HomeMy WebLinkAbout2074 Monterey Fire Sprinklerscity of san Luis osispo
it CONSTRUCTION PERMIT A a663
Department of Community Development, 990 Palm Street/Post Office Box 321, San Luis Obispo, CA 93406 (8O5) 5hFi050ffbx"9
TYPE OF ❑ Combination ❑ Building ❑ Remodel ❑ Electrical ja Plumbing ❑ Mechanical ❑ Solar ❑ Grading
PERMIT ❑ Retaining Wall ❑ Parking Lot ❑ Demolition ❑ Moving ❑ Other
Project Address 2074 Montarey Street Use Zone C—T
Lot Number Block 38 Tract Phillips Syndicate Assessor's Number 1-074-15
Owner
Desert Fire Protection Address 250 Evans Ave. ,RerfOo" phone _ (701)329-1926
Phone Lic. No.
Tenant- T oi C,,o wr.e Menrenr Tmm Address Day Phone
OCCUPANCY&GROUP R 11B 1
TYPE OF CONSTRUCTION: 11-1 Hr. Sprinklered
FOUNDATION: ❑ Wood []Concrete EI Slab ❑ Piers/Caissons
FRAME: ❑ Wood Stud ET Metal ❑ Timber ❑ Masonry
EXTERIOR WALL: ❑ Wood Siding ❑ Stucco ❑ Masonry veneer
❑ Masonry O struck Q19oncrete Block ❑ Metal
HOOF: Built-up ❑ Metal ❑ Composition Shingle ❑ The
®
S Wood Shingle/Shake
HEATING KI Electric ❑ Gas Furnace ❑ Gas Wall ❑ Solar
STATE REQUIREMENTS: Q Energy ❑ Sound ❑ Handicapped
LEGAL DECLARATIONS
LICENSED CONTRACTORS DECLARATION:
I am licensed under the emasions of Cha r 9 (commencing with B Mn 70N) ar Division 3 of Me
Business am Pmmions Code, and my IMense is In fall for" am ~.
C-36/
,.__.-,.,. 1,.. 367431
cmdmcmrDesert Fire Protection Dee 5/1/84
OWNER BUILDER DECLARATION:
I am worms tram the wntWw a License Use far the fallowing rMmn:
❑ I. as awmr of the mMef or my ememyaeo with wages as men sole com"Malfan will ad, the
won am the sWclure Is nd InIBM or ofierea far sale.
❑ I. as owner m the property, an exclusively camracbng wile licensed "mradon to construct Me
prole.
❑ I am exempt under Sec. .e.&P.C.*
this maven
oat. Apparent
WORKERS COMPENSATION DECIARATION
I Mreby affirm that I Were a certificate On convent to self -Insure, or 'a ww W Of Worknf
Cam ansaMn Insurance, or a wrII1Md cepy, Mreot (Sec. 3830. Lab. C).
❑ ceefied cwy Is hereby MmisW.
[R Cemfied cgry Is files wish IMCnppyflannlng MwnlMm.
Will— Anderson
CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I county IMI In the performance of the Work Be which this parch is Issued. I shal as employ any
person In any mander so as to Mrome subject to the Worker's Cml"MaMn Laws of CatgwnM.
Date Applrsnl _
NOTICE OF APPLICANT:
II, after making MM CBmfI of Exemption, You should besmbe sMjem M the MrMit
CamllawaMn dm'Isbns M the labor Cite, We MUM wmNy with such plWRNni ar this "real such
M d"eea reWked.
CONSTRUCTION LENDING AGENCY
I*nby affirm that MUM is a comtmcllon boding a" for the pertanM^ce of the were far which
this "roll Is Issued (Sa. seen, Cie. C.(
told is Accuses
I county that I haw mall thin appiirstun and sure that the above Intr=W Is wmem. I agree M
wmPY with all coumy ardlMn"s and staff laws reading to Wilding wMtNcll", old Of
aulMrixe represenlaNves of Ibis comfy to enter due the aN Mntio"a properly Mr inspmtlon
Wm"M.
NOTICE
Unlms eM uM "Specie conditions;' cos "colt becwms null and relit hours or construction
autkart"d Is and started wNNln IN days. or If "nslraction or work is sus"nced or aMndoned for a
paned N IN days any ham inner work Is commencow.
eN p ntraNra"�°" W1ynj
0AYD 2
spduma r(ffomwr MlWn
Type of Ralect FTRy SFRTMaI7R4
Prop m Use: Nut T
SabMIU: From slag and
Fluor Alsa Damge earn
Caree Corerea PorU1 DaAr Sm NM
No. BMmoms No. Bahraa" No. StaiM
BuIIGIMHeight
RNaningwalllnkm n: Length Height
MoNle/MW urHamelmalmeMn:
Year Sare No. D.O.H.M.
D.M.V. Lk. No. S No, eedrdoms
MOWngeulMinglnfamadn: P [Laafim
Amended use Tot. un. Ft. Of Fen.
Gmding hNlmeaal: TO. Cut Co. Yes.;
TaLflll Cu.Yes.; AmaWDISWNFIce
... r.efto we.Iwwwwwe rweew......
-_.----
Plan Check No. tgO $ 214. cis
Combination Permit ....... $
Building Permit ........... $
Electrical Permit .........$
Plumbing Permit .........$ 330.00
Mechanical Permit ........ $
Other: $
Other: $
TOTAL PERMIT FEES $
❑ Construction Unit Tax $
TOTAL FEES $ 944.50
REGUIREMENTSO Water Fees to be Paid [-]Other
❑ Fire Hydrants for Const. ❑ Sewer Fees to be Paid
® City Business License ❑ C/G/S Permit Reg'd.
[}—j State Contractor's Lic. ❑ Encroachment Permit
Ci J'O001)
VALIDATION
Jahn L. &3ilerman/ve
Authorized Department Representative Date
WH"—Aplalwm YELLOW —File PINK —AeeMea GOLD —Counter 1 SEO DATE TOTAL AMOUNT