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HomeMy WebLinkAbout1050 OrcuttC' T Y () F BUILDING PERMIT SA I l luis OBI SPO Alt/Addition - Commercial C A t. f F 0 R N r A BLDG-3321-2019 Building & Safety Division • 919 Palm Street • San Luis Obispo. CA 93401.3218 Issuance Date: 5/2/2019 Project Address: 1050 Orcutt Rd Assessors Parcel Number: 004-962-028 Unit or Suite(s): Project Descriptiow T.l. FOR LAUNDRY EXXPRESS Legal Description: Owner: SAN LUIS TOWN PROPERTIES LLCA CA LLC Fire Sprinklers: Not Provided Stories 1,00 Code Year: 2016 Dwelling Units: Motel Rooms. - Census: 437 - Commercial Alteration or Addition Construction Type: V-B Occupancy: Business, professional offices (B) Dimensions Valuation Category: SOFT: Group Type Sq- Ft Factor Valuation Manual $105,238.00 Fees Payments Fee Name Fee Amount Date Receipt # Amount Commercial Access Upgrade . Site work - BLDG $1.155.40 512J19 21,444-05-02-2019 $1,361.59 Building Plan Rev - Commercial - Minor $266.94 512119 21.445-05-02-2019 $3.254,16 Recycled Water Services - UTIL $513.86 Total Paid: $4,615.75 C&D Recycling - UTIL $64.23 SMIP (Commercial) $29.00 Consolidated Inspection Fees $1,075,97 Green Building Fee $5.00 Consolidated Plan Check Fees $1,361.59 Public Art $26-00 IT Surcharge $117.76 Total Fees: $4,615,75 Plan Check Account Payment by Contact Contact Name Account Name Status Total Credits Total Debits Account Balance SAN LUIS TOWN BLDG-3321.2019 (building Plan Check Deposit) in use $1.361-59 S1.361.59 S0.00 PRCPERTIES LLC A CA LLC Total Account Balance: $1.361-59 $1,361-59 $0-00 Balance Due: $0.00 Legal Declarations #2 IDENTIFY WHO WILL PERFORM THE WORK 2b — OWNER -BUILDER'S DECLARATION) I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the check mark(s) I have placed next to the applicable item(s) {Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). By my signature below i acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit. I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law is available upon fequest or athttp:llwww.leg info.ca.govlcalaw, htmI- :�■I��i;I+7��4 �:��•I•I. �IZ���1tL■L'I•I■]■1�:�_I�I�,`i■I>S�:I■IL'i�I��:I•ii WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney's fees. a -WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of p"ury one of the following declarations #4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify each of the following: I am the Property Owner. May 02, 2019 Date city of San WIS OBI SPO Certificate of Occupancy THIS IS TO CERTIFY that the building described below was constructed under Building Permit No, _1g55-------- _---------- This structure, owned by ---- --_Jules E & Joanne----------gjo5 Rof f ............................ and IOCated at ------------------------- 1050 Orc u t t ---------------------------------------------- meets all the requirements of the Uniform Building Code for Group __ �? ______ occupancy. This certification applies to ---- _--------------------------. New Commercial Building and Carwash Facility ------------- of this building and remains in effect until such occupancy changes. October 29, 1990 By --------------------------------------------------------------- Chief Building Official T d"��i��ilt��llllllil�"}llll� CONSTRI1.)i ION PERMIT City of San III Obispo a Bultdlno Dlrlelon • 990 PBkm StreetlBox 8100 a San Luls Obispo, CA 93e0Ci-8100 • ta05T 5491 Project Address 1'�OFfdI I Building 5u11ell�ntt,,,, Assessor's Parcel Number Legal Description —,r- +tom-r—nTeE