HomeMy WebLinkAboutBLDG-2883-2023 SIGNED PERMITCITY OF
sanWIS OBI sP o
CALIFORNIA
Building & Safety Division - 919 Palm Street - San Luis Obispo, CA 93401-3218
Project Address: 133 Foothill Blvd Assessor's Parcel Number: 052=351.009
Unit or Suite(s): Square Footage: 0.00
Project Description: CONSTRUCTION OF NEW DETACHED ADU Ca REAF Legal Description:
YARD OF (E) SFR
Architect: CWA Studios
Chris Allen
Business: (805) 286-5186
Owner: Sterling Twisselman
Home: ((80) 5) -801- Mobile: ((80) 5) -801-
BUILDING PERMIT
New ADU
BLDG-2883-2023
Issuance Date: 2/27/2024
Fire Sprinklers: Not Provided Stories 1_00 Code Year: 2022 Dwelling Units: Motel Rooms:
Census: Construction Type: V-B
Occupancy: Residential, 1 and 2 family dwellings (R-3)
Valuation
Group Type Sq. Ft Factor Valuation
Manual $120,000.00
Fees
Payments
Fee Name
Fee Amount
Date
Receipt #
Amount
C&D Recycling - UTIL
$79.64
2/27/24
42,368-02-27-2024
$3,264.55
Consolidated Plan Check Fees
$3,264.55
2/27/24
42,369-02-27-2024
$9,258.24
Stormwater - Moderate Project - BLDG
$2,212.47
Total Paid:
$12,522.79
Meter Service: Install (.58"-1")
$153.44
Water Service or Trash Enc or Landscape - UTIL
$637.12
Single Family Residential Final Inspection - ENG
$185.99
Post Construction Req / Stormwater SF res - ENG
$175.16
Building Plan Rev - Residential - Moderate
$442.78
Final Inspection - SF Residential - PW
$289.15
Green Building Fee
$5.00
Meter Cost (1 ")
$216.00
SMIP (Residential)
$17.00
Consolidated Inspection Fees
$4,143.66
IT Surcharge
$350.49
Single Family Residential -ENG
$350.34
Total Fees:
$12,522.79
Plan Check
Account Payment by Contact
Contact Name Account Name
Status
Total Credits Total Debits
Account Balance
CWA Studios BLDG-2883-2023
in use
$3,264.55 $3,264.55
$0.00
Total Account Balance:
$3,264.55 $3,264.55
$0.00
Balance Due:
$0.00
Legal Declarations
#2 IDENTIFY WHO WILL PERFORM THE WORK
2b — OWNER -BUILDER'S DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the
reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or
county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit
to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption.
Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).):
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects
with a licensed Contractor pursuant to the Contractors' State License Law).
By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of
the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety
by licensed contractors. I understand that a copy of the applicable law is available upon request or athttp://www.leginfo.ca.gov/calaw.htmi.
#3 IDENTIFY WORKERS' COMPENSTATION COVERAGE AND LENDING AGENCY
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to
$100,000, in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney's fees.
I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the
workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the
Labor Code, I shall forthwith comply with those provisions.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am the Property Owner.
2� February 27, 2024
Signature of Contractor, Authorized Agent or Owner Date