HomeMy WebLinkAboutBLDG-L19908-2004ctty o[.san luls oBlsrJo
Building & Safety Divisiu,r - 990 Palm Street. San Luis Obispo, CA 93401-32+v' (805) 781-7180
Consf n I n Permit
Project Address 1540 FROOM RANCH
Assessor'sParcelNumber 053-510-009
Project DescriptionNEW COSTCO WHOLESALE FACILITY
Legal Description CY SLO PM 55-82 PAR 2
Permit Type X Building X Mechanical
Property Owner TWISSELMAN CATHERINE A ETAL
Mailing Address PO BOX 3910
Electrical X Plumbing Sign _Demolition
OccupanVBusiness Name COSTCO (pROpOSED)
ArchitecUEngineer MITCHELL C SMITH
License #c27800
Contractor's Phone No.775-829-8887
Contractois State Lic. No.817882
Project Manager's Phone No. 4ZS-+Og-tOOZ
Lender Address
Fire Sprinklers Stories 1 Codes: UBC 1 NEC 1
Dwelling Units 0 Motel Rooms 0
Valuation
X X Grading
City/State/Zip
Contractor
sLo cA, 93403-3910
LEDCOR CONST ll.lC
Mailing Address 5905 S VIRGINIA ST STE 3OO
City/State/Zip RENO NV 89502
Project Manager PATSY BONINCONTRI
Lender Name
U.B.C. Group U.B.C. TypeV-N
Census number 327 Store/Restau ra nUTavern
Store/Customer Service
Grading
Fees
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
S.M.I.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
7,196,000 140,000 Sq Ft @
53,295 yds.
with A/C Fire Sprinklers $7,196,000.00
M
L
Total Building
al Declarati
$7,196,000.00Value
ons26,845.05
3,578.45
3,578.45
3,578.45
708.35
1,511.16
3,758.04
2,442.73
0.00
0.00
0.00
0.00
934.80
33,633.36
5,885.84
29,030.45
6,700.53
0.00
168,484.00
2,818.00
53,284.00
283,640.00
143,920.00
35,480.00
0.00
0.00
1
46,935.48
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal 39,519.20
Development Review Fee
Fire Safety Surcharge
Construction Unit Tax/Plan Preparation
Water lmpact 115'626.00 lrish Hills -
Water Meter lnstallation
Wastewater lmpact 48,020.00 lrish Hills 5264.00
Traffic lmpact
Affordable Housing
Public Art
Code Enforcement
Park lmprovement
Total Fees
Balance Due ntsPayme
Amount
Application Number040145 Permit Number 1 9908
Application Date 02109t04 lssuance Dale 02124105
Law for the following reason:
n l, "" owner of the property, or my employees with wages as fhelr so/e
compensation will do the work and the structure is not intended or offered
for sale.
f] /, as owner of the property, am exclusively contracting with licensed
contlactors to construct the project.
@ Not appticable.
2. WORKER'S COMPENSATION DEGLARATION:
I hereby affirm that I have a certificate of consent to self-insure, or a 'ceftificate
of Wo*ers' Compensation insurance, or a cedified copy hereof
copy is hereby furnished.
Certified copy is filed with the City.
3.EXEMPTION FROM WORKERS GOMP. INSURANCE
a I certify that in the pertormance of the work for which this permit is issued,
I shall 9ot employ any person in any manner so as to hecome subject to the
Work6r's Compensation Laws of California
@ Notappticabte
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
orthis 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 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 stafted within 180 days, or if construction
or work is suspended o r abandoned for a peiod of 1 B0 days any time after
work is commenced.
Soecial Conditions:
Comments:
0.00 Administrative Permit
Area -
809,811.66
-39,519.20
Payment #1
Payment #2
Payment #3
Total Paid
39,519.20
35,480.00
774,331.66
849,330.86
Date
02109104
07t28t04
02t24t05
Receiot
13312
1 5950
31852
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Address File
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