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Home My WebLink About990 Industrial Way Address Files (1)ctty oF san Luls oBtspo Gertificqte of Occupqncy THIS lS TO CERTIFY thot the building described below wos constructed meets oll the requirements of the Uniform Building Code for Group --!:-?-:]-- - --- -occ u po n cy, Th i s ce rtif i coti on o pp I i es to April 2;1, i987 990 Industrial l..Ta1z, San Luis Obispoo CA chonges. By Building E E}'{ODEL F.ESTALIPJ-1{T of this building ond remoins in effect SUC *Iiiliain $, Evereit ond locoted ot under Building Permit No This structure, owned by221,A ,? $.trtiftrutB uf @rrupunf,g THIS lS TO CERTIFY thot the building herein described wqs constructed under Building Permit No. -2935-This structure, owned by -Wecver-Ltglgrs- co-.--Cclt4L-Qq*)- --- ond locqted ot -9-9Q -lq{q e t q ! el - 4y9-r - gg$- I,:'.rrs- -o-b-is-pq 1 - ga I ! f g g pi g- - meets olt the requirements of the Uniform Building Code for Group --4=?--- Ogcuponcy. This certificqtion opplies to ---+-l- tTtailfffiFJnn ond remoins in effect unril such Occuponcy chonges. ev r-*-/t-t- -t' &&t a *g..t-v- - - - -r' BdHing Official Cny or SaN Lurs OsspoJanuary 2, t97O * G.erttfirstB uf @rrupsnf,U 990 In&r*tfel lryl-------;-lm lrrtr Obl,tpo, meets oll the requirements of the Uniform Building Code for Group Occu po ncy. Th i s ce rti f i coti on o pp I i es, to t!!P9c1 - (r-qrtrr-rnt|N-2 of soid building ond remoins in effect until'such'Occuponcy chonges. Jouery 10, 1975 Building Official Cnv or Sau Lufs Ouspo f ffiH :JH, :[ :*" l,Y::.," :?::Ps, FINAL I NSPECTION APPROVALS PROJECT ADDRESS(ES)990 Industrj-al VIay PROJECT DESCRIPTIO REii0ijfl, ^,ru.i:l,u u.nN i Please note: This form must be completed and returned to the Building Inspection Division BEFORE a fihal inspection will be made. Permittee is responsible for obtaining the approvals: orks (Contact SECRETARY b,F B x X By B Parks Div (Contact ng Dept. (Contac alth pt. (Contact Da BitAXEAL PAl'{ RICCI STEVE CARNES po1"9-t1-Y'?' ') 549-7 t60 Date ) ) ) 549- 549-7220 5544 549-7380 ou"4fnfst x.CAP.-R r!-r RA IlSFop,lltrepr.tact B Date (co BRUCE SIEVERTSON 549-7 l 80 B oate*,k)83- See reverse side for instructions r Gradin DO NOT LOSE THIS CARD 't13€6 CITY OF SAN LUIS OBISPO Heoting ond Cooling Permit B:x*tlytifJ oa r r : o rr il msg- $ff$'";.ir'j This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, including any special requir€ments and other applicable laws. This permit becomes invalid if worh is not started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. FEE g /8.:e Srreet File \[umber -. i -- Furnoce -- BTU, F.A. - Grovity - Floor -- Heote Woll - Floor -------------- --- Combustion P.roducts Vent. Repoir, Alterotion or Addrtion Boiler, Comp. or Absorb. Unit: ----.---.--- H.P. BTU's. ---- Air Hondling Unit: CFM -------.- Evoporotive Cooler lncinerotor, Commerciol Vent System: Single Duct - Multi. Ducts - Greose Hood ---,.--..- . Gos Pipins @ $.30 per outlet. Minimum $1.50 Dote ./b-..&..1.22.4 . owner 7Vz" .h*J,uaEr'Jrt*t Locotion wa&tffiA/.a+" occuponcy .-......-B-:.2-.-.-..-.. . contro*orSif&e*&t/."U-ntfrrafr I BsEt Folk,ta Bctnt> Add ress &6d H-E#tr-r - -kL le,. -. - - - SCHEDULE -"- Permit Other Speciol Requirements -- Inspector of Buildings. E-Check appropriate box (one must be checked, Sec,fn accordance with the requirements of Section 3800 of the California Labor Code, f, the undeisigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with the following classification and li"cense, ngmber: crassirication -- C:?=o-;-e;-4,5--- License N".4bJ7-p-/---- 2. I am exempt from these prf,visions by reason o{'the following: a. I am tlie owner of the property described in this permit application and I am building or improving itru?tur-es thereon for my own occupancy and not to be offered for sale. 3800 tr I certify that in the I shall not workmentg of the work for which this permit ts so as become subjectIthatfailure to revocation Code). / C."titi."te of workmen's compensation insurance, copy thereof or certificate/\ of consent to self-insure from Director of Industrial Relations, has been filed with the City and is still in effect. issued, to the rorAL $..../aP... : I+^a|a ..-/d,-cn 2.00$ Eoch Fees of compensation to cause w CITY OF SAN LUIS OBISPO PLUMBING PERMTT Business License { Permit Card tr Street File El N9 3483 This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City C)rdinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to make any structural alterations or install electrical, sewage or sidewalk facilities. FEE Fixtu res DATE 08ts n,lt------Bathtubs ------Showers -:frr--Lavatories ---f --Water Closets ---3--rir"t en Sink --l4--Floo. Dr"irt ------Laundrv Trav --&t-uri',^l' r ------Water Softener ------Clothes Washer --J---otrn washer ------Disposal Grease Trap *-----Drink Ftn. t *-J---Slop Sink ------Other ------Other ------Other ------Other Location 0 Occupancy Contractor 6-v_ Address Special Requirements --**------City Clerk.?,4- lnspectar of Buildings. In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: COVERAGE-Check appropriate box (one must be checked, Sec. Labor Code) performance of the work for which this permit is issued, so as toI compensation laws cause revocation 1. I have a valid California State Contractor's License in full force and effect with the following classification and license number: Classification-----------s'.---l------- LicenseNo.-------- 2. I am exempt from these proffsions dy reason of the following:a.. I am the owner of the property described in this permit application and I am' building or improving slructur-es thereon for my dwn occulincy and not to be offered for sale, f-Aefiificate of workmen's compensation insurance, copy thereof or certificate of consent to self-insure from Director of Industrial Relations, has been filed with the City and is still in effect. O The permit sought is for one hundred dollars or less. b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items.c, Exemption is based on the following section of the State Contractors' License Law: Section ---1:-5-as.3ary ---I.-€-a+r-t-r----7-'--ra --Z:-d_c.- w ------Gas Heating ---l--\4t"r". Heater --S-Gas outl"t ---l--Water Pipl'g ---,--Drainage Pipe - - -l-- - L"r,vr, Sprinkler ------Fire Sprinller TOTAL l--Permit Conn. -Fixtures ------Space Heater ------Furnace ------Wall Heater -- ---Gas Dryer ------Register ------Flues Water Heater FeesItemsGos Applionces CITY OF SAN LUIS OBISPO ELEGTRIGAL PERMIT This permit is issued with the undersigned applicant's agreement and acknowledgement-that all work will bedoneinaccordance with ility Ordinances, including any slecial i&uiremenis and other ap-plicable laws. This permit becomes invalid if work is not .t^rt"d ,,*lithin 60 days. This peimit-dois not include permission to rnift.e any structural alterations or install plumbing, sewage or sidewalk facilities. Business License Permit Card ! Street File tr {Ne 3610 FEE s--3-J,,-ot-- Items -, - -, - New single-family residence with -_---,-- square feet. 908 DATE J1 -lfl ownJ-hr* n00,",,1-td-- Circuits & Feeders Switches --Lighting outlets ,. -, - ---Recept. outlets , Fixtures ,-----.Range & Oven ,---- --Dryer -- ---.-Water Heater - ,,, - -'fransformers -. -.---,Sigrrs ---.--- Other Space Heater - -- -- -Ternporary Service Pole Service Size CONDUCTORswlTcHCON DU IT Motors FEEH. P,NO Contractor {flA=-- Addr"rJ L 11 - - - - - ------ City Clerk. fn accordance with the requirements of Section 3800 of the California Labor Code, Irthe undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with H Certificate of workmen's compensation insurance' copy tfie,reo! or certificate/- ol "ot.ent to self-insure froir Director of Industrial Relations, has been filed with the City and is still in effect. tl The permit sought is for one hundred dollars or less, Type Bldg. €y*"*- Fire Zone-- Special Requirements ---- Inspector of Buil.dings. OVERAGE-Check appropriate box (one must be checked, Sec. Code) for which this permit is issued, so as to become subject to theI understand that failure to cause revocation IN 3800 the following classification and licens.e number: Classification -€----\ -- License No. -------Z. I am exempt from these proviSions by reason of the following: a. I am t6e owner of the property described in this permit application and I am buikling or improving slructur-es thereon for my own occupancy and not to be offered for sale,b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License ---l-,Permit ---_--- --r2-New Dwell' d-l-Circuits --- -- ---**-Outlets -**--- **,--,Fixtures ------ -*----Service - ----- ------Appliances --- .