HomeMy WebLinkAbout3877 Long - Address Recordsr CITY �-iF
son tins OBispo
CA Li l'0R\IA
Bullrq 8 Sre1y 0trom • ata Pyn � set - Sar Lv. [Lye, U 43M1.'!21 Y
Protect Address: 38T7 Long S:
Una or Suaete):
BUILDING PERMIT
Modifications to Fire Sprinklers
RRE-2369-2020
Isa ce Date: 12/171MO
Assessces Parcel Number. 053-251499
Prgecl Desmplwn: ADD 14 DRY PENDANT SPRINKLERS Legal Desaiplion:
ConVactor CHARLES F BROWN FIRE PROTECTION DESIGN
License Type: California State Contractor Ucanse Ucensa Number 499210 Classi0rallon C16 - Fire Prolectbn Contractor
Ucense Type: Workers Campensarton Urarse Number. 99a11275
Owner, Bimbc Bakeries
Business: (N)A) -
Fire Spnnklers: Stones 0.00 Code Year: 2019 DwoMng Units: Molel Rooms.
Census: 437 - Commercial Aheratlon or AddlOon Constructlan Type
Occupancy.
Dimensions
Valuation
Category SOFT:
Gmun
Type So. Ft Factor
Vaivatlnn
Fees
[ Payments
Fee Name
Fee Amount Dale Recelpt A
Amount
Fire Sprinkler Symnima - Tenant Consolidated
$536.59 29,5 12f14720 93-12-14-2020
S552.96
IT Surdurge
S16 37
Total Paid:
5552.96
Total Few
5552.85 I
Plan Check Account Payment by Contact
Contact Name Account Name
Statua Total Credits Total Debite
Account Balance
Total Arxoum Balance:
Balance Due:
$0.00
C_' T V OF
sxn WIS
[: ALIFOR NIAP
Building 8 Safety Division • 919 Palm Street • San Luis Obispo, CA 934013218
Project Address: 3877 Lona St Assessors Parcel Number: 053-251-048
Unit or Suite(s):
Project Description: NEW OXIDIZER & DUCTING Legal Description:
Contractor Dehart Construction
(Manually Verified): Business: (951) 537-9557
License Type: California State Contractor License License Number: 949062
Owner: Bimbo Bakeries
Business: (N/A) -
Fire Sprinklers:
Census:
Occupancy:
Dimensions
Category: SQFT:
Fee Name
Stories 0_00 Code Year: 2019 Dwelling Units:
Valuation
BUILDING PERMIT
Miscellaneous
EPM-0104-2020
Issuance Date: 8/12/2020
Motel Rooms:
Construction Type:
Group Type Sa. Ft Factor Valuation
Manual $105.988.00
Fees
Supplemental Plan Check (Building) - BLDG
Supplemental Plan Check (Building) - BLDG
Supplemental Plan Check (Building) - BLDG
IT Surcharge
Supplemental Inspection (Building) - BLDG
Supplemental Plan Check (Building) - BLDG
Total Fees
Fee Amount
$788.47
$619.51
$112.64
$91 66
$1,090 40
$394 23
$3,096.91
Payments
Date Receipt # Amount
8/7/20 28,195-08-07-2020 $3,096.91
Total Paid: $3,096.91
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Dehart Construction EPM-0104-2020 in use $500 00 $0.00 $500 00
Total Account Balance: $500.00 $0.00 $500.00
Balance Due: ($500.00)
iA n.uis OBISPO
Building & Safety Division • 919 Palm Street - San Luis Obispo, CA 93401-3218
Project Address: 3877 Lone St
Unit or Suite(s):
Project Description: CE: install conveyor & racking - San Luis Sourdough
Contractor: Dehart Construction
Business: (951) 537-9557
License Type: California State Contractor License
Owner: Bimbo Bakeries
Business: (NIA) -
BUILDING PERMIT
Alt/Addition - Commercial
BLDG-5332-2019
Issuance Date: 5/14/2020
Assessor's Parcel Number: 053-251-048
Legal Description:
License Number: 949062
Fire Sprinklers: Provided Stories 1.00 Code Year: 2016 Dwelling Units: Motel Rooms:
Census: 437 - Commercial Alteration or Addition Construction Type: III -A
III -A
Occupancy: Business, professional offices (B)
Storage, low hazard (S-2)
Dimensions Valuation
Category: SQFT: Group Tvoe Sq. Ft Factor Valuation
Manual $50,000.00
Fees
Fee Name
Fee Amount
Supplemental Inspection (Building) - BLDG
$872.32
Green Building Fee
$2.00
Special Investigation Fee
$872.00
IT Surcharge
$100.23
Supplemental Plan Check (Building) - BLDG
$1,635.60
Supplemental Plan Check (Building) - BLDG
$436.16
C&D Recycling - UTIL
$66.35
Building Plan Rev - Commercial - Minor
$275.74
SMIP (Commercial)
$14.00
Total Fees:
$4,274.40
Payments
Date Receipt # Amount
5/14/20 27,231-05-14-2020 fJ _ $750.00
5/14120 27,232-05-14-2020 $3,524.40
Total Paid: $4,274.40
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Dehart Construction BLDG-5332-2019 in use $750 00 $750.00 $0.00
Total Account Balance: $750.00 $750.00 $0.00
Balance Due: $0.00
CITY OF
sAn WIS OBI SPO
C A L i F O R N i A
Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Alt/Addition - Commercial
BLDG-5382-2019
Issuance Date: 10/29/2019
Project Address: 3877 Long St Assessor's Parcel Number: 053-251-048
Unit or Suite(s):
Project Description: Freezer TI - San Luis Sourdough Legal Description:
Contractor: Dehart Construction
Business: (951) 537-9557
License Type: California State Contractor License License Number: 949062
Owner: Bimbo Bakeries
Business: (N/A) -
Fire Sprinklers: Provided Stories 1.00 Code Year: 2016 Dwelling Units: Motel Rooms:
Census: Construction Type: III -A
III -A
Occupancy: Business, professional offices (B)
Storage, low hazard (S-2)
Dimensions Valuation
Category: SQFT: Group Type Sq. Ft Factor Valuation
Manual $110,000.00
Fees
Payments
Fee Name
Fee Amount
Date
Receipt #
Amount
C&D Recycling - UTIL
$66.35
10/25/19
24,414-10-25-2019
$750.00
IT Surcharge
$43.69
10/25/19
24,415-10-25-2019
$762.18
Building Plan Rev - Commercial - Minor
$275.74
Total Paid:
$1,512.18
