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3L0
APPLICATION FOR STRUCTURE PERMIT PLANS RECEIVED Permit No.
IS HEREBY MADE TO THE: CITY OF SAN LUIS OBISPO Date: 7 Na. Plans Rec'd — % 4-_ 7
�
THIS APPLICATION IS FOR ALL WORK WITHIN THE STRUCTURE OR ASSOCIATED THEREWITH 5 Issued: /
OWNER: tM "rpu ADDRESS ti e!�a _ STATE LICENSE TYPE OF FRAME
PHONE: --r ❑ METAL El TIMBER B. WOOD STUD
NUMSf:R �' - -
' FOUNDA
ARCHITECT
ENGINEER
_
DESIGNER
BUILDER
L < I-t+4
rl
DESCRIPTION
No.
Street
Lot
Block
Tract No.
Lot Size
Assr's. No.
o
(00
0)
Lt; .,zi 6v: _i
Set Back
Side Lines
Rear Line
Nearest Bldg.
Used As
Units
Type
Group
� 1
"-
I
.i'1- tr 4 F
SPECIAL CONDITIONS
I
I
REQUIREMENTS I
CONST. LENDER:
ADDRESS:
GRADING PERMIT
TION
S CONT. CONC. ❑ SLAB
EXTERIOR WALL
❑ PIERS
117500"Zp
❑ BRICK
❑ CONCRETE BLOCK
❑ CONCRETE TILT -UP
❑ BRICK VEIN. ❑ STONE VEN.
ROOF COVERING
N COMP. BUILT-UP ❑ METAL
❑ COMP. SHGLS. 0 TILE
HEATING
I-1 ELECTRIC MQ r;AS RIRN
❑ METAL
STUCCO
❑ WOOD SIDING
❑ WOOD TRIM
❑ WOOD SHGLS
❑ WOOD SHAKE
I-1 raec WAii
ZONES
Use
Fire
3
SSUE
CURB, GUTTER and SIDEWALK PM'T.
FIRE HYDRANTS FOR CONST.
WATER FEES PAID
SEWER FEES PAID
CITY BUSINESS LICENSE
STATE CONTRACTOR'S LICENSE
LIST ITEMS PERTAINING TO THIS APPLICATION I AREA COST
USE I Width I Length I Height I Stories I Sq. Ft. Sq. Ft.
MAIN BUILDING
ACCESSORY BLDG.
OTSTRUCTURES
ADDITION
ALTERATION
REPAIRS
MOVING
TOTAL NUMBER OF (BEDROOMS I TOTAL NUMBER OF PARKING SPACES:
I have carefully examined the above completed application and I certify the same is true and correct.
All City ordinances and State laws governing building const uction Will by complied with.
SIGN HERE:
rOwnaj By � _ (Authorized Agent) I
Date?- 3% � -_— Phone_ Address E>'y i �.+ Phone
VALUATION and FEES
�f
�c)o
$-- �-^ ................. VALUATION
OF WORK
STRUCTURE PEMIT FEE ................................
$. '.�.C)
ELECTRICAL PERMIT FEE ........ ............ _..........
$-••------......----.....
MECHANICAL PERMIT FEE ............................
$........................
PLUMBING PERMIT FEE ........../--- ------------
$ ......................
PLAN CHECK FEE ...... L...f ..��p........
x.11.•..Ci... •
GRADING PERMIT FEE ................................
$........................
,RETAINING WALL FEE ....................•.............
$
OTHER.................................... .....:............
$
TOTALFEE ............................................
$
P . ED
NG AND BUIlN116 DEPT.
OE SMI IUIS OBISPo
CITY OF SAN LUIS OBISPO Business License ❑
ELECTRICAL PERMIT Permit
tFerd 0
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 plumbing, sewage or
sidewalk facilities. AUG-17-67 113 0 6
Items
y residence with __4 t__L___-__ square feet.
_Circuits & Feeders
___-__Switches
Lighting outlets
------Recept. outlets
Fixtures
______Range & Oven
______Dryer
______Water Heater
Transformers
------ Signs
Other
------ Space Heater
_-___-Temporary Service Pole
Service Size
CONDUIT SWITCH CONDUCTOR
Motors
No. H. P. FEE
A1� P_ srmit-------
Dwell. ---
------ Circuits ______
--___-Outlets _-____
______Fixtures ______
___-___Service
_---__Appliances ___
-___-__Transformer __
------ Motors _______
_-__Alteration ____
______Other -------
N2 4224
FEE
A - ELE
Fees 1 G� L Q •�/ _-_ DATE
2.00
---�--�b
Owners---'-------------- ----
Address/7ii •
Contractor_-___--_ _ --
----------- -- Address --
Type Bldg. ________ ____ Fire lone____—_
------------
__ Special Requirements _- _ - -_____-__-
TOTAL - - ----
IV J
--------------------------------------------- City Clerk. '__ _ _� �� Inspector 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 license number:
Classification _____—____— .../-_---_-_-_------ License Nols-oo Z L
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.