----,--Transformer -- - -----* Motots ---*--- ------Alteration ---- ------Other (rcTOTAL--- $ $ -- -----2.00-&?;'_ts J Law: Section comply with applica of the permit. ble laws tfr/ \tr rt' t\ f' ) \b ?h ,/CITY OF SAN LUIS OBISPO Heoting qnd Cooling Permit This permit is issued rvi h th_" undersigned applicant's agreement and acknowledgement that all worh will be done in accotdance with bitv Ordinances, including any slecialr^equiremen6andother applicable-laws. This permit becomes invalid if work is not .i..t"a #i,ttitr eo dryr. This fermit does notinclude permission to-install electrical, plumbing, sewage or sidewalk facilities. Business License Permit Card Street File N9 S02! D FEE $ ,.?1.., m... "i.,:,, .-.. Furnoce @-".-----.--.-.-- BTU. F.A. - Grovity - Floor ------ ---- Heoter: Suspended - Woll - Floor Combu,stion P.roducts Vent -------. Repoir, Alterotion or Addrtion Boiler, Comp. or Absorb. Unit: ------------ H.P. Air Hondling Unit: CFM --------- -.-.. Evoporotive Cooler -- lncinerotor, Commerciol Vent System: Single Duct - Multi. Ducts - Greose Hood ------ -.-.. Gos Piping @ $.SO per outlet. Minimum $1.50 .-. Other Number 2. IamI !.-.-.- P"r-it .-..-------... ----CitY Clerk. from these owner of the SCHEDULE reason of'the in this BTU's. -- to"otioflL, occuponcy .-:B;..=.-..-L. Owne Controctor Addre Speciol Requirements of the work F(3r"1f"""3,$rf T:iI'T:ffi i",Tfl-s'?:Hii'iF"i#il'"ii',*:ff f'*::i#'f 3* filed with the City and is still in effect. COVERAGE-Check 3800 Calif. Labor Code). of Buildings. box (one must be checked, Sec. exempt am the and I am .2.1.'..m... a.f,_.3:i ,TOTAL $ $____._-_-._.2.00._ Eoch ----TUE_II-Fr Fees a. building or imProving offered for sale. thereon for my following: permit application own occupancy and not to be manner laws revocation I il CITY OF SAN LUIS OBISPO BUTLDTNG PERMIT This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, inclgding any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to-install electrical, plumbing, sewage or sidewalk facilities. Business License E Permit Card n Street File D N9 oate---4!t8{!!- Permit Fee Plan Check Fee Other Fees 5086 _L!,_!9f!-___ $__89-_00____- s $_ TOTAL $__89,00__*_ DESCRIPTION OF STRUCTURE OR WORK Use Alter Induatrlel. bui to Restsurant Estimated value ------?-5-t00-0*--I I-irc New D Addition I AlterationE Repairs E Move tr Demolish tr 121000 eqo ftr Width-------- Length-- Height------- Stories--=--- Foundation Gange [3 Carport tr ------X*----- Attached D Detached D LOCATION No.-9-?9----- sn""t--I$!!!rlrl-gey-__ Lot--LL3--- Block----- SubdivisonStrbglbgA Parcel No. - - - -53--p-tt =23- - - - - - - - use zone!-- Fire zone-?-- t,r r,*1--1lil]--- Front yd.---,---=- Side yds. --------- I --------' cxlrtlng gs,q$s A -.*:iLI} Oramer The Graduate, Inco Address c/o Contractor Arch. or Eng tt 1 ,:.. Address Builder Address Ro Do Gray----tr197 Htghland l{ey Exterior wall---------- Roof---------Rear yd. Nearest |.lJ- How heated- Typ"-1II:-L-UL.-- Group----D:?- In accordance with the requirements of Section 3800 of the California Labor Code, I, the rndersigned, hereby state with regard to Chapter g, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with license number:the following classification andB-l License No.Classification -----City Clerk. Speci.al requhements COVERAGE-Check appropriate (one must be checked, Sec.Calif. Labor Code). cause revocation ;fl Certificate of wo-rkmen's compensation insurance, copy thereof or certificateof consent to self-insure from Director of Industrial Relations, has beenfiled with the City and is still in effect. tr The permit sought is for one hundred dollars or less. D ! c-erlify _that ig 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 thiworkmen's compensation laws of California. I understand that iailure to IsrrdSS_!_!Lo:le_ lnsp ector of Buil.dings. 2. I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale,b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items.c. Exemption is based on the following section of the State Contractors'License ,tfr" P.o Qq SSttr 3- 59c C Er.p/;{ J|jL-I0"7tr -Ps,zha "":[]tl( ,,1,, I' Permit tto.5-0 3AAPPTICATION FOR STNUCTURE PERMIT IS HENEBY MADE TO THE BUILDING INSPECTOR OF THE CITY OF SAN LUIS OBTSPO {1, erSao RECEIVED BY: No. Plcnr Rsc'd. ILT. UP sHGt-s. ELECTRIC Issued D STONE VEN ROOF COVENING fl METAL N TILE ! P|ERS N METAT E STUCCO ! wooD srDrNG D WOOO TR|M n wooD sHGLs. n wooD SHAKE IOWNER ARCHITECT ENGINEER DESIGNER BUI LDER No. DESCRIPTION SPECIAT REQU I RE'IIIE]ITS G I,IST ITEMS PERTAINING TO THIS APPTICATION 7to Set Bock HEATING f] GAS FURN. E GAS WATL VALUATION qnd FEE! :il'J:;j:-I!',W7s TOTAL FEE 2 03 VATUATION WORK ..$ NEQUINCMENIS FOR ISSUEUSE PARKING PROVISIONS I baue carefully exanined tbe aboae completed applicarion and I Anow ,be sanze is APPROVED FOR ISSUE BY; ordinancet and State laut gouerning bailding con Sign bere DEMOLISH ^r"'--MOVING OTHER ,+REPA I RS STATE LICENSE2.500. d-tt'AITERATToN VA . )) p,zA-,.--r r r\ 6 ^^ )a U BUSINESS LICENSE WORKMENS COMPENSATIONADDITIONI-J--no PIANNING COMMISSION APPROVALOTIIER STRUCTURES CUR8, GUTTER & SIDEWALKACCESSORY BLDG. MAIN BUILDING Sq. FtSg. Ft.Flb;;sHeigit 'Lenglhwidth cosTAREA t$\o raB-ZI I GroupTyPuUnits FireUseUsed osNeorest Bldg.Reor Line tr ! COMP Side Lines ZONES sts-oar2rcb.lebAuilbfraoszzrou C$c.1 lot SizeSubdivision/Troct No,Assr's. No.BlockLotStreet I ER|CK I coNcRETE BLOCK EXTENIOR [] coNcRETE TrrT n BR|CK VEN. FOUNDATION E SLAEI Cont. Conc. TICENSE NUMBER [] TIMBER[] METAL TYPE OF FRAIIE fl Ourtgr colrect. All City DATE: CITY OF SAN LUIS OBISPO ELEGTRTCAL PERMIT Business License Permit Card Street File I\Tg D -[LE FEE zr84 l:./. ;.i'j ;Lln-/'-r $-5-4-'-5-dTlu a:ilt];,il::i,:,lliift*l'g::il.'"',*:*,:;F,xT:il"1""X;i$i:'ii$::iil;H*l,u'*Jii,ffidf'..Tlrfsi'fffi:e ? F e started-within 60 days. This permit does not include permission to rnake any structural altirations or install plumbing, sewage or sidewalk facilities. Items ------New single-family residence with - -- square feet. DArr&,l. --16,--i161 c)wner-O"Z; en,--- nuo,.,rfi-L- contractor)fu ]hre-^^&ffi; Type Sfag.C+-14! -r- FireZone- I _t I I -t I I-t I -Circuits & Feeders ------switches --,-- Lighting outlets - --Recept. outlets ------Fixtures ------Range & Oven ------Dryer - --,Water Heater * - - Transformers ------Signs ------Other Space Heater ------Temporary Service Pole Service Size CONDUCTORswrTcHCONDU IT Motors 7.xtI FEEH.PNO -__l I I --t I I--t I Special Requirements ---*------City Clerk,Inspector of Buildings. CE COVERAGE-Check appropriate box (one must be checked, Sec. Labor Code).r. 3800 Calif {Certificate of workmen's .compensation insurance, copy thereof or certificate of consent to self-insure from Director of Industrial Relations, has been filed with the City and is still in effect. ! The permit sought is for one hundred dollars or less. n 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 workmen's compensation laws of California. I understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. fn accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter g, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with the following classificatio4,qlrd license number: Classification ----------(: ----/-O---- - License No. ,------- 2, I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale.b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items.c. Exemption is based on the following section of the State Contractors' License Applicant--- s----Qo -es;_tu ---e-;-ffi _?,_ffi__ --?