HomeMy WebLinkAboutBuilding PermitBUILDING PERMIT
Alt/Addition - Single Family
BLDG-0754-2018
Issuance Date: 5/18/2018Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
004-773-007Project Address:1284 San Carlos Dr Assessor's Parcel Number:
Unit or Suite(s): 0.00Square Footage:
Legal Description:PARTIAL REMODEL, RECONFIGURING BATHROOMS
AND BEDROOMS. INCLUDES WINDOW
REPLACEMENT & LIGHTING UPGRADES
Project Description:
Architect: Bracket Architecture Office
Bryan Ridley
Business: (805) 704-0535
Owner/Builder: INACTIVE RUSSELL HALL
Mobile: (805) 704-9202
2016Code Year:Stories
:
Not ProvidedFire Sprinklers:Motel Rooms:Dwelling Units: 1.00
Census:434 - Residential Alteration or Addition Construction Type:V-B
Occupancy:Residential, 1 and 2 family dwellings (R-3)
Valuation
Group Type Sq. Ft Factor Valuation
$65,000.00 Manual
Fees
Fee AmountFee Name
C&D Recycling - UTIL $62.49
Consolidated Plan Check Fees $702.00
IT Surcharge $68.71
SMIP (Residential)$8.50
Consolidated Inspection Fees $1,825.00
Green Building Fee $3.00
Total Fees:$2,669.70
Payments
Date Receipt #Amount
5/18/18 $702.00 16,249-05-18-2018
5/18/18 $1,967.70 16,250-05-18-2018
Total Paid:$2,669.70
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Bracket Architecture Office BLDG-0754-2018 (Building Plan Check Deposit)in use $702.00 $702.00 $0.00
$702.00 $702.00 $0.00 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 ($500).):
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions
Code: The 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 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 the Property Owner.
Signature of Contractor, Authorized Agent or Owner Date
August 31, 2023