQ 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre _ Tri PERMIT FEE s 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE V/ This permit is hereby issued under the applicable of a Butte unty Cod and/or Resolutions indica d a v f r hic fees have been By Dat PERMIT EXPIRES ON provisions to do work paid �1171�2_ efe Receipt No. 3fjL0Rtiti� nn WHITE-D.D.S.-B.D. CA S R PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ,F?ev.t?/96) APPLICATION AND PERMIT PFJ, ASSESSOR PARCEL NUMBER D �� JC.��,✓— ZO -- -.\/ BUILDING PER OWNER / TELEPHONE V j d" p�� SO. FT• OCC. BUILDING VALUATION OWNER'S ILIND ADORE 9 MAIUNG ADDRESS 1CONSTRUCTION LENDER LENDER S MAILING ADDRESS __ -ARCHITECT OR ENGINEER ARCHITECT OR ENGINEERS MAILING ADDRESS BUILDING ADDRESS LOT NO. I SUBDNISIO S NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: (�'�I/ �C �L>/_, �� .. n _ . 1 "PERMIT FEE PA1b SRA • SHERIFF OTM AAWNT RECeXVyEb Fireplace Total Valuation Is LICENSE NO. Filing Fee g Permit Fee g Plan Checking Fee g Energy Plan Checking Fee $ PARCEL MAP PERMIT FEE $ PLUMBING PERMIT "R6C�tt'T NVIN�� -3 f Y--6 " TO 14 " ZNTO CpWVM . Each Trap Solar or heat Dump water heater Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G W PERMIT FEE 1 $ Hing Fee 7.00 23.00 T5. 15.00 1 5.00 15.00 @20.001 20.00 20.00 ELECTRICAL PERMIT Filing Fee. 20.00 Main Service 000v OR LESS o. BAL . SO 200A OR LESS 23.00 i Main Service 200A To 1000A i46.00 i NEW CONST. ( oR ADDNs. DWELLING OCCUP. a ACC. BLDS. " N NEW CONS / NON-RESID. \ MULTI OUTLET o u C TS @7.501 Ex. Occup. OUTLET OR FVTURES 20 Lv 1.00 I Ex. OCCU FO ED APPINS. OR BAL . SO ouTtETs RESID. EA 5.00 Temporary Service _ ' 23.00 Mobile Home Facilities 20.00 isc. WiLiag 23.0011 _.. PERMIT FEE $ o MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling 11- Hood 6.50 1 PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee $ DCC CONST. TYPE TOTAL FEE $ Op el HAZ. D. FEES IMP FLOOD CDF PARCEL I PO I HO i 65LE 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. By Receipt No, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT EXPIRES ON Date PRE -INSPECTION REPORT OWNER: � L) eylso �1 LOCATION: Z al�A �'�T� ✓l 14 CONTRACTOR:_ 05A.D /L -e- J"' PRE-INSPETION J•t c DATE: I' ' �5—. 0 L A.P. #- ©7'Z -AZO -00;6 ZONING: (A DATE TO INSPECTOR: QZ PERMIT HISTORY: ONE () AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Electric: Residential/f of Units: Currently Occupied Abandon xan Yes No Electric currently On Off_ Condition of Electric Gas: Natural Propane None.,, -*' one Currently On Off Obvious Problems: " Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems, Comments:— ACTION RECOMMENDED: ISSUE: a HOLD FOR Inspeeto r i Sketch buildings on reverse Date and indicate location on p'ropert COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 0 Oroville, California 95965 - Telephone (530) 538-7541 Rev. 12/96) APPLICATION AND PERMIT PERMIT "°. ASSESSOR PARCEL NUMBER© �] �— 20 /` BUILDING PERMIT OWNER E. J TELEPHONE V 2 d" o�`� SO. FT. OCC. BUILDING VALUATION OWNERS IUNG ADORE 9 CONTRACT NAM� TELEPHONE COMA RS MAILING ADDRESS -- CONSTRUCTION LENDER LENDER S "UNG ADDRESS Fireplace ----- Total Valuation S -- ARCHITECT OR ENGINEERTotal NO. Filin Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ - - BUILDING ADDRESS Plan Checking Fee Energy Plan Checking Fee S - $ – PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAMEPARCEL MAP USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater 23.00 -- Water piping 1 5.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: ��r�—� �� �`� �._ Gas piping system 1 - 5 outlets 15.00 Building wer 1 5.00 G W @20.00 PERMIT FEE S E MIT Fling Feel 20.00 - I—V 1�'-� • �� P• - ���✓✓✓ , ov oR LEss o OA OR LESS 23.00 Main Service 200A TO 1000A 1 46.00! NEW CONST. OW -LING OCCUP. OR ADONS. & ACC. BLOS. 3.5CFT N CONS MULTI.OUTLET NON-RESID. I 1 @7.50 POWER APPARATUS I 8 SINGLE OUM ET CI-. EX. Occup. OUTLET OR FDLTURES 20 CE 1'00 SAL:g1.501 J *PERAUT FEE PA10 -S • • EFTEDAPPLNB.OR x. Occup. OUTLETS REBID. EA 5.00 Temporary Service 23.001 Mobile Home Facilities 20.00 isc. Wir' 23.001 SHGM fFF OT}{E•R s J PERMIT FEE $ - a MECHANICAL PERMIT Filing Fee 1 20.00 #_ Heating Coolin AAA* VW REcexwb :_ le Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 7 A 3 �y� ~ TO 14 Pir MqTo CO Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HA2. 1 0. FEES IMP FL000 CDF PARCEL I PO I HD ISSLE 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. By Date _ PERMIT EXPIRES ON Receipt WHITE-D.D.S.-B.D. D. CANARY•ASSESSOq PINK -INSPECTOR GOLDENROD -APPLICANT Delo =�; *��•a wsw-• - �--a�rr -�. ,� N..-..