HomeMy WebLinkAboutPermit Fees - 2640 Broad StsAn WIS OBISPO CALIF0RNIABuilding &
Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218 Project
Address: 2640 Broad St Unit
or Suite(s): BUILDING
PERMIT Alt/
Addition - Commercial BLDG-
0434-2020 Issuance
Date: NOT ISSUED Assessor'
s Parcel Number: 004-92:5•035 Project
Description: TENANT IMPROVEMENT OF CANNABIS 41SPENSAI Legal Description: Architect:
CRSA Architecture Craig
Smith Business: (
805) 544-3380 Contractor:
SeaBayBuilding Group, LLC Business: (
480) 921-4331 License
Type: California State Contractor License License Number: 1005237 Owner:
Natural Healing Center- SLO LLC Business: (
805) 704-3280 Fire
Sprinklers: Provided Stories 1.00 Code Year: 2019 Dwelling Units: Motel Rooms: Census:
437 - Commercial Alteration or Addition Construction Type: Occupancy:
Business, professional offices (B) Mercantile,
display and sale of merchandise (M) Storage,
low hazard (S-2) Dimensions
Valuation Category:
SQFT: Group Type Sq. Ft Factor Valuation Manual $
450,000.00 fFees
I Payments Fee
Name Recycled
Water Services - UTIL Post
Construction Req / Stormwater - NSF Res - ENG Commercial
Access Upgrade - Site work - BLDG Green
Building Fee Rev
of Mitigation Measures, Cond, and TIF's - PW Consolidated
Plan Check Fees Store
Front / Facade Alterations: Minor - BLDG Final
Inspection - NSF Res - PW SMIP (
Commercial) Trash
Enclosure - BLDG C&
D Recycling - UTIL Consolidated
Inspection Fees Commercial
Tenant Improv - Non Structural - FIRE Water
Service or Trash Enc or Landscape - UTIL Non -
Single Family Residential -ENG Building
Plan Rev - Commercial - Minor IT
Surcharge Solar
Photovoltaic - Commercial/Multifamily - BLDG Total
Fees Fee
Amount 530.
81 289.
36 1,
193.53 18.
00 222.
48 4,
103.81 1,
016.99 229.
48 126.
00 1,
128.55 66.
35 3,
804.35 2,
294.71 530.
81 723.
39 275.
74 524.
63 790.
63 17,
869.62 Date
Receipt # Amount 0.
00 Total
Paid: $0.00 Plan
Check Account Payment by Contact Contact
Name Account Name Status Total Credits Total Debits Account Balance
Plan Check Account Payment by Contact
Contact Name
Natural Healing center- SLO
LLC
Account Name Status
BLDG-0434-2020 in use
Total Account Balance
Balance Due:
Legal Declarations
2 IDENTIFY WHO WILL PERFORM THE WORK
Total Credits Total Debits Account Balance
6,155.72 $0.00 $6,155.72
6,155.72 $0.00 $6,155.72
11,713.90
2b — OWNER -BUILDER'S DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the
reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or
county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
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. I understand that a copy of the applicable law is available upon request or athttp://www.leginfo.ca.gov/calaw.html.
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.
4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am the Property Owner.
Signature of Contractor, Authorized Agent or Owner
July 10, 2020
Date