HomeMy WebLinkAbout201 Buena Vista - Original Permits����I�IIIIlfllilill}IE��ili� �lll��l�+�rl�}� city c
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Department of Community Development
990 Palm Street / Post Office Box 321 i
e San Luis Obispo, CA 93406 805/541-1000 [}Building
U Grading
Date Issued:
7/3/80
Project Address:
201 Buena Vista
PERMIT
[2Electrical ❑ Plumbing ❑ Heating/Cooling
U Retaining Wall U Parking Lot
Permit No. 8277
Owner
Mail Address
ZIP
Business -Hour Phone
Kenneth Schwartz, 201 Buena Vista, San Luis Obispo, CA
93401
546-1312
Contractor or Builder
Address
Phone
State License No.
Owner
543-8592
W
Architect or Designer
Address
Phone
State License No.
Owner
C-1874
Engineer
Address
Phone
Siam License No.
Z
Bank or other source of loan
None
Address
Grading Information: Total Cut
cubic yards; Total Fill
_ cubic yards.
Type of Project: ®AII new ERAdd
❑ Alter ❑ Repair
❑ Demolish ❑ Move
❑ Install ❑
Proposed use of the new building, addition,
or area to be altered, repaired, etc.
No. of new No. of bed-
living units rooms in
created new units
Bldg. No. of
height stories
(Total) (Total)
New
area
(in sq. ft.)
Cost per
1 Hot Tub
W
`J
2.
cc3.
III`
Retaining Wall Information: Length Height Material Est. Value $
New includes:
work Garage Carport Attached
Detached
Legal Description:
Assessor's Number
Use Zone Fire 7one Lot Area
Lot 29 Block 1 Tract Monterey Heights
52-131-10
R-1 3
W
PROPOSED SETBACKS - actual dis- Front Rear Side
Side Distance from this new work to
Sq. Ft.
tances from property lines to nearest
structure, after work is completed.
I
nearest existing
I I
building on same
"ATT"
2 1
.
ADDRESS OF
— lot (Write
201 Buena Vista
if attached).
♦♦�A
V�
THE PROJECT:
Type of Construction: Type No. V—N
Occupancy Group
B-2
FRAME: FOUNDATION:
EXTERIOR WALL:
ROOF:
HEATING:
LV
❑ Wood Stud ❑Continuous
❑ Wood Siding
❑Brick
❑ Comp. Built-up
❑ Electric
Concrete
❑ Metal
❑ Timber ❑ Slab
El Wood Trim
❑ Stucco
❑Conc. Block
❑Conc. Tilt -up
❑Metal
❑ Comp. Shingle
El Gas Furn.
❑ Gas Wall
❑ Piers
❑Stone Veneer
❑Metal
❑ Wood Shingle/Shake
❑ Solar
❑Brick Veneer
❑ Tile
$ 1,500.
VALUE OF WORK
FEES
Structural: $ 15.00
Electrical:
Plumbing:
Heating/Cooling:
Other:
Total
Permit Fees: $
Plan -check (# l
❑Previously Paid
} Cunsi.. Unit Tax
y / TOTAL FEES $ 15.00
REU.UIHEMENTS: Additional Review
❑ Fire Hydrants for Const. ❑City Contractor's Lic. ❑Environmental Impact Report
❑ Water Press. Regulator ❑State Contractor's Lic. ❑Ord. 604-A Deficiency
❑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
% W. C. Insurance (if any employeesy-
Special Conditions: Flood Zone Finish Floor or Floodproof Elevation
VALIDATION — Permlr expires -in 120 days it Work not begin§. :c1: ry _ � .
LEI Fees Paid Date
John L. Kellerman/ve 7/3/80 Receipt No.�']
Ucortification signed (see back of this form)
Authorized Department Representative DATE
WHITE - File LIGHT YELLOW -Applicant PINK - Clerk GOLD -Counter
1
City of San Us oBispo Construction _ Permit
MENNIMMA. ,
- Department of Community Development, 990 Palm Street �ert�f�cat�o�
Post Office Box 321, San Luis Obispo, CA 93406 (805) 541-1000
2
Project Address 01 Buena Vista
Owner's Name Kenneth Schwartz
Business -Hour Phone 546-1312
sL
201 Buena ig ahi ups rA 93401
Owner's :failing Address �- -a�,�fl i,u
Contractor's Name Owner License No. Phone 543-8592
Contractor's Address SSIDe
Architect or Engineer Omer License No. C-1874
Address S�~�t-- Phone IG4- -
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
Date
Lic. Number
Contractor
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the fol-
lowing reason (Sec. 7031.5, Business and Professions Cnde: Any city or county which
requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed
statement that he is licensed pursuant to the provisions of the Contractor's Li-
cense Law (Chapter 9 (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 a civil penalty of not more than five hundred dollars ($500).):
e7i, 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 an owner of property- who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improve-
ments are not intended or offered for sale. If, however, the building or improve-
ment is sold 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 licensed contrac-
tors to construct the project (Sec. 7044, Business and Professions Code: 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. iB. & P. C. for this
reason _
Date —7 `` Owner -
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 I
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, yol—
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 permit is issued
Lender's Name
Lender's Address
I certify that I have read this application and state that the above information
is orrect. I agree to comply with all city and county ordinances and state laws
r aating tobuilding construction, and hereby authorize representatives of this county
to Wr upon the for inspection purposes.
44-80
7-1WW' 9=WG
Signature of A plicant or Agent Date
CITY OF SAN LUIS OBISPO I1Nte, 1935
PERMIT for CONSTRUCTION of
DRIVEWAY, SIDEWALK, CURB AND GUTTER
I ATION OF WORK: Date_ _1---------, 19 _�A
Street Address _ a� _ ___ Owner_ _,P4
S. E. W. Side ,,{{�j__-____-- St. between Address ---A �_ ____-- r --- --- --
'/1 St. ands____ _ __ _ - -- -- Contractor _�-v�_------
Lot
__M --- Block _j ------ Subdivision - v oZ►
__-- --------- - ----�..- Phone --------------------- ---_-___--_
DESC;_1___CUustruet;
IPTION OF WORK:
Concrete -Driveway - - - - Width---� a__ Length_-_
-Construct Concrete Sidewalk - = - Width-&------ Length__n t_
-_-_--Construct Concrete Curb and Gutter - - - - - - - - - - - Length --___-_-_
------To Repair ---------------- --_-- --- - - - - ---
Final Survey by ------------------- Date ---------
Cut Sheet by ---------------------- Date---------
OwnerNotified by Date ------ ---_
Form Inspection by Date-_-
Final Inspection by --------------- Date -__--____
v"
AGREEMENT: All work performed under this pernit shall be in accordance with the Standard Plans and Specifications for Construction of
Concrete Driveway, Sidewalk, Curb and Gutter in the City of San Luis Obispo and the General Provisions on the reverse side of this permit.
NO CONCRETE IS TO BE POURED UN1TILL FORM INSPECTION IS MADE OVER
DEPARTMENT OF PUBLIC WORKS, by --------------- PERMITTEE ---- __
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
01'
This permit becomes invalid if work is not started within 60 days. This permit does not include permission to install
electrical and plumbing Facilities; make sewer connections; excavate in the street; andlor construct ramps, curb and gutter
or sidewalk. Plans and specifications are considered an integral part of this permit.
DESCRIPTION OF STRUCTURE OR WORK
Use __ residence _watt._ garage___ --
Estimated value ------ 21,725----------- Units --- ,-______
S
New A Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width-__ 1__ Length__ 8.6 _ Height__ 20.6 Stories__ 2 __
Cont. Stucco builtu
Foundation-COI1C. Exterior
0w ZT1 cozi RoofP
How heated_gkk __f-ilrn_ Ty°pek ---_ V ___-- Gmup___- -
Garage 3T Carport ❑ _21 __X__�5 _ Attached [� Detached ❑
LOCATION INFORMA &I
201 Buena Vista
No.---------- Street --- -----------
Lot__ �9 ___ Block_- __ Subdivision Monter
Hts•
Parcel No. ___52-131-10
Use zonAR _ Fire zone-3- Lot size__103X_ 150
Setback_20____ Side lines _ 10-----
Rear line ____201 __ Nearest bldg. -----------
X? 4707 0
Date__ May 14, 1962
Permit Fee $_R-
Plan Check Fee $____________
Other Fees $____________
TOTAL $_ 69.0° _--
7 3 0 0 "';yIt
Ownerenr_e•h E. Schwartz
2553 Santa Clara
Address
Arch. or Eng. _______-____
,I
Address mer _-------------
Oi
Builder -..-..-------- • ---------..._..... _
i
Address ---- ------------------
Special requirements _____Sidewalk #1l� ,3 -
-------- ------------------
r
-----------------=-____ --------- - --- -- ------- ----------------------
Permission is hereby granted to________ builder ---owner ______________ to do the above described work. This permit is granted upon the express conditions that the
person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to
the ordinances of the City of San Luis Obispo, and all pertinent State Laws and lawful orders of the Inspector of Buildings, regarding the construction, alterations, maintenance,
repair and removal of buildings within the city limits: and this permit may be revoked at any time upon viol tian o f any of Ae provisions of said ordinances.
______ Inspector of Buildings.
AGREEMENT -In consideration of the issue and delivery to rae by the Inspector of Buildings of the City of San Luis Obispo of the above permit, I hereby agree to do the
proposed work in accordance with the description above set forth and according to the provisions of the ordinances of the City an Luis Obispo, and I hereby state and say that
the facts stated by me and contained in the above permit are true as herein stated. It is also agreed to keep the City of San ' is Obispo its harmless from all costs and
da'"IdIps which may accrue from the use or occupancy of the sidewalk, street or sub -sidewalk space.
y --- - — -----_ _ Owner
61;
--------------•-------— City Clerk. BY ----------------- _____