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Home My WebLink About826 Alyssum Court - Permits�� MY of 0son Luis osispo�� i CONSTRUCTION PERMIT A 2155 Department of Community Development, 990 Palm Street/Post Off ic%ft3 �; San Luis Obisgg44 i-934e6 ( 3Itl9e9ext:-7�9 TYPE OF Z3 Combination ❑ Building ❑ Remodel ❑ Electrical ❑ Plumbing ❑ Mechanical ❑ Solar ❑ Grading PERMIT ❑ Retaining Wall ❑ Parking Lot ❑ Demolition ❑ Moving n Other Project Address 326 Alyssum Cou— _ Use Zone R2—S2 Lot Number Block Trac 1229, Unit 2 Assessor's Number 53-081-30 Owner Santa Lucia Hills Inc. Address p•0. Box 1796, SLO,CA Day Phone 544-3613 Contractor Bruce Houseman it44-3613 or Builder Address Phone __ Architect or Designer Address Phone_ Lic. No.. Tenam Address _ _ - Day Phone OCCUPANCY & GROUP . R-3 TYPE OF CONSTRUCTION: V—N FOUNDATION: ❑ Wood IN Concrete ❑ Slab ❑ Piers/Caissons FRAME: E7 Wood Stud ❑ Metal ❑ Timber ❑ Masonry EXTERIOR WALL: KI Wood Siding ❑ Stucco ❑ Masonry Veneer ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Metal ROOF: ❑ Built-up ❑ Metal ® Composition Shingle ❑ Tile ❑ Wood Shingle/Shake HEATING: ❑ Electric P Gas Furnace ❑ Gas Wall ❑ Solar STATE REQUIREMENTS: IN 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 B-1 License Number 314660 Contractor Bruce Houseman Date 12-26-85 OWNER BUILDER DECLARATION: I am exempt from the contractor's License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation will do the Apr rk and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the ject. ❑ I am exempt under Sec. B. & P.C. for this reason y� Date �� rJ� Applicant 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 ounty Plan tng Department. I G c t Dale�� rSApplicant 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 to the Worker's Compensation Laws of California. Date Applicant NOTICE OF APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Mrker'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 Na 1 C nq_o f\ rc,5 t, �,M Lender's Address)+ t� ♦ I certify that I have read this application and state that the aW 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 t80ays any time after work is commenced- Slgralure of Contractor or Authorized Agent PROJECT INFORMATION TypeofProject: (1) Airspace Condo Proposed Use: Residential Setbacks: Front 20r sides 10 r Rear 11 r Floor Area 19017) of Garage 503 sf Barn CarportCovered Porch Deck Storage No. Bedrooms--- 2 No. Bath="- 2 No. Stories 1 Building Height 16 t Retaining Wall Information: Length Height Material Mobile/ Modular Home Information: Manufacturer — Year Serial No. D.0-H. No. _ — D,M.V. Lic, No. State No. Bedrooms Moving Building Information: Present Location Locality Present Use Proposed Use Tot. Lin. Ft- of Fdtn Grading Information: Tot. Cut Cu. Yds.; Tot- Fill Cu. Yds.; Area of Disturbance TOTAL VALUATION ...... It Plan Check No. $ Combination Permit ....... $ 428. . DO Building Permit ........... $ Electrical Permit ......... $ Plumbing Permit .........$ Mechanical Permit ........ Other: $ .Other: $ TOTAL PERMIT FEES $ ❑ Construction Unit Tax TOTAL FEES $ 428.00 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. Q State Contractor's Lic. ❑ Encroachment Permit SPECIAL CONDITIONS VALIDATION .lohn L. Kellerman/j1w 12-26-85 Authorized Department Representative Date I SEQ DATE TOTAL AMOUNT Signature of Owner (It Owner Builder) WHITE —Applicant YELLOW — File PINK —Assessor GOLD —Counter ;W11gI city 0-^ san WIS 0131c__-)0 mahze Building & Safety Division • 919 0J3$trUrAKW Mf93401-3218 * f805' Project Address 826 ALYSSUM Assessor's Parcel Number 053-086-012 Legal Description CY SLO TR 1229-2 U12 (2900/187) & PTN LT 1 Project Description REMOVE CMU CHIMNEY AND FRAME WOOD CHASE, INSTALL FP INSERT Permit Type X Building X Mechanical X Electrical X Plumbing Sign Demolition Grading Property Owner SHARP, WILL C THE ETAL Occupant/Business Name Mailing Address 2150 CEBADA CYN Architect/Engineer City/State/Zip LOMPOC CA 93436 License # Contractor Mailing Address City/State/Zip Project Manager Lender Name C.B.C. Group Census 434 TEMPLE BUILDERS Contractor's Phone No. 474-9314 1419 BLUEBERRY ARROYO GRANDE CA 93420 NEIL TEMPLE _R-3 C.B.C. TypeV-B Residential Alteration or Addition Contractor's State Lic. No. 767378 Project Manager's Phone No. 748-9921 Lender Address Stories 1 Codes: CBC10 CEC10 Dwelling Units 0 Motel Rooms Valuation Residential Alteration/Addition/Conversion 5,000 $5,000 00 Fees Building Permit Plumbing+Electrical+Mechanical Permit Grading Permit S.M.I.P. Green Building Fee Demolition Permit Sign Permit MiscCharge/Credit 0.00 Administrative Permit Archival Fee Subtotal 210.50 Investigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal 78.00 Development Review Fee Fire Safety Surcharge Fire Systems Fire Sur/Sys Subtotal 0.00 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 - Engineering Development Review Fee Open Space In -lieu Fee Total Fees Balance Due 209.00 0.00 0.00 0.50 1.00 0.00 0.00 0.00 0.00 0.00 78.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 288.50 0.00 Total Building Value $5,000.00 Legal Declarations 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION 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 Contractor: TEMPLE BUILDERS Class: B License #: 767378 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. Payments Fee Exemptions: Amount Date Receipt Payment #1 200.00 06/28/12 56645 Payment #2 88.50 07/10/12 56773 Comments: Total Paid 288.50 Application Number120536 Permit Number 26433 Application Date 06/28/12 Issuance Date 07/10/12 Address File