HomeMy WebLinkAboutBLDG-L27574-2013'�1h Cl � san
Iniz � �p
Building & Safety Division • 919 I'
luis off' w o
3401-3218. 805 781-7180
Project Address 190 SANTA ROSA
Assessor's Parcel Number 001-031-028
Legal Description 009.82 AC RECREATION (PARK)
Project Description MODIFY EXISTING CELL SITE - T-MOBILE REPLACE 6 AIR21 ANTENNAS
Permit Type X Building X Mechanical X
Electrical X Plumbing Sign Demolition Grading
Property Owner CITY OF SAN LUIS OBISPO (940)
Occupant/Business Name SANTA ROSA PARK;
Mailing Address 990 PALM ST
Architect/Engineer
City/State/Zip SLO CA, 93401-3249
License #
Contractor STANARD COM
Contractor's Phone No. 888/833-2660
Mailing Address 1081 HIGHLAND
Contractor's State Lic. No. 914254
City/State/Zip GROVER BEACH CA 93433
Project Manager ERIK LILLIEDAHL
Project Manager's Phone No. 818/840-0808
Lender Name
Lender Address
C.B.C. Group B C.B.C. Type V-B
Stories 0 Codes: CBC10 CEC 10
Census 437 Commercial Alteration or Addition
Dwelling in-its-0 Motel Rooms 0
Non -Residential Alteration
Building Permit Fees
Plumbing+Electrical+Mechanical Permit
Grading Permit
S.M.I.P.
Green Building Fee
Demolition Permit
Sign Permit
Misc Charge/Credit 0.00 Administrative Permit
Archival Fee
Subtotal
Investigation Fees
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Development Review Fee
Fire Safety Surcharge
Fire Systems
Fire Sur/Sys Subtotal
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 -
Engineering Development Review Fee
Open Space In -lieu Fee
Total Fees
Balance Due
Payments
270.10
267.00
0.00
267.00
0.00
0.00
2.10
1.00
0.00
0.00
0.00
0.00
0.00
267.00
0.00
234.96
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
772.06
0.00
Amount
Date Receipt
Payment #1
200.00
07/02/13 61296
Payment #2
572.06
09/19/13 62324
Total Paid
772.06
Application Numberl30646
Permit Number 27574
Application Date 07/02/13
Address File
Issuance Date 09/19/13
Valuation
10,000
Total Building Value
Legal Declarations
2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION
$10,000.00
$10,000.00
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: STANARD COM Class: 9-1 License #: 914254
3a(2) - WORKERS' COMPENSATION DECLARATION - I have and will maintain
workers' compensation insurance
as required by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier: TWIN CITY FIRE Policy#:51WECEQ5794 Expires 11/15/13
free Exemptions:
Comments:
or Owner