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HomeMy WebLinkAbout162 Cross - Permit History and Cert. of Occ.city c � s an WIS o BVc*)o Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 City of San Luis Obispo Certificate of Occupancy This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and attests that at the time of issuance, this structure or portion thereof was inspected and determined to be in compliance with the various ordinances of the City of San Luis Obispo regulating building construction or use. Use Classification: VET CLINIC W/ CARETAKERS QTRS AT 2ND FLR Occupancy Group: B Permit Number: 12821 Building Owner: MARKOFF BONNIE F Owner's Address 129 GRANADA DR SAN LUIS OBISPO CA, 93401- Building Address: 162 CROSS 010sskLtJA"-V Date Issued 05/17/99 Building Official POST IN A CONSPICUOUS PLACE I I' Y " F BUILDING PERMIT san WIS obi I s o Alt/Addition - Commercial .\ L I I" 1: ` I A BLDG-0240-2024 • Building & Safety Division - 919 Palm Street • San Luis Obispo, CA 93401-3218 Issuance Date: NOT ISSUED Project Address: 162 Cross St Assessor's Parcel Number: 053-257-009 Unit or Suite(s): Square Footage: 7,200.00 Project Description: INTERIOR REMODEL OF EXISTING ANIMAL CARE Legal Description: CLINIC - LOWER FLOOR ONLY Architect: Omni Design Group Suzanne Winslow Business: (805)-54-4-97 Owner: INACTIVE BONNIE MARKOFF Fire Sprinklers: Provided Stories 1_00 Code Year: 2022 Dwelling Units: Motel Rooms: Census: Construction Type: V-B Occupancy: Business, professional offices (B) Valuation Group Type Sq. Ft Factor Valuation Manual $500,000.00 Fees Fee Name Fee Amount IT Surcharge $437.91 SMIP (Commercial) $156.00 Water Service or Trash Enc or Landscape - UTIL $637.12 Commercial Tenant Improv - Non Structural - FIRE $2,852.41 C&D Recycling - UTIL $79.64 Green Building Fee $20.00 Public Art $2,000.00 Consolidated Plan Check Fees $5,002.23 Building Plan Rev - Commercial - Minor $332.08 Consolidated Inspection Fees $4,817.17 Recycled Water Services - UTIL $637.12 Total Fees: $16,971.68 Contact Name INACTIVE BONNIE F MARKOFF Balance Due: Account Name BLDG-0240-2024 Payments Date Receipt # Amount $0.00 Total Paid: $0.00 Plan Check Account Payment by Contact Status Total Credits Total Debits Account Balance in use $5,002.23 $0.00 S5,002.23 Total Account Balance: $5,002.23 $0.00 $5,002.23 $11,969.45 Legal Declarations #2 IDENTIFY WHO WILL PERFORM THE WORK 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 request or athttp://www.leginfo.ca.gov/calaw.htmi. #3 IDENTIFY WORKERS' COMPENSTATION COVERAGE AND LENDING AGENCY 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. #4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify each of the following: I am NO ROLE SELECTED Signature of Contractor, Authorized Agent or Owner April 18. 2024 Date city of .san luis oB� spr) Building & Safety Division d0 Palm Street • San Luis Obispo, CA 93401-3249 - (d05) 781-7180 Construction Permit Project Address 162 CROSS Assessor's Parcel Number 053-257-009 Project Description EARLY GRADING FOR VET CLINIC Permit Type Building Mechanical Property Owner MARKOFF BONNIE F Mailing Address 129 GRANDA DR City/State/Zip SAN LUIS OBISPO CA, 93401- Contractor SPECIALTY CONST Mailing Address 202 TANK FARM RD SUITE #E2 City/State/Zip SAN LUIS OBISPO CA 93401 Project Manager BONNIE MARKOFF FAX 545-8497 Lender Name MID -STATE BANK U.B.C. Group B U.B.C. Type V-N Legal Description CY SLO TR 2202-2 LT 9 Electrical Plumbing Sign Demolition X Grading Occupant/Business Name Architect/Engineer WAYNE USIAK License # C-22440 Contractor's Phone No. 543-1706 Contractor's State Lic. No. 619361 Project Manager's Phone No. 545-8212 Lender Address SAN LUIS OBISPO Stories 2 Codes: UBC 94 NEC93 Census number 750 Grading Dwelling Units 1 Motel Rooms 0 Valuation Grading 600 Yds Fees Total Building Value $0.00 Legal Declarations Building Permit 0.00 1. OWNER BUILDING DECLARATION: Plumbing Permit 0.00 1 am exempt from the contractor's License Law for the following reason: Mechanical Permit 000 ❑ 1, as owner of the property, or my employees with wages as their sole Electrical Permit 0.00 compensation will do the work and the structure is not intended or offered Grading Permit 11935 for sale. S M I P 0.00 ❑ I, as owner of the property, am exclusively contracting with licensed Energy Surcharge 0.00 contractors to construct the project. Accessibility Surcharge 0.00 0.Not applicable. Demolition