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----.----____----------------------------
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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
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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