HomeMy WebLinkAbout144 Stenner Address FileCITY OF SAN LUIS OBISPO
ELECTRTCAL PERMTT
Business License !
Permit Card tr
Street File !
N9 616
FEE $06
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 peimit does not include permission to rnake any structural alterations or install plumbing, sewage or
sidewalk facilities.
Items
------New single-family residence with ,----1----- sguare feet.
D^rE -4---72--G 1-
-W
------Circuits & Feeders
- ----Switches
--- --Lighting outlets
------Recept. outlets
------Fixtures
- ----Range & Oven
------Dryer
------Water Heater
-- ----Transformers
------Signs
------Other
4 Space Heater
- - --Temporary Service Pole
Service Size
CONDUCTORswtTcHCONDU IT
Motors
FEEH.PNo.
C)wner
Address -,-1-4/-
Address
Type Bldg Fire Zone---
Special Requirements
lnspectnr of Buildings,
INSURANCE COVERAGE-Check appropriate box (one must be check. &e'
3800 Calif. Labor Code).
tr 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.
n
tr
!
----City Clerk.
In accordance with the requirements of Section 3800 of the Califonnia 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 struetures 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 ($100.00) for all labor, materials and other items.c. Exemption is based on the following seetion of the State Contractors' License
The permit sought is for one hundred dollars or less.
I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workmen's compensation laws of California. I understand that failure to
comply with applicable workmen's compensation laws shall cause revocation
of the permit.
Applicant,--
---l -Permit -------
-:3--N"- Dwell. ---
- a/ - Cir"uits ---,--
----*-Outlets ---, -
------Fixtures ------
---.---Service -.-----
-4/- Appliances ---
_-----Transformer --
- ----- l\{otors -------
-------Alteration ----
----*-Other
TOTAL. - -7:1,:!?$
thl & l- u"t
Fees
Law: Section
CITY OF SAN LUIS OBISPO
PLUMBING PERMIT
Fixtures
--- - GreaseTrap
------Drink Ftn.
-----Slop Sink
-,----Other
-,-,--Other
------Other
- ----Other
----City Clerk.
e"a$tfi*3ti"6'be Bl 5 j 3 j
Permit Card tr
Street File tl
t^: il!:nu I{g'"
.i.":
z58
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 electrical, sewage or
sidewalk facilities.
FEE $--'3--4-
2{
-J-- Batht,rbs
------Showers
.'(-3- Lavatories
-=3---W"t", Closets
-r-3 --Xir"t"n Sink
----- Floor Drain
--- --LaundryTray
*-----Urinal
--- --Water Softener
-r3-- ctottesWasher
------Dish Washer
of Buildings.
In accordance with the requirements of Section 3800 of the California Labor Code, I. the
undersigned, hereby state with regard to Chapter g, 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
INSURANCE COVERAGE-Check appropriate box (one must be checket. .ec.
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insurance, copy thereof or certificateof consent to self-insure from Director of Industrial Relations, has beenfiled with the City and is still in effect.
tr The permit sought is for one hundred dollars or less.
___4.so#
___ffi
$3-d.'?-r{
tf,
$__-.00-,-1)ermit
-1-d- Fi*t,rr"t
---1--s..". co.,r,.
------Gas Heatins
-'$J wur"rH".t"",
---,- Gas Outlet
-*- .*WaterPiping
------Drainage Pipe
- -* Lawn Sprinkler
------Fire Sprinkler
TOTAL
-=S---Wur", Heater
*-----Space Heater
----,-Furnace
------Wall Heater
------Gas Dryer
---,--Register
------Flues
--/-E-y'-- -/frA**"D-
Special Requirements
Address
Occupancy
Location
conrracror -0--V--\J,
Owner A^-!-L -
FeesItemsGos Applionces
Law: Section
!
Applicant--
]
tlSi)-B+qinpip License. n
"' 'i *i#t'b"rd 1 jI :tr? ?
N9
eeil
frZlt^ Check Fee
Other Fees
TOTAL
i
1 I
CITY OF SAN LUIS OBISPO
BUILDING PERMIT Street File
This permit is issued with the undersigned _applicant's agreement and acknowledgemcnt that all work will be done in accordance
;;;il 6il iili'un""r, including arry slecialidquirementsandother applicable-laws. This permit becomes invalid if work is not
,i.r*Jir,fri" Ao a"yr. This frermit ioes not'include permission to-iirstall electrical, plumbing, sewage or sidewalk facilities.
$
$-2a_-:--
DESCRIPTION OF STRUCTURE OR WORK
ur" --J-:- 0l;*--f,-nu at/
_____ u-r+c .a
Owner
Address
22 Arch. or EngParcel
Front yd.
Read vd.
Special rcquirements
New Edd-aition fl Alteration E Repairs E Move fl Demolish E
w iarh -& *- k gtr ly'- O- H"ieu, - I /- rr^* - *-
poun6uriofr-O--taCt-Exteriorwall----------Roof ---------
no* t . r.aE- ! -eo5 -, *" - -%- - - G*'p - -/J- -
u"" ronKfiir. ronE- u, "irr5-Q-x/-65
-O--{ sia"yar.4A
Hds.76-'--.
Estimated value
Garage I
In
Address
Builder
Attached E Detached tr
of the Cfffornia Labor Code, I, the
Business and Pro-Division 3 of the
-- Nearest Address a.k_LZ
of Buildings.
INSURANCE COVERAGE-Cheek appropriate box (one must be checke<. ic.
880Q,Calif. Labor Code).
k6*iti"ute of workmen's compensation insurance' copl' tlneleof or certificate
of consent to self-insure froir Director of Industrial Relations, has been
filed with the City and is still in effect'
n The permit sought is for one hundred dollars or less.
for which this permit is issued,
so as to become subiect to theI understand that failure to
Clerk.
o
Law: Section
tr
shall cause revocation
ffi@$ City of san Luls oblspo. Bulldlngiivlsion . 9(n Patm street/Box 81@. san Luis obispo, cA 93403-8100 . (805) 549-7180
Project Address I4T sTEfifiEN
Asse.Sor's parcel Number lf-lrJ"Uufd-
Bulldlng
Legal Descrlptlon
Suite/Unit h
tf ljtfi i."0iit [rT Piit tI r
uFEftf;0E stfiUic[x p.Ht] [iRt;iJIIs rflR A e Sion
Permlt Glass
Permlt Type A
Property Owner
Malllng Address
Phone Number
Oacupant/Buslness Name
Buslness Owner's Name
Name
Phone No.
Prolect Manager/Archltect
Lender Name
U.B.C. Group
-
Bullding
-
Mechanical
Demolltlon
HCI$D$flfTH i ftrfltAR[ tlti]
L.tT u\g'ra!gtI !aft
TUilER
Electrlcal Plumbing
-
Grading ()lher
CltyrState LUX iJXUX t,ii
Zip Gode 93+ijl-i.lliii{i
Phone Number
City/State/Zip
dontractor's State Lic. No.
Phone No.3eH- 3tii8
Lender Address
Subject to Flood Zone Requirements
-
Sign
U.B.C. Type
Census
Number
t)04
Gensus
Sub-Code
Gensus Number Description A=Area
D = Dollars
Y = Yards
A/D/Y
per Bldg.
Bldg. Value
Gode
Units
per Bldg.
No. of
Bldgs.
Total Bldg. Area
Total Bldg. Value
or Yards of Gradlng Height (ft.)Stories Plan Nd. ?4
Frt Rtn.r rH R[f.&
SUILTIiiIE PEftfiiT
PLfrT CIIEXH
HEIHftHIIAI PEfti{IT
ELEITRICf,I FERNIT
PLIIHSIIIE PEftI{II
IEHOLITiffH FTftfiIT
5,ll.l;P.
HS}IIIIAFFEO PLf,il gHETIi
IIIEfiEY PLftI] [HE[g
30,{]0 I t43
SEHER
IIf,TER
c-0t{trRticTt0}i [i{ir TAx
shn$IiEs Pifir,ili
rA[fiili$ LfiT r'[ftlriT
HITftEFILfi T[[
FLJII{ i:HETg. *DJUSTI4Ei{T
slffil r[fl{iT
*UftltilSTftriI liir
ri{'i
TilTA} TTfCtar& | LtJ
Af,{}U}IT PAII'
E*L*H[E
t
f
li}.0s
r{] , ti$
rnE rsLlusiilf rrrl-rflillftr{r rttu *}tt $ttilJL.H I{i [Hat{fiE [EFilRr pffHIT ISlii*H[E;
Speclal Condltlons:
Application Numbb?t5fi
APP|ication 931$/dc/Yl
Activity Gode
Activity Date tic{iYi
Thls permll ls only valld when endorsed by an authorlzed representatlve ol the Communlty Development Dopsrlment.
Permlt Number
lssuance Date
I rr9 iQI
a?3r
(-zv-
DateDepartm€nt
.. LEGAL DECLARATIONS
' owNER BUILDER DECLAMTToN:
I am sx€mpt lrbm tho contractor's Licenss Law lor the loll0wing reason:
-Eh, as owner ol lhs property, or my omploysss with wagos as their solo compensation will do
the work and the structurg is not intond€d or otlgred for sale.! I, as owner ol the proporty, am exclusivsly contracting with licensed conlractors to
g$struct tho proiecl.
U Not applicablo
- WORKERSCOMPENSAT]ON DECLAMTION:
. . I hsrsby atlirm that I have a cgrtilicato of consonl to s8lt'insurs, or 'a csrtilicato ol vvorkorst
Compensation lnsuranco, 0r a cortitied copy hereol (SBc. 3800, Lab. C)- [J Certitied coov is hsr€bv furnished.
D cerrltieo coii is lilod with tho city. El Not applicablo
CERT{FICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
, Rl cortitythat in lhe perlormanco ol tho work tor which this p€rmit is issued, I shall not
employ any person in any mannor so as to b€coms subisct to th0 lllorker's Componsation llws
, . ol Calilornia.'
r,...*!@'t 1r,.
,,
NOTICE TO APPLICANT:
lf, aftsr making any 0l the lorogoing declarations, you becomo subigct to any Labor Code 0r
License Law provision, you must comply with such provisions 0rthis permit shall be deemod
rsvoked.
I csrtity that I havs r€ad lhis application and state that ths abovo inlormation is correct, I agroe
to comply with all clty ordinances and stato laws rslaling to building construction, and hereby
authorizs representatives ol this city to enter upon ths abovo-mentioned property lor inspection
purposss.
Unloss noted undor "special Conditions," this permit becomes null and void il work 0r
construction authorized is not starlod wilhin 180 days, or il construction or work is suspended
or abondonsd tor a peilod 0f '180 days any time after work is commencod.
og, til il,o,l"A- /,* \ I-zz-ql
Dato
$dnaturi
oi contrictor, Authorlzsd Agont or ownbr
0dglnal-Appllcanl White-Fllo Pink-Assossor Gold-Counter 59-87