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HomeMy WebLinkAbout46 Prado�Illlllliilll���� City SAn IlluOBI4)0 M------ 11-1-1p ------------ ■ Community Development Department, 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171 ADDRESS CHANGE NOTIFICATION Grid: - ❑ Change Address From: 50 Sc)-A r To: ❑ Create New Address: Delete etir Address: C150 1PY-0 do -W ❑ Establish Suite Numbering: ,}- xCorrection/Clarification: CL�r-Ye�s�-awLS�1 2-ri-04_] Assessor's Parcel Number(s):. QC5 - C� LA 0��j Other Address(es) on this Parcel: Reason for Application: Applicant: 4 . 5;_l_21]_('YS Phone: Applicant's Address: Property Owner: Owner's Address Owner/Agent Signature and Authorization Sketch Addressing Wen Below or Attach Copy Date ....................... ,4 ,s 46, <Q LaHTaIGTOF9 kl.�o-7 ,e. ........ ,. l _ ., _- - -- .. p... -.-............................. .h.=r . Comments/Special Notification: 2-96 City Of e%,* n WIS OB1 Spy Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 46 PRADO Assessor's Parcel Number 053-041-037 Project Description UPGRADE ELECTRICAL SERVICE TO 100 AMP Permit Type _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 VALUATION Comments: Legal Description CY SLO SLO SUB TR PTN LTS 20 & 21 _Plumbing _Sign _Demolition _Grading Occupant/Business Name Architect/Engineer License # _ Contractor's Phone No. 481-7087 Contractor's State Lic. No. 583467 Project Manager's Phone No. 542-5777 PGR Lender Address Stories 1 Codes: UBC 94 NEC 93 Dwelling Units 0 PAYMENTS 111111 Application Number 60406 Amount Date Receipt Application Date 07/01/96 Payment #1 35.00 07/01/96 2994 Permit Number 10923 Issuance Date 07/01/96 Total Paid 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. VNot 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. 35.00 NOTICE TO APPLICANT: FEES Building Permit 0.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 28.00 Grading Permit 0.00 S.M.1.P. 0.00 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Administrative 7.00 Miscellaneous Chg/Cred 0.00 Investigation Fees 0.00 Microfilm 0.00 Subtotal 35.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review 0.00 Fire Safety Surcharge 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Traffic Impact 0.00 Total Fee Calculated 35.00 Balance Due 0.00 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. Certified copy is filed with the City. Special Condilinns Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE j' I certify that in the perfumtartce. of the work for which this permit is issued, I shall }not J 1 employ any person in any manner so as to become subject to the Worker's Contpes lien / Laws of California. � _ Not applicable Signature of Contractor, Authorized Ag [r or Owner Date Address File 'i Glly Of Shcl JUIS �ISW �°"� �o rr BUSINESS TAX CERTIFICATE APPLICATION Finance Department a (805) 781-7134 ■ 990 Palm Street / P.O. Box 8112 + San Luis Obispo, Ca 93403-8112 Application for: ew Business ❑ Change Business Name ❑ Change of Location ❑ Change of Ownership ❑ Change of Mailing Address * Confirm with Community Development that the Business is consistent with city re lations ' nl� �or fo esfablishing your business location. Community Development Department • (805) 781-7170 • 990 Palm Street - San Luis Obispo, CA 93401 • Lower Level City Hall Business Name r- ;. ; Business Phone Doing Business As (DBA) OR In Care of Legal Status (Corporation, Partnership Sole Proprietor / C� Business Location ' �'r Cfi� Suite No. City Staid Tip / Q Mailing Location lf. `. ! , ' :' J �` Suite No. City State Zip Owner Name ' { Social Security No. r State Franchise No. Federal ID No. State Sales Tax No. State License No. (if applicable) Business Open Date �� ��' 7 Gross Receipts List names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) Type of Business: ❑ Retail ❑ Wholesale ❑ Professional ❑ Service ❑ Contractor (State Licensed) ❑ Manufacturing ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Does your business have non -.profit status? iJY Yes �d<]o If yes, will you be doing solicitations? ❑ Yes ❑ No If yes, the solicitations will be performed by: ,©'Owner ❑ Employee ❑ Volunteer ❑ Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your btsin'ess (Include type of do"or'services offered, hours,,etcJ- i T Please check one: ❑ Ground Floor ❑ Upper Floor ❑ Number of Employees: full-time part-time Approximate floor area occupied by the business: square feet. Area devoted to outdoor sales or storage: square feet. Are you sharing with another business If yes, with whom: Name and address of Landlord as stated on Lease If this application is for change of location, name, mailing address or ownership, complete the following: Previous Name or Owner Previous Location/Mailing 1�1/70IN 12.'tROPM .s0141045 A03 r Applicant/Representative: I have reviewed this application and the attached malerl"ai. 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 limitO to zoning, building code or other land use regulations (SLOMC 3.01.102). Signed _ _ 1 _.�- f �f 1= ` L Title Date Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313