HomeMy WebLinkAboutBLDG-L25256-2011BUILDING PERMIT
Miscellaneous
BLDG-L25256-2011
Issuance Date: 1/31/2011Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
004-982-023Project Address:1248 Laurel Ln , A Assessor's Parcel Number:
Unit or Suite(s):A Square Footage:
Legal Description:REPLACE A/C CONDENSERProject Description:
2007Code Year:Stories
:
Not ProvidedFire Sprinklers: 0Motel Rooms: 0Dwelling Units: 0.00
Census:Construction Type:
Occupancy:
Valuation
Group Type Sq. Ft Factor Valuation
Fees
Fee AmountFee Name
Total Fees:
Payments
Date Receipt #Amount
$0.00
Total Paid:$0.00
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Total Account Balance:
Balance Due:$0.00
Legal Declarations
#2 IDENTIFY WHO WILL 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 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.
3a - WORKERS’ COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:
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 PERMIT APPLICANT
By my signature below, I certify each of the following:
I am NO ROLE SELECTED
Signature of Contractor, Authorized Agent or Owner Date
September 24, 2026