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Project Address: 2640 Broad St
Unit or Suite(s):
F
WIS OBISP O
C A L I F 0 R N I A
y Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Alt/Addition - Commercial
BLDG-0434-2020
Issuance Date: 7/10/2020
Assessor's Parcel Number: 004-925-035
Project Description: TENANT IMPROVEMENT OF CANNABIS DiSPENSAi 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 Tvpe Sq. Ft Factor Valuation
Manual $450,000.00
Fees
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
Payments
Date Receipt # Amount
7/10/20 27,881-07-10-2020 6,155.72
7/10/20 27,882-07-10-2020 11,713.90
Total Paid: 17,869.62
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Contact Name Account Name
Natural Healing Center- SLO BLDG-0434-2020
LLC
Balance Due:
Plan Check Account Payment by Contact
Status Total Credits Total Debits Account Balance
in use $6,155.72 $6,155.72 $0.00
Total Account Balance: $6,155.72 $6,155.72 $0.00
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.
July 10, 2020
Signature of Contractor, Authorized Agent or Owner Date