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Home My WebLink About1012 Lily Permit 10.31.86 & 11.24.93ffi]ll]llU ctty o[ crn luls oBtspn ffiBuilding&SafetyDivision.99uPalmStreet/Box81oo.sanLuisobispo,cA93403-d100o(805)781-7180 CONSTRUCTION PERMIT Project Address 1012 LILY Assessorrs Parcet Nunber 053-088-0018 LegaI Description cY slo rR 1235-u1 LT 34 ion FAT{ILY ROOII.I ADDITIO}I TO RESIDENCE _lBuitding _fl{echanical X Etectrical X Ptunbing _Sign _Demolition _Grading LLOYD DAVID & SUSA}I E Project Descript Permit Type Property OHner llai Iing Address Ci tylState/Zi p Contractor ilai I ing Address Ci tylState/Zip Project llanager Linder ilare U.B.C. Group Census nunber Application lluber @ Application Date 10/25193 Permit Nuber Issuance Date 09054 11r24r93 1012 LILY L}I SAN LUIS OBISPO CA, 93401- OLJNER DAVID LLOYD 434 Residential Atteration or Addition Contractorrs State Lic. l,lo. Project lilanagerrs Phone No. PAY}IENTS - Amount Date Receipt 227.8 10t25/93 0832 417.04 11/24t93 1239 occupant/Business Name Architect/Engineer License # Contractorrs Phone No-aLL-92a',l Lender Address R-3 U.B.C. Type V-N Fire Sprinkters Dretting Units 0 VALUATIOI{ Residentiat Atteration/Addition/Conversion....... 378 Sq Ft a $ 54.80 24494 Hith Fire Sprinkters Total Building Vatue 24t+94 Corments: 544-4667 Stories 1 Codes: UBC 91 ilEC g -6gg9- Bui tding Permit 259.90 Pl,ubing Permit 34.& l,lechanical Permit 34.& Electrical Permit 34.64 Grading Pernit 0.00 s.lr. r.P. 2.45 Energy Surcharge 36.36 Accessibi Iity Surcharge 0.00 Demtition Permit 0.00 Sign Permit 0.00 Adninistrative 0.00 iliscettaneous Charge/Credit -0.21 Investigation Fees 0.00 lilicrof i lm 6.15 Subtota[ 408.57 Ptan Revier ' 236.35 Construction Unit Tax 0.00 trater lrpact 0.00 lJater tleter Insta[[ation 0.00 lilasteHater Impact 0.00 Total Fee Calcutated &4.92 Batance Due 0.00 Payment #1 Payment #2 Totat Pa)rment &4.92 LEGAL DECLARATIONS OWNER BI,III.DER DECIARA'IION: I m exempt from the contractor'e Licw I:w for the following rwn: _ I, u omer of the prcperty, or my employe with waga m their mle compmtion witl do the work and the struchrrc is not intended or offered for sale. [I, u omer of the property, u excluively contmcting with licensed contracton to coutrrct the prcjct _ Not applicable WORKERS COMPENSATION DECIARAIION: I hereby affrm that I have a certificate of consent to self-insure, or 'a certificate of Worken' Compmtion immce, or a ertified copy herof (Se. 3800, t!b. C) _ Certified mpy is hereby fumished. _ Certified copy is filed with the City. fNot applieble CERTIFICATE OF EGMPTION FROM WORKERS COMP. INSURANCE V I certiS that in the perfomice of the work for which this pemit is issued, I shall not,A . mploy any pemn in my Mer ao c to bcome subjet to the Worker'a Compmtion Laws of Califomia. _ Not applieble NOTICE TO APPUCANT: If, after naking my of the foregoing declantiom, you beome subjet to my hbor Code or Licw I:w prcvirion, you mut comply with such prcvisiou or this pemit shall bedmed poked. I erti& that I have iead thia appli€tion and state that the above infomtion is @rr€t, I agre to comply with all city ordinanceg and state laws rclating to building constrrction, and hereby authorize rcpwtativs of this city to mter upon the above.mmtioned prcperty for inepction purpces. Unless not€d ..der 'Speial Conditiou', rhiR ppmit b@omes null ond voftl if wora or comtructim authorized is not Btart€d within 1E0 dayr, or if comtruction or work is suspended or abandoned for a period of 180 days any time after work is commaced. Speial Conditiom L' of Agmt or Owner Date Address File a r|!T?FT-. r]rrtqFT i41!N@-ry:jYf.r-::..r ry'fn :Yu! ! Building ! Remodel n Electrical n Humbing ! Mechanical tr Solar tr Gradingn Parking Lot ! Demolition n Moving tr 0ther 1012 Lilv Lane Use Zo ne R1-SP 34 Fllnnk Tract 1235. Fhase I Assessor's Num 53-081-34 santa Lucia HlLl-s ArlrlreeeP. O. BOX L 796, sl,o, cA Day 544-3613 crryot o san Luls oBtspoo CONSTRUCTION PERMIT A 29?5 eeo Palm Street/Post office S18&, San Luis ooispdUP3#Eosld@sfid&tzeDepartment of Community F Combination n Retaining Wall ! euin-up n Vetat BComposition Shingte n lte! Wood Shingle/Shake Project Address Lot N 0wner Contractor or Builder Architect Bruce Address or Designer Brian Conroy Address OCCUPANCY & GROUP R-1 TYPE OF CONSTRUCTION:v-i{ FOUNDATI0N: !Wood !Concrete EStao npiers/Caissons FRAME: E Wood Stud E wtetat ! Timoer n Masonry Phone tt Year- Serial No._ D.o.H. No. Phone tt Lic. No Day Phone_ PROJECT INFOR N Type ol Project: Proposed Use:CT'R Setbacks: rront 231 -sirlpc 5 t 15r Rear 37t+ noor area L27 Zsf earase 5 15 . 