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603-72P
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone 1916) 538-7541 -EERMIT NO.
APPLICATION AND PERMIT NO.
APPLICATION
ASSESSOR PARCEL NUMBER 03660 A44
ZONING
�]
BUILDING PERMIT
OWNER
Charles Wentland
TELEPHONE
533-8887
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
3625 Oro Bangor Hwy., Oroville 95965
CONTRACTOR'S NAME
Owner
TELEPHONE
'
CONTRACTOR'SMILINGADDRESS
`� _
Fireplace
CONSTRUC710N ENDER
UNKNOWN
Total Valuation 1$900.00
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $ 43.00
3625 Oro Bangor Hyy., Oroville
PLUMBING PERMIT
Filing Fee 20.00
Each Trap 1
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF CK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition 1:1Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: Reroof with Comp.
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OLESS )
200A OR LESS
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. 1 & ACC. OLDS. )
3.50 FT.BO-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
4-1, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON.RESID. 1 BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20@'.00
e0
Ex. FIXED APPWS. OR
Occup. ( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
,9f -+shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 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
County in consequence of the gr ntit of this permit. �/ Q
X1� �' ' Date f ' /�
Signature of Applicant - ❑ Owner Q Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ-
I D. FEES
I IMP
I FLOOD
Cor
PARCEL I PD
HD
ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated abdvte for which fees h ve been paid.
D ECTOR F LIC WORKS
1 By ADate
PERMIT EXPIRES ON G / ,
(De tel /
148748
Receipt
WHITE-D.D. AP.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD•PLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 672-13367
CORRECTION NOTICE
z -3 Z_
OWNER PERMIT NO:..-fL-"
A routine inspection indicates that the following violations of Butte County Ordinances exist at t'J
the above address and should be corrected. Please notify 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.
Date Inspector
REV 10/92
Ji
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
ZV o -'—rt '7 q07
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at' -'-
the above address and should be corrected. Please notify 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.
Date —F— '�-3 Inspector
REV 11/91
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 JMRMI�.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
— —
036-460- 044
ZONING
AR
OWNER
Charles Wentland
TELEPHONE
533-8887
SO, FT. OCC. BUILDING VALUATION -
OWNER'S MAILING ADDRESS
3625 Oro Bangor Hwy.,Oroville 95965
19 SQ Comp gnn-on
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 2Q.Qp
Permit Fee
$ 23.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$ 43.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@ 20.00
TYPE OF WORK
New ❑ Addition Cl Remodel ❑ Utilities ❑ Installation ❑ Other IX
Describe Work: Reroof with Comp.
PERMIT FEE
$
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I 210*101LESS )
2ODA OR LESS
23.00
Main Service I 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. BLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
lip: as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-REsID. ( BRANCH CIRCUITS )
@7.50
I POWER APPARATUS )
& SINGLE OUTLET Cl..
Ex. Occup. I OUTLET OR FIXTURES )
BAL.20 @1.0550
Ex. Occup.FIXED APPLNS. OR
I OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
all not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of 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
�fiiabflltle , judgments, costs, and expenses which may in any way accrue against said
u n co sequence of the gr ntin of this permit.O /pat,.q*
Ignature of Applicant O caner Contractor ent
An OSHA permit is r red for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAz.
D. FEES
IMP
F100D
CDF
PARCEL
PD
HO
ISSU
This permit is hereby issued under
of the Butte County Code and/or
indicated a v for which fees h
E OR F LIC
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
e been paid.
WORKS
Date •-�
9—
���� -�, f
!De tel
Receipt 148748
.D.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT
BUILDING PERMIT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,,Orov"ille, CA 95965
OWNER -BUILDER VERIFICATION.'
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your 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
will be issued until this verification is received.
1. I personally plan to.provide the major labor an m erials for construction of
the proposed property
ff improvement (yes or no) _
2. (have /ha_ I�signed an -.
n application for a building -permit.
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone 'Contractors License No.
4: I plan to provide portions of*this work,.but I have hired the following person
to coordinate, supervise, and provide the major work:
Name ,
Address City
Phone Contractors'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
S igned :
Proper y Owner
Socia SecuRty Number
T ti.. i �l r-
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
ti
LS r
{ RESIDENTIAL
036-46-0-044 92-4232 B,P,E,M
WENTLAND, Charles & Cheri
3625 Oro Bangor, Oroville
conv prt family room to bathrom/sf
1,2
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JOB FINALE2
D (Date) C _ _
Signature ��
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N.
