HomeMy WebLinkAboutBLDG-3279-2022 permitBUILDING PERMIT
Alt/Addition - Commercial
BLDG-3279-2022
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): 0.00Square Footage:
Legal Description:INTERIOR REMODEL TO CREATE PRIVATE OFFICE
AND STORAGE AREA
Project Description:
Architect: Omni Design Inc
Eric Pennachio
Business: (805) 544-9700 Mobile: (805) 235-1042
Contractor: BRUCE VANDERVEEN CONSTRUCTION INC
INACTIVE Bruce Vanderveen
License Type: California State Contractor License License Number: 515536
Owner: LFOA LLC A CA LLC
INACTIVE
Tenant: Zoo Med Laboratories, Inc
INACTIVE
Business: (805) 542-9988 Other: (805) 440-3885
2019Code Year:Stories
:
Not ProvidedFire Sprinklers:Motel Rooms:Dwelling Units: 1.00
Census:437 - Commercial Alteration or Addition Construction Type:V-B
Occupancy:Business, professional offices (B)
Valuation
Group Type Sq. Ft Factor Valuation
$100,000.00 Manual
Fees
Fee AmountFee Name
Consolidated Plan Check Fees $2,175.02
SMIP (Commercial)$31.00
Consolidated Inspection Fees $1,747.26
IT Surcharge $131.73
Building Plan Rev - Commercial - Minor $319.93
C&D Recycling - UTIL $76.73
Green Building Fee $4.00
Total Fees:$4,485.67
Payments
Date Receipt #Amount
4/6/23 $2,175.02 38,762-04-06-2023
4/6/23 $2,310.65 38,763-04-06-2023
Total Paid:$4,485.67
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Zoo Med Laboratories, Inc BLDG-3279-2022 in use $2,175.02 $2,175.02 $0.00
$2,175.02 $2,175.02 $0.00 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 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
workers’ compensation laws of California, and agree that, if I should become subject to the workers’ compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
#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 06, 2023