HomeMy WebLinkAboutBLDG-2254-2023 Signed Building PermitSifi'Lurs oBrs po BUILDING PERMIT
AlUAddition - Single Family
BLDG-2254-2023
lssuance Dale: 8 12812023
CALIFORNIA
Building & Safety Division.919 Palm Street. San Luis Obispo, CA 93401-3218
ProjectAddress: @Ej@!-
Unit or Suite(s):
Project Description: REPLACE STUCCO/REPAIR EXTERIOR STUCCO
Contractor:Andrew Goodwin Design
Andrew Goodwin
Business: (805) 439-161 1
License Type: Architect License License Number: C34213
Owner:KYLE BILLINGSLY
Home: ((80) 5) 459-
Assessor's Parcel Number: W.9E
Square Footage: 0.00
Legal Description:
Fire Sprinklers: Not Provided
Census:
Occupancy:
Stories 1.00 Q,sls\sill 2022 Dwelling Units:Motel Rooms:
Construction Type:
Valuation
Type sq. Ft Factor Valuation
Manual $10,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
Supplemental lnspection (Building) - BLDG
lT Surcharge
Green Building Fee
SMIP (Residential)
$267.40
$8.16
$1.00
$1.00
8t28t23 40,474-08-28-2023
Total Paid:
$277.56
$'z??56
Total Fees:$277.s6
Plan Check Account Payment by Gontact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
Balance Due:$0.00
Legal Declarations
#2 IDENTIFY WHO wlLL 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 g (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 (g500).):
l, as owner of the properly, 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 Conhactors' 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. I understand that a copy of the applicable law is available upon request or athttp://www.leginfo.ca.gov/calaw.html.
#3 IDENTIFY WORKERS' COTUPENSTATION 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 aftomey's fees.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certiry each of the following:
I am authorized to act on the owner's behalf.
Auoust 28,2023
Signature of Contractor, Authorized Date