HomeMy WebLinkAbout5. Permit# BLDG-1565-2015BUILDING PERMIT
New Commercial
BLDG-1565-2015
Issuance Date: 5/30/2017Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
053-041-072Project Address:40 Prado Rd Assessor's Parcel Number:
Unit or Suite(s):
Legal Description:NEW HOMELESS SHELTER & OFFICES.Project Description:
Architect: Garcia Architecture & Design
George Garcia
Business: (805) 783-1880 Mobile: (805) 878-0090
Contractor: JW Design & Construction
Mike Gibson
Business: (805) 234-1343 Other: (805) 544-3130
License Type: Business License License Number: 044750
License Type: California State Contractor License License Number: 554910 Classification: B - General Building Contractor
Owner: CAPSLO of San Luis Obispo County
Business: (805) -54-4-43
2013Code Year:Stories
:
ProvidedFire Sprinklers:Motel Rooms:Dwelling Units: 1.00
Census:213 - Hotel/Motel
324 - Office Building
Construction Type:V-B
V-B
Occupancy:Residential, hotels, motels, (transient) (R-1)
Business, professional offices (B)
Valuation
Group Type Sq. Ft Factor Valuation
$4,000,000.00 Manual
Category:SQFT:
Dimensions
Offices (non-medical) 19,833
Fees
Fee AmountFee Name
Meter Cost (2")$868.00
SMIP (Commercial)$1,120.00
Consolidated Plan Check Fees $9,710.00
Consolidated Wastewater (Citywide) Impact Fee $20,135.00
Planning Development Review Fee $8,935.00
Meter Service: Install (.58"-1")$82.00
Stormwater - Major Project $3,543.00
Green Building Fee $160.00
Meter Service: Install (1.5"-2")$166.00
Consolidated Water Impact Fee $76,499.00
Fire Safety Surcharge $4,366.00
Engineering Development Review $3,046.00
Deferred Submittal (Building)$212.16
Consolidated Inspection Fees $10,596.00
Meter Cost (1")$186.00
Total Fees:$139,624.16
Payments
Date Receipt #Amount
5/22/17 $139,412.00 11,643-05-22-2017
10/3/17 $212.16 13,302-10-03-2017
Total Paid:$139,624.16
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Total Account Balance:
Balance Due:$0.00
Legal Declarations
#2 IDENTIFY WHO WILL PERFORM THE WORK
2a – CALIFORNIA 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.
#3 IDENTIFY WORKERS’ COMPENSTATION COVERAGE AND LENDING AGENCY
WARNING: Failure to secure workers’ compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to
$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.
I have and will maintain workers’ compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am a CA Licensed Contractor.
Signature of Contractor, Authorized Agent or Owner Date
February 16, 2021