-g-,-oa-- ------Fixtures --l---S".ui.e - ---- -,-,- Appliances --- TOTAL - - - l 25 t - -----Alteration Permit New Dwell. --- Circuits Outlets -,-, Transformer -- Motors Fees Law: Section -c[.o""r w Business License / Permit Card tr Street File tl This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance n*"f:*,3,'i'#u?'+irt?Jil'd::"i:1i:xiiTff:*?$":T';if:':*J:,1il;;J[:,::ffi:*:",m,',""W[i[F$*;;ps 57 o7 sidewalk facilities. CITY OF SAN LUIS OBISPO PLUMBING PERMIT Fixtures ------Grease Trap ------Drink Ftn. -----Slop Sink ------Other ------Other ------Other ----- -Other Occupancy Contractor Special Requirements of Buildings. COVERAGE-Check appropriate box (one must be checked, Sec. , Labor Code). thereof or certificate Relations, has been N9 244L D rEdl'fq --2-5-tWn DATE I--l Barhtubs *2 --sho-"., .-2---Luv"tori.s -4---Wur"r Closets ------Kitchen Sink - ---Floor Drain -- ---Laundry Tray *3-- u.irr"l - --Water Softener ----- Clothes Washer ------Dish Washer ------Disposal u I I-J I I-t I ----7-' -l I I I --l I I -l ---------City Clerk. In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter g, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with the following classification ap4N license_nunber: Classification 2, I am exempt from these proviSions by reason of the following:a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale.b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items.c. Exemption is based on the following section of the State Contractors' License A Certificate of workmen's compensation insurance, eopyof consent to self-insure from Director of Industrial filed with the City and is still in effect. tr The permit sought is for one hundred dollars or less. ! I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workmen's compensation laws of California, I understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. 3800 Calif ln"ffi ---€,-o-o w --- l --Permit --J-l-r,*,.,.", - l-- Sew"r Conn. ------Gas Heating ---l Watcr Heater -----,Gas Outlet ------Water Piping ,-----Drainage Pipe ------Lawn Sprinkler ---,-,Fire Sprinkler TOTAL --/---Wur". Heater --*---Space Heater ------Furnace --*---Wall Heater -Gas Dryer ----- Register -----*Flues FeesItemsGos Applionces Law: Section b 49', I q lt ApprrcATroN FoR sTRUcruRE pERMrr IS HENEBY MADE TO THE BUITDING INSPECTON OF THE CITY OF SAN IUIS OBISPO PI.ANS RECEIVED BY: DotG & i2-67 No. Plons Rec'd. Permir *".2J35 Issued c OWNER *f;FH+r.F€-F-. ENGINEER DESIGNER BU I LDER 99C Set Bock ZO .H Haa'ee €ru61*I METAL fidont. Conc. [] ELECTRTC IYPE OF FNAilE n TTMBER FOUNDATION ! stAB HEATING gdns ru*r.r ..$ ! wooD STUD ! wooD SHGLS. I wooD SHAKE ! GAS WALL ea n27-1,4 No. DESCRIPTION SPECIAT REQUIRE'IAENTS [] P|ERS EXTERIOR WAII, ! BRTCK fl METAL ! coNcRETE BLOCK ! STUCCO ETCoNCRETE Til.T-UP I WooD stDtNc n BR|CK VEN. ! STONE vEN. I wooo , .. =fAClfciE ROOF COVERING g.coMP. EUtLT-UP ! METAL ! coMP. sHGtS. ! T|LE VAIUATION qnd FEES 1 6/r&a P:^ vAruATtoN oF WORK<t<)BUILDING PERMIT FEF PLAN cHECK ortff..G. 6...... TOTAL FEE TIST IIEMS PERTAINING TO THIS APPI.I CAIION I baue carefully examined tlte aboue com pleted application and I know tbeord)nancer and State lawt gouerning btilding cotzttruction witl be l,^ REQUIREIAENTS FOR ISSUE PARKING PROVISIONS tanze is true and correct witb. FOR ISSUE BY. PIANNING AND BUltDiN5 DEPT ctTY oF sAN tuts ostsPo ( lvel trtGUEaq 5rADDRESS (-) // 66 TICENSE NUMBER Ctfo,zen \-t.7?A CE9<t z 2z<n l4e.,,',-sh.//l)? Streef Iot Block Subdivision/Troct No Lot Size Assr's. No US-b T TERtAt- /ts f7Bua;sen ft-ecf /2 Acr<ts ZONES - 06/-g Side Lines Reor Line Neoresi Bldg Used os Units Typu Group Use Fire 2f <#/9s'/acnz 2'Jr-N Tiar lJp tr-z 2/z AREA cosT usE widrh Length Height Stories Sq. Ff Sq. FrMAIN EUILDING 2 4c)ACCESSORY BLDG. CURB, GUTTER & SIDEWATKOTHER STRUCTURES PLANNING COMMISSION APPROVATADDITION WORKMENS COMPENSATION BUSINESSALTERATION STATEREPA I RS OTHERMOVING DEMOLISH Sign herc h/laa,a Owngr B Aztborized Agent All City DATEI ^t- J!il'l'-F69 eo4o31 CITY OF SAN LUIS OBISPO Business License m BUILDING PERMIT iffi'u%$ *E,'}:; This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk faciliries. t MiD Zg3Ui"-., Date - ur-slg-:4t - 19 o-9- - - - - - Permit Fee E---L?4{-9- Plan Check Fee $----9?-:-0-Q- Other Fees $____ rorAl E---?91-0-9- DESCRIPTION OF STRUCTURE OR WORK trse - - - - - -Eeg!-agy--llelelt-eg-,qs-- - - Estimated u.t r" ----Qtt9-0-9-'----------- u LOCATION INFORMATION No.--9-9-o-----stre"t--I!9gg-tqiel--4Yg-. rot-!1-3---Block-----suuivisiorF-989-r!4{rTract Parcel No.53-A6L-23 Use zorre--M- Fhe zone-?- ^, :r?-- Owner Weaver Motors Co. Address -lt--Q 9--t!ie-q era st. Arch. or r"g. P-Q-ci-fig- -E{$i!-e-qgs- - - - - L326 Ctrorro Maino Construction Co" ..-nrlq es New ff Addition n Alteration E Repairs D Move E Demolish E width--l--o-g-r- r",,gtn-1-Q-0-l "ggor{qi *qfgf; Foundation---Q949-rExterior-"u-!4!:9PR*f -qyl!'-t-: Address Builder AddressRead vd. - - -o-k- -- - -- Nearest bldg. --- a95- 1 - - 2238 Broad St. How h"ateSSE Furn.Permit issued subject to all required easements & inprov€- Ire- ;lermi tjted -n&til -att Garage n Carport E x -- Attached tr Detached D Inspector of Build.ings. RANCE COVERAGE-Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). lC Certificate of workmen's compensation insurance, copy thereof or certificateof consent to self-insure froir Direetor of Indultrfai Relations, has been filed with the City and is still in effect. tr The permit sought is for one hundred dollars or less, n I certify that in the perdormance of the work for wI shall not manner so as workmen's In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state-with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's Lieense in full force and effect with the following classificatio& an! licepse;number : Classification ----------B-:l-+--A:-l- License No.LO22 2. I am exempt from these provisions by reason of the following: a. I am tlie owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale.b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. c, Exemption is based on the following section of the State Contractors' License of employ petson ln I la cause revocation fi Ne 1833 DEPARTMENT OF BUILDING Crry or SeN Lurs Osrspo Permit to lrect $ign o^r.--&l-t- Valuation: $bsq ,m (Yz of t%)e*, E9,9b-- (Minimum fee $1.00) I DESCRIPTION OF SIGN N.Metal Fluorescent Plastic------- Single f".. X Double face ---- Painted Wood Other Other ----r---- '@ Ylt C_,Other/ Length Amperage Wattage Thickness U. L. No. Weight ShoP No. copy readslt+A the the Pro- that the Owner Inspeetor of Building N,flq C-- - street- I ua,l5k"d<-hA-y or, Lot-----BIk-----Subdv LOCATION INFORMATION Contractor Address Owner Address INSTALLATION INFORMATION Flag length Wall ------ Center mount Pole Base mount ---------- Roof Flush mount )<--- Other Use permit required---- Date granted-- ><-_ StructureSusp'd mount Variance ---- Date fi\GREEMENT: In consideration of the issue and delivery to me by the Inspector of Buildings posed work in accordance with the description set forth above and according to the provisions of iacts stated by me and contained in thd above permit are true as therein- stated._ I also agree from all costs and damages which may accrue from the use or occuPancy of the sidewalk, street By Luis harmless ty o o[' ) san Luls oBtspo NSTRUCTION PERMIT "e Department of Community Devetopment, gg0 Patm Street/Post Off ice eoi{d+, San Luis Obispo, Cn'#fri$ntt-O5i5rf*66ffi+.1ftf Etr Building ! Remodel tr Electrical ! Plumbing D Mechanical tr Solar n Grading! Parking Lot tr Demolition I Moving n 0ther Project Address 99'i Industrial- i{ay fff.t Use Zone- 53-06 1-34 Lot Number 113 Bloc Trect Suburban Assessor's Number ct c TYPE (lF PERMIT 0wner Contraclor or Builder Architect or Designer n Combination tr Retaining Wall Wi11lan S. Everett Owner l'lerri.an-f'raser Address 2801 Shel1 Beach Road, Dav PhoneDIICII DEia(ltlr tJA L commercial WAIKWAY s s , uiJU. s 3il34 5 41-'17'll C657.1+ 541 -07'JC n otner The te Restaurant OCCUPANCY & TYPE OF CONSTRU CTION V-NR FOUNDATION El Concrete ! Stan n Piers/Caissons FRAME: E wo'od Stud n Metat ElTimber E Masonry , B. & P.C. Setbacks: Front- Sides Rear- Phone PROJECT INFORMATION Type ot Proiect: Proposed Use: TOTALVALUATION...... Plan Check No. Combination Permit Building Permit Electrical Permit Plumbing Permit VALIDATION John L. Kelleruranfve Authorized Department Representative Address EXTERIOR WALL: E Wo-od Siding ! Stucco E Masonry Veneer! Masonry E grict< El Concrete Block E Metal ROOF n auitt-up n Metal ! Composition Shingle E tile n Wood Shingle/Shake HEATING: [] Electric I Gas Furnace n Gas Wall f] Solar STATE REOUIREMENTS: ! Energy ! Sound dHandicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION : I am licensed under the provisions of Chapter I (commencing with Section 7000) ot Division 3 ol the Business and Prolessions Code, and my license is in full lorce and etfect. License class- License Number Carporl- Covered Porch- Deck- Storage- N0. Bedrooms- No. Bathrooms- N0. Stories- Building Height Retaining Wall lnlormation:Lenolh Material Mobile/ Modular Home lnformation: Year D.M.V. Lic No Slete No. Bedrooms_ Moving Building lnJormation: Presenl Present Proposed Use Tot. Lin. Ft. ol Fdtn.