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028-020-049
l 1 WOMACK, Bob' 1039 Central House Rd., j) . Ele Ser Ch/SF lI� r ` WOMACK, BOB 1039 CENTRAL,.HOUSE D., ORO E STUCCO & RE -ROOF _-2 ' I • f I M l A.P. 28-02-49 1 Thomas • Green //- 3 � % 5 n/s Central Hou a Rd. at north to south offset k mi. east of W.P.R.R.,Honcut CONTR: Foothills Const., Palermo Permit 2241-73 (addition &remodel) 028-020-049 1 WOMACK, Bob' 1039 Central House Rd., j) . Ele Ser Ch/SF lI� r ` WOMACK, BOB A.P. 28-02-49 1 Thomas • Green //- 3 � % 5 n/s Central Hou a Rd. at north to south offset k mi. east of W.P.R.R.,Honcut CONTR: Foothills Const., Palermo Permit 2241-73 (addition &remodel) 028-020-049 00-1047E WOMACK, Bob' 1039 Central House Rd., Oroville Ele Ser Ch/SF 028-020-049 0 878 WALED WOMACK, BOB 1039 CENTRAL,.HOUSE D., ORO E STUCCO & RE -ROOF _-2 ' � ®may � � i- � 77.�l�r 028-020=049 i� 02478 WOMACK, BO13. ' ,+ ► 1039 CENTRAL HOUSE RD:, OROVILLE i STUCCO &RE'RvUF ' - � r l of a d e a d r I j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION _ 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 0 * 'tt tat ASSESSOR PARCEL NUMBER - 028-020-049 ZONING BUILDING PERMIT OWNER TELEPHONE WOMACK BOB 749 9320 OWNERS MAILING ADDRESS 1039 CENTRAL FUSEMAD CA SO. FT. OCC. BUILDING VALUATION QQN ES 32500.090 8 SQ 480.00 �CCO�N7�TTRRA�ACTOR'S NAME � 0WHIM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 3.980.00 ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS D1039 CENTRAL HOUSE ROAD OROULLE Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK i New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ot Describe Work: STUCCO AND PARTIAL REROOF WITH MAL Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ i ELECTRICAL PERMIT Fling Fee 20.00 600VOR UE Main Service OA 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.PSING icense 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: 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. .+0..1, as owner of the property, am exclusively contracting with licensed contractors ` to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO ,DGDA 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLD. SO / rNjppy=. MULTI -OUTLET - (@7.50 OWELER APUTLETPARATUS a OCIR. i Ex. Occup. OUTLET OR FDRURES zu @ 1,00 BAL @ .50 / FLIEO APPINS. OR Ex. Occup. ouTLErs .=. E.A. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I 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 Cooling Hood 6.50 n 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. '�" / � _�pte eJ(J /�G�i Qi�n_at,re Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE 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 1x!'11 Date L 7 PERMIT EXPIRES ON 15 " Date of Applicant _-0 Owner ❑Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Receipt No. WHITE-D.D.S.-B.-I57— CANARY -A S SSO PINK -INSPECTOR GOLDENROD•APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 78- (Rev. 12/96) APPLICATION AND PERMIT Q -18:178- ASSESSOR PARCEL NUMBER 028-020-049 ZONING BUILDING PERMIT OWNER WOMACK BOB TELEPHONE 749-9320 SO. FT. OCC. BUILDING VALUATION CONT EST 3.500.0 . OWNERS MAIUNG ADDRESS 1039 CENTRAL HOUSE ROAD OROVILLE, CA 8 SQ 480.00 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace U=NDER'S MAIUNG ADDRESS Total Valuation $ 3,980.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 63.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS D1039 CENTRAL HOUSE ROAD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 8:3' 00 LAT NO. SUBDNISIOMS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 1 7.00 USEOFSTRUCTURE SF IN Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1K Describe Work: STUCCO AND PARTIAL REROOF WITH METAL 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 Filing Fee 20.00 a00OR LESS Main Service 20 OA 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.PSINGLE "License Class Lic. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L or 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. 71r 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a Acc. eI S. SO 3.5¢FT; ND" NpO,pT MULTI.OUTLETRCQITS @7,50 a OUTLET CIR.OWER APPARATUS Ex. Occup. OunET OR FIXTURES 20 @':55 BAL 0 R. Ex. Occu . oFlxlniFrs A o) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: rI 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 r performance of the work for which this permit is issued. O 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 Policy Number (The above sections need not be completed 4 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �, ` // a e � & 2:ab Sig atur Applican, Owner ❑ Contractor Agent / r An OSHA permit is required for excavations over 60" deep and demolition or construction of 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 $ HAZ. D. FEES IMP FLOOD CDF pggC0. Po HD SSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have [By PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. 