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L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
BUTTE
COUNTY..
FEB 15 2005 DEPARTMENT OF PUBLIC HEALTH
DEVELOPMENT DIVISION OF ENVIRONMENTAL HEALTH
SERVICES ❑ 202 Mira Loma Drive fx11 Main Street ❑ 7 County Center Drive
Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965
2-10-0$ TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281
FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785
FAX: (530) 895-6512
Jeff Davis RE: Jumpstart Coffee Plan Approval
P.O. Box 7172 1188 East Ave.
Chico,'CA 95927 Chico, CA
THIS LETTER SHALL BE CONSIDERED PART OF THE APPROVED PLANS AND
SPECIFICATIONS FOR THIS PROJECT. A COPY OF THIS LETTER SHALL BE
ATTACHED TO THE APPROVED PLANS.
The plans for the construction of the above food facility have been reviewed for compliance with
the California Uniform Retail Food Facilities Law and are approved with the following
CORRECTIONS, UNDERSTANDINGS, and ADDITIONS:
1. Provide at least 50 square feet of non -refrigerated shelves that are easily cleanable, non-.
absorbent, durable, and at least 6 inches off floor. Counter tops shall be smooth and impervious.
Cabinet/counter structures shall be of easily cleanable, non-absorbent, tight fitting construction.
2. All food related equipment shall be certified as being in compliance with an ANSI
approved food sanitation standard (such as NSF standards) and shall be suitable for the intended
use.. For utensil washing provide a three compartment stainless steel sink, with dual integral
stainless steel drainboards. Sink compartments shall be large enough for largest utensil. It is
understood'that there will be no cooking except for heating foods up in small electric oven.
3. Provide adequate amount of hot and cold running water from a mixing faucet at all sinks.
Hot water shall be available to all sinks within 30 seconds. Pipes and conduits shall be enclosed
wherever possible. Where such pipes and conduits are exposed, they shall be at least six (6)
inches off the floor.
4. Mop sink shall be of commercial quality. Provide separate storage facilities (that are
away from food or food containers) for cleaning supplies.
5. Provide soap and sanitary towel dispensers (or hot air blowers) at all handwashing sinks.
6. Provide adequate ventilation for restrooms (fan or screened window). Provide adequate
general ventilation for prep areas.
Jumpstart Coffee Plan Approval
2-10-05
page two
7. Provide smooth, easily cleanable, durable, non-absorbent, walls, ceiling, and self -coved
floors in restroom, kitchen, and dispensing area. Top set coving , textured gypsum board,
grooved wall panels, textured wall paper, fissured ceiling tiles, or other hard to maintain
materials are not acceptable in such areas.
8. Lighting shall be easily cleanable and have shatter proof shields in areas where food is
prepared, open food is stored, and where utensils are washed.
9. Meet all other applicable requirements of C.U.R.F.F.L. At least one person working at
the food facility shall have passed an approved food safety test. Submit application and fee for
health."Permit To Operate" and obtain such permit prior to opening. Call for an inspection by
this Department when most of the work is completed and then for final. For final inspection;
make sure hot water heater is on and at proper temperature, and that all refrigerators/freezers are
operational and at proper temperatures.
If you have any questions 1 this office 8-9:00 A.M. weekdays.
oo r
Mike Boi pervisor-Fogram
CC: Butte County Building Dept
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive; — Oroville, California 95965 _
` Telephone: 5344541 � ij / ��` • 1
APPLICATION AND PERMIT 1 //
autnorize representatives oT the County oT t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Par,, -int Ain •..J
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
By ' r Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address ` �, � '• I W
r• /' :1rr r>. r 1.// r, '
Telephone No.
/� r� -Z
Contractor
I ' v�J bL4/l/
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address i f 7 Lc�
Plan Checking Fee&/or Penalty
Permit Fee
r
PLUMBINGNo. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
L // _ =, e.,
Repair drainage or vent piping 1.50
A. P. No. Or
Zoning& Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
I Fire Dept.
Fire.Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Each additional outlet .30
Building sewer 5.00
Bldg.-Plans-Rec'd'
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
rr, f. L �- r _ f
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 • CC
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others Tj
Main service EA. ADD -L 100 AMP 2.50
I, h �,, t/ �. /f iA •' '/ :/ % ��E �� I / '� `
r
Main service OVER 0300V25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( OR ADDNS. ACC."LING BLDGS.CCUP. s� 20sgft
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 of:
NEW RESID, /BRANCH CIRCUITS) NON.CONST t BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS e
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES g @"1000
FIXED ALNS
Ex. Occup. (OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 C• . ? S
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ kv
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
QI 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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$�C!
autnorize representatives oT the County oT t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent
Par,, -int Ain •..J
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
By ' r Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 5344541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X"41-„'-1a►+'°�'- Date 2-1 -.90
Signature of PPerrniiteee or Agent
Receipt No.� ,7—�y-17
White-D.P.W. - Yellow -Assess r - 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
abov which fees have been paid.
DI ECT R F PUB IC WORKS j
B v Date � ^ ` �O
I
Building permit expires Date a / — / SU
BUILDING
Owner1
0114
SQ. FT. OCC. BUILDING VALUATION
/
Mailing,Address �1a�
0 Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Buildiw Address �
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
^—
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
ows
4-c'
Fire ept.
Fire one
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Parcel A roval
Plans Approval
Lawn sprinkler system 2.00
NEW/[] ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
ELECTRICAL No. @ FEE
1$3.00
PERMIT FILING FEE e
Main service 600V OR L
100 AMP ORSLESS 5.00 ^cam
Single Family ❑ Duplex, ❑ Mobil Home ❑ Others
Main service EA. ADD•L 100 AMP 2.50
'
Main service' OVER 60
100 oR LESS 25.00
Main service EA. AOD•L 100 AMP 1.00
NEW CONST. OR ADONS. ( ACCLBLDGS LING CCUP. 4'\ 2S Sq ft
I
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 of:
NEW CONSTR BRANCH CIRCUITS)
NON-RESID (MULTI BRANCH CIRCUITS) 2.50ea
NEW CONSTR POWER APPARATUS 6
NON-RESID. (SINGLE OUTLET CIR.
EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25 e 2 S
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
MECHANICAL No. @ F_EE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen'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.
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ Z5
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X"41-„'-1a►+'°�'- Date 2-1 -.90
Signature of PPerrniiteee or Agent
Receipt No.� ,7—�y-17
White-D.P.W. - Yellow -Assess r - 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
abov which fees have been paid.
DI ECT R F PUB IC WORKS j
B v Date � ^ ` �O
I
Building permit expires Date a / — / SU