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Home My WebLink About078-090-0420-79_o�o-0�� 02-1447 STOTT OUTDOOR ADVERTISING1 �flV _ OPHIR RD., OROVILLE SIGN JOl 1510Z r` 036-270-0.82 `02-1447 STOTT OUTDOOR'ADVERTISING OPHIR RD., OROVILLE SIGN `� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PE,R"�T NO. (Rev.12/96) J _44 APPLICATION AND PERMITfa�- �C ASSESSOR PARCEL NUMBER i %6._9 —Q)87 ZONING BUILDING PERMIT OWNER 51(711 OUTDI )OP. AVE—ZUSITIC TEA ONE 342-3235 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P.O. BOX 7209, a-1100CA 95927 CONTrrR��AC�}}T�,,,Oy�RR+''S�� NAME VFylil;,i1 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9500.00. ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ ,20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 76.0-5 BUILDING ADDRESS T Energy Plan Checking Fee $ $ PERMIT FEE $ n 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: SIGN Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W I @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 000OR LESS Main Service zo.VA OR LESS 23.00 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 I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: pis; I, as owner of the property, or my employees with wages as their sole compensation, J# will do the work, and the structure is not intended or offered for sale. 1, II ❑ I, as owner of the property, am exclusively contracting with licensed contractors 1 to construct the project. I \ ❑ 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. I have and will maintain workers' compensation insurance, as required by Section 1 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Sr.1AtE S•+ tV1 PtJt#r Fvn+D Policy Number 1 S G:5L 2 4 t - CQ. (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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. ^ ff � J X ,r ,��1 �. - k) /../h Date (0-5-02 `Signature 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. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. s0 OR ADONS. J & ACC. BUDS. 3.50FT_ NPN-RESIDT MU OCVTLET @7,50 voWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. a20 @ 1.00 OUTLET OR FIXTURES FlXED APPLNS. OR 5.00 EX. Occu . ourLErs (RES, 6.) EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 70;-j.5S HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD ISS E 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. ��_ `� i✓% �� By �L�/1 /� : .fM" /'' Date , PERMIT EXPIRES ON I Da la Receipt No. .353781 $2&3.55 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 R T (Rev. 12/96) APPLICATION AND PERMIT 001- / ASSESSOR PARCEL NUMBER 036-270-089 ZONING BUILDING PERMIT OWNER S�'Ii OU1D00�; ADV' ?.TISINC- TEA4 342-32.35 SQ. FT. OCC. BUILDING VALUATION . OWNERS MAILINGADOF.ESS P.O. M 72.09CITICO C.A 95927 CONTRACTOR'S NAME 0i -J TE TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9500.00 ARCHITECT OR ENGINEER LICENSE NO. Flim Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ 76.05 BUILDING ADDRESS 7 i7D- , 0RQVTTJ.F, Energy Plan Checking Fee $ $ PERMIT FEE $213.05 LAT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex 0 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: SIGPvI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.."A OR LESS 23.00 23, 00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w.th Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License w for the following reason: 1, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construc- the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO +000A 46.00 NEW CONST. DWELLN0OCCUP. OR ADDNS. a ACC. BLOS. s0 3.5QFT: T. NON-REo,SID. MULTI.OUTLETUTs @7,50 7 .50 AFPARATUs 8 SINGLE 0 "ET CIR. Ex. Occup. OUTLET OR FD(TURES .00 BAL @ I. 0 Ex. Occup. DUT FIXETS pa 6.)0EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE 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. I 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 5TIA-% C0M1Fi`-055 SlOrJ XO$VYA0CE FV00 Policy Number 15 fo$1M — of (The above sections need not be completed if the permit is for work of a valuation of one huncred dollars ($100) or less.) I certify that n 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. �^ /� _� 1— j� _ Date 6-5-02 I?ignature of Appl:.cant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is -squired for excavations over 60" deep and demolition or construction ot structures over 3 stories in height. 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 $ 26155 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HO S E 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 Qate PERMIT EXPIRES ON v� Dee ReceiptNo. 