Supplemental Inspection (Building) - BLDG
$654.24
Supplemental Plan Check (Building) - BLDG
$436.16
SMIP (Commercial)
$31.00
Green Building Fee
$5.00
Total Fees:
$1,512.18
Plan Check Account Payment by Contact
Contact Name Account Name
Status
Total Credits Total Debits
Account Balance
Dehart Construction BLDG-5382-2019
in use
$750.00 $750.00
$0.00
Total Account Balance:
$750.00 $750.00
$0.00
Balance Due:
$0.00
5,xn� WIS OBISP O
C A L I F O R N I A
Budding & Safety D;vision • 919 Palm Street • San Luis Obispo. CA 93401-3218
BUILDING PERMIT
Alt/Addition - Commercial
BLDG-4641-2019
Issuance Date: 9/18/2019
Project Address:
3877 Long St Assessor's Parcel Number: 053-251-048
Unit or Suite(s):
Project Description: TI for San Luis Sourdough Legal Description:
Contractor:
Dehart Construction
Business: (951) 537-9557
License Type: California State Contractor License License Number: 949062
Owner:
Bimbo Bakeries
Business: (N/A) -
Fire Sprinklers: Provided Stories 1.00 Code Year: 2016 Dwelling Units: Motel Rooms:
Census: 437 -Commercial Alteration or Addition Construction Type: III -A
III -A
Occupancy: Business, professional offices (B)
Storage, low hazard (S-2)
Dimensions Valuation
Category: SQFT. Group Type Sq. Ft Factor Valuation
Manual $200,000.00
Fees
Payments
Fee Name
Fee Amount
Date
Receipt #
Amount
Commercial Tenant Improv - Non Structural - FIRE
$804.67
9/18/19
23,792-09-18-2019
$2,241.29
C&D Recycling - UTIL
$66.35
9118/19
23,793-09-18-2019
$1,765.66
IT Surcharge
$116.70
Total Paid:
$4,006.95
Consolidated Inspection Fees
$1,185.30
Green Building Fee
$8.00
Consolidated Plan Check Fees
$1,494.19
SMIP (Commercial)
$56.00
Building Plan Rev - Commercial - Minor
$275.74
Total Fees:
$4,006.95
Plan Check Account Payment by Contact
Contact Name Account Name
Status
Total Credits Total Debits
Account Balance
Dehart Construction BLDG-4641-2019 (Building Plan Check Deposit) in use
$2,241.29 $2,241.29
$0.00
Total Account Balance:
$2,241.29 $2,241.29
$0.00
Balance Due:
$0.00
CITY OF `
SAn WIS OBISP O
C A L I F O R N I A
Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Alt/Addition - Commercial
BLDG-0448-2014
Issuance Date: 3/4/2015
Project Address: 3877 Long Street Assessor's Parcel Number: 053-251-048
Unit or Suite(s):
Project Description: Build one interior wall, drooped ceiling. electrical. AC Legal Description: CY SLO PM 53-53 PAR 3
Architect: PERENNIAL ARCHITECT & ASSOCIATES
Mobile: (805) 471-9342
Contractor: ERIC FINLAYSON
Business: (805) 423-4712
License Type: California State Contractor License License Number: 901691 Classification: B - General Building Contractor
Owner: STRASBAUGH DEVELOPMENT CORP A DE CORP
Fire Sprinklers: Not Provided Stories 1.00 Code Year: 2013 Dwelling Units. Motel Rooms:
Census: Construction Type:
Occupancy:
Dimensions Valuation
Category: SQFT: Group Type Sq. Ft Factor Valuation
Manual $16,000.00
Fees
Payments
Fee Name
Fee Amount
Date Receipt #
Amount
Supplemental Plan Check (Building)
$202.00
3/4/15 1,672-03-04-2015
$852.00
SMIP (Commercial)
$4.48
3/4/15 1,673-03-04-2015
$942.54
Partition
$677.00
Total Paid:
$1,794.54
Planning Development Review Fee
$475.64
Other Electrical Inspections
$202.00
Fire Safety Surcharge
$232.42
Green Building Fee
$1.00
Total Fees:
$1,794.54
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
STRASBAUGH BLDG-0448-2014 (Building Plan Check Deposit) in use $852.00 $852.00 $0.00
DEVELOPMENT CORP A DE
CORP
Balance Due:
Total Account Balance: $852.00 $852.00 $0.00
$0.00
00-1
city of
n
tuis oi5i s o
Building & Safety Division • 919 PtCyRg rd6tjbaloft �01-3218 • (805) 781-7180
Lll:
Project Address 3877 LONG
Assessor's Parcel Number 053-251-048
Legal Description CY SLO PM 53-53 PAR 3
Project Description CANOPY TO COVER LOADING DOCK
Permit Type X Building Mechanical
Electrical Plumbing Sign Demolition Grading
Property Owner STRASBAUGH DEVELOPMENT
CORP A DE
Occupant/Business Name SARA LEE BAKERY
Mailing Address CORP
Architect/Engineer SDG / DAVID BRANNON
City/State/Zip PO BOX 1248
License # C-10863
Contractor SLO CA, 93406-1248
Contractor's Phone No. 543-2427
Mailing Address CARROLL BUILDING COMPANY
Contractor's State Lic. No. 755673
City/State/Zip 2653 VICTORIA AVENUE
Project Manager SAN LUIS OBISPO CA 93401
Project Manager's Phone No. 541-3848 X203
Lender Name DAVID BRANNON
Lender Address
C.B.C. Group U.B.C. Type
Stories 1 Codes: CBC01 CECO
Census number F-1 Commercial Alteration orlMeNition
Dwelling Units 0 Motel Rooms 0
Valuation
Non -Residential Addition to Service Commercial
25,000 $25,000.00
Total Building Value $25,000.00
Fees
Legal Declarations
Building Permit
461.85
1, OWNER BUILDING DECLARATION:
Plumbing+Electrical+Mechanical Permit
0.00
1 am exempt from the contractor's License Law for the following reason:
Grading Permit
0.00
1, as owner of the properly, or my employees with wages as (heir sole
S M.I.P.
5.25
compensation will do the work and the structure is not intended or offered
Energy Surcharge
0.00
for sale.
Accessibility Surcharge
30.02
❑ 1, as owner of the property, am exclusively contracting with licensed
Demolition Permit
0.00
contractors to construct the project.