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JOB FINALE2
D (Date) C _ _
Signature ��
J=OK
O = Not OK
Not
= Not Readyable _ MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
Card B-1
4. Water; Location -Test -Easement Needed (Sketch)
Card B-1
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
Card B-1
6. Gas; location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
Card B-1
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date '- -Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements -
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector,.
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1 j
Date
Card B-1 Date Card B-1
Ifi .
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI - -
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
1
Date
Card B-1
Date
Card B-1
Date
Card B-1
Date
Card B-1
1
✓=OK
O = Not OK •
= Not Applicable
Not Ready RESIDENTIAL (Single
=
Date UNDERFLOOR (Plans) OK except ft's j
1. Zoning -Setbacks -Easements -Flood -Slope I
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftq. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Pie fireplace Ftg.-Steel
9. .W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16.1 ulation
Date/- pard B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except u's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail -Protection
---------��-�� ------ -- ----------------
>sF3. W.V.: Test-Fittinqs & Anchor -Nail Protection
----- ----------------
19. Shower Pan; Test. First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
------------------------ - - - ---------
- --
DateT-,� Card 8- _- ---Date ------ ---Card --1--------------
Date f3_ and B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except a's
- - - 22. Fixture & Transformer Clearance -Ins. Protection
Receptacles Spacing -Lights & Switches at Doors
-------- `-fie E-oxe----------------------------------------------
_- f1'� Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip_Ground made up w!Mech. Fastners-Bond Gas & Water
------ - - - - - ------------------------
------
-
27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI
---- -----------------------------------------------------------
28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! 1 ga.
Cu or At
------------------------------------------------------- --- -----
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
----------------------------------------- - ------- ----------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------- - -----------------------------------------------
31. Equip Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light -
33. -.Smoke -Detector
------------------------------
----------------------------------------- ---
Date - Card --1 Date Card B-1
--------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except a's
34. A.C. Ducts Insulation & Support
- ----- -------------------------
ent Fan: Exhaust above insulation
-------- --------------------------------
------------- 36. Condensate Drain & Overflow: Size & Grade
----- ----------------------------------- --- - --- - ---- -----
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---- - - - - - - -----------------------------------------------
--------------
---------------------------------------------
38. Attic Platform if Furnance in Attic
--- ---- ---------------Access-&- ----------------------------------------------------
j ---r--- Card -B-1 � ----Date-------------------------------------
DateCard 8-1----� 4- -------------- -------------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
Sils. Proper Material & Anchors
------------------
-- ------------- ----------------- ---
�Ioa
Walls Studs _Nailing_ Spacing & Bracing -Plates -Sound
4k-g-earing Walls over Girders & Floor Nailing
-- -- ------------------------------------------- ---------------------
�2''Draft Stop in Walls (rat proof)
----------------------------------------------------------- ----------- -----------
4�e StopsFurred Ceilings -Stairs -Chases -Tub
------------------ ------------ -------------------
Headers & Beam -Size & Bearing
HO=V
& Duplex)
Date FRAMING (Continued)
-- --_ 4___angers-Post Caps -Anchors -Connectors
-- Ing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
ype A Flue -Fireplace Throat clearance
is c ize & Romex Protection -Draft Stop -Ins. Baffles
drm Windows or Exiting Doors -Sill Hgt. & Dimensions
- ---- -- arage Fire Protection Framing
5I,- Frroperty Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits
52r -Stairs; Width -Headroom-Rise-Run- Landing Fire Protection
54-ptywood on Roof Overhang -Attic Vents -Rafter Outriggers
-------------- -
5Cr 5rdingYCailing Veneer
r ' Screed -Fd. Vents-Underflr. Access
_
_zing Area -Glass Protection -Skylights- Plastic
�
-- --- -,4a-.S9__e Walls; Nailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date 2. F -f ? Card B_1 Date Card B-1
Date Card B-1 Date Card.B-1
Date FINAL (Plans) OK except N's
_ _ i blight Protection -Landings
62. Smoke Detector
---------------------- -
/� Clearance -Comb. Air -Connector -
In G r�bge: Above Floor-Ducts-Mech. Protection
----------------------
------------ reerw=Ex�tmg
- ------ - --
5 F.I'. & Bath Fixtures & Tub Access-Spa
c _-----------bpanel; Breaker Sizes &Labels
--------
•------------------------------------- -
68. nces-Hearth
--------------- -- ----------
t-Weod Panel: Int. & Ext.
-- ------- -- ----------------------------
-_ -_Grnd_Air Gap -Cooking Clearance
. - - acles at Kit. Counter
--------- - 72i_- aiaga Flra noor-5ing-Landing-Closer
73- A rn ct fn GararL-Damper
nce-Comb. Air-Connector-P.R.V.
In Gar ge: Above floor-Mech. Protection
------------------ -- -
-----------
IbElec_ & Mech. Equip. Listed for Location
.Zfi_6aee-Rree�k�eaes:� as rage: (G.F.I.)-Romex Protection
------------------ ----
d in Attic ❑ Yes
------------------------------------------- -
7 truction- Post Caps
7 or -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
a Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-- --- a C. nit: Disconnect. Electrical, Plumbing
ents Above Roof: Plbg -Appliance-Fireplace.-Clearance to
Openings
-------- -- ----------- ct, Electrical, Plumbing --
rior a G.F.I. Receptacle -Underground
----- ------- -- -- ---------------------
ion roughout House
.-------------- -----------------------------
Glass Protection
--------------------------------------- -
8a. Corrections from Previous Inspections
-----------------------------------------------------------
gged: Gas -Electric---------------------------------
- - - -- wer Connected -C/O to Grade -HD Approval
Energy-- --pliance-Certificate-Other Certificates ---
Date *� Card B-1 Date _ _ Card B-1
Date Z -Card-B_tDale- Card B-1 -
Date rr Card B-1 ���JJJ�---- -Date Card B-1
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT 7 J
ASSESSOR PARCEL NUMBER
036-460-044
ZONING
AR
BUILDING PERMIT
OWNERTE
CHARLES & CHERI WENTLAND
A�i t�
1-1l�F�
28887
SO. FT. OCC. BUILDING VALUATION
OWNER'S AOR6Gffl� bV HWY OROVILLE 95966
EST 2160
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Js
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$ ,
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
)
$ 22.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING
ul 362AOORO ANGOR HWY OROVILLE
Permit fee
$ 82.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
31 5.00 15,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF E�X Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001 15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel)] Utilities ❑ Installation[] Other ❑
Describe work: CONVERT PORTION OF FAMILY ROOM TO
BATHROOM
Permit Fee
$ 52.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
18.50
CONTRACTORS LICENSE LAW
I declare under penalty of
P y perjury fur y (Check One):
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.
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)
El 1,
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
Main service 200ATO1000A,
37.50
NEW CONST. / DWELLING OCCUPM
OR ACDNS. \ ACC. BLDGS. //
3.64sq.ft.
NEW CONSTR ULTI.OUT LET
NON.RESID BRANCH CIRC ITS
^ 5 00
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OcOup(OUTLETS OR FIXTURES
20 @ 76
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
3.00
Temporary service
15.00
Home Facilities
15.00
Misc. Wiring
-15.00 1 .00
Permit Fee
$
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. ce
Not 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.
Contractor
MECHANICAL PERMIT
Filing Fee 1 15.00
Heating
Cooling
Hood
6.50
Ventilation
4.50
Permit Fee
$ 19.50
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 liabil' 'es, 'udgments, costs, and a penses which may in any way accrue
again d C ty in one ence f e gr ting of this permit..
X Date �J`
Signature of Applicant — Owner Controctor ❑ Agent ❑
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 184.00
HAz DFEES IMP FLOOD coF
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
R CT R OF PUBLIC
By
PER E PIRES Date
PARCEL PD HD IssuE
the applicable provi
resolutions to do
have been paid.
WORKS
Date
Receipt No.g88h
WMITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
.--r+;.• ,raw. .ti...
QS
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATIQN DATASHEET
OWNER 3 - 694,lfl
Proposed Building Us Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
r
1. All items have been submitted. DATE RECEIVED BY
............` �.,,<.'............ .
2. Plot plans, 3/4 sets, signed by preparer of plans. !............'............ .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ...............
5. Hazardous Material Form . .......................
6. Energy Design Compliance and supporting documentation f .......... .
.,....... .
7. Statement of Intent for Non -Heated and A/C-Buil-dings"....�................... _
8. Engineered truss details and layout in duplicatef(requi�d.p�ior'to plan<checl )? , ..,. ` i /- I c, u.
9. Mobilehome data and manufacturer's insta,llatig'n � s r- ctions, 2 sets z`? ..` .......
10. Fees of $ t ,w . . ...............................
11. Impact fees as shown on attached schedule. :� I '�"
12. California Department of Forestry plan approval/fees......................... =
13. Flood elevation letter (100 year flood) by California Engineer. ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit. ...... ........................... .
16. Plot plan and" business license approval from City of Biggs/Gridley. .............
17.,Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... l'
19. Driveway permit (construction approval required prior to occupancy).' ...� ....... a �J
20. Pre -inspection for requifetl s<a s�;,d 9 n«orr' `r Date)
21. Contractor's license information. (No., Name Style, Classification) . ............. .
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _ ). ...........