7 Mobile/ModularHomelnl0rmation:ManUlacturer- Carport- Covered Porch_Storage- No. Bedrooms 3 No. Bathrooms 2 No. Stories I Building Height lRr+ Retaining Wall lnf0rmation: Length_ Height_ TYPE (lF PERMIT ROOF License Class R- I License Number contracror Bruce llouseman llrle lt lf Tenant- Address EXTERI0R WALL: n Wood Siding E Stucco ! Masonry Veneern Masonry ! aricx E Concrete Btock I Metat Material HEATING: n Etectric Q Gas Furnace D Gas Wail E Sotar STATE RE0UIREMENTS: Qenergy n Sound E Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DEGLARATION : I am licensed under the provisions 0l Chapter I (commencing with Section 7000) ol Division 3 ol the Business and Prolessions Code, and my license is in full lorce and effecl. D.M.V. Lic. No.St2tc s s $ s s No. Bedrooms_ ts,no 478 .00 Moving Building lnformation: Present 10-3 1-86 OWNER BUILDER DEGLARATION: I am exempt lrom lhe contractor's License law l0r the following reason: ! l, as owner ol the property, or my employees with wages as their sole compensalion will do the work and the structure is not intended 0r otlered lor sale. n l, as owner ol the property, am exclusively contracting with licensed contractors to construct lhe project. ! I am exempt under Sec., B. & P.C. for this reason Annli.rnl WORKERS COMPENSATION DECLARATION I hereby aflirm that I have a certilicate 0f consent t0 self-insure, 0r 'a certificate 0f Workers' Compensation lnsurance, 0r a certitied copy here0f (Sec. 3800, Lab. C). nn I n.rlifv Present Proposed U Tot. Lin. Ft. of Fdtn._ Grading lnformation: Tot Yds.; Tot. Fill Cu. Yds.; Area ol Dishrrhance TOTALVALUATION...... Plan Check No. tll7 Combination Permit Building Permit Electrical Permit Plumbing Permit Mechanical Permit Other: Other: s TOTAL PERMIT FEES! Construction Unit Tax TOTAL FEES REQUIREMENTS ! Water Fees to be Paid [] 0ther I Fire Hydrants for Const. ! Sewer Fees t0 be Paid DlCity Business License Ll C/G/S Permit Reg'd. BState Contractor's Lic. n Encroachment Permit SPECIAL CONDITIONS 314660 I n.to Certilied copy is hereby lurnished. Certilied c0py is filed with the e.en+ Planning Department." Ctty Annli.znl CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I certiJy that in the pertormance ol the work tor which this permit is issued, I shall not employ any person in any manner so as to become sublect t0 the Worker's Compensation Laws ol California. Date Annli^rnt NOTICE OF APPLICANT: ll, after making this Certiticale of Exemption, you should become subject to the !{brker's Compensation provisions ol the Labor Code, you must comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atfirm that there is a conslruction lending agency tor the perlormance 0l the work tor which this permit is issued (Sec. 3097, Civ. C.) Lender's Namc Lender's Address I certily that I have read this application and state thal lhe ab0ve inlormation is correct. I agree to comply wilh all county ordinances and state laws relating to building construction, and hereby authorize representatives ot this county lo enter upon the above.menti0ned property lor inspeclion purp0ses. NOTICE Unless noted under "special Conditions," this permit becomes null and void. il w0rk 0r construction authorized is not started within 180 dayb, or it construction or work is suspended 0r abandoned l0r a period ol 180 any time commenced. Signature ol (lf owner Builder) VALIDATION ' John L. Kellernan/lkr Authorized Department Representative ol 10-31-86 :..13 WHITE - Applicant YELLOW - File PINK - Assessor GOLD - Counter SEQ DATE TOTAL AMOUNT Dale