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HomeMy WebLinkAbout2041-2043 Sierra Way Address File3-682-22 Kerra Way 2041- - 2043 A W __ -_ _ ! , c�t� r of san Luis oBl s7y_.0 g home occupation pEizm it Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7170 Please print clearly or type. Return this completed form with your $ application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions, Covenants, and Restrictions (CC&R's) of homeowners' associations may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval. �YM (JI, i- i Business c I, Applicant: ► ►I -Upd � (ibb roh-`Name: , 6k)cy_)s Phone: - Address (Previous Business Address: `i Zone: Do you own the home: ❑ Yes U/No' (If you do not own the home the owner must sign this form consenting to your home occupation.) This residence is: a Mobile Home ❑ Yes L( No a Condominium ❑ Yes GKo in a Homeowner's Association ❑ Yes 19' No Accurately describe your business: Will customers visit the home? ❑ Yes Ef No (See Requirement #2 below) I C� A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. Requirements for Approval 1. Home occupations shall not involve customer access or have other characteristics which would reduce residents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. There shall be no customers or clients except for: ❑ Private instruction, such as education tutoring, music, or art, on an individual basis, provided there are not more than six (6) students in any one day. ❑ Physical therapists, including massage, or other therapists, who shall have no more than one client on site at any time and no more than six (6) clients in any one day. ❑ Attorneys, accountants, and other low -visitation consultants. Businesses with customer access shall maintain at least one (1) on -site customer parking space in addition to their required residential parking. Parking in a driveway that has a minimum depth of 20 feet from the back of sidewalk and is made available to customers during business hours of operation shall meet the definition of a parking space. 3. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 4. There shall be no sales, rental, or display on the premises (intemet and phone sales okay). 5. There shall be no signs other than address and names of residents. 6. There shall be no advertising of the home occupation by street address except that street address may be included on business cards and business correspondence originating from the home. APPLICANT: I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. plicant s Signature Date Received by: Permit Approved by: Comments: (:A' - Z �-- 7. No vehicle larger than a van or three -quarter -ton truck may be used in connection with a home occupation. A marked commercial vehicle used in conjunction with the occupation shall have no more than two (2) square feet of advertising. Licensed vehicles and trailers used in connection with a home occupation are limited to one (1) additional vehicle and/or trailer. 8. The home occupation shall not encroach on any required parking, yard, or open space area. 9. Parking for vehicles used in connection with the home occupation shall be provided in addition to parking required for the residence. 10. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 11. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 12. No employees other than residents of the dwelling shall be allowed to work on -site. (Babysitters or domestic servants are not considered employees of a home occupation.) 13. Clients or customers shall not visit the home occupation between the hours of 7:00 p.m. and 7:00 a.m. 14. If the home occupation is to be conducted from rental property, the property owner's authorization for the proposed use shall be obtained. 