HomeMy WebLinkAbout696 Permit (2)ON',1A1111 city of san Luis oBispo
siaBuilding & Safety Division • 919 P 1p1Mtf-U WlQbRem*o1-3218 • (805) 781-7180
Project Address 692 MARSH
Assessor's Parcel
Project Descriptioi
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
C.B.C. Group
Census 437
X Building Mechanical X
CORDON SYLVIA THE
PO BOX 13755
SLO CA, 93406.3755
P R CONST
PO BOX 3431
SANTA BARBARA CA 93130
GLENN MATTOX
_M C.B.C. TypeV-B
Commercial Alteration or Addition
Legal Description CY SLO MRY & CH ADD SL 7 OTN LTS 15 & 16
Electrical X Plumbing Sign _Demolition _Grading
OccupanVBusiness Name 7-ELEVEN FOOD STORE #27835
Architect/Engineer
License #
Contractor's Phone No. 898-7032
Contractors State Lic. No. 783834
Project Managers Phone No. 714.637-7848
Lender Address
Valuation
Non -Residential Alteration 3,000
Fees
Building Permit
Plumbing+Electrical+Mechanical Permit
Grading Permit
S.M.I.P.
Green Building Fee
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc Charge/Credit 0.00 Administrative Permit
Archival Fee
Subtotal 157.30
Investigation Fees
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 144.49
Development Review Fee
Fire Safety Surcharge
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 -
Waterway Management Fee
Open Space In -lieu Fee
Engineering Development Review Fee
105.50
28.12
0.00
0.63
1.00
13.36
8.69
0.00
0.00
0.00
0.00
0.00
118.92
25.57
120.82
28.73
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Fees
451.34
Balance Due
payments 0.00
Amount Date Recelot
Payment 91
451.34 03/30/10 46372
Total Paid
451.34
ApplicationNumberJ00239 Permit Number24533
Application Date
03/30/10 Issuance Date 03/30/10
Stories 0 Codes: CBC07 CEC07
Dwelling t nTns 0 Motel Rooms 0
Total Building Value
Legal Declarations
2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION
$3,000.00
$3.000.00
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
Contractor: P R CONST Class: 9 License #: 783834
3a(3) - WORKERS' COMPENSATION DECLARATION -1 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.
Fee Exemptions:
Comments:
Construction File
/s/ Signed Original on File
Signature of Contractor, Authorized Agent or Owner Date
fdlUcity of san Luis owspo
919 Palm Street • San Luis Obispo, CA 93401-3249
FINAL INSPECTION APPROVALS
Project UPGRADE @ COFFEE MACHINES & ADD SINK
Address 692 MARSH
Owner GORDON SYLVIA THE Permit No. 24533
Contractor P R CONST Date 03/30/10
Please Note: This form must be completed and returned to the Building & Safety Division
BEFORE a final inspection will be conducted. Permitee is responsible for obtaining the
following approvals:
County Health 781-5544 ( )
By Date
See reverse side for instructions.
DO NOT LOSE THIS CARD 10-05
03/08/2010 10:55 FAX
Q 001/004
CONSTRUCTION
March 8, 2010
Please accept this as authorization for the bearers identified as follows:
Glenn Mattox
To acquire permits and licenses as necessary to perform work in the Cities
or Counties of:
Orcutt
Santa Maria
San Luis Obispo City and County
Arroyo Grande
Grover Beach
Pismo Beach
Santa Barbara City and County
as indicated with submission of this authorization.
Thank you for
Sean Brennan
Authorized Signer
PR Construction
attention to this matter.
�II r ^^nY
1995 N. Batavia St., Orange, California 92865 Tel: 714.637.7848 Fax: 714.637.3385 v .proonstruaion.net