HomeMy WebLinkAboutBLDG-1276-2023 Signed Building Permit$iri'Lur.q,gpl$po
Building & Safety Division . 919 Palm Sfeet . San Luis Obispo, CA 93401-3218
BUILDING PERMIT
Alt/Addition - Single Family
BLDG-1276-2023
lssuance Dale: 9 I 1 5 12023
Project Address: 94 Palomar Ave
Unit or Suite(s):
Project Description: GAMGE QQNVERSIQN
Architect:
Contractor:
Owner:
Assessol's Parcel Number: 052-591-003
Square Footrage: 0.00
Legal Description:
Gannage Design & Construction
Denise Kneeskem
Business: (805)434-3339 Mobile: (805)464-1670
GANNAGE DESIGN & CONSTRUCTION
MIKHAIL GANNAGE
Business: (805) 434-3339 Mobile: ((80) 5) -550-
License Type: Business Llcense License Number: 8L105015
License Type: California State Contractor License Llcense Number: 778043
GANNAGE DESIGN & CONSTRUCTION
MIKHAIL GANNAGE
Business: (805) 434-3339 Mobile: ((80) 5) -550-
License Type: Business License License Number: 8L105015
License Type: California State Contractor License License Numben 778043
Tristan Scoble
Classification: B - General Building Contractor
Classification: B - General Building Contractor
Fire Sprinklers: Not Provided Stories 1.00
Census:
Occupancy: Residential, 1 and 2 family dwellings (R-3)
CodeYear: 2022 Dwelling Units:Motel Rooms:
Construction Type:V-B
Valuation
Group Type sq. Ft Factor Valuation
Manual $40,000.00
Fees Payments
Receipt #Fee Name Fee Amount Date Amount
SMIP (Residential)
Green Building Fee
Stormwater - Minor Project - BLDG
Single Family Residential -ENG
Final lnspection - SF Residential - PW
Consolidated Plan Check Fees
Building Plan Rev - Residential - Minor
Consolidated lnspection Fees
lT Surcharge
C&D Recycling - UTIL
$6.00
$2.00
$338.12
$337.51
$258.17
$567.21
$213.29
$1,324.21
$95.0'l
$76.73
9t8t23
st8t23
40,591 -09-08-2023
40,592-0S-08-2023
Total Paid:
$647.82
$2,570.43
$3,218.25
Total Fees:$3,218.25
Plan Gheck Account Payment by Contact
Gontact Name Account Name Status Total Gredlts Total Debits Account Balancefii;;;----TF//itr@-$tu-d-GANNAGE DESIGN &
CONSTRUCTION
BLDG-1276-2023
Total Account Balance: $647.82 $647.82 $0.00
Balance Due $0.00
Legal Declarations
#2 IDENTIFY WHO wlLL PERFORM THE WORK
2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect.
#3 IDENTIFYWORKERS' 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 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
#4 DECLARATION BY CONSTRUCTION PERMITAPPLICANT
By my signature below, I certifi/ each of the following:
I am a CA Licensed Contractor.
September 18.2023
Signature of Contractor, Authorized Agent or Owner Date