HomeMy WebLinkAbout1150 and 1160 Laurel Certificates of Occupancy and Permitsror]]lljl|ru crty o[ san luls oBtsl.o
ffiBuildingu#t",yDivlsiln-990PalmStreet.SanLuisobispo,cA934o1.3249^i.(8o5)781-718o
Gity of San Luis Obispo
Gertificate of Occu pancy
This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and attests
that at the time of issuance, this structure or portion thereof was inspected and determined to be
in.compliance with the various ordinances of the City of San Luis Obispo regulating building
construction or use.
TI FOR OFFICEUse Classification
Occupancy Group
Building Owner:
Owner's Address
Building Address:
B Permit Number: 18003
1150 LAUREL LN SLO CA. 93401-5800
1150 LAUREL 184
d,rrraA"ttl Date lssued 08/04/03
Building Official
POST IN A CONSPICUOUS PLACE
tl r r ttttllrrtl I Ittl I I lttttrttt I Iitl I I lttttttt I I tall I I ltttttt r r r r
ror]]l]llru ctty o[ san luls oBtspo
ffiBuilding&SafetyDivision..s..,0PalmStreet.SanLuisobiSpo,cA934o1-3249.-(Uo5)781-718o
Gity of San Luis Obispo
Gertificate of Occu pancy
This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and
that at the time of issuance, this structure or portion thereof was inspected and determined to
in compliance with the various ordinances of the City of San Luis Obispo regulating building
construction or use.
TENANT IMPROVEMENT FOR RESTAURANTUse Classification.
Occupancy Group:
Building Owner:
Owner's Address
Building Address:
A-3 Permit Number: '15390
PO BOX 3259 SLO CA, 93401-5800
1150 LAUREL 160
ffirrruA".rtt Date lssued 07 t13to1
Building Official
POST IN A CONSPICUOUS PLACE
ffij|flru crty o[ can luls oBtspo
@Building&SafetyDiVision.'990PalmStreet.SanLuisobispo,cA93401.3249.*r6b5)781-718o
Gity of San Luis Obispo
Gertificate of Occu pancy
This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and attests
that at the time of issuance, this structure or portion thereof was inspected and determined to b
in compliance with the various ordinances of the City of San Luis Obispo regulating building
construction or use.
Use Classification:
Occupancy Group:
Building Owner:
Owner's Address
Building Address:
ADD/ALTER FOR CAL TRANS OFFICES & LEASE
B Permit Number: 14775
ESCORP A CAL CORP
PO BOX 3259 SL cA 93403-3259
1150 LAUREL
A],,,aA"ter'Date lssued o4t18to1
Building Official
POST IN A CONSPICUOUS PLACE
*Mllll|M ctty oF san luls oBtspo
ffiBUilding&SafetyDivision.-gg0PalmStreet.SanLuisobiSpo,cA93401.3249".-(Bo5)7B1-71s0
City of San Luis Obispo
Certificate of Occupancy
This certificate is issued pursuant to Section 309 of the Uniform Administrative Code and
that at the time of issuance, this structure or portion thereof was inspected and determined to
in compliance with the various ordinances of the City of San Luis Obispo regulating building
construction or use.
Use Classification
Occupancy Group
Building Owner:
Owner's Address
Building Address:
TI FOR STATE PARKS & REC OFFICES
B Permit Number. 1539'l
ATOLL HOLDINGS INC A CA CORP
PO BOX 3259 SL cA 93401-5800
1 150 LAUREL 190
ffifu"j@**&J
Date lssued 04118101
Building Official
POST IN A CONSPICUOUS PLACE
ctf,y oF san Luls oBtspo
Gerlificqle of Occupqncy
THIS lS TO CERTIFY thot the building described below wos constructed
under Building Permit No,92r9 This struclure, owned by
l^150 Laurel Lane, San Luis Obispo, CA
meets oll the requirements of the Uniform Building Code for Group
------s-:-?------ occ u po n cy. Th i s certif i coti o n o ppl i es to remodel
and addiEion (Offtce)
of this building ond remoins in effect until such occuponcy chonges
December 16o 1983 By f#"XW
/ Chief Building officiol
'' -'lL":'"i ')i.i
Docusign Envelope lD: A94378E2-6A10-4468-88E' 70CE83BEAFO
$ifi'tur.q,gpl$po BUILDING PERMIT
Underground/Hydrant
FtRE-1268-2023
lssuance Date: 7 127 12023Building & Safety Division. 919 Palm Street. San Luis Obispo, CA 93401-3218
Project Address
Unit or Suite(s):
1 150 Laurel Ln Assessor's Parcel Number: 004-962-034
Square Footage: 0'00
Project Description: REPLACEMENT OF THE FIRE LINE LOOP ON THE Legal Description:
LAUREL CREEK SIDE
OwneT: LAUREL CREEK LP A CA LTD PTP
Fire Sprinklers: Stories 0.00
..
Census: 437 - Commercial Alteration or Addition
Occupancy:
CodeYear'. 2022 Dwelling Units:Motel Rooms
Construction Type:
Valuation
Group Tvpe sq.Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees:
$23.52
$771.21
7t26t23 40,135-07-26-2023
Total Paid:
$794.73
$?9,{.?3
$794.73
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
$ifi'Lu[q.gpl$po
Building & Safety Division . 9'19 Palm Street. San Luis Obispo, CA 9340'l-3218
BUILDING PERMIT
AlUAddition - Commercial
BLDG-3367-2022
lssuance Date: 1 21 1 9 12022
ProjectAddress: 1150 Laurel Ln. 130
Unit or Suite(s): 130
Assessor's Parcel Number: 004-962-034
Square Footage: 0.00
Project Description: TENANT IMPROVEMENT FOR FIRE RATED CEILING Legal Description
Architect:Andrew Goodwin Design
Andrew Goodwin
Business: (805) 439-1 61 1
License Type: Architect License License Number: CU213
Owner/Builder:
Owne/s Agent:
LAUREL CREEK LP A CA LTD PTP
Andrew Goodwin Design
Andrew Goodwin
Business: (805) 439-1 61 1
License Type: Architect License License Number: CU2'13
Fire Sprinklers: Not Provided
Census:
Occupancy:
Stories 1.00 Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Supplemental lnspection - BLDG $515.22
$0.50
$1.00
$23.57
$257.61
12119122 37,813-12-19-2022
Total Paid
$797.90
$?r?-90SMIP (Commercial)
Green Building Fee
lT Surcharge
Supplemental Plan Check (Building) - BLDG
Total Fees:$797.90
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due $0.00
CITY OF BUILDING PERMIT
Fire Sprinklers
FrRE-2598-2022
lssuance Date: 1 1 121 12022
san tur.q,gplfipo
Building & Safety Division . 9'19 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: Desion and lnstall Overhead Fire Sprinklers - 764
Heads
Contrac{or:
Owner:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) U1 -2324
License Type: Califomia State Gontrac'tor License License Number: 761360
License Type: Califomia State Gontractor License License Number: 761360
License Type: Worke/s Compensation License Numben ALWC24349
LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contrac'tor
Classification: C16 - Fire Protection Contractor
Assessors Parcel Number: @,
Square Footage: 0.00
Legal Description:
Fire Sprinklers:Stories 0.00 CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:Census:
Occupancy:
Valuation
Group TyPe Sq. Ft Factor Valuation
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees:
$107.16
$3,513.29
11t21t22 37,595-11-21-2022
Total Paid:
$3,620.45
$3^610J5
$3,620.45
Plan Gheck Account Payment by Contact
Gontact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
$tfi'Lu1s g,plflpo BUILDING PERMIT
AlUAddition - Commercial
BLDG-I509-2922
lssuance Date: 1 0/25120226urlsro{ & Saicty 0r!{icr . gtg Pdn Slr"*at. San i-uis Carsao. CA 334f1.3219
Proj€ct Adcrcas:115{ Lauel l-n . 190
Unhor Suil€{s, 19€
Proiecl Deffription: RENOVATION OF EXIST|NG OFFICE SpACE:
iION,STRUCTURAL wll|.L AND PARTITIO'\JS. N€W
PARFET ANO LIGHTING
Ardlit€ct: Ardr Sludlo Arahlieds
graS|cr vY!"bo
Buslnsssr f8051 547-2t40
Arrb Studb &chitecis
.rhom Joss
Euarna3s' t6OSl :*7 -'f24A
Ourner:Laurel Creek LLC
Ct uck Brsif
Sushess: {310) 9sc-s997
Assc$ots Paft€l Numb€f; 0O4-Sjt-C35
Squao Footage: 0,00
Legral Ogscrrplim:
Fire Sprinkbn: Fovided Stones 1.00
Csrsus: 43? - CommerErelAltorgdon Dr AdUllbn
Occuponcy. 8usiness, arofessbnel o,ffic€'s itsi
Code Yesr l!19 D/',€lling Urttsl Motsl Roolns:
Copsruclron Trpe: Vd
Valuation
Tvpe sq" gl Factor valusiion
$30,0co.00
Balance Due:
Account Balanc.:
R.c.bt ilFcr Amount
Fees
to.00
*,\v
Accourl Balancet{rrnaContact ilsrDs
st2u22
Amo{JnlD.!.
Payments
TotalCradits Total DrblrcStahr3
Plan Check Account Payment by Contact
$6,383.63res179.?3
s2.0,t
s2.163.39
91.619.38
s961.22
ss.c0
st1.11
s1.077.80
3E.966-3€-?d-?.02?
Total Paid:
robt Fe6: -----Tifi53!.
Gean Buildir4 Foe
Cornmercjal Tenant lmgltr.l'|on Strtchjral . FIRE
C{rrtc{Eatad Flan Clilrck F€e3
Ccesfluat€d lnspecfi c,n Fe€s
SMIP fcommer.leli
C&O Re.rdinc . UTIL
Slore Front i Focadc &tarationa [tins - 9tOG
3ifi'tu6,gpl$po
Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Fire Sprinklers
FtRE-2596-2022
lssuance Date: 1 0 131 I 2O22
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: Desiqn and lnstall Overhead Fire Sprinklers Addino 65 Legal Description:
Heads - Tl
OwneT: INACTIVE LAUREL CREEK LP A CA LTD PTP
Assessor's Parcel Number: @4,
Square Footage: 0.00
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 Code Year: -20lj1 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Type sq.Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire Sprinkler Systems - Tenant Consolidated
lT Surcharge
$1,199.66
$36.59
10131122 37,330-10-31-2022
Total Paid:
$1,236.25
$r,236.25
Total Fees:$1,236.25
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Gredits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
$tfi'tur5,gplflpo BUILDING PERMIT
Miscellaneous
FtRE-0551-2022
lssuance Date: 4 125 12022Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: IN)fIBE-PUMP
Other:
Owner:
Assessor's Parcel Number: 004-962-034
Square Footage: 0'00
Legal Description:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) 541 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC2434/9
LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Tvpe sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees
$16.96
$55s.91
4121t22 35,1',13-04-21-2022
Total Paid
$572.87
$srze?
$572.87
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'tur.q,gpl$po BUILDING PERMIT
New Mixed Use
BLDG-I885-2020
lssuance Dale: 6 I 3O 12022Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: ADDITION OF SECOND LEVEL OF MULTI-FAMILY A Legal Description
EXISTING WAREHOUSE BUILDING
Architect: Arris Studio Architects
Thom Jess
Business: (805) 547 -2240
Assessot s Parcel Number: 004-962-018
Square Footage: 36'433.00
Contractor
(Manually Verified):
Smith & Company
Business: (805) 965-21 00
License Type: Califomia State Contractor License License Number:492698
Owner:Laurel Creek LP
Business: (805) 451 -4314
Fire Sprinklers: Provided Stories 2.00
Census: 105 - Apartment Dwelling Unit
Occupancy: Residential, apts, dorms (nontransient) (R'2)
CodeYear: 2019 Dwelling Unib: 31 Motel Rooms:
Construc{ion Type:V-B
Valuation
Tvpe sq.Ft Factor Valuation
Manual $3,000,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Building Permit Review - Planning
Electric Car Charging System -BLDG
Supplemental Plan Gheck (Building) - BLDG
Consolidated Plan Check Fees
Final lnspection - NSF Res - PW
Police Cibnvide Base fee (MF)
W Residential Unit 451 <> 800 sqft
Non-Single Family Residential -ENG
Water Service or Trash Enc or Landscape - UTIL
Park lmprovement lmpact Fee (MFA)
Building Permit Review - Planning
Parkland lmpact Fee (MFA)
Non-Single Family Residential Final lnsp - ENG
WW Residential Unit 451 <> 800 sqft
W Residential Unit 800 <> 1200 sqft
Building Permit Review - Planning
Recycled Water Services - UTIL
Meter Cost (3")
Building Permit Review - Planning
Green Building Fee
WW Residential Unit 800 <> 1200 sqft
Commercial Residential & Multi Family - Fire
Stormwater - Major Project - BLDG
Fire Citywide Base fee (MF)
$382.00
$1,878.00
$1 ,201.46
$25,110.59
$247.47
$15,997.09
$34,765.21
$7#.81
$549.09
$67,553.00
$382.00
v7,456.32
$160.29
$32,480.02
$268,188.74
$191.00
$549.09
$1,000.00
$191.00
$120.00
$250,539.86
$8,815.,14
$4,043.98
$13,635.82
6t30t22
6t30t22
35,995-06-30-2022
35,996-06-30-2022
Total Paid:
$25,110.59
$806,1 17.s3
$831,228.12
DocuSign Envelope lD: FAI 5556D-3C86-4EA3-AI 5598D95C73C
CITY
SA no 'Lulq,gpllPo BUILDING PERMIT
AlVAddition - Commercial
BLDG-0556-2022
lssuance Date: 7 17 12022Building & Safety Division . 919 Pdm Street. San Luis Obispo, CA 9340'1-3218
ProjectAddress: llSOteugl-Ll
Unit or Suite(s):
Project Description: UPDATING EXISTING LOBBY. ELECTRICAL ROOM { Legal Description:
RESTROOMS: NEW HVAC DUCTS. UGHING &
DROPPED SOFITS
OWNET: LAURELCREEKLPACALTD PTP
Assessor's Parcel Number: 004-962-034
Square Footage: 0.00
Fire Sprinklers: Not Provided Stories 1.00
Census: 437 - Commercial Alteration or Addition
Occupancy: Business, professional offices (B)
Code Year: -4!-9 Dwelling Units:Motel Rooms:
Construction Type:ilt-B
Valuation
Group Type sq. Ft Factor Valuation
Manual $50,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
C&D Recycling - UTIL
SMIP (Commercial)
Green Building Fee
Consolidated Plan Check Fees
Consolidated lnspection Fees
lT Surcharge
Building Plan Rev - Commercial - Minor
$71 .11
$15.00
$2.00
$1,626.68
$1,292.01
$100.23
$296.50
7n22 36,06047-O7-2022
Total Paid:
$3,403.53
$3/03s3
Tota! Fees:$3,403.53
Plan Gheck Account Payment by Contact
Gontact Name Account Name Status Total Gredits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'tutq,gpl$po BUILDING PERMIT
Miscellaneous
FtRE-0256-2023
lssuance Dale: 2127 12023Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: TEMPORARY FIRE PUMP - 2.0
Contractor:
Assessor's Parcel Number: 0O4-962442
Square Footage: 0.00
Legal Description:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (805) U1 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worke/s Compensation License Number: ALWC243449
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire Sprinkler Systems - Tenant Consolidated $599.82
$18.29
u27t23 38,378-02-27-2023
Total Paid:
$618.11
$6fls.1llT Surcharge
Total Fees:$61E.11
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due $0.00
$ifi'tuiq,gpl$po BUILDING PERMIT
Alarm
FtRE-0257-2023
I ssuance D ate: 21 27 I 2023Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln ' 130
Unit or Suite(s)' 130
Project Description: MODIFY THE EXISTING: ADD 9 NOTIFICATION
DEVICES
Conlractor:
Assessor's Parcel Number: OO4-'962442.
Square Footage: 0.00
Legal Description:
Alpha Fire Unlimited
FELICIA VILLEGAS
Business: (8OS) il1 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worke/s Compensation License Number: ALWC24U49
Classification: Cl0 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers:
Census:
Occupanry:
Stories 0.00 CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
System - Tenant $1,113.96
$33.98
42723 38,379-02-27-2023
Total Paid:
$1,147.94
11,14?.r4lT Surcharge
Total Fees:81,147.94
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
$ifi'tur.q,gp!fipo BUILDING PERMIT
Modifications to Fire Sprinklers
FrRE-0684-2023
lssuance Date: 3 l28l 2023Building & Safety DMsion . 919 Palm Street. San Luis Obispo, CA 93401{218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: MODIFICATIONS TO EXISTING FIRE SPRINKLER
SYSTEM
Contractor:
Owner:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) il1 -2324
License Type: Califomia State Contactor License License Number 761360
License Type: Califomia Strate Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC243449
Laurel Creek LLC
Patrick Smith
Business: (805) 965-2100
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Assessor's Parcel Number: 004-962-034
Square Footage: 0.00
Legal Description:
Fire Sprinklers:
Census:
Occupanry:
Stories 0.00 CodeYear: 2O22 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees:
$23.52
$771.21
3t28123 38,63/.-03-28-2023
Total Paid
$794.73
$?94.?3
s794-73
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Crcdits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'Lur.T,gpl$po BUILDING PERMIT
Alarm
FrRE-0761-2023
lssuance Date: 4 I 1312O23Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln . 135
Unit or Suite(s): 135
AssessoCs Parcel Number: 004-962-034
Square Footage: 0.00
Project Description: INSTALL NEW DEVICES (EVENT SPACE) DEVICE #7 Legal Description:
Conffactor: Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) il1 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC243449
Owner:LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: Cl6 - Fire Protection Contractor
Fire Sprinklers:
Census:
,Occupancy:
Stories 0.00 CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Alarm System - Tenant
$33.98
$1,113.96
4t13t23 38,864-04-13-2023
Total Paid:
$1,147.94
s1,Mr.S4
Total Fees 11:117.91
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due $0.00
$ifi'Lur.q,gpl$po BUILDING PERMIT
Alarm
F|RE-0687-2023
lssuance Date: 4 I 1 31 2023Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Assessor's Parcel Number; 004'962-042
Square Footage: 0'00
Project Description: ADD TO EXISTING: INSTALL NOTIFICATION DEVIGE Legal Description:
SPRINKLER MONITORING - SOUTH LOBBY
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) 541 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Callfomia State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC24U49
Owner Laurel Creek LP
Business: (805) 451 4314
Classification: C10 - Electrical Contractor
Classificbtion: C16 - Fire Protection Contractor
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Tvpe Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire Alarm System - Tenant
lT Surcharge
,113.96
$33.98
4t13t23 38,865-04-13-2023
Total Paid:
$1,147.94
t1,M?.54
Total Fees:s1,147.94
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'tui*,,ppl$po BUILDING PERMIT
Alarm
FtRE-0084-2023
I ssuance D ate: 21 6 I 2023Building & Safety Division .919 Palm Street. San Luis Obispo, CA 93401-321E
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: DESIGN AND INSTALL NOTIFICATION DEVICES
EXISTING FIRE ALARM - 13 DEVICES
Assessois Parcel Number: @
Square Footage: 0.00
Legal Description:
Contractor:
Owner:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) il1 -2324
License Type: Califomia State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worke/s Compensation License Number: ALWC243449
LAUREL CREEK LP
INACTIVE
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Tvpe Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Alarm System - Tenant
$33.98
$1,113.96
?,6t23 38,149-02-06-2023
Total Paid:
$1,147.94
sl,14r.r4
Total Fees:$1,147.94
Plan Check Account Payment by Gontact
Gontact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due $0.00
$iri'Ltrls,gplflpo
Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Fire Sprinklers
FrRE-0550-2022
I ssua nce Date: 3 I 24 I 2022
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Assessor's Parcel Number: W-034
Square Footage: 0.00
Project Description: DESIGN / INSTALL OVERHEAD FIRE SPRINKLERS ; Legal Description:
Tenant lm orovements (5'l )-heads
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Busi ness : (805) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC243M9
Owner:LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers: Stories 0.00
:
Census: 437 - Commercial Alteration orAddition
Occupancy:
Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire Sprinkler Systems - Tenant Consolidated
lT Surcharge
$555.91
$16.96
3t22t22 34,766-03-22-2022
Total Paid
$572.87
$5?2:8'1
Total Fees $572.87
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
Docusign Envelope lD: 89860FE4-759C-4038-81.)3C68BoCDD44
$ifi'Lur.q,gpl$po
Building & Satuty Division . 919 Palm Sfeet. San Luis Obispo, CA 93401-3218
BUILDING PERMIT
AIUAddition - Commercial
BLDG-I848-2021
lssuance Dale: 3 l2l2o22
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Assessor's Parcel Number: 004-962-034
Square Footage: 0.00
Project Description: TENANT IMPROVEMENT TO EXISTING WAREHOUS Legal Description
STORAGE TO A MULTI-PURPOSE & PRE-FUNCTIOf.