Permit 0.00 2. WORKER'S COMPENSATION DECLARATION: Sign Permit 0.00 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 000 CerD(ied copy is filed with the City Microfilm 0.00 Not applicable Subtotal 119.35 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE Building Plan Review Fee 3560 ❑ 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 35.60 Worker's Compensation Laws of California Fire Safety Surcharge 0.00 O-Mot applicable Construction Unit Tax 000 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. Total Fees Balance Due 154.95 0.00 Payments Amount Date Receipt Payment #1 154.95 08/25/98 3205 Total Paid 154.95 Application Number 80763 Application Date 08/24/98 Permit Number 12798 Issuance Date 08/25/98 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 `Stgaatare D Contractor, Au o e�A en or Owner ate city of ENNUI Building & Safety Division san WIS OBISPO d0 Palm Street • San Luis Obispo, CA 93401-3249 - t805) 781-7180 Construction Permit Project Address 162 CROSS Assessor's Parcel Number 053-257-009 Legal Description CY SLO TR 2202-2 LT 9 Project Description VET CLINIC W/ CARETAKERS QTRS AT 2ND FLR Permit Type X Building X Mechanical X Electrical X Plumbing Sign Demolition Grading Property Owner MARKOFF BONNIE F Occupant/Business Name ANIMAL CARE CLINIC Mailing Address 129 GRANADA DR Architect/Engineer WAYNE USIAK City/State/Zip SAN LUIS OBISPO CA, 93401- License # C-22440 Contractor SPECIALTY CONST Contractor's Phone No. 543-1706 Mailing Address 202 TANK FARM RD SUITE #E2 Contractor's State Lic. No. 619361 City/State/Zip SAN LUIS OBISPO CA 93401 Project Manager BONNIE MARKOFF FAX 545-8497 Project Manager's Phone No. 545-8212 Lender Name MID -STATE BANK Lender Address SAN LUIS OBISPO U.B.C. Group B R-3 U.B.C. Type V-N Fire Sprinklers Stories 2 Codes: UBC 94 NEC93 Census number 328 Other Non -Residential Building Dwelling Units 1 Motel Rooms 0 Valuation Other Non -Residential Building 9,863 Sq Ft @ $65.40 with A/C Fire Sprinklers $645,040.00 Total Building Value $645,040.00 Fees Legal Declarations Building Permit 3,716 20 1. OWNER BUILDING DECLARATION: Plumbing Permit 495.37 1 am exempt from the contractor's License Law for the following reason: Mechanical Permit 495.37 F1 1, as owner of the property, or my employees with wages as their sole Electrical Permit 495.37 compensation will do the work and the structure is not intended or offered Grading Permit 0.00 for sale. S M I P. 135.46 t{y,�,Jfas owner of the property, am exclusively contracting with licensed Energy Surcharge 520.23 contracto!§.Jo construct the project. Accessibility Surcharge 338.15 applicable. Demolition Permit 0.00 2. WORKER'S COMPENSATION DECLARATION: Sign Permit 0.00 1 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 Ce ed copy is hereby furnished. Investigation Fees 0.00 Cerfffied copy is filed with the City. Microfilm 180.00 LJ Not applicable Subtotal 6,376.15 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE Building Plan Review Fee 5,202.31 0 1 certify that in the performance of the work for which this permit is issued, Fire Safety Plan Review 910.40 1 shall not employ any person in any manner so as to become subject to the Plan Review Subtotal 6,112.71 Worker' Compensation Laws of California Fire Safety Surcharge 910.40 of applicable Construction Unit Tax 150.00 Water Impact 10,768.00 NOTICE TO APPLICANT: Water Meter Installation 180.00 If, after making any of the foregoing declarations,' you become subject to any Wastewater Impact 5,302.00 Labor Code or License Law provision, you must comply with such provisions Traffic Impact 14,015.32 or this permit shall be deemed revoked. I certify that I have read this application and state that the above information Total Fees 43,814.58 is correct, I agree to comply with all city ordinances and state laws relating to Balance Due 0.00 building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Unless Payments noted under "Special Conditions", this permit becomes null and void if work Amount Date Receipt or construction authorized is not started within 160 days, or if construction Payment #1 6,112.71 05/13/98 1769 or work is suspended or abandoned for a period of 180 days any time after Payment #2 37,701.87 09/01 /98 3324 work is commenced. Special Conditions: Total Paid 43,814.58 Application Number 80367 Application Date 05/13/98 Address File Permit Number 12821 Issuance Date 09/01/98 C Comments: