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HomeMy WebLinkAbout1010 OrcuttA. city Of a►11 tuis OBIS ) Project Address 1010 ORCUTT Assessor's Parcel Number 004-961-056 Legal Description CY SLO T31 S R12E PTN SEC 1 Project DescriptionTWO WALL MOUNTED SIGNS Permit Type Building Mechanical Electrical plumbing x Sign Demolition Grading Property Owner SAN LUIS TOWN PROPERTIES LLC Occupant/Business Name BARKERS CYCLE WORKS Mailing Address 2958 S HIGUERA ST Architect/Engineer CitylStatelzip SL❑ CA, 93401-6604 License # Contractor OWNER Contractors Phone No. Mailing Address Contractor's State Lic. No. OWNER City15[ate/ztp Project Manager BRIAN 13ARKER Project Manager's Phone No. 596-1958 Lender Name Lender Address C.B.C. Group C.B.C. Type Stories 0 Codes: CBC07 CEC 07 Census Dwelling LF7710 Motel Rooms 0 Fees Building Permit Plumbing+Electrical+Mechanical Permit Grading Permit S.M.I P. Green Building Fee Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Misc Charge/Credit 0-00Administrative Permit Archival Fee Subtotal 715.05 Investigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal 0.00 Development Review Fee Fire Safety Surcharge Construction Unit Tax Water Impact ❑.0D Area Water Meter Installation Wastewater Impact 0 00 Area Traffic Impact 0.00 Area Affordable Housing Public Art Code Enforcement Park tmprovement Area - Waterway Management Fee Open Space In -lieu Fee 0.00 0.00 000 0.00 0.00 0.00 0.00 0.00 76.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 Valuation Total Building Value 50.00 Legal Declarations 2b(1} - OWNER -BUILDER'S DECLARATION - I, as owner of the property, or my employees with wages as their sole compensation, will do at$ of the work and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale) By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors 3a(3) - WORKERS' COMPENSATION DECLARATION - 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 , and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Total Fees 7605 Balance Due Payments 000 y Fee Exemptions: Amount Date Receipt Payment #1 76.05 08/20/09 43791 Comments Total Paid 76.05 Application Number090667 Permit Number 24081 Application Date 0812olag Issuance Date 08/20/09 Address File c M ty of sari WIS OBIS 0 :14p III Building & Safely Dlvisiun - .,90 Palm Street • San LuW_f805)+s Obispo. CA 93401-32 781-71BO Construction Permit Project Address 1010 ORCUTT Assessor's Parcel Number 004-961-056 Project Description ENLARGE UTILITY ROOM Legal Description CY SLO T31S R12E PTN SEC 1 Permit Type X Building Mechanical x Electrical Plumbing Sign Demolition Property Owner ROGOFF JULES THE ETAL OccupantlBusiness Name MING AUTO APPEARANCE CENTER Mailing Address 330 LOS CERROS OR ArchitectlEngineer CitylStatelZip SLO CA, 93405-1272 License # Contractor OWNER Contractor's Phone No. Mailing Address Contractor's State Lic. No. City/State/Zip Project Manager RANDY DETTMER Project Manager's Phone No, 541-4864 Lender Name Lender Address U.S.C. Group B U.B.C. TypeV-N Census number 437 Commercial Alteration or Addition Non -Residential Addition to Service Commercial Fees Building Permit 409.85 Plumbing Permit 0.00 Mechanical Permit 0,00 Electrical Permit 54.63 Grading Permit 0.40 S. M.I. P. 5.25 Energy Surcharge 0,00 Accessibility Surcharge 0,00 Demolition Permit 0•00 Sign Permit 0.00 Misc Charge/Credit 0.00 Administrative Permit 0.00 Investigation Fees 0.00 Microfilm 0,00 Subtotal 469.73 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 Development Review Fee 174.18 Fire Safety Surcharge 0.00 Construction Unit Tax/Plan Preparation 0.00 Water Impact 0.00 Area 0.00 Water Meter installation 0.00 Wastewater Impact 0.00 Area - 0.00 Traffic Impact 0.00 Affordable Housing 0.00 Public Art 0.00 Code Enforcement 0 00 Park Improvement Area 0.00 Total Fees 643.91 Balance Clue Payments 0.00 Amount Date _ Receipt Payment #1 643.91 03101105 19168 Total Paid 643.91 Application Number050161 Permit Number 19920 Application Date 02/23/05 Issuance Date 03/01/05 Grading Stories 0 Codes: UBC 1 NEC 1 Dwelling Units 0 i Motel Rooms 0 Valuation 25,000 182 Sq Ft @ $25.000.00 Total Building Value $25,000.