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: