HomeMy WebLinkAboutDEMO-0220-2025 SIGNED PERMITCITY OF
slap Lws OBISPO
CALIFORNIA
Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401J218
Project AOtlress: 2042 Hays St
Unit ar Suite(s):
Project Descriptlon: Converting Garaae Bedroom back into full garage W
Lakin i out the.11 in between the bedroom and the
game to Mate a lamer garaoe
Applicant: Oliver Haas
Owner: Karl Haas
Home: ((20) 6) -819- Mobile: ((20) 6) -]19-
Assessor's Parcel Number. 052-1Dt-011
Square Footage: 259AO
Legal Description:
BUILDING PERMIT
Interior/Utility Building
DEMO-0220-2025
Issuance Date: 2/26/2025
Fire Sprinklers: Stories 0_00 Code Year: 2022 Dwelling Units: Motel Rooms:
Census: Construction Type:
O.pancy:
Valuation
Sq. Ft Factor Valuation
$1,000.00
Fees
Payments
Fee Name
Fee Amount
Data
Receipt
Amount
Supplemental Inspection(Builtling) -BLD
$$259.00
211 25
46.042-02-142025
$400.35
Supplemental Plan Check(Builtling) -BLDG
$129,50
IT Surcharge
$11 85
Total Paid:
$400.35
Total Fees: $400.38
Plan Check Account Payment by Contact
Contact Name Account Name
Status
Total Credits Total Debits
Account Balance
Total Account Balance:
Balance Due:
$0.00
Legal Declarations
02 IDENTIFY WHO WILL PERFORM TKE WORK
2b—OWNER-BUILDER'S DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the
reason(s) indicated below by the chedonards) I have placed ned to the applicable Agents) (Section 7031.5, Business and Professions Code: Any city or
county that requires a pang to constmd, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption.
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a dull penalty of not more than five hundred dollars ($500).):
I, as owner of the property, or my employees With wages as their sole compensation, will do all of the work, and the structure is not Intended or
offered for sale, (Section 70 , Business and Professions Code: The Contractors State License Law does not apply to an owner of property who,
through employees' or personal effort, builds a improves the property, provided Nat the improvements are not intended or offered for sale. If, however,
Me 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 far
Me 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 bulk as an owner-bullder if it has not been wnstructed in its entirety
by licensed contractors. I understand that a copy of the applicable law is available upon request or athhp:t v .leginfo.ca.govlcalaw.html.
93 IDENTIFY WORKERS' COMPENSTATION COVERAGE AND LENDING AGENCY
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to
$100,000, in addition to the cost of compensation, damages as provided form section 3706 of the labor code, interest, and attorneys fees.
66 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am authorized to ad on the owner's behalf.
/ny��1
"� February 26, 2025
Signature of Contractor, Aut rized Agent or Owner Date