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Home My WebLink About52 Prado1 ! BUSINESS NO. II ��! II11 I I III I III city of sAn Us amspo DATE/AMOUNT f I I 1 1 � I I CLASS/GROUP/CAT 60HIM89 BUSINESS TAX CERTIFICATE APPLICATION Finance Department a (805) 781-7134 a 990 Palm Street / P.O. Box 8112 a San Luis Obispo, Ca 93403-8112 Application for: Aew Business 0 Change Business Name �1 Change of Location 0 Change of Ownership J Change of Mailing Address * Confirm with Community Development that the business is consistent with city regulations prior to establishing your business location. Community Development -Department • (805) 781-7170 • 990 Palm Street San Luis Obispo, CA 93401 • Lower Level City Hall Business Name_ �� Business Phone&/, "- Doing Business As (DBA) OR In Care of Legal Status (Corporation, Par nershi , Sole Proprietor) - C�L� �v rf Business Location�.�_ I Suite No. Mailing Location �� Suite No. Owner Name RQ Y 1"NL to] C zip iAlol City State Zip Social Security No. , . , u , r* State Franchise No. Federal ID No. State Sales Tax No. _ '- State License No. (if applicable) Business Open Date Z- Gross Receipts List,names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) Type of Business: -1 Retail J`Wholesale ] rofessfanal ❑ Service LI Contractor (State Licensed) J Manufacturing J Properiy;61al (Residential) J Property Rental (Non -Residential) Does your business have noniprgfit status? O Yes C-Io If yes, will you be doing solicitations? J Yes ❑ No If yes, the solicitations will be performed by: ❑ Owner J Employee J Volunteer O Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your business (In"clude type of goods or services offered, hours, etc.): Please check one: J16roullid Floor �O Upper Floor J Number of Employees: full-time — part-time Approximate4loor area occupied by thei business: ZZ)_ square feet. Area devoted to outdoor sales or storage: square feet. Are you sharing with another h usoess If yes, with whom: � { �'C/Q _ r�� Name and address of Landlord as 'stated on Lease .. Z// —Cf- _ten 1 r 4FGr � i7 'J f;-_ {wf e If this application is for change �Irfocation, name, mailing address or ownership, complete the following: 4F�r r X Previous Name or Previous Applicant/Representative: I have reviewed this application and the attached material. The information is accurate to the best of my knowledge. I understand the issuance of a business tax certificate does not constitute proof of compliance with other city, county, state and federal regulations, including but not limited to zoning, building code or other land use regulations (SLOMC 3.01.102). Z__ Title Date�� i Printed on recycled paper ORIGINAL - Finance WHITE - Planning CANA, Y - Utilities PINK -Customer 2020-6313 city of c- an WIS OB 1 S p O I Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 52 PRADO Assessor's Parcel Number 053-041-037 Project Description MODULAR OFFICE BLDG & AUTO STORAGE LOT Permit Type X Building _Mechanical X Electrical Property Owner SIEVERS HENRY JR THE ETAL Mailing Address 2021 LAS LUNAS ST City/State/Zip PASADENA CA, 91107- Contractor DELONG CONST Mailing Address 259 HILLCREST DR City/State/Zip ARROYO GRANDE CA 93420 Project Manager CHRIS DELONG Lender Name U.B.C. Group B U.B.C. Type V-N Census number 324 Office Building VALUATION Offices .................................. $ 15,000 Comments: Legal Description CY SLO SLO SUB TR PTN LTS 20 & 21 X Plumbing _Sign _Demolition _Grading Occupant/Business Name RESOURCE INSIGHTS Architect/Engineer KEVIN C DAY License # C-47204 Contractor's Phone No. 481-7087 Contractor's State Lic. No. 583467 Project Manager's Phone No. 481-7087 Lender Address Stories 1 Codes: UBC 94 NEC 93 Dwelling Units 0 Total Building Value FEES 15,000 Building Permit 224.75 Plumbing Permit 29.96 Mechanical Permit 0.00 Electrical Permit 29.96 Grading Permit 0.00 S.M.I.P. 3.15 Energy Surcharge 28.47 Accessibility Surcharge 18.50 Demolition Permit 0.00 Sign Permit 0.00 Administrative 0.00 Miscellaneous Chg/Cred 0.00 15,000 Investigation Fees 0.00 Microfilm 6.75 Subtotal 341.54 Building Plan Review Fee 284.67 Fire Safety Plan Review 49.82 Plan Review 334.49 Fire Safety Surcharge 49.82 PAYMENTS N Construction Unit Tax 0.00 Application Number 60339 Amount Date Receipt Water Impact 0.00 Application Date 06/06/96 Payment #1 334.49 06/06/96 2683 Water Meter Installation 0.00 Payment #2 857.00 09/18/96 4038 Wastewater Impact 0.00 Payment #3 14.84 09/20/96 4081 Traffic Impact 480.48 Permit Number 11113 Total Fee Calculated 1,206.33 Issuance Date 09 20 96 Total Paid 1,206.33 Balance Due 0.00 LEGAL DECLARATIONS 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 work 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 project. XNot applicable 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 City. Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE %SI 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. _ Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. 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. Spccial Conditions: 5i n0.iure of Contractor, Authorized Agent or Owner Date Address File 1i1111I111111111 ll��ll 0 SMOBISPO III ..... a.I M 1il Community Development Department, 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171 ADDRESS CHANGE NOTIFICATION Grid: - ❑ Change Address From: Q�}� [ To: [T l� _ �"7� . 'C5 p ❑ Create New Address: Delete etir Address: 50 2M ao ±' �t _ ❑ Establish Suite Numbering: / \ Correction/Clarification: C,6rrcC�SA QU Ls)�) Assessor's Parcel Number(s): CS - Q—LA- I - O�Z Other Address(es) on this Parcel: Reason for Application: Applicant: (aM 1 P_w P'�5 Phone: - Applicant's Address: Property Owner: Q PV-Nr,, i s1 F'\) P f C 7 Phone: Owner's Address: q o"-a \ _E3 j _t' c � �Pnc�n-(� Pnq / Pn S[116] Owner/Agent Signature and Authorization Date Sketch Addressing Wen Below or Attach Copy tom: : - ?l _..:....... .........................:..... .. ... ... .. i. i 7Y• p- p ---- --- � ...... - icy :::.��:1... 1 _ .............� _:a.........::..... IIrn t FARMIG \ •� i i i ... .. i ... ... • : _ _.",_E .... .,... �.-� 1 � .. �,_....., y_._..,,.....M 3....._.y.._ .... as ..�.... ..............?,......-.-.:...._..... ..i2T .5 96 9g 62 .= 6auTivcloRh kli.M se. ' , .1..... ....�......._ F . .. s .. _ .....� • � ADD �w Comments/Special Notification: 21-96