HomeMy WebLinkAboutPermit#3517city of sari tuts oBispo
CONSTRUCTION PERMIT
Department of Community Development, 990 Palm Street/Post Office Sax San Luis Obispo, 79
TYPE OF M Combination ❑ Building ❑ Remodel ❑ Electrical ❑ Plumbing ❑ Mechanical ❑ Solar ❑ Grading
PERMIT ❑ Retaining Wall ❑ Parking Lot ❑ Demolition ❑ Moving ❑ Other
Project Address 1625 CALLS JOAQUIN _
Use Zone --T
Lot Number 69 Block 79 Trart 069 Assessor's Number 053-171-0015
Allstar Inns Operating L.P. 202O De La Vina Santa Barbar0-3070 �7_3333
Owner � Operating Address � day Phon? 6,_
Contractor Owner
or Builder. Address Phone
Architect Architects West 1530 Cnataala S. Barbar 6 � or Designer Address aPhone 966-71.+1 Lic. No. o�-+l
Tenant. ddresg
OCCUPANCY & GROUP :L— 1.
TYPE OF CONSTRUCTION: V—N
FOUNDATION: ❑ Wood ❑ Concrete ❑ Slab ❑ Piers/Caissons
FRAME: ❑ Wood Stud ❑ Metal ❑ Timber ❑ Masonry
EXTERIOR WALL: ❑ Wood Siding ❑ Stucco ❑ Masonry Veneer
❑ Masonry ❑ Brick ❑ Concrete Block ❑ Metal
ROOF: ❑ Built-up ❑ Metal ❑ Composition Shingle ❑ Tile
❑ Wood Shingle/Shake
HEATING: ❑ Electric ❑ Gas Furnace ❑ Gas Wall ❑ Solar
STATE REQUIREMENTS: ❑ Energy ❑ Sound ❑ Handicapped
LEGAL DECLARATIONS
LICENSED CONTRACTORS DECLARATION:
I am licensed under the 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---- - License Number
Contractor Date
OWNER BUILDER DECLARATION:
I am exempt from the contractor's License Law for the following reason:
Q I, as owner of the property, or my employees with wages as their sole compensation will do the
`prk and the structure is not intended or offered for sale.
�fIl I, as owner of the property, am exclusively contracting with licensed contractors to construct the
/ project.
❑ I am exempt under Sec B. & P C. for
}( this reason
tiData"v APPlican,
WORKERS COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers'
Compensation Insurance, or a certified copy hereof (Sec. 3800, Lab. C).
❑ Certified copy is hereby furnished.
❑ Certified copy is filed with the county Planning Department.
Dat? Aonlicant
CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
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 lo. the Worker's Compensation Laws of California.
Date Appheani
NOTICE OF APPLICANT:
If, after making this Certificate of Exemption, you should become subject to the Worker's
Compensation provisions of the Labor Code, you must comply with such provisions or this permit shall
be deemed revoked
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which
this permit is issued (Sec. 3097, Civ. C.)
Lender's Name
Lender's Address
I certify that I have read this application and state that the above information is correct. I agree to
comply with all county ordinances and state laws relating to building construction, and hereby
authorize representatives of this county to enter upon the above -mentioned property for inspection
purposes.
NOTICE
Unless noted under "Special Conditions,'' this permit becomes null and void if work or construction
authorized is not started within 180 days, or if construction or work is suspended or abandoned for a
period of 180 days any time after work is commenced.
Day Phon
PROJECT INFORMATION
Type of Project: (117 units) +
1 11ANAGLR'S APT.
Proposed Use: commercial/motel
Setbacks: Front 100; R;dPq 50'
Run75'
Floor Area 34.130 _Garage
Barn
CarportCovered Porch Deck
Storage
No. Bedrooms 113 No. Bathrooms 118
No Stories
Building Height 22' 6"
Retaining Wall Information: Length_
Height
Material
Mobile/Modular Home Information: Manufacturer
Year Serial No,
D.O.H. No.
D.M.'✓. Lic. No. _— State
No. Bedrooms
Moving Building Information: Present Location
Locality_ Present Use
Proposed Use __.Tot.
Lin. Ft. of Fdtn,
Grading (prtn�tion� Io �ul
Ull1J U
Cu. Yds.:
Tot Fill — Cu, Yds., Area of Dislurbance $4 S
TOTAL VALUATION ......
$ 1,791,000.
Plan Check No.
$
Combination Permit .........
_
Building Permit ...........$
Electrical Permit .........$
Plumbing Permit .........$
Mechanical Permit ........
Other: _
$
Other:
TOTAL PERMIT FEES
$
❑ Construction Unit Tax
_
TOTAL FEES
$
REQUIREMENTS❑ Water Fees to be Paid ❑ Other
❑ Fire Hydrants for Const. ❑ Sewer Fees to be Paid
❑ City Business License ❑ C/G/S Permit
Reg'd. _
❑ State Contractor's Lic. ❑ Encroachment Permit
SPECIAL CONDITIONS
VALIDATION
slgnalure w or hQn ed Agent—
_
gnawof Owner (If Owner Builder _
Authorized Department Representative Date
WHITE —Applicant YELLOW — File PINK —Assessor GOLD —Counter 1 SEQ DATE
3
TOTAL AMOUNT