353181 $263.55 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J LOT NO 9UeONBOMS NAl,E PARCEL 1✓J USEOFSTRUCTURE 3_ r, Duplex O Mobilehome O Other S� TYPE OF WORK '.e.v Addition ❑' Remodel ❑ Ltlities O Installation O Other O :�e;cnbe Work: *FISVAIT EEE PA lt> JR A • SHMFF OTR AAk6VN 1 kECZ t> k3 55 IS PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat pump water heater I Water piping j Each gas water hearer or vent I Gas piping system 1 • 5 outlets Building sewer i Mobile Home I S; I PERMIT FEE j $ ELECTRICAL PERMIT I ( OOOV OR lESS_!� Main Service :Doll oR usss Main Service ( 20" To IOWA ) j NEW CONS'.. ( OW!ILPI0 OCCUP OR ADONS a #CC ELOS i NE'w COMrYUITwOVTLET \ NON.REW ( BRANC1cae��ts I I (POwEA APPAAATw I SIKX! OLffUT GR ) Ex. Occup. ( OVRFrORPoRUAEs 1 I Ex. Occup. (O nm Temporary Service Mobile Home Facilities klisc. Wi Fling Feer 20 C: 7.00; - I 23.00 ---• i 1 5.00. 1 5.00' 15.001 j 15.00 j @20.00' I I=1:ing Fee' 2C C. 'V 23_00, 46.00; _ 3.5cF; . _. @7.50' I M'd X00 5.00 23.00' — 20.00 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 1 21 C: Heatingj 1 - Cooling I Hood j 6.50 : ` Ven';!a'icr PERMIT FEE I S Moble Home Installation Fee Energy Inspection Fee 8 occ i CONaT rr►t TOTAL FEE $ b S� •u.. I o FX0, RrP n000 coo, PWca i 00 u. i ; This permit is hereby issued under the applicable provlsicr.s of the Butte County Code and/or Resolutions to do Nc,'< indicated above for which fees have been paid. By RacesptNci. PERMIT EXPIRES ON Yi41TG-o 0.5 -0.0. CANAMY-A3SES30A PINK•IN$VeCTOR 001.09NROO-APPOCANr Oate _____--- uounly center urive Y oroville, California 95965 • Telephone (530) 538-7541 ,'90; APPLICATION AND PERMIT ______D .� ��` "-7' .�:itS:oR PAACCLNUMSM _ _ r 3 -O O , a zc""a -- BUILDING PERMIT - ".tR SO FT. I OCC BUILDING VALUATION ::: -AAZ,00S wee ;rtt[vo�e' `;�'TIAC'CR5 uAUNO ADORESS --__ Z -.irS faUC iz-v uEkOEA 1 oEa: w L,"G ADOPESS Fireplace I i -- Total Valuation I b — Filing Fee - A�C..n_Ct OR Er.Gv+E EA i uc V4E NO Permit Fee I S OR ENGWEEAS Y.AA.NG ACCRESS - — Plan Checking Fee I � I...rl ADCAEss C� � O Energy Plan Checking Fee I S LOT NO 9UeONBOMS NAl,E PARCEL 1✓J USEOFSTRUCTURE 3_ r, Duplex O Mobilehome O Other S� TYPE OF WORK '.e.v Addition ❑' Remodel ❑ Ltlities O Installation O Other O :�e;cnbe Work: *FISVAIT EEE PA lt> JR A • SHMFF OTR AAk6VN 1 kECZ t> k3 55 IS PERMIT FEE PLUMBING PERMIT Each Trap Solar or heat pump water heater I Water piping j Each gas water hearer or vent I Gas piping system 1 • 5 outlets Building sewer i Mobile Home I S; I PERMIT FEE j $ ELECTRICAL PERMIT I ( OOOV OR lESS_!� Main Service :Doll oR usss Main Service ( 20" To IOWA ) j NEW CONS'.. ( OW!ILPI0 OCCUP OR ADONS a #CC ELOS i NE'w COMrYUITwOVTLET \ NON.REW ( BRANC1cae��ts I I (POwEA APPAAATw I SIKX! OLffUT GR ) Ex. Occup. ( OVRFrORPoRUAEs 1 I Ex. Occup. (O nm Temporary Service Mobile Home Facilities klisc. Wi Fling Feer 20 C: 7.00; - I 23.00 ---• i 1 5.00. 1 5.00' 15.001 j 15.00 j @20.00' I I=1:ing Fee' 2C C. 'V 23_00, 46.00; _ 3.5cF; . _. @7.50' I M'd X00 5.00 23.00' — 20.00 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 1 21 C: Heatingj 1 - Cooling I Hood j 6.50 : ` Ven';!a'icr PERMIT FEE I S Moble Home Installation Fee Energy Inspection Fee 8 occ i CONaT rr►t TOTAL FEE $ b S� •u.. I o FX0, RrP n000 coo, PWca i 00 u. i ; This permit is hereby issued under the applicable provlsicr.s of the Butte County Code and/or Resolutions to do Nc,'< indicated above for which fees have been paid. By RacesptNci. PERMIT EXPIRES ON Yi41TG-o 0.5 -0.0. CANAMY-A3SES30A PINK•IN$VeCTOR 001.09NROO-APPOCANr Oate _____--- 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: C ASSESSOR PARCEL NUMBER 0�G' g / 0 "— Proposed Building Use: Counter Technician.d*: Date: v �� Items required in,order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. /11A..Plot Plot plans, 3 or 4 sets, signed by the preparer of the plans. 03 2 Complete plans, 3 or 4 sets, signed by the preparer of the plans. . Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. -Er'4. Engineered truss details and layouts in duplicate. No faxes! -En. Energy compliance design and supporting documentation in duplicate. -8-6: Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or } foundation plans, all in duplicate. ®'T. -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 en ig neer. 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 ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 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: ❑ 26",�&ntact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ ;21: XEperoachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). 