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . .........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ...................... ................... .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When Ypu issue the permit, process as follows: Mail to ower. Mail to contractor.
Telephone !�;:3 3 E95� and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation a
Acreage . Applican Date, 1Zi"
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date h '�
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 _ Pate :f
Contractor, designer, owner, was advised of above required data by _ phone - mail Counter by _ Date
Plans checked by Date Plans approved by 6� Date
Sets of plans on hold in File cabinet AP�folder..�
Copy - Department of Public Works '
1-cp/1 - P u 10
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovillet California 95965 - Telephone: 916."538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER ZONINyy��
rp6 �V �L f7—�
OWNER --- _ _ TELEPHONE
41AN 533888%
°3�as'LINT A nGo�
O -4160 W III( 459��
BUILDING PERMIT
SO. FT. OCC. BUILDING VALUATION
ZAS10
CONTR//AA CCTOR'S NAM
V
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
:. 'n CHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ a
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty §
5 ;JILDING ADDRESS ��U OYC
Permit fee $ . S
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.001
Solar or heat pump water heater 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00 ,Q
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFA/.. Dupiext I Mobilehome❑ Other
SPECIFY
SPECIFY
Gas piping system 1 - 5 outlets 5.00
5.00 -Q
Building sewer 15.00/-5-
Mobile Home S I G I W 615.00
TYPE OF WORK
New 7, Additinn' RpmndeI Utilities❑ InstallationC Oth r1__1
Describe work: �y�_ _ = . - COA)VC07' .DOC41O (� _
Permit Fee $ wr�
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200A OR LESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of er ur
P y perjury y (check one):
! 1 am licensed under crovlslons of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is In full force and effect.
License No. Classification
J 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
Main service 200A TO IOOOAl 37.50
NEW CONST. / DWELLING OCC UP -a) 3.6dsq.ft.
OR AODNS. l ACC. BLDGS.
NEW Co NSTR ULTI.OUT LET ^ 5 00
NON .RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20 @ 76d
Ex. Occup. OUTLETS RESID IREA.1 I .3.00
Temporary service 15.00
Mobile Home Facilities 15 .00
Misc. Wiring '15.00 f7
Permit Fee §
e24
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.
❑ 1 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
Drovisions or this permit shal I be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 1 15.00
Heating
Cooling
Hood 6.50
Ventilation
Permit Fee $ 1q,
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 County in consequence of the granting of this permit.
X Date2,/-3A?7/
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
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 $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
DFEES
IMP
I FLOOD
I CDF
PARCEL
PD
HD
ISSUE
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 DatePERMIT EXPIRES Date
��cReceipt No.
.MITE-D.P.W.. YELL-ASSCSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE '- Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Phone: 916-538-7-541'.
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
1
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) hg!% -2 signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. ;I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise,- and provide the major work:
Name
Address City
Phone Contractors 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: V
Property Owner l/
Social Security Num er
Date /'2 -.!�-9a
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
Y,—This set of plans and specifications MUST be
kept on the fob at all times and it is unlawful tc
make any changes or alterations on same with-
out written permission from the Department of
PublicVorks, County of Butte.
MOTE ` Aff oaf®rlafs $i _
Accordonce with Rvcagniawor� afl RA Shall�go in
of a qualify Prsscribej for tine Specified U60 if) an
6niform Building, Plumbing & Mechanical ®dab once'
th Nationai Electrical Cod®,
L
VW
t
OJ
. Livi A14 ?oDM
3p�w� 3 uhf,'
y x
� tooz ?Iah C�c w6A) -r"�.anD
Fake 2 0 P scale ["- 5'
E
�F®E�
oZ
pace .3 c)
crrrF--
sT�
FIRRIAl y Ma 11 - . 7
.. - - i - � T
fRN .
Safety GI.
BUILDING DEPARTMENT. APPROVED
scale:
37"
5'
S`-
sw vlch�
z0,0 BATH Room quo i4i on
CY
zy"
`7"�jr�'ttt .``�� ��F. gVFs�`K�fS.,►n'a�' 3,�3-�m���Yh'h'�s'�1�'�4u�"�'^+,���'i'r'`a
K
COUNTY OF BUTTE - D$PARTMENT OF PUBLIC WORKS
7 County Center''Drive, Oroville,.California 95965 Z -
Tele„phone:. 538-7541' l
I
APPLICATION FORSPECIAL INSPECTION./�O�
Owner �d/�� �L°l�/ �UC✓� Q A.P. No. L�36- yl�li -as�y
Mailing Address 3� S Q a�(s�,� Telephone No533
l -
Applicant �`5A M E Telephone No
Mailing Address 3l�as pr o glNGole P�w
Building Location
I hereby request a special inspection of the following building:
0
Dwelling (if only a portion, specify') dd CACrE
Apartment House (if only a portion, specify)
3. Commercial (specify present occupancy)
Q 4. Other (specify)
I am requesting a special inspection for the purpose of:
0 1. Moving the building.,
U2. Financing (specify agency)
3. Change of occupancy to
Q 4. Other (specify)
Case No.
preUi4� dW�jeV-
rH i }-5
I hereby certify that I will obtain the necessary permits and make any necessary correc-
tions, alterations, or repairs required by the County of Butte; as a result of this inspec-
tion, to comply with building and. housing code requirements. I also certify that prior
to' the us.e or occupancy of this building, I will complete'`the above required corrections,
alterations, or repairs, or, if the building is presently occupied, I will. complete the
above required corrections, alterations, orrrepairs within 30. days.
I certify that I have read this application and state the above information is correct
and hereby authorize representatives of the- County of Butte to enter upon the above-
mentijpned property for inspectio urposes.
.9LR,i AQd7 -Date Ll
13 -
Signature of Owner
Fee Paid $ %.'„(�Q Receipt No. 1'2-9-70k
1st-DPW/2nd-Inspector/3rd-Applicant
COUNTY 0 BUTTE D�PA12TNENT OF PUBLIC WORKS 71(
7 County Cnter''rive,� 0roville,'t California 95965 � �Telephc�t►e: 538-754T� �! � •
APPLICATION FOR ,SPEC UL INSPECTION //
Owner
Mailing Address 360 A S
ADDlicant `_
A.P. No.
Telephon
Telephon
f
Mailing Address J9a�5 oeo 54Aooz PtW�
Buildina Location
U .5 yhl ) -UYY =
e No533 -5887
e No.
I hereby request a -special inspection of the following building:
t
1 1. Dwelling (if only a portion, specify) (_5A
2. Apartment'.House (if only a portion, specify)
i0 3. Commercial (specify present occupancy)
F
0 4. Other (specify)
I am re'uesting a -special inspection for the purpose of: M
1. Moving the building.t
2. Financing (specify agency) Case No.
3. Change of occupancy to fui4,5 DuvNe4�
Ul O rMit5
0 4. Other (specify)
I hereby certify that I will obtain the necessary permits and.make any necessary correc-
tions, alterations, or repairs required by the County of Butte; as a result of this inspec-
tion, to comply, with building and housing code requirements. I also certify that prior
to the use or occupancy of this building, I will complete'- the above required corrections,
alterations, or 'repairs, or, if the building is presently occupied, I will complete the
above required corrections,'alterations, or;repairs within 30 days. h
I certify that I have read this application and state the above information is correct
and hereby authorize representatives of the County of Butte to enter upon the above-
mentined property for inspectio urposes.
/NI n /_ A n ,s
vim,
Signature of Owner
Fee Paid $ r , , 6
1§ DPW/2nd-Inspector/3rd-Applicant
i`) 1 11
/- /:3 - �p 2--,
Receipt No. 9 -7 01
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMI PPLICATION DATASHEET
OWNER %l� e/v A. P. No. 6� - 2160 -()Y11
Proposed Building Use S�c� S w,�tp<, Building Inspector � Date 1 I - l3 - SZ
At time o permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECENED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed.by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5.. Hazardous Material Form . ..............................................
6. Energy Design Compliance and supporting documentation. ...... ........ .
7. Statement of'lntent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development.about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. .. .
20. Pre -inspection for Prey"sspperm°" req° -
required. .. to BuBding Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25., Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... ; ..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
.34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone S33-8887 a h -o=0- office. Deliver -with inspector.
Other p �
Parcel Creation
Acreage Applicant I r f -5Z
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 permiffor above items No.
2. Additional items required: A
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 _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
- Copy. - Department of Public Works
Q Complaint-Date-
F7
omplaint-DateF7 Other -Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
ZONING
Owner: we,,,Ala,, A. P. #
Address:
'Tenant:
Building Location:
Type of Inspection requested:
1. Housing ".2.
(� 4. Work W/O Permit
A.
Date of Inspection Z- Z' Z_
Inspector��
Financing " 3.. Change of Occupancy to
/ / 5. Other (specify)
Present use of building:
Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,
15. Comments:
rails)
_ T
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles: e-" FS Cover w.S?.
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. :Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3.Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom floors and walls:-'
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations
1. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only -.file..
B. Hold for ten days, then write letter.
C. Write letter.
D. Other:
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