HomeMy WebLinkAbout3447 Edgewood Address Filec� Q� ��►n WIS OBlsro
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I Building & Safety Division • 919 Palm Skeet • S n Luis )bis�o,�A 93401.#3249 • (805) 781-7180
( rl T, t irrin orm1
Project Address
3447 EDGEWOOD
Assessor's Parcel Number 004-361-024
Project DescriptionSUN ROOM ADDITION @ REAR OF LOT
Permit Type
X Building Mechanical X
Property Owner
ALLRED FLORITTA THE
Mailing Address
3447 EDGEWOOD DR
City/State/Zip
SLO CA, 93401-6019
Contractor
DAY CONST
Mailing Address
1107 EL CAMINO REAL
City/State/Zip
ARROYO GRANDE CA 93420
Project Manager
JOHN LARSON
Lender Name
C.B.C. Group
R-3 U.B.C. Type V-N
Census number
434 Residential Alteration or Addition
Legal Description CY SLO TR 317 LT 24
Electrical Plumbing Sign Demolition Grading
Occupant/Business Name
Architect/Engineer
License #
Contractor's Phone No. 489-1412
Contractor's State Lic. No. 336439
Project Manager's Phone No. 489-1412
Lender Address
Stories 0 Codes: CBC01 CEC04
Dwelling Units 0 Motel Rooms 0
Valuation
Residential Alteration/Addition/Conversion
20,000
$20,000.00
Fees
Total Building Value $20,000.00
Building Permit
379.35
Legal Declarations
Plumbing Permit
0.00
1. OWNER BUILDING DECLARATION:
Mechanical Permit
0.00
I am exempt from the contractor's License Law for the following reason:
Electrical Permit
/, as owner of the property, or my employees with wages as their sole
Grading Permit
50.57
0.00
compensation will do the work and the structure is not intended or offered
S.M.I.P.
2.00
for sale.
/, 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
1 hereby affirm that l have a certificate of consent to self -insure, or a 'certificate
Misc Charge/Credit 0.00 Administrative Permit
0.00
of Workers' Compensation insurance, or a certified copy hereof
Archival Fee
Subtotal 431.92Certified
0.00
q
Certified copy is hereby furnished.
copy is filed with the City.
Investigation Fees
0.00
Building Plan Review Fee
0.00
o Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
Fire Safety Plan Review
Plan Review Subtotal
0.00
I certify that in the performance of the work for which this permit is issued,
0.00
Development Review Fee
0.00
I shall not employ any person in any manner so as to become subject to the
Fire Safety Surcharge
0.00
Worker's Compensation Laws of California
Not applicable
Construction Unit Tax/Plan Preparation
0.00
Water Impact 0.00 Area -
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 Area -
0.00
Labor Code or License Law provision, you must comply with such
Traffic Impact 0.00 Area -
0.00
provisions
or this permit shall be deemed revoked.
Affordable Housing
Public Art
0.00
1 certify that I have read this application and state that the above information
Code Enforcement
0.00
is correct, I agree to comply with all city ordinances and state laws relating to
Park Improvement
0.00
building constriction, and hereby authorize representatives of this city to
Area -
Waterway Management Fee
0.00
30.09
enter upon the above -mentioned property for inspection purposes. Unless
"Special
noted under Conditions" this permit becomes null and void if work
Total Fees
462.01
or construction authorized is not started within 180 days, or if construction
Balance Due Payments
0.00
or work is suspended or abandoned for a period of 180 days any time after
Amount Date
Receipt
Fork is commenced.
Payment #1 462.01 07/06/06
27544
Special Conditions:
Total Paid 462.01
rlppucauon Numper060609
Application Date 07/05/06
Permit Number 21230
Issuance Date 07/06/06
Comments:
Address File
alure Got Contractor, Authorized Agent or Owner Date
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