- Grading lniormation: Tot. Cut Cu. Yds.; Tot. Fi Yds.; Area ol Disturbance- Contraclor- Date- x",.. OWNER BUILDER DECLAHATION: I am exempt from the contractor's License Law l0r the tollowing reason: ! l, as owner ot the property, or my employees with wages as their sole compensation will do the work and the structure is not intended 0r offered l0r sale. fl l, as owner of the property, am exclusively contracting with to construct the pro,ect. I I am exempt under Sec. this reason Mechanical Permit $ her:s Other:s TOTAL PERMIT FEES s ! Construction Unit Tax s TOTAL FEES S i3.5U REQUIREMENTSn water Fees to be Paid n Fire Hydrants for Const. ! Sewer Fees to be Paid ! City Business License ! C/G/S Permit Reg'd. E State Contractor's Lic. n Encroachment Permit SPECIAL CONDITIONS nrlc WORKERS COMPENSATION DECLARATION ., I hereby atlirm that I have a certificate 0f consent lo self-insuJe-,-or'a certilicate 0l Workers' Compensation lnsurance, 0r a certilied copy hereol (Sec. 3800, Lab. C). nn Certilied copy is hereby furnished. Certilied copy is liled,with the county Planning Department. CERTIFICATE OF EXEMPTION FROM I certify that in the perlormance ol the work is issued manner so as to become NOTICE OF APPLICANT: ll, after making this Certilicale 0l Exemption, you should become subiect t0 the \l/orker's Compensation provisions ol the Labor Code, you must comply with such provisi0ns or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency tor the pertormance oJ the work lor which this permit is issued (Sec. 3097, Civ. C.) Lender's Address I certily that I have read this application and state that the above inlormation is cortecl. I agree t0 comply with all county ordinances and state laws relating to building construction, and hereby authorize representatives 0t this county t0 enter upon the above-mentioned property for inspection purposes. NOTICE Unless noted aulhorized is period ol 180 days any time Lender'sName- -ft-.. LL/20185 .,4 Signature owner (lf owner Builder) WHITE - Applicant YELLOW - File PINK - Assessor GOLD - Counter SEQ DATE TOTAL AMOUNT Date 16€3 GtY Ot 1 -r San lulS OBISPO ' CONSTRUCTION PERMIT A asna Department of Community Development, gg0 Palm Street/Post off ice eox $Atban Luis obispo, cn's#d (Sdtj&++66e+.+5 TYPE (lF PERMIT tr Gombination u Retaining Wall E Building ! Remodel n Parking Lot ! Demol 990 Indusl-ria1 !,la.r' B Electrical tr Plum bing !Mechanical nSolar trGrading Ition Movirig !0ther Use zone i4Project Address Lot Number 113 Tract Suburban 53-06 1-34RlnekAssessor's Number Contractor or Builder Architect or Designer Owner Merriam-Fraser The Graduate Restaurant Shel-l 54L-i7 Cl Address- Phone Add ,ooo979 osos SL. rttCttrSLorCA Phone 543-7057 Lic c65?4No OCCUPANCY & GROUP A?-1 TYPE OF CONSTRUCTION V-l Hr'- F0UNDATION: nWood IConcrete UStao []Piers/Caissons FRAME: ! Wood Stud n uetat E Timber E Masonry 990 Industrial Way,SLO Day 541-C7Clj PROJECT INFORMATION Typeof Proiect: 8r lllSON=pJ gg!.'leg t pl=lp+I}Ig t,JT LMITI-irl ProDosed Use: <.lrrnnrr rr ! n =1 Setbacks:Sidpc Rear Floor Carport- Covered Porch-Storage- No. Eedrooms No. Bathrooms- No.qlnripcEXTERIOR WALL: n Wood Siding ! Stucco E Masonry Veneern Masonry ! Brict< ! Concrete Block E wtetat Building Height R00F: E auin-up ! tvtetat n Compositon Shingte D Tite n Wood Shingle/Shake HEATING: ! Electric n Gas Furnace n Gas Walt ! Sotar STATE REOUIREMENTS: n Energy ! Sound ! Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION : I am licensed under the prwisions of Chapter I (commencing with Section 7000) of Division 3 ol the Business and Prolessions Code, and my license is in lull lorce and etlect. License class- License Contractor- OWNER BUILDER DEGLARATION: I am exempl from the contractor's License Law lor the following reason: n I, as owner 0l lhe property, 0r my employees with wages as their sole compensation will do the work and the struclure is nol intended 0r ottered lor sale. n l, as owner ol the pr0perty, am exclusively contracting with licensed conlractors to construct the proiect. ! I am exempt under Sec., B. & P.C. for this reason Dare ;:j- 1:l -,1t,"'.''. Annlinrnt , y' WORKERS COMPENSATION DECLARATION I hereby aflirm that I have a certificate ol consent l0 sell-insure, or 'a certilicate 0f Workers' Compensation lnsurance, or a certilied copy hereol (Sec. 3800, Lab. C). n Certified copy is hereby furnished. n Certilied copy is filed with the county Planning Department. Date CEHTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I certily thal in the perlormance 0l the work tor which this permit is issued, I shall not employ any person in any manner so as to become subiect t0 the Worker's C0mpensation Laws ot Calilornia. Annlicrnl NOTICE OF APPLICANT: lf, atter making this Certiticate 0l Exemption, you should become subiecl t0 the li/orker's Compensation provisions of the Labor Code, you musl comply with such provisions or this permil shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atlirm that there is a construction lending agency for the pertormance 0f the work lor which this permit is issued (Sec. 3097, Civ. C.) Retaining Wall lnlormation:Hcinht Mrlo.i.l Mobile/ModularHome lnformation: Manulacturer Year- Serial No.D.0.H. No.- D.M.V. Lic No. Bedrooms- Moving Building lnlormalion: Present I n.rlinn Locality- Present Use- Proposed [Jse Tot. Lin. Ft.of Fdtn._ Grading lnformation: Tot. Cut Cu. Yds.; Tot. Fill-Cu. Yds.: Area ol oisturbance- TOTALVALUATION...... Plan Check No. BCirll- Combination Permit Building Permit Electrical Permit Plumbing Permit Mechanical Permit Other: Other: S 7tL^\O e $ .t $ x Lender's Name Lender's Address TOTAL PERMIT FEES tr Construction Unit Tax $ TOTAL FEES I 14. )U REQUIREMENTSI Water Fees to be paid ! Fire Hydrants for Const. ! Sewer Fees to be Paid E City Business License ! C/G/S Permit Reg'd. E State Contractor's Lic. E Encroachment Permit SPECIAL CONDITIONS * i-lrrt';jat.|B L4ii-.:riq );^ |i. i;-t ,: ); /'t:t'Ct\\ . 