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Home My WebLink AboutGurnee Building Permits11911 l I'lCIty O f Sdn WIS OBISPO Department of Community Development, 990 Palm Street, ® Building ® Electrical P9 Plumbing W Mechanical ❑ Solar ❑ Swimming Pool ❑ APPLICANT: please fill In the unshudel areas on rhe front of this form, where apttraprlitte. Please print 000 Owner Mail Address 7. X,917Y 108 B"140 sT ZIP q e/ Business -Hour Phone S44-4444 Z FEES Contractor or Builder Address Phones State License No. Structural: col- S�S+J1146 W Architect or Designer Address Picone State License No. F Mechanical: s�� -311,6 — Other: J J LL ngineerAddress Phone State License No - QE LAMS Af�/"* "1400 V O //l• O Const- )]nit Tax Ba r source floan dr } 1 DO NOT Type of Project: ❑AII new ®Add ®Alter ❑Repair ®Demolish ❑Move ❑Install ❑ ILL I FTHISN No. of new No. of bed, Bldg. No. of New SECTION Cost per Proposed use of the new building, addition, living units rooms in height stories area sq. ft. or area to be altered, repaired, etc. created new units (Total) (Total) (in Sq I NF.iUF7SPISdM _a4UNA0, EAWAbDW 0MUD K�,uu�►v� r� ,- 2.cc _ate "ft/ 3- IMI New work includes: Garage CarportAttached E]Detached Legal Description: Assessoi's Number Use Zone Fire Zone Lot Area Lot Block Tract '' 'fjj `—D* —6"4 ' -! 6776" Sq. Ft. WPROPOSED SETBACKS - actual dis- Front Rear Side Side Distance from this new work to tances from property lines to nearest structure, after work is completed. I 4S I /�, I /V nearest existing lot. (Write building on same "ATT" if attached). e/!1 ADDRESS OF n' THE PROJECT: /06 AV,4! 57' SANLIll�SD15lMAO 0 - FRAME FOUNDATION EXTERIOR WALL ROOF Wood Stud Continuous ® Wood Siding ❑ Stone Veneer ❑ Conc. Tilt -up ® Comp. Built-up ❑ Metal }}HEATING l^J Electric W ❑ Metal Concrete ❑ Wood Trim ❑ Brick El Metal tA Comp. Shingle El Tile ❑Gas Furn. ElTimber ®Slab ❑Stucco ❑Conc. Block ❑Brick Veneer ❑Wood Shingle/Shake El Gas Wall ❑Piers ❑Solar _ — Type of Construction: Type No. (_)--/�A Occupancy Group 7 Flood Zone Fin. Floor or Floodproof Elev 000 ;40 VALUE OF WORK Z FEES O Structural: $ ao U W Electrical: to V N Plumbing: f F Mechanical: Z — Other: J J LL F. Ptan•check {N CD O�` %% Z Y Prevjau ai O //l• O Const- )]nit Tax REQUIREMENTS: ❑ Fire Hydrants for Const. ❑ Water Press. Regulator ❑ Backflow Protection Special Conditions: ❑ Grading Permit ❑ Retaining Wall Permit ❑ CAL/OSHA Permit Date Plans ReG'd- No Copies Recd. TOTAL FEES I have read this completed application carefully. The information is accurate. NOwner +j� n� T W�, ❑Agent Signature L] [e Agent's name printed ❑ Workman's Camp. Insurance ❑ State Contractor's License ❑ Other R ELECTRICAL ENECHANICAL - PLUMBING ITEMS FEES ITEMS FEES ITEMS FEES New Residence (Apt's.) Furnace - 100 MBTU or Less , U Bathtubs $ with square feet _ Circuits and Feeders $ .� U Furnace - Over 100 MBTU Heater: Suspended Showers Bidet Service (Amps ) SOU Heater: Floor Lavatories Lighting Standards Heater: Wall Water Closets Range and Oven U d Boiler - 100 MBTU of Less Kitchen Sink - Residential Dryer 0 v Boiler - 101 to 500 MBTU Floor Drain/Sink Water Heater Boiler - 501 to 1,000 MBTU Laundry Tray Transformers Boiler- 1,001 to 1,750 MBTU Urinal Welders Boiler - Over 1,750 MBTU Water Softener Space Heat Comp. - 3 H.P. or Less Clothes Washer - Residential Temporary Service Pole Comp. - 4 H.P. to 16 H.P. Dish Washer -Residential X-RayUnit Comp. - 16 H.P. to 31 H.P. Disposal -Commercial Range - Commercial Comp. - 31 H.P. to 51 H.P. Water Heater �a Oven - Commercial Comp. - 51 H.P. and Over Gas Piping Alteration (Residential) Air Handling Unit: -10,000 CFM Water Piping Alteration (Commercial) Air Handling Unit: +10,000 CFM Drainage Pipe Lighting Outlets Evaporative Cooler Fire Sprinkler (Heads) Recept. Outlets Vent System: Single Duct � Grease Trap Switchboards - Main Vent System; Multi Ducts Drink Ftn. Panelboards - Branch Circuit Grease Hood Slop Sink Elevator Air Conditioner - Package Sewer Conn. Motors Paint Spray Booth & Exhaust Sink - Bar Miscellaneous Sink - Commercial Kit TOTAL MOTOR FEES Sink - Other TOTAL FEE $ Q Q TOTAL FEE $ Dishwasher -Commercial SOLARClothes Collectors Washer - Commercial Gas Dryer - Commercial Backflow Preventer - Res. /� 1 SERVICE SIZE Conduit Switch Conductor MOTORS No. H.P. Fee Storage Tanks ( gal.) Rock Storage ( cu, ft.) Water Piping Electricai Elect. Motors ( hp.) TOTAL FEE $ Backflow Preventer - Comm. Well - Shallow - 25 ft. or less Well - Deep - Over 25 ft. Kettle - Commercial - Steam Vent - Comb. Prod. Pvt. Sewage Disposal System Sewage Ejector - Residential Sewage Ejector - Commercial TOTAL FEE $ v v rfiE N RECORDED, PLE RE1111RIN TO: ENGINEERING DEPARTMENT CITY OF SAN LUIS OBISPO P.O. BOX 321 SAN LUIS OBISPO, CA. 93406 AGREEMENT AFFECTING REAL PROPERTY PERMIT FOR TEMPORARY ERECTION OF IMPROVEMENTS WITHIN THE PUBLIC RIGHT-OF-WAY FOR AND IN CONSIDERATION of the issuance of this revocable permit to erect improvements temporarily within the public fight -of -way, said improveme is consisting of: 3 the undersigned a-ders of the real property hereinafter described, hereby covenant with the City of San Luis Obispo to remove said improvements without cost to said City upon thirty (30) days written notice, which may be given by the City at any time at its sole option and discretion. If the owner does not remove the encroachment authorized herein when requested by the City, City may proceed to require removal under its nuisance abatement ordi- nance and to assess the cost of said removal against the real property described herein. Said property is located in the City of San Luis Obispo, County of San Luis Obispo, State of California, and is described as follows: r°er> c e 4"Is-'v'Va7701- rlx-v 4.14 -eI4 -6z�) This covenant shall run with the land and shall be binding upon the undersigned owners, heir heirs, executors, administrators, and assigns. DATED this day of Owner Owner STATE OF CALIFORNIA ) )SS COUNTY OF S: -'T LUIS W. ISPO) i 0FRICIAL SEAL CAROL ANN .1AV'S ';.+r NOTAGY f'LISLIC • GALIFOQNIA r, VVI LUIS OnIS"0 r'OUaTY tis t_� My comm. expires 1114 29. 1984 ,1 ' - , °r_yL 1' i ?? `, before me, the undersigned, a Notary Public in and On � for said Cou ty and State, personally PP 4appeared known to me to be the person(s) who executed the within instrument, and acknowledged to me that Z g— executed the same. WITNESS my hand and official Seal. (If this document is executed by a Corporation, appropriate notary acknowledgement is required.) Approved, Co unity pelopment Director (Authority: Resolution No. 897-1979 Series) 11'.i". ;!, ~l. ii.•;: �2i' r_i �Y QF:_,l�h, t.l:�� CE3i£�(�Q WINE N'RECORDED, PLF -R RETURN TO: Q . rl ENGINEERI ISG DEPARTMENT 7j93 CITY OF SAN LUIS OBISPO P.O. BOX 321 SAN LUIS OBISPO, CA. 93406 DOC. NO. 38394 OFFICIAL RECORDS SAN LUIS OBISPO CO., CAL RECORDERS MEMO: POOR REPRODUCTION DUE TO I ��,1 1�8� QUALITY OF ORIGINAL DOCUMENT. WILLIAM E. Z110ARIK COUNTY RECORDER TIME ��• 3 Am AGREEMENT AFFECTING REAL PROPERTY PERMIT FOR TEMPORARY ERECTION OF IMPROVEMENTS WITHIN THE PUBLIC RIGHT-OF-WAY FOR AND IN CONSIDERATION of the issuance of this revocable permit to erect improvements temporarily within the public ight-of-way, said improveme is consisting of: % 74t_r��A �, the undersigned oWiiers of the real property hereinafter described, hereby covenant with the City of San Luis Obispo to remove said improvements without cost to said City upon thirty (30) days written notice, which may be given by the City at any time at its sole option and discretion. If the owner does not remove the encroachment authorized herein when requested by the City, City may proceed to require removal under its nuisance abatement ordi- nance and to assess the cost of said removal against the real property described herein. Said property is located in the City of San Luis Obispo, County of San Luis Obispo, State of California, and is described as follows: C /�8 f.3rvar�S7 j isu Lft� Dlo�s�e� W/9N - e f4' - SZ�) This covenant shall_ owners, their heirs, execu DA'CED this in with the land and shall be binding upon the undersigned ors, administrators, and assigns. C12'"" day of L47e 7 Owner ' � A U1�►leL- ?�. �C. STATE OF CALIFORNIA ) 135 COUNTY OF S; 7 LUIS 003ISPO) Owner x�a•�., ,mar_.-�.�_ OPPV-_1AL SEAL CAROL ANN JAV,FS NOTAf V OLIBLIC . CALIFOgNIA Sufi LIDS OBISPO CRLINTY My comm. expires 'LIN 29. 1384 •r On -- f� �� I , before me, the undersigned, a Notary Public_ in and for said County and State, personally appeared - �: F.{,� .�•� ,� v, known to me to be the person(s) who executed the within instrument, and acknowledged to me that !__; executed the same. WITNESS my hand and official Seal. l' �� . il,•� `r-�--moi �, �. !� _ (If this document is executed by a Corporation, appropriate notary acknowledgement is required.) Approved, Co unity pe}elopment Director (Authority: Resolutin.-i Na, $97-1979 Series) END OF DOCUMENT - _V-012349 p4c,137 ��I�II�� E��il 1i��11111IrE1 c� I y. A SAn Us 0IMspO Department of Community Development 990 Palm Street / Post Office Box 321 L; San Luis Obispo, CA 93406 805/541-1000 [$Building U Electrical K] Plumbing 91Heating/Cooling ❑ Grading ❑ Retaining Wall ❑ Parking Lot Date Issued: Permit No. (tI 0 912 /81 8 r PERMIT Project Address: 1171R AV^Aa ntrook $ 40,000, FEES Structural: Electrical: Plumbing: Heating/Cooling: Other'. VALUE OF WORK $ 157,00 Total Permit Fees: $ Plan -check (# ®Previously Paid Const. Unit Tax TOTAL FEES $ 44.00 8.00 236,00 REQUIREMENTS: Owner Mail Address ❑ Fire Hydrants for Const. ZIP Business -Hour Phone ❑Water Press. Regulator T, Keith Gurnee, 108 Broad St,, San Luis Obispo, CA 93401 544-4444 E] Backflow Protection Contractor or Builder Address ❑Grading Permit Phone State License No. ❑ Retaining Wall Permit ❑Curb, Gutter and Sidewalk Permit Use Permit No.� ❑ City Business License ❑ Encroachment Permit 543-3118 R W. C. Insurance Owner Special Conditions: Flood Zone I Finish Flooi or Floodproof Elevation Architect or Designer Address Phone State License No. W 1r Engineer Address Phone State License No. QBank Jacob Feldman, Murray & Broad Sts,, San Luis Obispo, CA ZNone or oilier source of loan Address Grading Information: Total Cutcubic yards; Total fill cubic yards. Type of Project: ❑ All new . ,,f` yy-I� ] Add fyy�� l Alter ❑ Repair ®Demolish ❑ Move ❑ Install ❑ No. of new No. of bed- Bldg. No. of New Cost per Proposed use of the new building, addition, living units rooms in height stories area sq. ft. or area to be altered, repaired, etc. ,. Bedroom, bathrooms, expanded kitchen, created new units 2 (Total) (Total) 22,5 2 (in sq. ft.) 960 V W liVing, areas 2. 3. Retaining Wall Information: Length Height Material Est. Value $ New work includes: Garage Carport - []Attached Detached BM Legal Description. Assessor's Number Use Zone Fire Zone Lot Area Mt.Pleasanton 1-014-54 R-1 3 5775 Lot Block Tract Sq. Ft. WPROPOSED SETBACKS - actual dis- FrontRear tances from property lines to nearest 11 after work iscompleted. I 45 Side ! 5 Side I 18 I Distance from this new work to nearest existing building on sameA1„1,structure, lot. (Write "ATT" if attached). M ADDRESS OF THE PROJECT: 108 Broad Street Type of Construction Type No. V -N Occupancy Group R-3 FRAME: FOUNDATION: EXTERIOR WALL: ROOF: HEATING: W® Wood Stud ®Continuous Concrete ❑Metal ® Wood Siding E] Wood Trim [-]Brick []Cont. Block IN Comp_ Built-up El metal ® Electric El Gas Furn. CL ❑ Timber ® Slab ❑ Stucco ❑Conc. Tilt -up Comp. Shingle ❑ Gas Wall ❑ Piers ❑Stone Veneer ❑Metal ❑ Wood Shingle/Shake ❑ Solar El Brick Veneer ❑Tile $ 40,000, FEES Structural: Electrical: Plumbing: Heating/Cooling: Other'. VALUE OF WORK $ 157,00 Total Permit Fees: $ Plan -check (# ®Previously Paid Const. Unit Tax TOTAL FEES $ 44.00 8.00 236,00 REQUIREMENTS: Additional Review ❑ Fire Hydrants for Const. ❑City Contractor's Lic. Impact Report ❑Water Press. Regulator ❑State Contractor's Lic. �❑l7EEnvironmental ElOrd. 604-A Deficiency E] Backflow Protection ❑Water Fees to be paid ❑Discretionary Action ❑Grading Permit ❑Sewer Fees to be paid ARC No. — ❑ Retaining Wall Permit ❑Curb, Gutter and Sidewalk Permit Use Permit No.