The URL can be used to link to this page

Home My WebLink About1185 Foothill 29 27342 docs_Redactedcity of San WIS OBISpo Assessor's Parcel Number 062-184-029 Legal Description CY SLO TR 1213 U 296 PFN LT 1 Pmjed Description REMODEL 2 BATHROOMS Permit Type X Building X Mechanical X Electrical X Plumbing _ Sign _Oemditlen _Grading Property Owner XELLY,,LAMES D THE ETAL OccuprmtKsiness Name Mailing Address AldihectiEngirear City/Stamozip License s Contractor OWNER Cordmcloes Phone No. Mailing Address Contractor's Slate Lis. No. OWNER City/Slata/Zip Project Manager ,TAMES Pmjad Manager's Phone No. - Enforcement Lender Name lender Address C.B.C. Group _R-3 C.B.C. TypeV-B Stories 3 Coast: CBC10 CEC10 Census 434 Residential Akeraifon or Addllbn Dwelling nlfi 0 Motel ROOM11 0 Valuation Residential AlterationlAdd'nion/Convemlan 1,200 $1,200.00 Total Building Value $1,200.00 Fees Legal Declarations Building Permit 139.00 Plumbing+Eledrical+Mechanical Permit 220.00 2b(1)-OWNER-BUILDER'S DECLARATION - I, as owner of the property, or my Grading Permit OAO employwith wages as their sole compensation, will do all of lha work sse S.M.I.P. 0.50 Green Building Fee 1.00 and the strudura is not intended or offered for sale. (Section 7044. Business and Demolition Permit 0.00 Professions Code: The Contractors Slate License Law does not apply to an owner of Sign Permit 0.00 property who, through employeas'or personal effort, builds or improves the property, Mlec ChargenCredit 0.00 Administrative Permit 0.00 provided that the Improvements are not intended or channel for sale. If, however, the Archival Fee 0.00 building or Improvement is sold within one year of completion, Me Owner -Builder will have Subtotal 360 50 the burden of proving that it was not bulk or improved for the purpose of Bale) Investigation Fees 0.00 By my signature below I acknovAedge that, except for my personal residence in which I Building Plan Review Fee 139.00 must have resided for at bast one year prior improvements covered Fire Safety Plan Review O.ODhis t at I he b It as pacons cannot legally a structure Net I have built ss an owner -builder if It has Plan Revlsw Subtotal 139.00 no be I%entsell not been censWdetl in ib entirety by licensed contracture. Development Review Fee 0.00 Fire Safety Surcharge 0.00 Oa NOT SPECIFIED Fire Systems 0.00 Fire Sur/Sys Subtotal D.00 Construction Unit Tax 0.00 Water impact D.ODAma - 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00Aroa- 0.00 Traffic Impact O.00Ama- 0.00 Affordable Housing 0.00 Public Art 0.D0 Cotle Enforcement 0.00 Pad Improvement Area - 0.00 Engineering Development Review Fee 0.00 Open Space In -lieu Fee 0.00 Total Fees 499.50 Balance Due 0.00 Payments Amount Dee RereiM Paymentse 499.50 07103Y13 51308 Total Paid 499.50 Application Number1$0648 ParmN Number 27342 Application Date 07/03113 Issuance Date 07)OW13 Fee Exemptions: Construction File /s/ Signed Original on File Slignsturei of Contractor, Authostual Agent or Owner Data =JL city o f san lui s oim spo Building & Safety Division a 919 Palm Street a San Luis Obispo, CA 93401 e (805) 781-7180 a (805) 781-7182 Fax OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION Dear Property Owner: Building Permit Application No. harl be n submitted in your name listing yourself as the builder of the property improvements specified at // /U ST,n Lcies e2,60 51@0 We are providing you with this Owner -Builder AcknoWedgment .and. Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated above. An agent of the owner cannot execute this notice unless you, the property owner; obtain the prior approval of the permitting authority. DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 1 1 understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for es to workers on myproperty. 2.1 understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring 4luicensed Contractor to assume this responsibility. at. I understand as an "Owner -Builder' I am the responsible party of record on the permit. I understand that I may protect myself from potential ial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 1s4.1 understand Contractors are required by taw to be licensed and bonded in California and to list their license numbers on permits and contracts. . 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at ve hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. . 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee.' I also understand my failure to abide by these laws may subject me to serious financial risk. A7.1 understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally ldthem with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. J9aall . 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may held liable for any financial or personal injuries ned by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. . l understand I may obtain more information regarding my obligations as an "employer' from the Internal Revenue Service, the United States Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. 1 also understand may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSL13 (2752) or www.csib.ca.gov for more information about licensed *fincially ctors. 0. 1 am aware of and consent town Owner -Builder building permit applied for in my name, and understand that l am the party legally and responsible for proposed construction activity at the following project address: 4� 1 1. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and wrements that govern Owner -Builders as well as employers. X12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this --Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you maybe held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Print Name of Poperty OwnerP r city of san lugs oBi spo Building & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401 • (805) 781-7180 • (805) 781-7182 Fax AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Note: This form shall be completed by the property owner only.when designating an agent of the property owner for purposes related to a construction permit for the Owner -Builder. Project Location or Address: D/U Scope of Construction Project or Description of Work): �'`'v �4i p J i p ) eW owe GtSu S "ri �7 �h?r� �1S N�cv2/fS' %YJ u :b w�a/yJS Excluding the Owner's Acknowledgment and Verification of Information Form, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner - Builder Permit for my project. Name of Authorized Agent: Phone Address of Authorized Agent: declare under penalty of perjury that I am the property owner for the address Fisted above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature: Property Owner's Name (please print): .� Property Qwner's Signature;,/7 Date: / 113 Building Application No 7PCuyofaaxl,rObpeBedrft&S0ryDvmlsv .."' S>o.,m'aer - (805) 781-7130 919 Pabn Sord,, Ssa I -ad; ObApo, CA 93401 Bulldig¢4 Safay P)un Reim 005)781-7181 WATER POLLUTION CONTROL PLAN (WPCP) (For Seledu BUNS Pmjecd Isxs Than 1 Ao r) PURPOSE: This plan taut only be used for minor building projects (SFR - new, remodels, aadsWow; and/or commerical remodels). Newly contracted commercial buildings under CAGreen2010 Codes require the development and implementation of a WPCP similat an the standards of a State submitted SWPPP. This plan is only to serve as a guide, if the applicant elects to use it. The BMPS specified herein shall be considered just the "Minimum BlvIIas" and during the course of the project additional BMPs (Nenuuag BMPr) may be required to protect water quality. Please now that an in -fill new single family home project may require additional plan elements. Thu plan rhall be sued in aasordaaae vltb CGP 2009-0009-DWQ G.. StormvatarPnowt 7 2010 CaKmea Building Coder. of Estimate total disturbed soil areas in Applicant's Name: JP Emergency Contact. S2 Contractor's Name: Contractor's Mailing Address: feet Q sa grorion& Sedmaent ComovdMearrrnran Applicant's Tele Na Tele: (—) _ Cell: (_) - Contractor's Tel No. ( 1 - Type ofpm)ect- Check One Commercial / Industrial: 0 Alternations 0 New Con. 0 Site -work ❑ Tenant Improvement ❑ Other Residential: ❑ Additions ❑ New Con. Remodel ❑ Other: SCHEDULE: Anift'a ¢red Project Schedule (Calendm Drryr eh'Homr): Calendar days: / d2 t/s Horns: (From) 7 �:a (ro) 6 pW BEST MANAGEMENT PRACTICES OR 'BMP ^ are procedures that help prevent pollutants from running the City's stomswatee conveyance system and creeks. Indicate by checking ALL ANTICIPATED BMPS that most be incorporated into the project to ensure the protection of waterways and stormwatet conveyance systems (i.e. parser, muted, storm drain iahta, storm drueNs oat6h barlay crew ouhertr and son seal rtnanar). Informational brochures on various project types and BMPs qrc avqulable on the City website listed herein. For detailed information on the Beat Management Practices listed herein refer to: Ca General Construction Pemtit hnp//wum)waterbaarderagoo/mater_urerr/pmgrarnr/rlormwater Ca Green Building Codes buss:l/wwv.b,c sago elC,9LGnen/defauh.bmr Ca State Water Resources Control Board bup://www.nvred.tagov/makr_iaruer/pngram+/rtarmmader Ca Stormwater Quality Association* btgWaviw .auvarg/ Ciltram Stormwater Pollution Templates b1tp.://www. dot. aagav/hg/curter..�/rtonmranr/temp/vMl.bfra Colossus Supplement to Traffic Control Guide bap://wva)doteagoo/bg/trfopr/ngnteeb/mutahVp City of San Luis Obispo BMP Guides* hnp://vww.,rotary.org/pubkcurork,/rtomrwntn/5outnacb.ap City of San Luis Obispo Municipal Code bee ./lvvvw.rodepub&}hrng.rom/ra/mnluirobr'ryo/ City of SLO Stonnmater Management Plan IWO//vvv rinary.org/pxb&wrkr/rtormweer/doaummtr City of SLO Waterway Management - Plan I l/tp,//wP wes oay.org/pub4amn ks/do"load/wmp/wmppdf City of SLO Stream Management& - Plan II lien'// toec la nry.tg[4 akiapanhs/d /and/ / cargp,Rd! City of SLO Drainage Design Man. - Plan III http://sour slorcyv oryfpubianrer/download/wp/ddmpdf City of SLO WPCP Guide* Forth roming City SpecScatens b1sp11w .rloaty.org/pubb'smkr/dar rexa.ap Construction Industry Compliance Asst Center bca//www. riraronkr:ore/rwt/rwtl.efxor CA Stare Specifications - DOT hip ://wwm.dotcagnv/hg/uc/a/rmndara.pbp 0 Proximity to Storm Drains, Creeks & Rations Urdlergmumil Springs Seeps- If the project site is within close proximity (< 150) to a creek, storm drain inlet down gradient of the site and/or includes underground springs or seeps on site, the site plan may need to include the locations of each and additional specific BMPs may be required throughout the course of the project. Please consult with a Qualified Professional and/or Building Staff fox guidance. WFCPP1m,farMiwBaMqgAoem2012(Rm.2127112124/11,1/2112,3/18/12,9125/12,4/1/15,6/16/12) 1,f4 velee 77TCity of San Luis Obispo Building dam' Safety Division Stormwater - (805) 781-7530 919 Palm Street; San Luis Obispo, CA 93401 Building' Safety Plan Bevieav (805) 781-7181 WATER POLLUTION CONTROL PLAN (WPCP) ANTICIPATED BMPS NOTE: A "0" indicates mandatory BMPs for all projects. Good Housekeeping: Keep site clean & organized Run-on & Run-off Control Measures: Overland at all times. flow of storm water both on and off -site must be ❑ Pre -inventory BMPs: Develop a list all effectively managed. materials to be used on site to determine ❑ Stormwater run-on BMPs proper storage to avoid exposure to the ❑ Stormwater run-off BMPs elements as appropriate. Non-Stormwater Management: For work ❑ Material stockpile BMPs performed in the street, or to temporarily store ❑ Chemical storage BMPs materials in the street or on the sidewalk you must ❑ Inclement weather — materials storage BMPs secure an encroachment permit. 0 Impervious surface sweeping BMPs ❑ Equipment tool washout BMPs 0 Spill management & reporting BMPs. ❑ Encroachment permits Waste Management Plan: All waste products must ❑ Potential non-stormwater discharge BMPs be containerized & covered at all tunes. ❑ Saw -cutting BMPs 0 Waste management BMPs 0 Scheduling BMPs ❑ Concrete, paint, plaster residue BMPs (lined Site Schematic: To reflect the location of all BMPs washoutpit, cover during rain events) to be used on site. For example, depict the location ❑ Hazardous spill management BMPs of all perimeter control measures, such as silt ❑ Landscape materials BMPs fencing or straw wattles on a schematic. 0 Potential pollutant source list: Detailed list of 0 For all construction projects with outside chemicals, solvents, paints & fertilizers to be activities. used on the site. Water Efficient Landscape Plans Submittal: For ❑ Painting BMPs (lined washoutpit, cover daily) new construction sites a water efficient landscape 0 Completed City C&D Plan plan may be required. ❑ Portable toilet BMPs ❑ Refer to Utilities Conservation ❑ Equipment / vehicle BMPs Post Construction Stormwater Devices Erosion Control Measures - to prevent sediment ❑ Pre & post stormwater run-off calculation from becoming dislodged due to rain & wind event. ❑ A post construction maintenance plan ❑ Riparian protection BMPs ❑ ❑ A private Stormwater conveyance system Temporary soil stabilization BMPs agreement, and ❑ Temporary curb access BMPs ❑ A post construction site schematic required ❑ Vegetation preservation BMPs Inspect, Maintain, Clean, Repair & Report — all ❑ Slope stabilization BMPs site BMP's on active and inactive construction ❑ Wind erosion BMPs sites weekly. Repairs must be made as necessary. ❑ Dust control BMPs Document all activities in a log. ❑ Permanent soil stabilization BMPs 0 Weekly inspection schedule ❑ Phased construction BMPs 0 Pre &'post storm event inspections ❑ Steep slope BMPs 0 BMP cleaning schedule ❑ Post storm erosion control BMPs 0 BMP maintenance schedule Sediment Control Measures — to control & detain 0 BMP repair protocol dislodged sediment from leaving the site. 0 Documentation & records management ❑ Creek protection BMPs protocol ❑ Site perimeter BMPs 0 Reporting protocol ❑ Sediment basin BMPs Project Specific BMPs ❑ Stabilized construction exit(s) / entrance(s) ❑ ❑ Storm drain inlet protection BMPs ❑ ❑ Waterway & stabilized drainage way BMPs ❑ ❑ Rapid soil stabilization BMPs ❑ ❑ Advanced settling devices ❑ ❑ Post storm event sediment control BMPs ❑ WPCP Plan for Minor Building Pr jeax 2012 (Rep. 2127112124111, 112112, 3118112, 3125112, 411112, 6116112) 2 of 4 77TCity of San Luis Obispo Building & Safety Division 919 Palm Street; San Luis Obispo, CA 93401 Stoamavater - (805) 781-7530 Building& Safety Plan Review (805) 781-7181 SITE SCHEMATIC Required for all projects that include grading activities include a reasonable sketch depicting where all required and necessary BMWs shall be placed on and off site. Be sure to include: a directional arrow, slope directions reflecting after grading is complete, scale used, the location of all structures on site, the location of all waterways on and / or abutting the site, location of closest storm drain inlet, frontage and side streets and wild lands. Note additional requirements (i.e. erosion and grading plans, post construction stormwater device elements) may be required, so please refer to City Building staff for direction. WPCP Plan for Minor Building Pr jects 2012 (lieu. 2127/ 12124111, 1 /2/ 12, 3/ 18/ 12, 3/25/ 12, 4l 1 / 12, 6/ 16112) 3 of 4 City of San L.Uis Obispo Building & Safety Division Stormwater - (805) 781-7530 919 Palm Street; San Luis Obispo, C,4 93401 Building' Safety Plan Review (805) 781-7181 WPCP PLAN FOR BUILDING PROJECTS LESS THAN 1 ACRE The following sections of the City Municipal Code, City Standard Specifications, Storm Water Management Regulations, 2010 Green Building Codes and Fish & Game Regulations shall be reviewed by the permittee, and the permittee shall receive approval of this Minor WPCP prior to the commencement of work on the site. Plan BMPs shall be implemented on site at all times and verified for compliance. Permittee is required to maintain a log of all routine inspections, cleanings, maintenance and repairs made to all BMPs on site at all times for review by any representative of the City upon request. Failure to adhere to the WPCP, State and Federal Regulations may result in a Notice of Violation and/or an Administrative Citation and/or a Stop Work Order issued until the site is in conformance with the requirements of this plan. APPLICABLE SPECIFICATIONS: San Luis Obispo Municipal Code ■ 8.04 Solid Waste Disposal ■ Title 12 Streets, Sidewalks and Public Places ■ 12.08 Urban Storm Water Quality Management and Discharge Control ■ 12.23 Creek Protection Ordinance ■ 13.08.130 Stormwater & unpolluted drainage ■ 15.04.010 All disturbed surfaces ■ 17.17.05 Neighborhood preservation City Specifications ■ Section 3-1.03A, Encroachment Permit ■ 4-1.07 Work Site Maintenance City Specifications (Continued) ■ Section 1010B, Uniform Design Criteria — Drainage and Erosion Control ■ 19-1.07 Sawcutting ■ 20.3 Erosion Control Storm Water Regulations ■ Federal Water Pollution Control Act (CWA) ■ California Construction Stormwater Permit ■ California Porter Cologne Act of 2002 ■ California Green Building Codes (Chp 4 & 5) ■ City of SLO WPCP Guide ■ City of SLO Construction BMP Guide ■ 6-1.03 Storage of Materials Fish and Game Regulations: 1600, 1602, 5650, ■ Section 7-1.01G Water Pollution 5651 & 5652 Building Regulations ■ J103.1 & J103.2 — Grading permits required I agree to follow the requirements as set forth in this Guide (WPCP), the City of San Luis Obispo's Stormwater Management Plan, the State of California's General Construction Permit, 2010 California Green Building Codes (Chapters 4 & 5) the Federal Clean Water Act and all applicable specifications. In addition, I understand and agree to the following: (1) Dynamic Plan: additional BMPs, both temporary and permanent may be required during the course of the project at the discretion of the City Inspectors) in order to ensure the protection of local water quality, (2) it is permittee's obligation to take additional corrective actions when required to protect local water quality, (3) failure to comply with all the requirements could cause the permit to be revoked; the issuance of a stop work order, a notice to comply, a notice of violation and/or a citation; (4) the doing of any work under this permit shall constitute an acceptance of the provisions of this permit and all attachments and documents referenced herein, (5) a copy of this signed approved Guide shall remain at the job site at all times available for review by any public official, and (6) overland flow storm water off & run-on has been adequately designed for & managed. `�' Applicant: ; m - a � �� (7 Permit #: o Check One: Owner ❑ Contrictor ❑ Design Professional ❑ Legal Representative Signature: � Date: If you require assist in completing this "Plan" please contact either (805) 781-7181 or (805) 781-7530. Notes: An * indicates a construction reference source specific to Stormwater BMPs. Please refer to the City's website for "BMP Descriptions for Minor Building Projects" handout. Use of this template plan is at the discretion of City personnel. OFFICE USE ONLY: Received By: Date: Approved By: Denied: By: Date: Comments: PROJECT FEE SCHEDULE 2012: ❑ Minor - $261.00; ❑ Moderate - $1,643.00; ❑ Major - 3,484.00; Other: Date: WIPCP Plan for Minor Building Pr jerts 2012 (Rev. 2127112124111, 112112, 3118112, 3125112, 411112, 6116112) 4 of 4 RN Flo, (took B&°0i" ��l/newS�ris�rro�rd 3Y�X3zn m S{rower n5�1 new 1 01 1 w s 1,,�t i eewen a eab bozra� We-�er 141?�fr, 1� Ill e w )�O-rt % L-for E JUL 0 , ""l BUILDING, DIVISION CITY OF SAN LUIS OBISPO REVIEWED FOR CODE COMPLIANCE BUILDING DIVISION • CITY OF SAN LUIS OBISPO THIS P N TO CIE VEPT CN TPE l^P ?T ALL TIMES CALL FC INSPECTIONS AI LEAST ONE WORKING DAY IN ADVANCE 781-7180 Plans shall not be changed or allered.vlthout authorization tram the Burdln; and Eatery 011'&cr. A,;Umval of plans shall not be construed to be a permit for, or an approval of, any violation of any city ordinance or state law. G/ r` r400orS'c?F 30160 skowcq- Joe rieo/ (I-er wz, o", eril e (" e" 1"I"'1�111'119'118T q.ALn lws oBisno n-9;2_1RA_n2n