HomeMy WebLinkAboutBLDG-0613-2024 SIGNED PERMIT_redactedsTY BUILDING PERMIT
ang WIS O tt llI S O Alt/Addition - Single Family
I
C A L I F O R N I A BLDG-0613-2024
Building & Safety Division . 919 Palm Street • San Luis Obispo, CA 93401-3218 Issuance Date: 5/30/2024
Project Address: 451 Mitchell Dr Assessors Parcel Number: 004-932-006
Unit or Suite(s): Square Footage: 1,042,00
Project Description: Interior Remodel of existing residence plus new patio Legal Description: Cy SLO CAUD TR BL 4 LT 15
& replace walkway
Applicant: Design Graphics
Mark Vasquez
Owner: Joe & Mary Kershaw
Home: ((
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 $150,000.00
Fees
Payments
Fee Name
Fee Amount
Date Receipt #
Amount
Green Building Fee
$6.00
3/12/24 42,517-03-12-2024
$2,919.71
IT Surcharge
$262.33
5/29/24 43,422-05-29-2024
$5,971.49
Consolidated Inspection Fees
$3,156.87
Total Paid:
$8,891.20
Balcony/Porch/Deck - BLDG
$1,300.56
Consolidated Plan Check Fees
$2,919.71
Stormwater - Minor Project - BLDG
$350.97
C&D Recycling - UTIL
$79.64
SMIP (Residential)
$22.00
Building Plan Rev - Residential - Moderate
$442.78
Single Family Residential -ENG
$350.34
Total Fees:
$8,891.20
Plan Check Account Payment by Contact
Contact Name Account Name Status Total Credits Total Debits Account Balance
Total Account Balance:
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. 1 understand that a copy of the applicable law is available upon request or athftp://www.Ieginfo.ca.gov/calaw.html.
#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.
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Signature f o ractor, Authorized Agent or Owner
May 30, 2024
Date