1l t1 VALIDATION John L. Kellergranfve Authorized Department Bepresentative fl other w. \,. lnsurance I certiJy that I have read this application and state that the above informalion is correct. I agree to comply with all county ordinances and state laws relating to quilding construction, and hereby authorize represenlatives 0l this county to enter upon the above-mentioned property tor inspection purposes. NOTICE Unless noted under "Special Conditions," this permit becomes null and void il work 0r construction authorized is not started within 180 days, 0r il c0nstruction or work is suspended or abandoned for,t of 180 days any time after w0rk is commenced. Signature ol Contractor or Authorized Agent Signature ol owner (ll owner Builder) WHITE - Applicant YELLOW - File e /re /36 Date PINK-Assessor GOLD-Counter SEQ DATE TOTAL AMOUNT tl OtY Ot '"i San LulS oBlSPo' ) CONSTRUCTION PERMIT A z"zut) E Combination n Building ! Remodel tr Electrical tr Plumbing tr Mechanical n Solar D Grading !RetainingWallnParkingLottrDemolitiontrMov|ngn0ther Project Address 990 Industri.al- Way lJse - i'l Lot Number 113 Block Tranl Suburban Assessor's N 53-06 1-34 0wner rJ{11{Q tr'rrava * fi Contractor Olvneror Builder Architect Add Phone or Designer Merrlasr-Fraser Address 979 Osos St . ,rre " , SLO,eAPhone 5r'3-7057 Lic. No. g652r' Tenant- The Grad,uate Restaurgpg Address 99CI IndusgEial Wsy, SLO DayPhone =qz'l-0?00 OCCUPANCY & GROUP L'1 PROJECT INFORMATION TYPE ()F PERMIT TYPE OF CONSTRUCTION TTT-l 1{r F0UNDATI0N: [] Wood BConcreter E Stan E Piers/Caissons FRAME: n Wood Stud n Metat BTimber n Masonry EXTERI0R WALL: ! Wood Siding n Stucco n Masonry Veneer! Masonry ! gricX E Concrete Block n Metat titr-t-up ress rRol shell Rennh nd.,shell b3ffib,rrc4-3{:9709- R00F: E auittup E trletal n Composition Shingle E tite! Wood Shingle/Shake HEATING: fl Electric E Gas Furnace RGas Wall E Sotar STATE REQUIREMENTS: ! Energy ! Sound f[fiandicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under lhe provisions ot Chapter I (commencing with Section 7000) 0l Division 3 of the Business and Professions Code, and my license is in lull force and effect. License Type ol Project: Proposed Use: Setbacks: Floor Carport- Covered Porch-ncck Storage- No. Bathrooms- No. Stories I Retaining Wall lnformation: Length_ Heig ht Mrt".irl Mobile/Modular Home lnlormation: Manulacturer- Serial No D.O. H D. M.V. Lic. No. - State- N0. Bedrooms- MovingBuildinglnformation:PresentLocation Present Proposed Use Tot. Lin. Ft. ol Fdtn._ Grading lnformation: Tot. Cut Cu. Yds.; T0t. Fill-Cu.. Yds.; Area of Disturbance- AEITNT\N'I. I?PqTETF A]'ilT TOTALVALUATION...... Plan Check No. Combination Permit Building Permit Electrical Permit Plumbing Permit $ License Number I certily that in lhe perlormance ol the w0rk Jor person in any manner so as t0 become subject Contractor- 40 000. $ 316.00 s s s Mechanical Permit Other: Other: VALIDATION John L. Kel-Lerrnan/ve OWNER BUI LDER DECLARATION: larqpxempt lrom the contractor's License Law lor the following reason: [$, as owner ot the property, 0r my employees with wages as their sole compensation will do the 6oil anO the struclure is not intended or otlered lor sale. n l, as owner ol the pr0perty, am exclusively contracting with licensed contractors to construct the project. n I am exempt under Sec., B. & P.C. lor this reason \d," / '';q or 'a certilicate ol Workers' c). nn Certified copy is hereby lurnished. Certitied copy is filed with the counly Planning Department. CERTIFICATE OF EXEMPTION FROM , I shall ot to the \i'6rker's or this permit shall .be deemed revoked. CONSTRUCTION LENDING AGENCY l hereby atlirm that there is a construction lending agency for the performance 0l the work tor which this permit is issued (Sec. 3097, Civ. C.) Lender's TOTAL PERMIT FEES s! Construction Unit Tax s TOTAL FEES $ 316.00 REQUIREMENTSn water Fees to be paid E Fire Hydrants lor Const. ! Sewer Fees to be Paid ! City Business License ! C/G/S Permit Reg'd. n State Contractor's Lic. E Encroachment Permit ! 0ther SPECIAL CONDITIONS Lendeas Address I certity lhat I have read this application and state that the above inlormation is correct. I agree l0 comply with all county ordinances and state laws relating t0 building construction, and hereby aulhorize representatives of this c0unly t0 enter upon lhe above-mentioned property lor inspection purposes. NOTICE Unless noted under "Special Conditions," this permit becomes null and void it work or conslruction authorized is not started within 180 or il construction or work is suspended 0r abandoned tor a t. period ot 180 days any lime Signature ol is commenced. rlL4l86 Authorized Department Representative WHITE - Applicant --Yert5w - rie il]r, SEQ )t.tt DATE --i /,-,i.\'r: TOTAL AMOUNTPINK-Assessor GOLD-Counter Date u Li \./ .v'. t *: .\d, .\-/..)'v' */ aaY PR|NTINO, MOnRO AAY. CALII a746Oa-CG I vj -/ \-i (r, -;q #ru CONSTRUJION PERM Clty of San Luls Oblspo . Bullding Divislon . 990 Palm Street/Box B1OO . San IT Luls Oblspo, ProJect Address Agsessor's Parcel Number Prolsct Descrlptlon Permlt Class Psrmlt Typ6 Bulldlng FIr IFP[i{i !" F[ gni {d5-11,'l THIHFSIJI{ U.B.C. Type 19fi IilnirqTpra; i I -tr{! l4- pi iiHtr$_r e. tri Ftr Buildlng Legal Descrlptlon CA 93403-8100 . (805) 549-7180 Sulte/Unlt lv n c'in IF F,Til | T i i? il Plumbing _ Sign 6thar i rt_if{ A FJt ii'/LiY - Mechanical - Demolition I Electrlcal - Gradlng Property Ownsr Malll Address Phone Number ' Occupant/Buslness Name Buslness Owner's Name Contractor's Name Malllng Address Contractor's Phone No. Proj€ct Lender Name U.B.G. Group nl lhlLt tl{L city/state s*il i_:.lig ijel Zlp Code i - ?6ce ATA{i:ATIFFN I-,4 q litBit riAA- I n? I Requirements Phone Number city/state/zlp Contractor's State Llc. No. Project Manager's Phone No. Lender Address SubJect to Flood Zon6 !'J-llrr!i{! Gensus Number iii){j Census Sub-Gode Census Number Descrlption A = Area D = Dollars Y = Yards A/D/Y per Bldg. Bldg. Value Code Unlts per Bldg. No. of Bldgs. Total Bldg. Area Total Bldg. Value or Ytrdr ol Gradlng Helght (ft.) E Stortes Plan No. g 14 FUitllri[ P[F;HII Pt.*H CHtft i{ixl{AHIlil PESfiiT TLEITFITSL PIRfiIT FLIJHFIH6 F.TFHII liniilIrLtft PrRfitT HAi{IIIAFTII PLf,F' THT[[ tljEfi6Y PLfit{ cHt[], 3Eriift LIAT'R ii]NTTR'JCTIijti IJHIT IAI 0ftft}IHS PTRI,III PAFHIi'i! L[T PTHHII liltR0ilLH Ftt fLiiis [H[r-]i AIJUSTnIHI IIf,I' AiiO H*T[RIAL T$ItIHiiTEfiT IU€ i I .F . tj r"t r[t rff.r fff !:rt cI r-L rlLL, € t': ql i. i;it tli- trlr iii i.ir fi.r. !!t rrlTJ,i irrai!tnL , LLi Aii[UHT PAIi, BALAi{[T t c-l'J..ji.j i nLi.: IiiE F0i-Lfttlti. PR[l${ltiAfy FtE$ rlFt siJt]tcl Tt #{fr}{t:t FiFilRt p[ftt{tI ttsltnF{ft: Speclrl Condltlons: Appllcatlon Numb€r ciiq!! Appllcatlon Dat€ !i 1l/i? Actlvlty Gode P Activlry Date tliiiig Thls Permlt ls only valld when endorsed by an aulhorlzed representallve ol the Communlty Developmenr Departmenl. Permll Number lsguance Dale ?l ti/Bt i liiri Authorlzed LEGAL DECLARATIONS OWNEB BUILDER DECLAMTION: l_{n exempt lrom the conlractor's Ucense Law lor the lollowing rsason:Ll l,asowner0ltheproporty,0rmysmployeeswithwagesastheirsolecompensationwill do lhe work and the slruclurs ls nol inlsndod 0r 0ttersd tor sale.fl l, as owner 0l tho propsrty, am oxclusively contracting with licensod conlractors t0 conslrucl the project. Lrj.Ldl applicable IYORKERS COMPENSATION DECLAMTION: I hereby attirm that I havs a cortilicals 0l consenl lo s€ll-insure, 0r 'a corlilicate ol vvorkers' gmgonsation insuranc€, or a cartilisd copy horeol (Ssc. 3800, Lab. C) LJ Cerlilied copy is hergby lurnished. ly',€erlified copy is liled with tho Ciry. n Not appticabte CERTIFICATE OF EXEMPTION FROII WORKERS COMP. INSURANCEn I csrtity that in tho porlormancs ot ths work lor which this p€rmit is issued,.l shall not ornpby any person in any mannar so as lo bocom€ subiect to the $brker's Compensation Laws ol Calihmie.fll Hnt eootierrru NOTICE TO APPLICANT: ll, atter making any ol th€ lorogoing doclarations, you becomo subiecl to afly Labor Code or Llcense Law provision, you must comply wilh such provisions or this pormit ihatt be d8smod revoked. I cortilythat.l have read this applicailon and state that ths above intormation is correct, I agroe to c0mply with all cityordinancos and state laws relating t0 building mnstruction, and heieby authorizo reprssenlalivss 0t this city to enter upon tho above-menlioned property lor inspection purpos8s. Unless notsd under "speclal Conditions," thls psrmil bocomes null and void it work 0r conslruclion authorized ls nol started wilhin 180 days, or il construction or work is suspended 0r abondoned lor a period ol 180 days any time atter work is commenced. I ') CITY OF BUILDING PERMIT AlUAddition - Commercial BLDG-3279-2022 lssuance D ate: 4 I 6 I 2023 san tur.q,gpl$po Bullding & Saf€ty Division . 