7—/5 " Date Receipt No. WHITE-D.D.S.-B.D. CANARY- S SSO PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION •�' 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT N (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARC0.Nu �� r ZONING BUILDING PERMIT OWNERLL2 TELiDHONE SO. FT. OCC. BUILDING VALUATION S MAILING ADDRESS —t � 3 Q CONTRACTOR'S NAME LEPHONE CONTRACTORS MAIUNO ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation S ARCHRECT OR ENGINEER UCENSE NO. Filing Fee $ 20.0? ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ 3 , Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee S $ PERMIT FEE $ LAT No. SUBDN6pN5 NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF PDuplex ❑ Mobilehome ❑ Other SPSFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS ..RLESS 23.00 a S I 1 O 44NCt �4ed N�Yh � �� e1��Q "+CIYO Main Service 200A TO 1000A 46.00 NEW CONST: DWELUNO OCCUP. 3•5QS0. OR ADONIS. ( 8 ACC. BLOB. FT. N ONS MULTFOUTLET NON-RESID. 97.50 POWER APPAAATUB 8 SWOIF OVILET C10. Ex. Occup. OUTLET OR FIXTURES 200 1.1 SAL @ .50 Ex. Occup, OUTLET'ES10 APPOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: S Mobile Home Installation Fee $ Energy Inspection Fee S OCC CONST. TYPE •HO HAZ. ETOTTALIFEE$ D. FEESa COF PARC0. PO ISSUE This permit is hereby Issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON IY OWNER -BUILDER VERIFICATION Attention Property Owner: Aa `owner -builder" building permit has been applied for in your name and bearingyour sib. Please complete and return this information at -your earliest opportunity to avoid UM _esaaryduty in processing and issuing your building permit. No building permit will be isSlted until this verification is received. 1. I personally plan to provide the major labor and. materials for construction of the proposed I improvement: YES NO O 2 I HAVER HAVE NOT 13 signed an application for a building permit for the proposed wMdc. I have contracted with the following person (fun) to provide the proposed eonstrtxtion: NAME: \ 9 ADDRESS: PHONE: CONTRACTOR'S LICENSE I plan to provide portions of this wo-A supervise, and provide the major work: NAIME: ADDRESS: PHONE: 5. I will provide some of the work but I have hired qx-,�-following person to coordinate, CITY: 7 CTOR'S LI E N. have contracted (hired) the fol persons to provide the work indicated: NAME DRESS PHONE TYPE OF WORK ra PROPERTYOWNER: SOCIAL SECURITY NUMBER D TE: 17V 00 2 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 OW&W California Health and Safety Code. This verification mutt be toMpleW aid returned to our office before we are permitted to issue the permit OVER OWNER BUILDER INFORMATION An application for a building permit has bees 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 ofcecof otisuch a permit. Building permits are not required to be signed by property owners unless they are personally performin�`ItMw own work. If your work is being performed by someone other than yourself, you may protect yourself from ptuttble 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 I apply. If you plan to do your own work, with the exception of various:t6des that you plan to subconaact, 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 5300 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 coatnbutions. ♦ There may to financiai risks for you if you do not carry out these obligations, and these risks are especially serious with respeyt to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Intemal Revenue Service (and, if You wish, the U.S. Small Business Administration). For more specific information about your obligations under Sace Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. if the strucrure 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 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 confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, Mie el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: ThZy 0wrrer-8uilder Information is required by Setllon 19810 of the California Health and Safety Codd OVER �yi e:n�tis:.:rr+'�'-`.''.ti,���4��"�-.�•i��'�', �°x �� �Lp`�'�.�,1? �"�:j iK.`„'^. y.` -S^ r.:. �: "Ti .��i.^.-_..z.-fi. ..-ro.r. �__ �:�e:.�'7'; .0.. z.. .... ••aR�Fw.i v .�: .a•ry.....:s:.^''#� �0 ,.�,� - s } (�. r • i. 'COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT • ASSESSOR PARCEL NUMBER 028-020-049 ZONING BUILDING PERMIT M5 CK TELEPHONE 749-2017 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1039 CENTRAL HOUSE RD., OROVILLE CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1039 CHMAI. HIME RD., ORMUE Energy Plan Checking Fee $ i$ PERMIT FEE S LOT NO. SUBDIVISION'S NAME PARCEL'MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF}Ei Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00. TYPE OF WORK ( New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1 Describe Work: EI.E:MICAL SERVICE CHANGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 + 000OR LESS Main Service 20OVA ORLESS23.00 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.FDWELL 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: Orl, 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 Main Service 200A TO +000A 46.00 NEW CONST. DWELLING=UP. so OR ADDNS. ( a ACC. BLD S. 3.5¢FT, R61DT' MULTI -OUTLET 97,50 APPAMTUS 8 SINGLE OUTLET CIR. 20 @ +'50 OUTLET OR FDCrURES Ex. Occu BAL @ .so Ex. Occup. DUTE AL.ID ° & 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23.00 PRE -INSPECTION 123.00 PERMIT FEE $ 89.00 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 provisions. 1 _ X `-��• o (�-� Date 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. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL= S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ :.A:Z. D. FEES IMP FLOOD COF PARCEL PD HD SSUE, This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated bove for which fees have been paid. ]Daate! V Q . PERMIT EXPIRES ON ate Receipt No. •0U 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) 538-754J�I ® PERMIT No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSORPARCELNUMBER 0p28y-02 - ZONING BUILDING PERMIT OWS WOMACK TELEPHONE 749-2017 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS HOUSE RD. OROVILLE CONTRACTOR GR OWNER TELEPHONE CONTRACTORS MAIUNG 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 1039 CENTRAL HOUSE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS MIME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFNX 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 CHANGE 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 OOOV OR LESS Main Service 200AORLESS 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 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 f9F-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 Main Service To I 46.00 WEE200A NEW CONST. DWELLINXi OCCUP. U OR ADDNS. & ACC. BLOS. SO 3.5¢FT_ a p�IpT' MULTI.OUTLET 97,50 PONIGE.LE APPARATUS 8 SIN OUTLET CR. Ex. Occup. OUTLET OR FIXTURES BAL @ I .50 Ex. Occup. .I',ErsRF...SID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 23,00 PRE—INSPECTION 23.00 PERMIT FEE $ 89.00 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 dl 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'HAZ. 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 com ly with those provisions. 'A X r 'v(!� Date ,ZGO_o' Signature o plicant - ❑ Owner ontractor ❑ Age -- An OSHA permit is required for excavations over 5'0" deep an demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ CONST. TYPE TOTAL FEE $ VThispermit D. FEES IMP FLOOD CDF PARCEL PD HD ID is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ove for I fees have been paid. to _ PERMIT EXPIRES ON c.` Date Receipt No. 2944887$89.00 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 PERMIT NI Anns I^A'rl^kl A'kIn n0n&A T (Rev. I ZNO) I --moRP--&aN"07,?-0Z0 - © 6t D°"'° BUILDING PERMIT av"u Mo. C SO. FT. OCC. BUILDING VALUATION owNela MAJUM© 8 1 OOMRACTORa V I L W, MAr"O"e . OONTRAO a YAasa ADORE. Oa sTiLicn0M utmot IsNoma YAPJW AOOrrss Fireplace Total Valuation i "�'mCr OR ENGON R ucCPse ~D' FGn Fee $ 20.00 ARCWn= OR orON®la YAJUNO ADDIUM Permit Fee b Plan Checking Fee b suaDNo ADOREff Energy Plan Checking Fee b PERMIT FEE $ IDT 10. SU ONe10Me/M1! PAMM MAI PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF L9 Duplex ❑ Mobilehome 0 Other Each Tr 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 O t(RRemodel ❑ UGilies O Installation O Describe Work: oi0d ,� tM 1p � Other O �� r \ G,� `l �.� (1a Gas piping system 1 - 5 outleti 15.00 Building sewer 15.00 bile Home S G W X20.00 PERMIT FEE _ ELECTRICAL PERMIT Filing Fee 20.00 Main Service aoo own ►�se 23.00 Main Service 200^ TO IOWA 46.00 NEW COMT. Own -LM occuP. 3.Sesa OR ADD"$. a ACC. elDs. rr. raw Com 1. NOIaAE510. YVITLOUTIFT @7.50 POWER APPARATUNI a 9NOlt Ovnju pR. Ex. Occup. OUTLET OR POrTMES 20 aI.OD SAL .a0 Ex. Occup. � OUTUEIS ESIO. EA 5•00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ^ a3 _ PERMIT FEE b —^- MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE ! Mobile Home Installation Fee b Energy Inspection Fee b O" CONST. TTPF TOT L FEE S _Z_ 0. PE E3 IMP ROOD COP PA11C 7L PO NO16Sl,E Aqq?F(#sq�°° 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 FYPIGFC nN Attention Property Owner: -An "owner -builder" building permit has"been applied for in your name and beayour: 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 be issued until this verification is received. _ personally plan to provide the major labor and materials for construction of -the:= proposed. property.,:myement YES[✓NO[ fth,Z. I HAVE] HVE NOT onr._. ._ proposed work. :....... �-... 3. I have contracted with the -following person (firm) to provide, the _proposed construction: NAME: ADDIMSi` : ;: CITY:: . :"CONTRACTOR'S.LICENSE NO: --:-- 4.` I plan'.to -provide poiiions of this woik; °but I have" hired the following 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: DATE: NOTE: This owner -Builder Verification is required by Section 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. May 1995 1 ; 2.26 ;` . r.r, 4., ..aGos µ - •"�r :�i `. ui.�.;?<2y <ix!v:.:. ...�:. rr, rs.:, Jr..,...s:r...,....,,................,. �..�r, � is \�� ..G. :,• �3 7 �. � D = � : � : o !1 •. . N . �. MOR ..0 �Y ,,.GrrLcY:$✓l,v�.... .. ^-c' .. �+n•.:.: .�f..•.F.h.R.....Y: �Y/.4'L Dear Property Owner. 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 a� 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 o with the exception of various trades that you'plan to subeontia :you` _ should beaware of the folio - - g information our benefit ,and protection: 0. If you employ or othe. 'se engage any pe other than your immediate family,=and the work -(including materials and other sts) is $300 or' more for the entire project, and such persons are not licensed as contractors or subcon etors, then you may an employer. 0 If you are an employer, ust re ' with the State and Federal Governments as an employer and you. are subject io several obligatio- ' - cluding state and"federal income tax withholding, federal social security taxes, workers compensation insurance; disability. insurance costs, and unemployment compensation contnbutions. 0 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. t 0 For more specific information about your obligations under Federal Law, contract the iiteinal Revenue Service (arid, if you wish, the U.S. Small Business Administration). For more specific imbrniation about your obligations under State Law, contact the Department of Benefit Payments and the Divisions of Industrial Accidents. y .'If the structure is intended for sale, -property owners who are not licensed contractors are. allowed to perform their v�ork 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 contractors is to secure an "ownerbuilder" 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 confirm that you are aware of these matters. The building -permit will not be issued until the verification is returned. ' Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This 0� ner-Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 F _ i OWNEI LOCAT PRE= INSPECTION REPORT CONTRACTOR: PRE-INSPETION FOR: DATE TO INSPECTOR: Building Description: Commercial/Usage: • ResidentiaU# of Units:_ Currently Occupied AbandonedNacant Electric: Yesrz No Condition of Electric Gas: DATE: A.P. #-6?,'3-0zo-�4 1 ZONING: L" PERMrr HISTORY:( ) NONE\4 L'AS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric currently On Off Natural Propane_ None _ Currently On Off_ Obvious Problems: Sanitation: - / Plumbing Working [/ Well Working Potable Water j Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: ,HOLD FOR Inspector: -- Date Sketch buildings on reverse and indicate location on property. r `COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT N( Anna a^A-11-aJAk.■ ..1111\ ISI-.,■■I� (Rev.12iy6) Ar-1-16.11vhs KMAND PERnAl l OL—TL/—y D°1MO BUILDINGPERMIT o a - 7 SO. FT. OCC. BUILDING VALUATION -------------- oolrrRAOT6Rs I ,tlO►Wtt! . CoNFRC , MAUNo ADOIalfe OOMT1111=10M 10/061 L"ay MAaUNO AOOREae Fireplace Total Valuation = ARCMECT on tawolr+Ee1 ua;o+se MO. —Filing Fee S 20.0c MCrrreer OR VOMMS MAanw ADDRESS Permit Fee S Plan Checking Fee S Su1Upa ADOK» Energy Plan Checking Fee $ PERMIT FEE S WTNM SueoNsION 14Ae PARCEL MAP PLUMBING PERMIT EEchTr Filing Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome O Other 7.00 or heat pump water heater 23.00 Water pi ing 15.00 Each as water heater or vent 15.00 TYPE OF WORK New O Addition O ^Remodel O Utlilios O Installation O Describe Work: oi�b (M 1p �p� Other O C� G 1� �� Gas piping system 1 - 5 outleti 15.00 Building sewer 15.00 blie Home I S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service ,00 a ms's 23.00, Main Service 200A TO 1000A 48.00 HEW co►a . owelm OCCUP• 3.50'6 OR ADONS. a ACC. KDO. R. lroraRo�o. ' MULT> ouner @7.50 POWGII AMAAAnX A $ OWLET d0. Ex. Occup. OLMET opt rarMAD Ma! so 1•ao !0 EX. OCCU VL APP— OR ovnFTs ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 IF PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heatin Cooling Hood 8.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fee S «` `oAGT r" TOTAL FEE $ HAZ. o. :Eo �e► naoo 1 col, PARCEL r0 w I esu 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 inumas careen 'kµ— n/s Central Hou a Rd. at north to south offset k mi. east of W.P.R.R.,Honcut CONTR: Foothills Const., Palermo Permit 2241-73 (addition & remodel) G LAND DEVELOPMENT OROVILLE / CHICO BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE Building Pem h No. f'Oza7—e-)I-v /s�sdz OWNERS �J ]�I [`� A.P. i ,J , /Q NAME //[CIV i(I %1 P NUMBER�� U ''[/ Y 7 PRINT LAST NAME FIRST ADDRESS/ LOCATION: COUNTY ZONING DESIGNATION:FLOOD MAP: /d FLOOD ZONE: APPROVED: CONDITIONALLY APPROVED: V RESOLVE PROBLEMS PRIOR TO APPROVAL PARCEL CREATION BY DEEDS_, OR MAP DEED INFORMATION: DATE OF CREATION: 7 I DEED REFERENCE: / S / vn S 7 LEGAL ACCESS PROVIDED: DYES NO LEGAL ACCESS REQUIRED: YES --"NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: 2!!fYES NO COMMENTS/CONDITIONS: Com MAP INFORMATION: DATE OF RECORDING: LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES NO. IF YES, MARK APPROPRIATE ITEM(S) BELOW: - _ A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIWSION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. —2. Maintain a ft. building setback from right-of-way/centerline —3. Comply with Zoning code for building setback from road. —4. Maintain a 100 ft. leachfield setback from all e)asting wells. —5. Maintain a ft. leachfield setback from —6. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. —8. Connect to a public water supply. i —9. Connect to a public sewer system. i —10. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. d 11. Pay T.D.D. (hermalito Drainage District) fee in the amount of $ —12. Meet the requirements of the. Department of Fish and Game for the preservation of oak trees. (See phone_ number below) 13. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. -14. A traffic mitigation fee for each new or additional living unit shall. be paid. Pay the amount of $ - as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Divislon. —15. All new residential buildings'shall be constructed to comply with the requirements of the Uniform Building Code for, seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic Zone 3 requiremennts of the Uniform Building Code. { 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 17. Pay school impact mitigation fees. X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Artide ll of the Butte County ' Code. —19. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the, Cardbmia Clean Air Act of 1988 as amended. _ 20. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance :and suggest appropriate mitigation measures. 21. a 22. , '1 23. i 24. rt 25. 26. A1N31Nd013A30 NY) 31108 j0 , moo 6661 h t d3S LD 6/98 FORMS\BLDG';W?LEARANCE kL-.�g: saw PERMIT NUMBER - B 2241-73 B,P,E,M P E PERMIT EXPIRES In J, ;OWNER Thomas Green CONTR: Foothills Const., Palermo LOCATION (A.P. 28-02-49 n/s Central House Rd. at north to south } offset ' mi. east of WPRR, Honcut t N M 5 ,i DATE REMARKS OR CORRECTIONS -77,S- 7 7,S . IPA N COUNTY OF BUTTE= - Department of -Public Works, BUILDING INSPECTION.