Loading...
HomeMy WebLinkAbout451 Mitchell_redacted4-932-06 Mitchell 451 'S'h`�ksa Y%A�ka9;bdXYc' - 'dk kVitl+Ss .Y� �i"� ►"" �►�In° �IIIIIIII city oc san tuis oBvApo Building & SafetylTivis-i • 990 Palm Street • San Luis Obispo, CA 93401-3c49+ (805) 781-7180 Construction Permit Project Address 451 MITCHELL Assessor's Parcel Number 004-932-006 Legal Description CY SLO CAUD TR BL 4 LT 15 Project Description ELECTRICAL SERVICE UPGRADE - 100 AMP Permit Type Building Mechanical X Electrical Plumbing Sign Demolition Grading Property Owner KERSHAW GEORGE E JR Occupant/Business Name Mailing Address License # Contractor THOMA ELECTRIC Contractor's Phone No. 543-3850 Mailing Address BOX 1167 Contractor's State Lic. No. 274276 City/State/Zip SLO CA 93406 Project Manager ED Project Manager's Phone No. 543-3850 Lender Name Lender Address U.B.C. Group R-3 U.B.C. TypeV-N Stories 1 Codes: UBC 1 NEC 1 Census number Dwelling Units 0 Motel Rooms 0 Valuation Total Building Value $0.00 Fees Legal Declarations Building Permit 0.00 1. OWNER BUILDING DECLARATION: Plumbing Permit 0.00 1 am exempt from the contractor's License Law for the following reason: Mechanical Permit 0.00 ❑ I, as owner of the property, or my employees with wages as their sole Electrical Permit 42.05 compensation will do the work and the structure is not intended or offered Grading Permit 0.00 for sale. S.M.I.P. 0.00 I, as owner of the property, am exclusively contracting with licensed Energy Surcharge 0.00 contra ors to construct the project. Accessibility Surcharge 0.00 of applicable. Demolition Permit 0.00 2. WORKER'S COMPENSATION DECLARATION: Sign Permit 0.00 1 hereby affirm that 1 have a certificate of consent to self -insure, or a 'certificate Misc Charge/Credit 0.00 Administrative Permit 0.00 of Workers' Compensation insurance, or a certified copy hereof Investigation Fees 0.00 rtified copy is hereby furnished. Microfilm 0.00 Certified copy is filed with the City. Subtotal 42.05 Not applicable Building Plan Review Fee 0.00 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE Fire Safety Plan Review 0.00 ❑ 1 certify that in the performance of the work for which this permit is issued, Plan Review Subtotal 0.00 1 shall not employ any person in any manner so as to become subject to the Development Review Fee 0.00 Work Compensation Laws of California Fire Safety Surcharge 0.00 Not applicable Construction Unit Tax 0.00 NOTICE TO APPLICANT: Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 If, after making any of the foregoing declarations, you become subject to any Wastewater Impact 0.00 Area - 0.00 Labor Code or License Law provision, you must comply with such provisions Traffic Impact 0.00 or this permit shall be deemed revoked. Affordable Housing 0.00 1 certify that 1 have read this application and state that the above information Public Art 0.00 is correct, I agree to comply with all city ordinances and state laws relating to Code Enforcement 0.00 building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Unless Total Fees 42.05 noted under "Special Conditions", this permit becomes null and void if work Balance Due Payments 0.00 or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after Amount Date Receipt work is commenced. Payment #1 42.05 08/27/04 16394 Special Conditions: Total Paid 42.05 Comments: Application Number040817 Permit Number 19432 Application Date 08/27/04 Issuance Date 08/27/04 Address File FS � z7 city or San WIS 0131 c `O Building & Safeiy Divi--ti • 990 Palm Street • San Luis Obispo, CA 93401-324a • (805) 781-7180 Construction Permit Project Address 451 MITCHELL Assessor's Parcel Number 004-932-006 Legal Description CY SLO CAUD TR BL 4 LT 15 Project Description ADD SHOWER, WALL HTR, ELEC, MTRS FOR APT Permit Type Property Owner Mailing Address City/State/Zip Contractor Mailing Address City/State/Zip Project Manager Lender Name X Building X Mechanical X KERSHAW GEORGE E JR SHARP CONST 1567 17TH ST LOS OSOS CA 93402 STEVE SHARP U.B.C. Group R-3 U.B.C. Type V-N Census number 434 Residential Alteration or Addition Residential Alteration/Addition/Conversion Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit 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 Impact Water Meter Installation Wastewater Impact Traffic Impact Total Fees Balance Due Electrical X Plumbing Sign Demolition Grading Occupant/Business Name Architect/Engineer License # Contractor's Phone No. 528-5356 Contractor's State Lic. No. 632959 Project Manager's Phone No. 528-5356 Lender Address Stories 1 Codes: UBC 94 NEC93 Dwelling Units Valuation 7,000 Motel Rooms 0 $7,000.00 Fees Total Building Value $7,000.00 Legal Declarations 134.35 17.91 1.OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: 17.91 ❑ 1, as owner of the ro e p p rty, or my employees with wages as their sole 17.91 compensation will do the work and the structure is not intended or offered 0.00 for sale, 0.70 ❑ 1, as owner of the property, am exclusively contracting with licensed 18.81 contractors to construct the project. 0.00 Not applicable. 0.00 12.WO KER'S COMPENSATION DECLARATION: 0.00 I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate 0.00 of Workers' Compensation insurance, or a certified copy hereof 0.00 Q,Certified copy is hereby furnished. 0.00 rtified copy is filed with the City. 0.00 LJ Not applicable 207.59 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 188.08 ❑ 1 certify that in the performance of the work for which this permit is issued, 0.00 I shall not employ any person in any manner so as to become subject to the 188.08 Worker's Compensation Laws of California 0.00 Not applicable 0.00 0.00 NOTICE TO APPLICANT: 0.00 If, after making any of the foregoing declarations, you become subject to any 0.00 Labor Code or License Law provision, you must comply with such provisions 0.00 or this permit shall be deemed revoked. 395.67 0.00 Payments Amount Date Receipt Payment #1 395.67 10/28/98 4190 Total Paid 395.67 Application Number 80978 Application Date 10/23/98 Permit Number 12969 Issuance Date 10/28/98 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 authorize 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 authorized is not started 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: Comments: Address File lJr2f rk , Authorized Agent or Uwner 4. clay or n WIS oB1sp^ Building & Safety Division Palm Street • San Luis Obispo, CA 93401-3249 • (u05) 781-7180 Construction Permit Project Address 451 MITCHELL Assessor's Parcel Number 004-932-006 Project Description REPLACE FLOOR FURNACE W/ WALL HEATER Permit Type Building X Mechanical X Property Owner KERSHAW GEORGE E JR Mailing Address Contractor CENTRAL COAST HEATING & APPL Mailing Address 24 N. CYPRESS City/State/Zip CAYUCOS CA 93430 Project Manager SAM MORNINGSTAR Lender Name U.B.C. Group R-3 Census number Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit 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 Impact Water Meter Installation Wastewater Impact Traffic Impact Total Fees Balance Due U.B.C. Type V-N Fees 0.00 5.85 14.05 4.50 0.00 35.00 0.00 0.00 0.00 0.00 0.00 10.60 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 Payments Amount Date Receipt Payment #1 35.00 03/23/98 1033 Total Paid 35.00 Application Number 80192 Application Date 03/23/98 Permit Number 12322 Issuance Date 03/23/98 Legal Description CY SLO CAUD TR BL 4 LT 15 Electrical X Plumbing Sign Demolition Grading Occupant/Business Name Architect/Engineer License # Contractor's Phone No. 995-3876 Contractor's State Lic. No. 532706 Project Manager's Phone No. 995-3876 Lender Address Stories 1 Codes: UBC 94 NEC93 Dwelling Units 0 Motel Rooms 0 Valuation Total Building Value $0.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: ❑ 1, 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, as owner of the property, am exclusively contracting with licensed contractors to construct the project. PJ Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ® 1 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 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 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 if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: Comments: Address File 2- Signature of Contractor, Authorized Agent or Owner Date 000003