919 Palm Street'San Luis Obispo, CA 93401-3218 project Address: 990 lnclustrial Wv Assessor's Parcel Number: @9€l-O34 Unit or Suite(s); Square Footage: 0'00 Project Description: INTERIOR REMODEL TO CREATE PRIVATE OFFICE Legal Description: AND STORAGEAREA Architect: Omni Design lnc Eric Pennachio Business: (805) 544-9700 Mobile: (805) 235'1042 Contractor: BRUCE VANDERVEEN CONSTRUCTION INC INACTIVE Bruce Vanderveen License Type: Califomia State Contractor License License Number: 515536 Owner: LFOALLCACALLC INACTIVE Tenant:Zoo Med Laboratories, lnc INACTIVE Business: (805)542-9988 Other:(805)440-3885 Fire Sprinklers: Not Provided Stories 1.00 Census: 437 - Commercial Alteration orAddition Occupancy: Business, professional offices (B) GodeYear: 2019 Dwelling Units:Motel Rooms: Construction TYPe: V-B Valuation Group sq. Ft Factor Valuation Manual -$1o0,ooo.oo Fees Payments Receipt #Fee Name Fee Amount Date Amount Consolidated Plan Check Fees SMIP (Commercial) Consolidated lnspection Fees lT Surcharge Building Plan Rev - Commercial - Minor C&D Recycling - UTIL Green Building Fee $2,175.02 $31.00 $1,747.26 $131.73 $319.93 $76.73 $4.00 4t6t23 4t6t23 38,762-04-06-2023 38,763-04-06-2023 Total Paid: $2,175.02 $2,310.65 $4,485.67 Total Fees:$4,t185.67 Plan Gheck Account Payment by Gontact Gontact Name Account Name status 6fi4'rab-6ffi'ffic W inuse Total Credits Total Debits Account Balance $2,175.02 $2,175.02 $0.00 $0.00 Balance Due: Total Account Balance: $2,175-02 $2'175'02 $o.oo Legal Declarations #2 IDENTIFYWHOWLL PERFORM THE WORK 2a - CALIFoRNIA LICENSED coNTRAcToR's DECLAMTION I hereby aflirm under penalty of perjury that I am licensed under provisions of Chapter 9commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in tll ror"" and effect. #3 IDENTIFY WORKERS' COMPETTISTATION COVERAGE AND LENDING AGENCY WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil lines up to$100,000' in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and aftomey,s fees. I certiff that, in the performance of the work for which this permit is issued, I shall not employ any penron in any manner so as to become subject to theworkers' compensation laws of california, and agree that, if I should become subject to the workers, compensation provisions of section 3700 of theLabor Code, I shall forthwith comply with those provisions. #4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certiff each of the following: I am a CA Licensed Contrac{or. Aoril06.2023 of Contractor, Authorized Agent or Owner Date t\ Siri'Lur.q,gpl$po BUILDING PERMIT Fire Sprinklers FrRE-0440-2023 lssuance D ale: 4 I 3 I 2023Building & Safety Division.919 Palm Sfeet. San Luis Obispo, CA 93401-3218 Project Address: 990 lndustrial Wv Unit or Suite(s): Project Description: FIRE SPRINKLER SYSTEM lN EXISTING BUILDING Contractor: Bixler Fire Protection BROCK Business: (805) 602-2960 License Type: Califomia State Contractor License License Number:905045 Assessor's Parcel Number: @1034, Square Footage: 0.00 Legal Description: Fire Sprinklers: Census: Occupancy: Stories 0.00 Qq6s fss1. 2016 Dwelling Units:Motel Rooms: Construction Type: Valuation Group Tvpe Sq. Ft Factor Valuation Fees Payments Receipt #Fee Name Fee Amount Date Amount Fire Sprinkler Systems - Tenant Consolidated lT Surcharge $771.21 $23.s2 4t3t23 38,700-04-03-2023 $794.73 Total Paid:$794.73 Total Fees:s794.73 Plan Gheck Account Payment by Contact Contact Name Account Name Status Total CrediG Total Debits Account Balance Total Account Balance: Balance Due:$0.00 Legal Declarations #2 IDENTIFY WHO WLL PERFORM THE WORK 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLAMTION I hereby affirm under penalty of perjury that I am licensed under provisions of Ghapter 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 aftomey's fees. I certiff 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, lcertiff each of the following: I am a CA Licensed Contractor. 4l/April03,2023 of Go Agent or Owner Date I 3ifi'tul.q,gplfipo BUILDING PERMIT Underground/HYdrant FIRE-1235-2021 lssuance D ale : 6 124 I 2021 Classification: A - General Engineering Contractor Euilding & Safety Division ' 919 Palm Street'San Luis Obispo'cA 93401-3218 Project Address Unit or Suite(s): 990 lnduslrial Wv Assessot's Parcel Number: 053'061434 Project Description: uNDERGROUND FIRE LINE RE-ROUTING PER CITY Lagal Description: STANDARDS Architect: Omni Design GrouP Thomas ReaY Business: (805) 544'9700 LicenseType: Architect License License Number: 19442 Contractor: D.C. Lacy Excavating lnc' Danny LacY Business; iaos,) q3n_szlt Mobite: (805) 431-3271 Other: (805) 400-9990 License Type: 6afifomia state contractor License License Number: 796998 License Type: Worker's Compensation Licenso Number 9154337 Owner: LFOALLC Fire Sprinklers: Stories 0'00 : Census: 437 - Commercial Alteraiion orAddilion Occupancy: Code Year: 2O1g Dwelling Units:Motel Rooms: Construction TYPe: Dimensions Category: Valuation Group Tvoe Sq.Ft Factor Valuation SQFT: Fees Payments Receipt #Fee Amount $536.59 Date Amount Fee Name $552'96 $552.96 Fire Sprinkler SYStems - Tenant lT Surcharge 6t24121 31,852-06-24-2021 Total Pald$16.37 Total Fees:$552.96 Plan Gheck Account Payment by Gontact Contacl Nam€Status Total Crsdits Total Deblts Account Balance Total Account Balance $o.oo Balance Due: WARNING: Failure to secure workers' compensalion covetage is unlawful, and shall subject an employer to criminal penal$es and civil fines up to$100'000' in addition to the cost of compensalion, damages as provided for in section 3706 of the labor code, interest, anct attomey,s fees. Legal Declarations #2 IDENT1FY WHO WILL PERFORM THE WORK 2a - CALIFoRNIA LICENSED coNTMcToR's DECLAMTION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter gcommencing wilh Seclion 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect. ff3 IDENTIFY woRKERs' coMpENsrAfloN covER.AGE AIID LENDTNG AGENcy I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is issued. #4 DECLARAIION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify each of the following: I am a CALicensed Contractor. June 25.2021 Signature of Contractor, Authorized Agent or Owner Date $tri'rtriq,gplfipo BUILDING PERMIT AlUAddition - Commercial BLDG-2355-2020 lssuance Dale: 413012021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218 Project Address: 990 lndustrial VW Unit or Suite(s): Project Description: Contractor: Owner: Assessor's Parcel Number: 053-061-034 Legal Desuiption: REPLACE 5 DOORS. REPLACE LIGHTS, EXTERIOR P.O.T. IMPROVEMENTS BRUCE VANDERVEEN CONSTRUCTION INC Bruce Vanderveen License Type: California State Contractor License License Number: 515536 SLO INDUSTRIALWAY LLCA CA LLC Fire Sprinklers: Pl!]yjdggl Stories 1.00 Census: 437 - Commercial Alteration or Addition Code Year: 2019 Dwelling Units:Motel Rooms: Construction Type:ilt-A ill-A Occupancy: Business, professional offices (B) Storage, moderate hazard (S-1) Dimensions Category: Valuation SQFT:Group Type Sq. Ft Factor Valuation -l5dp-601-d" Manual Fees Payments Receipt #Fee Name Fee Amount Date Amount SMIP (Commercial) lT Surcharge Commercial Access Upgrade - Site work - BLDG Supplemental lnspection (Building) - BLDG Supplemental Plan Check (Building) - BLDG Building Plan Rev - Commercial - Minor Green Building Fee C&D Recycling - UTIL $29.00 $103.90 $1,220.95 $s15.40 $915.40 $286,20 $4.00 $68.64 4t30t21 31,183-0+30-2021 Total Paid: $3,543.49 $S^643.{3 Total Fees $3,543.49 Plan Check A,ccount Payrnent by Contact Contact Name Aocount Name Status Total Credib Total Debits Account Balance Total Account Balance: Balance Due $0.00 Legal Declarations #2 IDENTIFY WHO WLL PERFORM THE WORK 2a - CALIFORNIA LICENSED CONTMCTOR'S DECLARATION I hereby afiirm 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 IDENTIFYWORKERS' COMPENSTATION COVERAGEAND LENDING AGENCY WARNING: Failure to secure workers' compensation crverage 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 DECI-ARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, lcertiff each of the following: I am a CA Licensed Contracior. April30, 2021 sig Contractor, Authorized Agent or Owner Date $ifi'tur.q,gplfipo BUILDING PERMIT Alarm FIRE-0137-2021 I ssuance Date: 31 1 512021Building & Safety Division . 