Sign Permit
0.00
ZZV Not applicable.
Misc Charge/Credit 0.00 Administrative Permit
0.00
2. WORKER'S COMPENSATION DECLARATION:
1 hereby affirm that 1 have a certificate of consent to self -insure, or a 'certificate
Archival Fee
559.42
62.30
of Workers' Compensation insurance, or a certified copy hereof
Subtotal
Investigation Fees
0.00
Certified copy is hereby furnished.
Building Plan Review Fee
411.05
Certified copy is filed with the City.
Fire Safety Plan Review
71.93
Not applicable
Plan Review Subtotal 482.98
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
Development Review Fee
338.60
❑ 1 certify that in the performance of the work for which this permit is issued,
Fire Safety Surcharge
80.82
1 shall not employ any person in any manner so as to become subject to the
Construction Unit Tax
0.00
Worker's Compensation Laws of California
Water Impact 0.00 Area -
0.00
-® Not applicable
Water Meter Installation
0.00
NOTICE TO APPLICANT:
Wastewater Impact 0.00 Area -
0.00
If, after making any of the foregoing declarations, you become subject to any
Traffic Impact 0.00 Area -
0.00
Labor Code or License Law provision, you must comply with such provisions
Affordable Housing
0.00
or this permit shall be deemed revoked.
Public Art
0.00
Code Enforcement
0.00
1 certify that I have read this application and state that the above information
Park Improvement Area -
0.00
is correct, I agree to comply with all city ordinances and state laws relating to
Waterway Management Fee
61.10
building construction, and hereby authorize representatives of this city to
0.00
enter upon the above -mentioned property for inspection purposes. Unless
Plan Preparation Fee
0.00
noted under "Special Conditions", this permit becomes null and void if work
Open Space In -lieu Fee
1,522.92
or construction authorized is not started within 180 days, or if construction
Total Fees
0.00
or work is suspended or abandoned for a period of 180 days any time after
Balance Due
Payments
work is commenced.
Amount Date
Receipt
Special Conditions:
Payment#1 482.98 11/15/06
29683
Payment #2 1,03994 12/13/06
30035
Total Paid 1.522.92
Comments:
Application Number061052 Permit Number 21709
Application Date 11/15/06 Issuance Date 12/13/06
Address File
Agent or Owner
'i city of San tuts oBiS o
Building & Safety Division • 990 Palm 5,treet ■ San Luis Obispo.CA 93401.3249 • (805) 781-7180
Project Address 3877 LONG
Assessor's Parcel Number 053-251-048 Legal Description CY SLO PM 53-53 PAR 3
Project Description EXPAND TO ADJ SPACE/ADD OVENS--SARA LEE
Permit Type X Building X Mechanical X Electrical X Plumbing Sign
Property Owner STRASBAUGH DEVELOPMENT CORP A DE Occupant/Business Name SARA LEE
Mailing Address CORP Architect/Engineer
City/State/Zip PO BOX 1248 License #
Contractor SLO CA, 93406-1248 Contractor's Phone No. 543-2427
Mailing Address CARROLL BUILDING COMPANY Contractor's State Lic. No. 755673
City/State/Zip 2653 VICTORIA AVENUE
Project Manager
Lender Name
C.B.C. Group
SAN LUIS OBISPO CA 93401
Project Manager's Phone No. 543-2427
Demolition Grading
BRUCE HOUSEMAN Lender Address
U.B.C. Type Stories 1 Codes: CBC01 CEC04
Census number F-2 Commercial Alteration orAftition Dwelling Units 0 Motel Rooms 0
Valuation
Non -Residential Alteration
Fees
Building Permit
1,010.00
Plumbing Permit
134.63
Mechanical Permit
134.63
Electrical Permit
134.63
Grading Permit
0.00
S. M.I. P.
17.85
Energy Surcharge
141.39
Accessibility Surcharge
91.90
Demolition Permit
0.00
Sign Permit
0.00
Misc Charge/Credit 0.00 Administrative Permit
0.00
Archival Fee
0.00
Subtotal 1,665.03
Investigation Fees
0.00
Building Plan Review Fee
1,258.36
Fire Safety Plan Review
220.21
Plan Review Subtotal 1,478.57
Development Review Fee
1,089.58
Fire Safety Surcharge
247.43
Construction Unit Tax/Plan Preparation
0.00
Water Impact 0.00 Area -
0.00
Water Meter Installation
0.00
Wastewater Impact 0.00 Area -
0.00
Traffic Impact
0.00
Affordable Housing
0.00
Public Art
0.00
Code Enforcement
0.00
Park Improvement Area -
0.00
Waterway Management Fee
0.00
Total Fees
4,480.61
Balance Due Payments
0.00
Amount Date
Receipt
Payment #1 4,480.61 12/22/05
24366
Total Paid 4,480.61
Application Number051200 Permit Number 20727
Application Date 12/22/05 Issuance Date 01/17/06
Address File
85,000 $85,000.00
Total Building Value $85,000.00
Legal Declarations
1. OWNER BUILDING DECLARATION:
1 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 will do the work and the structure is not intended or offered
for sale.
1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project.
Not applicable.
2. WORKER'S 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
Certified copy is hereby furnished.
Certified copy is filed with the City.
Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
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
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 1 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.
Special Conditions:
Comments:
Agent or Owner
,I , �«��f1111111" Ilill� ItY of qAn WIS OBISPO
Building & Safety Division ► *a0 Palm Street • San Luis Obisp CA 9340,1f249 : (805) 781-7180
Project Address 3877 LONG B
Assessor's Parcel Number 053-251-048
Legal Description CY SLO PM 53-53 PAR 3
Project Description RACK ANCHORING IN STORAGE AREA
Permit Type X Building Mechanical
Electrical Plumbing Sign Demolition Grading
Property Owner STRASBAUGH DEVELOPMENT CORP A DE CORP
Occupant/Business Name DIOPTICS
Mailing Address PO BOX 1248
Architect/Engineer
City/State/Zip SLO CA, 93406-1248
License #
Contractor OWNER
Contractors Phone No.