SPACE
Architect: Anis Studio
Business: (805) #7 -2240
Owner:LAUREL CREEK LP A CA LTD PTP
FireSprinklers: Provided Stories 1.00 CodeYear: 2019
Census: 437 - Commercial Alteration or Addition
Occupancy: Assembly, restaurants, bars & banquet halls (A-2)
Dwelling Units:Motel Rooms:
Construction Type:
Valuation
TYPe sq.Ft Factor Valuation
Manual $200,000.00
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
lT Surcharge
Public Art
Green Building Fee
Building Plan Rev - Commercial - Minor
C&D Recycling - UTIL
Commercial Tenant lmprov - Non Structural - FIRE
Supplemental Plan Check (Building) - BLDG
Supplemental lnspection (Building) - BLDG
SMIP (Commercial)
$171 .91
$500.00
$8.00
$296.50
$71.11
$2,291.56
$1,735.34
$1 ,241.96
$58.00
1t26t22 34,110-01-26-2022
Total Paid:
$6,374.38
$63?438
Total Fees:$6,374.38
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Gredits Total Debits Account Balance
Total Account Balance:
Balance Due $0.00
$ifi'tulq,gpl$po BUILDING PERMIT
Miscellaneous
FtRE-0055-2022
I ssuance Date: 213 12022Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Assessor's Parcel Number: W2-03'1
Square Footage: 0.00
Project Description: FIRE PUMP REPLACEMENTAND TEMPORARY FIRE Legal Description:
PUMP
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Busi ness: (805) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worke/s Compensation License Number: ALWC243449
Owner:LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers: Stories 0.00
:
Census: 437 - Commercial Alteration orAddition
Occupancy:
CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
$16.96
$555.91
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees
23122 u,189-02-03-2022
Total Paid
$572.87
$s?28?
$572.87
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$tri'lurs,pplilpo BUILDING PERMIT
Fire Sprinklers
F|RE-2991-2A21
lssuance Dale: 1 I 1 012A22Building & Safety Division. 919 palm Street. San Luis Obispo, CA 93401-3218
1150 Laurel LnProject Address
Unit or Suite(s):
Assessor's Parcel Number; 004-962434
Square Footage: 0.00
Project Description: ADDING A EGRESS coRRlooR EXIT. THE coRRtDr Legal Description:
EXIT IS TO BE FULLY SPRINKLERED WITH 3EENDI
SPRINKLER
Contractor: Alpha Fire Untimited
FELICIA VILLEGAS
Business: (BOS) y'l -2324
License Type: California State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC243449
Owner: LAURELCREEK LpACALTD pTp
Classification: C'10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers
Censusl
Occupancy:
Stories 0.00 Code year: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Tvpe Sq. Ft Factor Valuation
Fees Payments
Receipt #AmountFee Name Fee Anount Date
1t10t22Fire Sprinkler Systems - Tenant $555.91
$16.96lT Surcharge 33,962-01-10-2022
Total Paid
$572.87
$s?r3?
Total Fees:$572.87
Plan Check Account Payment by Contact
Contacl Name Account Name Stalus Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'tur.q,gplilpo BUILDING PERMIT
Alt/Addition - Commercial
BLDG-2245-2020
lssuance Date: 9 I 3012021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: ll50-La.UcLELq
Unit or Suite(s)' 110
Project Description: lnstall Packino Rackino (Hiqh Pile Storaoe)
Contractor:
Tenant
Assessor's Parcel Number: @902-0ll!
Square Footage: 6,250.00
Legal Description:
Fresno Rack & Shelving
Julio Vega
Business : (559) 27 5-7 225
License Type: California State Contractor License License Number: 902996 Classification: C61 - Limited Specialty
License Type: Worker's Compensation License Number: C68617169
Ernest Packaging Solutions
Business: (805) 817-0900
Fire Sprinklers: Not Provided
Census:
Occupancy:
Stories 1.00 Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Tvpe Sq. Ft Factor Valuation
Manual $60,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lnspection (Building) - BLDG $686.55
$915.40
$3.00
$50.95
$68.64
$18.00
9t30t21 32,882-09-30-2021
Total Paid
$1,742.54@Supplemental Plan Check (Building) - BLDG
Green Building Fee
lT Surcharge
C&D Recycling - UTIL
SMIP (Commercial)
Total Fees $1,742.54
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
DocuSign Envelope lD: C399A92F-6394-4883-944 -1704024A28,3
$tri'Lur.q,gpl$po BUILDING PERMIT
AlUAdd ition - Commercial
BLDG-2531-2020
lssuance Dale: 412212021Building & Safety Division .919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAdctress: I150 Laurel Ln.180 Assessor's Parcel Number: 004-962-018
Unit or Suite(s): 180
Project Description: TENANT IMPROVEMENT TO AN EXISTING OFFICE Legal Description:
SPACE
Owner: LAURELCREEKLP
Representative: Laurel Creek LP a California Limited Partnership
Patrick Smith
Business: (805) 965-2100
Fire Sprinklers: Provided Stories 1.00
Census: 437 - Commercial Alteration or Addition
Occupancy: Business, professional offices (B)
Code Year: 20.19,Dwelling Units:Motel Rooms:
Construction Type:V-B
Dimensions
Category:
Valuation
SQFT:Group Type sq. Ft Factor Valuation
Manual $2s0,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Public Art
C&D Recycling - UTIL
lT Surcharge
Consolidated lnspection Fees
Building Plan Rev - Commercial - Minor
Commercial Tenant lmprov - Non Structural - FIRE
SMIP (Commercial)
Consolidated Plan Check Fees
Green Building Fee
$750.00
$68.64
$352.50
$4,302.13
$286.20
$2,527.02
$73.00
$4,373.25
$10.00
4t21t21
4t2'U21
31,061-04-21-2021
31 ,062-04-21-2021
Total Paid
$4,373.25
$8,369.49
s12,742.74
Total Fees:$12,742.74
Contact Name
Plan Check Account Payment by Contact
Account Name Status Total Credits Total Debits Account Balance
Laurel Creek LP a California
Limited Partnership
BLDG-2531-2020 rn use $4,373.25 $4,373.25 s0.00
Total Account Balance: 54,373.25 $4,373.25 $0.00
Balance Due:$0.00
$ifi'tur.q,gpl$po BUILDING PERMIT
AlUAddition - Commercial
BLDG-2361-2020
I ssuance Date: 3129 12021Building & Safety Division . 919 Palm Street . San Luis Obispo, CA 93401-3218
Project Address: 1l-@-t3reLb- Assessor's Parcel Number: 004-962-018
Unit or Suite(s):
Project Description: LATH AND FIRE PROOFING OF PRIMARY STRUCTL Legal Description:
Architect: Anis Studio Architects
Thom Jess
Business: (8OS) U7 -2240
Owner: LAURELCREEKLP
Fire Sprinklers: Provided Stories 1.00
Census: 437 - Commercial Alteration orAddition
Occupancy: Business, professional offces (B)
CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Group Type sq.Ft Factor Valuation
Manual $30,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
SMIP (Commercial)
Supplemental Plan Check (Building) - BLDG
Permit lssuance - BLDG
lT Surcharge
Supplemental lnspection (Building) - BLDG
C&D Recycling - UTIL
Green Building Fee
$9.00
$1 ,373.1 0
$169.09
$85.85
$1,373.10
$68.64
$2.00
3t26t21 30,7s2-0*26-202'l
Total Paid:
$3,080.78
$3^0so?8
Total Fees:$3,080.78
Contact Name
Plan Gheck Account Payment by Gontact
Account Name Status Total Credits Total Debits
BLDG-2361-2O2O in use $500.00 $0.00
Account Balance
-$so-ond-
LAUREL CREEK LP
Total Account Batance: $500.00 $0.00 $500.00
Balance Due:($5oo.oo)
\
CITY OF .*
san Lulq.gplilpo BUILDING PERMIT
Alarm
F|RE-1900-202a
lssuance Dale:'l 121 12021Building & Safety Division . 91 I Palm Street . San Luis Obispo, CA 93401-321 8
ProjectAddress; 1150 Laurel Ln . 184
Unit or Suite(s): 184, 110
Assessot's Parcel Number: p04-962{'18
Project Description: FIRE SFRTNKLER MeNtTeRINGALARM W/ ELEVATT Legal Description:
RECALLAND FIRE PUMP MONITORING
Contracton Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (805) 541 -2924
License Type: Califomia State Gontractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: 13g04S
Owner: Laurel Creek, LLC
Classification: Cl0 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers: Stories 0.00
Gensus: 437 - Commercial Alteration or Addition
Occupancy:
Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group rvpe Sq. Ft Factor Valuation
Fees Payments
Recelpt #Fee Amount
$11.69
$38s.28
$394.97
Fee Name Date Amount
lT Surcharge
Sprinkler Monitoring System
1121t21
1121t21
29,97+01-21-2021
29,975-01-21-2021
' Total Paid
$217.00
$177.s7
Total Fees $3s4.97
Plan Check Account Payment by Gontact
Gontact Name Account Name Status
in use
Total Gredits Total Debits Account Balance
$217.00 $217.00 $0.00Alpha RrB Unlimitsd FtRE-1900-20?0
Total Account Balance $217.00 $217.00 $o.oo
Balance Due:$0.00
Siri'Lutq,gpl$po BUILDING PERMIT
Fire Sprinklers
FIRE-1418-2021
lssuance D ale: 7 I 1 5 12021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln ' 180
Unit or Suite(s): 180' 182
Assessol's Parcel Number: 004-962-034
Project Description: Legal Description:
70 HEADS (KIVA OFFICE TI)
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Busi ness : (8OS) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: Califomia State Contractor License License Number: 761360
License Type: Worke/s Compensation License Number: 13B045
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Owner:LAUREL CREEK LP A CA LTD PTP
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 Code Year: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT Grouo Tvpe Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
Total Fees
$32.73
$1,073.19
7t15t21 32,099-07-15-2021
Total Paid:
$1 ,1 05.92
$1,105.92
$1,10s.92
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$ifi'tul.q,gpl$po BUILDING PERMIT
Fire Sprinklers
FtRE-1420-2021
lssuance Dale: 7 I 1 512021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 175
Unit or Suite(s): 175
Assessor's Parcel Number: 004-962-034
Project Description: DESIGN AND INSTALL OVERHEAD FIRE SPRINKLEI Legal Description:
66 HEADS (CAL FIRE TI)
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (805) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: 138045
OwneT: LAURELCREEK LPACALTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Fire Sprinklers
Census:
Occupancy:
Stories 0.00 CodeYear: 2016 Dwelling Units Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Grouo Type Sq. Ft Factor Valuation
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
Fire Sprinkler Systems -Tenant Consolidated $1,379.81
$42.08
7t15t21 32,100-07-15-2021
Total Paid
$1,421.89
$1/r1.8'lT Surcharge
Total Fees $1,421.89
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'Lur.q,gpl$po BUILDING PERMIT
Fire Sprinklers
FIRE-1561-2020
I ssua nce Date: 6 I 23 I 2021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 110
Unit or Suite(s): 184' 110
Assessor's Parcel Number: 004-962-018
Project Description: DESIGN AND INSTALL OVERHEAD FIRE SPRINKLEI Legal Description:
Contractor: Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (805\ 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: 138045
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Owner:Laurel Creek LP
Henry Burrows
Business: (805) 451 -431 4
Fire Sprinklers: Stories 0.00
:
Census: 437 - Commercial Alteration orAddition
Occupancy:
Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group Type sq.Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire sprinkler consolidated - new
lT Surcharge
$2,376.34
$72.48
6t23121
6123121
31 ,827-06-23-2021
31 ,828-06-23-2021
Total Paid
$217.00
$2,231.82
Total Fees $2,4/'8.82 $2,48.82
Plan Check Account Payment by Contact
Contact Name Account Name StatusfiG-Total Credits Total Debits Account Balance
$217.00 $0.00Alpha Fire Unlimited $217.00
Total Account Balance $217.00 $217.00 $0.00
Balance Due $0.00
$ifi'Ltrly,gpl$po BUILDING PERMIT
AlVAddition - Single Family
BLDG-0022-2021
lssuance Date: 61312021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-32'18
projectAddress: 1462LaurelLn Assessor's Parcel Number: 004-972-035
Unit or Suite(s):
Project Description: CONVERSION OF (E) GARAGE TO 2 BEDROOMS & Legal Description:
ADDED BATH
Architect: Monique Grajeda
Business: (805) 234-0456
Contractor:
Owner:
Beach Construction Company
Steve Beach
Business: (805) 540-0482
License Type: California State Contractor License License Number: 945362 Classification: B - General Building Contractor
MONIOUE & PAUL HERMAN
Fire Sprinklers; Not Provided Stories 1.00
Census: 434 - Residential Alteration or Addition
Occupancy: Residential, 1 and 2 family dwellings (R-3)
Code Year: 2019 Dwelling Units Motel Rooms:
Construction Type:V-B
Dimensions
Category:
Valuation
SQFT:Grouo Tvpe sq.Ft Factor Valuation
Manual $70,000.00
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
lT Surcharge
Stormwater - Minor Project - BLDG
C&D Recycling - UTIL
Consolidated lnspection Fees
Single Family Residential -ENG
SMIP (Residential)
Consolidated Plan Check Fees
Single Family Residential Final lnspection - ENG
Building Plan Rev - Residential - Moderate
Green Building Fee
$153.59
$302.47
$68.64
$2,563.18
$320.59
$10.00
$1,239.09
$160.29
$381.60
$3.00
5t19121
5/19121
31,401-05-19-2021
31,402-05-19-2021
Total Paid
$1,239.09
$3,963.36
$5,202.45
Total Fees $5,202.45
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
MONIOUE & PAUL HERMAN BLDG-O022-202 1 rn use ,239.09 $1,239.09 $0.00
Total Account Balance: $1,239.09 $1,239'09 $0.00
Balance Due $0.00
Sifi'Lur"q,gpl$po BUILDING PERMIT
AllTypes
stGN-2069-2021
lssuance Dde: 9 I 1 4f2O21Butding & Satuty DMsion . 919 Palm S}!ct . San Luis Ottspo, cA 99401-3218
ProjectAddr€sg
Unit orSdte(s):
't150 Laurel Ln Assessor's Parcel Numbec m+962434
Proiect Desuiption: lNSTrrrLL LIGHTED ALUM S|GN wrH pusH THROU( Legal Description:
LETTERS
Contractor: LK Graphics lnc
Laura McKinlEt
Business: (g0S) 791-2091
Lioense T!De: California State Contractor UcerEe llcense Number: Tigffi
Licertse Type: California State Coflhactor UcerFe Ucense Numben Zg6&l
Orvner: LAUREL CREEK Lp A CA LTD pTp
Classification: O45 - Sign Contractor
Classilcation: C61 - Umited Specrdy
Fire Sprintlers:
Census:
Occr.pancy
Stodes 0.(D CodeYear: 2016 D't€ling L.hits:Motd Roorns:
ConsfudimType:
Dimensions
Categonr
Valuation
SQFT:GrilJp Troe Sq. Ft Fa€{q Valudon
---EJooso-''Marual
Fees Payments
Rscsipt fFee l{anre F€o&nount
-5tiz-
Dats Am.ount
lT Sulcharge
Sign -Wa[ - BLDG
9t1U21 32,673{9'tS2021
Totd Faid:
$378.97
-.Gffi.
$367.75
Total Fees:$3r6.97
Plan Gheck Account Payment by Gontact
Contac* l{arno Account llame sffiF TotelcrcdiF TotalDeblts Account Balance
Total Accoufit Balance:
Balance Due:$0.00
Docusign Envelope ID: CF626497-804 1-4979-84C, .E0D682A215\-
$iri'Lur.q,gpl$po BUILDING PERMIT
AlUAddition - Commercial
BLDG-0813-2021
lssuance Date: 9 l3l2O21Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 9340'1-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: ADDITION OF 3-HR FIRE WALLS & l-HR WALLS
MODIFICATIONS OF SOUTHWEST CORRIDOR
Architect: Arris Studio Architects
Rebecca Johnson
Business : (80 5) 547 -2240
Owner: LAUREL CREEK LP
Legal Description:
Assessor's Parcel Number: 004-962-018
Fire Sprinklers: Provided Stories 1.00
Census: 437 - Commercial Alteration or Addition
Occupancy:
Code Year: -&!-9 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions Valuation
Category SQFT:Group TvPe sq.Ft Factor Valuation
Manual $75,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Supplemental lnspection (Building) - BLDG $2,517.35
$1,487.52
$2,288.50
$265.24
$3.00
$22.00
$2,402.92
9t2t21 32,612-09-02-2021
Total Paid
$8,986.53
$8,r86s3Supplemental Plan Check (Building) - BLDG
Supplemental Plan Check (Building) - BLDG
lT Surcharge
Green Building Fee
SMIP (Commercial)
Supplemental Plan Check (Building) - BLDG
Total Fees $8,986.53
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Sifi'Luis oBrspocALirorNtRl
BUILDING PERMIT
Miscellaneous
FtRE-2445-2021
I ss uance D ate: 1 21 1 6 12021Building & Safety Division. 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 110
Unit or Suite(s): 184' 110
Project Description:
TENANT BUILDING: INSTALLING NOTI FICATION
DEVICES: NO OTHER DEVICES ARE BEING ADDED
Contractor:
Owner:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (8OS) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC24U49
LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Assessor's Parcel Number: W
Square Footage: 0.00
Legal Description:
Fire Sprinklers: Stories 0.00
:
Census: 434 - Residential Alteration orAddition
Occupancy:
CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Grouo Type sq.Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
$31.49
$1,032.40
lT Surcharge
Fire Alarm System - Tenant
12t16t21 33,795-12-16-2021
Total Paid
$1,063.89
$1^0633'
Total Fees $1,063.89
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due $0.00
Sifi'Luis oBrspo
CALITONNT,q.!
Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Modifications to Fire Sprinklers
FIRE-2667-2021
lssuance Date: 1211612021
Project Address
Unit or Suite(s):
1150 Laurel Ln . 175
Project Description: DESIGN & ADD TO EXISTINGFIRE ALARM SYSTEM Legal Description:
FOR TENANT BUILDOUT. INSTALLING NOTIFICATIC
DEVICES IN TENANT BUILDOUTAREA 30 DEVICES
Contractor: Alpha Fire Sprinkler Corp.
Danny Lambert
Business: (805) 801-9235 Other: (805) 541-2324
Owner:LAUREL CREEK LP A CA LTD PTP
175
Assessor's Parcel Number: OO4962-034
Square Footage: 0'00
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 Code Year: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fire Alarm System -Tenant 1,032.40
$31.49
12t16t21 33,797-12-16-2021
Total Paid
$1,063.89
91^0633'lT Surcharge
Total Fees $1,063.89
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$ifi'Lur.q,gpl$po BUILDING PERMIT
Alarm
FtRE-2668-2021
lssuance Dale: 121 1612021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 180
Unit or Suite(s): 180
Project Description: ADD TO EXISTING FIRE ALARM SYSTEM FOR
TENANT BUILDOUT. INSTALLING NOTI FICATION
DEVICES IN BUILDOUTAREA & CORRIDORS 45
DEVICES
Contractor:
Owner:
Alpha Fire Unlimited
FELICIAVILLEGAS
Business: (805) 541 -2324
License Type: California State Contractor License License Number: 761360
License Type: California State Contractor License License Number: 761360
License Type: Worker's Compensation License Number: ALWC243449
LAUREL CREEK LP A CA LTD PTP
Classification: C10 - Electrical Contractor
Classification: C16 - Fire Protection Contractor
Assessor's Parcel Number: 004-962-034
Square Footage: 0.00
Legal Description:
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Group TYPe Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Alarm System - Tenant
$31.49
$1,032.40
12116121 33,796-12-16-2021
Total Paid:
$1,063.89
$1,063.8'
Total Fees $1,063.89
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Gredits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$ifi'tur.q,gpl$po BUILDING PERMIT
Modifications to Fire Sprinklers
FtRE-1675-2017
lssuance Dale: 1 0 126 12017Building & Safety Division.919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: '1150 Laurel Ln Assessor's Parcel Number: 00z[1962lQlE
Unit or Suite(s):
Project Description: FIRE SPRINKLER MODIFICATION (DUE TO Legal Description:
OMITTING FIRE PUMP) FOR CRUX BLDG.