T I Project Description 6R"rvl,i'r ` tl' r.r }:}I:NO gkLlS Permit Class Permit Type Building Mechanical Demolition Property Owner Mailing Address Phone Number Electrical Plumbing Sign Grading _ Other k POSUFF 5 F(I 3"M k C'Ss: CltylSlateh Zip Code Occupant) Bus lness Name Phone Number Business Owner's Name ,juNEF Contractor's Name Mailing Address Contractor's Phone No. Tj,t FS Sru;Prrc Project ManagerlArchltect Lender Name U.B.C. Group U.B.C. CitylstatelZlp Contractor's State Llc. No. Project Manager's Phone No. Lender Address Subject to Flood Zone Requirements Census Census Census Number Description A=Area AIDIY Bldg. Value Units No. of Number Sub -Code D= Dollars per Bldg. Code per Bldg. Bidgs. ,- > NON-RE5 ALTiAOit------ NO UNL-L'; Y=Yards 6500 ' I l f u fika0fM9 Si` I Total Bldg. Value F Total Bldg. Area or Yards of Grading Height Ift.j Stories Plan No. . bUILOINi; FERMI b; ,5P c?'.- 5MR PLAN UECI ,S.6S �777E NATEh ME'r,miEAL I'EP'MiT 0NETR17i;TI4tf UNIT ELECTRICAL rEW T Gr1S:['INIi PERMIT ILUMHIfd rRftli I`W; !6 LOT PERMIT UErIkITiON PEk�It MjEhhF[LM FEE R,M I.I' = PLAN CREU AUIUSTMENT n,2 NjttGi-rrrL[' TLHN I1r1ECi TIhE t;Nfr MATERIAL EN[,+ror r'!_:IM I,i1kLh -IT�h[N?,TftAjjt'E IQTAL FEES IT;.3`t Al" ITkT PAID HyILr;NI:E s a Special Conditions: 5X� Permit Number C r } Issuance Dste !7 �,/ \ � I l/ 1 f Authorized Department ReprpantelWe Data 11r•.tr:.. Application Number F Application DBte, Actiylty Code Activity Date This permit Is only valid when endorsed by an authorized representative of the Community Development Department. LEGAL DECLARATIONS OWNER BUILDER DECLARATION: I am exempt from the eonlrador's Wens@ Law for the following reason Ll t. as owner of Ibs property, or my employees with wages as their sole compensation will do the cop and the structure Is nol Intended or oltered for sale, ndpr as owner of the property, am exclusively conlraciing with iicamsed contractors Io COMITUCI the Jbnr 1. 0 Not applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certlkcale of consent to siI Insure, et 'a certitleate of workers' Compensallan Insurance, or a cariltted copy hereof (Sec. 3800, lab. C) ❑ Certihed copy Is hereby furnished. ,,--,,,/ Certthed copy Is filed with Ire Chy. ES?<1 applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE © I cantfy that in the performance of the work for which Ibis perm It Is Issued. I shelf employ any person In any manner was to become subject to the Mrker's Compensation law! of CauWN& E trot appetwe NOTICE TO APPLICANT: It, after making any of the lorngoing dedasations, you bewnq subject to any Labor Code or License Law mAslon, you must comply with such provlsions or We permit shalt be deemed revoked - I Certify that I have read Ibis appkeatlon and slate that the above Information Is correct. I agree to Comply with all bly ordinances and slate laws relating to building construdion, and hereby euthortxe representatives of this city to enter upon the aWrai-mentioned property for Inspeetlon purposes - Unless noted under "SincIal dq Wns." Ihls per" becomes null and void If work or consEruction horiced Is hot sI ned whhin 180 days, IN if Constriction or work is suspended or abondanepor a pariod or 180 days any time after work Is commenced- iiiiii�ililiiIIIIIIIIIi 111III C O N ST R U �i ION PERMIT City of San Luis Obispo • Building l lv{elon • 999 Palm Stre-013ox 8100 • San Luis Obispo, CA 934D3.8100 • (W5) 549•7180 Project Addressii— Assessor's Parcel Number .gpPnp .