15. No delivery or commercial pick-up shall be by vehicles larger than a typical delivery van (Fed Ex, UPS, etc.). Direct customer pick up is prohibited. PROPERTY OWNER': As owner of the property, I give the applicant permission to conduct business there, subject to the above condition T P, PRINT owner's names Owner's Signapre "A property manager of an apartment complex or the park manager of a mobile home park may sign in place of the property owner. Date: —2—— Date: /2 -_5 —1 White: Address File (after approved) Yellow: Applicant (after approved) Pink: Finance (after approved) (Revised 06-15-09) ,.y of ,ian Luis oBIspo s�.� - For Office Use Only ----- iTATE/AMOUNT: CLASS/GROUP/CAT: BUSINESS NO: BUSINESS LICENSE & TAX CERTIFICATE APPLICATION 990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 — (805) 781-7134 Application for: ❑ New Business ❑ Change of Business Name ❑ Change of Location [ 'Change of Ownership � t Business Name Phone C�' 1P `� " Email Website 1,�'�•,I' S�)h�"S�� Ownership Status: ❑ Public 2'Private Ownership Type: ❑ Corporation ❑ Partnership Sole Proprietor ❑ Employee Owned ❑ Trust ❑ Other Business Location' J "-- Suite No. City 1 , r li �i� iJJ State"Zip i'Ai PO Box addresses cannot be accepted as business locations — If your business is located in San Luis Obispo, please complete the last page of this application. Location Type: ❑ Commercial ❑ I-lome Occupation ❑ Industrial [9' Residential Mailing Address % i i Suite No. City = Owner/Contact Name State Franchise No. Business Open Date NAICS Coding: Please check the category(ies) that best describe your business activity. ❑ Retail Trade (44-45) Fr. ❑ Accommodation or Food Services (72) ❑-'Professional, Scientific or Technical Services (54) - ❑ Management of Companies & Enterprises (55) ❑ Health Care or Social Assistance (62) ❑ Construction (23) ❑ Manufacturing (31-33) ❑ Wholesale Trade (42) ❑ Transporror Warehouse (48-49) ❑ Information (51) ❑ Finance or Insurance (52) =' ❑ Real Estate, Rental or Leasing (53) ❑ Educational Services (61) ❑ Arts, Entertainment or Recreation (71) - - r State Zip ❑ Administrative, Support, Waste Management or Remediation Services (56) ❑ Agriculture (11) 4Ei Utilities (22) ❑ Other Services (except Public Administration) (81) ❑ Public Administration (92) ❑ Other Please provide a detailed description of the nature of your business, including products or services offered. Ci(VIC�t 1 7- Pi Are you selling or offering the following services or products?: ❑ Tobacco ❑ Massage Therapy ❑ Filming ❑ Sales on Streets & Sidewalks Rv citing C , _ 4154.00 Are you doing business from your home? ❑ Yes ❑ No T._ THE i Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand the issuance o business & tax certificate does not constitute proof of compliance with other city. county, state, and federal regulations. Signed L - '' TitleT'; I ORIGINAL — Finance WHITE — Planning CANARY — Utilities PINK - Customer a ►�� ,� Mj , ���iE clV; of san Luis omsp.,) �I l home occupation peRm it Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7171 Please print dearly or type. Return this completed form with your $ Ia'/ application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions Covenants and Restrictions (CC&R's) of homeowners' associations may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval Business Applicant: Q -KI Name: Phone Address: l3L-10 % Zone: r✓' Do you own the home: ❑ Yes 3K No (If you do not own the home, the owner must sign this form consenting to your home occupation.) This residence is: a Mobile Home ❑ yes no a Condominium ❑ yes JR no in a Homeowners Association ❑ yes no Accurately describe your home business: Will customers visit the home? ❑ yes d no (See Requirement #2 below) A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. Requirements for Approval 1. Home occupations shall not involve customer access or have other characteristics which would reduce residents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. There shall be no customers or clients except for: ❑ Private instruction, such as education tutoring, music, or art, on an individual basis, provided there are not more than six (6) students in any one day. ❑ Physical therapists, including massage, or other therapists, who shall have no more than one client on site at any time and no more than six (6) clients in any one day. ❑ Attorneys, accountants and other low visitation consultants. Businesses with customer access shall maintain at least one (1) on -site customer parking space in addition to their required residential parking. Parking in a driveway that has a minimum depth of 20 feet from the back of sidewalk and is made available to customers during business hours of operation shall meet the definition of a parking space. 3. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building, and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 4. There shall be no sales, rental or display on the premises (Internet and phone sales okay). 5. There shall be no signs other than address and names of residents. 6. There shall be no advertising of the home occupation by street address except that street address may be included on business cards and business correspondence originating from the home. APPLICANT: I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. 10-7 Applicant's signature Date Received by L_- Permit Approved by Comments: 7. No vehicle larger than a van or three -quarter -ton truck may be used in connection with a home occupation. A marked commercial vehicle used in conjunction with the occupation shall have no more than two (2) square feet of advertising. Licensed vehicles and trailers used in connection with a home occupation are limited to one (1) additional vehicle and/or trailer. 8. The home occupation shall not encroach on any required parking, yard, or open space area. 9. Parking for vehicles used in connection with the home occupation shall be provided in addition to parking required for the residence. 10. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 11. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 12. No employees other than residents of the dwqlling shall be allowed to work on -site. (Babysitters or domestic servants are not considered employees of a home occupation.) 13. Clients or customers shall not visit the home occupation between the hours of 7:00 p.m. and 7:00 a.m. 14. If the home occupation is to be conducted from rental property, the property owner's authorization for the proposed use shall be obtained. 15. No delivery or commercial pick-up shall be by vehicles larger than a typical delivery van (Fed Ex, UPS, etc.). Direct customer pick-up is prohibited. OWNER*: As owner of the property, I give the applicant permission to conduct business there, subject to the above conditions. oifoy pe &R S0dti PRINT owner's nary Own" s Sign,a�ure * A p✓✓roperty manager of an apartment complex or the park manager of a mobile home park may sign in place of the property owner. _ Date L, k f)L.z o Date 2(9,-O __7 White: Address File (after approved) Yellow: Applicant (after approved) Pink: Finance (after approved) (Revised 2-1-07) Jf.of can WI S OBI SPO r -- For Office Use Only u:aTEAMOUNT: CLASS/GROUP/CAT: BUSINESS NO: BUSINESS LICENSE & TAX CERTIFICATE APPLICATION 990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 - (805) 781-7134 Application for: 66 New Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership �; _ - y Business Name "; _ Phone Legal Status of Business: ❑ Corporation ❑ Partnership -® Sole Proprietor Business Location ' �� / `� / y'r �/1��« Suite No. ---"City State 7 - � Zip PO Box addresses cannot be accepted as business locations — If your business is located in San Luis Obispo, please complete the last page of this application. Mailing Address L "/ ! Suite No. City .