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Home My WebLink About1400 Stafford Bldg and PlumbingCITY OF SAN LUIS OBISPO Business License &/ Car PLUMBING PERMIT StreettF e d ❑❑ 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 make any structural alterations or install electrical, sewage or sidewalk facilities. N° 3062 FEEd , 0V Fixtures Gas Appliances Items Fees Own __ __Bathtubs ______Grease Trap __ __Water Heater Permit Vy-Fixtures __p_ .00 J __ _Showers ______Drink Ftn. al -Lavatories ______Slop Sink Space Heater _Sewer Conn. -- � G_ + C) __ i �� Locatior/Y a 1-Water Closets ------ Other ------ _A_Kitchen Sink ------ Other— ____ ------ Furnace -------Gas Heating Water Heater ---------- - Occupancy __ _Floor Drain ------ Other ------ ------Wall Heater Gas Outlet ______Laundry Tray ------ Other ------rr ______Gas Dryer -- Piping Y_-Water . �'0 ___5�______ Con tract1R __ _k+_ ______Urinal -_. Drainage Pipe ----------- Address �/ _ __WaterSoftener ------- Register ------ Lawn Sprinkler __-____.____ _ __ __ _-_Clothes Washer Flues ------Fire Sprinkler ___---__-_ Special Requirements _Dish Washer ----------------- TOTAL ��++ $ ------Disposal ------------- --- --- ------ - __ - - - - -7_c_Id --------------- ---- --- _______City Clerk. 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 anA licen a number - Classification Classification ------------- ,r_ License No. -i- 7_2,_J_ 2. 1 am exempt from these pra sons 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 �__------------------------ —--- --------_-------------- Inspector of Buildings. INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). ertificate 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, I shall not employ any person in any manner so as to become subject to the workmen's compensation laws o California. i and tand that failure to comply, with applicable warkn conapen n shall cause.revocat'an of the permit. Applicant__ _ _ _ __ ___- CITY OF SAN LUIS OBISPO Business License 3qD 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 ------ Swimming Pool Estimated value __-_-- 5.t0•_------••---•--__ Units---- __-- New N Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width__18 '--_ Length__36 '___ Height_______ Stories ____-_ Foundation conc. -_ Exterior wall ---------- Roof - How heatedggs -furs. _Type-__ I ________ Group___J-1 Garage 0 Carport ❑------ X------ Attached ❑ Detached ❑ -------------------------------------------City Clerk. LOCATION INFORMATI#Ai: No. 1400 ____ Street__ Stafford __ 1-6 Lot-13-ml6__ Block__3__ Subdivision-PhilliRa Addition Parcel No. ---- 52-213-004 Use zoneRHs Fire zone_ 3 _ Lot size__ir_Mg 1 ar Front yd._ 20 ± _ Side yds. Rear yd. 20 -+ ----- Nearest bldg.-_ 20 '+ --- Special requirements ________________ Lender: San Luis Savings 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 arld license number: Classification --________C-53 _ -_ License No. 292993„••• ,_ 2. I 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---------------------------------------------------------- NV 43'70 Date--August -25,_ 1972 -__- Permit Fee #156 Plan Check Fee Other Fees $__.,.—_____ TOTAL $-- 48.00 _ Owner Bunnell Construction ---------------- - Address 200A_Suburban _Road Arch. or Eng. --------------- r.___________ Address _ Builder ___-_ Neudeck Pools -Inc_._ 509 Ming Address ____Bakersfield, CA -_- ti_ Inspector of Buildings. INJ9UR.ANCI COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). J1 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 perfonnance 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 workmen's compensation laws of California. I understand that failure to comply with applicable workmen's compensat' lawsha use revocation of the s permit. �� _ ,1 CITY OF SAN LUIS OBISPO Business License ]EI BUILDING PERMIT Permit Card ❑ 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 i Use---------- p-'FA.RMN -------------------------- (Building A) Estimated value _____71 , 400. Units___ 8 Newt] Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width_401 ___ Length_ 60 � ___ Height_ 20 __ Stories_____ comp. cone, stucco sh ls. Foundation____ Exterior wall__________ Roof_______ How heated-__elee. ___ Type__V_N_________ Group ---- -__ Garage ❑ Carport ❑------ X------ Attached ❑ Detached ❑ --------------------------------------------------City Clerk. LOCATION INFORMATI641 1 li Street___Stafford _St. 1-6 Lot13_1_6__ Block-__- SubdivisionPhillips Admen, -- Parcel No. ___ 52_ 213_04 varies Use zone---- Fire zone --Lot size ----- X----- Front yd. _15 �____ Side yds. ___10'___/__ 10' Rear yd. _ 10 1 ------ Nearest bldg.