HomeMy WebLinkAbout645 Tank Farm Permit Copy®
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Building & Safety Division • 919 Pal gstructiomPerr,93eit1-3218
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• (805) 781-7180
Project Address
645 TANK FARM
Assessor's Parcel
Number 053-422-004
Legal Description CY SLO PM 16/49 PAR C
Project Description
TENANT IMPROVEMENT FOR M. KOZUSCHEK
Permit Type
X Building Mechanical X
Electrical Plumbing Sign Demolition Grading
Property Owner
SLO STORAGE LTD
Occupant/Business Name
Mailing Address
5901 ENCINA RD
Architect/Engineer THOMAS BRAJKOVICH
City/State/Zip
GOLETA CA, 93117-2269
License # C 15612
Contractor
OWNER
Contractor's Phone No.
Mailing Address
Contractor's State Lic. No. OWNER
City/State/Zip
Project Manager
THOM BRAJKOVICH
Project Manager's Phone No. 541-9486
Lender Name
Lender Address
C.B.C. Group
_B C.B.C. TypeV-B
Stories 1 Codes: CBC07 CEC07
Census 437
Commercial Alteration or Addition
Dwelling nljits� Motel Rooms 0
Valuation
Non -Residential Alteration 21,000 with A/C
Total Building Value
Legal Declarations
Building Permit Fees
Plumbing+Electrical+Mechanical Permit
Grading Permit
S.M.I.P.
Green Building Fee
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc Charge/Credit 0.00 Administrative Permit
Archival Fee
Subtotal 562.97
Investigation Fees
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 425.95
Development Review Fee
Fire Safety Surcharge
Construction Unit Tax
Water Impact 0.00 Area -
Water Meter Installation
Wastewater Impact 0.00 Area -
Traffic Impact 0.00 Area -
Affordable Housing
Public Art
Code Enforcement
Park Improvement Area -
Waterway Management Fee
Open Space In -lieu Fee
422.30
56.29
0.00
4.41
1.00
47.86
31.11
0.00
0.00
0.00
0.00
0.00
425.95
0.00
432.74
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
$21,000.00
$21,000.00
2b(2) - OWNER -BUILDER'S DECLARATION - I, as owner of the property, am
exclusively contracting with licensed Contractors to construct the project
(Section 7044, Business and Professions Code: The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon, and who contracts for
the projects with a licensed Contractor pursuant to the Contractors' State License Law).
By my signature below I acknowledge that, except for my personal residence in which I
must have resided for at least one year prior to completion of the improvements covered
by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has
not been constructed in its entirety by licensed contractors.
3a(3) - WORKERS' COMPENSATION DECLARATION - I certify that, in the
performance of the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the 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.
Total Fees
1,421.66
Balance Due
Payments 0.00
Amount
Date Receiot Fee Exemptions:
Payment #1
400.00
09/24/09 44227
Payment#2
1,021.66
09/30/09 44297
Comments:
Total Paid
1,421.66
Application Number090775
Permit Number 24164
Application Date
09/24/09
Issuance Date 10/01/09
Address File ,)1.4 \Z 1' ) IZ-0z"AI_c, -A
Signature of Contractor. Authorized Aaent or