HomeMy WebLinkAbout451 Mitchell_redacted4-932-06 Mitchell 451
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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
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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