HomeMy WebLinkAbout1764 Lima - PermitsCITY OF SAN LUIS OBISPO
BUILDING PERMIT
NOV- L 7-62 5 5 3 a 2 6
Business License
Permit Card C _.
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.
DESP I N OF TRLTCT[lRC OR WORK
Use- --_Le- - -------- ---- __
Estimated value �� ---_-_ Units_—__—..__
New Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width4f.%4 r Length__/_�_ Height__ � -- Stories-1_---
Foundation-r111'0151 _ Exterior wall ---------- Roof-"
How heated ------------ Type-- -7 ----- Group --- 1 i__-
Garage ❑ C"oxt ❑ ------X Attached 2r lletached ❑
-City Clerk.
LOCATION INFORMATION
` r
Street_�i�i--------- -
Lot --- _-__ Block
/ -A__ ubdivision_--____--_
Parcel No -------
Use zone] Fire zone-3- Lot siz4k2_X_7z0
Front yd. A. 0_ _ Side
Read vd. -4-/' ----- Nearest bldg.l4!6_____
I
8 N�011'11 - 2413.00
Permit F7
Plan Check Fee $ ------------
Other Fees $____-_--____
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TOTAL $______,—_
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Owner
Address r E
Arch. or Eng. ---- -----------------------
f
l
Address ------- ---- --.-------- ---------1
1
Builder °---------------- j
I
Address .. -------------- ----------------_--- �
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Special requirements . -------------------------------------------------------------------------
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:
CIassification---------------------- —------- License No. ------ -------
m 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 ------------- ------------- ---- —------ ---------- ------
_----------------------------------------------------------- ------
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4� _____ 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 1
of consent to self -insure from Director of Industrial Relations, has been 1
filed with the City and is still in effect.
❑ T ermit sought is for one hundred dollars or less.
lErl 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.
App2scart------------ -� a.�.1--------- I
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CITY OF SAN LUIS OBISPO
BUILDING PERMIT
X? 4878
Date_ --Jules
Permit Fee
62-349 Plan Check Fee $__19 t5 __-
Ties permit becomes invalid if work is not started within 60 days. This permit does not include permission to install Other Fees $--------
electrical and plumbing facilities; make sewer connections; excavate in the street; and/or construct ramftf -P 1gu�te� 7 6 7 3 A f1i XY.Li .
or sidewalk, Plans and specifications are considered an integral part of this permit. TOTAL $__5Bt59-__
DESCRIPTION OF STRUCTURE OR WORK
Use __--residence w/att. garage -----------------
- -----------CMa el-1-53Z-----------------------------
Estimated value-___111025-!k-00 --------- Units_-_ 1_____
New EXAddition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width —IL- Length_-29__-_ Height_______ Stories__1 __
Foundation___s.lab __ Exterior wallst'_uCCC _- Roof_ C PRS _
shg1s.
How heated__ -k _wall Type___ V -------- Group____ I
Garage di Carport ❑-.Q--- X__Zl__ Attached X Detached ❑
LOCATION TNF8�'! 4&l ` 2 7
No- _1764 __ Street_- Lima Drive -- __--
Lot --- 9 ___ Block__A__ Subdivision__ Lakewoi
ParcelNo ---------------------------------
Use zone_Rl Fire zone_ 3 _ Lot size- 60_X5 __
Setback_23- -- Side lines --101 __/__10(---
Rear line _ )T_---_- Nearest bldg. __ 19
Special requirements
Owner Lakewood Associates
Address _5W Westmont Drive
Arch. or Eng.
Address
Builder-Danmark_Hows, Ino!
Address .. same
builder
Permission is hereby granted to -------- — --------------- 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, miployees and workmen, in all the work done in, around and upon said building, .or any part dwreo f, shall conform in an respects to
the ordinances of the City of Saar Lvis Obispo, and all pertinent State. Laws and lawfYsl orders of the Inspector of BuUings, regrrrding the. construction, alterations, maintenance,
repair and removal of buildings within the city limits: and this permit may be revoked at any time upon violation of any of theaons of said ordinances.
fh ------ Inspector of Buildings.
AGREEMENT —In consideration of the issue and delivery to me 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 of San Luis Obispo, and I hereby state and say that
the facts stated by me and cnrtiaiased in the above permit are true as herein stated. It is also agreed to keep the City of Sass Luis Obispo and its officials harmless frmiz all costs and
damages zii' h y arc race. fr n tlae use or occupancy of the sidewalk, street or sub -sidewalk space. --_ -_--__--- _ - ---
t � � __ Owner
----- ____ City Clerk. By ______ __�___...__------------------_ _ _-