HomeMy WebLinkAbout024-110-011J
I
024-110-011 99-2612
JEFFERS, WINCHEL
906 GILSTRAP AVE., GRIDLEY
CONTR. K DESIG
VINYL SIDING
024-110-011 01-3] 23
WIN JEFF 5
906 GILSTRA GRIDLEY
CONT: NORTH VALL C
NEW MAIN SERVICE la' a
024-110-011 C4-1495
JEFFERS, KEVIN
906 GILSTRAP AVE, GRIDLEY
Cont: SPENCER INC IMALE
HVAC REPLACEMENT
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-766 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAM (530)538-2140
WEBSITE: www.Wttecounty.net\dds
t
PERMIT NO.
BP041498
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
I �/
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 05/25/2004 APN: 024-110-011-000
the Business and Professions Code, and my license is in full force and
effect.
License Class: &—ZD License Number: t'pd /�I Z`�
Site Address: 906 GILSTRAP AVE GRI
Date: S L5 06 Contractor: �� l»�r��r �-��
Map Index:
Description: HVAC REPLACEMENT
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JEFFERS KEVIN E & SUSAN
to its issuance, also requires the applicant for such permit to file a
906 GILSTRAP AVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
I GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or
r 95948-9757
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
)
., t
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: JEFFERS KEVIN E &SUSAN
Code: The Contractors' State License Law does not apply to an
pP
owner of property who builds or improves thereon, and who does
I
such work himself or herself or through his or her own employees,
t '
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
t
year of completion, the owner -builder will have the burden of
,
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:. SPENCER INC., R.B.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1188 HASSETT AVENUE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
YUBA CITY, CA 95993
530-674-8307
Date: Owner:
License #-- 664429
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
Architect' -
'
is issued.
I have and will maintain workers' compensation insurance, as
+ Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: T ,4ec-
Total Square Ft: 0 S.F.
Policy #: Z o 41-58 Z :7 o l
Valuation: $0.00
t
Census Code:
❑ 1 certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
C
/e
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.
Date: Z
Applicant:
(f v
WARNING: Failure to secure workers' compensation coverage is
4.,
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
JY�
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This p it s here i u der he licab�e provisions of the Butte County Code sndlor
hereby affirm that there is a construction lending. agency for the
,Rewt� _io to d o _' __. _, _ _ o f h _ es ay een paid, _
-6030
performance of the work for which this permit is issued (Sec 3097 Civ.)
Name:
By: Date :
PERMIT EXPIRES ON:
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. 1 agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpose
I
-" N d— 13�U/
��
Print Name: I` C h a cf Signature:
Dater
0 Owner ❑ Contractor ❑ Agent for Owner IrAgent for Contractor
��-.., _ _.. . _ -- -_... ..� ...r.;.r - • -.�.: ,a-.�.,:�;•--.-:�.-, mac° v .. . , ., .iq
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751;
7 County Center Drive • Oroville, CA • (530)'538-7541 =.
• Y+
CORRECTION NOTICE
OWNER PERMIT NO.
f
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.'
'tea
• l;2
r.
Y;
4t
`3
.4
cy*
4
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.neAdds
PERMIT NO.
BP041498
LICENSED CONTRACTORS 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
Issued Date: 05/25/2004 APN: 024-110-011-000
the Business and Professions Code, and my license is in full force and
effect.
License class : 6-20 License Number:
Site Address: 906 GILSTRAP AVE GRI
Date: 5 L5 O Contractor:
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: HVAC REPLACEMENT
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: JEFFERS KEVIN E & SUSAN
to its issuance, also requires the applicant for such permit to file a
906 GILSTRAP AVE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9 commencing with Section
GRIDLEY, CA
7000) of Division 3 of the Business and Professions Code) or that he or
95948-9757
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
Applicant: JEFFERS KEVIN E &SUSAN
pp
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor:. SPENCER INC., R.B.
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1188 HASSETT AVENUE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
YUBA CITY, CA 95993
530-674-8307
Date: Owner:
License #: 664429
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
is issued.
I have and will maintain workers' compensation insurance, as
'
Engineer:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: Zen:-F(� ��5 — i><o�
Total Square Ft: 0 S. F.
Policy #: Z 0 6S *Z :7 S o (
Valuation: $0.00
❑ I certify that in the performance of the work for which this permit is
Census Code:
issued, 1 shall not employ any person in any manner so as to
become subject to the 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.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This p it s here i u er he lice a provisions of the Butte County Code anrUor
I hereby affirm that there is a constructionlendingagency for the
Re io to d o o f h es av een paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
—"
Name:
By Date:
PERMIT EXPIRES ON:
Date
Address:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos .
Print Name: GNa d— cetf
I' r^ _C,9!�J CP+\ o Signature:
Date:
❑ Owner ❑ Contractor ❑ Agent for Owner 'Agent for Contractor
L
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVELLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
OWNER
Name
Address - �) 54 Atl--
City
State G�
Zipc3 S9 Its
Phone �`/6
Fax
E-mail
CONTRACTOR
Name
Address
Pee an
Cityc`_. /
v
StateC
�
Zip �s
Phone _87`307
Fax G 7 —3P Z -
E -mail
Lic. W z/v
Clas� Z.
APPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
oh, e_
Address
SRA
City
I No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
X
For office use only:
APPLICANT NAME
Name
Flood Zone
Address
SRA
City
I No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
APPLICANT SIGNATURE
X
For office use only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMSWILDING F0RMS\BIdgApp1SubRgmts.doc
PERMIT
NO.4
B
BIN #
LOCATION
Property Address
5awt�
Cross Street
I —J
WORKER'S COMPENSATION
Policy Number
z ops sZ 73- a r -H -d
Carrier
; f�
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name.
. per,
Address
Description or Scope of Work:
JAp d- Air Ga N1a,-e^e n .4-
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
-RoNved by. Amount Bldg
SRA
eceipt #' , / J Sheriff
AUV 1� ::D—Smlp
�—'
Date: Other
1010
_J—J �
Total
Page 1 of 2
REV 4-30-04
SUBMITTAL REQUIREMENTS `
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
❑
3.
3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑
4.
2 Engineered truss details and layouts (if required) (NO FAXES!).
❑
5.
Letter from Engineer or Architect for truss design review.
❑
6.
2 Energy compliance design and supporting documentation: (Note: Not required for additions to
mobile or modular homes.)
❑
7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑
8.
Detached Accessory Building Form, filled out by the property owner (if required).
❑
9.
Sanitation and site plan approval from the Environmental Health Department.
❑
10.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑
1.
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑
2.
2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSSUILDING F0RMS\BIdgApp1SubRgmts.doc Page 2 of 2
REV 4-30-04
024-110-011 01-3123
WINCHELL, JEFF
906 GILSTRAp AVE, GRIDLEY
CONT: NORTH VALLEY ELEC
NEW MAIN SERVICE'
OFFICE COPY
Address,
GAS Date----'
Meter BY
ELECTRIC Datw&4
Meter By
1 .
�l
,f.C" ,,ft • ,ly f• • IIl rslt�•'fiiL
- t gCOUNTY 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 01-3123
ASSESSOR PARCEL NUMBER
024-110-011
ZONING
A r%
BUILDING PERMIT
OWNER X1Ne- 1� ��r�r S
t
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
GRIMM906 (;TTJq'MAP AVE, 059AS
CONTRACTOR'S NAME
vF,ry ac
TELEPHONE
946-2081
CONTRACTORS MAILING ADDRESS '
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 6 G n • 1lC�+ M AVE GRIDLE
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF � Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities/ O Installation ❑ Other ❑
Describe Work: �,. A y y f ,, r �,� r✓ f
INSTAM NN MAIN SL= SERVICE PANE. &
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
�1/LJ4
REL=TE M SF
ELECTRICAL PERMIT
Fling Fee ,20.00
Main Service "AOR LESS
23.00 '23 •
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 l' - / e Lic. No. i /nlaC/ �.r
OWNER -BUILDER DEC ARATION
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.
❑ 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
46.00
OCU000A
NEW CONST. DWELLING OCCUP.
W
OR ADDNS. ( a ACC. BLD S.
SO
3.5Q�:
CONST. TI -OUTLET
@7,50
POWER APPARATUS
a SINGLE OUTLET CIR.