�V T; State N Zips:` Owner/Contact Name State Franchise No. Type of Business: ❑ Retail ❑ Professional ❑ Manufacturing/Processing/Wholesale ❑ Transportation/Communication Q' Other State Sales Tax No. Business Open Date i K5 Service ❑ Contractor (State Licensed) Lic. No. ❑ Recreation/Education/Public Assembly ❑ Agriculture ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Describe your business. Include the types of goods or services offered. Are you selling or offering the following services or products?: ❑ Tobacco ❑ Massage Therapy ❑ Filming ❑ Sales on Streets & Sidewalks ❑ SMiertmg ` i° Are you doing business from your home? ❑ Yes T(No Applicant / Representative: I review ed this application and the information is accurate to the best of my knowledge. I understand the issuance of a business license & tax certificate does not constitute proof of compliance with other city, county, state, and federal regulations. q Signed ----__—_-- - _ _ I'itic-- -- -- Date ,✓ / �! ® Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313 ��iNilllllllllll�p°I'=�1�$ s n luis au owpo 990 PALM STREET PO BOX 8112 SLO CA 93403-8112 PH: (805) 781-7134 FAX (805) NOTICE DATE: 06/11/2003 TO: JUDY PETERSON 2043 SIERRA . SLO CA 93401 LOC: 2041 SIERRA SLO CA 93401 - *************** * B U S I N E S S- * I N F O R M A T I O N * N O T I C E 781-7401 * * * * * * * * * * * * * BUSINESS NO. 70740 NOTICE REF: 04RENEWAL TAX CERTIFICATE EXPIRES JUNE 30 RETURN DUE: 07/31/2003 FOR THE PERIOD FROM: 07/01/2003 THRU: 06/30/2004 ** BUSINESS TAX ANNUAL RENEWAL ** OUR RECORDS INDICATE THAT YOUR CITY BUSINESS TAX CERTIFICATE EXPIRES JUNE 30, 2003 AND IS SUBJECT TO RENEWAL. TO RENEW YOUR BUSINESS TAX CERTIFICATE FOR 2003-2004, PLEASE COMPLETE THIS FORM AND RETURN IT TO OUR OFFICE WITH YOUR PAYMENT BEFORE JULY 31, 2003. PAYMENTS POSTMARKED AFTER JULY 31, 2003 WILL BE DELINQUENT AND SUBJECT TO A "MONTHLY PENALTY" OF $10.00 OR 1.5%, WHICHEVER IS GREATER, OF THE UNPAID BALANCE. ** TAX PAYMENT CALCULATION 1) ENTER GROSS RECEIPTS FROM 2002 IRS TAX RETURN: 2) IF LINE 1 IS $0 TO $50,000 THE TAX DUE IS: 3) IF LINE 1 IS OVER $50,000 COMPUTE THE TAX DUE MULTIPLYING THE AMOUNT OF LINE 1 BY .0005-TAX 4) PLEASE SIGN THIS FORM AND RETURN IT WITH YOUR PAYMENT BEFORE JULY 31, 2003. ** $ 25.00 **OR** BY DUE IS:$ 5) IF YOU ARE NO LONGER DOING BUSINESS AND DO NOT PLAN TO CONDUCT ANY BUSINESS IN THE CITY OF SAN LUIS OBISPO PLEASE CHECK THE BOX BELOW: [ ] I AM NOT CONDUCTING BUSINESS, DO NOT HAVE AN OFFICE, A SALES REPRESENTATIVE, LEASED EQUIPMENT,OR A VEHICLE COMING INTO THE CITY. I AM NOT A LANDLORD OF COMMERCIAL OR RESIDENTAIL RENTAL PROPERTY. I DECLARE UNDER PENALTY OF PERJURY THAT TO MY KNOWLEDGE ALL INFORMATION IN THIS STATEMENT IS TRUE ATTD CORRECT. SIGN HERE: TITLE: DATE: 1p-//� _0 PLEASE NOTE CHANGES TO YOUR ACCOUNT BELOW. BE SPECIFIC, I.E. BUSINESS NAME, OWNER NAME, LOCATION, MAILING ADDRESS, PHONE NUMBER, ETC. CA RSg d , PAYMENT MUST BE POSTMARKED ON OR BEFORE JULY 31, 2003 TO AVOID PENALTIES. BUSINESS NO. c { city O sAn luis oBispo DATE/AMOUNT '1-4 b i` r S. C3ti CLASS/GROUP/CAT l "S d BUSINESS TAX CERTIFICATE APPLICATION Finance Department C (805) 781-7134 • 990 Palm Street / P.O. Box 8112 • San Luis Obispo, Ca 93403-8112 Application for: )(New Business ❑ Change Business Name ❑ Change of Location ❑ Change of Ownership ❑ Change of Mailing Address * Confirm with Community Development that the business is consistent with city regulations prior to establishing your business location. Community Development Department • (805) 781-7170 • 990 Palm Street San Luis Obispo, CA 93401 n Lower Level City Hall Business Name I—OtiE �-A Lm "I ����% _, i� A,,ZP LkeQ Ap Business Phone 'etJ C rs`'�y— /cts3 Doing Business As (DBA) OR In Care of Legal Status (Corporation, Partnership, Sole Proprietor) .So Lr- ��,ly�%/1/ e. t o/? Business Location ��/ -5' /G t? /I A l"ia� Suite No. City 5,/2� Stated Zip .� G Mailing Location G X /.3 6 / 3 Suite No. City C/c State !L� Zip `7 3 �✓ p Owner Name �<e A4> 777,.S /F S Social Security No. — State Franchise No. Federal ID No. — State Sales Tax No. State License No. (if applicable) _ _ _ Business Open Date /— /— 42 1 Gross Receipts ? List names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) Type of Business: ❑ Retail ❑ Wholesale ❑ Professional ,Service ❑ Contractor (State Licensed) ❑ Manufacturing ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Does your business have non-profit status? ❑ Yes XNo If yes, will you be doing solicitations? ❑ Yes ❑ No If yes, the solicitations will be performed by: ❑ Owner ❑ Employee ❑ Volunteer ❑ Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your business (Include type of goods or services offered, hours, etc.): 1"j l t Please check one: ❑ Ground Floor ❑ Upper Floor ❑ Number of Employees: full-time part-time Approximate floor area occupied by the business: — square feet. Area devoted to outdoor sales or storage: r) square feet. Are you sharing with another business If yes, with whom: Name and address of Landlord as stated on Lease —J , .n v R. j�r2 sp%m -7 9 ? 