�.. _.. � ,r mow- �r r•�.r •_.r+...� v...s....��,,..r . -... ro..,,,�p,� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: i� �''�rS li ASSESSOR PARCEL NUMBER ©_% Z — 3Z (3 - W G Proposed Building Use:i d. ` " _ Z Counter Technician: Date: I ( . 05 , 0 Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. 0 1.. Plot plans, 3 or 4 sets, signed�y the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings....................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ....................... I.............. ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ,0:14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. 0 16. Sanitation and plot plan approval from the Environmental Health Department in 0 17. City of Chico Plumbing permit ............................. ............................................ ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... U1. ncroachment Permi,t �f r driveway froAm the Public Works Dept. (construction approval prior to occupancy). re -Inspection for U' II �r,r ✓\ �it ✓ r'c required ...........:.... ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits ....................................... !................. ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone 77 and hold for pickup. I have been informed of the above items and requirements for/obtaining a building permit. Applicant: 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above'data by ` ❑ Contractor, designer, owner, was advised of the above data by ❑ Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: Yellow: Building Division Date: phone, ❑ mail, ❑ counter, by phone, ❑ mail, ❑ counter, by Plans approved by: _Structural approved by: Plan Check Letter _Date: _Date: Date: Date_ s O`VNER-BUILDER VERIFICATION � Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Please complete and return this information at your earliest opportunity to avoid tmoeoe�agdd4Y in processing and issuing your building permit. No building permit will be issued two gds verification is received. 1. I personally plan to provide a major labor and materials for construction of the proposed property >�provement :YES NO O 2. I HAVE HAVE NOT 0 signed an application for a building permit for the proposed vvo& 3. I have contracted with the following person (firm) to provide the proposed eonsOntCdw: NAME: ADDRESS: CITY; PHOXE: CON-MACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinaw, supervise, and provide the major work: Y�titE: ' ADDRESS: CITY: PHONE: CONTRACTOR'S 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: PROPERTYOWNER: �'L---- SOCIAL SECURITY NUMBER: DATE: 1 f a-5-- o Pv'OTE: This Owner -Builder Very -Ovation is required by Section 198.31 and 19832 4VAC California Health and Safety Code. This vesication must be eomplakd std returned to our office before we are permitted to issue the permit Csia*J0 j OWNER BUILDER INFORMATION CC —3- P70t:Ir71 A.z application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection. you should be aware that as 'owner -builder" you are the responsible party of record gin such a permit. Building permits are not required to be signed by property owners unless they are personally p 1Ta 9— — own work. If your work is being performed by someone other than yourself, you may protect yourself from posiible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exc--ption of various trades that you plan to subcontract, you ihould be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family. and the work ('including assoerials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcoraactors. then you may be an employer. ♦ [ f you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contrbudons. ♦ There may E e Financial risks for you if you do not carry out these obligations, and these risks are especially serious with resoci, to worker's compensation insurance. ♦ For mere scecitic information about your obligations under Federal Law, contract the Internal Revenue Service (and, i f You wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, cencact the Department of Benefit Payments and the Division of Industrial Accidents. I: he s�uc Lre is intended for sa!e, property owners who are not licensed contractors are allowed to perform their work personally or Lrxough their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can conium that you are aware of these martens. The building permit will not be issued until the verification is returned. MLACkl ?tic el C. Vi ira, C.B.O. ?I ger, Building Inspection NOTE: Tits 0wrrer-8uilder Information is requited by Section 198J0 of the Cslijontla Health and Sajesy Coda OVER