Contractor: TEDESCHI FIRE PROTECTION INC DBA S&M FIRE
Business: (805) 5414566
Owner: ATOLL HOLDINGS INC A CA CORP
Fire Sprinklers: Stories 0.00
Census: 437 - Commercial Alteration orAddition
Occupancy:
CodeYear: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Anount
Fire Sprinkler Systems - Tenant Consolidated
lT Surcharge
$988.24
$26.22
10t26t17
10t26t17
13,608-10-26-2017
13,609-10-26-2017
Total Paid
$216.00
$798.46
Total Fees $1,014.46 $1,014.46
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
-$o-oo
TEDESCHI FI FIRE-1675-20'17 (Building Plan Deposit)rn use $216-00 $216.00
PROTECTION INC DBA
S&M FIRE
Total Account Balance $216.00 $216.00 $0.00
Balance Due $0.00
CITY OF BUILDING PERMIT
AllTypes
stGN-5821-2019
lssuance Date: 11 I 1412019
san Lur.q,gplflpo
Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description: REPLACE (E) MONUMENT SIGN FOR LAUREL
CREEK
Contractor: LK Graphics lnc
Laura McKinley
Business: (805) 781 -2091
License Type: California State Contractor License
Owner: Laurel Creek LLC
Business: (805) 965-21 00
Assessor's Parcel Number: 004-962-0'18
Legal Description:
License Number: 778664 Classification: C45 - Sign Contractor
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Grou Type Sq. Ft Factor Valuation
$7,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Sign - Monument or free standing - BLDG
lT Surcharge
$603.26
$18.40
11114119 24,711-11-14-2019
Total Paid
$621.66
$62.,.66
Total Fees $621.65
Plan Gheck Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due $0.00
Sifi'tur.q,gpl$po BUILDING PERMIT
AlUAddition - Commercial
BLDG4814-2019
I ssua nce Date: 31 6 I 2020Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 130 Assessor's Parcel Number: @gl-E
Unit or Suite(s): 130
Project Description: Tl of (E) restaurant for new brew-oub - Bano the Legal Description:
Drum Brewery
Architect: Andrew Goodwin Design
Andrew Goodwin
Business: (805) 439-1611
License Type: Architect License License Number: C34213
Contractor:Form Design + Build lnc,
Dustin Pires
Business: (805) 440-5903
Owner:Patrick Smith
Business: (805) 965-21 00
Fire Sprinklers: Not Provided Stories 1.00 Code Year: 2016
:
Census: 437 - Commercial Alteration orAddition
Occupancy: Assembly, restaurants, bars & banquet halls (A-2)
Dwelling Units:Motel Rooms:
Construction Type:V-B
Dimensions
Category:
Valuation
SQFT:Group Tvpe sq.Ft Factor Valuation
Manual $15,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Fixtures - BLDG
Green Building Fee
C&D Recycling - UTIL
Consolidated Plan Check Fees
lT Surcharge
Building Plan Rev - Commercial - Minor
SMIP (Commercial)
Consolidated lnspection Fees
$337.91
$1.00
$66.35
$1,568.27
$106.63
$275.74
$4.00
$1,247.68
316120
3t6t20
26,606-03-06-2020
26,607-03-06-2020
Total Paid
$3,235.09
$372.49
$3,607.s8
Total Fees $3,607.58
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Andrew Goodwin Design BLDG4814-2019 (Build'ng Plan Deposit)rn use $3.235.09 $3,235.09 $0.00
$0.00
Balance Due:
Total Account Balance: $3,235.09 $3,235.09
$0-00
CITY OF BUILDING PERMIT
AlVAddition - Commercial
BLDG-0793-2020
lssuance Date: 8l'l 9/2020
san Lulq,gplfiPo
Euilding & Satety Division . 919 Palm Street . San Luis Obispo, CA 93401-321 E
ProjectAddress' 1150 Laurel Ln. 186
Unit or Suite(s): 186
Proiect Description: OFFICE TENANT IMPROVEMENT lN EXISTING
WAREHOUSE
Architect: Arris Studio ptrchitecls
Thom Jess
Business: (805) 547-2240
Assessor's Parcel Number: 004-962-018
Legal Description:
Owner
Owner's Agent:
Laurel Creek LLC
Henry Burrows
Business: (805) 451-4314
BOW TIE HOLDINGS
Chuck Braff
Mobile: (310) 990-6897
Fire Sprinklers: Provided Stories 1.00
Census: 437 - Commerdal Alteralion orAddition
Occupancy: Business. professional offices (B)
Code Year: 2419 Dwelling Units Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Group TYPe Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Building Plan Rev - Commercial - Minor
Store Front / Facade Alterations: Minor - BLDG
SMIP iCommercial)
Consolidated Plan Check Fees
Green Building Fee
lT Surcharge
Consolidated lnspection Fees
C&D Recycling - UTIL
s275.74
s1,016.99
s0.50
$1,466.41
$1.00
s121.62
$1,161.90
s66.3s
8na2a
811A2A
28,320-08-1 8-2020
28.321-08-1 8-2020
$1,466.41
s2,644.10
Total Paid $4,110.51
Total Fees:$4,110.51
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Cr€dits
fi.,s.-- --5lE6.Ai
Totrl Deblts Account Balaqce
s0.00Laurel Creek LLC BLDG-0793-2020 s1,466.4'l
Total Account Balance: $1,466.41 $1,466.41 s0.00
Balance Due:$0.00
Stri'Lur"q,gpl$po
Building & Safety Division. 919 Palm Slreet. San Luis Obispo, CA 934.O1-321E
BUILDING PERMIT
AlUAddition - Commercial
BLDG-0794-2020
lssuance Date: 8l I 91202A
ProjectAddress; 1150 L4urgl Ln . '110
Unit or Suite(s): 110
Project Description: WAREHOUSE TENANT IMPROVEMENT
Archatect: Aris Studio Architects
Thom Jess
Bu siness: (805') 5 47 -2240
Owner: Laurel Creek LLC
Henry Bunows
Business: (805) 451-4314
Owner'sAgent: BOW TIE HOLDINGS
Chuck Btaff
Mobile: (310) 990-6897
Assessor's Parcel Number: 004-962-018
Legal Description:
Fire Sprinklers: Provided Stories 1.00
Census: 437 - Commercial Alleration or Addition
Occupancy: Business, professional ofrices (B)
Code Year: 2019 Dwelling Units:Molel Rooms:
Construction Type:
Dimensions Valuation
Calegory:SQFT:Group Type Sq. Ft Faclor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
SMIP (Commercial)
Partilion - BLDG
Building Plan Rev - Commercial - Minor
Consolidated lnspection Fees
Commercial Tenant lmprov - Non Structurat - FIRE
lT Surcharge
C&D Recycling - UTIL
Green Building Fee
Demolit - lnterior or Garage/Utility Build - BLDG
Consolidated Plan Check Fees
$0.50
$755.97
s275.74
$727.81
$524.67
$114.47
$66.35
$1.00
$451.63
$950.92
8r1U20
8t1Bno
28,322-08-18-2020
28,323-48-18-2020
Total Paid
$3,676.1 3
$192.93
$3,869.06
Total Feos $3,869.06
Plan Check Account Payment by Contact
Contact Namo Account Name Status Total Credits Total Debits Account Balance
Laurel Creek LLC BLDG0794.2020 rn use 03.676.13 s,676.13 $0_00
Total Account Balance: $3'676.13 $3,676.13 $0,00
Balance Due $0.00
$tfi'Lur.q,gplfipo BUILDING PERMIT
AlUAddition - Commercial
BLDG-0795-202A
lssuance Date: 8i1912020Building & Salev Division . 919 Palm Street . San Luis Obispo, CA 93401-3218
ProiectAddress: 1!5Q-Laucltl-!&1
Unit or Suile{s): 184
Project Descnption: TENAI-\T IMPROVEMENT TO CREATE OFFICE lN
EXISTING WAREHOUSE
Architect: Arris Studio Architects
Thom Jess
Business: (8051 547 -2240
Legal Descdption:
ol,trner:Laurel Creek LLC
Henry Burrows
Business: (805) 451-4314
BOWTIE HOLDINGS
Chuck Braff
Mobile: {310) 99G6897
Owrnds Agent
Assessor's Parcel Number: g0+962-018
Fire Sprinklers: Provided Stories 1.00
Census: 437-CommercialAlleration orAddition
Occupancy: Business, professional ofices (B)
CodeYear: 2019 Dwelling Units:Motel Rooms:
Construclion Type:
Dimensions Valuation
Category:SQFT:Group TVpe Sq. Ft Factor Valuation
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
Consolidated Plan Check Fees
SMIP (Commercial)
commercial Tenant lmprov - Non Structural - FIRE
Green Building Fee
lT Surcharge
Euilding Plan Rev - Commercial - Minor
Consolidated lnspection Fees
C&D Recycling - UTIL
$2,121.41
$0.50
$1 ,12e.31
$1.00
$161.81
$275.74
$1 ,713.48
$66.35
8/1 8120 28,31 9-08-1&2020
Total Paid
$s,468.60
- $s--Iil:-68sl
Total Fees $s,468.60
PIan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
$tfi'tur.q,gpl$po BUILDING PERMIT
Fire Sprinklers
FIRE-1305-2020
lssuance Date: 8il 8/2020Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 110. 184 Assessols parcel Number: 004-962-018
Unit or Suite(s): 110,194
Project Description: DESIGN AND INSTALL OVERHEAD FIRE SPRINKLEI Legat Description:
Contractor Alpha Fire & SecurityAlarm
FELICIA VILLEGAS
Bu si ness : (805) 54 1 -2324
Owner:HANK HARBORS
Fire Sprinklers: Stories 0.00
Census: 437 - Commercial Alteration or Addition
Occupancy:
Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category: SQFT:
Valuation
Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Amount------Txr16/0
$58.45
$1,974.85
Fee Name Date
8117120
8117t20
Amount
Fire Sprinkler Systems - Tenant Consolidated
lT Surcharge
28,305-08-17-2020
28,310-08-17-2020
Total Paid:
$217.00
$1,757.85
Total Fees:$1,974.85
Plan Check Account Payment by Contact
Contact Name Account Name Status
-
tn use
Total Credits Total Debits Account Balance
$0.00
$0.00
Alpha Fire & SecurityAlarm FtRE-'1305-2020 $217.00 $217.00
Total Account Balance $217.00 $217.00
Balance Due:$0.00
$iri'tur.q,gpl$po BUILDING PERMIT
Modifications to Fire Sprinklers
F|RE-I263-202A
lssuance Date: 7 I 1 4 l2O2ABuilding & Safety Divlsion . 919 Palm Str*t. San Luis Obispo, CA 93401-3218
ProjectAddress; 1150 Laurel Ln . 130 Assessot s Parcel Number: 004-962-018
Unit or Suite(s): 130
Project Description: TENANT IMPROVEMENT FIRE SPRINKLERS - ADD : Legal Description:
HEADS
Contractor: Superior Fire Sprinkler Systems, lnc
JACOB PARRISH
Business: (805) 305-7094
Owrer Blue Sky Development
CHUCK BRAFF
Business: (310) 990-S97
Fire Sprinklers:
Census:
Occupancy:
Stories 0-00 CodeYear: 2O1g Dwelling Units:Motel Rooms:
Construction Typel
Dimensions
Category:SQFT:Group
Valuation
Typ€ Sq, Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Fire Sprinkler Systems - Tenant Consolidated
$15-07
$494.12
7/1AI2A
7t10t2a
27,87$07]t0-2020
27,B7$O7-10-2A20
$217.00
$292.19
Total Fees $s09.19 Total Paid $s09.19
Contact Name
Plan Gheck Account Payment by Gontact
Account Name Status Total Credits Total Debits Account Balance
Superior Fire Sprinkler
SlEtems, lnc
FtRE-126!20m rnre $217.00 $217.00 $0.00
Total Account Balance $217.00 $2t7.00 $r).00
Balance Due:$o.oo
DocuSign Envelope lD
Project Address
Unit or Suite(s):
83 D35A4A-34D5-48EE-B9A 3A15849487
Siri'Lur.q,gpl$po BUILDING PERMIT
I nterior/Utility Bu ilding
DEMO-1455-2020
lssuance Dale: 9 I 1 512020Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
1150 Laurel Ln Assessor's Parcel Number: 004-962-018
Project Description: DEMOLITION OF INTERIOR WAREHOUSE WALLS Legal Description
Architect: Arris Studio Architects
Thom Jess
Business: (8OS) 547 -2240
Owner:Laurel Creek LLC
Henry Burrows
Business: (805) 451 -4314
Owner's Agent:BOW TIE HOLDINGS
Chuck Braff
Mobile: (310) 990-6897
Fire Sprinklers: Stories 0.00
:
Census: 437 - Commercial Alteration or Addition
Occupancy:
Code Year: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Group Tvpe Sq. Ft Factor Valuation
-SZd6'o^oo'
Manual
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
C&D Recycling - UTIL
Demolit - lnterior or Garageiutility Build - BLDG
Total Fees
$14.09
$68.64
$462.01
9t10t20
9t10t20
28,535-09-1 0-2020
28,536-09-1 0-2020
$462.01
$82.73
Total Paid $*4.74
$54/-.74
Plan Check Account Payment by Contact
contact Name Account Name statusffiiG- fiG-Total Credits Total Debits Account Balance
$462.01 $462.01 $0.00
Total Account Balance $462.01 $462.01 $0.00
Balance Due:$0.00
$ifi'Lutq,gpl$po BUILDING PERMIT
Site lmprovements
GRAD-1037-2A20
lssuance Date: 9 I 17 12020Building & Safety Division . 919 Palm Street 'San Luis Obispo, CA 93401-3218
ProjectAddress: '1150 Laurel Ln Assessor's Parcel Number: @902-01!
Unit or Suite(s):
Project Description: REMOVAL OF PARKING ISLAND: NEW FLATWORK I Legal Description:
PRE-FABRICATED RAMP FOR BUILDING ACCESS
Owner: Laurel Creek LP a California Limited Partnership
Patrick Smith
Business: (805) 965-21 00
Fire Sprinklers
Census:
Occupancy:
Stories 0.00 Code Year: 2016 Dwelling Units:Motel Rooms
Construction Type
Dimensions
Category:
Valuation
SQFT:Group Tvpe sq. Ft Factor Valuation
Manual $20,000.00
Fees Payments
Fee Name Fee Amount Date Receipt #Amount
$459.58
$289.36
$295.67
$229.48
$1 ,193.53
$75.26
Building Plan Rev - Commercial - Moderate
Non-Single Family Residential -ENG
Stormwater - Minor Project - BLDG
Final lnspection - NSF Res - PW
Commercial Access Upgrade - Site work - BLDG
lT Surcharge
9116120 28,625-09-16-2020
Total Paid
$2,542.88
$r,54288
Total Fees $2,s42.88
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$iri'Lutq,gplfipo BUILDING PERMIT
Site lmprovements
GRAD-0827-2020
lssuance Date: 9 / 17 12020Building & Safety Division . 919 Palm Street'San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Description:
PURPOSES
Owner: Laurel Creek LP a California Limited Partnership
Patrick Smith
Business: (805) 965-2100
Assessor's Parcel Number: 004-962-018
Legal Description:
Fire Sprinklers:
Census: 750 - Grading
Occupancy:
Stories 0.00 Code Year: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group Tvpe sq. Ft Factor Valuation
Manual $20,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Commercial Access Upgrade - Site work - BLDG
Building Plan Rev - Commercial - Moderate
Non-Single Family Residential -ENG
Grading - BLDG
$96.60
$ 1 ,1 93.s3
$459.58
$723.39
$790.63
st16l20
9t16t20
28,626-09-16-2020
28,627-09-16-2020
Total Paid
$s00.00
$2,76s.73
$3,263.73
Total Fees $3,263.73
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due $0.00
Envelope lD: 1F842DE8-E697-4A02-A626- 1DE56CEF7..*--
$Xfi'Lurs onrspo
CALIfORUfrrl
BUILDING PERMIT
Site lmprovements
GRAD{034-2020
I ssuance Dale: 9 I I 1 l2O2OBuilding & Safety Division'919 Palm Street'San Luis Obispo, CA 93401-3218
1150 Laurel Ln Assessor's Parcel Number: gc4-962-018Project Address:
Unit or Suiie(s):
Project Description: ADDITION OF TWO ACCESSIBLE PARKING SPACEi Legal Description:
AND AN ACCESSIBLE ROUTE TO THE ADJACENT
TENANT-
Architect: Arris Studio Architects
Thom Jess
B usiness: (8O5) 547 -2244
Other: Laurel Creek LLC
Henry Bunows
Business: (805) 451-4314
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2019 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Group Tvpe sq. Ft Factor Valuation--6i6F6o--oo'
Manual
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Building Plan Rev - Commercial -$459.58
$289.36
$1 ,193.53
$295.67
$68.26
6t9120
619120
27,532-06-A9-2020
27,533-06-09-2020
Total Paid
$1,193.53
$1,112.87Non-single Family Residential -ENG
Commercial Access Upgrade - Site work - BLDG
Stormwater - Minor Project - BLDG
lT Surcharge
$2,306.40
Total Fees $2,306.40
Plan Check Account Payrnent by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Arris studio Architecrs GRAD-0034-2020 in Ge $t'tge'se $1'193'53 s0'00
Total Account Balance: $1,193.53 $1'193.53 $0.00
Balance Due:$0.00
$tri'Lulq,ppl*po BUILDING PERMIT
AlUAddition - Mlxed Use
BLDG-2051-2424
lssua nce Date: 1 2 I 17 I 2020Building & Safety Division ' 919 Palm Street'Sao Luis Obispo' CA s3401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Project Descripiion: PRE-WORK FOR FIRE SEPARATION AND SEWER
I.ATERALAND WASTE LINES FOR FUTURE
PROPOSED APARTMENTS.
Architect: HEATHER WIEBE
Business: (805) 547-2240
Contractor: ATOLL BUSINESS CENTER LLCA CA LLC
Mobile: {310) 9904897
Legal Descriptior:
Other Laurel Creek LP
Henry Bunows
Business: (805) 451 -4314
Owner/Buitder: Laurel Creek, LLC
Assessor's Parcel Number: @9Q2-01-E
Fire Sprinkters: Provided Slories 1.00 Code Year: 2019 Duelling Unib:Motel Rooms:
Construction Type:Census:
Occupancy: Business, professional offices (B)
Storage, moderate hazard (S-1)
V-B
Dimensions
CateSor}f
Valuation
SQFT:Group TYPe Sq. Ft Factor Valuation
-SzoJooooManual
Fees Payments
Receipt #Fee Name Fee Afiount Date Amount
Supplemental lnspec-tion . BLDG s6E6.s5
$1.00
56-oo
$686.5s
$68.64
$3,168.58
s286.20
s149.34
12t16120
12t16129
29.637-12-',1&2420
29,638-12-1S2020
Total Paid:
s2.384.78
s2,668.08Green Building Fee
SMIP (Commercia0
Suppbmentai Plan Check (Building) - BLDG
C&D Recyciing - UTIL
Fixures - BLDG
Building Plan Rev - Commercial - Minor
lT Surcharge
$5,0s2.e6
Total Fees:$5,052.86
Plan Check Account Payment by Contact
eontactName Account Name Status
in use
Total Credits Total Debits Account Balance
s0.00ATOLL BIJSINESS CENTER
LLC A CA LLC
BLDG-205r -2020 $2.384.78 s2,384.78
$0.00
Balance Due:
Tqtal Account Balance: $2,384,7E $2'384.78
$0-00
DocuSign Envelope lD: 3EFE0258-6130-4378-82Br-..315D7166304
$ifi'tur.q,gpl$po BUILDING PERMIT
Site lmprovements
GRAD-I723-2020
lssuance Date: 1 12612021Building & Safety Division .919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress' 1150 Laurel Ln
Unit or Suite(s):
Project Description: SUBD vlSlON I MPRoVEMENT PLANS
Owner: ATOLL BUSINESS CENTER LLCACA LLC
Mobile: (310) 990-6897
Laurel Creek LP a California Limited Partnership
Patrick Smith
Business: (805) 965-2100
Legal Description:
Assessor's Parcel Number: 004-962-018
Fire Sprinklers:
Census: 750 - Grading
Occupanry:
Stories 0.00 Code Year: 2019 Dwelling Units Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group Tvpe Sq. Ft Factor Valuation
Manual $150,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Non-Single Family Final lnsp - ENG $160.29
$216.00
$1,906.77
$301.93
$125.83
$150.96
$1 9,603.1 1
$1,220.95
$21,230.45
$137.27
$247.47
1t22t2',1 29,984-01-22-2021
Total Paid:
$45,301.03
$45J01^03Meter Cost (1")
Stormwater - Moderate Project - BLDG
Non-Single Family Residential -ENG
lT Surcharge
Post Construction Req / Stormwater - NSF Res - ENG
Consolidated Wastewater lmpact Fees
Commercial Access Upgrade - Site work - BLDG
Consolidated Water lmpact Fee
Meter Service: lnstall (.58"-1")
Final lnspection - NSF Res - PW
Total Fees $45,301.03
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Docusign Envelope lD: BDD92983-5D8A-4826-8CEI;5DA08441 84
$iri'tur.q,gpl$po BUILDING PERMIT
AlUAddition - Commercial
BLDG-ol88-2021
lssuance Date: 41 1212021Building & Safety Division .919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln. 175
Unit or Suite(s): 175
Project Description: Tl TO AN EXISTING OFFICE SPACE-CAL FIRE
Architect: Aris Studio Architects
Thom Jess
Business: (805) #7 -2240
OwneT: LAUREL CREEK LP
Legal Descriplion:
Assessot's Parcel Number: 004-962-018
Fire Sprinklers: Provided Stories 1'00
Census: 437 - Commercial Alteration or Addition
Occupancy: Business, professional offices (B)
Code Year: 2019 Dwelling Units Motel Rooms:
Construction Type:ilt-B
Dimensions Valuation
Category:SQFT:Group Tvpe Sq.Ft Factor Valuation
$280,000.00Manual
Fees Payments
Fee Name Fee Amount Date #Amount
SMIP (Commercial)
Consolidated Plan Check Fees
Green Building Fee
Public Art
lT Surcharge
Consolidated lnspection Fees
Store Front / Facade Alterations: Minor - BLDG
Building Plan Rev - Commercial - Minor
C&D Recycling - UTIL
Commercial Tenant lmprov - Non Structural - FIRE
Total Fees:
$82.00
$4,303.41
$12.00
$900.00
$374-59
$4,133.05
$1,040.35
$286.20
$68.64
$2,449.83
4t9t21
4t9t21
30,952-0+09-2021
30,954-04-09-2021
Total Paid:
$4,303.41
$9,346.66
$13,650.07
$13,650.07
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
LAUREL LP BLDG-o1 88-2021 rn use $4,303.41 $4,303.41 $0.00
Total Account Balance: $4,303.41 $4'303.41 $0.00
Balance Due $0.00
$ifi'tutq,gpl$po BUILDING PERMIT
Building
DEMO-I817 -2018
I ssuance Date: 9 I'17 l2O1 8Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
Proiect Descriotion: DEMO OF 2 COMMERCIAL STRUCTURES
Assessor's Parcel Number: 004-962-018
Legal Description:
License Number: 314407
License Number: 314407
Contractor:
Owner:
WILLIAMS EXCAVATION
Business: (559) 227 -1 080
License Type: California State Contractor License
License Type: California State Contractor License
Contractor
ATOLL HOLDINGS INC A CA CORP
Classifi cation: A - General Engineering Contractor
Classification: C21 - Building Moving/Demolition
Fire Sprinklers:
Census:
Occupancy:
Stories 0.00 CodeYear: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions Valuation
Category:SQFT:Group Type Sq. Ft Factor Valuation
$25,900.00Manual
Fees Payments
Fee Name Fee Amount Date Receipt #Anount
lT Surcharge
Demolition - Entire Building - BLDG
$20.31
$765.37
916118 17,824-09-06-2018
Total Paid:
$785.68
-^G8
Total Fees:$785.68
Plan Gheck Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
$ifi'Luls,gpl$po
Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Early Grading
GRAD-I710-2018
lssuance D ate: I 1221201 8
ProjectAddress: 1150 Laurel Ln
Unit or Suite(s):
ProjectDescription:@
Contractor:
Assessor's Parcel Number: 004-962-018
Legal Description
License Number: 314407
License Number: 314407
WILLIAMS EXCAVATION
Business: (559) 227-1 080
License Type: California State Contractor License
License Type: California State Contractor License
Contractor
ATOLL HOLDINGS INC A CA CORP
Classification: A - General Engineering Contractor
Classification: C21 - Building Moving/Demolition
Owner:
Fire Sprinklers:
Census: 750 - Grading
Occupancy:
Stories 0.00 Code Year: 2016 Dwelling Units:Motel Rooms:
Construction Type:
Dimensions
Category:
Valuation
SQFT:Group Type Sq. Ft Factor Valuation
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
lT Surcharge
Grading - BLDG
$20.31
$765.37
8t22118 17,648-08-22-2018
Total Paid:
$785.68
$?s5s8
Total Fees $785.68
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Gredits Total Debits Account Balance
Total Account Balance
Balance Due:$0.00
ctuy o[:"san luls oglsno
Building & Safety Division . St S @5 n#tfrti 1 -321 8 . (805) 781 -71 80
Project Address
Assessor's Parcel
1150 LAUREL
Legal CY SLO PM 26/56 PAR ANumber004-962-01 I
ACCESSIBLE TRAVEL FROM RIGHT OF WAY TO ACCESS IBLE PARKING LOTProject
Permit Type
Property Owner
Mailing Address
City/StateZip
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
C.B.C. Group
Census 437
X Building X Mechanical
ATOLL HOLDINGS INC A CA CORP
ArchitecUEngineer
x Electrical x Plumbing sign
-Demolition
OccupanUBusiness Name ESCORP
_Grading
sLo cA, 93401-5800 License #
Contracto/s Phone No.OWNER
Contractor's State Lic. No.OWNEFT
Project Manager's Phone No.