Mailing Address
Contractor's State Lic. No-
City/State/Zip
Project Manager RHONDA HUNTER
Project Manager's Phone No. 593-1159
Lender Name
Lender Address
U.B.C. Group U.B.C. Type V-N
Stories 1 Codes: UBC 98 NEC98
Census number 437 Commercial Alteration or Addition
Dwelling Units 0 Motel Rooms 0 Enforcement
Valuation
Non -Residential Alteration
250 $250.00
Fees
Total Building Value $250.00
9 Legal Declarations
Building Permit
35.00
Plumbing Permit
0.00
1• OWNER BUILDING DECLARATION:
1 aT exempt from the contractor's License Law for the following reason:
Mechanical Permit
0.00
VJ 1, as owner of the property, or my employees with wages as their sole
Electrical Permit
0.00
tompensaffon will do the work and the structure is notintended or offered
Grading Permit
0.00
for sale.
S.M.I.P.
0.50
❑ I, as owner of the property, am exclusively contracting with licensed
Energy Surcharge
0.00
contractors to construct the project.
Accessibility Surcharge
0.00
❑ Not applicable.
Demolition Permit
0.00
2. WORKER'S COMPENSATION DECLARATION:
Sign Permit
0.00
/ hereby affirm that I have a certificate of consent to self -insure, or a 'certificate
Administrative Permit
0.00
of Workers' Compensation insurance, or a certified copy hereof
Miscellaneous Charge/Credit
0.00
Certified copy is hereby furnished.
Investigation Fees
0.00
Certified copy is filed with the City.
Microfilm
7.85
Not applicable
Subtotal 43.35
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
Building Plan Review Fee
31.15
I certify that in the performance of the work for which this permit is issued,
Fire Safety Plan Review
5.45
1 shall not employ any person in any manner so as to become subject to the
Plan Review Subtotal 36.60
Worker's Compensation Laws of California
Fire Safety Surcharge
6.13
" Not applicable
Construction Unit Tax
0.00
Pi
Water Impact
0.00
NOTICE TO APPLICANT.,
Water Meter Installation
0.00
If, after making any of the foregoing declarations, you become subject to any
Wastewater Impact
0.00
Labor Code or License Law provision, you must comply with such provisions
Traffic Impact
0.00
or this permit shall be deemed revoked.
Affordable Housing
0.00
1 certify that I have read this application and state that the above information
Public Art
0.00
is correct, I agree to comply with all city ordinances and state laws relafing to
Total Fees
86.08
building construction, and hereby authorize representatives of this city to
Balance Due
Payments
0.00
enterupon the above -mentioned property forinspection purposes. Unless
"Special
noted under Conditions", this permit becomes null and void if work
Amount Date
Receipt
or construction authorized is not started within 180days, or if construction
Payment #1 36.60 08/29/01
0345
or work is suspended or abandoned for a period of 180 days any time after
Payment #2 49.48 02/12/02
2526
work is commenced.
Special Conditions:
Total Paid 86.08
Application Number 010880
Application Date 08/29/01
Permit Number 16452
Issuance Date 03/29/02
Comments:
Address File
Agent or Owner
,3-2cl 0
CItY Of San WIS OBI s o
Building & Safety DMsia,, - ,30 Palm Street • San Luis Obispo, CA 93401-324�? • �805) 781.7180
City o,, f San Luis Obispo
Certificate of Occupancy
This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and attest:
------ that at the time of issuance, this structure or portion thereof was inspected and determined to bf
=-: in compliance with the various ordinances of the City of San Luis Obispo regulating building
construction or use.
Use Classification: ALTER EXISTING LOADING DOCK AND RAMP
Occupancy Group: F-1 Permit Number: 14119
Building Owner: STRASBAUGH DEVELOPMENT LLC
-- Owner's Address PO BOX 1248 SAN LUIS OBISPO CA. 93406-1248
Building Address: 3877 LONG A
Date Issued: 08/11 /00
Building Official
POST IN A CONSPICUOUS PLACE
�IIIIIII!I���II�IIIIIIII,
gg- AL' city of san tuts osIspo
GUARANTEE TO THE CITY OF SAN LU IS OBISPO
(with ® Promissory Note, ❑ Letter of Credit or ❑ Certificate of Deposit)
I, the undersigned, hereby place on deposit with the City of San Luis Obispo, in the form of a promissory
note, Letter of Credit or Certificate of Deposit, the sum of $ qQ0- QC) to guarantee:
at the
property commonly known as 6 within
days from this date. If I fail to make these improvements within said days from this date, the City is
authorized to make these improvements. If the City has to proceed with these improvements, I agree to
pay the City for all costs incurred by the City, including attorney's fees, for the enforcement and/or
installation of these improvements.
APN
Lot
Block
-
Signed C Date
Print C1 ano i-L. -
Address 2- 6 '3-3 V I C-TOfZe q A ✓(E—
S-L-0,
Phone c� �)LV 29
Tract
ROWSO + c e•
F�
78.90
I��'�ia��llll�' IIIII CItY Of sari WIS OBISPO
goBuilding & Safety Division 990 Palm Street • San Luis Obispo. CA 93401-3249 & (805) 781-7180
Construction Permit
Project Address 3877 LONG A
Assessor's Parcel Number 053-251-048 Legal Description CY SLO PM 53-53 PAR 3
Project Description ALTER EXISTING LOADING DOCKAND RAMP
Permit Type
X Building Mechanical
Electrical Plumbing Sign Demolition Grading
Property Owner
STRASBAUGH DEVELOPMENT LLC
Occupant/Business Name SAN LUIS SOURDOUGH
Mailing Address
PO BOX 1248
Architect/Engineer DAVID BRANNON
City/State/Zip
SAN LUIS OBISPO CA, 93406-1248
License # C-10863
Contractor
CARROLL DEVELOPMENT INC
Contractor's Phone No. 543-2427
Mailing Address
2653 VICTORIA AVE
Contractors State Lic. No. 755673
City/State/Zip
SLO CA 93401
Project Manager
DAVID BRANNON
Project Manager's Phone No. 541-3848
Lender Name
Lender Address
U.B.C. Group
F-1 U.B-C. Type V-N
Stories 1 Codes: UBC 98 NEC98
Census number
437 Commercial Alteration or Addition
Dwelling Units 0 Motel Rooms 0
Valuation
Non -Residential Alteration
5,000 $5,000.00
Building Permit Fees
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
S.M.I.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
Investigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water Impact
Water Meter Installation
Wastewater Impact
Traffic Impact
Affordable Housing
Total Fees
Balance Due
Payments
132.05
109.10
109.10
0.00
0.00
0.00
0.00
1.05
0.00
0.00
0.00
0.00
0.00
0.00
000
21 90
10910
0.00
0.00
0.00
0.00
0,00
0.00
0,00
0,00
241,15
0.00
Amount
Date Receipt
Payment #1
109.10
10/06/99 9143
Payment #2
132.05
12/15/99 0077
Total Paid
241-15
Application Number 90939
Application Date 10/06/99
Permit Number 14119
Issuance Date 12/15/99
Total Building Value $5,000.00
Legal Declarations
1. OWNER BUILDING DECLARATION:
I 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 will do the work and the structure is not intended or offered
for sale.
❑ L as owner of the property, am exclusively contracting with licensed
contractors to construct the project.
Not applicable.
2. WORKER'S 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
Certified copy is hereby furnished.
Certified copy is filed with the City.
Nat applicable
3. 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
r4l 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 forinspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authorized is not started within 180 days, orif construction
or work is suspended or abandoned for a period of 180 days any time after
work is commenced.
Special Conditions:
Comments:
Address File
nature of Contractor,
�� �IIII�II I 1"'11011111clay of S -\n WIS OBISPO
Building & Safety Division • 99�OP alm Street ■ San Luis Obispo, CA 93401-3249 • (805) 781-7180
Construction Permit
Project Address 3877 LONG B
Assessor's Parcel Number 053-251-025 Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
Project Description ADD CLEAN ROOM FOR DIOPTICS
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
Mailing Address
City/State/Zip
X Building X Mechanical X
R HOWARD STRASBAUGH A CAL CORP
PO BOX 1248
SLO CA, 93406-1248
OWNER
Project Manager TOM MARTIN
Lender Name
U.B.C. Group B
Census number 437
Electrical X Plumbing Sign Demolition Grading
Occupant/Business Name DIOPTICS
Architect/Engineer TOM MARTIN
License #
Contractor's Phone No.
Contractor's State Lic. No.
C-22923
Project Manager's Phone No. 544-4398
Lender Address
Stories 1 Codes: UBC 94 NEC93
Dwelling Units 0 Motel Rooms 0 Enforcement
Valuation
Non -Residential Alteration 50,000 with A/C Fire Sprinklers $50,000,00
U.B.C. Type V-N Fire Sprinklers
Commercial Alteration or Addition
Building Permit
Fees
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
S.M.I.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
Investigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water Impact
Water Meter Installation
Wastewater Impact
Traffic Impact
Total Fees
Balance Due
1,050.61
1,019.59
Payments
619.85
82.63
82.63
82.63
0.00
10.50
86.77
56.40
0.00
0.00
0.00
0.00
0.00
29.20
867.74
151.85
151.85
0.00
0.00
0.00
0.00
0.00
2,222.05
0.00
Amount Date Receipt
Payment#1 1,019.59 10/21/98 4090
Payment #2 1,202.46 12/22/98 4886
Total Paid 2,222.05
Application Number 80963
Application Date 10/20/98
Permit Number 13125
Issuance Date 12/23/98
Total Building Value $50,000.00
Legal Declarations
1.OWNER BUILDING DECLARATION:
1 am xempt from the contractors License Law for the following reason:
1, 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.
❑ 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project.
❑ Not applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that 1 have a certificate of consent to self -insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
Certified copy is hereby furnished.
Certified copy is filed with the City.
Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
❑ I certify that in the performance of the work for which this permit is issued,
I shalt not employ any person in any manner so as to become subject to the
Tor
is 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, orif construction
or work is suspended or abandoned for a period of 180 days any time after
work is commenced.
Special Conditions:
Comments:
Address File
re or Contractor, Authorized -Agent or
CItY of F Nn WIS OB1 s O
Buildin' $ Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180
Construction Permit
Project Address 3877 LONG B
Assessor's Parcel Number 053-251-025
Project Description FOUNDATION FOR FUTURE CLEAN ROOM
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
X Building Mechanical
R HOWARD STRASBAUGH A CAL CORP
PO BOX 1248
SLO CA, 93406-1248
NOBLE BUILDING CO
PO BOX 14621
SLO CA 93406
Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
Electrical Plumbing Sign Demolition Grading
Occupant/Business Name DIOPTICS
Architect/Engineer TOM MARTIN
License # C-22923
Contractor's Phone No. 543-7577
Contractor's State Lic. No. 528350
TOM MARTIN Project Manager's Phone No.- 544-4398
Lender Address
U.B.C. Group B U.B.C. Type V-N Fire Sprinklers Stories 1 Codes: UBC 94 NEC93
Census number 437 Commercial Alteration or Addition Dwelling Units 0 Motel Rooms 0 Enforcement
Valuation
Non -Residential Alteration 1.790 with A/C Fire S rinklers $1 79000
Building Permit Fees
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
S.M.I. P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
Investigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water Impact
Water Meter Installation
Wastewater Impact
Traffic Impact
Total Fees
Balance Due
60.95
000
0.00
0.00
000
050
000
0.00
0.00
0.00
0.00
0.00
0.00
0.00
60.95
0.00
60.95
0.00
0.00
0.00
0.00
0.00
0.00
122.40
0.00
Payments
Amount Date Recent
7Payment#1 122.40 11/03/98 4263
Total Paid 122.40
Application Number 81023
Application Date 11 /03/98
Address File
Permit Number 13000
Issuance Date 11/06/98
p
Total Building Value $1,790.00
Legal Declarations
1. OWNER BUILDING DECLARATION:
I am exempt from the contractors 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.
Not applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that/ have a certificate of consent to self -insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
Certified copy is hereby furnished.
Certified copy is filed with the City.
Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
QI 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
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, orif construction
or work is suspended or abandoned for a period of 180 days any time after
work is commenced.
Special Conditions.
Comments:
city C'r
san
WIS OBl S" O
Building & Safety Division •
990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180
Construction Permit
Project Address 3877 LONG B
Assessor's Parcel Number 053-251-025
Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
Project Description ADD 200A & 400A SERVICE FOR CLEAN
ROOM
Permit Type Building Mechanical X
Electrical Plumbing Sign Demolition Grading
Property Owner R HOWARD STRASBAUGH A CAL
CORP
Occupant/Business Name DIOPTICS
Mailing Address PO BOX 1248
Architect/Engineer
City/State/Zip SLO CA, 93406-1248
License #
Contractor ROB OLSON ELECTRIC INC
Contractor's Phone No 541-4622
Mailing Address 855 CAPITOLIO WAY
Contractor's State Lic. No. 496109
City/State/Zip SAN LUIS OBISPO CA 93401
Project Manager ROB OLSON
Project Manager's Phone No. 541-4622
Lender Name
Lender Address
U.B.0 Group U.B.C. Type
Stories 0 Codes: UBC 94 NEC93
Census number
Dwelling Units 0 Motel Rooms 0
Valuation
Fees
Building Permit
Total Building Value $0.00
Legal Declarations
0.00
Plumbing Permit
0.00
1. OWNER BUILDING DECLARATION:
1 am exempt from the contractor's License Law for the following reason:
Mechanical Permit
0.00
1, as owner of the ro e p p rty, or my employees with wages as their sole
Electrical Permit
58.80
compensation will do the work and the structure is not intended or offered
Grading Permit
0.00
forsa/e.
S.M I.P.
0.00
n I, as owner of the property, am exclusively contracting with licensed
Energy Surcharge
0.00
contractors to construct the project.
Accessibility Surcharge
0.00
Not applicable
Demolition Permit
0.00
RKER'S COMPENSATION DECLARATION:
Sign Permit
000
1 hereby affirm that I have a certificate of consent to self -insure, or a 'certificate
Administrative Permit
000
of Workers' Compensation insurance, or a certified copy hereof
Miscellaneous Charge/Credit
0.00
Certified copy is hereby furnished.
Investigation Fees
0.00
Certified copy is filed with the City
Microfilm
0.00
Not applicable
Subtotal 58.80
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
Building Plan Review Fee
0.00
❑ I certify that in the performance of the work for which this permit is issued,
Fire Safety Plan Review
0.00
1 shall not employ any person in any manner so as to become subject to the
Plan Review Subtotal 0.00
Woo er's Compensation Laws of California
Fire Safety Surcharge
0.00
Not applicable
Construction Unit Tax
0.00
fVbTiCE TO APPLICANT:
Water Impact
0.00
Water Meter Installation
0.00
If, after making any of the foregoing declarations, you become subject to any
Wastewater Impact
0.00
Labor Code or License Law provision, you must comply with such provisions
Traffic Impact
0.00
or this permit shall be deemed revoked.
Total Fees
Balance Due
58.80
0.00
Payments
Amount Date Receipt
FTotalPa,d
58.80 10/19/98 4040
58.80
Application Number 80956
Application Date 10/19/98
Permit Number 12936
Issuance Date 10/19/98
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.
Special Conditions:
Comments:
Address File)�Y—/1010 8
Signature
or Uwner
111�111 CIt "Are WIS OBI s
P(N
immiBuilding & Safety Division ■ 99U Palm StreetlBox 8100 • San Luis Obispo, CA 93403-8100 • (805) 781-7180
CONSTRUCTION PERMIT
Project Address 3877 LONG B
Assessor's Parcel Number 053-251-025
Project Description TENANT IMPROVEMENTS FOR DIOPTICS
Permit Type X Building X Mechanical X Electrical
Property Owner R HOWARD STRASBAUGH A CAL CORP
Mailing Address 825 BUCKLEY RD
City/State/Zip SAN LUIS OBISPO CA 93401-8127
Contractor GORDON L_ MOUNTJOY ASSOC
Mailing Address 31726 RANCHO VIEJO ROAD #111
City/State/Zip SAN JUAN CAPIS. CA 92675
Project Manager
Lender Name
Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
X Plumbing _Sign _Demolition _Grading
Occupant/Business Name DIOPTICS
Architect/Engineer GREG WYNN
License # C-24917
Contractor's Phone No. 714-661-0447
Contractor's State Lic. No. 614590
GREG WYNN Project Manager's Phone No. 544-8823
Lender Address
U.B.C. Group B-2 U.B.C. Type V-N Fire Sprinklers Stories 1
Census number 437 Commercial Alteration or Addition Dwelling Units 0
VALUATION
Non -Residential Alteration/Addition/Conve $ 35,000 35,000
with Fire Sprinklers and with A/C
Total Building Value 35,000
Comments: FEES MAY
M
PAYMENTS
Application Number
40841
Amount Date Receipt
Application Date
11/23/94
Payment #1
341.00 11/23/94 5905
Payment #2
600.17 12/05/94 6024
Permit Number
09728
Issuance Date
12 05 94
Total Paid
941.17
LEGAL DECLARATIONS
Codes: UBC 91 NEC 90
FEES
Building Permit
333.70
Plumbing Permit
44.48
Mechanical Permit
44.48
Electrical Permit
44.48
Grading Permit
0.00
S.M.I.P.
7.35
Energy Surcharge
46.71
Accessibility Surcharge
30.36
Demolition Permit
0.00
Sign Permit
0.00
Administrative
0.00
Miscellaneous Charge/Cred
0.00
Investigation Fees
0.00
Microfilm
6.30
Subtotal 557.86
Building Plan Review Fee
303.64
Fire Safety Plan Review
37.96
Plan Review 341.60
Fire Safety Surcharge
41.71
Construction Unit Tax
0.00
Water Impact
0.00
Water Meter Installation
0.00
Wastewater Impact
0.00
Total Fee Calculated
941.17
Balance Due
0.00
OWNER BUILDER DECLARATION: NOTICE TO APPLICANT:
I am exempt from the contractor's License Law for the following reason: If, after making any of the foregoing declarations, you become subject to any Labor
_ I, as owner of the property, or my employees with wages as their sole compensation Code or License Law provision, you must comply with such provisions or this permit shall
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.
Xl�qot 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
_ 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.
X.N-ot applicable
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.
Special Conditions:
1�
Signature of ontraczor, Authorized Agent or Owner Date
Address File
��� .
.. .-. � -
;.:iuw�rr.'.. :ulGri;;; G,I �� - ra,. ;f7•� ...,�.. �:E. as;r:;a„ �� ;.� ,:�,,,,,.,y,y..,
's �,t
ri �.i
..•.. _. ..._i ,I Ik 11H..: 3:'_:' _...... IftlN4l_:;..;::.. .v•lc IMrNR1L•a-�':�� ._... `t+7 iun :,•:=� .. ... ��r,.,,ti,•���'..: r' .,..r�'•llfuiu„["•r '=� _...`•7;I+ararm�., Via: ._.,.�:;Yrlmiiiir�;;=;';.'r;� ._, s;rNri�G
- - «i:.; - 7i4•I+LC' =���:i��Iditir.'ry,..::i'•: ^�,��,'�• �t�� _ ,�,ia - :i•_
1®
r
4.-.=--.
������iiii���llllllllllll1Q��IIIIIII city of santins osispo
GUARANTEE TO THE CITY OF SAN LUIS OBISPO
(with ❑ Promissory Note, ❑ Letter of Credit or ❑ Certificate of Deposit) `
I, the undersigned, hereby place on deposit with the City of San Luis Obispo, in the form of a promissory
note, Letter of Credit or Certificate of Deposit, the sum of $ S CGC: - CC to guarantee:
�R —�,4 t7 = f� C� C ✓l'� i Ti 1.tl d f��� ; r 2 . r, i-,1 I 44A
G T -7-7-4 _= s1�i���/Tii;t, %� 7-;-1= l
f�,/f51CA)
at the
property commonly known as — i �2� within
days from this date. If I fail to make these improvements within said days from this date, the City is
authorized to make these improvements. If the City has to proceed with these improvements, I ag?ee to
pay the City for all costs incurred by the City, including attorney's fees, for the enforcement and/or
installation of these improvements.
APN C5-3—Z6-i —CZS Lot
Block
Tract
Signed Date -f7/ lcj 4
Print
I:1�(Z iL J
Address
p
7JL.\ t L i r t 1 l:� r C� 7 �' Li [ ._ • a` i '..i '
Phoned 7S12 �� �� 2 L
Release Requesioa ay.
a
78-90
�i
-City Of SM IUIS OBIS130
Community Development Department, 990 Palm Street (P.O. Box 8100), San Luis Obispo, CA 93403-8100
ADDRESS CHANGE APPLICATION 0
❑ Change Address
From: �C l t? 7 ra n, - ;j f::1$2 Y -) JeOQ To: _-s —1 CA\)
Create New Address: -7 . Y
❑ Delete Address:
Assessor's Parcel Number(s): Cam'ES - 2 1—
Other Address(es) on this Parcel:
Reason for Application:
Applicant:
Applicant':
Property Owner: J0— Phone: S'
Owner's
Owned
and
Received By:
Application Num� le
Dates Entered: Data Base
Project Planner:
Comments/Special Notific
0
Sketch Addressing Plan Below or Attach Copy
j
A. P:
on:
Date
fffAp
co co
Date:
s: io 4 Counterbook: �
1ro�/ar9¢-
,r; m
MY Of San WI S OBI SP O
GUARANTEE TO THE CITY OF SAN LUIS OBISPO
(with ❑ Promissory Note, ❑ Letter of Credit or ❑ Certificate of Deposit)
I, the undersigned, hereby place on deposit with the City of San Luis Obispo, in the form of a promissory
note, Letter of Credit or Certificate of Deposit, the sum of S ICGa 00to guarantee:
- g�rr)a _ -rtnzar 7M -7-E+e oRJG>ryA-4
A0NG_ Tb
i\l)St &V.
at the
property commonly known as!20 7i A2,OA&H within.
days from this date. If I fail to make these improvements within said days from this date, the City is
authorized to make these improvements. If the City has to proceed with these improvements, I agree to
pay the City for all costs incurred by the City, including attorney's fees, for the enforcement and/or
installation of these improvements.
APN 06'3—Z6-1 • 026—Lot
Block
Tract
Signed Date t
Print
Address_ —� t7C JC t _iU U&QR;7
Phone (Vb�� l— Ree+ " Requested By:
City of San Luis Obispo
78.90
CITY OF SAN LUIS OBISPO
WATER OFFSETS PROPOSAL
Address of the project you want to build: ('L 10 —T-4 ink i . yy�q
�011 'L_GtiG
If you have applied for a building permit, the application number:,
yb436
Your name and telephone number, or if different, the name and number of the
person city staff should contact for information on this proposal:
Calculation of required offset amount:
Type of development: v )a ,,,f M A--5 5)-'t1-L
Number of dwellings X Water Use Factor = Required X 2 =-Required
or 1000's sq. ft. Allocation Offset
If you propose to retrofit houses, apartments, or motel rooms, complete a page like page i
2 for each site where the retrofitting will be done If you propose some other type of
retrofitting, use a page like Page 3.
Total of all offsets (from following pages): t;G
Fee for city processing, inspections, and record keeping: r-fN-k:,+77
$50.00 for this proposal, plus $10.00 for each dwelling, motel room, or
commercial restroom to be retrofitted:
Date received by the city:
Comments:
t5a -
All information shown in this proposal is subject to verification by the city. City staff
can help you fill out these forms, but incomplete proposals will not be accepted
gmD: rtr4orm.wp
31-90
„������ i���Ilffl Ili lllll city of can tuis OBi 5 O
Building & Safety Division • 999'P I m Street/Box 8100 a San Luis Obispo, CA 93403-8700 • (805) 781-7180
CONSTRUCTION PERMIT
Project Address 3877 LONG
Assessor's Parcel Number 053-251-025
Project Description NEW INDUSTRIAL BUILDING
Permit Type X Building X Mechanical X Electrical
Property Owner R HOWARD STRASBAUGH A CAL CORP
Mailing Address 825 BUCKLEY RD
City/State/Zip SAN LUIS OBISPO CA 93401-8127
Contractor GORDON L. MOUNTJOY ASSOC
Mailing Address 31726 RANCHO VIEJO ROAD #111
City/State/Zip SAN JUAN CAPIS. CA 92675
Project Manager TOM WALKER
Lender Name
Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
X Plumbing _Sign _Demolition _Grading
Occupant/Business Name SAN LUIS SOURDOUGH
Architect/Engineer TOM WALKER
License # C-4434
Contractor's Phone No. 714-661-0447
Contractor's State Lic. No. 614590
Project Manager's Phone No. (619)480-0511
Lender Address
U.B.C. Group B-2 U.B.C. Type V-N Fire Sprinklers Stories 1
Census number 320 Industrial Building Dwelling Units 0
VALUATION
Industrial Building ...................... $ 2,000,000 59,375 Scl Ft 2,000,000
with Fire Sprinklers and with A/C
Total
Building Value 2,000,000
Comments:
PAYMENTS
Application Number
40439
Amount Date Receipt
Application Date
07/05/94
Payment #1
5,959.85 07/05/94 3946
Payment #2
29,070.83 08/30/94 4752
Permit Number
09537
Issuance Date
08/30/94
T _ Total Paid
35,030.68
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.