DR
Ex. Occup. OUTLET OR FURES
20 00
SAL. Q': 0 50
FlXED APPLNS.. OR
Ex. Occup. ounETs RESIDEn
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00 3.00
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.
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 a d policy number are:
Carrier 7-r,,7 f C 0' -" ry/L r
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number h fe, .ars
(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. /
i ! — %i-/� /
X i i!I(A I.-//') ,r! 1,C ! 1 Date _
Signature"of Applicant - ❑ Owner` O 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 Is /
occ
CONST. TYPE
,
r i
TOTAL FEE $ , -89,00/
HAZ.
..,..
I D. FEES
r,..
IMP
...—
FLOOD
—�°
FCD
«..-
PARCEL
7:7
ro
,„'
HD
ISSUE_
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date r QI
1QIL
Dat
Receipt No. 3�/3l1 '
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 NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-3123
ASSESSOR PARCEL NUMBER
024-110-011
ZONING
BUILDING PERMIT
OWNERTELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
NORTH VATIFY FIRC
TELEPHONE
846-2083
CONTRACTORS MAILING ADDRESS
PO BOX 911, GRIMEY 95948
CONSTRUCTION LENDER
Fireplace
LENDERS MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 906 GILSTRAP AVE, GRIDLEY
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities A Installation ❑ Other ❑
Describe Work: a �.p�r�-V'i P ft � S./ ✓� ✓ too ,�
INSTALL NEW MAIN ELECT SERVICE PANEL &
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
RELOCATE TO SF
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service z�o.AoaESS
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. / Q /-.p
License Class r — �/ Lic. No. bd &tr;e 3
OWNER -BUILDER DEC RA ION
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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
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' co pens on insurAnce car ier a policy nk{mber are:
Carrier I C JA -0
Policy Num er
(The above sections Feea 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' compensatio ovi ' ns of section 3700 of the Labor Code, I shall
f h ith co ply with a pr isions.
X _ Date /� —��-�
Sign re of App ican - ❑ ner ❑ ontractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or constru :tion
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLDS.
sD
3.5¢FT_
. MULTI -OUTLET @7.50
r",oNA°�IDT
POWER APPARATUS
a SINOIE OUTLET CIR.
00
EX. OCCU . OUTLET OR FIXTURES BAL 1 0
Ex. Occup. DFIXUTLEEDTS RAID °� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina
23.00 3.00
PRE INSPECTION 1 123.00
PERMIT FEE $ 89,00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
_�
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 1 �- i o
PERMIT EXPIRES N t�ITE•D.D.S.-B.D.
Dat
rReceiptNo. 337371/$89.00
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT__4
I
,q Pica wreEr
W;A/C- 4,
"94 -40 ADD1K!8
vGrMll I yr uevLLUPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,, California 95965 - Telephone (530) 538-7541
APPLICATION AND PERMIT a PERMIT NO
o? y' 1 — l ( m _j BUILDING PERMIT
e r S TcoMc SO FT OCC. BUILDING VALUATION
CONK gACTpq'!
T��E
COM 1Qg7 rq AD !f
�>�tl
' `Q le -
e -LENDER
�1
C0r6TAUCflON u:wFA
LENDER S L"L-,O ADORE!!
Fire lace
AACnRE.10.. rftt;R
Total Valuation E
UCEr4E NO.
ARCH -TER on D/ONEEJI7 1NlJN0 ADORES!
Filin Fee S
Permit Fee E
&U&DNO ADDRESS
Plan Checking Fee S
P d-
Energy Plan Checking Fee i
.oT HO lueDev°10Nt NAj�
PARC � Lw
PERMIT FEE $
PLUMBING PERMIT
USEOFSTRUCTURE
Ench Trap
SF a Duplex O Mobilehome O Other
Solar or heat pump water heater
Water DiDino
TYPE OF WORK
New O Addition O Remodel O Utilities O installation 42r p. O
Describe Work:
l �--
*PERMIT FEE PAXb
SRA
SHERIFF
OTHER
AAWUNT 1REC r FO
$ 61•
$-2f -- 0-r-2
'0 TO iE PtJT INTO epMvrm
cacn gas water heeler or vent
Gas piping ayetem t - 5 outlets
Buildin sewer
Mobile Home S G W
PERMIT FEE !