Lender Address
B C.B.C. TypeV-B Stories 0
Dwelling tJfrii50
Codes: CBC10 CEC10
Motel Rooms 0Commercial Alteration or Addition
Valuation
5,000 $5,000.00
$5,000.00
Non-Residential Alteration
Fees
Building Permit
Plumbing+Electrical+Mechanical Permit
Grading Permit
s.M.l.P.
Green Building Fee
Demolition Permit
Sign Permit
MiscCharge/Credit 0.00AdministrativePermit
Archival FeeSubtotal 108'55
lnvestigation Fees
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 107.50
Development Review Fee
Fire Safety Surcharge
Fire Systems
Fire Sur/Sys Subtotal 0.00
Construction 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 lnlieu Fee
Total Fees
Balance Due
Total Building Value
-Legal
Declarations
2b(t) - OWNER-BUILDER'S DECLARATION - l, as owner of the property' or my
employees with wages as their sole compensation, will do portions of the work
and the structure is not intended or offered for sale. (section 7044, Business and
Professions Code: The Gontractors' 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)
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.
3a(3) - WORKERS' COMPENSATION DECLARATION - 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 Galifornia
, 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.
Fee Exemptions:
107.50
0.00
0.00
1.05
0.00
0.00
0.00
0.00
0.00
0.00
107.50
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
216.05
0.00
Receiot
59771Payment #1 216.05 03111113
Total Paid 216.05
Application Numberl30224 Permit Numbet 2T00S
Application Date o3t11t1
Address File
3 lssuance Date 03/1 1/13
Comments:
Agent or
.2
J fl t3
ctuy o[-san luls oBls',o
1-a9laoiaOK\aal a1a^Building & Safety Division.919
Project Address
Assessot's Parcel
Project DescriPtion
Permit Type
Property Owner
Mailing Address
City/State/ZiP
Contractor
Mailing Address
City/State/ZiP
Project Manager
Lender Name
C.B.C. GrouP
Census number
B
437
U.B.C. TyPeV-B
NEW OFC, TBAR,RETRO,
1 1 50 LAUREL LN
License #sLo cA, 93401-5800
OWNER
HANK HARBERS
Legal CY SLO PM 26/56 PAR A
INT DOOR
ContractoCs Phone No.
ContractoCs State Lic. No.OWNER
Project Manager's Phone No. 6tO-34t8
Lender Address
Fire Sprinklers
Dwelling Units 06m-m-rrciatAlterationorAddition
Stories 0 Codes: CBCO1 CEC04
Motel Rooms 0 Enforcement
Non-Residential Alteration
Fees
Building Permit
Plumbing+Electrical+Mechanical Permit
Grading Permit
s.M.l.P.
Energy Surcharge
AccessibilitY Surcharge
Demolition Permit
Sign Permit
MiscCharge/Credit 0.00AdministrativePermit
Archival Fee
Subtotal 134'80
lnvestigation Fees
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 0'00
Development Review Fee
Fire Safety Surcharge
Construction UnitTax
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 -
Waterway Management Fee
Plan Preparation Fee
Open Space ln-lieu Fee
Total Fees
Balance Due
Payment #1 342.44 02/06/08
Total Paid 342.44
for sale.'ffiT';; owner of the propefty, am exclusively contracting with licensed
fontractors to construct the proiect.
) Not applicable.
L women's coMPENsATloN DEcLARATIoN:
i'nilfiii im- ini{i'nirii'ieincaie of consent to self-insure, or a'certificate
of Workers' Compensation insurance, or a ceftified copy hereof
n Certified copy is hereby fumished.
n c",tifi"d *ov isfiled with the City.
K Notappticaiteft liililEAiE br exempl0N FRoM woRKERs coMp. tNsu RANGE
a I cetty that in the performance of the work for which fhis permrT is issue4
-shall not employ any person in any manner so as fo become subiect to the
Workefs Compensation Laws of Califomia
( ruotarrlrcaote
NOTICETO APPLICANT:
lf, after making any of the foregoing declarations, you become subiect to any
LaborCodeorLicenseLawprovision,youmustcomplywithsuchprovisions
or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
iscorrect,!agreetocomptywithaltcityordinancesandstatelawsrelatingto
buitding construction, and hereby authoize-representatrves of this city.to
;;;i;;';p;; ii"- iaoiit -me ntaned p rope rtv for i n spe ction p u tposes' unless
noted under,'special Conditions,', this permit becomes null and void if work
or construction authorized is not stafted within 180 days, or if construction
or work is suspended or abandoned for a peiod of 1 80 days any time after
work is commenced.
Fee ExemDtions:
Valuation
4,000 with A/C Fire SPrinklers
Value
$4,000.00
$4,000.00
ons
1. OWNER BUILDING
License Law for the following reason:I am exemPtfrom the
1as owner of the property, or my employees with wages as fhertso/e
compensation will do the wo* and the structure is not intended or offered
Total Building
I Declarati
1 18.20
15.76
0.00
0.84
0.00
0.00
0.00
0.00
0.00
0.00
133.96
0.00
0.00
50.24
23.44
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
Receipt
36393
Application Number080092
ApplicationDate 02106/08
Permit Numbet22748
tssuance oate176666--
Address File
Comments:
or
7-Z a
'ruro oty ofi_san luls oBtsl*c
Building & Safety Division.919 Palm tf6h . (805) 781-7180
ProjectAddress 1150 LAUREL 190
Assessor's Parcel 8 Legal Description CY SLO PM 26156 pAR AProject DescriptionTl FOR PARSONS - EXPAND INTO SUITE 186
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
Mailing Address
City/Stiate/Zip
Project Manager
Lender Name
C.B.C. Group
Census number
x Building X Mechanical
ATOLL HOLDINGS INC A CA CORP
Electrical _ plumbi
OccupanUBusiness Name
ng _ Sign _Demolition
REVO TECHNIK
X _Grading
1150 LAUREL LN
sLo cA, 93401-5800
OWNER
HANK HARBERS
B U.B.C. TypeV-N
437 Commercial Alteration or Addition
ArchitecUEngineer
License #
Contractor's Phone No.
Lender Address
Contractor's State Lic. No.OWNER
Project Manager's Phone No. sa4_gZOg
Dwelling Units 0
Stories 0 Codes: CBC01 CEC04
rrdotetRooiJ o
Non-Residential Alteration
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc Charge/Credit
Archival Fee
Subtoial
lnvestigation Fees
Valuation
20,000 $20,000.00
$20,000.00
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Development Review Fee
Fire Safety Surcharge
Construction Unit Ta/Plan Preparation
Water lmpact 0.00 Area -
Water Meter lnstallation
Wastewater lmpact 0.00 Area -
Traffic lmpact
Affordable Housing
Public Art
Code Enforcement
Park lmprovement Area -
Waterway Management Fee
Total Fees
Balance Due
Payment #1 830.15 02t23t06
Toial Paid 830.15
Application Number06ol 41
ApplicationDate O2l?f,t}6
Fees
0.00 Administrative Permit
545.73
0.00
Permit Number20833
367.00
0.00
48.92
48.92
0.00
4.20
46.48
30.21
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.
I am exempt reason:
OWNER B
I, as owner of the propefty, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
for sale.
H{, ,r owner of the property, am exclusively contracting with licensed
€ontractors to construct the project.
I Not appticabte.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a ceftificate of conseit to self-insure, or a ,certificate
of Wo rke rs' Co m pe n satio n insurance, or a certified copy hereof
Certified copy is hereby fumished.
Certified copy is fited with the City
Nof
OF EXEMPTION FROM WORKERS COMP. TNSURANCE
Z t ceftw that in the peiormance of the work for which this permitis issued,I shall not employ any person in any manner so as fo become subject to the
Worker's Compensation Laws of California
WlotaPpticawe
NOTICE TO APPLICANT:
lf, after making any of the foregoing decrarations, you become subject to any
Labor code or License Law provision, you must compty with such provisions
or this permit shall be deemed revoked.
I certif that I have read this application and state that the above information
is conect, I agree to comply with ail city ordinances and state laws relating to
building construction, and hereby authorize representatives of this city toenter upon the above-mentioned propefty forinspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authorized is not started within 1g0 days, or if construction
or work is suspended or abandoned for a period of 1 g0 days any time after
work is commenced.
Soecial Conditions:
203.07
81.35
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
830.15
0.00
Receiot
25330
Address File
lssuance Dale 02123106
Comments:
or Owner
crf,y of san luls oBtsoo
Buirdins & safety Divisib'Tr. eeo Parm streer;il:lijfi.F:j,ljjj1-s2'&. (805) 781-7180
Project Address 1150 LAUREL
Assessot's Parcel Number 004-962-018
Project DescriptionALTER FRONT OF BUILDING TO STOREFRONT
Legal Description CY SLO PM 26/56 PAR A
Mailing Address 1150 LAUREL LN
Permit Type X Building Mechanical
Property owner ATOLL HOLDTNGS tNC A CA CORP
X Ebctrical Plumbing _ Sign Demolition Gradinq
OccupanVBusiness Name ESCORP
ArchitecVEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
Lender Address
Dwelling Units 0
Stories 0 Codes: UBC 1 NEC 1
Motel Rooms 0
Valuation
10,000
sLo cA, 93401-5800
Project Manager VR; 1,ruOSgUC Project Manager's Phone No. 773_576g
City/State/Zip
Contractor
Mailing Address
City/State/Zip
Lender Name
U.B.C. Group
Census number
OWNER
B
43?
s-1 U.B.C. TypeV-N
Commercial Alteration or Addition
Non-Residential Alteration
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition fermit
Sign Permit
MiscCharge/Credit 0.00AdministrativePermit
lnvestigation Fees
MicrofilmSubtotat 262.80
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 199.16
Development Review Fee
Fire Safety Surcharge
Construction Unit Tax
Water lmpact 0.00 Area -
Water Meter lnstallation
Wastewater lmpact 0.00 Area -
Traffic lmpact
Affordable Housing
Public Art
Total Fees
Balance Due PaymentsAmount Date
199.16 11117103
435.25 01106104
$10,000.00
$10,000.00
197.45
0.00
0.00
26.32
0.00
2.10
22.38
14.55
0.00
0.00
0.00
0.00
0.00
199.16
0.00
172.45
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.
I
Total Paid 634.41
Application Numbero3l282 Permit Number 18768
Application Date 11117103 lssuance Date 01/06/04
reason:
n 1 as owner of the propefty, or my employees with wages as their sote
compensation will do the work and the structure is not intended or offered
forsale.
[l t ," owner of the propefty, am exclusively contracting with licensed
Coltractors to construct the project.
I Notapplicable.
2. WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'ceftificate
of Workers'Compensation insurance, or a certified copy hereof
I Ceninea copy is hereby fumished.
l)tcertified apy is filed with the City.
[Nof applicable
3, CERTIFIGATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I ceftify that in the pertormance 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
(oSker's Compensation Laws of Califomia
{Notamntaole
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you become subject 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 conect, I agree to comply with all city ordinances and state laws relating to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned propefty for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 days, or if construction
or work is suspended or abandoned for a peiod of 180 days any time after
work is commenced.
Soecial Conditions:
634.41
0.00
Payment #1
Payment #2
Receiot
12175
12826
Address File
Comments:
or
o
ro,fl['ru crty o['-san lurs oBrsp?
ffiBuilding&SafetyDivision.99oPalrrff9risffubtE8?fpPBflfiqt3zag.(eos)781.718o
ProjectAddress 1150 LAUREL 184
Assessor's Parcel Number Legal Description CY SLO PM 26156 PAR A
Project DescriptionTl FOR
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
U.B.C. Group
Census number
1 150 LAUREL LN
x Electrical x Plumbing sign _Demolition
-Grading
OccupanVBusiness Name INDEPENDENT LIVING RESOURCE CENTER
ArchitecUEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No
Project Manager's Phone No. 544-8203
Lender Address
Stories 1 Codes: UBC 1 NEC '1
Dwelling Units 0 Motel Rooms 0
B U.B.C. TypeV-N
437 Commercial Alteration or Addition
Valuation
Non-Residential Alteration 20,000
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc ChargeiCredit
lnvestigation Fees
Microfilm
Subtotal
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
3.
0.00
Wastewater lmpact
Traffic lmpact
Affordable Housing
Public Art
Total Fees
Balance Due
x Building X Mechanical
ATOLL HOLDINGS INC A CA CORP
sLo cA, 93401-5800
OWNER
HANK HARBERS
$20,000.00
$20,000.00
Total Paid 643.05
Application Number03o56g Permit Number 18003
Application Date OSt27lO3 lssuance Date 05127103
Total Building Value
Legal Declarations
1. OWNER BUILDING DECLARATION:
! am exempt from the contractor's License Law for the following reason:
X t "" owner of the property, or my employees with wages as their sole
I coinpensation will do the work and the structure is not intended or offered
for sale.
l--'l /, as owner of the propefty, am exclusively contracting with licensed
tdntactors to construct the proiect.
! ruot applicable.
2. WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a certificate of consent to selLinsure, or a 'certificate
of Workers' Compensation insurance, or a ceftified copy hereof
Certified copy is hereby fumished.
Certified copy is filed with the City.
applicable
OF EXEMPTION FROM WORKERS COMP. INSURANCE
fi t certify that in the pertormance of the work for which this permitis issued,
'l shatl not employ any person in any manner so as to become subiect to the
Worker's Compensation Laws of Califomia
! wot applicabte
NOTICETO 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 conect, I agree to comply with all city ordinances and state laws relating to
building construction, and hereby authorize representatives of this city to
enter ipon the above-mentioned propefty for inspection purposes. Uniess
noted under "special Conditions", this permit becomes null and void if work
or construction authorized is not stafted within 180 days, or if construction
or work is suspended or abandoned for a period of 1 80 days any time after
work is commenced.
Special Conditions:
Comments:
0.00 Administrative Permit
559.62
0.00 Area -
0.00 Area -
340.55
45.40
45.40
45.40
0.00
4.20
47.68
30.99
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
83.43
0.00
0.00
0.00
0.00
0.00
0.00
0.00
643.05
0.00Paymen
Amount
ts
Payment #1 643.05
Date
05t27103
Receipt
s441
Address File nature Agent or
o
rur]]|]||ru crty o[ san luls oBtsno
ffiBuilding&SafetyDiViSio.).-'99oPalmStreet.SanLuisobispo,CA93401-324v-.(8o5)781-718o
Constrrretion Perm
ProjectAddress 1150 LAUREL 180
Assessor'sParcelNumber 004-962-018 Legal Description CY SLO PM 26156 PAR A
SHELL IMPROVEMENTS SUITE 180Project Description
Permit Type X Building X Mechanical X Electrical _ Plumbing sign
-Demolition -Grading
Property Owner ATOLL HOLDINGS INC A CA CORP
Mailing Address 1150 LAUREL LN
City/StateZiP SLO CA, 93401-5800
occupant/Business Name
ArchitecVEngineer
License #
Contractor's Phone No.
Contracto/s State Lic. No.
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
U.B.C. Group
OWNER
HANK HARBERS Project Managefs Phone No.
Lender Address
544A203
U.B.C. Type V-N
Census number 437 Commercial Alteration or Addition Dwelling Units 0
Stories 1 Codes: UBC 98
Motel Rooms 0
NEC 98
Valuation
Non-Residential Alteration 30'000
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.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 Att
fl 1 as owner of the property, or my employees with wages as their sole
Tompensation witt do the work and the structure is not intended or offered
for sale.
ffit u" owner of the property, am exclusively contracting with licensed
6fit{actors to construct the project.
lNot applicable.
2. WORKER'S COMPENSATION DEGLARATION:
i-niiii in^ that t have a certificate of consent ta self-insure, or a 'cerilficate
of Workers'Compensation insurance, or a ceftified copy hereof
V Certified copY is herebY fumished.
|Jurc",tin"a "opy
is fited with the City.
WNot applicable
-e. cinniicnrE oF ExEMPTIoN FRoM woRKERs coMP.INSURANcE
f, t certiry that in the performance of the work for which this permit is issued,
,/isAtl not employ any person in any manner so as to become subiect to the
Workels Compensation Laws of California
I Not applicable
NOTICE TO APPLICANT:
lf,aftermakinganyoftheforegoingdeclarations,youbecomesubiecttoany
Labor code or License Law provision, you must comply with such provisions
or this permit shall be deemed revoked.
I cettify that I have read this application and state that the above information
is correct, I agree to compty with all city ordinances and state laws relating to
buitding construction, and hereby authoize-representatives of this city to
"iti, ipo, the above-mentioneil property for inspection purposes' Unless
noted under "special conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 days, or if construction
orwor|issuspendedorabandonedforapeiodofls0daysanytimeafter
work is commenced.
Special Conditions:
$30,000.00
$30,000.00
1.
I am exempt from the
OWNER BUILDING
Value
ons
Law for the following reason:
Total Building
I Declarati
776.20
619.28
467.55
0.00
62.32
62.32
0.00
6.30
59.22
38.49
0.00
0.00
0.00
0.00
0.00
80.00
527.05
92.23
103.63
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Fees
Balance Due
1,499.11
0.00
Paymen
Amount Date
o8128102
ogt17toz
Receiot
5499
581 0
ts
Payment #1
Payment #2
619.28
879.83
Total Paid 1,499.11
Application Number 021043 Permit Number 17173
ApplicationDate OBl28lO2
Address File
lssuance Dale 09117102
Comments:
or
W ctty o[san lurs oBrspo
Building & Safety Division';:eo PaltJtred ..Obispq-.CA 93401-p249 . 1d05) 781-7180ton PermrI
Project Address 1 150 LAUREL
Assessor's Parcel Number oo4-962-O1 Legal Description CY SLO PM 26156 PAR A
Project Description FIRE ALARM SYSTEM UPGRADE
Permit Type Building Mechanical
Property owner ATOLL HOLDINGS INC A CA CoRP
Mailing Address 1150 LAUREL LN
City/State/Zip SLO CA, 93401-5800
Contractor GREAT WESTERN ALARM
Mailing Address 142,I PARK
City/StateZip PASO ROBLES CA 93446
Project Manager MARION TODD
Lender Name
U.B.C. Group S-1 B U.B.c. Type V-N
Census number
X Electrical _ Plumbing sign
-Demolition -Grading
OccupanUBusiness Name
ArchitecVEngineer
License #
Contractor's Phone No. 541-4470
Contractor's State Lic. No. 561308
Project Manageds Phone No.
Lender Address
238-901 I
Dwelling Units 0
Stories 2 Codes: UBC
PubliC MotelRooms
98 NEC98
Valuation
Fees
Value
ons
1. OWNER BUILDING T]ON:
License Law for the following reason:I am exempt from the contractofs
n 1 "" 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.
f-'l 1 as owner of the property, am exclusively contracting with licensedUcihtracto rs to c o nstru ct th e proie ct.
pf Not applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that ! have a ceftificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
lSzninea copy is hereby fumished.
/l Certified copy is filed with the City.
Ll Not appticabte
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP.INSURANCE
I I ceftify that in the pertormance 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
Work{r's Compensation Laws of California
@ Not applicable
NOTICE TO APPLICANT:
If, 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 ceftify that I have read this application and state that the above information
is conect, I agree to comply with all city ordinances and sfafe laws relating to
building construction, and hereby authoize representatives of this ci$ to
enter ipon the above-mentioned property for inspection purposes. Unless
noted under "special Conditions", this permit becomes null and void if work
or construction authoized is not statted within 180 days, or if construction
or work is suspended or abandoned for a peiod of 180 days any time after
work is commenced.
Special Conditions:
4
Total Building
al Declarati
$0.00
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.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
18.95
0.00
0.00
0.00
0.00
0.00
0.00
16.05
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
35.00
0.00
Receipt
580'1Payment #'1 35.00 0z02lo1
Total Paid 35.O0
pplication Number 010143 Permit Number 16471
:lication Date O2l0Z01
5s File
lssuance Dale o4lo1lo2
Comments:
or Date
,W ctty
Building & Safety 781-7180
Project Address 1 150 LAUREL
Assessor's Parcel N Legal DescriPtion CY SLO PM 26156 PAR A
Project Description ADD ACCESS CORRIDOR ADJACENT TO OFFICE
Permit Type X Building Mechanical X
Property Owner ATOLL HOLDINGS INC A CA CORP
Mailing Address 1150 LAUREL LN
City/StateZip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
U.B.C. Group
Census number
slo cA,93401-5800
B U.B.c. Type V-N
Electrical Plumbing Sign
-Demolition
OccupanVBusiness Name ESCORP
ArchitecVEngineer
License #
Contractois Phone No.
Contractofs State Lic. No.
Grading
OWNER
JOE SANDERS Project Manager's Phone No.
Lender Address
54+8203
437 Commercial Alteration or Addition Dwelling Units 0
Stories 1 Codes: UBC 98 NEC98
Motel Rooms 0
Valuation
Non-Residential Alteration 3,000
Fees
Value
ons
following reason:
wages as their sole
intended or offered
for sale.
f-'] 1 as owner of the property, am exclusively contracting with licensed
tdituctors to construct the proiect.
lNot applicable.
2. WORKER'S COMPENSATION DECLARATION:
t hereby affirm that I have a certificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a cerlified copy hereof
I Certified copy is hereby fumished.
fl-C",tn"a "opy
is fited with the City.
l) Not appticable
3. CERT]FICATE OF EXEMPTION FROM WORKERS COMP.INSURANCE
I t ceflify that in the peiormance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subiect to the
Workels Compensation Laws of California
ffil,lot applicableT'
NOTICETO APPLICANT:
lf, after maPing 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 ceftify that I have read this application and state that the above information
is conect, I agree to comply with all city ordinances and state laws relating to
buitding construction, and hereby authoize representatives of this city to
enter ipon the above-mentioned property for inspection purposes. Unless
noted under "specia! Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 days, or if construction
orwork is suspended or abandoned for a peiod of 180 days any time after
work is commenced.
Soecial Conditions:
Comments:
$3,000.00
$3,000.00Total Building
al Declarati
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
99.85
0.00
87.55
0.00
0.00
't't.67
0.00
0.63
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
't7.36
0.00
0.00
0.00
0.00
0.00
0.00
0.00
117.21
0.00Payments
Amount
Payment #1 117.21
Total Paid 117.21
Application Number 011167 Permit Number 16058
ApplicationDate 11116/01
Date
11t16101
Receipt
1479
Address File
lssuance Date '1 '171 6791
of or Owner
o\
*Mr]J]]]lru ctty o[ san luls oBtsl'o
ffiBuilding&SafetyDivision'on*'u3li:iffribhi';?i'H"ffi+p1-3249-f(805|781-7.lBo
Project Address 1150 LAUREL
Assessot's Parcel Number oo+962-O 18 Legal Description CY SLO PM 26156 PAR A
Project Description WALL & MONUMENT SIGNS/ATOLL BUSINESS CTR
Permit Type Building Mechanical X Electrical Plumbing X Sign Demolition
Property owner ATOLL HOLDINGS INC A CA CORP occupanvBusiness Name EscoRP
Mailing Address 1150 LAUREL LN ArchitecVEngineer
City/StateZip SLOCA,93401-5800 License #
Contractor CENTRAL COAST NEON Contractois Phone No. 4g1-53,16
Mailing Address 971 GRIFFIN #D Contractor's State Lic. No 74311
City/StateZip GROVER BEACH CA 93433
Project Manager SUSIE OLSON Project Manageds Phone No. 461-3546
Lender Name Lender Address
U.B.C. Group B U.B.C. Type V-N Stories 1 Codes: UBC 98 NEC98
Census number Dwelling Units 0 Motel Rooms 0
Valuation
Grading
Payment #1
Total Paid 169.00
Application Number 010525 Permit Number '1576'l
Application Date osl24lo1 lssuance Dale ogh4lol
Le
Total Building Value
al Declarations
1, OWNER BUILDING
I am exempt from the contractot's License Law for the following reason:
E 1 "" 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.
f-l 1 as owner of the propetty, am exclusively contracting with licensed
ffitrq;tor" to construct the proiect.
@flot appticable.
2. WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'cerlificate
of Worlgrs' Compensation insurance, or a certified copy hereof
@€eftified copy is hereby furnished.
l) Cerlified copy is filed with the City.
Ll Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I certify that in the pertormance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subiect to the
Workels4ompensation Laws of California
@frot applicable
NOTICE TO APPLICANT:
If, 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 of this city to
enter upon the above-mentioned property for inspection purposes- Unless
noted under "special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 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:
$0.00
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safe$ Surcharge
Construction Unit Tax
Water lmpact
Water Meter lnstallation
Wastewater lmpact
Traffic lmpact
Affordable Housing
Public Art
Total Fees
Balance Due
169.00
0.00
0.00
0.00
0.00
24.80
0.00
0.00
0.00
0.00
0.00
144.20
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
169.00
000Payments
Amount
169.00
Date
o5t24t01
Receiot
7420
Address File
Comments:
or
&"tr' o r
;ffil,jllffi ctty of,lan luls oBtsp?
ffiBuilding&SafetyDivision.-fsoeat2,ffi;ffff3+j3?f'p3fii1t.,ono-(805)781-7180
Project Address 1 1 50 LAUREL 150
Assessor's Parcel Number 0021962-01 8 Legal Description CY SLO PM 26156 PAR A
Project Description RELOCATE EXISTING SPRAY BOOTH
Permit Type Building X Mechanical
Property owner AToLL HOLDINGS INC A CA CoRP
Mailing Address 1150 LAUREL LN
City/StateZip
Contractor
Mailing Address
Ci$/StateZip
Project Manager
Lender Name
U.B.C. Group
Census number
slo cA,93401-5800
F-1 U.B.C. Type V-N
x Electrical x Plumbing sign
-Demolition -Grading
OccupanVBusiness Name No SLACK
ArchitecVEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
Project Manager's Phone No.
Lender Address
OWNER
HANK HARBERS
Dwelling Units 0
Stories 1 Codes: UBC
Motel Rooms
98 NEC98
0
Valuation
Fees
Total Building Value
al Declarations
1. OWNER
License Law for the following reason:
l, as owner of the property, or my employees with wages as their sole
will do the wofu and the structure is not intended or offered
for sale.
[l 1 as owner of the propefty, am exclusively contracting with licensed
c-ontractors to construct the project.
lNot applicable.
2. WORKER'S COMPENSATION DECLAR,ATION:
I hereby affirm that I have a ceftificate of consent to seff-insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
Ceftified copy is hereby furnished.
Ceftified copy is filed with the City
Not applicable
OF EXEMPTION FROM WORKERS COMP.INSURANCE
fi I certify that in the peiormance of the work for which this permit is issued,
ty'slnll not employ any person in any manner so as to become subiect to the
Workels Compensation Laws of California
I Not applicable
NOTICE TO APPLICANT:
If, 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 conect, I agree to comply with all city ordinances and state laws relailng to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Specia! Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 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:
Updated Authority to Construct required from APCD prior to commencing
construction.
Comments:
$0.00
Building Permit
Plumbing Permit
Mechanical Permit
Eleckical 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 Ad
Total Fees
Balance Due
35.00
0.00
0.00
4.80
7.30
18.35
0.00
0.00
0.00
0.00
0.00
0.00
4.55
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
35.00
0.00Payments
Payment #1
Amount
35.00
Date
07t02t0'l
Receipt
7883
Total Paid 35.00
Application Number 010572 Permit Number 15632
ApplicationDate 06/05/0'1
Address File
lssuance Dale oTlozol
Signature or
o
M'lfllU ctty oF san luls oBtspo
ffiBuilding&SafetyDiVision'f*99o'"e3ii"Aifr1biib?iHa"iffi4f1-3249-f(805)781-718o
Project Address 'l 150 LAUREL 100
Assessor's Parcel Number 004-962-01 I Legal Description CY SLO PM 26/56 PAR A
Project Description SMOKE CURTAINS, VENTS, & HOSE STATIONS
Permit Type X Building Mechanical Electrical Plumbing Sign
-Demolition
Property owner ATOLL HOLDINGS INC A CA CORP occupant/Business Name CENTRAL COAST SURFBOARDS
Mailing Address 1150 LAUREL LN ArchitecVEngineer
License #CitY/State/ZiP SLO CA, 93401-5800
Contractor CARROLL DEVELOPMENT INC Contracto/s Phone No. 543-2427
Mailing Address 2653 VICTORIA AVE Contractor's State Lic. No.755673
City/State/Zip slo cA 93401
Project Manager MIKE HICKS Project Manager's Phone No. 543-2427
_Grading
Lender Name
U.B.C. Group
Lender Address
s-1 F-1 U.B.C. Type V-N Fire Sprinklers
Dwelling Units 0
Stories 1 Codes: UBC 98
Motel Rooms 0
NEC 98
Census number 437 Commercial Alteration or Addition
Valuation
Non-Residential Alteration 4,&0
Fees
Total Building Value
-
Legal Declarations
Fire Sprinklers $4,400.00
$4,400.00
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibili$ 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 Impact
Water Meter lnstallation
Wastewater lmpact
Traffic lmpact
Affordable Housing
Public Art
Total Fees
Balance Due
Payment #'1
Total Paid 258.39
Application Number 010349 Permit Number 15552
ApplicationDate O4lO2lO1
1. OWNER BUILDING DECLARATION:
I am exempt from the contractot's License 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.
f-l 1 as owner of the property, am exclusively contracting with licensed
Sdtactors to construct the proiect.
pl Not applicable.
y'. Wonxen's coMpENsATtoN DECLARATIoN:
t hereby affirm that I have a ceftificate of consent to self-insure, or a 'certifrcate
of Workers' Compensation insurance, or a certifred copy hereof
I Certified copy is hereby furnished.
fr C",tifi"d
"opy
is filed with the City.
ll Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP, INSURANCE
I I cettify that in the performance of the work for which this permit is issued,
t shall not employ any person in any manner so as to become subiect to the
Wo-rkefs Compensation Laws of Califomia
fl Not appticabte
NOTICETO APPLICANT:
If, 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 cetlify that I have read this application and state that the above information
is conect, I agree to comply with all city ordinances and state |aws relating to
building construction, and hereby authoize representatives of this 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 180 days, or if construction
or work is suspended or abandoned for a peiod of 1 80 days any time after
work is commenced.
Soecial Conditions:
112.6s
0.00
0.00
0.00
0.00
o.92
0.00
0.00
0.00
0.00
0.00
0.00
0.00
7.30
'120.87
117.8',1
100.26
17.55
19.71
0.00
0.00
0.00
0.00
0.00
0.00
0.00
258.39
0.00Payments
Amount
258.39
Date
o4t0z01
Receiot
666'l
oAddress File
lssuance Date 06/05/01
Comments:
or Date
rur]]|llru crty o[
ffi Building & Safety Dtvision-i
san luls oBtsno
990 PalAstreet : San Lljs Obispq, CA 93491-3249"i (805) 781-7180(;onstnreilon PermtT
ProjectAddress 1150 LAUREL 160
Assessor'sParcelNumber 004-962-018 Legal Description CY SLO PM 26156 PAR A
Project Description TENANT IMPROVEMENT FOR RESTAURANT
Permit Type X Building X Mechanical
Property Owner ATOLL HOLDINGS INC A CA CORP
Mailing Address PO BOX 3259
CityiStateZip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
sLo cA,93401-5800
U.B.C. Group A-3 U.B.C. Type V-N
Census number 437 Commercial Alteration or Addition
Non-Residential Alteration
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Electrical X Plumbing Sign
-Demolition
OccupanVBusiness Name END OF THE LINE
ArchitecVEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No
VAL MILOSEVIC
c-'1 1438
Project Managefs Phone No. 773-5768
Lender Address
Fire Sprinklers Stories 1 Codes: UBC 98 NEC98
Dwelling Units 0 Motel Rooms 0
Valuation
X Grading
OWNER
VAL MILOSEVIC
50,000 4,270 Sq Ft @ with A/C Fire Sprinklers
Value
$s0,000.00
$50,000.00Total Building
al Declarati
Miscellaneous Charge/Credit
Investigation 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
Total Paid 2,399.41
Application Number 010068 Permit Number 15390
Application Date O1l17lO1 Issuance Date 04/05/01
ons
TION
License Law for the following reason:
! 1 "" 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
forsale.
X 1 u" owner of the property, am exclusively contracting with licensed
fifltractors to construct the project.
lNot applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
I Certinea copy is hereby furnished.
LJ ceftified copy is filed with the City.
"Kgliff#il".F ExEMproN FR.M *.RKERS coMp. rNSuRANcE
ft t cemy that in the pertormance of the work for which this permitrs lssued,
I shpll not employ any person in any manner so as to become subiect to the
Worhels Compensation Laws of Califomia
I Not applicable
NOTICE TO APPLICANT:
lf , after maRing 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 relalng to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions', this permit becomes null and void if work
or construction authoized is not stafted within 180 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:
'l ,178.29
1,062.83
646.15
86.13
86.13
86.13
0.00
10.50
90.45
58.80
0.00
0.00
0.00
0.00
0.00
114.00
904.54
158.29
158.29
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,399.41
0.00
Payment #1
Payment #2
Paymen
Amount
1,062.83
1,336.58
Date
01t17to1
04t05t01
Receipt
5548
6698
ts
Address File
Comments:
or
rur]]lllru ctty o[ san luls oBtspc
ffiBuilding&SafetyDiVision.t39o't8'fi"Aiftibtib"ri'pdirii11t.sz+s..r.teos)781.718o
Project Address 1150 LAUREL 190
Assessor's Parcel NUmber Legal Description
Project Description TI FOR STATE PARKS & REC OFFICES
Permit Type X Buitding _![Mechanical
Property Owner ATOLL HOLDINGS INC A CA CORP
Mailing Address PO BOX 3259
City/StateZip
Contractor
Mailing Address
City/Statezip
Project Manager
Lender Name
slo cA,93401-5800
U.B.C. Group B U.B.C. Type V-N
Census number 437 Commercial Alteration or Addition
Fees
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
Electrical x Plumbing sign _Demdition
-Grading
occupanvBusiness Name STATE OF CALIFORNIA PARKS & REC
ArchitecVEngineer
License #
Contractot's Phone No.
Contractor's State Lic. No.
VAL MILOSEVIC
c-1 't4s8
Project Managefs Phone No. 773-5768
Lender Address
Fire Sprinklers Stories 1 Codes: UBC 98 NEC98
Dwelling Units 0 Motel Rooms 0
with A/C Fire Sprinklers $1 16,300.00
X
OWNER
VAL MILOSEVIC
Valuation
Non-Residential Alteration 116,300 5,815 Sq Ft @
Total Building Value
-
Legal Declarations
$116,300.00
1. OWNER BUILDING DEGLARATION:
I am exempt from the contractor's License Law for the following reason:
n 1 "" 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.
Ffl, "" owner of the property, am exclusively contracting with licensed
dttractors to construct the project.
lNot applicable.
2, WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a cerlificate of consent to self-insure, or a 'certificate
ol Workers' Compensation insurance, or a ceftified copy hereof
lCeninea copy is hereby tumished.
llceftified copy is filed with the City.
fr Not applicable.3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
@ I cettify that in the pertormance of the work for which this permit is issued,
4 dhall not employ any person in any manner so as to become subiect to the
Workels Compensation Laws of Califomia
Z Not appticabte
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you becQme 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 of this city to
enter upon the above-mentioned propefty for inspection purposes. Unless
noted under "special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 days, or if construction
or work is suspended or abandoned for a peiod of 180 days any time after
work is commenced.
Soecial Conditions:
't,092.20
14s.59
145.59
145.59
0.00
24.42
152.90
99.38
0.00
0.00
0.00
0.00
0.00
114.00
1 ,919.67
1,796.54
1,528.97
267.57
267.57
0.00
0.00
0.00
0.00
0.00
0.00
81 .50
Total Fees
Balance Due
4,065.28
0.00
Payment #1
Payment #2
Payme
Amount
1,796.54
2,268.74
Date
01t17lo'l
o4lo5l0'l
Receiot
5548
6698
nts
Total Paid
Application Number 01 0069
ApplicationDate 01l17lo'l
Permit Number 15391
lssuance Date 04/05/01
4,065.28
Address File
Comments:
or
M crty o[ san luls oBtsp")
Buirdins & safety Division . eeo Ptq stiiiiriihlih?i p""ffiff1-324s . (805) 781-7180
Project Address I '150 LAUREL 1 10
Assessor'sParcelNumber 004-962-018 Legal Description CY SLO PM 26156 PAR A
Project Description REMODEL ACCOUNTING OFFICES & BREAKAREA
Permit rype x Building X Mechanical x Electrical x Plumbing Sign
-Demolition -Grading
Property owner ATOLL HOLDINGS INC A CA CORP occupanvBusiness Name oENTRAL COAST SURFBOARDS
Mailing Address PO BOX 3259 ArchitecVEngineer
city/StateZip SLOCA,93401-5800 License #
Contractor CARROLL DEVELOPMENT INC Contractor's Phone No. 543-2427
Mailing Address 2653 VICTORIA AVE Contractor's State Lic. No. 755673
City/StateZip sLo cA 93401
Project Manager MIKE HICKS Project Manage/s Phone No. 543-2427
Lender Name Lender Address
U.B.C. Group B U.B.C. Type V-N Fire Sprinklers Stories 1 Codes: UBC 98 NEC98
Census number 437 Commercial Alteration or Addition Dwelling Units 0 Motel Rooms 0
Valuation
Non-Residential Alteration 8,000
Total Paid 525.94
Application Number 1 01 83 Permit Number 15245
ApplicationDate 02116101
with A/C Fire Sprinklers
Total Building Value
I Declarations
License Law for the following reason:
n 1 ," owner of the propefty, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
for sale.
ll 1 as owner of the property, am exclusively contracting with licensedU.ciitractors to construct the project.
S Nof applicable.
a/Wonxen's coMPENSATION DECLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
V Ceftified copy is hereby furnished.
fi C".m"a
"
opy is fited with the City.
U Not applicabte
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I cemfy 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
lVQrkels Compensation Laws of California
SNot applicabte
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 sfafe /aws relating to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 days, or if construction
or work is suspended or abandoned for a peiod of 1 80 days any time after
work is commenced.