-8 . ______ NV 4281 Z/ Date____June Permit Fee $_184.50_ Plan Check Fee $_________-__ Other Fees $..___________ TOTAL $__184.50___ 017u7 Owner Las Casitas-Joint- Venture Address __ _. c/o Bunnell Const. Arch. or Eng. John R.-.Ross- & Associates Address _ 1149 Marsh S t . Builder __Bunnell _Construction Co.___ 1315 Santa Rosa Address ___.. _... Special requirements ______________________-__-_______________. Lender: San Luis 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: 199721 Classification _____-_.___ $-1 _____________________ License No. __ 2. I 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-----......----------------------------_----------------------- __ Inspector of Buildings. INSUUANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). ❑ X 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, I shall not employ any person in any manner so as to become subject to the workmen's compensation laws oACalifornia. I unde Land that failure to comply with applicable work compen ion _hail cause revocation of t a permit. Applicant- -- CITY OF SAN LUIS OBISPO BUILDING PERMIT N" 4282 zl Business License ❑ June -�i- 1972 Permit Card ❑ Date____________z- Permit Fee Street Films ❑ Plan Check Fee $____________ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance Other Fees $------------ with City Ordinances, including any special requirements and other applicable laws. This permit becomes invali? �� w�-i, not _ e �! r11 started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or si! . F�aAfitiez Q -� i TbTAL W�' 184.56__ DESCRIPTION OF STRUCTURE OR WORK APARTMENTS Use --------------- -------------------------------- (Building B) Estimated value ---- 71,400. ---- -- Units-__ S New MI Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width_ 40 ' -__ Length-_ 60 1__ Height_ 20 1__ Stories_____ comp. Foundation_Exterior wall__.atucr-a Roof_ I gls.- How heated_ _--- Type__Vi�L______-_ Group ---- H-__ Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ -City Clerk. LOCATION INFORMATION No.____1400_ Street______ Stafford 1-6 Lot 13 _ 16 _ Block 3 _ _ _ SubdivisioJM 11 ip s Addn. Parcel No. _ 5 2 - 213 _04 Use zone_RHSFire zone__ 3 Lot size__ vakies - Frontyd._15� ___ Side yds. --- 10' __/__-_19_- Special requirements ---- Lender: San -Luis- 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: 199721 Classification _______ .___- B-1_______ License No. ______ 2. I 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---------------------------------------------------------- Owner Las Casitas _Joint _Venture- Venture Address---------------------------------- Arch. or Eng. John=R._ Ross &_Aseeciates j Address ___-__1149_Marsh_____��--_�- - I Builder -Bunnell -Construction ------------------- , t ---------------- ------------------------------------- ------- 1 Obispo_SavinSst_SLO__ 1 Inspector of Buildings. I RANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). I Certificate of workmen's compensation insurance, copy thereof or certificate I of consent to self -insure from Director of Industrial Relations, has been I filed with the City and is still in effect. The permit sought is for one hundred dollars or less. I 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 workmen's compensation laws of.4alifornia. I understand that failure to comply with applicable workm ompen on la all cause revocation of the permit. Applicant__ - ---------- ,l CITY OF SAN LUIS OBISPO BUILDING PERMIT NV 4283 -7-1 Business License 91 June -1l-, 1972 Permit Card ❑ Date ..... Street File ❑ Permit Fee __ Plan Check Flee $`__________ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance Other Fees $ ______ with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 clays. This permit does not include permission to install electrical, plumbing, sewage or s'gMal? �a%# "c5 0 1 7 6 T,�I7�i C Q_ 166, 5Q DESCRIPTION OF STRUCTURE OR WORK Use APARTMENTS wlit�_r ,(u[ioom________-_ _________�._...._ _...