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Building & Safety Division • 990 Pairn Street ■ San Luis Obispo, CA 93401-3249 • (805) 781-7180
CONSTRUCTION PERMIT
Project Address
914 OLIVE
Assessor's Parcel
Number 002-295-002
Legal Description CY SLO PTN BL 71 & PTN FIG
ST
Project Description
EMERGENCY CREEK BANK RECONSTRUCTION
Permit Type
X Building _Mechanical _Electrical _Plumbing _Sign _Demolition
Property Owner
JONES JAMES P THE
Occupant/Business Name
_Grading
Mailing Address
3820 SEQUOIA DR
Architect/Engineer
ROBERT C TARTAGLIA
City/State/Zip
SLO CA 93401-8314
License #
C_
Contractor
OWNER
Contractor's Phone No.
543-9643
Mailing Address
Contractor's State Lic.
No.
City/State/Zip
Project Manager
ROBERT TARTAGLIA
Project Manager's Phone
No. 466-5660
Lender Name
Lender Address
U.B.C. Group
R-1 U.B.C. Type V=N
Stories 1
Codes: UBC 91
NEC 90
Census number
434 Residentiat Alteration or Addition
Dwelling Units 0
VALUATION
Retaining/Garden Wall/Fence.............. R 30,000
394.75
30,000
FEES
Building Permit
Plumbing Permit
0.00
Mechanical Permit
0.00
Electrical Permit
0.00
Grading Permit
0.00
S.M.I.P.
3.00
Energy Surcharge
0.00
Accessibility Surcharge
0.00
Demolition Permit
0.00
Sign Permit
0.00
Administrative
0.00
Miscellaneous Chg/Cred
0.00
Total
Building Value 30,000
Investigation Fees
0.00'
Comments:
Microfilm
13.50
Subtotal 411.25
Building Plan Review Fee
394.75
Fire Safety Plan Review
0.00
Plan Review 394.75
Fire Safety Surcharge
0.00
Application Number
50679
PAYMENTS
Construction Unit Tax
0.00
Application Date
08/31/95 Payment #1
Amount Date Receipt
394.75 08/31/95 9293
Water Impact
0.00
Water Meter Installation
0.00
Payment #2
411.25 12/04/95 0426
Wastewater Impact
0.00
'ean Number
10461
Traffic Impact
0.00
ssuan ce Date
12 04195 Total Paid
806.00
Total Fee Calculated
Balance Due
806.00
00000�LEGAL DECLARATIONS
0.00
tWNER BUILDER DECLARATION:
am exempt from the contractor's License Law for the following reason:
- 1, as owner of the property, or my employees with wages as their sole compensation
ill 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
instruct the project.
_ Not applicable
'ORKERS COMPENSATION DECLARATION:
hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of
'orkers' 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
ERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I certify that in the performance of the work for which this permit is issued, I shall not
nploy any person in any manner so as to become subject to the Worker's Compensation
-aws 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.
S ecixl Cnndiuuns:
S' nature of atractor, A r zcd Agent or Owner Date
Address File
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