Soecial Conditions:
Comments:
$8,000.00
$8,000.00
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water lmpact
Water Meter lnstallation
Wastewater Impact
Traffic lmpact
Affordable Housing
Public Art
Total Fees
Balance Due
Fees
525.94
261 .42
226.60
154.80
20.63
20.63
20.63
0.00
1.68
21 .67
14.08
0.00
0.00
0.00
0.00
0.00
7.30
192.85
33.75
37.92
0.00
0.00
0.00
0.00
0.00
0.00
0.00
525.94
0.00Payme
Amount
nts
Payment #1
Date
0z16to1
Receipt
600'l
Address File
lssuance Dale gV161g1
Signature or
ru!]]|[ru crty o: san luls oBts:-o
ffiBuilding&SafetyDivision.nno'"'e8,fr"LiFiicliboff,"p3ifii1T"249.(805)781-7180
Project Address 1 '150 LAUREL
Assessor'sParcelNumber 004-962-018 Legal Description CY SLO PM 26156 PAR A
Project Description FIRE SPRINK MODIFICATION @ EAST PORTION
Permit rype x Building Mechanical Electrical Plumbing sign _Demolition _Grading
Property owner ATOLL HOLDINGS INC A CA CORP occupanvBusiness Name ESCORP
Mailing Address PO BOX 3259 ArchitecVEngineer
City/StateZip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
sLo cA,93401-5800
319 N. RUSSELL AVE.
SANTA MARIA CA 93458
JOHN SANDERS
s-2 U.B.C. Type V-N
Contractor's Phone No.937-8832
Contractor's State Lic. No. 686893
License #
Lender Address
Project Manager's Phone No. 92g-5526
Stories 1 Codes: UBC 98 NEC98
Motel Rooms 0Census number 437 Commercial Alteration or Addition
Valuation
Non-Residential Alteration 40,456
Fees
U.B.C. Group B
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safe$ 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
Fire Sprinklers
Dwelling Units 0
Fire Sprinklers $40,456.00
$40,456.00Total Building
I Declarati
Value
ons
1. OWNER BUILDING TION:
I am exempt from the contractols Ucense Law for the following reason:
[ 1 u" owner of the property, or my employees with wages as their sole
compensation will do the work and the structure is not intended or oflered
for sale.
l-l 1 as owner of the property, am exclusively contracting with licensed
lonJractors to construct the project.
fir{not appticable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'certifrcate
of Workers' Compensation insurance, or a cettified copy hereof
V Ceftified copy is hereby furnished.
ffiC"rf,n"a "opy
is filed with the Cig.
l) Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I certify that in the performance of the work for which this permitis lssued,
I shall not employ any person in any manner so as fo become subject to the
Workefs Compensation Laws of California
frNot apptiiatte
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you become subject to any
Labor Code or License Law provision, you must comply with such provisions
or this permit shall be deemed revoked.
I certify that I have read this application and state that the above information
is correct, I agree to comply with all city ordinances and state laws relating to
building construction, and hereby authoize representatives of this ci$ to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 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:
Total Paid 1,328.54
Application Number 00924 Permit Number 15121
ApplicationDate 09/25100
578.95
652.42
555.25
0.00
0.00
0.00
0.00
8.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
15.20
555.25
97.17
97.17
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1,328.54
0.00Payme
Amount Date
09t25t00
01/05/0't
Receiot
4060
5402
nts
Payment #1
Payment #2
652.42
676.12
Address File
lssuance Date 01/05/01
Comments:
or
ol
ror]]]|[ru ctty ol'san luls oBtsno
ffiBuilding&SafetyDiViSi;ri.99oPilr€treett'i,tit3f,'p""ff'i1t'l-3z:+g.(8o5)781-71Bo
Project Address 'l 150 LAUREL
Assessor'sParcelNumber 004-962-018 Legal Description CY SLO PM 26156 PAR A
Project Description 1OO AMP ELEC SERV/PAC BELL LITESPAN UNIT
Permit Type Building Mechanical X Electrical Plumbing sign
-Demolition -Grading
Property Owner ATOLL HOLDINGS INC A CA CORP OccupanVBusiness Name ESCORP
Mailing Address PO BOX 3259 Architect/Engineer
City/StateZip
Contractor
slo cA, 93401-5800 License #
MILLGAR ELECTRIC INC Contractor's Phone No. 226-8132
Mailing Address PO BOX 308 Contractor's State Lic. No. 769528
City/StateZip PASO ROBLES CA93447
Project Manager ANNA TERRILL Project Manager's Phone No. 550-0652
Lender Name Lender Address
U.B.C. Group U.B.C. Type V-N
Census number Dwelling Units 0
Valuation
Stories 1 Codes: UBC 98 NEC98
Motel Rooms 0
Total Building Value
-
Legal Declarations
$0.00
Fees
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
Buiiding 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
Payment #1
Total Paid 35.00
Application Number 0121 5 Permit Number 15086
ApplicationDate 1Z19lO0
1. OWNER BUILDING DECLARATION:
I am exempt from the contractor's License Law for the following reason:
n 1 u" owner of the propefty, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
for sale.
I-l 1 as owner of the property, am exclusively contracting with licensedUc@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 'certificate
of Workers' Compensation insurance, or a certified copy hereof
Ceftifred copy is hereby fumished.
Cerlified copy is filed with the City.
Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I cettify that in the pefiormance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subiect to the
Wgrket's Compensation Laws of California
fi Not applicabte
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 of this city to
enter upon the above-mentioned property for inspection purposes. Uniess
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 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:
35.00
0.00
0.00
0.00
0.00
30.65
0.00
0.00
0.00
0.00
0.00
0.00
4.35
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
35.00
0.00Payments
Amount
35.00
Date
1219100
Receiot
5236
Address File
lssuance Date 12l19loo
Comments:
Agent or Owner
ffi]]j|[U ctf,y ol_:an luls oBtsl'l
WBuilding&SafetyDivision;g9oea|md5h.*iili,'3ii3'i'"p.6iilTiT,*-(805)781.7180
Project Address 1150 LAUREL
Assessor's Parcel tYuIilueI vvt-Ya4-v Legal Description CY SLO PM 26/56 PAR A
Project DescriptionADD/ALT
Permit Type
Property Owner
Mailing Address
City/State/Zip
Contractor
t,U t'L,A JZCV
x Building X Mechanical
rsconp n cnl coRp
X Electrical Plumbing _ Sign Demolition
Occu p a n t/E G-i n ess N a me
Architect/Engineer
License #
Contractois Phone No.
c-1 1438
Grading
vn L tvilLvoEv tu
slo cA, 93403-3259
OWNE-
Mailing Address Contractor,s State Lic. No.
City/State/Zip sAN IUI'OBTSPO CA s3406
Project Manager vAL IVilL(J5trVtr.Project Manager's Phone No. ZZ3-SZOS
Lender Name
U.B.C. Group
Lender Address
U .8.C. TypeV-N
541-5763
IJ Fire Sprinklers
Dwelling Units 0
Stories 2 Codes: UBC
Motel Rooms
98 NEC98
Censusnumber T eomrnerciat Alteration or Addition
Non-Residential Addition to Office Building
Fees
2,500,000 36,433 Sq Ft @
0
Va luation
with A/C Fire Sprinklers $2,500,000.00
$2,500,000.00Total Buildinq Value
Legal Declarat'ions
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
Total Fees
Balance Due
17,335.63
16,439.54
9,994.35
1,332.25
1,332.25
1,332.25
0.00
525.00
1 ,399.1 1
909.42
0.00
0.00
0.00
0.00
0.00
51 1.00
1 3,991 .1 0
2,448.44
2,448.44
0.00
0.00
0.00
0.00
98,660.56
0.00
1. OWNER BUILDING DECLAR,ATION:
I am exempt from the contractor's License Law for the following reason:
ff l, as owner of the property, or my employees with wages as their sole
Eilfripensation witl do the work and the structure is not intended or offered
for sale.
1y[ /, as owner of the properiy, am exclusively contracting with licensed
tffitractors to construct the projeci.
n Nof applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'ceftificate
of Workers' Compensation insurance, or a certified copy hereof
Ceftified copy is hereby fumished.
Ceftified copy is filed with the City.
Not applicable
TE OF EXEMPTION FROM WORKERS COMP. INSURANCE
fl t certifV that in the pertormance of the work for which this permit is issued,
I sllhll not employ any person in any manner so as to become subject to the
Worker's Compensation Laws of Califomia
! Not applicable
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you become subject to any
Labor Code or License Law provision, you must comply with such provisions
or this permit shall be deemed revoked.
I ceftify that I have read this application and state that the above information
is conect, I agree to comply with all city ordinances and state laws relating to
building construction, and hereby authorize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under'Specral Conditions", this permit becomes null and void if work
or construction authorized is not staried within 180 days, or if construction
or work is suspended or abandoned for a period of 180 days any time after
work is commenced.
Special Conditions:
134,884.17
0.00
Payments
Payment #1
Payment #2
Payment #3
Total Paid
Amount
16,439.54
19,784.O7
98,660.56
134,884.17
Date
o4t14100
08/30/00
08/30/00
Receipt
1717
3731
3732
Application Number00293 Permit Numbet 14775
Application Date 04114100 lssuance Date 08/30/00
Address File
Comments:
*M,]]lllru crty of
ffi Buitding a sut"ty Division*;
san luls oBrsno
990 Palm Street . San Luis Obispo, CR gg+Ot-SZaO r'{805) 781-7180
Constru ion Permit
Project Address 1150 LAUREL
Assessor's Parcel Number 00+962-0'18
Project Description FOUNDATION FOR OFFICE ALTERATIONS ATOLL
Legal Description CY SLO PM 26156 PAR A
Permit Type x Building Mechanical Electrical Plumbing _ sign
Property owner EscoRP A cAL coRP occupanvBusiness Name EScoRP
Mailing Address PO BOX 3259
City/State/Zip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
slo cA,93403-3259
U.B.C. Group B U.B.C. Type V-N
Census number 437 Commercial Alteration or Addition Dwelling Units 0
Valuation
Non-Residential Alteration 6,000
Demolition Grading
OWNER
Architect/Engineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
VAL MILOSEVIC/HANK HARBOR Project Manager's Phone No.
Lender Address
544-8203
Stories 2 Codes: UBC 98 NEC 98
Motel Rooms 0
$6,000.00
$6,000.00
Payment #1 127.96
Total Paid 127.96
Application Number 00679 Permit Number 14664
ApplicationDate 07l24l0o
Total Building Value
Legal Declarations
1. OWNER BUILDING DECLARATION:
I am exempt from the contractor's License Law for the following reason:
f] I ur owner of the propefty, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
Jorsale.
ffi t, as owner of the propetty, am exclusively contracting with licensed
ffiqacbrs to construct the project.
ll Not applicable.
2. WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'ceftificate
of Workers' Compensation insurance, or a certified copy hereof
Certified copy is hereby furnished.
Ceftified copy is flled with the City
Not applicable
FICATE OF EXEMPTION FROM WORKERS COMP, INSURANCE
I ceftify that in the pertormance of the work for which this permitis lssaed,
shall not employ any person in any manner so as to become subject to the
Wor/<er's Compensation Laws of California
WNot aPPticable
NOTICE TO APPLICANT:
lf , after making any of the foregoing declarations, you become subject 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 of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 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:
Fees
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
Total Fees
Balance Due
127.96
0.00
126.70
0.00
0.00
0.00
0.00
1.26
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
0.00
0.00
127.96
0.00
Payments
Amount Date Receipt
o7t24too 3'16'l
Address File
lssuance Date o7l24loo
Comments:
or
D
W ctty or san luls oBtsno
Buirdins & safetv Divrs;io:n-. nno t",b*fi,;t?tt1ilii.rfl3?ffiii"24$. (805) 781-7180
Project Address 'l 150 LAUREL
Assessor's Parcel Number 004-962-01 E Legal Description CY SLO PM 26156 PAR A
Project Description DEMO INTERIOR SLAB, UNDERFLOOR PLUMBING
Permit Type X Euilding Mechanical
Property Owner ESCORP A CAL CORP
Mailing Address PO BOX 3259
Electrical X Plumbing Sign _Demolition
Occupant/BusinessName ESCORP
Architect/Engineer
License #
Contractor's Phone No.
Contractois State Lic. No.
VAL M ILOSEVIC
773-5768
Project Manager's Phone No.
Lender Address
Grading
City/StateZip
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
U.B.C Group
slo cA. 93403-3259
OWNER
ALLEN ROINESTAD
Census numbet 437
U.B.C. Type V-N
Commercial Alteration or Addition
Stories 'l Codes: UBC 98 NEC98
Motel Rooms 0Dwelling Units 0
Valuation
Misc Commercial Demolition 1,000
Fees
Value
ons
1. OWNER BUILDING
I am exempt from the contractols Ucense Law for the following reason:
[ /, as 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.
yrf I, as owner of the property, am exclusively contracting with ticensed
e6fitactors to construct the project.
I Not applicable.
2, WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a ceftifrcate of consent to self-insure, or a 'ceftificate
of Workers' Compensation insurance, or a certified copy hereof
V Certified copy is hereby furnished.
] c",tin"A ,opy is fileci with the City.
M Not applicable
f.benrrFicnrE oF ExEMproN FRoM woRKERs coMp. rNsuRANcE
I I ceftrfy that in the pertormance 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
Woykels Compensation Laws of California
V Not aPPticable
rubzcE To APPLIGANT:
If, after making any of the foregoing declarations, you become subject to any
Labor Code or License Law provision, you must comply with such provisions
orthis 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 of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authorized is not started within 180 days, or if construction
or work is suspended or abandoned for a peiod of 180 days any time after
work is commenced.
Special Conditions:
Comments:
$1 ,000.00
$1,000.00
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 Impact
Traffic Impact
Affordable Housing
Total Fees
Balance Due
64 80
0.00
39.50
24.80
0.00
0.00
0.00
0.50
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
0.00
0.00
64.80
0.00
Payments
Payment #1
Amount
64.80
Date Receipt
07105/00 2877
Total Paid 64.80
Application Number 0061 5 Permit Number 14610
ApplicationDate 07105/00
Address File
lssuance Date 07105/00
of Authorized or
ffililllru crty
ffi Building & Safety
oC san lurs oBriDo
Project Address
Assessot's Parcel
1150 LAUREL ,IOO
Divi6ion o 990 Palm Street . San Luis Obispo, CA 93401-3249 e (805) 781-7180
Construction Pe rmit
Legal Description CY SLO PM 26156 PAR A
ACCESSIBLE UPGRADE OF MEN'S TOILET ROOMProject DescriPtion
Permit Type
Property Owner
Mailing Address PO BOX 3259
Occupant/Business Name
ArchitecUEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
Lender Address
VAL MILOS EVIC
X Buildino Mechanical
ESCORP A CAL CORP
X Electrical X Plumbing sign
-Demolition -Grading
City/StateZiP SLO CA. 93403-3259 c-l1438
Contractor
Mailing Address
City/StateZip
Proiect Manager
Lender Name
U.B.C. Group
OWNER
VAL MILOSEVIC Project Manager's Phone No. 773-5768
s-1 U.B.C. Type V-N Fire Sprinklers
Dwelling Units 0
Stories 1 Codes: UBC 98 NEC98
Motel Rooms 0Census number 437 Commercial Alteration or Addition
Valuation
Non-Residential Alteration 900
Fees
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
Total Fees
Balance Due
99.36
0.00
Payments
Fire Sprinklers
for sale.
1-1 /, as owner of the property, am exclusively contracting with licensed
c-ontractors to construct the proiect.
I Not applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'cettificate
of Workers' Compensation insurance, or a ceftified citpy hereof
ff Ceftified copy is hereby furnished.
ft C",tin"A
"opy
isfited with the City.
1-.1 ruor appticable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I t cerlify 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 subiect to the
Worker's Compensation Laws of California
M- Not applicable
NOTICE TO APPLICANT:
tf, after making any of the foregoing declarations, you become subiect to any
Labor Code or License Law provision, you must comply with such provisions
orthis 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 ci$ ordinances and state laws relating to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "special Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 days, or it construction
or work is suspended or abandoned for a peiod of 1 80 days any time after
work is commenced.
Special Conditions:
Comments:
$900.00
$900.00
55.02
44.34
35.00
4.67
0.00
4.67
0.00
0.50
0.00
z.oo
0.00
0.00
0.00
0.00
0.00
7.30
44.34
0.00
0.00
0.00
0.00
0.00
0.00
0.00
000
Payment #1
Amount
99.36
99.36
Date
09t23199
Receipt
8961
Total Paid
Application Number 90894
ApplicationDate 09122199
Permit Number 13908
lssuance Date 09/23199
Address File re of or
."?
I'
W crty o[ san luls oBtsno
Buirdins & saretv Divni^rn'ttt tdtil'3i;;"Tti;"ri.flSffior-*zs o (805) 781-7180
Project Address 1150 LAUREL
Assessor's Parcel N Legal Description CY SLO PM 26/56 PAR A
Project Description NEW EXIT COORIDOR AT SOUTH END OF BLDG
Permit rype x Building Mechanical x Electrical Plumbing sign _Demolition _Grading
Propedy Owner ESCORP A CAL CORP Occupant/Business Name ESCORP
Mailing Address PO BOX 3259 Architect/Engineer
City/State/Zip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
U.B.C. Group
Census number
slo cA, 93403-3259
OWNER
License #
Contractor's Phone No.
Contractor's State Lic. No
Lender Address
VAL MILOSEVIC Project Manager's Phone No. 773-
437
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
Total Fees
Balance Due
U.B.C. Type V-N
Commercial Alteration or Addition Dwelling Units 0
Stories 1 Codes: UBC 98 NEC 98
Motel Rooms 0
Valuation
Non-Residential Alteration 2,000
Fees
$2,000.00
$2,000.00
Total Paid 77.56
Application Number 90715 Permit Number 13738
ApplicationDate 07t23t99
for sale.
l-'f /, as owner of the property, am exclusively contracting with licensed
cTntractors to construct the project.
I Not applicabte.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a certificate of consent to seff-insure, or a 'ceftificate
of Workers' Compensation insurance, or a certified copy hereof
Certified copy is hereby furnished.
Certified copy is filed with the City
Not applicable
OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I cerlify 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
Worker's Compensation Laws of California
I Not applicable
NOTICE TO APPLICANT:
lf, after making any of the foregoing declarations, you become subject 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 stafe /aws relating to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 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:
77.56
0.00
68.00
0.00
0.00
9.06
0.00
0.50
0.00
0.00
0.00
0.00
0.00
nnn
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
77.56
000
Payments
Payment #1
Amount
77.56
Date
07127199
Receiot
81 06
Address File
lssuance Dale 07l27lg9
Comments:
or
-7 7
,W ctty o[ san lurs oBtspo
Buirdins & safetv Division ''uvo edmfffi;,?|'ff'?;tr"tffi'"24e -1rr05) 781-7180
ProjectAddress 1150 LAUREL't20
Assessor's Parcel Legal Description
Project Description NEW STO NT & TOILET ROOMS
Permit Type
Proper$ Owner
Mailing AddreSs
City/State/Zip
Contractor
Mailing Address
City/StateZip
Project Manager
Lender Name
U.B.C. Group
Census number
PO BOX 3259
x Building X Mechanical
ESCORP A CAL CORP
X Electrical X Plumbing Sign _Demolition
OccupanVBusiness Name CENTRAL COAST SURFBOARDS
Architect/Engineer VAL MILOSEVIC
License #c-1 1438
Contractor's Phone No. 54,l-g624
Contractor's State Lic. No. 466709
Project Manager's Phone No. 541-8624
Lender Address
Grading
sAN LU|S OBTSPO CA, 93406-3259
GRIZZLE CONST
245 TANK FARM RD #N
slo cA 93401
ROGER GRIZZLE
B U.B.C. Type V-N
437 Commercial Alteration or Addition
Fire Sprinklers
Dwelling Units 0
Stories 'l Codes: UBC 94 NEC93
Motel Rooms 0
Valuation
Non-Residential Alteration 8,000
Fees
Fire Sprinklers
Value
ons
1. OWNER BUILDING
I am exempt from the contractols Llcense Law for the following reason:
! /, as 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 property, am exclusively contracting with licensed
i{ntractors to construct the project.
FNot a\Pticabte-
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a cettified copy hereof
fl Certified copy is hereby furnished.
fr C",tin"a ,opy is fited with the City.
L-) Not appticable
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 to become subject to the
lMogl<er's Compensation Laws of California
BNot applicabte
NOTICE TO APPLICANT:
lf, after making any of the foregoing declarations, you become subject 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 sfafe laws relating to
building construction, and hereby authoize representatives of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", fhis permit becomes null and void if work
or construction authoized is not started within 180 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:
$8,000.00
$8,000.00Total Building
al DeclaratiBuilding 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
Total Fees
Balance Due
232.57
238.85
145.20
19.36
19.36
19.36
0.00
1.68
0.00
13.21
0.00
0.00
0.00
0.00
0.00
14.40
203.28
35.57
35.57
0.00
0.00
0.00
0.00
0.00
506.99
0.00
Paymen
Amount Date
06/05/98
07t10t98
Receipt
2101
2587
ts
Payment #1
Payment #2
238.85
268.14
Total Paid 506.99
Application Number 80454 Permit Number 12671
ApplicationDate 06/05/98
ofAddress File
lssuance Date 07110/98
$7 lo qb
rur]J]jllllU clty o[rqan luls oBlsp^
WBuildingasatetyDivision..390PalmStreet.SanLuisobispo,cA93401.3249.]5bs;zet-nao
Construction Permit
Project Address 1 150 LAUREL 1 1 0
Assessor's Parcel Number Legal Description
Project Description ADD EMPLOYEE BREAK ROOM TO WAREHOUSE
Permit Type X Buil{ing X Mechanical X
Property Owner ESCORP A CAL CORP
Mailing Address PO BOX 3259
City/StateZip
Contractor
Mailing Address
City/State/zip
Project Manager
Lender Name
sAN LUtS OBISPO CA, 93406-3259
BRUCE VANDERVEEN CONST
U.B.C. Group B s-1 U.B:C. Type V-N
Electrical x Plumbing sign _Demolition
-Grading
occupant/Business Name cENTRAL COAST SURFBOARDS, INC
Architect/Engineer VAL MILOSEVIC
License #c-1't438
Contractor's Phone No. 929-4156
Contractor's State Lic. No. 515536
Project Manager's Phone No. 541-0504
Lender Address
473HMEL
NTPOMO CA93444
STACEY ELLIOTT
Fire Sprinklers
Dwelling Units 0
Stories 'l Codes: UBC 94 NEC93
Motel Rooms 0Census number 437 Commercial Alteration or Addition
Valuation
Non-Residential Alteration 15,000 25,000 Sq Ft @
Fees
1. OWNER TION:
License Law for the following reason:I am exempt from
E I a" owner of the propefty, 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 property, am exclusively contracting with licensed
lo nt a ct o rs to c o n st ru ct th e p roj e ct.
f,Not appticabte.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'cettificate
of Workers' Compensation insurance, or a certified copy hereof
fficeninea copy is hereby furnished.
l) cenified copy is filed with the City.