� ❑ City Business License ❑ Encroachment Permit Other R W. C. Insurance (if any employees) Special Conditions: Flood Zone I Finish Flooi or Floodproof Elevation VALIDATION — Perm)t explres'in 120 days if work not begurs 1� � - 'x_1 Fees Paid Data v. John L. Kellerman/ve 9/2/81 Receipt N Certification signed (see back of this form) Authorized Department Representative DATE WHITE - File LIGHT YELLOW -Applicant PINK - Clerk GOLD - Counter CERTIFICATION BEFORE THE CITY CAN ISSUE THIS PERMIT, THE APPLICANT MUST COMPLETE THIS CERTIFICATION ON ALL COPIES. I INSTRUCTIONS — In section A, on contractor's: -licenses, you must either give your State contractor's license number or certify that you don't need a license. Check the appropriate box and fill in any informa- tion that applies to you. In section B, you must certify either that you have worker's compensation insurance or that you don't need it. Check one of the boxes. Then read section C and sign at the bottom. A. CONTRACTOR'S LICENSE In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Professions Code: W z Q Y U W T U j 0 1 have a valid California State Contractor's License in full force and effect with the following classification aridlicense number: ' I � I= Q Classification License No. I am exempt from these provisions by reason of the following: D a. I am the owner of the propefty described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale. O b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($700.00) for all labor, materials and other iterris. 13 c. Exemption is based on the following section of the State Contractors' License Law: Section B. INSURANCE COVERAGE (Sec. 3800 Calif. Labor Code) 0 Certificate of worker's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is still in effect. W z O The permit sought is for one hundred dollars or less. WD 1 certify that in the performance of the work for which this permit is issued, I shall not employ T' any person in any manner so as to become subject to the worker's compensation laws of California. I understand that failure to comply with applicable worker's compensation laws shall cause revocation of the permit. C. COMPLIANCE WITH THE LAW All work allowed by this permit shall comply with City and State Paws. I understand a separate permit is required for work within a public right-of-way. I also understand this permit becomes invalid if work.is not started within 60 days of tiva date the permit is issued. applicant's signature date (Ay Of San luisOBISPO Construction Permit L Department of Community Development, 990 Palm Street Q Post Office Box 321, San Luis Obispo, CA 93406 (805) 541-1000 Cert if Teat Ion Project Address 108 Broad Street Owner's Name To Keith Gurnee Business -Hour Phone 544-4444 Owner's Mailing Address 108 Broad Street, San Luis Obispo, CA Contractor's Name Owner License No, Phone 543-3118 Contractor's Address Architect or Engineer i'Felilman-License No. Address San Luis Obispo, CA _ 12hpne. LICENSED CONTRACTORS DECLARATION WORKERS' COMPENSATION DECLARATION I hereby affirm that I am licensed under the provisions of Chapter 9 (commenc- ing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lie. Number Date Contractor OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the fol- lowing reason f&v. 7031.15, Ellsiness and Profes.ions C'rxle: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any strnetture, prior to its is.uance. Also rr-riuires the applicant for such permit to file a signed statement thnt lie Is licensed pursuant to the provisions of the Contractor's Li- cense Law (Chapter A (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption; Any violation of Section 7031.5 by. any applicant for a permit subjects the applicant to ;t civil penalty of not more than five hundred dollars i M X)).): 1 0 I, as owner of the property, or my employees with wages as their sole com- pensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to On owner of property who builds or improves thereon, and who does xifeb work bim ,cif or through his own etnploytK+ti, provide(I that sueli improve- ments are not intended or offered for sale. If, however, the building or Improve- ment is Nold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licen.ed contrac- tors to construct the project (Sec. 7044, Business and Professions Calle: The Con- tractor's License Law does not apply to an owner of property who builds or im- proves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I am exempt under Sec. B. & P. C. for this I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. Policy No. Company ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the building inspection department. Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) 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. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed re- voked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this ikermit is issued Lender's Name NONE _ Lender's Address - I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county t9 -R Ler upon the Ire -men Lioni�"raperty for inspection purposes. 11 7/�/C Signature of Applicapf or Agent City; ")f SAn tUIS OUSPO COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION FOR HOME OCCUPATION PERMIT I 1� Z &/_Tf�y ,v� __ _ , propose to conduct a home occupation of (describe exact nature of home occupation at l i9e -J%0j0 tel. _ .MPAI atwn_ in a /Q j zone. (street address) NOTE: An expanded, more detailed description of the home occupation and a site plan may be required by the director of community development. My Dome occupation will comply with the following: l.• Activities will be conducted entirely within the dwelling unit or an enclosed accessory building, and will not alter the appearance of these structures. 2. There will be no sales or displays on the premises. 3. There will be no signs other than address and names of residents. 4. There will be no advertising which identifies the home occupation by street address. 3. No vehicle larger than a 3/4 -ton truck will be used in connection with my home occupation. 6. My home occupation will not encroach on any required parking, yard, or open space areas. 7.. Parking for vehicles used in connection with my home occupation will be provided in addition to parking required for the residence. 8. Activities conducted and equipment or materials used will not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 9. My home occupation will not create or cause noise, dust, -vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 10. No employees other than residents of my dwelling will be allowed. 11. Clients or customers will not visit my home occupation between the hours of 10:00 p.m. and 7:00 a.m. 12. Check appropriate box: I own the home. I don't own the home; the owners written authorization for the proposed use is attached. PLEASE READ CAREFULLY BEFORE SIGNING OR FILING: Filing of this application does not imply approval of this permit by the City. I understand that this permit will be void if any of the above limitations and requirements are not met.. If this happens, I agree to cease this home occupation immediately. APPLICANT'S SIGNATURE DATE QV ADDRESS TELEPHONE ------------------------------------------- _A., FOR ICE USE ONLY APPROVED REFERRED TO BOARD DATEZia DJUSTMENTS FOR USE PERMIT APPROVAL - DATE -� APPLICATION IS HEREBY MADE TO THE FOR STRUCTURE PERMIT Fi�� -1-66 G INSPECTOR OF THE CITY OF SAN LUIS OBISPO PLANS RECEIVED BY: 1N0. z z 4 Data No. Plans Rac•d. —72--1 Issued -5:7 3 3 OWNER ADDRESS �� LICENSE NUMBER TYPE OF FRAME ❑ METAL $ TIMBER ❑ WOOD STUD ARCHITECT ENGINEER FOUNDATION ❑ Cont. Conc. ❑ SLAB PIERS DESIGNER BUILDER A), FF_ No, Street Lot DESCRIPTION Block Subdivision/Tract No. Lot Size EXTERIOR WALL ❑ BRICK ❑ METAL ❑ CONCRETE BLOCK ❑ STUCCO TILT -UP WOOD SIDING ❑ BRICK VEN. ❑ STONE VEN. ❑ WOOD TRIM Assr's. No. J�• �/r,u f 1011W AMOAJ 1-0/4-'SZ,ElCONCRETE ZONES Set Back Side Lines Rear Line Nearest Bldg. Used as Units Type Group Use Fire ROOF COVERING ❑ COMP. BUILT-UP ❑ METAL ❑ WOOD SHGLS. [COMP. SHGLS. ❑ TILE ❑ WOOD SHAKE 2 !.� Z0± 604 j0reff'o -J_r v—, T s- SPECIAL REQUIREMENTS ` HEATING J ELECTRIC ❑ GAS FURN. ❑ GAS WALL 2�� VALUATION and FEES r VALUATION F ORK BUILDING PERMITE _...]...- �►� PLAN CHECK TOTAL FEE --------------------------------E _A)0 �'(? aY 1 QE i`�� h -f lo(Z TO GGL V PAwIL—i - LIST ITEMS PERTAINING TO THIS APPLICATION AREA COST REQUIREMENTS FOR ISSUE PARKING PROVISIONS USE Width Length Height Stories Sq. Ft. Sq. Ft. MAIN BUILDING ACCESSORY BLDG. CURB, GUTTER & SIDEWALK OTHER STRUCTURES PLANNING COMMISSION APPROVAL ADDITION—L 1101-811 Z -6" /0" WORKMENS COMPENSATION BUSINESS LICENSE ALTERATION REPAIRS STATE LICENSE OTHER MOVING DEMOLISH 1 have carefully examined the above completed application and I know the tame is true and correct. All City APPROVED FOR ordinances and State laws governing building construction will be complied with. Sign here _ Gt/�-�— By wn�r Authorized Agent DATE: 1976 CITY OF SAN IDIS 081,99 CITY OF SAN LUIS OBISPO Business License ❑ Permit Card ❑ BUILDING PERMIT Street File ❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. DESCRIPTION OF STRUCTURE OR WORK Use __________ Add_ Bedroom------------------------------ Estimated value _____ 2,888. -- ----------- Units-- - ----- New ❑ Addition [X Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width10L�$"__ Length -I - Z'---- Height ---18-"- Stories--l--- Foundation- -p ierp tories_1___Foundation__piers _Exteriorwalaood sid.Roopcotap.shg1 How heated_ elec. ---- Type ---- V -N----- Group -- -!---- Garage ---- Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ LOCATION INFORMT-116)N 6-60" 4 No.__10$---- Street_-- $rcad St. --- Pin. 76 7� *t,..'Pleasanton Lot__------ lock___-- Su vMon____------ 1-014-54 Parcel No. ----1-014-54 ----------- Use zone -R-1 Fire zone -3--- Lot size ----- X_-___ Frontyd,Z1.5_� __ Side yds. i • Rear yd. _601+ ____ Nearest bldgattached N° 5559 Date__February_ 5,_ 1976____ Permit Fee $__24.00____ Plan Check Fee $________-___ Other Fees $____________ TOTAL $__24.00____ 2529 A —01D Owner T.Keith & Meri Kay _Gurnee Address _____108Broad St. - _-_ Arch. or Eng. Address ---------------- —__._----- Builder---------- Owner ----------- Address ---------------------------------- Provide heat prior to occupancy. Special requirements __---.�--�------_-____ ____------_...__-_-- Lender: None --------------------------------------------------City Clerk. _ �QLL Inspector of Buildings. In accordance with the requirements of Section 3800 of the California Labor Code, I, the M URANCE COVERAGE—Check appropriate box (one must be checked, Sec. undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- 3800 Calif. Labor Code). fessions Code: 1. I have a valid California State Contractor's License in full force and effect with ❑ Certificate of workmen's compensation insurance, copy thereof or certificate the following classification and license number: of consent to self insure from Director of Industrial Relations, has been Classification ____________________________________ License No.-------------- filed with the City and is still in effect. 2. I am exempt from these provisions by reason of the following: ❑ The permit sought is for one hundred dollars or less. a.x I am the owner of the property described in this permit application and I am [$ I certify that in the performance of the work for which this permit is issued, building or improving structures thereon for my own occupancy and not to be I shall not employ any person in any, manner so as to become subject to the offered for sale. workmen's compensation laws of California. I understand that failure to b. The work involved is of a casual, minor or inconsequential nature and will not comply with applicable workmen's compensation laws shall cause revocation exceed One Hundred Dollars (,100.00) for all labor, materials and other items. of the permit. c. Exemption is based on the following section of the State Contractors' License Law: Section---------------------------------------------------------- Appli CITY OF SAN LUIS OBISPO Business License ❑ ELECTRICAL PERMIT Permit Card ❑ sRQ'm*-b5 4 0 2 5 3 0 This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to snake any structural alterations or install plumbing, sewage or sidewalk facilities. rr''�—`k� Items single-family residence with __L_W_m�J____ square feet. -_____Circuits & Feeders ______Switches ____-_Lighting outlets Recept. outlets Fixtures Range & Oven ------ Dryer Water Heater Transformers Signs ------ Other ______ Space Heater ______Temporary Service Pole Service Size CONDUIT SWITCH CONDUCTOR Motors No. H. P. FEE -------------------------------------------------- City Clerk. _-1 _P rrriit __-____ well. ___-__Circuits ------ ------ Outlets ------ ------ Fixtures ___________Fixtures ------ ------ Service ___________Service ------ ------ Appliances ___ Transformer -- ------Motors ------- -__-_Alteration ____ Other ______- In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. 