HomeMy WebLinkAboutDEMO-1859-2022 permitBUILDING PERMIT
Interior/Utility Building
DEMO-1859-2022
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 DEMO OF EXISTING OFFICE SPACEProject Description:
Architect: Omni Design Group
Suzanne Winslow
Business: (805) -54-4-97
Owner: LFOA LLC A CA LLC
2019Code Year:Stories
:
Fire Sprinklers:Motel Rooms:Dwelling Units: 0.00
Census:Construction Type:
Occupancy:
Valuation
Group Type Sq. Ft Factor Valuation
$15,000.00 Manual
Fees
Fee AmountFee Name
Demolit - Interior or Garage/Utility Build - BLDG $478.64
IT Surcharge $14.60
C&D Recycling - UTIL $71.11
Total Fees:$564.35
Payments
Date Receipt #Amount
8/9/22 $564.35 36,426-08-09-2022
Total Paid:$564.35
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
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.html.
#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 Date
August 12, 2022