L) Not appticabte
3, CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I ceftity that in the pertormance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subiect to the
Wgrkels Compensation Laws of California
SNot annlcaorc
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
orthis 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 of this city to
enter upon the above-mentioned property for inspection purposes, Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 days, or if construction
or work is suspended or abandoned for a peiod of 180 days any time a,fter
work is commenced.
Special Conditions:
with A/C Fire Sprinklers
Total
$15,000.00
$15,000.00
al Dec
Building Value
larations
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety PIan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water lmpact
Water Meter lnstallation
Wastewater lmpact
Traffic lmpact
Total Fees
Balance Due
405.62
391 .40
237.95
31 .72
31 .72
31 .72
0.00
3.15
33.31
21 .65
0.00
0.00
0.00
0.00
0.00
14.40
333.11
58.29
58.29
0.00
0.00
0.00
0.00
0.oo
855.31
0.00
Payme
Amount
nts
Payment #1
Payment #2
391 .40
463.91
Date
06/09/98
06/25l98
Receipt
2',158
2388
Total Paid 855.31
Application Number 80475 Permit Number 12603
Application Date 06/09/98 lssuance Date 06/25198
Address File
Comments:
Agent or
Mtjll|U ctty oF san luls oBtsp.
WBuilding&SafetyDivisionl-990PalmU6h*jil.:Et?3'fi'Fb?.frT=siz+s.t'dost781.718o
Project Address 1 150 LAUREL
Assessor's Parcel Number 00ut-962-01 E Legal Description CY SLO PM 26156 PAR A
Project Description NEW EXIT CORRIDOR & DOCK DR @ WAREHOUST
Permit Type X Building Mechanical X
Property Owner ESCORP A CAL CORP
Mailing Address Po BOX 3259
City/State/Zip SAN LU1S OBtSpo CA,93406-3259
Electrical X Plumbing _Sign
OccupanVBusinessName ESCORP
Demolition Grading
Architect/Engineer VAL MILOSEVIC
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
U.B.C. Group
Census number
GRITI'IE CONST Contractor's Phone No. 541-9624
License #
Lender Address
Fire Sprinklers
c-1 '1438
245 TANK FARM RD #N Contractor's State Lic. No.466709
slo cA 93401
VAL MILOSEVIC Project Manage/s Phone No. 773-5768
s-1 U.B.C. Type V-N
437 Commercial Alteration or Addition Dwelling Units 0
Stories 1 Codes: UBC
Motel Rooms
94 NEC93
0
Valuation
Non-Residential Alteration 3,000
Fees
Fire Sprinklers $3,000.00
$3,000.00Total Building Value
Legal Declarations
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
Total Fees
Balance Due
Payme
Amount
Payment #1 249.31
Total Paid 24931
Application Number 8051 7
ApplicationDate 06/19/98
114.32
117.49
78.95
10.52
0.00
10.52
0.00
0.63
0.00
6.50
0.00
0.00
0.00
0.00
0.00
7.20
99.99
17.50
1. OWNER BUILDING DECLARATION:
I am exempt from the contractols fucense Law for the following reason:
! /, as owner of the propefty, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
for sale.
[l /, as owner ol the property, am exclusively contracting with licensed
.fonlractors to construct the proiect.
F{Not applicabte.
2. I,}ORKER'S COM PENSATION DECLARATION :
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'certificate
of Workers'Compensation insurance, or a cettified copy hereof
ll ceftified copy is hereby furnished.
ftc",tifird "opy
is filed with the City./L)' Not applicabte
3, CERTIFIGATE OF EXEMPTION FROM WORKERS COMP.INSURANCE
I I ceftify 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 subiect to the
{911e/s Compensation Laws of California
\ Not appticabte
NOTICE TO APPLICANT:
lf,. after making any of the foregoing declarations, you become subject 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 of this city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 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:
17.50
0.00
0.00
0.00
0.00
0.00
249.31
0.00
nts
Date
06/'t9/98
Receiot
2307
Permit Number 12582
IAddress File
lssuance Date 06/19/98
Contractor
q ?e
#lllllru clty o[ qan luls oBlsp^
WBuilding&SafetyDivisioir'*99oPalmStreet.SanLuisobispo,cA93401-3249.(.{]b5)781-7180
Construction Permit
Project Address
Assessor's Farcel
1 1 50 LAUREL
frl Legal Description CY SLO PM 26156 PAR A
ADD STOREFRONT ENTRYiREMODEL TOILET RMSProject Description
Permit Type
Property Owner
Mechanical
ESCORP A CAL CORP
Mailing Address PO BOX 3259
City/StateZip SAN LU;S OBISPO CA,93406-3259
contractor ffi
Mailing Address 245 TANK FARM RD #N
City/StateZip slo cA 93401
Project Manager ROGER GRIZZLE
Lender Name
U.B.C. Group U.B"C. Type V-N
Electrical X Plumbing Sign
-Demolition
OccupanUBusiness Name ESCORP
X Buitding Grading
ArchitecVEngineer VAL MILO
Contractot's Phone No. 541-8624
License #
Lender Address
c-11438
Contractor's State Lic. No.1166709
Project Manage/s Phone No. 54,l-8624
B
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.t.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permlt
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
Total Fees
Balance Due
Fire Sprinklers
Dwelling Units 0
Stories Codes: UBC 94
Motel Rooms 0
NEC93
Census number 437 Commercial Alteration or Addition
Non-Residential Alteration 10,000
Fees
Value
ons
1. OWNER
License Law for the following reason:I am exempt from
l, as 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.
1-1 /, as owner of the property, am exclusively contracting with licensed
i-ontlactors to construct the proiect.
fuotaPPlicatte'
2. WORKER'S COMPENSATION DECLARATION:
t herdby affirm that I have a ceftificate of consent to self insure, or a 'cerlificate
of Workers' Compensation insurance, or a cettified copy hereof
copy is hereby furnished.
Ceftified copy is filed with the CitY
Not applicable
3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I t ceftify that in the peiormance of the work forwhich this permit is issued,
t shatt not emptoy any person in any manner so as to become subiect to the
JA/orke/s Compensation Laws of California
fiNot appticabte
NOTICE TO APPLICANT:
tf, 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 ceftify that t have read this application and state that the above information
is conect, I agree to comply with all city ordinances and sfafe /aws relating to
buitding construction, and hereby authoize representatives of this city to
enter ipon the above-mentioned propefty for inspection purposes. Unless
noted under "special Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 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:
Fire Sprinklers $10,000.00
$10,000.00Total Building
al Declarati
223.74
228.64
't71.70
22.89
0.00
0.00
0.00
2.10
0.00
'12.65
0.00
0.00
0.00
0.00
0.00
14.40
194.59
34.05
34.05
0.00
0.00
0.00
0.00
0.00
486.43
o.00
Payme
Amount
nts
Payment #1 486.43
Date
12t',t9t97
Receipt
9893
Total Paid 486.43
Application Number 70953 Permit Number 12168
Application Date 12t19t97 lssuance Dale Olh2lg5
Address File
Comments:
l'2
ru|]|[l$ clty o[can luls oBlspn
ffiBuilding&SaletyDivision.0iioPalmStreet/Box8100.SanLuisobispo,cRgg+ogjatool(805)781-7180
CONSTRUCTION PERMIT
Project Address 1 1 50 LAUREL
Assessorrs ParceI Number 004-962-018 LegaI Descript ion CY SLO
ion INTERIOR REM0DEL FOR ROLLER HOCKEY RINK
X Bui lding -X-Mechanical X Electrical X Plumbing
-Sign
Demotition _Gradi ng
ESCORP A CAL CORP 0ccupant/Bus iness Name ESCoRP
Project Descript
Permit Type
Property owner
Mai ling Addness
City/State/Zip
Cont ractor
Mai I ing Address
Ci tylstate/zip
Project Manager
Lender Name
U.B.C. Group
Census number
PO BOX 3259
slo cA. 93406-3259
VLADIMIR MILOSEVIC
c-11438
Contractor's State Lic. No
Project Manager's Phone No
Lender Address
U.B.C. Type V-N Fire Sprinkters Stories 1 Codes: UBC 91 NEc 90
Architect/Engineer
License #
contractorrs Phone NoOUNER
HANK HARBERS 5l+t+-8203
B-2 / A-3
/.37 ConmerciaI AItenation or Addition Dwe[ [ ing Units 0
VALUAT I ON
Non-Residential Atteration...... $ 40,000 20,000 sq Ft 40,000
with Fire Sprinkters
Total Buitding Vatue 40,000
Corlments
PAYMENTS
-
Amount Date Receipt
420.29 05/09/95 7885
900.90 07/19/95 8771
FEES
Bui Iding Permi t
Ptumbing Permit
MechanicaI Permit
Etectrical Permit
Grading Permit
S.M.I.P.
Energy Surcharge
Accessibi I i ty Surcharge
Demotition Permit
Sign Permit
Admi ni strat ive
Mi sce[ [aneous Chg/Cred
Investigation Fees
Microfi ImSubtotal 740.12
BuiLding Ptan Review Fee 441.10
Fire Safety Ptan Review 55.14
Ptan Review 496-24
Fire Safety Surcharge 84.83
Construction Unit Tax
["later I mpact
["later Meter Insta[ [ation
[.laste]rater Impact
Traffic Impact
Total Fee Catculated 1,3
Batance Due
484.75
64-62
64.62
64.62
0 .00
8.40
0. 00
44 -11
0.00
0 .00
0 .00
0. 00
0.00
9.00-.
Apptication Number
AppIication Date
50288
05/09/95
0.00
0 .00
0 .00
0.00
0-00
21 -19
0-00
Payment #1
Payment #2
Permit Number
Issuance Date 07/19/95 Tota
LEGAL DECLARATIONS
321 -19
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you become subject to any Labor
Code or License Law provision, you must comply with such provisions or this pemit shall
be deemed revoked.
I certifu 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 authorize representatives of this city to enter upon the above-mentioned property for
inspection purposes.
Unless noted under "Special Conditions", this permit becomes null and void if work or
construction authorized is not started within 180 days, or ifconstruction or work is
suspended or abandoned for a period of 180 days any time after work is comrnenced.
Special Condirions:
10't82
L Paid 1
OWNER BUILDER DECLARATION:
I am exempt from the contractor's License Law for the following reason:
_ I, as 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.
{ I, .r o*n". ofthe property, am exclusively contracting with licensed contractors to
construct the project.
_ Not applicable
WORKERS COMPENSATION DECLARATION :
I hereby affirm that I have a certificate of consent to self-insure, or 'a certificate of
Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C)
_ Certified copy is hereby furnished.
_Certified copy is filed with the City.
( Not applicable
CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
{ 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 Worker's Compensation
Laws of California.
_ Not applicable
)
Signature of Contractor, Authorized Agent or Owner
File
M crty o[ san luls oBtspo
Building & Safety Division r 9u,,-Palm Streeti Box 8100 . San Luis Obispo, CA 9340b-,O0 o (805) 781-7180
CONSTRUCTION PERMIT
Project Address 1150 LAUREL
Assessorrs Parcet Nurber 004-962-018 LegaI Description CY SLO PM 26156 PAR A
Project Description NEI.' PAINT SPRAY BOOTH IN EXISTING BLDG
_f,Bui Lding _lMechanical _!Etectrica[ _!_Pl,unbing
-Sign -Demotition -GradingESCORP A CAL CORP occupant/Bus iness Name ESCORP
PO BOX 3259 Architect/Engineer
sAN rrfls oBrsPo cA_ 93406-3259 License #
BLEEKER BROS INC Cont ractor I s Phone No. 310-539-4367
PO BOX 308 Contractorrs State Lic. No.1,20902
LYNI.'OOD CA 90262
ALESIA BLEEKER Project llanagenrs Phone No.31O-639-t+367
Lender Address
B-2 / H-4 U.B.c. Type V-N Fire Sprinkters Stories 1 Codes: UBC 91 NEC 90
437 CormerciaI Atteration or Addition Dwe[Ling Units 0
Permit Type
Property oHner
l,ilaiting Address
Ci tylState,/Zip
Cont ractor
l.laiLing Address
city/State/Zip
Project Manager
Lender Name
U.B.C. Group
Census number
VALUAT I ON
Non-Residentiat Atteration/Addition/Conve $ 17,800 '17,800
rith Fire Sprinkters
Total Buitding Vatue '17,800
Coments:
pAyMENTS
-
Amount Date Receipt
203.60 05/12/94 3291
363.47 06/29/94 3899
567 -07
-FEES
Bui Lding Permi t
Pl.umbing Permit
MechanicaI Permit
EtectricaI Permit
Grading Permit
s.M. t.P.
Energy Surcharge
Accessibi I ity Surcharge
Demotition Permit
Sign Permit
Admi ni strat i ve
Misce[ [aneous Charge/Cred
Investigation Fees
Microfi [m Subtota[ 338.61
BuiLding Ptan Revier Fee
Fire Safety Ptan Revier
Ptan Review 203.60
Fire Safety Surcharge
Construction Unit Tax
Lrater Impact
l'rater Meter I nsta t tat i on
l.,asteHater Impact
TotaI Fee Calcutated
Balance Due
198.90
26.51
26.51
26.51
0.00
3.74
27.84
18.10
0.00
0.00
0.00
0.00
0.00
10.50
App[ ication Nunber 40312
Apptication Date 05/12/94
Permit Numbet
-W--
Issuance Date 06/29/94
1E611
Payment #1
Payment #2
80.98
22.62
24.86
0.00
0.00
0.00
0.00
567.07
0.00Tota I
DECLARATIONS
OWNER BI.JILDER DECIARATION:
I u exmpt from the contmctor's Ljceme law for the following mon:
-
I, m omer of the property, or my employe with wag* u their sole compensation
will do the work and the structure i8 not intended or offered for sale.
-
I, m owner of the prcperty, arn excluively contracting with licemed contnctos to
coNtruct the prcjst.
\,l(ot applicable
WORKERS COMPENSATION DECT.ARATION:
I hereby affm that I have a certifiate of coGmt to self-iroue, or 'a certifiate of
Workers' Compemtion immce, or a certified copy hereof (Sc. 3800' lrb' C)
Certified coov ig herebv fumishd-
\(e*, ""0, *
".o
** * a,O.
_ Not applicable
CERTIFICATE OF D(EMPTION FROM WORKERS COMP. INSURANCE
-
I certiry that in the perfommce of the work for which this pemit i8 issued, I shall not
employ my penon in my mmer so m to beome subjet to the Worker's Compemation
I:ws of Califomia.
$otapplicable
NOTICE TO APPLICANT:
If, after making my of the foregoing drclmtiom, you brcome subjrct to ily kbor
.Code or Licme law provision, you mwt comply with such provisiom or this pemit thall
be demed revoked.
I certi$ that I have read this application and stat€ that the above infomation is conat,
I agre to comply with all city,ordimce md state laws relating to building comtruction, and
hereby authorize representativs of this city to enter uPon the above-mentioned property for
impetion purpose.
Unlw noted wrier 'Speial Conditiom', thie pemit beomq null md void if work or
comtruction authorized is not stded within 180 days, or if comtruction or work is
supaded or abandoned for a period of 180 days my time after work is comenced.
Spcial Conditiore:
Owner Dat€
Address FileSi$ranrre of Contnctor, Authorized Agent or
W ctty o[ Fr\n lurs oBrspo
Building & Safety Division .99ri-ralm Street/Box 8100 o San Luis Obispo, CA 93403:o'lo o (805) 781-7180
CONSTRUCTION PERMIT
Project Address 1150 LAUREL
Assessorrs ParceI Nlrrnber 004-962-0018 LegaI Descript ion CY SLO PM 26156 PAR A
Project Descript
Permit Type
Property oHner
Mai I ing Address
ion REPLACEMENT FIRE ALARM CONTROL PANEL
_Bui lding _l{echanical X Etectrical _Ptumbing _Sign Demotition
-GradingESCORP A CAL CORP occupant/Bus iness Name ESCORP
po Box 3259 Archi tect/Engineer
License #city/state/zip sAN LUIS oBISPo cA. 93406-3259
Cont ractor
],'taiLing Address
City/State/Zip
Project Manager
Lender Name
U-8.c. croup
Census number
Contractorrs Phone No. 51'l-4470
Contractorrs State Lic. No.561308
GREAT UESTERN ALARM
1536 SPRING STEET
PASO ROBLES CA 931+t+6
ARNOLD THOMPSON Project l,lanagerrs Phone No
Lender Address
541-4470
U.B.C. Type _Stories 0
DwetIing Units 0
Codes: UBC 91 NEC 90
-pggg-
VALUAT I ON
Conments:
PAYMENTS
-
Amount Date Receipt
30.00 04/08/94 2840
Bui Lding Permit
Ptumbing Permit
MechanicaI Permit
EtectricaI Permit
Grading Permit
s.M. t .P.
Energy Surcharge
Accessibi t i ty Surcharge
Demotition Permit
Sign Permit
Admi nistrat i ve
Miscet taneous Charge/Cred
Investigation Fees
Microfi Im
Subtotal 30.00
Buitding Plan Review Fee
Fire Safety Ptan Revien
Ptan Review 0.00
Fire Safety Surcharge
Construction Unit Tax
t"rater Inpact
lrater lleter Insta[ [ation
lJastewater Impact
Totat Fee Catcutated
Batance Due
0.00
0.00
0.00
11.60
0.00
0.00
0.00
0.00
0.00
0.00
0.00
18.40
0.00
0.00
0.00
0.00
Appt ication Number /+0210
Apptication Date 01/08194
Permit Number 0927t+
Issuance Date 04/08/91 Tota
LEGAL DECLARATI
OWNER BUILDER DECI.ARATION :
I m exempt from lhe contractor's Licese hw for the following rruon:
1!11, u owner of the prcperty, or my employe wilh wag* c their sole compemation
will do the work md the structrre is not intended or offered for sle.
_ I, as owner of the prcpeny, arn exclwively controcting with licemed contmctom to
comtruct the prcjet.
tzi(lot applicable
WORKERS COMPENSATION DECI-ARATION:
I hereby affim that I have a certifiate of coment to self-iruure, or 'a certificate of
Worken' Compemation insmce, or a certified copy hermf (Sc. 3800, Lob. C)
g4ertified copy is hereby fumished.
_ Certified copy is filed with the City.
_ Not applicable
CERTIFICATE OF D(EMPTION FROM WORKERS COMP. INSURANCE
_ I certif that in the perfommce of the work for which this pemit is issued, I shell not
employ my penon in uy mmer so s to bsome subject to the Worker's Compemtion
[:ws of Califomia.
r..ltot applicable
Payment #1
I Payment 30.00
oNs
0.00
0.00
0.00
0.00
0.00
30.00
0.00
NOTICE TO APPUCANT:
If, after making my of rhe foregoing dolantiom, you b@ome subjst to my labor
Code or Liceme I:w provision, you mut comply with such provisions or this pemit shall
be dened revoked.
I cetiff that I have read thiq applimtion md stlte that the above infomtion ie correct,
I agre to omply with all city ordinmcs md state laws relating to building comtruction, md
hereby authorize repreentativs of this city to enter upon the above-mentioned property for
imprction purposs.
Unlw noted uder 'Sprcial Conditiom', this pemit baome null and void if work or
comtruction authorized is not stafi€d within 180 days, or if comtruction or work ie
swpended or abardoned for a period of 180 days my time after work ie comenc€d.
Special Conditions
DateSignaarrc of Contnctor, Autborized Agent or
Address File
2
Gtyott rllurs oBrspo
Department of Community Development,99O Palm Street,
fiFFff,iTl{q."t
Bu ilding ffi."rri""t lumbing Mechanical ! sot", E swimming Poot f}
APPLICANT: Please f ill in the unshaded areas on the front o{ this form, where appropriate. Please print clearly. Don't f il
Censtruction Permit Application
NTERS.
I have on careful y. The
Io
,K"
rm rs accura
intedname prAgent's
wner
gen t
No.