1 have a valid California State Contractor's License in full force and effect with the following classification and license number: Classification ------------------------------------ License No. ______ 2. &am exempt from these provisions by reason of the following: I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale. b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. c. Exemption is based on, the following section of the State Contractors' License Law: Section ------------------------------------------ -------- Fees DATE I_ N° 4065 A — rLE FEE 00 Owner .Address--J__---�-�7 --------------� ------------ Contractor --------- - ------------- Address ------ ------------ Type --__ Type Bldg. _ Fire Zone___ Special Requirements TOTAL - - - $-- -- --------- -------------------- r of Buildings. INSURANCE COVERAGE—Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). ❑ Certificate of workmen's compensation insurance, copy thereof or certificate of consent to self insure from Director of Industrial Relations, has been filed with the City and is still in effect. ❑ The permit sought is for one hundred dollars or less. I certify that in the performance of the work for which this permit is issued, T shall not employ any person in any manner so as to become subject to the workmen's compensation laws of California. I understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. Applicnnt___ __..^ftp -------------------- ---- a��VG & BIOG. DEPT. CITY,i SAN LUIS OBISPO CITY OF SAN LUIS OBISPO NO EIR. REQUBusiness1"UILDING n�' License ❑ Permit Card ❑ Street File ❑ This permit 'Lind undersigned applicant's agreement and acknowledgement that all work will er� _ nc uding any special requirements and other applicable laws. This permit becomes it if work is not started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. DESCRIPTION OF STRUCTURE OR WORK Use__Retaining_Sial]. ow_(#4�_fst�� _ single story building) Estimated value ------ 600. T a NewKl Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width________ Length-_ 101__ Height 12' ___ Stories ...... Foundation -0_____ Exterior wall- __..___. Roof_ viers How heated------------ TYPe------------- Group -------- Garage❑ Carport ❑ ------X------ Attached ❑ Detached ❑ LOCATION INFORMATION E ----- Street__-_ Broad St Lot_Ptn.76 Bloch__-- S Mt. onPleasant, Parcel No. __-_1-014-52___--�-�----_--�---___-� Use zone R-1Fire zone-!-- Lot size ----- -------- Side yds. ---------I-------- existing N V 49'74 Date -_April -23, 1974 Permit Fee Plan C)rk lees -,. LU $--------- -- ;` Other '� TOTAL $__6.0(Y'--- Owner __6.0(Y' Owner ___ T. -Keith -Gurnee Address .-ReithGurneeAddress _108 -Broad St._ ---_---4--_M1 Arch. or Eng• ------------------------ Address ---- Builder- Owner _-_ BuilderOwner ,tear yd. ----------- Nearest bldg -------- Address -------------------------Y- --_ All dirt & debris to be removed fr k _ a -------------------------- ------------------------ City Clerk. om cree , during construction. City r ernexts �inr�r �o rt ri#v retai,nia�adequae�_of raa21. Waterlra rs- ►�was for creek bank repair only. No approval far structure was -------------------------------------- . ......... In . ---_-------.-------------------_----------------- In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. - I have a valid California State Contractor's License in full force and effect with the following classification and license number: Classification -------- . -_ License No. 2. I am exempt from these provisions by reason of the following: XX a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale. b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. C. Exemption is based on the following section of the State Contractors' License Law: Section -------- ^... ��.tsrs«i - Spector of Buildings. SURANCE COVERAGE—Cheek appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). I ❑ Certificate of workmen's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is still in effect. ❑ The permit sought is for one hundred dollars or less. i WE I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the 