HomeMy WebLinkAboutDEMO-2059-2020 permitBUILDING PERMIT
Interior/Utility Building
DEMO-2059-2020
Issuance Date: 10/23/2020Building & 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:DEMO EXITING ASSEMBLY SPACEProject 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
:
Fire Sprinklers:Motel Rooms:Dwelling Units: 0.00
Census:Construction Type:
Occupancy:
Valuation
Group Type Sq. Ft Factor Valuation
$20,000.00 Manual
Category:SQFT:
Dimensions
Fees
Fee AmountFee Name
Supplemental Plan Check (Building) - BLDG $230.45
Demolit - Interior or Garage/Utility Build - BLDG $462.01
IT Surcharge $24.91
Building Plan Rev - Commercial - Minor $286.20
C&D Recycling - UTIL $68.64
Special Investigation Fee $462.01
Total Fees:$1,534.22
Payments
Date Receipt #Amount
10/21/20 $841.76 28,978-10-21-2020
10/23/20 $462.01 29,015-10-23-2020
Total Paid:$1,303.77
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Total Account Balance:
Balance Due:$230.45
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
December 23, 2020