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HomeMy WebLinkAbout010-151-025C {C 010-151-025 caw" ,,<,F 01-0741 &+yQFG{ Y t� . C, 41 arx�s 250 EAST HAZEL GRIDLEY CONT: NU WAVE POOLS NEW FILTER SYSTEM 0 SI�� 010-151-025- 01-0741" CITY OF GRIDLEY'- SO EAST HAZEL G'RI"DLEY,-.'i; CONT. NU WAVE POOLS MEW FILTER SYSTEM' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 010-151-025 & 036 ZONING BUILDING PERMIT OWNER CITY QF GRI TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 49,990,00 CONTRACTOR'S NAME *W WAVE P(O SBA TELEPHONE CONTRACTORS MAILING ADDRESS if) • P11 CLEY, CA 959-48 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ 414.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ sin t+ 1!)LST HAMGROM Energy Plan Checking Fee $ $ PERMIT FEE _ LOT NO. SUSDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other PWL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL NEW FILTER SYSMI Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 C-53, Lic. No. -7.-4+ + 47 5s y 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier i- I Policy Number - , �) . (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST.DWELLING OCC. SO OR ADDNS. ( a ACC. BLDS3.5¢F.: �Npp� pOIDI.O . MULTUTLEr @7,50 POWER APPARATUS 8 BINDLE OUTLET CIR EX. Occup. OUTLET OR FIXTURES BAL ®X.5I Ex. Occup.D ETS R� D °E. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FE15 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES �-*e`,i 1 =.AES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have J •, ,r r By f l ..` 1.1 � PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. I ., Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 530-846-5500 Yuba City: 673-5600 Pools and Spas Construction o Service o Supplies Con. Lie. #754554 Scott Bjers 867 Highway 99 Service Manager Gridiey, CA 95948 a7 y 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 ~ 44 ASSESSOR PARCEL NUMBER 010-151-025 & 036 ZONING BUILDING PERMIT OWNER CITY OF GRIDLEY TELEPHONE SO. FT. OCC. BUILDING VALUATION EST 49,990.00 . OWNERS MAILING ADDRESS CONTRACTOR'S NAME NU WAVE POOLS & SPA INC. TELEPHONE CONTRACTORS MAILING ADDRESS PO -BOX 1205 GRIDLEY, CA 95948 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 414. 50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILf;I"RfAST HAZEL GRIDLEY Energy Plan Checking Fee $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other POOL SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: INSTALL NEW FILTER SYSTEM Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service *.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, Cand my license is in full force and effect. ' j icense Class (' —53 Lic. No. �� Ts 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 OR . ( & ArC. I 3.50so FT. uBLDS. CDON RID! 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES B20 @ I.00 A� OR Ex. Occup..OUTLETS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp nsation insurance carrier and policy number are: Carrier �'e%t[iu� Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply wit those provisions. �� / X Date 7' �G� L nature f pplicant -i Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction/ structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ EXEMpT HAZ. D. FEES IMP FLOOD CDF PARCEL I PO I HD ISSUE This permit is hereby issued under of the Butte Coun Code and/or inWabwhichfees have i ,� B�/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Z ( ��of Dat �'7® Z Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I r = • COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-. BUILDING DIVISION v/ -U l-7XI a,? -� 7 County Center Drive - Orovillel California 95965 - Telephone (530) 538-7541 PERMIT NO. z!_ ADDI I^ATI^U A#Jn DoQIIIIIT Iftev.12iVo% V / V LJow V- ✓ n- a re WrIs m 9 6-5 U -e ■ • assssonrwlcaaalran owa�D r loose Teuv.lom BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION ew+d1s waw v TRAP"o» " tol"g o iso 14P_ Fireplace �� waw aoollns Total Valuation = AFA20W oe eNOOm uCVKa "o' Filina Fee = 20.00 Permit Fee $ AACWn=oa 910MM'S 1MLV4 a0011Cfe Plan Chockina Fee = OC`�GN t Oct Energy Plan Checking Fee i i PERMIT FEE _E_XEfh P-7 {pTN0. au50"10"WAs i USEOFSTRUCTURE SFO Duplex O Mobilehoms O Other © V FAWAM aw PLUMBING PERMIT Filing FN 20.00 Each Trap7.00 Solar or hent um water heater 23.00 Water i in 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New O Addition O Rem`otdel O (�LUfts O Inablisdon O Other Describe Work: Q 1! i��_�1�. (e Gas plpIng system 1 • S outlets 15.00 Buildin' sewer 15.00 Mobile Home'IS[G W 020.00 PERMIT FEE S ELECTRICAL PERMIT Fillng Fee 20.00 Main Service aoaw=. 23.00 v *PERMIT FEE PAID SRA $ SHERIFF OTHER $ $ AmdVNT RECEIVED $ *RECEIPT NVMBER * TO BE PVT INTO COMPUTER ice 20" TO loos► 40.00 owau/o oew►. 3.5t'a a nCC. acs. R. YVLT � 1977.50 /OMfQ A/IAl1ATl♦t ` a 1 rOccup. . ovnar oa ranuata ew Ju . 00 a 5.00 Service23.00 1 ome Facilities 20.00 rin 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood e.so Ventilation PERMIT FEE f Moble Home Installation Fee S Energy Inspection Fee i °C CONBT. TT>'a TOTAL FEES LCYL ""Z�. no "'lm000Jco' '""a ro This permit Is hereby Issued under the applicable provisions of the Butte County Code and/or Resolut)Ws to do work Indicated above for which fees have been paid. By Date _---- PERMIT EXPIRES ON (c�til