I
R
Occupancy GTvpe Flood Zoneof in. Floor or Floodproof Elev
?e
fl continuors
Co nc rete
E-:llAl Slab
E piu^
El wooa stua
8 t".",
n ri-u",
I wooa sioins
n wooo -rrim
I s.r."o
, t tJi t/l
fl ston" v.n.",
n er'.t
n conc. atock
E conc. Tltt-up
E n,t...t
! Br,"k u...",
E co,to. Buirt-up fl *..u,
I comp. Sningte ! t',"
! wooa Shinqlelshake
n Et."tri"
Rl Gu. Fr.n
n Gas watt
n so'u,
ltJG
l-
FOUN DAT IONFRAME EXTERIOR WALL ROOF H EA.T ING
ADDRESS OF
THE PROJECT 1150 Laurel Lane,San Luis Obispo, CA
pnbPoseo sETBAcks - actual disT
tances from property lines to nearest
structure, after work is completed.Same
F ront
Same Same
Rear S ideS ide Distance from this new work to
nearest existing building on same
lot. (Write "ATT" if attached).ConnectedUJ
tsa
C, M, Po-s
pti on:Use ZoneAssessor's N umber Lot Area
L ct
A
7 45, 327 sq. Ft.q.Ae 04- 962-
Legal
Fo
EIa?
oEo.
TvpeoJProject: !elt n.* El noo Ent.", !R"pui, Doemotisn nruou"
DetachednAttached
altered same 1 4, 200
Office
J.
1 o
u
1
New work inctudes: !Garage I Carport
2. Office
new
(in sq. Jt.)
800
D tnr.",t
B ldg.
hei ght
(Total)
16r
No. of bed
rooms in
new units
New
area
No. of
stor i es
(Total)
DO NOT
FILL IN
TH IS
SECTION
Cost per
sq. tt.
No. of new
living units
created
Proposed use of the new building, addition
or area to be altered, rePaired, etc.
Owner
Bank or other source of loan Add ress
Owner
Tenant PhoneAddress
cense NoPhone
0f 54#
Contractor or B ui lder
Electron Int.
ztP
Address
Address
ASca
Owner
icense N ogN,
n Gabrixl
State
Owner
Architect, Designer, or Engineer
Richm
Mail Address ess-Hour Phone
P.O.
a
Lu
=z
I
REOU I BEM TS:
ts for Const.n Grading Permit
I R",uinirn Wall Permit
n cal/osua Permlt
#
I work-un', Comp. lnsurance
f-l Saur" contractor's License
l-l o.rru,
FEES
Str
Electrical:
Plumbing:
MechaninOther
$P egu I ator
tr
THE
TOTA F EES -
8ffitu,APPLICATION
PERMI
Department of Community
99O Palm Street / Post Offi
D evel o pm ent
San Luis Obispo, CA 93406 805/541-1OO0
ce Box 321 6 euitalns BElectrical 6 Plumbing flHeating/cooling
areas where appropriate, as fully as you can. Please print.AP
zI
Fo
u.l!,IIl-
z
JIlt
F.oz
oo
*"'14 4 C
FEES
Structural:
Electrical:
Plumbing:
Hoatin0y'Cooli ng:
VALUE OF WORK
REOUIREMENTS:
fl Fire nyorants for con6t.
[w"t"r Press. R€gulator
f]Backflow Protection
[-'lGrading Permit
I R"t"irin9 wall Pormit
Dcity Busln66s Licens€
l-'lcity contractor's Lic,
fl sa"t" contractor's Lic.
flw"t., Fees to bo paid
Ds.-"t Foos to b€ paid
['curu, Guttsr and Sidewalk P€rmit
I Encroachment Permit
Additional R'evisw
f]Environmentat tmpact R6port
fforo. eo+a Doficiency
flD ircretionary Action
ARC No.-
Use Pormit No.--
oth€r
-
Total
Permit F€et: $
eran-ctrecr ({
I lPreviouely Paid
* J#"#{}
wT,vT
Oth€r:
Conrt. Unit T6x
-
5
this
Agent's name printed
[owner
Klns..t
on carefully. The information is accurate.
fe Date
P. R. R. M. Len Beuth
No. Copic
7
Plans
ltJo.
F
Type of construction: -r"" *.'r{:-{- o".rp"n"y aroup ./U\
! Wood Siding
fl wood Trim
! s.u."o
! stone veneer
flert"L
flConc. Block
l-lConc. Tilt-up
[trra.*"r
flBri"k v"n".,
E co-o. Built-up
! v"t"t
fl co-p. Shingle
D Wooa Shingle/Shake
n rit.
HEATING:
'l-l Et""tri"
! cas Furn
! Gas Wall
! solur
E
FOUNDATION
f,Wooa Stuo
fl n"tut
! rt-u"t n sruu
fl ri"r.
Continuous
Concrete
ADDRESS OF
THE PROJECT 11 qn T.qrrral T.qna S T. O
]U
ts
@
i,"L{ T3/5t t<lZ€t4ft,\
Sq. Ft.
Bear Side
Number
M2
Use zone Fire Zone Lot Area
new work tomD ista nceSide
Legal Description<\104Lotl Block
nearest existing buildinq on same e A I
lot. (Write "ATT" if attached). L, vtances from property lines to nearest
structure, after work is comPleted,
ED SETBACKS - actual dis- Front
Go'
p€r
ft,
to &(
Cost
rq.
DO NOT
FILL IN
TIiIS
SECTIONflatl n"* [aao nnt.", IR"pair [-loemolisn Euou" fl lt""tt tr-
(in sq. ft.)
area
New
rFrrmo H
New work includes: !Garage ! Carport IAttached flDetached
qe
Type of Pro.iect:
No. of bed-
rooms i n
new units
No. of
stories
(Total)
Blds.
height
(Total)
No. of new
living uhits
created
Proposed use of the new building. addition,
ot area to be altered, rePaired, etc.
Bank or other source of'loan Address
State LicensePhone
Architect or Designer State License No.
neer rss o.
Address Phone
Contractor or B uilder Phone State License No.Address
Railroad Square.John Kine S T. O \LIL-ILLIL^a
IIJ
=r{
z,
O wner
Vetter
Mail Address Business-Hour PhoneztP
TOTAL FEES $rn
Special Conditions:
Gq: T
san lrls PEFIMIT
VALUE OF WORK
FEES
Strustural: $
Electrical:
Plumbing:
Heating"/Cooling:
othercrading:84-00
Total
Permit Fees: $
Plan-chck (#
pPreviously Paid
Const. Unit Tax
TOTAL FEES $84. 00
VALIDATIoN - Permit ocpires'in 120 doys if nol
John L. Kellerman/ve
I Fire Hyarants for Const flCiav Contractor's Lic.
flwr.o Pr6. Regulator SElstate contractor's Lic.
[-l Backftow Protection [=lwua", Fes to be paid
KlGrading Permit Es*., Fe6 to be paid
D Electrical U Humbing D tleating/Cooling
u Retoining Woll E Porking Lot
Psmit No.s20B
Additional Rwiew
flEnviroomentat tmpact Report
[ord.6(X-a Deficiency
[Discretionary Action
ARC No--
other
-
Department of Community Development
99O Palm Stret / Post Office Box 321
San Luis Obispo, CA 934(16 aO5/541-1OOO D guiloing
[[Groding
Date lsuedlL/13/83Project Addr6:
1150 Laurel Lane
l--l Retaining wall Permit I Curu, Gutts and Sidsalk Ptrmit Use Psmit N
l-lcitv Business License ! Encroachment Permit
X W. C. Insurance
Sp€cial Conditions: Flood Zone Flnish Floor or Floodproof Elev.ation
2
Grading sha1l be done in accordance with City of SLO
grading requirements' a copy of which is av11l"able at
City llall ;": .. ':
planting plan to be submitted to"Buil--ding Division for
approval pri-or to final .,' i'"i''
Fees Paid
t/L3/83 Receipt
Certification signed (se back of this form)
DATE
1
Authorized Department Repr6€ntative
UIG
F
Iwooo Sioing
l-l wood Trim
E s.r""o
!stone veneer
Ieri.t
flConc- Blocr
IConc. Tilt-up
Iuetat
IBri.k v"r.",
f] co-p- Built-up
fl ru"t.t
D co-p. Shinsle
l-l wooa shingle/shake
Drir"
l-l Etectric
I cas Furn.
f] Gas watl
l-l sot"t
flcontinuous
Concrete
Type of construction: Type No.
FOUNDATION:
Isr.o
I eirrt
FRAME:
l-l wood Stud
[-l tt"t.t
l-l -ri-u"t
Occupancy Group
-
EXTERIOR W,A.LL:
ADDRESS OF
THE PROJECT:1l-50 Laurel Lane
PROPOSED SETBACKS - actual dis-
tancc from property lines to n€r6t
structure. after work is complsted.
Distance from this new work to
n€r6t existing building on sme
lot. (Write "ATT" if attached)-
Rear SideSideFrontltJE
U'
Legl Deqcfiption;Sectl-on rLot Block Sq. Ft.4-942-L6
As6or's Number
Tract
Use Zone Fire Zone Lot .Ar€
Eo.
per
ft.Cct
sq.Proposed use of the nry building, addition,
or ar€ to be altered, repaired, etc-
1. Grade field for recreation use
(in sq- ft.)
2-
(Total)
Bldgr
height
Repairtrorbicyords;
Est. Volue $
G
Demotish f] ttor" D lnstatl
Toiol Fill
Moteriol
cubic yords.Grudi,ng 'lnformtion: Totol Grt
Reto,ining Wo'll rlnformotion: Length- Height
No- of bed-
rooms in
new units
No. of nw
living uhils
created
No. of
stori6(Total)
N&
afa
Attached 0Detached
Type of project: f] ntt ..* Uaoo Elat.",
CarportNevtr work includesi !Garage
None
Bank or other source of loan Address
State License No.Addrs PhoneEngineer
Contractor or Builder Addrs Phone
Dennis Landscape, L92l-B Santa Barbara, san Luis obisporcA 543-4
Architect or Designer Address Phone
Site & Environmental Design, 1041 Chorro St. rSan Luis Obispo'CA 5
State License No.
44-8406
6t7a
UJ
=z
Electronic Scales Interna
Mail Address ZIP 9trintry--Hogr-P-h-onetio:nai,-Flo. go* 1087,San Gabriel'cA' 9L776 (213) 579-3323Owner
WHITE - Fite LIGHT YELLOW - Applicant PINK - Clerk GOLD - Counter
cftyotsanluls oBtspo Gonstruction Permit
Certif icationDepartment of Community Development,990 Palm Street
Post Off ice Box 321 , San Lu is Obispo, CA 93406 (805) 541-1000
1 1trn T ^-.--^1 T --^Project Address
Ordner I s Name
Ownerts Mailing Address
Electr in Sen'l es Tnternafional
Dennis Landscape
Business-Hour Phon(2L3\579-3323
543-4'6
D ^ D^-. 1nQ7 e-- /aal,ria1 nA O111 A
;
t7'
Contractor's Name
contractor' s
I'Archi tect or Engineer
ense No Phone
License No.c-1616
s44-8406
I92l-B Santa Barbara, San L
Site & Environmental Design
o,
Addres 1041 Chorro St.San Luis Obi o CA
LICENSED CONTNACTORS DECLARATION
I hereby affirm that f am licerrserl under the provisions of Chaptar I (commene-
ing wtth Seetion 70fi)) of Division 3 of the Business and Professions Code, and my
license is ln lull foree and effect.
Lieense (.-77 Lie. Number zg-7.1(",2
Date Contractor Der"nis Landscape
OIVNER-BUILDER DECI,ARATION
f hereby affirm that f am exempt from the Contractor's License Larv for the fol-
lowlng relson (Sec.70i11.5, Business and Profcssions Code: Any city or county rvhich
requires a permit to construct, alter, improve, demolish, or repair any strueture,prior to its issuance, also requires the applicant for such permit to file a signed
statement that he is licensed pursuant to the provisions of the Contraetor's Li-
cense Larv (Chapter 9 (commencing rvith Seetion 7000) of Division B of the Business
and Professions Code) or that he is exempt therefrom and the basis for the alleged
exemption. Any violation of Seetion 7031.5 by.any applicant for a permit subjects
ithe applicant to a eivil penalty of not more than five hundred dollars (9500).):
/ n \ as owner of the property, or my employees with wages as their sole com-
pensatiolt, rvill do the work, and the stntcture is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contraetor's Lieense Law does
not apply to an owner of property who builds or inproves thereon, and who does
stteh work hinrself or thlough his orr.n ernlrloyees, provitled that such improve-
ments are not intendcd or offered for sale. If, horvever, the building or improve-
ment is sold within one Jiear of completion, the owner-builder will have the burden
of proving that he did not buiful or improle for the purpose of sale.).
D I, as owner of the property, am exelusively contracting rvith licensed contrac-
tors to eonstruet the project (Sec. 7044, Business and Professions Code: The Con-
tractor's Lieense Larv does not apply to an olvner of property rvho builds or im-
proves thereon, and rvho contraets for such projects with a contraetor(s) lieensed
pursuant to the Contraetor's License Law.).
fl I am exempt under See.
reason
Date Olvner
IVORKERS' COIIPENSATION DECLARATION
I hereby affirm that I have a eertificate of consent to self-insure, or a certificate
of \I'orker's Compensation Insurance, or a certified copy thereof'
Poliey No. Company
I Certified eopy is
fil Certified copy is filed the building de'partment.
ynarc/'14-F3 Applieant
CENTIT'ICATE OF' EXE}IPIION WORKEIRS'
COMPENSATION
(This sectiou necd not be conrpleted if the permit is for one hundred dollars
($100) or less.)
I certify that in the performance of the work for whieh this permit ls issued, I
shalt not employ any person in any manner so as to become subJect to the Workers'
Compensation Laws of California.
Date
-
Appliennt
NOTICE TO APPLICANT: If, nfter making this Certiticate of Eremption' you
should beeome subject to the Workers' Compensation provisions of the Labor Code'
you must forthwith comply with such provisions or this permit strall be deemed re'
voked,
CONSTRUCTION LENDING AGI'NCY
I hereby affirm that there is a construction lcnding agency for the performance
of the rvoik for which this irerrnit is issuetl
Lender's Name
Lender's Address
I certify that I have read this application and state that the above information
is correet,I agree to comply rvith all city ancl county ordinances and state laws
buil<lins construction, nnd hereby authorize reprcsentatiYes of this county
the
rela
44-80
& P. C. for this
to
Signature of Applicant or
for inspection purposes.
Date
GtyoFsat." Lrs oBtspo
Department of Commu nity Development, 99O Palm Street.
fl ar,ta,nn E E,"..ri"", I etumuing fl Mechanical I so,u, n swimmins Poot
APPLICANT: Please fill in the unshaded areas on the f ront of this form, where appropriate. Please print clearly. Don't f ill out
4-z-
ar,
F,/
@\eU
$
FEES
Structural
E lectrical:
Plumbing:
Previously Paid
Const. Unit Tax
TorAL FEES $
VALUE OF WORK R EOU I REM ENTS:
n Flr. Hydru.ts for Const
l-l w.a", Press. Regulator
IBackttow Protection
ial Conditions
$
F=\ical
eran-cneck # Q #
slv40 b -?
Idry
I
II
Foz
oo
a
t
I t]
Construction Permit A lication
Signature Agen
l--lo *. er"D"#
I have reacl this completed application careful y The information is accurate'
D ate
T
u"h')"^oq' "ElY-l'"30rub.VZ d.l:E:
Occupancv Group F lood Zone
ft
Type of Construction: Type No
I f lt v
Fin. Floor or Floodprooi Elev
fl continuo*
Co nc rete
f] s'"o
fl ti","
I wooa Stud
fl v..,,
n ri-o",
n Wood Sloing
n wood -rrim
fl s.r."o
E ston" venee,
fl ",t"0fl conc. etoct
! Conc. Tilt-up
fl na"."t
! Bri.o v"n"",
E co,.o. Built-up f] ru*u,
I comp. shingte fl t',.
tr'pp'mnu lE Gi.*u,,
F #ff'
fl E,""rri"
D cu. Frr,tUJo.
F
FOUN DAT IONFRAME ROOFEXTERIOR WALL HEATING
ADI]RESS OF
THE PROJECT L*c.,U,-0 " a-7\-
IJJ
tsa
R ear
Lot BI
Use Zone Lot A rea
de
erYvxtLegalN
Sq. Ft.T ract
Distance from this new work to
nearest existing building on same
lot. (write "ATT" if attached).tanc6 from property lines to nearest
structure, after work is completed.
SETBACKS - actual dis- Front
FOlUa?
oEG
Type oJ project: fl ett n"* D ooo A),.., n R"ou,, n oemotisn ! vou" n tn..utt n
(in sq. ft.)
New
2.
f
area
New work includes: !Garage f] Carport Attached IDetached
lJ +"
No. of
stor i es
(T ota l)
No. of bed-
rooms in
new units
N o. of new
living units
created
Proposed use of the new building, addition
or area to be altered, repaired, etc.
B ldg.
hei ght
(Tota t )
DO NOT
F ILL IN
TH IS
SECT I ON
Cost per
scl. ft.
Add ressBank or other source of loan
No Lpr<r
0wn<N'
Phone
lr4r
A dd ress State License No.Phone
Phone
Tenant ress
VI ILJ
5Lo
f-Cknnnv 9
(,1 4!tate
Eng ineerDesigner,
contractor or BuilderFlnniz L*dttaa
UJ
=z
?a fir:xlDTl ki"brrbnrL
Mail
)1 (t<,
THE PRINTERS.543-5939
\
I
t
san ffiiwo PEFIMIT
Proiect Address:
1150 Laurel Lane
Department of Community Derrelopment
9!lg Palm Sf@t / Post Office Box 321
San Luis Obispo, CA 934()6 a05/541-1qrc d euitotng bEl"o.i""l bHumuing dHeating/Cooling
tr Groding tr Retoining Woll fl Porking tol
Psmit No.9219Date lssued:
L/27 /83
]Uo'
F
Ty pe of constructi on: Type N o.\l-$J--$prplgl4Qccupancy G roup ---B:Z-
Iwooo Sioing
Iwooo r.i-
llls.'""o
flstone veneer
fls'i"t
fiConc. Btock
[lConc. Tilt-up
[f uetat
[-lBri"k v"r,.",
ROOF:
[l co-p. Built-up
Iurt r
I co-p- Shingle
I wooa Shingle/Shake
Drir.
l-l Etectri"
S Gas Furn.
Ie*wrtt
l-l sol.t
Icontinuous
EXTERIOR WALL:FOUNDATION:
Concrete
Elsrru
I ei"t"
E Wood Stud
[l uetat
[-'] .rt-u"t
ADDRESS OF
THE PROJECT:1l-50 Laurel Lane
tanc6 from property
structure, after 'work ing
Front SideSideRear
rs
to n@r6tlin6
POSED SETBACKS Distance from this new work to
n€rst existing building on sme
lot- (Write "ATT" il attached)-ATTUJ
tsa
Legal Descriptio.,paf CglLot B lock Tract
LlPMlB26
Qaa 1 T?lS-RI?E
Assor's Number
745-327 sq. Ft4-962-L6 M, PO-S
UseZone Fi(ezone LotAr€
Cct per
sq. ft.
39.30
25.00
Re{roining Woll 'lnformotion: length- tleight
-
Moteriol
New work includc: flGarage ECarport EAttached
Esl. Volue $
Remodel Office
Euor"
BEPM
3.
2.
I
cublc lords; Torol Fill cubic yords.Grodlng lnfor.rnolion: To'ld'l Cur
Ntr
aJea
(in sq. ft.)
800
No- of bed-
rooms in
nry unils
No. of
stories(Total)
11. Add Office
Proposed use of the nil building, addition,
or area to be alter€d, repaired, etc.
Brdg.
height
(Totall
l_6 |
Ilnsatt D
No- of nw
living uhits
created
Eot.., IR"pair l-loemolisrrType of Project: Iltt n"* Elooo
Bank or other sourco of 'l@n
None
Address
Engineer Addrs State Laense No.Phone
Architect or D6igner
Richmond' Rossi' MontgomerY'
Phone State License No.
San Luis ObisPo,CA 543-L794 C9819555 Chorro'
Addr€ssa
UJ
=z
Contractor or Bui State License No.
Gabriel cL 91776
Mail AddressOwner ztP ness-Hour Phone
Addres Phone
579-33232r3
$ 386,440.
FEES Includes
Structural: L€IL€
Electrical: FeeS
Plumbing:
Heating./Cooling:
Other:
VALUE OF WORK
2.773.00+:++ul=tl.!f
^
J i --!
! ! !
$ _____{ng-
===--:qq=7slei4J-2!;-:-). t-
Tnn
Tnn -
REOUIREMENTS:
l-lFire Hydrants for consl
flw"t"r Press. Regulator
[-l Backflow Protection
DGrading Permit
DRetainingwall Psmit
[ciav Busineat License
Special Conditions': Flood Zone
[City Cot*"ctor's Lic.
[Staa" contractor's Lic.
[-lw.t", Fe6 to be paid
[S*"t Fe6to be paid.
flcuru,Gutter and Sidsalk Permit
f] E.c.oachment Permit
X Workmens
Additional Review
flEnvironmental fmpact Report
Dord.60a-a Deficiency
flDiscretionary Action
ARc No.-
Use Psmit No.-
other
--Total
Permit Fe€s: $
Plan-check (#
ftreviously Paid
Const. Unit Tax
." -: ...
TOTAL FEES $
VALIDATION _expires 'in 120
John L. Kellerman/ve
nol
Authorized Department Repr6entative
Fee Paid
L/27 /83
Rseipt
Cstification signed (se back of this form)
DATE
WHITE - File LIGHT YELLOW - Applicant PINK - Clerk GOLD - Counter
e