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R s u �b i01Gv 91 TBU'4 ATTEBERRY,:Harley`e ' z c-1315, -Hosler,,Ave, -.Chico. AS ° ExeM tion 'Permit 83," x-. % . ors tac storage) �y#1.1. X , 9 r 1 pt r ti t n, a COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, Carifornial*95965 - Telephone (916) 538-75 —o EERMIT NO. (Rev. 12'/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 090-060 ZONING ARMH3 BUIL61NGPERMIT TELEPHONE 891-4777 SO. FT. ,. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 13194 HOSLER CONTRACTOR'S NAME TELEPHONE ' 865-5598 CONTRACTORS "UNG ADDRESS 6TIJ ST, ORTANT) 95963 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 13154 HOSLER Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Q 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 ❑ Describe Work: HVAC 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 R UE Main Service 20.AORlESS 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 1 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BWS. SO 3.50FT. Ng:RES".T MULTI.00UTLEi CG 7,50 PARATUS 8PSINOWGLEER APOAP= CIR. Ex. Occup. OUTLET OR FaruREs zo p 1.00 BAL p .so Ex. Occup. OUTLHDTs RE.SID.OEA 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. ❑ 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 shallTOTAL not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply With th se provisions. �^ cam, X Date�_ry =/ Signature of A plicant Owner ❑ Contractor ❑ Agent An OSHA permi is required for excavatio over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 2 TON 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE S 35.1310 Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE FEE $ HA?. D. FEES IMP I FLOOD 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 Date /s? PERMIT EXPIRES O 1 91 M Receipt No. 209913 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 (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMSU (/// p'6 _Q 2-0 66D m No BUILDINGPERMIT OWNER k T8fiRHONE /— SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AO6R#SS CONTRACTORS NAME 12�11LgS a- Go TELEPHONE 3-37-w- 112 11 ADDRESS/.'L � � � `^ L , C � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Fling Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDMIGADDRESS I /� `. % d PERMITFEE $ PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. S U8DNt9 IONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Ll�/ Describe Work:v Mobile Home IS I GI W1 @20.00 PERMITFEE ; Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service 000V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCURS OR AOONS. ( 8 ACC. ) O. 3.5¢ FT. NEW CONST. MULTI.OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CHR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL Q .30 Ex. Occup. (oFIXED PLNS. OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ . Contractor WORKERS' COMPENSATION DECLARATION hereby affirm. under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fee Filin Fee 20.00 Filing_ Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred .dollars ($100) or less.) ❑ 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. X Date 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 $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 5^� HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE -0. D.S. -B.'07 CANARY-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT ht� . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville*California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT ASSESSOR PARCEL NUMBER cy��) ZONING BUILDING PERMIT OWNER ,0.)J) t::. TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - - CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS In //)/ / z- P C�:/F� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER ]LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ,0 f S/ 4)1)4 PLUMBING PERMIT Filing Fee 10.00 _ J4'1 4, /.,e L) `� 1�) �' �!�' � � Each Trap 2.00 Solar Water Heater 20.00 -j0,490 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation[] Other ❑ Describe work: 41--L t-1 ^2 al, • Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main servicelEA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. I Z/ZQsgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check One): Q' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Zs4n L/ -IC Ir -, (_ License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRC ITS 2,50 ea NEW CONSTF POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 20050C Ex. Occup(o OR FIXTURES 9ALe30 FIXED A Ex. Occup. OUTLETS P(RESID )LNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑,I- have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said C' ounty_inIconsequence of the granting of this permit. %� + �-+ + w1 nn� t"� l Date 1 [. ' 5 - Signature of Applicant — Owner El Contractor EJAgent©. An OSHA permit is required for excavations over 5'0;' deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0,60 OCCUP, GROUP I TYPE OF CONST. PARCEL PD ND ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By By�R�llLlJ Date / `L' T-�`�i PERMIT EXPIRES Date /-� - Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California;�5965 - Telephone 916/534-4541 APPLICATION` AND PERMIT PERMIT NO. ASSESSC2RXA=CEL NUMBER 0TELEPHONE ZONING BUILDING PERMIT OWNER ,SQ. FT, OCC. BUILDING VALUA'TJbN OWNER'S MAILING ADDRESS �NTRACTOR'S NAME � � TELEP`®� CONTRACTOR'S MAILING ADDRESS D Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS J� T PLUMBING PERMIT Filing Fee 10.00 1 ,Each + A)0P Trap 2.00 Solar Water Heater 20.00 q% Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF1% Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑/� Utilities Installation❑ Other ❑ Describe work: .3oA.A-l�_AL P, Permit Fee $ ab Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2thQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (Check One): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No.Qf645 Classification !% ?1 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW RES D. (POWER APPARATUS &'� NON.R RES D. SINGLE OUTLET CIR. t Ex. Occup(o XTs OR FIXTURES 113A20L0 30 FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t aid n ting of this permit. X Date �2� 5—$ � .I Signature o Al plicant — Owner ❑ Con ractor ❑ Agent [c]— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -Saon OCCUP. GROUP I TYPE OF CONST. PARCEL PD I No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT E IBES Date 1—� the applicable provi- resolutions to do fees have been paid. WORKS Date1 Receipt No. ©i ��� WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CA4IFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUiLLAG EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR PARCEL NO. ZONING Z — P.D. 1. OWNER/ - /-T P ONE NQ. I 1-1077 a 4 t C A If, f- /- v,, --V OWNER'S ADDRESS s / eA L/ C 0Ayko i�w 2.5pa-7 LOCATION OF BUILDING 1315Y /Y05le.1- v,9- C4,4: c o Ce- F5 9�2- 7 USE OF BUILDING Gk S �o r SIZE OF STRUCTURE C;2 U 0 SO. FT. x TYPE OF CONSTRUCTII WOOD FRAME STEEL CONCRETE OTHER (Specify) TYPE OF SIDIN ROOF COVERING Com FLOOR TYPE '.P/C"'.w ,�o-�� ES ATED COST CONSTRUCTION 9 "7 O C.) . o -r-> $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: / FRONT S7—c> SIDES /b REAR l0 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date I L s— 9 f Signature of Owner Permit Fee, -425.9A- 50 . 00 The above described AG Building is exempt from a building permit. Receipt No. ` 03 I'll , White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public W s By Date FLOOD PARCEL P.D. ROOFING ISSU v,, --V I I Director of Public W s By Date "e""+°a"rm�w�ri�?`V""ett:��ilbr4��'T.4'M!h�h✓PtT•Y^i'^...+o�rmn.w7p44•�jryf�t�1„}1..-+'A�S•o'�I;���t`s.a.. _r .� .» COUNTY OF BUTTE - DEPARTMEN SOF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILaAFaLt)RNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No OWNERA. . No. 606-0--_” Proposed Building Use Bui (ding Inspector Date At time of permit application, I wa§-ddvised the following data must be submitted prior to perniiit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... t 12. Park fees paid ............ i 13. School District fees paid .............. N 14. Sanitation approval from Health Department 15. -City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required' . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... •< 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for: pickup at office. Deliver w/inspector. Other Applican �.DateI_�� Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in Copy—DPW File cabinet AP folder