HomeMy WebLinkAboutBLDG-2355-2020 permitBUILDING PERMIT
Alt/Addition - Commercial
BLDG-2355-2020
Issuance Date: NOT ISSUEDBuilding & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
053-061-034Project Address:990 Industrial Wy Assessor's Parcel Number:
Unit or Suite(s):
Legal Description:TI FOR THE GRADUATE: ADD STORAGE RACKS,
REPLACE 5 DOORS, REPLACE LIGHTS, EXTERIOR
P.O.T. IMPROVEMENTS
Project Description:
Contractor: BRUCE VANDERVEEN CONSTRUCTION INC
Bruce Vanderveen
License Type: California State Contractor License License Number: 515536
Owner: SLO INDUSTRIAL WAY LLC A CA LLC
2019Code Year:Stories
:
ProvidedFire Sprinklers:Motel Rooms:Dwelling Units: 1.00
Census:437 - Commercial Alteration or Addition Construction Type:III-A
III-A
Occupancy:Business, professional offices (B)
Storage, moderate hazard (S-1)
Valuation
Group Type Sq. Ft Factor Valuation
$100,000.00 Manual
Category:SQFT:
Dimensions
Fees
Fee AmountFee Name
SMIP (Commercial)$29.00
IT Surcharge $103.90
Commercial Access Upgrade - Site work - BLDG $1,220.95
Supplemental Inspection (Building) - BLDG $915.40
Supplemental Plan Check (Building) - BLDG $915.40
Building Plan Rev - Commercial - Minor $286.20
Green Building Fee $4.00
C&D Recycling - UTIL $68.64
Total Fees:$3,543.49
Payments
Date Receipt #Amount
4/30/21 $3,543.49 31,183-04-30-2021
Total Paid:$3,543.49
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Total Account Balance:
Balance Due:$0.00
Legal Declarations
#2 IDENTIFY WHO WILL PERFORM THE WORK
2a – CALIFORNIA LICENSED CONTRACTOR’S DECLARATION 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.
#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.
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.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am a CA Licensed Contractor.
Signature of Contractor, Authorized Agent or Owner Date
April 30, 2021