-a_E-;,a5-,-„j Building Legal Description SultalUnit ry gl l? T115 RIPE pT� Project Description NFN t'IMMFPP lAi r, nl; Atli {-;;Ssypti,i: I}.'. f+ I Permit Class 4F4 CIiNSTF=,;s"Iti Permit Type _ 7 Property Owner Building Mechanical Demolition P0600F MILEE E ;, )YAW y ! Etectrlcal Grad Ing. Plumbing Sign Other I . Mailing Address h' + + 1c •t CtlylState Phone Number Zip Code OccupentlBuslness Name Phone Number Business Owner's Name Contractor's Name Mailing Address CitylStatelZlp Contractor's Phone No. Contractor's State Llc. No. Project ManagerlArchltect !,Ni; Project Manager's Phone No. 4M 7856 Lender Name Lender Address U.B-C, Group U.B.C. Type ' Subject to Flood Zone Requirements Census Census Census Number Description A=Area AfDIY Bldg. Value Units No. of Number Sub -Code D=Dollars per Bldg. Code per Bldg. Bidga. Y = Yards = StOPE =d fuiiEE EF','i _e ;., I STFjF.F•'='JS1[IMER SEFVICE '„ i ;I Total Bldg. Value Total Bldg. Aram or Yards of Grading Height (ft.) Stories Plan No, THE HILLOWINb F'i.ELIIIWFt FEES Ai:E "JPSEZI fO -+-r.: ;,EEORF r'ERNIT I5;i1AN Et FEE hE_.! FEE FbtLDMG PEP4I1 378.0 e7'2 _-ENk.F PLAN fVER 313.'3 191. rAiEF MEEHANICAL FEFMiT 5G.L i 2772 dNTsIrO TI9N UNIT TO ELL"', CI. F-FRIl -.6:3 c-9� ;�.:rip�f FER1li FLIaM[INi, fEF.MIT 51+ 27 r r-- III1NG 1-91 FEPHIi IIEIteLiTiOfl PERMIT ViCPGFILM FEE fi'm 27 ,; FLAN CHECK A11N)STMENT ,fir, HAMDffAYpEP PLAN CMECh TIME AND MATEPIaL ENERGY FLAN Cy+l RDNINISTRATIVE. 7OrAI. FFES L 881,42 h'UI11 YItI9 ! G54 ate Special Conditions: Arti a 10 r ppllcal3on kumber Permit Number /� Application Date - Activity Date �`F��_ _�f1 1 �� Activity Cede Authorized Department RaPn ranted- Date I " Activity Date This permit Is only valid when endorsed by an auth li lzed representative of the Community Development Elepartmant. LEGAL DECLARATIONS OWNER BUILDER DECLARATION: 1 am exempt Irom the conlreclM'1 License Law for the lollowlng reason: Q I, 0 owner 61 the property, or my employees POO wages as their We compensallon wIII do the work and the stfocture Is not Intended of offered lot safe. GLa,-'a6 owner of the property. am exclusively oadracling whir llcernsed con,racrore to construct The proiecl. ❑ Not applicable WORKERS COMPENSATION DECLARATION: I hereby III that I have a Certificate of consent to Sol or 'a certificate of workers' Compensation Insurance, or a caniflad copy hereof (Sec. M, I.& C) ❑ Certified copy Is hare0y tuml5hed. Cl GtMIled copy Is Illed with the City, ❑ Not appt lrable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ❑ 1 certify Thal In the perforol of the work for which INS permit IS Issued. I shall not employ any person In any mariner SO ae to becerne Sub)W 10 Ine wbrker'S Compensation taws or Caubrnia ❑ Net applicable NOTICE TO APPLICANT: It, after making any of the fool deciaraduns, you become sublw to any Lauw Code or Uceoee Law provision, you must cornply wilh such proWsions or this permit shalt be deemed revoked. I Gently that I have read INS dpptcatwn and state that iM above Inlonnallon Is cofPOLt, t agree to comply whir all city ordinances and state laws ralating to bultri ng cunstrucilon, and hereby aulhodins representallves of INS city to enter upon the property for Inspecllon purposes Unless III under "Special C MIllons, ' this permit becomes null and void If work or consfruction aN xed Is not 11111 tl within 180 days, or It eonsitvdlon or work Is sospended or aboridoned ror aV-( clod of I. days any line after work Is wroinenced. I "N"-f . 14 — ! _ Qq