1/a1 If this application is for change of location, name, mailing address or ownership, complete the following: Previous Name or Owner Previous LocationiMailing Applicant/Representafive: I have reviewed this appNcatim ancfthe attached material. The information is accurate to the best of my knowledge. I understand the issuance of a business tax certificate does not constitute proof of compliance with other city, county, state and federal regulations, including but not limited to zonlirig, building code or other land use regulations (SLOMC 3.01.102). Ti Titled L-;,W 7rtr Date l Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313 OFFICE USE ONLY ZONING INFORMATION What zone is this business in? Is the business allowed in this zone? 0 Yes, permit o; required. s, with a �� permit. Zoning Regulations Ciassificatio REQUIRED PARKING City parking requirements are based on the floor area of your business. Check the City's Zoning Regulations and the Parking and Driveway Standards to determine the number, size and type of spaces required. Total number of off-street parking spaces provided exclusively for the business: Total number of off-street parking spaces required by the City: HOME OCCUPATION PERMITS A Home Occupation Permit is required if the home is in a residential zone and is the base of operations for a business - serving as a mailing address, office, shop, or related use - even if work is performed in other locations. The property owner or manager must sign the permit application, consenting to the home occupation. Is this a home occupation? J No Yes �� If Yes, has a home occupation rmit been applied for? J N �s Date Applied �, SIGN PERMITS A sign permit may be required. (Signs for home occupations are not allowed). Refer to City's Sign Regulations. is a Sign permit Required? ❑ No ) Yes It Yes, has a sign permit been granted? ❑ No J Yes Application Number Received By Date / Approved By - Date Notes to file crty of sa .ms osispo 1- HOME OCCUPATION PERMIT Community Development Department - 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171 Please print clearly or type only in the unshaded areas. Return this completed form with your Supplication fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions, Covenants and Restrictions (CC&Rs) of homeowners associations may restrict or prohibit home occupations even if such use is allowed by City regulations: Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval. Applicant E'yI J S ES Namce e�tlE �l�n OAiw %i.ctS.wO Ica? Phone '%�S Address aQ y 1 Si ff)( _S_l Cj e2l . f-� X O I Zone Do you own the home? ❑ Yes 1,21No. (If you do not own the home, the owner must sign this form consenting to your home occupation.) Accurately describe your home occupation'/`(1 'A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. REQUIREMENTS FOR APPROVAL 1. Home occupations shall not Involve frequent customer access or have other characteristics which would reduce resldents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building, and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 3. There shall be no sales, rental or display on the premises. 4. There shall be no signs other than address and names of residents. 5. There shall be no advertising the home occupation by street address except that street address may be Included on business cards and business correspondence originating from the home. 6. No vehicle larger than a 3/4-ton truck may be used In connection with a home occupation. 