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 understan that fail re to
comply with applicable workmelt's ompens on laws sh ause re cation
of the permit.
Applicant_ _
CITY OF SAN LUIS OBISPO Business License 99
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.
1, 'i:- 1 7-%7 1, .
DESCRIPTION OF STRUCTURE OR WORK
Use -------- Add StoraRe_Room
Estimated value -_____ - �a300.___ Units______
New ❑ Addition E Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width_ 6 ' 5_`__ Length 19! V _ Height-_V___ Stories 1_
conc. stucco _-comq.bl-t-up
Foundation_____ Exterior wall________ Roof_---
How heatedas_ furn. _ Type__V _________ Group--1 -----
Garage ❑ Carport ❑ ------ X------ Attached ❑ Detached ❑
LOCATION INFORMATION
No.1798_____ Street__ Alrita------------
Lot -------- Block ----- Subdivision_ Tr.360 _
Parcel No. __ 4-963-43
Use zoneR=1 Fire zone_ 3 -- Lot size 60__X_ 150
Front yd--------- Side yds. __5 � ---- /_______-
Rear yd. ____ 5L ____ Nearest bldg._ attached
Special requirements __________________
Lender• None
------- -- -- -------- - ---------------------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 a d license number:
Classification __________ B_1___________ License No.
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.
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° 5749
Date__Au�ust _16� 1976 _
Permit Fee $_ 24t00___
---_-
Plan Check Fee $_-_______--_
Other Fees $--_-_-___---
TOTAL $_ 24.00 ----
4 n, n
Owner __ E._M. _Youn------------------
1798 Alrita St.
Address ---------------------------------
Arch. or Eng.
Address ----------------------------------
Builder ____Patrick N. Smith
Address-____355_Hipzh_St.
L07E4sr_04_L__/ //A Inspector of Buildings.
INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
1K1 Certificate of workmen's compensation insurance, copy thereof or certificate
of consent to self -insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
❑ The permit sought is for one hundred dollars or less.
❑ I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workmen's compensation laws of Califo ia. I underst,�nd that failure to
comply with applicable workme 's com sation la s.shall cause ovation
of the permit.
Applicant----
_� _
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
This permit becomes invalid if work is not started within 60 days. This permit does not include permission to install
electrical and plumbing facilities; make sewer connections; excavate in the street; and/or construct ramps, curb and gutter
or sidewalk. Plans and specifications are considered an integral part of this permit.
DESCRIPTION OF STRUCTURE OR WORK
Single-family residence with detached
'Use ----------------•---------------------------
carport and 601 retaining Wall.
-----------------------
Estimated value-------------15,750 __ Units_- 1--------
New 99 Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width__36__- Length ___51 __ Hei ht__lO __ Stories__ 1 __
tucco,
Foundation coat. COn tenor wall_wd_si$in$j of blt.u�.
LOCATION INFORMATION
No.--_17%8____ Street__ Alrita---------
Lot --------- Block_____ Subdivision ----------
Parcel No. ___4-963-22 _____
Use zonek _ Fire zone_ 3_ Lot size__60 X137_
Setback--_ 20 Side lines __ l0-___/__4 -----
Rear line ____V __ Nearest bldg. l�__
N° 3614
Dace___Nov_ember_Q
Permit Fee $_ 51!00
Plan Check Fee $---- —______
Other Fees $___________
TOTAL $_ 51:00
Owner X9 n _E._ W; -- -
2
Address Morro Bayer Calitbrni� _____
t�
. O
Arch. or Eng. . -- - ------------ 6 ------
Address ---- --------------=------
ry
Builder - Dennis _B• Wheelers
N
861 Montere 3IA t"
Address---------------y�--------- ------
as furn T Curb -Gutter -Sidewalk. Final ins ection wil1bz
How heated- ----`Type------------- Group-------- Special requirements -- -----------------------------------P --- --.------------------ I
I
Garage ❑ Carport:& __20 _X__20 _ Attached ❑ Detached 14 _subject to annexation to C___________________________________________LU
Builder I
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, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respecb�to
the ordinances of the City of San Luis Obispo, and all pertinent State Laws and lawful orders of the Inspector of Buildings, regarding the construction, alterations, maintenance, I
repair and removal of buildings within the city limits: and this permit may be revoked at any time upon violation of any of e pfo isions of said ordinances.
I ,--
____��..'_L..:,__ Inspector of Buildings. I
AGREEMENT —In consideration of the issue and delivery to ante by the Inspector of Buildings of the City of San Luis Obispo of the above permit, I hereby agree to doe
r osed work in accordance with the description above set forth and according to the provisions o the ordinances o the City o San Luis Obispo, and I hereby state and s
pop p� { g p f f y f p y aye I
the facts stated by me and contained in the above permtit are true as herein stated. It is also agreed to keep the City of San Luis Obispo and its officials harmless from all costs axd
damages whj4 may accrue from the use or occupancy of the sidewalk, street or sub -sidewalk space. I
C/l ---- -------------=Y------ - ----- Owner I
'�f� -- City Clerk. By _1
.��