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HomeMy WebLinkAbout2640 Broad - Original PermitsCITY OF SAN LUIS OBISPO Business License [a 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 ------- Remodel _Store _ due to _ HIGHWAY widening) - Estimated value _____ 5_P000.----------- Units ___--______ New ❑ Addition ❑ Alteration 3 Repairs ❑ Move ❑ Demolish ❑ Width-------- Length-------- Height------- Steries—_......., coup. Foundation slab ---- Exterior wall_ block --Roof_ bl-u,R stucco How heated____________ Type___ V-H _____ Group-1— Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ _ ________-_City Clerk. LOCATION INFORMA7101%` ` " ` No 51-8 8 s Date__January 8, 1975 _ _____________ I, Permit Fee $__ 29.00 #4 Plan Check Fee Other Fees $------------ I TOTAL $... _43.50 No.__2640___ Street ---- Brosd-_ wep Chest .1gsR--------- - 1i Block__ 5 _ Subdivision ImPerial Parcel No.------------4-925-23 ------------ -------- Use zoneCH _ Fire zone!-- __ Lot Frontyd._ 0_____ Side yds. ___ 0---- /_______- Rear yd. ___ U ______ Nearest bldg.__-4....... Special requirements ---- -Lender: None 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-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 ------------------------------------------------------ IN 4 320 Oak Street I' Address __B#kAXvfJ&1.d+-_GA-------------- Arch. or Eng. _ Robert Swett-.- _____--it 288 Pism 11 Address-------- -----------------.__.- ------ I Builder Wheeler Construction I ----- - --------------------_--_ 2650 Broad St. Address ------------__- .�__..____------_ i I� ------------------------------------------------------------ I --- _ ---------------------------------------------- of Buildings. I UR.ANCE COVERAGE —Check appropriate box (one must be checked, Sec. I 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 certify that in the performance of the work for which this permit is issued, j I shall not employ any person in any manner so as to become subject to the I workmen's compensation laws of California. I understand that failure to comply with applicable work tn s compensation laws shall cause revocation I of the permit. �/j I AppIicnnt3-_� ---- --------------- --- . n I CITY OF SAN LUIS OBISPO Business License Permit Card ❑ PLUMBING PERMIT Street File ❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be dli c irAoianJ5-, 9 9 1•; u 0 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° 3538 FEE Fixtures Gas Appliances Items Fees DATE ---------- _____ _-, ___-- ___Bathtubs ------ Grease Trap - ------ Water Heater --- I__Permit 2.00 __Showers ______Drink Ftn. __-___Fixtures ---------- - Owner _._____= ___kf __Lavatories ______Slo Sink p Space Heater _Sewer Conn. ----------- Location � � ------ Water Closets ______Other______ ------Furnace ------Gas Heating ------ _.___ ______Kitchen Sink ______Other__ ____ ------ Water Heater ,--------- Occupancy ___'_----- _____ ________ ______Floor Drain ______Other______ Wall Heater Gas Outlet ----------- (,i ------ Laundry Tray ------ Other ------ ______Gas Dryer --- --Water Piping -_ �p Contract _41�C.. _z ------Urinal ----------------- _- __Drainage Pipe -- _'_-5--t Address�(d 5a ------ Water Softener _____ ______Register ------ Lawn Sprinkler _..___ _ ---____-----��e- �__-- _ Clothes Washer ------------------- ------Flues --____Fire Sprinkler ---------.---- Special Requirements _________ p q ------ Dish Washer TOTAL - - - - �---------- ------Disposal ------- ----------------------------------- ----- ------------- ----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 and license number - Classification ----------------------- V1,L License No. -------------- 2. I am exempt from these provisions by on of a fallowing: 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 — ------------ ------ ---______�___ ;n Inspector of Buildings. INSURANCE COVERAGE —Check appropriate box (one must be checked, See. 3'00 Calif. Labor Code). t/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 small not employ any person in any manner so as to become subject to the workmen's compensation laws ot California. I understand that failure to comply with applicable workme compensation laws shall cause revocation of the permit. G` �f CITY OF SAN LUIS OBISPO Business License N? 3730 Car d 0 ELECTRICAL PERMIT StreettFile This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance becomes with City Ordinances, including any special requirements and other ap�pPlicable laws. This permit invalid if work is not FEE $ --`-- started within 60 days. This permit does not include permission to inalte.any structural alterations or install plumbing, sewage or sidewalk facilities. r"!' hh Items Fees DATE _-New single-family residence with -------------- square feet. ___1__Permit -------- $____-.._.-?.00 --.----New Dwell. _-- Owner ____ ?_-- _- _---------------- Circuits & Feeders Space Heater ------Circuits ------ ________--___ _. Switches Temporary Service Pole _I-,ighting outlets Service Size ------ Outlets ______ Fixtures ___-__ ------------- ________... Address A � 1 __Recept. outlets CONDUIT SWITCH CONDUCTOR Fixtures ---"--- -----"- ---___Appliances ___ "'----"-"••Service ___________ Contract Address _ _ Range & Oven ______Transformer -- ------------- -•-- ---------Dryer _ - _ ___Water Heater _ Motors __ Motors _______ 1--Alteration ____ LS Type Bldg __ Fire Zone___________ - __ Transformers No H. P. Fee _-___-Other Signs ------------------- Special Requirements ------------------------- Other TOTAL - - - $__ -�. ----- -------_---_.------_-••----------.--------__..._-city clerk. _ z nspector of Buildings. 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 li nse n tuber: Classification -------------_-_-- _ �------------ License No. --------------- 2. I am exempt from these prnvisio by re son 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 ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section -------------- ----------------- •---------------------t----.. INS1MANCE COVERAGE —Check appropriate box (one must be checked, Sec. 04 Calif. Labor Code). Certificate of workmen's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is still in effect. ❑ The permit sought is for one hundred dollars or less. ❑ I certify that in the performance of the work for which this permit is issued, J I shall not employ any person in any manner so as to become subject to the workmen's compensation laws of California. I understand that failure to , comply with applicable work's compensation laws shall cause revocation I of the permit. ' 1 Applicant_±]t_ _�yJw�.a'�`---------- --------- / fi CITY OF SAN LUIS OBISPO Business License ❑ BUILDING PERMIT StreettFilerd ❑❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. DESCRIPTION OF STRUCTURE OR WORK I Use ------ Add_- torige_bsu.lding-&semoidel------- existing store Estimated value --- __19s000- --------- Units New ❑ Addition Q Alteration lZ Repairs ❑ Move ❑ Demolish ❑ Width_36� ___ Length__541 _ _. Height-16! 0! Stories___ Remodel: 341 55, to Foundation— Slab... Exterior wall_StURaO__ Rwf_co�Rt__ built-u How heatcdq$!—F�n� Type___y Group-F4--- Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ LOCATION INFORMATION N�o.-2_640---- Street --- �aad------------- pt Z`ai 4_ Block_____ Subdivision�r T- Parcel No.---- 4-925-23 JN ______________�______„__..._ ___ __________City Clerk. Use zone-GaH Fire zone__2- Lot size_93-_X__3,30 Front yd._7' 1____ Side yds. ____0— __/___ Q!__ Rear yd. _01-______ Nearest bldg.- Atte l ® 37'41 Date_ June 10,-1P-71------- Permit Fee $__710Q0 -___ Plan Check Fee $_________--- Other Fees $_______-____ TOTAL $__?1•_00____ I I Owner _01; o ter_slT.wt____------___ 1701 Oak Street [ Address 6�l 3 3 R&r-r RDwilliam :1 nc or Eng.----------------- Address _____ 396 Buckley Road_____ ----I I Builder Wheeler Construction CoJnc� 2650 Broad St. Address ________________________________, Special requirements _ 1-0250_________________-__-_______ Const. Lender: None 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_______-_-Bw�_______________________ License No. _2325314-____ 2. I am exempt from these provisions by reason of the fallowing: 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. DURANCE 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. I 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 Iaws of California. I understand that failure to l comply with applicable workmen's compensation laws shall cause revocation I of the permit. I Applican��--- ------ [ 1 I CITY OF SAN LUIS ;OBISPO Business License Elo`� N� Permit Card ❑ • . V C ® 5 Heating and Cooling Permit Street File ❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will he done in accordance FEE $ /..� s-_ • w ......... - - ! 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 aaes not include permission to install electrical, plumbing, sewage or sidewalk facilities. �- 1 Number S C H E D U L E Each Fees Date 3 ---------- t � 1 1 Permit .. .. $.- - --2.00.. ...... --------•---. .......- - ........... .. �� BTU. F.A' -Gravity - Floor ...................-•-•-- .. f � �S,a o a •...........................--------- } - --- Furnace a� F6o'ije;r, - .�i------------- --------- - - Owner Heater: Suspend'etl - Wall - Floor ............................... -........ -....... ------------------....... __:..::� ... a , --------- Combustion P-roducts Vent- ........................... -•------•--.....-- ....... .....--------- -... ------ -- - -- ---- - Location U ------------ Repair, Alteration or Addition ----------------- ..... ........................ ......... ..... .--------------- . - ...:._..__33.,....._ .�- ------ Boiler, Comp. or Absorb. Unit: ............ H.P. 1- ,,0�,.0BTU's. -- -- 41_.F- i-•----- ---------- I.: Occupancy = - - -- - - - - --............ . -- ------------ Air Handling Unit: ------- • ---- CFM------------------------------------------------- -•-------------------- .........__.-•-----_-- -yam ------------ Evaporative Cooler -------------------------------------------------- 0...... :--------------- -------- -0_-------- --------- _............ Contractor ------------ Incinerator, Commercial ------_------. ............. -- ----- ----:. ��_:...... .. ................ .............. ....... r ........... Vent System: Single Duct - Multi. Ducts - Grease Hood .................. ........................_o---- .._-___--___-- Address ............ Gas P'ipin9 @ $.30 per outlet. Minimum $1.50..................... :.:..... ....... -..... ......... ------- ----- .....•-•-•- Other ....................... .--------- ----------- _............... _.... Special Requirements TOTAL $ _ ........ I -------------------------- CE COVERAGE —Check appropriate box (one List be checked, Sec. I i undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: Certificate of workmen's compensation insurance, copy thereof or certificate I 1. I have a valid California State Contractor's License in full force and effect with of consent to self insure from Director of Industrial Relations, has been I the following class ication and lice se number: filed with the City and is still in effect. l Classification License No. Zee I 2. I am exempt from these provisions by reason of the following: ❑ I certify that in the performance of the work for which this permit is issued, a. I am the owner of the property described in this permit application and I am I shall not employ any person in any manner so as to become subject to the I building or improving structures thereon for my own occupancy and not to be workmen's compensation laws of California. I understand that failure to offered for sale. comply with applicable workmen's co en tion laws shall cause revocation of the permit. [� ? r CITY OF SAN LUIS OBISPO Business License fsl� AI Permit Card ❑ 2 2622 ELECTRICAL PERMIT Street File ❑ This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance 1 with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not FEE started within 60 days. This permit does not include permission to make any structural alterations or install plumbin$� sewage or sidewalk facilities. JIIJL-1J-7 2 G 8 8 4 A —ELE ' I Items Fees 10 DAT 1�----__ New single-family residence with ______________ square feet. g Y 9 - -_1_-Permit ___-_-_ $-------W.00 -_____Circuits & Feeders ______Space Heater __ New Dwell. ___ �-- Circuits ____ ----- -- --- _ -- C3wne __ �_____ SIC 6A,#-0, -_____Switches _____-Temporary Service Pole Address�6 - - - _,.�el ______Li Lighting outlets Service Size g g -_-___Recept. outlets ______Outlets ______ __ Fixtures -_____ ------------------- ____-------- �4 Contract A,-•lrL�t1 CONDUIT SWITCH CONDUCTOR ------ Fixtures ____Service -.___-_ ---APPliances --- ------------ ... - <z � Q F - ______Range & Oven __-Transformer __ d rem ------Dryer ______Motors Water Heater Motors _______ _______Alteration ____ ____________ Type Bldg. �?-_�_ Fire Zone___________ Transformers No. H. P. FEE ------ Other __—________ I ______Signs ------------------- ------------ Special Requirements _______________________I ______Other -------------- -- TOTAL - - - ------------------------------------- -------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 and jcense nun ber. Classification -----------_ __Y.r - A------- License No. ______________ 2. I am exempt from these provisions by reason of the foIIowing: 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 — — r_ I - Inspector of Buildings. I INSUTANCE COVERAGE —Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). CY uertificate 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. I ❑ 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, l I shall not employ any person in any manner so as to become subject to the I workmen's compensation laws of California. I understand that failure to I comply with applicable workmen's compensation laws shall cause revocation I of the permit. I f Applicant----.----____---------------------------- V Z i� N 07 d' Ln Lh O m W z O a 0 v rn a z 0 LL J C] O a N m O N J z 1!1 F- W W F- U1 O m m O Ln t0 N Iy 0 cn rn U 4-110 !r I-H i�8 AN w14 r. cn b cd ti W 1.0 N W LL- Z o� z 0 U �pNSTRUCTION o mf: r `�sh� Nvai��wv LL L.LJ LD O dN �4 �:: �s O 4J •ri U U) LU vi u w a� 4H �J (D m o E :D 7 7 C; i4 v- o � rd 04 a~ ° E o ~ v LL W c Q c V Q Q c L 0 7 s u 0 r` a :gin �n 4- F- v rid `J > +- �.s~ os oF- o`~ri 4. a 4 a F- u c� °Jcsc~0 n aA ° Z a ° Z m V ` s - rn 04i Z-a0 3Z'� df U ° ,Q�s U b� w � a :3 u < ::� 3 : s ap ■ �J O Q _C Q ~ C,'0Z v c D. v 3 s U o a E-� 1 °°' s� rdU -co o-C o m 3 G e c _� (o • ri Q c o u (D 0 u u E ra -C 7 c rl re +- (D -0 >1 L- .t 1. o .? 4-- [ -00 -P CQ u " j o > u c G1 7 ° 4 ° 0 u N u °u c -P �4 c U 7 0i a o (u4 3 o-1 Q. ° v c c c rl 3 C ° °' v° C: th a � \ NL "� S-° c ri 3 N LO c} 4-N rl v co ' U U o c s O c off a>' �U4a Q aEi a v 7 a o oEn 0 o a 3 �4 rn U °0 o o °O -AN o xF— vF �-ai v I' at U a v i U s Q-P �J 3� um >, :D R, '-� s f-C ° — H ce rd +- O V'I C -c o N �t-N U +- A Z E a) +- Z +-. s-.aODU +7. uou u 00 z 0 H a U to O E- n ■ U H rrdd 7$ 'pad iLD a° � v oix an �4 v +- W ' hr-II X :II< C9 r-I H c' W > c > a) a) s o s L +: 7 c - -0 -0o v a_, c Z 4 o a a a o� c tl fA .� c::E o `' - v u U a) v V N N S c N o ->s�+.E�o. a ° c a� +- >0 ° -C ' 4- a_ C0 / Z os° C) U �- c Z a Q) u E° OD v O a aU- °_Q a o u-0 OD U a~v° ��- °cv-0.- v ^� Q c u c° o n LLJ ° L in 0. a� + 3 as � OD mm +- C N o a- C +. >.Z m c V Qi a U V C,c L a L c a w a o a a v,} L CD o 0 Z c .` m o o U O N LLJ O •o 0 0 u -a a ; i� a aZ aa) ° cv a o C3 ~ a,� c0 v a o Q C/� v Z° a� 0 s-10 U z u�~ ° a s°Q o u C Q Z a c C a u a) Q LU ° _ ° � 3 Z "- Q o 0 W LLJ W v O E wW ", +� c U .c I IQ \I - O° O Q W uuo C< Q " v V U D s °� V N c c , o a v a 3 � > � V + +. �Q ° ` C 3 as i�-3 v�A U aim � �, (D ,, �• .+ ,,�y=. w o y? o u-o# J APR " .y u o c r, C Or ._ c w � 0 �� '.A \J < 4-0 c 0 � -0 VI o w � o-.-.-U-0 °I O N ° > T 1p r 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. DES ION OF STRLICT OR WORK Use — --_- Estimated value _—_f� �-3 _-�___ Umits. - ___-- New ❑ Addition Er'Xiteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width_ Length_____l__ Height_______ Stories______ Foundation ----------- Exterior wall ---------- Roof___ How heated ------------ Type_____________ Group --- Garage ❑ fggpott ❑ ---,N ------ Attached ❑ Detached ❑ City Clerk. LOCATION INFO AT 9Tq - 7••65 Lot____ SBlock _2-� Subdivision ---------- 2C Parcel No. No. __ _____________________________. Use zone-___ Fire zone--__ Lot size_____X-....___ Frontyd.____._____ Sideyds---------- /_______- Read yd. ------------ Nearest bldg. Special requirements N 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: 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----------------------------------------------------------- f N? 1'720 !, � Date__-_��_,�7 �s Permit Fee $_ /7 Plan Check Fee $__/ Z- `_"' V Other Fees $--------- -.._ rAL � I` ---- .�„ 0, 5 a 6 7 � l„K Owner -------------�G ---_-I i Uzi I Address /57 Arch. or Eng. ------ —_--_____ I Address ------ ---------------_�--- -- I I Builder -_-__ _--------------- - -------- I Address ---------------------------------- I r 1 I J I -� 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 I 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 1 workmen's compensation laws of California. I understand that failure to { comply with applicable r eri's comperi laws shall cause revocation 1 of the permit. I Applicant_ I a CITY OF SAN LUIS OBISPO BUILDING PERMIT � � f Business License ❑ 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 &O days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. DESCRIPTION OF STRUCTURE OR WORK �flse ----- L�T�e'd �ETf1j----� ----------------- Estimated value __ P<5.crz7e------ Units __-_-_____ New ❑ Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ y Widths _6_ Length �---_- Height_J_,_5__ Stories__/__ Foundation________-_ Exterior wall ---------- Roof --------- How heated____________ Type__--- _ Group -------- Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑ LOCATION INFORMA'WON 4 2.4,,1a No.�?--- Lot6-__ Block_ Subdivision__________ Parcel No. __' _'? - � D -------------------- Use zonei_F_ Fire zone-Z Lot size ----- X_-__- Frontyd.__ Side yds. _________/__--____ Read yd. _________-_ Nearest bldg.-___ Special requirements I I I N° 888 Date----dd- —/ Ne `3_-- Permit Fee Plan Check Fee $----- —_____ Other Fees $------------ TOTAL $_ 6 --_- I Owner ------- Addresk 3 1 s __S/ •_ Arch. or Eng. Address Builder _ _ Address _ •--City Clerk.--------_�- cow -----.Inspector of Buildings. In accordance with the requirenents 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: 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 aII labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section---------------------------------------------------------- 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 of Californi . I understand that failure to comply with applicable w kmen's compe tion laws shall cause revocation of the permit. Applica►st_--- -�— _ _----------------- CITY OF SAN LUIS OBISPO �<•j�` ELECTRICAL PE This permit is issued with the undersigned applicant's agreement and ac ` dodge with City Ordinances, including any special requirements and other appli caws Started within 50 days. '['his permit does not include permission to make a an ti sidewalk facilities. �� �s Items New single-family residence with ______________ square feet. II ______Circuits & Feeders Switches Lighting outlets ------Recept. outlets ____-_Fixtures Range & Oven ______Dryer Water Heater Transformers ------ Signs ------ Other -_____ _ y --Space Heater __Temporary Service Pole Service Size CONDUIT SWITCH CONDUCTOR Motors No. I H. P, I FEE ---------------------- City Clerk. ?7�r �t:'lhatwork- is*ern bec&i 1 t> ns . id Business License ❑ Permit Card ❑ ��1 �. 409 Street File ❑ be done in accordance invalid if work is not ++y� plumbing, sewage or FEE $__J_-------- A 14 rR, D! 1.? -7 3-E-lir 2 -__1__Permit ------- -------New Dwell. ___ _ 9 _Circuits ______ ___-__Outlets __-___ __ ___Fixtures ______ ____Service ------- -Appliances ___ ______Transformer __ ------ Motors _______ _______Alteration ____ ______Other _______ ---------•---------- � TOTAL - - 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 ------------- --r---------------- — 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 --------------••------ -_-_----------------••- DATE -'---- ----- ------ Owner ) i Address Contractor _ Address--------------------------------i Type Bldg- ____-_-_-___ Fire Zone___________' 1 Special Requirements _______________________j f_ ---_----.._____--..___ ---------------- 4 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 of California. I understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. Applicant CITY OF SAN LUIS OBISPO Business License ❑ PLUMBING PERMIT Suet it led o 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° 511 FEE Fixtures Gas Appliances Items Fees ❑ DATE Owner -----,--Bathtubs ------ Grease Trap / __[___Water Heater ___1_ ermit $------ .Od ____Showers ------ Drink Ftn. ___ -Fixtures ---'�Lavatories------Slo Sink - P Space Heater ------ Sewer Conn. Location _G_`� __ 2,_Water Closets ------ Other ------ ------ Furnace ----I-Gas Heating _f� ______Kitchen Sink ------ Other------- ____I_Water Heater Occupancy -------------------------------- ------ Floor Drain ______Other______ Wall Heater --- 2—Gas Outlet ---/,r-s7Q_ ------ Laundry Tray ______Other______ Y Y ------Gas Dryer ______WaterPipingContractor __�1J_ ------ Urinal ________________ -_____Drainage Pipe Address ------ Water Softener ______ _ Register ------Lawn Sprinkler _ ___ — ------------------------ ------ Clothes Washer _______.. __ Flues ------Fire Sprinkler ----------- Special Requirements __________ _Dish Washer ------------------ TOTAL ------Disposal ----------- - -- ------- _----.... - - - - $-L2---5 -----------•--------------------------------- ------------ City Clerk. ____�_ _ __ ____ Inspector of Buildings. I In accordance with thVAquirements 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: 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 ----- —------------------------------------------- ___ INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec. l 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 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 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 I comply with applicable workmen's compensation laws shall cause revocation I of the permit. I I Applicant --------------- -------------------------------------I I