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HomeMy WebLinkAbout201 Buena Vista - Original Permits����I�IIIIlfllilill}IE��ili� �lll��l�+�rl�}� city c ■ SM hues 0M 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 ----------------- _____