ELECTRICAL PERMIT
Main Service a00V ORLESS
7004 OR
LESS
Mein Service ( 2004 TO IOOOA 1
Ex. Occup. (ourLET oR Non a s
Ex. Occup. ( �9A II O(REBIDR
Temporary Service
Mobile Home Facilities
PERMIT FEE S
MECHANICAL PERMIT
ventilation
20.00
filing Feel 20.00
_13.00;73— --c
48.00
3.5¢',0
23.00
20.00
23.00 23 -0
3 �
y�
I F"T 20.00
8.50
PERMIT FEL: i
Mobile Home Installation Fee i
Energy Inspection Fee =
occ CONST. nPE TOTAL FEE s c, -o
. D. RES IMP PtAOD COP PARCEL PO M
This permit is hereby Issued under the applicable provisions
Of the Butte County Cods and/or Resolutions to do work
Indicated above for which fees have been paid.
By
Date
PERMIT EXPIRES ON
,,.T ^'", J:wy► Tw �s-.7Yd1�.w:.i�,,.,,��,;Pf,..;�,OCsi�j,..�' ' �....:a;.:/t�`=��••..�Or'X+awih �,.t `"""T� ` .Hw" . , `;;.s.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: 4!/ tir' A e& Se , ASSESSOR PARCEL NUMBER: C� - I _�) - 17 61.
Proposed Building Use: peW 5e/Nh`c,e 1aa.vC�eing
ilding Inspector: Date: n
At time of permit application, I was advised the follo data must be submitted prior to permit processing and/or is ance:
Date Received By
® i. All items have been submitted..................................................................................
.........................
2. Plot plans, 3/4 sets, signed by the preparer of plans...........................................................................
3. Complete plans, 3/4 sets, signed by the preparer of plans...................................................................
4. Engineered plans and calculations, 3/4 sets, with wet signature on plans.
All en ineerin must be shown on plans
gg.............................................................................................
Q 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ...............
Q 6. Energy Design Compliance and supporting documentation................................................................
Q 7. Statement of Intent for Non -Heated and A/C Buildings......................................................................
Q 8. Hazardous Material Form....................................................................................................................
Q 9. Manufactured Home Data and Installation Instructions including Tie Down Specifications...............
Q10. Fees of $..........................................................................................................
Q 11. Impact Fees as shown on the attached schedule..................................................................................
Q 12. California Department of Forestry Plan Approval/Fees......................................................................
Q 13. Flood Elevation Certificate.........................................:........................................................................
Q 14. Sanitation and Plot Plan Approval Environmental Health Department..........
Q 15. City of Chico Plumbing Permit............................................................................................................
Q 16. Plot Plan and Business License Approval from the City of Biggs .......................................................
Q 17. Planning Approval for (A) Use: (B) Parking: ...........
Q 18. Contact Land Development about Q Improvements, Q Drainage, Q Legal Parcel ...........................
4k2lEncroachmentPermit for Driveway (construction approval rior to occupancy) .............................../re -Inspection fore/N -Oled SC �4NC required. Request to Building Inspectol l Ol t /��
. Contractor's License Information (Number, Name Style, Classification) ...........................................
Q 22. Workers' Compensation carrier and policy number............................................................:................
Q 23. Owner -Builder Verification (Q Given to Owner, Q Mailed to Owner) .............................................
Q 24. Letter of Signature Authorization........................................................................................................
Q 25. Recorded Copy of Agricultural Acknowledgment Statement..............................................................
Q 26. Letter of Intent on Building Use/Detached Accessory Building Form ................................................
Q 27. Manufactured Home Utility Clearance................................................................................................
Q 28. Existing violations and/or expired permits..........................................................................................
Q 29. Q 433 A, Q Grant Deed, Q M.H. Title, Q Check to H.C.D. $ ....................
Q 30. Other
....................
Weheyou issue the ermit, process as follows: Q Mail to Owner, Q Mailtoractor.
hone 020 and hold for pickup at U o i'ce. ❑ Deliyer1th�i"nspector.