1 workmen's compensation laws of California. I understand that failure to comply with applicable workmen's compensation laws shall cause revocationfailure. to ! Of t e permit, / A lurant-- _= 4 e _ f A'o APPLICATION FOR STRUCTURE PERMIT 1n IS HEREBY MADE TO THE BUILDING INSPECTOR OF THE CITY OF SAN LUIS OBISPO `-� / ADDRESS LI CENSE OWNER / e l{ r� NUMBER ARCHITECT ENGINEER DESIGNER II IIf BUILDER Street PLANS 7CEIVEDBY: permit Pio. Dafey r + _ y No. Plans Recd. Issued TYPE OF FRAME n ❑ WOOD STUD FOUNDATION ❑ Cont. Conc. ❑ SLAB PIERS DESCRIPTION EXTERIOR WALL Lot Block Subdivision/Tract No. Lot Size Assr's. No. ❑ BRICK ❑ METAL / ((�� ( OCl �+ �✓D�J1� J 0 ��❑ -74. ZONES ❑ CONCRETE BLOCK ❑ STUCCO ❑ CONCRETE TILT -UP WOOD SIDING ❑ BRlyf_VEN. ❑ STONE VEN. ❑ WOOD TRIM Set Back Side Lines Rear Line Nearest Bldg. Used as Units Type Group Use Fire ROOF COVERING _ --- --� ❑ COMP. BUILT• — METAL ❑ WOOD SHGLS. (j_Z4aMP. SHGLS. ❑ TILE ❑ WOOD SHAKE l S I �O v —' SPECIAL R$QUI MENTS r LIST ITEMS PERTAINING TO THIS APPLICATION USE MAIN BUILDING ACCESSORY BLDG. OTHER STRUCTURES/f#fr ALTERATION REPAIRS MOVING DEMOLISH` HEATING _ - ❑ ELECTRIC- ❑ GAS FURN. ❑ GAS WALL VALUATION and FEES �0 ;A� r� VALUATION O,WRK BUILDING PERMIT FEE .................$6 PLAN CHECK FEE ----------------------_-$ TOTAL FEE ...-- F -$ �` l COST Sq. Ft. REQUIREMENTS FOR ISSUE PARKING PROVISIONS CURB, GUTTER & SIDEWALK PLANNING COMMISSION APPROVAL WORKMENS COMPENSATION BUSINESS LICENSE STATE LICENSE OTHER I have carefully examined the above completed application and I know the tame is true and correct. All City ordinancesand State laws governing building construction will be complied with. Sign here _ By Authorized Agent APPROVED FOR ISSUE BY: `_1e1��I nom. lt" r �1 DATE: CITY OF SAN LUIS OBISPO L�- U21 & n -6 4 ELECTRICAL PERMIT Street Card ❑❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance w•itb City Ordinances, including any special requirements and other applicable laws. This permit bec@s 7a i{4'� s gg started within 60 days. This permit does not include permission to make any structural alterations or instal p umbing, s g a sidewalk facilities. Items New single-family residence with - square feet. Circuits & Feeders Switches ___Lighting outlets .___Recept. outlets _ _ _ _ Fixtures _____Range & Oven -- _._-Dryer Nater Heater _ - _ _ _ "Transformers Signs Other Space Heater _Temporary Service Pole Service Size CONDUIT SWITCH CONDUCTOR Motors No H_ P- FEE r~-------------------------------------------------- City Clerk. ---1--Permit------- __r__New Dwell. ___ __!___Circuits ------ ------ Outlets _ -____---_-Outlets ------ ------ Fixtures _______ _-_Fixtures ------ __ I --- Service _______I___Service ------ ------ Appliances ___________Appliances ___ __-__-Transformer __ - --_-- Motors ------- ------ Alteration ---- ------ Other ------- N-?- -; r 4025 D � ELEFFF--_-=F, --- Fees � — / 7 DATE_------_-___�------------ $ Owner _Kox- fl -I _-__ ------ _ ------------ Address ------------ 0-6 _ Contract _ - - _ _ -------- Address ------------ Type Bldg. Zx-24,_ Fire Zone-_ ------------- TOTAL - - - $ ._ -_ 0— _ In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with the following classification and licenserurnber: CIassification------------- ' - ----- -r ---------- License No. -------------- 2. 1 am exempt from these provisions by reason of the following: a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale. b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section--------------------------------------------------------- Special Requirements -- .. _ _ _ _ . ------ In_-_ Inspector of Buildings. INSt�kANCE COVERAGE—Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). Certificate of workmen's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is still in effect. ❑ The permit sought is for one hundred dollars or less. ❑ I certify that inperformance of a ark for which this permit is issued, I shall not empla a person in an man erD as to become subject to the workmen's comp a 'o i if stand that failure to Comply with app' bi o 's m at laws shall cause revocation Of the permit. + r 1`lp�?I1Cltfif --_- ----- 4 -L_ ��Sl.... f