7. The home occupation shall not encroach on any required parking, yard or open space area. 8. Parking for vehicles used I In connection with the home occupation shall be provided In addition to parldng required for the residence. 9. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities In amounts greater than normally provided for residential use. 10. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical Interference, or other hazard or nuisance. Received by Pent -:>— Conirr,ents (, -- 11. No employees other than residents of the dwelling shall be allowed. (Babysltters or domestic servants are not considered employees of a home occupation.) 12. Clients or customers shall not visit the home occupation between the hours of 10:00 p.m. and 7:00 a.m. 13.If the home occupation Is to be conducted In rental properly, the property owner's authorization for the proposed use shall be obtained. APPLICANT. I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. Applicant's Signature OWNER': As owner of the property, I give the applicant permission to conduct business there, subject to these conditions. 1� -SVJ a I C t 12Sa/L� "The Vroperty manager of an apartment complex or the park manager of a mobile home park may sign in place of the owner Receipt No. WHITE -FILE YELLOW -APPLICANT PINK- FINANCE 15-95 CITY OF SAN LUIS OB_ISPO COt-Tiv1UNITY DEVELOPMENT DEPA".7 TENT CATEGORY 1 HOME OCCU:'fLa 10`J (fee free) i�WZM41- Z�_, ,el,e/3 if propose to conduct a home occupation of 7"- �59/.? of ' DESCRIBECTLY ;•;M17.E OF HOME WC-1 PA //o T/�iZVW 1EE ��l�D.��/�,OT.i az aZ W/ [�.P?/ --- -- in a - I zone. My home occupation will comply with the following: Gainful employment engaged in by the occupants of a dwelling only, su-iject to: (1) Incidental to residential use. (2) No display or sales on premises. No outdoor storage. (3) No signs except as permitted by the Sign Ordinance. (4) No vehicle larger than a 3/4 ton truck to be used in connection with Home Occupation. Provision must be made for off-street parking of such vehicle in addition to standard requirements. (5) Activities to be completely within an enclosed building and not encroach on any required parking space. (6) Such activities shall not interfere with the peace and quiet enjoyment of the neighborhdod. (7) No retail sales on premises. (8) No employees other than residents of dwelling. I understand that if there is any contravention of the above limitations, this approval shall be void.,n ,i / -I , , /; APPLICA ADDRESS i DATE $ 7% TELEPHONE QA --------------------------------------------------- -------------------------------- FOR OFFICE USE ONLY APPROVED �� MATE 14777 y APPLICATION FOR PLAN CHECK CITY OF SAN LUIS OBISPO CITY PLAN CHECK NO. DEPARTMENT OF PLANNING AND BUILDING JQ�i- Z 3-73 32 2 2 5 3 PC ' •; i APPLICANT (-�i. wrF G.�usr- ADDRESS (e3 j- (1). & rURC- PROJECT/BUILDING 4pip,77 eo. ADDRESS -Zc, ENGINEER ADDRESS y� CONTRACTOR ADDRESS GROUP OCCUPANCY TYPE OF CONSTRUCTION a/ VALUATION ;���� - FIRE ZONE BUILDING PERMIT FEE PLAN CHECK FEE Please check the attached set of plans for conformance with the 19 % Edition of the Uniform Building Code. You may bill the City of San Luis Obispo, P. 0. Box 1328, San Luis Obispo, California. PLANNING AND BUILDING DEPARTMENT RONAID D . YOUNG, DI RECTOR BY Plans received by Number of Plans Number of spec. Number of Calcs. No. of Soils Reports CITY OF SAN LUIS OBISPO Business License 1 I L D I N G PERMIT Permit Card ❑ Street File ❑ undersigned applicant's agreement and acknowledgement that all work will be done in accordance ig any special requirements and other applicable laws. This permit becomes invalid if work is not permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities. 01 2 8-J? or STRUCTURE OR WORK n Addition . _ Units ----__ --- ❑ Repairs ❑ Move ❑ Demolish ❑ 1 _- Height_$ '____ Stories_ 1 _-_ comp.buil >r wall s tucco -- Roof-__uP_-__ pe--- V K_- Group___ I Attached ❑ Detached ❑ ------- -------- -city clerk. LOCATION INFORMATION No.