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HomeMy WebLinkAbout679 Rancho DrCITY OF SAN LUIS OBISPO Business License ❑ ELECTRICAL PERMIT Permit Card ❑ 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 make any structural alterations or install plumbing, sewage or sidewalk facilities. M 1 1 7 I" 609 FLE $ Items Fees �+ ` ! 7 � DATE I`1 �"•�.•r _ , _ _] _ _ _ _ _ _ _New single-family residence %with ` _ _ s juare feet. _ _ _ I _ _ Permit _ - _ _ $ _ _ _ _ _ _ _ 1.00 --.�--New Dwell. . - -------5.W Owner -- --- ---- -- -- ----------- &Feeders ------ Space Heater ___Circuits __ ------------ Q ______Switches ------ Switches Temporary Service Pole ____ Outlets -- ------ ------- _ Address - / - -- ________________ ---------------------- ------ Lighting outlets ______Recept. outlets Service Size CONDUIT SWITCH CONDUCTOR _ __Fixtures ______ ____Service ---------- _____.�'_�%� 7- Contractor - _--__-Fixtures Appliances ___ ------------ __1 --- Range & Oven --____Transformer __ ------------ Address ------------ ----Drvcr --- Motors ------- ------------ ------ Water Heater Motors _--.-__Alteration ____ ____________ Type Bldg. ___ _ _ -_ ____ Fire Zone ----------- - -____Transformers NO H. P. FEE ______Other _______ ------------ ------ Signs ---------------- -- -- Special Requirements -------------- ______Other TOTAL S so ------- - - - _ L City Clerk. ____ -2- 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 3, 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 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 understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. Applicant.- 'L�1- CITY OF SAN LUIS OBISPO Business License ❑ PLUMBING PERMIT Permit Card o 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. NAR- -n`_I 0 2 .5 9 No '790 FFEE...l - $ --- --.,--, n . - - Fixtures Gas Appliances Items Fees DATE ------ � -� -� � - -- ___ Bathtubs -Grease Trap J___WaterHeater -__!__Permit $ ----- -Q.DO ---I - Showers - --Drink Ftn. k -""- _/!_ _Fixtures _ jR V Owner --� - - --� _Lavatories ------S1opSink -� ---?� -Sewer Conn. Location _-3 _Water Closets ------ Other- ____Furnace ------Gas Heating ----------- __ _ --LKitchen Sink - - -Other-- -- -_l -Water Heater -----_- Occupancy ------------------------------- _____-Floor Drain ___ ___Other__. _- --- _ Wall Heater __Gas Outlet , , ---------- h ��pp _____ LaundryTrayOther ------ -----' - ---Gas Dryer --�--Water Piping -----_! �_.4 Contractor _V ______Urinal _ ___Drainage Pipe ---------- ------ Water Softener - ------ - Register _---Lawn Sprinkler ___ Address ----------------------__ _ __�_ _Clothes Washer Flues -----Fire Sprinkler ----------- Special Requirements ----------------------- ______Dish Washer ________ TOTAL - - - - ------Disposal --------- ------ - ------ ---- City Clerk. -- --�--- -- - - .�pector 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. 1 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 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 understand that failure to comply with applicable workmen's compensation laws shall cause revocation of the permit. - — Applicant_ -- -- — - f IrlQ,.6-- CITY OF SAN LUIS OBISPO Business License ❑ BUILDING PERMIT Sr e'ttFile 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 install electrical, plumbing, sewage or �s+N!a]k Jacihties. DESCRIPTION OF STRUCTURE OR WORK -Ise __AA --- --------- SA. -- --- — `�' Estimated value ------ 1z- /j__z �_ 6___ Units__________ New MI`Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑ Width- --- Length-7-6- Height ------- Stories-/ Foundation Exterior wall�-�-�Yoofd How heated TypeGroup- �`�jG.l 1_-___ Garage U CarrPOAD X_ �3 Attached-etached ❑ __'L`6� �^ lZu------ � _ - City Clerk. ---------- - --------- LOCATION INFORMATION No.__4_7Y Street- _ _- __ ___-_ Lot-_ --,3-_ Block-ja Subdivision__ 3 Parcel No. Use zone Fire zone_ Lot size_-__._X_____ Front yd. -_9�_Z____ Side yds. ---6____/_------- yd. ___Q _Q-__ Nearest bldg._____-__--- N° 1061 Date ----,s--v- - ; Permit Fee $__4y__ Plan Check Fee $-___________ Other Fees $------- rTOIAR 0$- Owner __-- ------------- �4___ -i? 0 4847L i 7 Address ---------------------------------- Arch. or Eng.--__--_-_-_ Address --------------------- Builder -_-_ Address --------------------------------- Special requirements----------------------------------------------------------- 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 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 Law: Section---------------------------------------------------------- 1 Ins ec r of Buildings. 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 understand that failure to comply with applica a workmen's compensation laws shall cause revocation of the permit. '� �/ Oi -- L-i - Applicant- - - 1.. ----------___-- CITY OF SAN LUIS OBISPO Business License ❑ ELECTRICAL PERMIT StreettilFrd ❑❑ 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. YAR- - 6 "1 0 Items ____New single-family residence with ______________ 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 • ---- _ ---------City Clerk. I--Permit------- - __New Dwell. ..- -----Circuits --- - - - _-----Outlets --- -- -- -- --Fixtures ------ _-J -Service - _---- ______Appliances ___ - _ _ _ _ -Transformer _ _ -- _Motors ___---_ _ -__Alteration ____ ___Other ------- In accordance with the6fefjuirements of'Seiritd'n 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 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 Law: Section ------------------------------------------------- --------- Fees N° 466 e-6 FEE $- J ------ DATE --- J ---- �_-------------- $-------1.00 Owner _ _ ------------ ------------ Address ------------ ------ -'- Contractor ----------- ------------- ---------- Address -----__ ------------ TOTAL - - - $-__-- r� - Type Bldg. --------__-- Fire Zone ---------- Special Requirements----------------------- !et of Buildings. 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 understand that failure to comply withappliepNe workmen's compensation Uwm-shall cause revocation of the permit. Of !� Applicant-- ----------------------------