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the con traclor's License Law for the following reason: 0'7, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby fumished. Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE E31-1 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 Worker's Compensation Laws of California Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject la any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authanzed is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days airy time after work is commenced. Special Conditions: Comments: Address File Signature of Contractor, Authorized Agent or Owner c i ty of ^are Building & Safety Divlsian • 990 PaInCeyfg WIS O B I Sr ft4hL81dpEJ J1149 • (Sc.di-7180 Project Address 1010 ORCLITT Assessor's Parcel Number 004-961-056 Legal Description CY SLO T31S R12E PTN SEC 1 Project Description NON -ILLUMINATED WALL OR MONUMENT SIGNS Permit Type Building Mechanical Electrical Plumbing X Sign Demolition Grading Property Owner ROGOFF JULES THE ETAL OccupanUBusiness Name MING AUTO APPEARANCE CENTER Mailing Address 330 LOS CERROS DR Architect/Engineer CltylState/Zip SLO CA, 93405-1272 License # Contractor NOT REQUIRED Contractor's Phone No. 000-0000 Mailing Address Contractor's State Lic. No. 000000000 CdylState)Zip CA 00000 Project Manager MICHAEL KAPLAN Project Manager's Phone No, 541-8351 Lender Name Lender Address U.B.C. Group U.B.C. Type Stories 0 Codes- USC 98 NEC98 Census number Dwelling Units 0 Motel Rooms 0 Fees Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit Miscellaneous ChargelCredd Investigation Fees Microfilm Subtotal Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Fire Safety Surcharge Construction Unit Tax Water Impact Water Meier Installation Wastewater Impact Traffic Impact Affordable Housing Public Art 63.90 000 0A0 0.00 0.00 0.00 000 0.00 ❑.00 0.00 0.00 63.90 0,00 0.00 0.00 0.00 0,00 000 0,00 0.00 0,00 0,00 0,00 000 0.00 0.00 Total Fees 63.90 Balance Due Payments 0.00 AmQupL Date Receipt FPayment 63.90 06122i02 5397 63.90 Application Number 021020 Permit Number 17053 Application Date 08122/02 Issuance Date 08122/02 Valuation Total Building Value $0.00 Legal Declarations 1.OWNER BUILDING DECLARATION: 1 am exempt from the contractor's License Law for the following reason. ❑ 1, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for safe. 1, as owner of the property, am exclusively contracting with licensed cLntrgaors to construct the project. Not applicable. 2. WORKER'S COMPENSATION DECLARATION: l hereby affirm that I have a certificate of consent to self -insure, or 'certificate of Workers' Compensation insurance, or ce►6fied copy hereof Certified copy is hereby furnished led copy is filed with the City- LLr Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ❑ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any mannerso as to become subject to the Work" Compensation Laws of California of applicable NOTiCEr TQ APPLICANT. If. after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. l certify that I have read this application and state that the above information is correct, 1 agree to comply with all city ordinances and state laws relating to building construction. and hereby authorize representatives of this city to enter upon the above -mentioned property forinspec6on purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Comments - Address File C, 2- signature of Contractor, Au horized Agent or Owner Date r, ; "' CONSTRIf 9ION PERMIT (7 City of San Luis Obllsp9 • Building Division • 9N Palm Street Baa B100 • San Luis Obispo, CA 93403-8100 • IBM) 549.7180 Project Address 1010 ^RCUIT I3ullding Sultei'll Assessor's Parcel Number 4 131-005t- Legal Description 1.1 Slu" NIS RILE PTN S Project Description liAIIA KATE', I QCP FOE iAF NAF8 Permit Class PEMOKL Permit Type , Building Mechanical Demolition Property Owner P,OGOFI JULEs L d !iAttlit : Malling Address 630 HIGH IT Phone Number Electrical _IPiumbinip Sign Grading Other Cltylslate ;.N LI1I) 9EIrd Zip Code S3401 00U OccupantlBualneee Name Phone Number Business Owner's Name Contractor's Name aN? Mailing Address CltylStatalZip Contractor's Phone No. Contractor's State Il No. Project MenagerfArchRect t n', . Project Manager's Phone No. 511 8 - "E 3 0 Lender Name Lender Address U.B.C. Group U.B.C. Type Subject to Flood Zone Requirements Census Census Census Number Description A=Area AIDIY Bldg. Value Units No. of Number Sub -Code D=Dollara per Bldg. Code per Bldg. Bldge. Y = Yards Total Bldg. Value Total Bldg. Ara or Yards of Grading Height Jilt.) Stories Plan No. 5 ) 4 ?H[ F?L[r:MIll{ rF:`. iMlrlr.tt rr[r Q.1 &VE,}FCT in rl{ail]i EFFAM RiLTT I''SUANCL' FEE FEC.j FEE kE_.R EIIIICINu FFRMF' iCNIF FL41. HELE HATER KL-tifiNi-AL i'ERAll ?NEIRNCTION :IKli itr ELiCTBII:AI FTRNIT ,RADING RERNIT rill"lil PEPNII S,�p '+Esc PARCTli, 1.0 PEAKY ISFN((ITI7r FFRNl; NICRU ILK FEE PLPI :10-1; AAJUSINENT .00 HANGI_APPFE PLhN NF•:K 11511 PEPNIT ItiEll FLAN -,HLi APNIN]"[PATIVE I5,00 $654 TOT41 EEES 20.00 All PAID ; 110.00 EALANCE S RD I Sp"lal Conditions: Application Number 1961 Permit Number 1 ( ` Application Dale 70 Issuance Data `7� _ lion �' (4 Activity Code Autho a loran—ni Rep —on ai va pole Activity Oats 1 U25190 This permit Is only valid when endorsed by an authorized representative of the Community Development Department. LEGAL DECLARATIONS OWNER BUILDER DECLARATION: z-empl from the mnlractor's License Law for the lollewing reason. , as owner al the property. or my employees with wages as their sole compansalfon will do the work and Me SINClole Is not Intended or offered for sale. ❑ 1. as owner of the property. am ekcluslvely contras ling with licensed contractors to 'coAslruct the prox ❑ Net applicable WORKERS COMPENSATION DECLARATION: I hereby of Frn Thal I have a certificate of consent to sell -Insure, or 'a cartfficale of NUrkers' CompensatVon Insurance. or a cartlhad copy hereol (Sec. 3800, Lab. CI j ❑ Ceflittetl copy is hereby lurnished. ❑ Certilled copy is filed with the CRy_ © Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I rWify that to the performance of the work for which this permit is Issued. 1 shall not employ any person in any manner so as to become subind to the Wa lror's fompeasabon laws d} Caivoinia. Hal appliwde NOTICE TO APPLICANT: r_I-rl, . 11. after making any or the foregoing declaralll you became sub)ect 10 any Labor Cdde or Ucenae Law provision, you must comply wain such provisions or this perrrNl shall ne deemed revoked. I cerilty that I have read this appllcatW and stale Mat the above inlomuckn Is cuff%l, I agree to comply with all city ordlnanros and state taws relafing to building construction, and hereby authonre representatives of this chy To enter upon the above-mentfored pmperiy for inspection purposes. Unl -poted under lions." fhls permit becanles null and void 0 work or construcllon out hdr" Is not start wdhln 1B0 days, or i1 construdlon or work is suspended or abondpn�d a perlod of IBO s agy_►jMLailer work &Wmirril . K'tDrf bile CITY OF SAN LUIS OBISPO Business License ZI Permit Card i7 BUILDING PERMIT Street File El 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 ;�----tora�e_room, bsthroa®_----__ Estimated value---At!�_q -------------- Units ---------- New ❑ Addition IS Alteration ❑ Repairs ❑ Move 0 Demolish 0 Width___ �__ Length__)_-- 1-Ieight__10__ Stories____ Foundation __ C4Mt__ Exterior wall__4t1_1CCD_ Roof _-_.-_____ cow Flow heated ------------ Type ------- Y----- Group-_Z' -._- Garage U Carport ❑------ Attached l7 Detached 0 LOCATION INFORMATION- No.__1Q0___ Street—Qrcutt-Road Metes & botmda --- - ----- Lot -------- Block--_-_ Subdivision -------- Parcel No- -_4 961-()i Use zoneYt__ Fire zone_-2_ Lut size_62--X _M Frontyd.-_Tfl---- Sideyds.-25-------�Q--- ,z i N° 149 Date-_-10-10-62 ----- -- Permit Fee $- 28�00__-- Plan Check Fee $�---___-- Other Pees $-------_-_- Owner __01sau_Brot-h-ers----_-_..___---- 1010 Orcutt Road Address ---------------------------------- Arch. or En& ______________ Address---------------------------------- Builder --- 1-u$ene__JacksQu--------------- 660 Caudill St. Read yd.------------ Nearest hldg.______- u Address - Special requirements -- -------- Clerk. __4Jr.�Insperrpr of Buildings. 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 {Z fessions Code; I have a valid California State Contractor's License in full force and effect with the following classification and license number-, "[]7 ff Classification--------A-1---------------- ----- License No-/__zL_>> _`�-Cii__ 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 Doliars ($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. 3800 Calif. Labor Code). (B- Certificate of workmen's compensation insurance, copy thereof or certificate Of consent to self -insure from Director of Industrial Relations, has bee filed with the City and is still in effect. 0 The permit sought is for one hundred dollars or less. (�ertify that in the performance of the work for which this permit is ' I shall not employ any person in any manner so as to become subject workmen's compensation laws of Califo at f comply with applicable workmen's com]o44�4 se of the permit. .,Applicantt "__`_"__------------- CITY OF SAN LUIS OBISPO Business License 21 1 PLUMBING PERMIT Permit Card Street File El t] This permit is issued with the undersigned applicants agreement and acknowledgement that all work will he 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, selvage or sidewalk facilities. LL -''; �..) 6 2 13 2 2 N° 36 �Q FEE $--,Y A tlifl E.C. Fixtures Gas Appliances Items Fees DATE -- - -- ��-- `4J______ ----- Bath tubs ------ Grease Trap ------ Water Heater ___]__Permit —____Showers ------ Drink Fin. —Fixtures Owner__ +?i 1__ -- ------ Space Heater � � 41_ Location --- --Water Closers ------ Other ------ -/- Furnace ------Gas Heating ---------- ___Kitchen Sink ------ Other ------ _ _ __-_Water Heater ----------- Occupancy --------------- -------------------------- ---Floor Drain ------ Other- -__ Laundry Tray ------ Wall Heater - - -_. - Gas Outlet ----------- Contractor �_�� ------ ------ Other ------ ______Gas Dryer Piping ------ Water PiP� $ ----------- --- _ ----- ------Urinal ----------------- - - - - -- Drainage Pipe ___________ ______WaterSoftener ______________ -- ------Register ------ Lawn Sprinkler ----------- Address ---------------------------------- -----Clothes Washer ---------- .----_ ------ Flues ------Fire Sprinkler ----`-`--- Special Requirements------------ ---------- ------ Dish Washer TOTAL - - - - ___-. _ _ . _ ___Dis oral - l -.------ City Clerk. --------- ---- _ Inspector of Buildings. 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--------------------------------------------------------- INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec. 00 Calif. Labor Code). Certificate of workmen`s compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Re3ations, 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 whichthis 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 lawa�hsll duff revocation of the permit. CfCfJJtI iiUU77 I Applicant--�r-------------------- CONSTRU'`ION PERMIT City of San Luis Obispo • Building Divlsldn • 1390 Palm StreetlSon 9100 a San Luis Obispo, CA 93403.8100 • IBM) 549-1180 Project Address p,,_Ili i Building SuitelUnH Assessor's Parcel Number Legal Description Prolaol Description iJah r a, T .I. i;r, A'i' Permit Class ADId'i +'I Permit Type Building Mechanical Electrical Plumbing Sign Demolition Grading Other Property Owner FiiWP° '' t E 1. IDANNE Mailing Address tkIj 51 CltylState 4,! 1 Phone Number = i !,, Zip Code Occupant I Business Name Business Owner's Name Phone Number Contractor's Name U14NLF Mailing Address CltylStateizip Contractor's Phone No. Contractor's State Lie. No. Pro}ect Manager/Architect FAM[i4 pETTMFP Project Manager's Phone No. 544-7958 Lender Name Lender Address U.S.C. Group Ec U.B.C. Type Subject to Flood Zone Requirements Census Census Census Number Descrlptian A=Area A1D1Y Bldg, Value Unite No. of Number Sub -Code Dar Dollars par Bldg. Cade per Bldg, Bldgs. Y= Yards ,-,� � HDN-RESTrcN-E,it a+_i+HliIEDH;'EP i, ' 1 I f, NON-RESIDINTI t+ All ADD/COVER 3�r Total Bldg. Value y2 556 Total Bldg. Area or Yards of Grading Height(ft) Stories Plan No.E Tit FOLL`14t14,, PRFI-I� N;19' rEL5 AK SH]E,: w;!ISE ;Egq,E ocr,i;--,Ili I, r, FEE PF1.1 FEE REC,r PI ILDX PERMIT 283,511 c: i SEWER PLAN OiUi E33,:S' '78G1 WATER MEFHs,W[ChL H.P011 CIIN"^-TAII_TICrN LiNIT TO ELF! -IIb'k r££MIT .'. _ �FAaiNf pFFrii1 F'LIIREING PERMIT ? 1`4g'+:46 LOT PEPNIT FEro]LTi10N PERMIT IIIrG'4FiLR FEE 7.3,t 272 ?LNN i.40. Al juaTMEN7 i9 Haf#I;1If AFPEG PLAN CHU? i ,ME ANO $ATEPIAL E BEY'i PLAN LHECI- ADMTNIS11"RAT14 FLE-. a SP°.5S aMOuNT PAV Aw+iaNtF Special Conditions: Permit Number 51''4 Issuance Data' AuthorlxW 06p■r1m•11 Repfl entatlw fate S 1�+ Application Number Application Date Aecti! Avity Code l % Data This permit Is Only valid when endorsed by an authorized reprsaentative of the Community Development Department. LEGAL DECLARATIONS OWNER BUILDER DECLARATION: NOTICE TO APPLICANT: I am exempt from the conlradv's License Law for the followlnp lesson: It. ant' making any of the feregoing declarations, you became subject to any Labor Cods or ❑ I, as owner of the property, or my employees wllh wages as Inelr sole compensation wlli do License Law provision, you must comply wllh such provisions or this permit shall be deemed tM1e and the structure Is net Intended or offered for sale, rr"syd, asowner of the properly, am exclusively conimiing with licensed conlraclors to construct the project. I Certify that I have read this application and state mat the above Information Is tomery, I agree Q Not applicable to comply with all city ordirtances and stale laws relating to building constructon, and hereby authortEe represenlatives of this cffy to enler upon the above-menlloned property for Inspection WORKER$ COMPENSATION DECLARATION: purposes. I ftefety affirm trial I have a certificate at consent to self -Insure, or 'a cenlCCale of Workers' C nZsallen Insurance. or a Certified Copy hereof ISec. 3800. tab. Cl Unless noted under "Special Conditions." this permit bewmes nuil and void If work or ❑ Cetified copy Is hereby turnlshed. eoostnreuon aulhorlxed Is W started within 160 days. or it construction or work Is suspended ❑ Cartllied copy Is filed with the City. ❑ clot applicable or aborldoned to a period of 180 days any time after work Is commenced. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ❑ I Cattily that In the performance of the work for which INS permit is Issued, I shall not �+ employ any person In any manner so as to become subject to the WArket's Compensation taws 111 of Calltornia oe.re of Cast , f i nt W owftar [fie, r� El Not applicable IUI {JJJI il.k O drlykul•Apottum Whlla-rle Pink-Aaweaa Gold-Gw ter S4-87 CITY OF SAN LUIS OBISPO Business License 0 S�eFELECTRICAL PERMIT eta This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will 6edone in accordance with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not started within bD clays. This permit does not include permission to make any structural alterations or install plumbing, sewage or sidewalk facilities. Items New single-family residence with _ __ ___- _---- square feet. Circuits & Feeders Switches Lighting outlets __Reccpt. outlets Fixtures _ Range & Oven Dryer Water Heater Transformers --- Signs ---_ Other Space Heater Temporary Service Pole Service Size CONDUIT SWFTCH I CONDUCTOR Motors No H P. FEE - - - - - -- _ _ -- - -City Clerk. N? 4920 FEE 5_15.00 - Fees I October 8, 1980 DATE________________--______-____-. - - --- 1-_Permit------- $,-----_ 2.00 __-___New Dwell. _ - ----_Circuits ------ ---------- ------ Outlets ----------- Fixtures ------ ------------ -__Service ---_-- -----Appliances --------------- ------ Transformer _----------_-- - -- Motors ------- ------------ ----Alteration ---------------- -- _--Other ------- ------------ ---------- ------------ TOTAL - - - $--- 15-00-- In accordance with the requirements of Section 3800 of the California Lahor 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 erg number: Classification ------- --------- -1� - ---- --_ License No. _348867 2. 1 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. h. 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 ----------------------------------------------------------- Owner-Olstan Farina Address 1010 Orctrtt Road - - Contractor I Olson Electric __------------------------------ Address __ 870-13 Capitalio Way--__--__ Type Bldg. -_____------ Fire Zone ----------- Special Requirements----------------------- John-L,- Kellerman/v-e------------------ Inspector of Buildings. INSURANCE COVERAGE —Check appropriate box (one must he checked, Sec. a8l)o Calif. Labor Code). pl 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 performnnee 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 compe I n s California. I understand that failure to comply with ap cabl or en' compensation laws shall cause revocation of the permit. O 0 0 0 2� Applicant _ - -- - ---- ----------L-J-- -_- aftao SAn or OBISW APPLICATION DEPARTMENT OF CQMMl1NITY DEVELOPMENT r 990 PALM STREET ■ SAN LUIS OBISPO, CA 95401 • (805) 541-1000 EXT.G4 Please Fill in the unshaded areas where appropriate, as fully as you can. Use ink and print clearly. Attach a site plan and a scale drawing or photograph of your sign. We have a pamphlet trt tells what needs to be included In the site plan and scale drawing. The pamphlet also tells ender what.circumstancks a sign must a reviewed by the city's Architectural Review Commission (ARC). Copies of qd the complete Sign Regulations also are available. LOCATION OI�SIGN [gi6AC- ; : s iblc NM1ME 0 U1/S ESS 1 LJ BUSINESS ADDRESS U-5 OJt} lkA-,,- S o I o o a r-u A4j(LICSfANT 1 /� �TRvc1 PlIONS ��L],►� if there's anything else we should know about your sign --.something that's NOT shoum on the site plan and scale drawing -- use this space to explain. If you are asking for an exception to the Sign Regulations, give your reasons here. AP I u d�Zre.c� y might not approve what I'm PROPERTY OWNER pR AUTHORIZED AGENT: The applicant has my a i g'f a cc d tions of app val. permission to put up a sign similar to the one proposed. Signature hate Signature I;:ice VALUE OF SIGN $ � r1- FEES REQUIRED: ! 2Sign App. Fee $ r 0 Receipt 0 ' Sy ARC Fee S Receipt N By Building Fee S Receipt 6 By STAFF EVALUATION ❑ Too tall for this zone ❑ Exceeds number of tyre illowed ❑ Exceeds area allowed in zone ❑ Too close to the ground `a ❑ Lighted ❑ Projects too far ovrr sidewalk .� ❑ No frontage or public entrance ❑ Bldg. Dept. Approval Required J ❑ Exceeds % of Bldg, face allowed ❑ ARC Approval Required c a J N C ❑ in setback w COMMENTS: c W Z2 sL •� QCft � r a w a s � EXIST�VG PROPOSED ALLOWED Use Zone Setback Sign Category Height r Total Area of All Signs Area of This Sign r `f. PERMIT APPROVED. >f- )' _.� �'�� �� �� /%_�)Community Development Department /) Signature Date ❑ With conditions (stated abovelatrached) } 3 r r, n / 11111TE — Sign File YELLOW — Address File PINK — Applicant N4 t7/