• RECORD Zoning Setback c� Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing `l i�Lo� 7 PImg. Topout en< ^ / Rough Elec. �— Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING p Temporary p ^� ' 7_7,4i • Temporary Cert. of Occup. • Final Final Final DATE REMARKS OR CORRECTIONS -77,S- 7 7,S . IPA N '' t. - . COUNTY OF BUTTE"- DEPARTMENT OF PUBLIC WO �/ /,� 7 County Center Drive — Orovi Ile, California 95965 `7—/ Te:ephone:.534-4541 A APPLICATION AND PERMIT d� . authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. •� r X n Date a� ignature of Permitee or Age 1 1,23 Receipt No. D _ 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 Cuilding permit expires Dat4. �,,, BUILDING Owner �J�'I CG.S' i� e SQ. FT. OCC. BUILDING VALUATION Gr% ad Mailing Address Coo Telephone No. Fireplace Contractor O ( Total Valuation .boa Mai l i ng Ad ress ` �� P Permit Fee Plan Checking Fee &/or Penalty F N -V24 Q Telephone No. Permit Fee $ $ �( Building Address S U PLUMBING. No. @ FEE PERMIT FILING FEE $2.00 % } �45 (j t�CVe Each Trap 1.50 _ / ��� �� - � Repair drainage or vent piping 1.50 Waterpi ipng 1.50 Each gas water heater or vent 1.50 A. P. No. rf Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fpesl Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plan Parcel Declaration Parcel P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parce Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 4 Main service incl. 1 meter Additional meters, a ch 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or ess) (more than 12) (� Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Lig t ixtures / pal a20 R c swi tch4fs & fix dtAlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the.. State -of California Business & Professions Code under the name style Hood, Ex. Fan or F. A. Furn. Motor 1.00. Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump ._FQ Water pump Mobil }come Facilities 5.00 J' - Temp. Power Pole 5.00 License No. .5r (.� Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee$ $ clae WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for ?0.men's Compensation. ve 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating CYj Cooling Ventilation Hood 2.00. () Permit -Fee $ - — $ ;To TOTAL PERMIT FEE f $1713 U authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. •� r X n Date a� ignature of Permitee or Age 1 1,23 Receipt No. D _ 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 Cuilding permit expires Dat4. �,,, r �J �VTEOF TIM@ ITIW ♦ .. _ CER IFICATE OF- CONFORMANCE HE UNDERSIGNED MA NUFA C TUBER HEREB Y CER TIFIES that the products identified below and on attached sheets Nos. and the principal mem- bers of which are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) were manufactured in conformance with applicable provisions of U. S. Commercial Standard, CS 253-63, for Structural Glued Laminated Timber, and that such manufac- tdre has been at our plant in Sumner, Washington , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The undersigned manufacturer further -- certi-fees--that-the-work -has been -done -in accordance-wi_th-the-applicable-- job- specifications - STOCK BLAIIS Combination A 240OF Camber 120OR Architectural Appearance '/P Adhesive 1 Coat Sealer Individually Wrapped JOB NAME: American Lumber Species, Inc. JOB LOCATION: Esse-, Yard. Evergreen & Arden [day ' . Sacramento, California CUSTOMER'S ORDER NO. B335 DATE 611-73 MFGR-S'ORDER NO. 44 SB -5730 Laminated Timbers "The manufacture of the members complies -with the manufacturing_ and fabnicating proves ions o hapter -Z57,6`f t Uniform Buildin.- Code." SIGNATURE=yc COMPANY_ Kop)ers Company, Inca Fred I:uz r TITL ualltar ontrol DireCtaiADDRF.SS�,y-_QyBOX 550 _- DATE_6^20-73 Sumner, Washington 98390 AI TC HEREB Y CERTIFIES that �th�e said company. at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER-c_.IONSTRUCTION to use. the AITC Collective Mark in I Ir.l.; ,is respect of products which comply with' apPlicoble`provis,lons of said 'Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company 1'is capable of complying with applicable manufactur- ing and testing provisions of said Standard in respect of products, manufactured cit -said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsi- bility of the manufacturer,- AITC's guarantee hereunder being that the -said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. 444,44 AITC Certificate No: 10 15 2 6 Signed for �•�'��®e�`'� AMERICAN INSTITUTE OF TIMBER CONSTRUCTION � i � b � � ' � ' �� / \ �c='�.l�Gc,� J' lam/ -� /1% amt �►'� C9J1lG!l ?. p " E.ecun�e Vice Pres,denl Monoger, InspeCl on BLreou °{ © 1970 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AIT. FORM 1 B1 .7 �. J ♦3_ e..�• .. -,., ����� �, l �(lZc tom. �p/�� �, �,