__...._w ------------- (Bu i 1d IPA - "C Estimated value 59,600. New ® Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width__4Q___ Length__56' __ Height-2-0-1— Stories_2____ comp. cone, Foundation____ Exterior wall --- __stucco_____ Roof__s__hls$____, How heated__elec. VN ----- ___ Type_ _�______ Graup__H Garage ❑ Carport ❑ ______X_ Attached ❑ Detached ❑ -------------------------- -----------_._____---_-___City Clerk. LOCATION INFORMATION StreetStafford 1-6 Lot 13_16 _ Block--!-- Subdivision_ PhilliQs Addn. Parcel No. ____52-213-04 varies Use zoneKIP Fire zone--!- Lot size ----- X_____ Frontyd._- 15-'___ Sideyds. ___10-'__/___1Ql _ Rear yd. __10 I ____ Nearest bldg.- 19 t_ ____ Special requirements ______.._______-_____ Lender: San Luis Obispo Savings, SLO 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. ___1___99721_ 21 _ 2. I 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 ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section --- _._..---- ----------------------------------------- ...._._w Owner -Las Casitas_Joint _Venture — Address -------- Arch. or Eng.John R. Ross -& Assoc. Address ___-______________1149 Marsh_ Builder __.-Bunnell Conatr"ction 1315 Santa Rosa Address ----------------------------- _ Z2-4;;, Inspector of Buildings. INS ANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). ® Certificate of workmen's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is still in effect. ❑ The permit sought is for one hundred dollars or less. ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ arty person in W manner so as to become subject to the workmen's compensation law f alifornia. I under d that failure to comply with applicable wor a compens la all cause revoca i of the permit. Applicant- CITY OF SAN LUIS OBISPO BUILDING PERMIT �� 4284 �� Business License ] June f 1972 Pe rr�{�t�, Date__-- ---- -'� 157 �0 5treiyE '1 -1 0 1 7 7 (permit Fe • il;$ __-� _�-- Plan Check FeeThis permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance Other Fees $_..____------ 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. T QTAL 157.50 W 1. ? 7-7I 4 n .I Tr r n r: -_ -Rif IT ------- T" DESCRIPTION OF STRUCTURE OR WORK Use _____ AP.ARTMFNTS—_.- _---------------- - _--- (Building D) __6_______ Estimated value ____53,600. Units ___________--_-____-_-_ _ Newt] Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width_40 ' --_ Length— 45' __ Height__ 19 L Stories_____ comp. cone. stucco Foundation_____ Exterior wall__________ Roof__Bhg18- How heated_ electric Type ----- ------- Group___H___ Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ Clerk. LOCATION INFORMATION 1400 Stafford No.Street---------------------- 1-6 Lot_ 13-16 Block--!-- Subdivision_Phillips Addn. Parcel No. ___ 52_ 213-04 Use zone RHS,Fire zone__3 Lot size___ vVies Frontyd.__i5_'___ Side yds. ____10' _/---- 10!_ Rear yd. -A-0-1 ----- Nearest bldg.___ 15 I+ -- Owner Las Casitas-Joint Venture Address Arch. or Eng. _John -R.- Ross &-Assoc. Address ______1149 Marsh ._ Builder Bunnell Construction -Co. 1315 Santa Rosa Address -------------�--- -_- Special requirements Lender: San Luis Obispo Savings, SLO 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 _._ -------------- B-l--------------- License No. 2. I 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 ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section---------------------------------------------------------- Inspector of Buildings. INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). [$ 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, I shall not employ any person in any manner so as to become subject to the workmen's compensation laws a liforma. I undexatand that failure to comply with applicable work omper}ststJXon 1 s all cause �revocati n of the permit. 0 M CITY OF SAN LUIS OBISPO Business License [?I 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 pen -nit 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 _-.--------- Foundations (Apts.) ----------______------------------- 2,000. Estimated value --- __________________-__.. Units____ _____ New L?t Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ varies Width -------- Length -------- Height ------- Stories_______ cont.conc. Foundation ---------- Exterior wall__________ Roof_________ How heated____________ Type_____________ Group _____--_ Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ LOCATION INFORMA' %k I Nn._1400__-_ Street__Stafford St. ------- Phillips Lot1�-r6__ Block__ 3 _ Subdivision --- Addnw _ Parcel No. ___ 52-213-04 .94 acre Use zon� _ Fire zone__3_ Lot size----- X----- Front yd._ 15____ Side yds. -_ 5 5_---- /-------- S' ' Rear yd. _________ Nearest bldg.____-______ N° 4248 Date._ May 15, 1972 _________ � Permit Fee 20.00 1 Plan Check Pee $____________ ' Other Fees --__-__ [ 1 TOTAL $.... 20.00 98778 Owner Las Casitas�Joint �Venture --� I Address John R. Roes & Assoc. Arch. or Eng. _______.._� 1149 MARSH Address ------------------------------- Builder -Bunnell Construction-_� 1315 Santa Rosa [ Address --- _______w-------------- —----- � Permit to include slab & under -slab plumbing. I Special requirements ------------ ------ -- ----------------------------------------------- I ---------------------------------------------------City Clerk. 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 cassificatiog attd license number: Classification ______________________________ License No. __-___--___-__ 2. I 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---------------------------------------------------------- �' Inspector of Buildings. URANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). 13 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. 1 ❑ I certify that in the performance of the work for ich this permit is issued, I I shall not employ any person i nner to a subject to the workmen's compensation la of C orn' ..I r nd that failure to comply with applicable e ' om shall cause revoc of the permit. I Aprpli CITY OF SAN LUIS OBISPO Business License PLUMBING PERMIT het ie lo7ze7 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 make any structural alterations or install electrical, sewage or sidewalk facilities. N2 3162 D — PRIG 1:;.C; "I -0 FEE $-- -- �- 6 --- Fixtures Gas Appliances Items Fees DATE _ _ _��!~ y, �f _-____Bathtubs ______Grease Trap ______WaterHeater ___1__Permit ____-- .00 $- � ______Showers ______Drink Ftn. _Lavatories ------ Slop Sink Space Heater ______Fixtures Sewer Conn. _________-__ Owner _-_ _ s'x_- Location ______Water Closets ------ Other ------ ------ Furnace _==--- Gas Heating ------ Kitchen Sink ------ Other--.---- ------ Water Heater _ Occupancy __ ------------------ Floor Drain ______Other______ Wall Heater Gas Outlet — --------- ,ii Contractor S-i ` ______Laundry Tray ______Other______ ______Gas Dryer ------Water Piping __ ______Urinal _--.-._, ___ Drainage Pip3�V4&_L,1AJ-8_ r , Address2 �'_�_� _ ______Water Softener ______—---------- ______Register __1___Lawn Sprinkler _�_�_�` ------ Clothes Washer _________ ______ Flues __--Fire Sprinkler _- ------- Special Requirements ____________ ----------- P 9 _---_-Dish Washer _-___-_-___-_-_----. TOTAL - - - - 0-0 $-- -`- -------- ------Disposal --------------- -- ------ ---- _---- —-------------- 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 a tcense nu ber: Classification __--------- -_ --� --_- __ -- License No. __ 2. I am exempt from these pr tons 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 .._._ --------------------- -------------------------- - Inspector of Buildings. INSVItANCE COVERAGE —Check appropriate box (one must be checked, Sec. 00 Calif. Labor Code). �icate 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, I 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. Alplicant__ _