919 Palm Street ' San Luis Obispo, CA 93401-3218 990 lndustrial Wv Assessor's Parcel Number: 95.3-061-Q,34Project Address: Unit or Suite(s): Project Description: SPRINKLER FIREALARM SYSTEM (FIRE SPRINKLE Legal Description: MONITORING SYSTEM Contractor: Stanley Security Solutions Business: (805) 852-7001 Other: (805) 235-6747 Owner: SLO INDUSTRIAL WAY LLC A CA LLC Fire Sprinklers: Census: Occupancy: Stories 0.00 Code Year: 2019 Dwelling Units:Motel Rooms: Construction Type: Dimensions Valuation Category:SQFT:Group Sq. Ft Factor Valuation Fees Payments Receipt #Fee Name Fee Amount Date Amount Sprinkler Monitoring System $383.28 3t15t21 30,599-03-1 5-2021 Total Paid $383.28 -$38328' Total Fees $383.28 Plan Gheck Account Payment by Contact Contact Name Account Name Status Total Creclits Total Debits Account Balance Total Account Balance Balance Due:$0.00 Legal Declarations #2 IDENTIFYWHO 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 $1 00'000, 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 PERMITAPPLICANT By my signature below, I certiry each of the following: I am a CA Licensed Contractor. %"Uf CZ".,.e March 15,2021 Signature of Contractor, Authorized Agent or Owner Date l $tfi'Lurs ogrspo CALITORNT,q. I BUILDING PERMIT Fire Sprinklers FIRE-2382-2020 lssuance Date: 1 I 1 1 12021Building & Safety Division . 919 Palm Street'San Luis Obispo, CA.93401-3218 990 lndustrial Wv Assessor's Parcel Number: 053-061-034Project Address Unit or Suite(s): Project Description: FIRE SPRINKLERS Contractor: Sims Fire Protection, lnc James Sims Business: (805) 61 0-2430 Owner: SLO INDUSTRIAL WAY LLC A CA LLC Legal Description: Fire Sprinklers: Stories 0'00 '. Census: 437 - Commercial Alteration orAddition Occupancy: Code Year: 2019 Dwelling Units:Motel Rooms: Construction Type: Dimensions Valuation Category:SQFT:GrouP sq. Ft Factor Valuation Fees Payments Receipt #Fee Name Fee Amount Date Amount $1,379.81 $42.08 Fire Sprinkler Systems - Tenant Consolidated 1t11t21 29,853-01-11-2021 Total Paid $1,421.89 $1,4r1.8'lT Surcharge Total Fees $1,421 .89 Plan Check Account Payment by Gontact Contact Name Account Name Status Total Credits Total Account Balance Total Account Balance Balance Due:$0.00 Legal Declarations #2 IDENTIFY WHO WILL PERFORM THE WORK 2a - cALIFoRNIA LICENSED coNTRAcroR's DEoLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter gcommencing 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 A,ND LENDING AGENCY WARNING: Failure to secure workers' compensation coverage is unlalvful, and shall subject an employer to criminal penallies and civil lines 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 whichthis 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. Januarv 11. 2021 Signatu ontractor,Agent or Owner Date ') $ifi'tur.q,gpl$po BUILDING PERMIT I nterior/Utility Building DEMO-2059-2020 lssuance Date: 1 0 12312020Building & Safety Division . 919 Palm Street'San Luis Obispo, CA 93401-3218 Project Address: 990 lndustrial Wv Unit or Suite(s): Project Description: DEMO EXITING ASSEMBLY SPACE Contractor: BRUCE VANDERVEEN CONSTRUCTION INC Bruce Vanderveen License Type: California State Contractor License Owner: SLO INDUSTRIAL WAY LLC A CA LLC Assessor's Parcel Number: 053:061-@1 Legal Description: License Number: 515536 Fire Sprinklers: Census: Occupancy: Stories 0.00 Code Year: 2019 Dwelling Units:Motel Rooms: Construction Type: Dimensions Category: Valuation SQFT:G Tvpe sq. Ft Factor Valuation -SZo^ood5o Manual Fees Payments Receipt #Fee Name Fee Amount Date Amount Demolit - lnterior or Garage/Utility Build - lT Surcharge Building Plan Rev - Commercial - Minor C&D Recycling - UTIL Special lnvestigation Fee BLDG $462.01 $24.91 $286.20 $68.64 $462.01 10t21t20 10t23t20 28,978-10-21-2020 29,015-10-23-2020 Total Paid $841.76 $462.01 $1,303.77 Total Fees:$1,303.77 Plan Gheck Account Payment by Gontact Contact Name Account Name Status Total Credits Total Debits Account Balance Total Account Balance Balance Due:$0.00 Legal Declarations #2 IDENTIFYWHO WILL PERFORM THE WORK 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION I hereby afiirm under penalty of perjury that I am ticensed 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 CALicensed Conkactor. October 23,2020 Signature of Contractor, Authorized Agent or Owner Date -l, .dl Sifi'Ltrs oBrspocALIpoRNtnI BUILDING PERMIT Alt/Addition - Commercial BLDG-3301-2016 lssuance Date:'l 1612016Building & Safety Division . 919 Palm Street'San Luis Obispo' CA 93401-3218 990 lndustrial Wav O Assessor's Parcel Number: 053-061-034Project Address: Unit or Suite(s): Project Description: MENS AND WOMENS RESTROOM RENOVATION Legal Description: Owner/Agent: lnteriors BY Norma Business: (805) 543-0676 Owner/Builder: %THE GRADUATE Fire Sprinklersl Not Provided Stories 1.00 Census: 437 - Commercial Alteration or Addition Occupancy: Code Year: 2013 Dwelling Units:Motel Rooms: Construction Type: Dimensions Valuation Category:SQFT:Group Type Sq. Ft Factor Valuation Manual $20,000.00 Fees Payments Receipt #Fee Name Fee Amount Date Amount Green Building Fee Drain Vent Repair/Replace SMIP (Commercial) Fixtures $1.00 $52.00 $6.00 $574.00 1t6t16 5,364-01 -06-201 6 Total Paid $633.00 $633^OO Total Fees $633.00 Plan Check Account Payment by Contact Contact Name Account Name Status Total Credits Total Debits Account Balance Total Account Balance: Balance Due:$0.00 Legal Declarations #2 IDENTIFY WHO WILL PERFORM THE WORK 2b - OWNER-BUILDER'S DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (9500).): I, as owner of the property, or my employees with wages as their sole compensation, will do all of the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. lf, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale) l, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and professions Code:Ihe Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 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 bee[ 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 unlaMul, 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 aitorney's fees. 3a ' WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the fottowing declarations: 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 370d of the Labor Code, I shall forthwith comply with those provisions. #4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certiff each of the following: I am authorized to act on the owner's behalf. Januarv 06, 2016 Sign of Agent or Owner Date r) $iri'Lur.q,gpl$po BUILDING PERMIT AlVAddition - Commercial BLDG-2764-2015 lssuance Date: 101 1 51201 5Building & Safety Division . 919 Palm Street ' San Luis Obispo, CA 93401-3218 Project Address: 990 lndustrial Wav Unit or Suite(s): Project Description: RENEW PERMIT #28080 Contractor: lnteriors BY Norma Business: (805) 543-0676 Owner: WEAVER FAMILY LLC ETAL Representative: GRADUATERESTAUMNTSINCACACORP Assessor's Parcel Number: 053-061-034 Legal Description: @ Fire Sprinklers: Not Provided Census: Occupancy: Stories 1.00 Code Year: 2013 Dwelling Units:Motel Rooms: Construction Type: Dimensions Valuation Category:SQFT:Group Type Sq. Ft Factor Valuation Fees Payments Receipt t * 4,380-1 0-1 5-201 5 Total Paid: Fee Name Fee Amount - . _ Dgt"* 10t15t15 4m.ount $224.OOffiSMIP (Commercial) Green Building Fee Permit lssuance $0.50 $1.00 $222.50 Total Fees:$224.00 Plan Check Account Payment by Contact Contact Name Account Name Status Total Gredits Total Debits Account Balance Total Account Balance Balance Due:$0.00 Legal Declarations #2 IDENTIFYWHO WILL PERFORM THE WORK 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION I hereby afiirm 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 aitorney's fees. 3a - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 CALicensed Contractor. October 15,2015 I of Contractor, Authorized Agent or Owner Date iryru ctuy ofxan luls oBts no&Division.919 -3218. (805) 781_7180Project Address 990 tN DUSTRIAL PTN LT 113 .-Demolition _ Grading Project Manager RICHARD MILHEM Lender Name C.B,C. Group Census 437 Project Manager's phone No. Lender Address 805-400-501 5 Enforcement B C.B.C. TypeV-B Commercial Alteration or Addition Stories 0 Codes: Dwelling tJn-it6-O cBc13 cEC13 Valuation 3,000 Motel Rooms ONon-Residential Alteration Building Permit Fees Plumbing+Electrical+Mechanical permit Grading permit s.M.t.P. Green Building Fee Demolition permit Sign Permit Misc Charge/Credit 0.00Administrativepermit Archival Fee Subtotal 507.63 lnvestigation Fees Building Plan Review Fee Fire Safety plan Review Plan Review Subtotal 506.00 Development Review Fee Fire Safety Surcharge Fire Systems - Fire Surisys Subtotal 0,OOConstruction Unit Tax Water lmpact 0,00 Area _ Water Meter lnstallation Wastewater lmpact 0.00 Area _ Traffic lmpact 0.00 Area _ Affordable Housing Public Art Code Enforcement Park lmprovement Area _ Engineering Development Review Fee Open Space ln-lieu Fee Total Fees Balance Due 2a - CALIFORNTA LTCENSED CoNTRACTOR,S DECLAMTToN I hereby affirm under penaltyof perjury that I am licensed under provisions of chapter gcommencing with section 7000 0f diuLion s or tne ;usiness and professions code, andmy license is in full force and effect Contractor: MANNING MASONRY Class: Cg, C29 License #: X70803 3a(3) - WORKERS,COMPENSATTON DECLARATION . t certifythat, in theperformance of the work for which this pe;;it i;L"ued, r shail not emproy any H"Tljl;:r manner so as to become "roi""ii"in" workers. compensaiion taws ' and agree that, if r shourd become subject to the workers, compensation provisions ofSection 3700 of the Labor Code, r snaf r iortn*itn;;;y w*h those provisions. Total Building Value I Declarations $3,000.00 $3,000.00506.00 0.00 0.00 0.63 1.00 0.00 0.00 0.00 0.00 0.00 506.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,013.63 0.00 Payment #1 Payment #2 ts Date 02t28t14 04t28t14 Receipt 64296 65034 Fee Exemptions: Paymen Amount 700.00 313.63 Total Paid 1,013.63 Appl ication Number14O140 Permit Number2g0g0 Application Date Address File 02128114 lssuance Date Comments: or *\+ \ ctuy oF.)an luls oBts fPBuildin Project Address 99O INDUSTRIAL Assessor's parcel Project Description MODI FICATION Permit Type Property Owner Mailing Address &Division.919 NG $o -71 Legal Description Cy SLO TR PTN LT 11 3 City/State/Zip sLo cA, 93401 -7699 Non-Residential Repair/Alteration__No Census Fees Electrical X Plumbing occupanvEffiEs Name GMDUATE _ Sign _Demolition _Grading ArchitecVEngineer License # Contractor's phone No.544-1143 Contractor's State Lic. No. Project Manager's phone No. 544_1 143LenderAddress Stories 0 Codes: CBC07 cEC07 Dwelling tJn-'iG-0 Motel Rooms OValuation 2,000 $2,000.00 $2,000.00 Contractor: A&BFIRE Class: C16. C'|0 License #: 6433g5 Fee Exemotions: Contractor Mailing Address City/State/Zip Lender Name Census 437 A&BFIRE 755 ST SAN LUIS OBI SPO CA 93401Project Manager J C.B.C. Group B C.B.C. Type V-B Commercial Alteration or Addition Building Permit Plumbing+Electrical+Mechanical permit Grading Permit s.M.l.P. Green Building Fee Energy Surcharge Accessibility Surcharge Demolition permit Sign Permit 87.99 11.73 0.00 0.50 1.00 0.00 0.00 0.00 0.00 40.00 0.00 _ Total BuildingValue -Legal Declarations 2a - CALIFORNTA LICENSED CONTRACTOR,S DECLAMTTON I hereby affirm under penaltyof perjury that I am licensed under provisions of chapter 9commencing with section 7000 0f Division 3 0f thsi'usiness and professions cocre, andmy license is in full force and effect Misc Charge/Credit Archival Fee Subtotal lnvestigation Fees Building plan Review Fee Fire Safety plan Review Plan Review Subtotal Development Review Fee Fire Safety Surcharge Construction Unit Tax Water lmpact Water Meter lnstallation Wastewater lmpact Traffic lmpact Affordable Housing Public Art Code Enforcement Park lmprovement Waterway Management Fee Open Space ln-lieu Fee Total Fees Balance Due 0.00 Administrative permit 141.22 104.28 0.00 Area - 0.00 Area - 0.00 Area - Area - 0.00 88.75 15.53 0.00 17.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3a(2) - WORKERS' coMpENSATroN DECLAMTI.N - r have and wilr maintainworkers' compensation insurance as required by section 3700.of the Labor code, for the performance of the work for whichthis permit is issued' My workers' .orp"n."tion inrrr"n"" carrier and poricy number are:Carrier: REDWooD FIRE policy #:WS13346s Expires 01/0,t/10 262.95 0.00 Payment #1 262.95 08/13/09 Receipt 43693 Total Paid 262.95 Application Number0g0637 Permit Numbet 24102Application Date Address File 08t13t09 lssuance oateTEElEg-- Comments: nt or { I\ M ctty o[-$an luls oBtspe Building & Safety Division . "90 PalnLQtttsl o pan [;onsTrrl Obispq-CA 9340J73249". 1805) 781-7180nn Permrt /roject Address 990 INDUSTRIAL Assessor's Parcel Number 053-061 -034 Legal Description CY SLO SUB TR PTN LT ,I 13 Project Description REPLACE FIRE SUPPRESSION SYSTEM @ HOOD Permit Type X Building Mechanical Electrical Plumbing Sign -Demolition Property Owner WEAVER FRIEDA J TRE ETAL OccupanVBusiness Name GRADUATE;INTERIORS BY NORMA Mailing Address 990 INDUSTRIAL WY ArchitecVEngineer City/StateZiP SLOCA,93401-7699 License # Contractor WAYCO NORTH CO FIRE PROTECTION Contractor's Phone No. 54+1143 Mailing Address 763 ALPHONSO Contractor's State Lic. No. 689387 CityiStateZip SAN LUIS OBISPO CA 93401 Project Manager ROBERT ROSE Project Manager's Phone No. 544-1,143 Lender Name Lender Address U.B.C. Group U.B.C. Type V-N Census number 437 Commercial Alteration or Addition Dwelling Units 0 - Valuation Total Grading Stories 1 Codes: UBC Motel Rooms 98 NEC 98 Enforcementn $0.00 $0.00 Fees Le al Dec Building Value larations s/t//o L- Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit s.M.t.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit Miscellaneous Charge/Credit lnvestigation Fees Microfilm Subtotal Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Fire Safety Surcharge Construction Unit Tax Water lmpact Water Meter lnstallation Wastewater lmpact Traffic lmpact Affordable Housing Public Art Total Fees Balance Due 35.00 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.00 -0.50 0.00 1. OWNER Iam Law for the following reason: ! 1 u" owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. l-l 1 as owner of the propefty, am exclusively contracting with licensed &tractors to construct the project. flNot applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure, or a 'certif,cate of Workers' Compensation insurance, or a ceftified copy hereof Q Certified copy is hereby furnished. l! ceilifred copy is filed with the City. Ll Not applicabte 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I 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 fo become subiect to the lAlorkels Compensation Laws of California ffi Not applicable NOTICE TO APPLICANT: lf, after making any of the foregoing declarations, you become subiect to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. 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 authoize representatives ofthis city to enter upon the above-mentioned property forinspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authoized is not stafted within 1 80 days, or if construction or work is suspended or abandoned for a peiod of 1 80 days any time after work is commenced. Special Conditions: Comments: 35.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.00 0.00 Payment #1 Payme Amount 35.00 Date o4t22t02 Receipt 3521 nts Total Paid 35.00 Application Number 020419 Permit Number 16619 Application Date o4t2zo2 lssuance Dale 05117102 Address File of or Date IOCATION OF I.trORK: Street Address Jill-i.3-'i5 3ql,it a5 -d,i:,iyi7g CITY OF SAN LUIS OBISPO Gradlng & Excavatlng Permtt Sectlon 7001 - 7A2O of the Unlfom Buildlng Code 1967 Edltlon ot{l{ER: Address:"4/.4 @ r. E. til. srDE oF Z^' ' ''(1.' ,. n*r"e@.,i,1i'i&' zi^' dtazzA*<zLot_plock-5ub,.'21dT Contfactor: Address: Phone i.lo. ; Total Ftll or Cw /@-- Cublc Yards $/74Plan Checklng Fee Gradlng Permit Fee TOTAL FEE zle $#- REMARKS: AGREEMEtr11; I hereby agree that all work performed under thla perm{t shall be ln accordance wLth SectLon 700L - 702O of the Uniform Bulldlng Code' 1957 Edltlon. DEPARTMENT OF PUBLIC I^'ORKS By: