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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