__2043 --- Street S ierra Way ------ Ptn.6 DelleissigueF Lot?Block_____ Subdivision__________ Parcel No. ____ 3-682 _22 Use zoneR-1 Fire zone_ 3_ Lot size ----- X_____ Front yd._ 2-- ___ Side yds. __ -----�__-- 3' - Rear yd. - ... - 50 _-- Nearest bldg. Attach. NV 44'75 Date_Nov_ember _27-1-1972 --- Permit Fee $23.00- _ Plan Check Fee $_-__----___- Other Fees $ 'AL 23.00 Owner ' -_ _Arthur B . Hi fner Address 2043 Sierra Way ------------- Arch. or Eng. . ------------------------- Address Builder -Cal-State-Construction -- 834 W. Century Address Santa Maria, CA Special requirements ------ ------------- -- ------------------------------..--- - -- Const. Lender: ments of Section 3800 of the California Labor Code, I, the L regard to Chapter 9, Division 3 of the Business and Pro- __ Inspector 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 CITY OF SAN LUIS OBISPO Business License 3125 Permit Card ❑ . C T R I C A L PERMIT Street File ❑ e undersigned applicant's agreement and acknowledgement that all work will be done in accordance ling any special requirements and other applicable laws. This permit becomes invalid if work is not FEE $ j permit does not include permission to make any structural alterations or install plumbing, sewage or ------- - i..',%n Items Fees �7 9 _- -- DATE .. -_ - - _ _L -- - J s' nce with square feet. ___1_-Permit------- $_ _ _ )00 p ,� Dwell. - - -- _(_- _ Ownercuct - �- -- - - --- ' ---Space Heater ----__Circuits ------ --__ v' -Temporary Service Pole Outlets _______ _-_--_ Address ®-Z-�] _ Service Size -- ----Fixtures ------ - - -- . CONDUIT SWITCH CONDUCTOR Service ------Contrec 'fie:— ^-------------------- __-Appliances --- ------------ 13 9 — -______Transformer ---.------_.___-- Address-tv ------Motors ------- ------------ Motors Alteration --___ --_ Type Bldg. - Fire Zone.____3 —--------- C No H. P FEE Other c7�! O'b Special Requirements TOTAL City Clerk. __ _ _ _____ ..._-- Inspector of Buildings. irements of Section 3800 of the California Labor Code, I, the INSURANCE COVERAGE —Check appro riate box (one must be checked, Sec. ,ith regard to Chapter 9, Division 3 of the Business and Pro- 3800 Calif. Labor Code). d_Xertif of workmen's compensation insurance, copy thereof or certificate '1(_ 0- �v �II PN a� APPLICATION FOR STRUCTURE PERMIT you• z 0-72 IS HEREBY MADE TO THE BUILDING INSPECTOR OF THE CITY OF SAN LUIS OBISPO PQ116 R)ECIVEp BY: Date No. Plans Rec'd. _ Issued OWNER ADDRESS a� ( R I tq� LICENSE NUMBER TYPE OF FRAME ❑ METAL ❑ TIMBER WOOD STUD ARCHITECT ENGINEER FOUNDATION Cont. Conc. ❑ SLAB ❑ PIERS DESIGNER BUILDER s19 c. f r a DESCRIPTION EXTERIOR WALL BRICK ❑ METAL ❑ CONCRETE BLOCK STUCCO ❑ CONCRETE TILT -UP ❑ WOOD SIDING ❑ BRICK VEN. ❑ STONE VEN. ❑ WOOD TRIM No. Street Lot Block Subdivision/Tract No. Lot Size Assr's. No. .5 i c %z1z(- 4"7 P` �%fU �j 7)c I / f i S S1 r V S [� �DYGL ZONES Set Back Side Lines Rear Line Nearest Bldg. Used as llzt _C' D Units Type -lam Group Use Fire ROOF COVERING X COMP. BUILT-UP ❑ METAL ❑ WOOD SHGLS. ❑ COMP. SHGLS. ❑ TILE ❑ WOOD SHAKE 2v , J + 14f lc�i �` SPECIAL REQUIREMENTS HEATING ❑ ELECTRIC ❑ GAS FURN. ❑ GAS WALL VALUATION and FEES $ Z! 0 VALUATION OF WORK BUILDING PERMIT FE % i29 PLAN CHECK FEE ....!ZAV.L.S •� TOTAL FEE ................................ LIST ITEMS PERTAINING TO THIS APPLICATION AREA COST REQUIREMENTS FOR ISSUE PARKING PROVISIONS CURB, GUTTER & SIDEWALK USE Width Length Height Stories Sq. Ft. Sq. Ft. MAIN BUILDING ACCESSORY BLDG. OTHER STRUCTURES PLANNING COMMISSION APPROVAL ADDITION i /�i WORKMENS COMPENSATION BUSINESS LICENSE ALTERATION STATE LICENSE REPAIRS OTHER MOVING DEMOLISH 1 have carefully examined the above completed application and I know the .tame is true and correct. All City APPROVED FOR ISSUE BY: - - �_ ordinances and State laws governing building construction will be mplied with. / Nflv Sign here - -- By t Owner Authorized Agent DATE: —�3% ,714ANG AND BLNI.D:NG DEPT. / CITY OF SAN LUIS OBISPO