( `Not 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
_ 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.
')( Not applicable
Codes: UBC 91 NEC 90
FEES
Building Permit
5,822.00
Plumbing Permit
776.07
Mechanical Permit
776.07
Electrical Permit
776.07
Grading Permit
0.00
S.M.I.P.
420.00
Energy Surcharge
815.02
Accessibility Surcharge
529.76
Demolition Permit
0.00
Sign Permit
0.00
Administrative
0.00
Miscellaneous Charge/Cred
0.00
Investigation Fees
0.00
Microfilm
75.60
Subtotal 9,990.59
Building Plan Review Fee
5,297-64
Fire Safety Plan Review
662.21
Plan Review 5,959.85
Fire Safety Surcharge
727.75
Construction Unit Tax
0.00
Water Impact
2,310.49
Water Meter Installation
445.00
Wastewater Impact
15,597.00
Total Fee Calculated
35,030.68
Balance Due
0.00
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 znd 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.
Special Conditions:
1 r—' C
Signature of Contracto` , Authorized Agent or Owner I DaV
Address File
CM O In 1 �
■ � � USO�15
Building & Safety Division • 990 Palm Street/Box 8100 ■ San Luis Obispo, CA 93403-8100 • (805) 781-7180
CONSTRUCTION PERMIT
Project Address 3877 LONG
Assessor's Parcel Number 053-251-025
Project Description TEMPORARY POWER FOR CONST TRAILER
Permit Type _Building _Mechanical X Electrical
Property Owner R HOWARD STRASBAUGH A CAL CORP
Mailing Address 825 BUCKLEY RD
City/State/Zip SAN LUIS OBISPO CA 93401-8127
Contractor GORDON L. MOUNTJOY ASSOC
Mailing Address 31726 RANCHO VIEJO ROAD #111
City/State/Zip SAN JUAN CAPIS. CA 92675
Project Manager CHRIS HECTOR
Lender Name
Legal Description CY SLO PM 42-4 PTN PAR 2 & PTN PAR 3
_Plumbing _Sign
Occupant/Business Name
Architect/Engineer
License #
_Demolition _Grading
Contractor's Phone No. 714-661-0447
Contractor's State Lic. No. 614590
Project Manager's Phone No. 541-6424
Lender Address
U.B.C. Group U.B.C. Type V=N Stories 1
Census number Dwelling Units 0
VALUATION
Comments:
PAYMENTS
Application Number 40527 Amount Date Receipt
Application Date 08/11/94 Payment #1 30.00 08/11/94 4512
Permit Number 09502
Issuance Date 08111/94 Total Paid 30.00
LEGAL DECLARATIONS
Codes: UBC 91 NEC 90
FEES
Building Permit
0.00
Plumbing Permit
0.00
Mechanical Permit
0.00
Electrical Permit
15.80
Grading Permit
0.00
S.M.I.P.
0.00
Energy Surcharge
0.00
Accessibility Surcharge
0.00
Demolition Permit
0.00
Sign Permit
0.00
Administrative
0.00
Miscellaneous Charge/Cred
14.20
Investigation Fees
0.00
Microfilm
0.00
Subtotal 30.00
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
Total Fee Calculated
30.00
Balance Due
0.00
OWNER BUILDER DECLARATION: NOTICE TO APPLICANT:
I am exempt from the contractor's License Law for the following reason: If, after making any of the foregoing declarations, you become subject to any Labor
_ I, as owner of the property, or my employees with wages as their sole compensation Code or License Law provision, you must comply with such provisions or this permit shall
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
cons ct the project.
_ Not 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.
✓ertifted copy is filed with the City.
_ Not applicable
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
rf California.
applicable
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.
Special Conditions:
r
f % /
71_gaaturc of Contractor, Authorized Agent or Owner Bate
Address File
��11111IIlllIIIIII�IIIIIty Of oln lulls OBIS ('
Building 8 Safety Division • 990 Palm Street IBox 8100 0 San Luis Obispo, CA 93403-$100 • (805) 781-7180
CONSTRUCTION PERMIT
Project Address 3877 LONG
Assessor's Parcel Number 053-251-025 Legal Description
Project Description EARLY GRADING FOR FOOD MFG FACILITY BLDG
Permit Type _Building _Mechanical _Electrical _Plumbing _Sign
Property Owner R HOWARD STRASBAUGH A CAL CORP Occupant/Business Name
Mailing Address 825 BUCKLEY RD Architect/Engineer BEN MADDELENA
City/State/Zip SAN LUIS OBISPO CA 93401-8127 License #
Contractor OWNER Contractor's Phone No. 541-6424
Mailing Address Contractor's State Lic. No.
City/State/Zip
Project Manager JOHN MARCHETTI OF CCE Project Manager's Phone No
Lender Name Lender Address
U.B.C. Group U.B.C. Type _ Stories 0
Census number Dwelling Units 0
VALUATION
_Demolition X Grading
544-3278
Codes: UBC 91 NEC 90
FEES
••........... .... •••.................--. 3,000 Yds Building Permit 0 00
Total Yards of Grading 3,000
Comments: NO BUILDING PERMIT FEE BUT MINIMUM FIRE SAFETY SURCHARGE ASSESSED.
PAYMENTS
Application Number 40400 Amount Date Receipt
Application Date 06/16/94 Payment #1 204.00 06/16/94 3738
Permit Number 09463
issuance Date 07/27/94 Total Paid 204.00
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.
Yr as owner of the property, am exclusively contracting with licensed contractors to
construct the project.
_ Not 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.
applicable
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.
_ Not applicable
Plumbing Permit
0.00
Mechanical Permit
0.00
Electrical Permit
0.00
Grading Permit
142.40
S.M.I.P.
0.00
Energy Surcharge
0.00
Accessibility Surcharge
0.00
Demolition Permit
0.00
Sign Permit
0.00
Administrative
0.00
Miscellaneous Charge/Cred
30.00
Investigation Fees
0.00
Microfilm
0.00
Subtotal 172.40
Building Plan Review Fee
31.60
Fire Safety Plan Review
0.00
Plan Review 31.60
Fire Safety Surcharge
0.00
Construction Unit Tax
0.00
Water Impact
0.00
Water Meter Installation
0-00
Wastewater Impact
0.00
Total Fee Calculated
204.00
Balance Due
0.00
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.
Special Conditions:
4Sigr-taturof*4.1h.r.ivd Agent Date
Address File