Applicant:/ ;�li/%�//I���ate:,�� /I' --
Copy of Haz-Mat form sent Q Health Department, Q Fire Department, Q Air Pollution Date: By:
Copy of Plans sent Q Health Department, Q Fire Department, Q Other
1. Index permit Application for the above items numbered:
Date:
By:
Q Plan Check List
2. Additional items required:
�Contract6r,signer, owner, was advised of the above required data by: phone, Q mail, Q Building Division counter, By: Dater
signer, owner, was advised of the above required data by: Q phone, Q mail, Q Building Division counter, By: Date: -
Contractor, designer, owner, was advised of the above required data by: Q phone, Q mail, Q Building Division counter, By: Date:
Contractor, designer, owner, was advised of the above required data by: Q phone, Q mail, Q Building Division counter, By: Date:
Plans reviewed by: Date: Plans reviewed by: Date:
Sets of plans on hold in Q Plan Cabinet, Q A.P. folder. Note transfer'by: Date:
Yellow Copy - Department of Development Services - Building Division
RE=INSPECT
OWNER: Z,&)����
LOCATION: %b to i 45 r d( �E,y
CONTRACTOR: o r+ �J eq F11t- �J
PRE-INSPETION FOR:
DATE TO INSPECTOR:
Building Description:
r-Mmercial/Usage:
Residential/# of Units:—
Currently
nits:Currently Occupied
Abandoned/Vacant
Electric:
Yes No
Condition of Electric_
Gas:
lit/ , el eG
PERMIT HISTORY:( )NONE
:.REPORT
DATE:
A.P.#
ZONING:_ /,
1 0 103 eA4-,l
- - K1 I 1
(4�—F&LOWS:
BUILDING INSPECTOR'S REPORT
11/ ,
Electric currently On Off
Natural---,—" Propane None Currently On Off
Obvious Problems: .
Sanitation: /
Plumbing Working
Well Working Potable Water
Obvious SewageProblems_
Comments:
ACTION RECOMMENDED: ISSUE: HOLD FOR
Inspector:✓1 ��
� Date /z,
Sketch buildings on reverse and indicate location on property.
m
U%
a
024-110-011 99-2612
JEFFERS, WINCIIEL
906 GILSTRAP AVE., GRIDLEY
CONTR: K DESIGNE
VINYL SIDING
COUNTY OF BUTTE - DEPARTMENT -OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
F,R,',.'lA RP APPLICATION AND PERMIT PERMIT NO.
ASSESSOR PARCCL NIUAIpp1
QM"' BUILDING PERMIT
OWNER i, I�NL -e P re r s
W Tao"o"E SO FT OCC. BUILDING V
ADoeeaa !: ALUATION
CONTRACTOR., TCLCF'raONC
CONS TRUUCTIONLLAAANDER 66
LENDERS NNLMq ADOREae
ARCHITECT OR ENOLNEEA
ARCWTECT OR ENONCERS m4uuN0 AD S3
SUIDNO ADORESS
L:•7
r. -q
i ♦OTNO I aUWN1s K*1t&"*
USEOFSTRUCTURE
SF 0 Duplex O Mobilehome O Other
S CA Ie
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities O Installation 42rOther O
Describe work: yti 4� l ( 4/e r,J /j;r1ai.N
VERAUT FEE PAlb
SRA •-
SHERIFF
OTHER
AJKOVW RECEIVED
$-13i
"Reeaar NUMs��_
* To ee wr mm COWVTM
Fireplace
Total Valuation S
Fling Fee S
Permit Fee S
Plan Checking Fee S
Energy Plan Checking Fee S
s
PERMIT FEE _
PLUMBING PERMIT
Each Trap
Solar or heat pum water heater
Water piping
Each ea water heater or vent
Gas piping system 1 . 5 outlets
Building sewer
Mobile Home—TS I G7 W4
PERMIT FEE !
ELECTRICAL PERMIT
Main Service 0DO10R Lia
200A OR LESS
Main Service ( 200A TO 1000A 1
Ex. Occu ovrLET OR FDfTURFy
Ex. Occup. FttEo 1P°u's• OR
ouTLtTa E9ID. EA.
