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-- ----------------------------