't ❑ 22"�+P t -Inspection for required ................ :• ;r ;23.aContractor's license information. (Number, Name Style, Classification) ...................... 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 _ e _ _ N _ , and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: ,6, Oa,� Date: 6- S — 02- 1. 2 1. Index permit application for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was dvised of the above data by ❑ phone, . ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by:Date: 6 / L Structural reviewed by:P.Date: Structural approved by: Date: / W OZ Note transfer by: /7� I Date: 1410 Z Yellow: Building Division LSTOTTJ . ... �. P.O. Box 7209 a Chico, California 95927 a 530-342-3235 AGREEMENT OF LEASE This agreement is made this / _7�t day of 2002 by and between Robert W. Schulz hereinafter called "LESSOR" and Stott Outdoor Advertising hereinafter calla "LESSEE". In consideration of 'dollars per year, payable upon the signing of this lease and annually thereafter, Lessor hereby leases to Lesseea' portion of Lessors' real property and thereupon grants exclusive permission to Lessee to erect and maintain an outdoor advertising sign slzrcture on the leased property located- at and described as: Butte County Assessor's Parcel Number 36-27-82 Lessor finther grants to Lessee the unrestricted right to travel across Lessors property for free accessto sign structureand use of the real property described herein as Lessee requires to :onstruct, maintain, post, paint, illuminate, repair and otherwise deal with Lessee sign structure including the placement and maintenance of support structures, service ladders, illumination facilities, devices, power. poles, power lines and connections. Diagram (Location of Proposed Sign) "2 �J v 2Q 51 NORTH pp�,L a Sign to consist of two '12' x 24' back-to-back faces set on a single pedestal. The term of this lease is ten years commencing on the date of this agreement. All advertising signboards and structures placed on the leased property under this lease shall remain the property of the Lessee. The Lessor represents that he is the owner of the above-described real property and has the authority to grant the leasehold estate and to execute this lea4e for the term thereof. The word Lessor as used herein shall include all joint owners of the real property. This lease is binding upon and inures to the benefit of the heirs, executors, successors, and assigns of the Lessee and the Lessor. The provisions on the reverse side of this agreement are incorporated into and made a part of this agreement by reference. ACCJ FEED 8Y :51 T U'11XX)R ADVEKIIS1NU By Date 7 J 2 (Revised 2/02) NEW LEASE FOW ACCT FEED BY LESSO BY Print Name Robert W. Schulz Address: 122 Cottonwood Circle City, State, Zip: Oroville. CA 95965 Tax lD/SS# OWNER -BUILDER VERIFICATION A-,tentloa Property Owner: An "owner -builder'' building permit has been applied for in your name and bearing your s4pw"e. 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES-9,NO C3 I HAVER HAVE NOT C3 signed an application for a building permit for the proposed WO& 3. I have contracted with the following person (firm) to provide the proposed construetio®: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: NAIINIE: ADDRESS: PHONE: CM: 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 IGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: DATE: 6- S- o 2 NOTE: This Owner -Builder Verification is required by Section 198.31 and 19832 oVtbs California Health and Safety Code. This verification must be eompkted etd returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORINIATION Dear Property Ow-:-" An 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 on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible 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 exception of various trades that you plan to subcontract, you should 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 materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If 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 contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contactors 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 contactors may be obtained by contracting the Contactors State License Board in your community or at 1030 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is, returned. I rely, 6 Mic el C. Vi ira, C.B.O. ti( ger, Building inspection NOTE: Tins Owner -Builder Information is required by Section 19810 of the California Health and Safety Coda OVER