Tem orar Service
Mobile Home Facilities
Misc. Wiring
elI`5 �C Pv
PERMIT FEE $
MECHANICAL PERMIT
20.00
ng Fee 20.00
23.00 ' 3
48.00
3.505
—10
@7.50
5.00
23.00
20.00
23.00 Z3 a' -o
3
9 .-a
I Fee 1 20.00
rtcRMIT FEE _
Mobile Home Installation Fee i
Energy Inspection Fee S
«c coNaT. TYPE TOTAL FEE $KkZ v -o
. 0. RE9LMP FLOOD COf PARCEL PO /0 SSUE
This permit is hereby Issued under the applicable provisions
Of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
(Rev. 12/96)
COUNTY OF BUTTE -DEPARTMENT OF DEVELORMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, Carnia 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 'fly%,"
ZONING
BUILDING PERMIT
OWNER - I /
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
`TELEPHONE
CONTRACTOR'S ME I
Y f'
'.
CONTRACTOR'S MAILING ADDRESS } (
CONSTRUCTION LENDER
j
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $ 111.; i /
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee - $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan CheckingFee $
BUI. ., ADDRESS
f � f �
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDNISION'S NAME
PARC L MAP
�
PLUMBING LLPERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY !
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas Hater heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑j Utilities ❑ Installation P"/ her ❑ ;
Describe Work: ; / ( i L (i
J
Gas piping System 1- 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 20 0A 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 II force and effe ( (
License Class - f O t t I L . No. "� b ll L �
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.
❑ 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 SO
OR ADDNS. ( & ACC. MDS. 3.52FT.
NEW CONST. MULTI-
NON-RESID. COUTLETI , @7.50
POWER APPARATUS
b SINGLE OUrLET C1 R.
OUTLET OR FDRURES 20 @ 1.00
Ex. Occup. BAL @ so
Ex. Occup. T.(REs o.GEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirinci 23.00
PERMIT FEE S
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 nd policy number are:
Carrier I > .
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number IL I
(The above sectionsvn6ed 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
forth/with comply With t 'se provisions.
/
((X �_�___ ate' �l_j �'� _
i nature of plicant' - ❑Owner ❑Contractor gent
An OSHA perFnit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.Dat
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $��
Ll
ePI
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
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.
–&/ - / f
PERMIT EXPIRES ONF7/w/-L;*__k3
Dare
Receipt No. om
WHITE-D.D.S.-B.D. A ARY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERT•
(Rev.12/96)APPLICATION AND PERMITii-��
ASSESSOR PARCEL NUMBER ' ZONING
1
BUILDING PERMIT
n I I n /1�, TE`EPHONE ��,}!��
l/�/i �Jf lJ/i-1l//,rf
OWNER j/e.
SQ. FT. OCC. BUILDING VALUATION
���✓8S�) /
OWN U G ADVD'Vb �r/ ��( �lJ q qq M
�b
CONTRAW. ME
TELEPHONE
CONTRACT 'S MAIU Y k 6�/,(/ y-
CINn ,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee $
BUIL GAD KESS ` n �/J - -
l/ '¢\C1�./ (/J
Energy Plan Checking Fee $
$
ev q
PERMIT FEE $
LOT NO.
SUBDrVISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
1_
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 -❑
Describe Work: Vffi
Gas piping system 1 - 5 outlets
15.00
Building sewer1
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ioonoa.Ess
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 f Illfor a and effect. 1 J Q� /
License Class 07.1 Lic. No. ' I q U �CQ
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law 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.
❑ 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 I000A
46.00
NEW CONST. DWELLING Occup.
OR ADDNS. (
so
.
NEW CONST. MULTI.OUTLET
NON•RESID. ANC cl cu Ts
97.50
POWER APPARATus
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAL p .50
D A
Ex. Occup. OUTELETS RES D.OFRJL
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE 3
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 worke ' mpensation insurance c rher land p i mber ar
Carrier r/iAQ
Policy Number
(The above sections eed not be completed if the pe it 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 Isions of section 3700 of the Labor Code, I shall
forthwi comply ' h t provisions.
X ate _�� ` 7 _
. nature of lice - ❑ Owner ❑ Contractor ❑ Agent
An OSHA per it is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $
HAZ.
I D. FEES IMP
I FLOOD
I COF
I PARCEL
I PD
HD
I ISSU
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.
1
Datq
PERMIT EXPIRES ON S �uvv
1,Defe
Receipt No.
WHITE-D.D.S.-B.D. ANARY-AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT