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Home My WebLink About3046 South Higuera Permitscttyco oF U san Luls oBts NSTRUCTION PERMIT ,q "]4il'l'$ tr Plumbing D Mechanical ! Solar ! Grading n 0ther Department of Community Development, gg0 Palm Street/Post Off ice Box 321, San Luis Obispo, CA 93406 (805) 541 -1000 ext. 79 TYPE ()F PERMIT n Gombination tr Retaining Wall D Building n Remodel n Electrical! Parking Lot fl Demolition n Moving Project Address 3{-t46 Sorr th Figtrera St - Use Zon Assessor's Number 53-8111*2?Lot Number Ptn. r 3l Block- 0wner T^L- T\^ Contractor Associated Paclfic Construc or Builde Architect Tir^t o--l---..L^- r-^ ^& A dd rocc Year e Serial No.- D.O.H <A /,-4.')t\ Barn- N^ No. Bedrooms- Tot. Lin. Ft. ol Fdtn.- Yds.; ')a) nn n 0ther r/s/84 Date or Designer dress 1 312 Cetden St - , ST.o, cA Day Pho 495 Enrbarcadero, l.{orro Phone 77 2-7 47 2 Phone-Lic. No PROJECT INFORMATION Type ol Project: Proposed Use: DEMOLISH MOTEL BUILDING & 2 S}ITDS r.ommere-ial Rear ress Day Phone- OCCUPANCY & GROUP TYPE OF CONSTRUCTION FOUNDATI0N: !Wood EConcrete trstan !Piers/Caissons FRAME: ! Wood Stud ! wtetat E timber ! Masonry EXTERI0R WALL: ! Wood Siding n Stucco I Masonry Veneer E Masonry ! grict< n Concrete Block ! tttetat R00F: ! auin-up n uetat n Composition Shingle E tite E Wood Shingle/Shake HEATING: n Electric ! Gas Furnace n Gas Wall E Solar STATE REOUIREMENTS: E tnergy E Sound n Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the provisions ot Chapter I (commencing with Section 7000) ol Division 3 ol the Business and Prolessions Code, and my license is in full lorce and ettect. License B-1 License Number 394885 Setbacks: Floor Carport- Covered Porch- Deck- Storage- No. Bedrooms- No. Bathro0ms- No. Stories- Building Height Retaining Wall lnlormation: Lenoth Hdi^ht Material M0bile/Modular Home lnformation: Manufaclurer- Tot. Fill-.--Cu. Yds.; Area ol Contractor Ac,c,oe'iafe-d Pacific r),ra L / 5 l84 Construction OWNER BUI LDER DECLARATION: I am exempt lrom the contractor's License Law lor the following reason: E I, as owner ol the property, or my employees with wages as their sole compensation will d0 the work and the structure is not intended or otfered for sale. l{1, as owner ol the property, am exclusively contracting with licensed contractors to conslruct the z'0roibct. E I am exempt under Sec , B. & P.C. for this reason WORKERS COMPENSATION I hereby affirm that I have a certilicate ol consent t0 sell-insure, or 'a certiticale ol Workers' Compensation lnsurance, or a certilied copy here0l (Sec. 3800, Lab D.M.V. Lic. Moving Building lnlormation: Present Present Proposed Grading lnlormation: Tot TOTALVALUATION...... Plan Check No. Combination Permit Bu i ld i ng Perm itonuolrrroN : Electrical Permit Plumbing Permit a s s Mechanical Permit a Other: Other: rR s X NOTICE OF APPLICANT: ll, atter making this Certilicate ol Exemption, you should become subject to the \ brker's Compensation provisions 0l the Labor Code, you must comply with such provisions or this permit shall be deemed revoked. CONSTRUCTICl.{ LENDING AGENCY I hereby atlirm that there is a construction lending agency for the perlormance 0l the work l0r which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address I certity lhat in the performance ol the work for which this permit is issued, I shall not employ any person in any manner s0 as lo become subiect to the workeis Compensation Laws 0f Calitornia. I certity that I have read this application and state that the above inJormation is correct. I agree t0 comply with all county ordinances and state laws relating lo building construction, and hereby authorize represenlatives 0l this county lo enter upon the above-mentioned property Jor inspeclion purp0ses. NOTICE Date- cERrtFTcATE or exeuprtou rH6v WORKERS COMP. INSURANCE Unless noted 'Special permit becomes null and void it work or construction started or work is suspended 0r abandoned lor a or Authorized Agent Signalure of owner (lf owner Builder) WHITE - Applicant YELLOW - File TOTAL PERMIT FEES a n Construction Unit Tax Q TOTAL FEES s REQUIREMENTSI water Fees to be Paid n Fire Hydrants for Const. fl Sewer Fees to be Paid B0ity Business License tr C/G/S Permit Reg'd. BState Contractor's Lic. ! Encroachment Permit SPECIAL CONDITIONS $500.00 B0ND PosrED Ll4l84 CLEAN UF AT.L DEBRIS. VALIDATION =TO-hn !. . Ke.l 'l arnsn,/rre Authorized Department Representative n Certified copy ElCertified copy is hereby lurnished. is liled with the /r- any JPINK- Assessor GOLD - Counter EQ DATE TOTAL AM OUNT cttyco o[ ]-) san Lurs oBrspo(,-) NSTRUCTION PERMIT A, 3C0L i Department of Community Development, g[X) Palm Street/Post Off ice Box 32f; San Luis Obispo, CAWI06 (805)54f-1UOOEXfff TYPE (lF Combination nBuilding nRemodel trElectrical !Plumbing !Mechanical trSolar nGrading PERMlTnRetainingWallnParkingLot!Demo|ition!Movingn0ther 3046 South Higuera Street Use Zone-Project Address Lot Number 0wner Contractor or Builder Architect or Designer ?tn.23 & Parc Rlnnk iiiguera Inves|ors LtC" i"l.i,.W. Construetion P"ichmond Rossi rMont Suburban A,{,{ Address Eomerv Anr{raao 416 ii 1530 Chapal-a St", Assessor's Number -canta fiarbararuA Day Phone 53-041-22 " 30 965*t+52I 541-32.81 No. LL549 Los Osos Va1ley iguera St. TSLO,CA Phone 543-L7 9 4 I I I I l i L I I Tileco OCCUPANCY & GROUP TYPE OF CONSTRUCTION V-iI FOUNDATION: Dwood !Concrete Slab E Piers/Caissons EXTERI0R WALL: n Wood Siding E stuqgo ! Masonry Veneer ! Masonry n gricx E Concrete Block E Metal R00F: n auin-up E ttetat E Composition Shingle ! tite I Wood Shingle/Shake HEATING: ! Electric n Gas Furnace ! Gas Wall E Solar STATE RE0UIREMENTS: E Energy I Sound ! Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the provisions 0l Chapter 9 (commencing with Section 7000) of Division 3 ol the Business and Pr0fessions Code, and my license is in full lorce and etfect. License Class B- I License Number 343064 Conlraclor 10 31 E5 OWNER BUILDER DEGLABATION: I am exempt lrom lhe contractor's License Law for the lollowing reason: fl I, as owner of the property, or my employees with wages as their sole compensati0n will d0 the work and the slruclure is not intended 0r offered lor sale. n l, as owner 0l the property, am exclusively c0ntracling with licensed contractors to construct the proiect. E I am exempt under Sec.B. & P.C. for this reason WORKERS COMPENSATION DECLARATION I hereby attirm that I have a certilicate of consent to self-insure, or 'a certilicate ot Workers' Compensation lnsurance, 0r a certified copy hereol (Sec. 3800, Lab. C). Day Phone PROJECT INFORMATION Type ol Project: Proposed use: Tenant Inprovenents Setbacks: Front-Rear Floor Rrrn Carport Covered Porch-Storage- No No. Bathrooms- No. Stories- Building Height Retaining Wall lntormation:l.laidht Material Mobile/Modular Home lntormation: Manufacturer Serial D.O.H D.M.V. Lic.No. Bedrooms- Moving Building lnformation: Presenl I ^.rlitu Grading lntormation: Tot.Yds.; Tot. Fill-Cu. Yds.: Areaol Proposed Use-Tot. Lin. Ft. 0l Fdtn.- Present !R 6 "000. s I 0. c0 a s e s s 1/ rJ. UU ! 0tner iil3i 186 ! Certilied copy is hereby furni.strsdi-- .Fl Certilied c0py is liled with thts*tlnry Ko^,,/o *3 t- i: CERTIFICATE OF EXEMPTION FROM WORKEBS COMP. INSURANCE I certily that in the perlormance 0t the work lor which this permit is issued, I shall not employ any person in any manner so as to become subiect to the Workeas Compensation Laws 0l Calilornia. NOTICE OF APPLICANT: lf, atter making this Certificate 0f Exemption, you should become subiect t0 the l'lbrker's Compensation provisions 0f the Labor Code, you must comply with such provisi0ns or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atfirm that there is a constructi0n lending agency l0r the perlormance ol the work lor which this permit is issued (Sec. 3097, Civ. C.) Lender's Lender's Address I certily that I have read this application and state that the above inlormation is correct. I agree t0 comply with all county ordinances and state laws relating t0 building construction, and hereby authorize representatives 0l this c0unty to enter upon.Ihe above-mentioned property lor inspection purp0ses. NOTICE Unless noted under "special Conditions," lhis permit becomes null and void il work or construclion authorized is not started within 180 days, or it construction or work is suspended or abandoned ior a periqd of 180 time after work is commenced. REQUIREMENTSI water Fees to be Paid Q Fire Hydrants for Const. n Sewer Fees to be Paid $City Business License fl C/G/S Permit Reg'd. DState Contractor's Lic. n Encroachment Permit TOTALVALUATION ...... Plan Check No. Combination Permit Building Permit Electrical Permit Plumbing Permit Mechanical Permit Other: Other: TOTAL PERMIT FEES tr Construction Unit Tax TOTAL FEES SPECIAL CONDITIONS VALIDATION John L. ltell-erman/ve Authorized Department Representative t:-- of Contraclor or Agent Signature ol owner (lt owner Builde0 WHITE - Applicant YELLOW - File PINK-Assessor GOLD-Counter SEQ DATE TOTAL AMOU Date 16-83 #ru GONSTRI*JION PERMIT -)Citv ol San Luls Obispo . Building Diyision e 990 Palm StreeUBox 8100 . San Luls Obispo, CA 934(Xl-8100 r (8O5) 549-7180 Proiect Address lr'iAl.. liiiiiii*6 q Assessor's Parcel Number qt-l'rrr i -ali'u;ir-ii I Prolect Descrlptlon TFilAHT IHFSNITi{TilT Buildlng Legal Descrlptlon Sulte/Unlt i iY ql fi FH Eii-,qs PAFj * q Permlt Clasg Permlt Type I Buttdtng Property Owner HIEUEEiI I}i.JESlBfi! LiE A FT Malllno Addross nRAi,iEfi ;r4039 Phone Number Occuoant/Buslness Name Buelness Owner'g Name Contractor's Name Malllng Address lnP5 l.J {1'.lr'1i{ 9i Contractor's Phone No.s1ts-84i -?3F1 Proiect Manaoer/Archltect FSiHY qlli i Ii.tlt, Lendar Name U.B.C. Group l;:'U.B.C. Type t[EriAF] l[HFghll Cltv/State sfiI{TA E*FFt1ftA. Zlo Code 931 pr -403q Phone Number Glty/State/Zlp f UftEAlii!{ , tA q 1sfi:- r.'i,'iirj Contractor's State Llc. Noli gpgSillril Proiect Manaoer's Phone No. RtE-R4t-TPf,l Lend€r Address S to Flood Zone Requlrements I Mechanlcal - Demolltlon I Ebctrlcal - Gradlng t Plumblng Slgn No. of Bldgs. 1 Unlts per Bldg. 1 Bldg. Value Code 7l A/D/Y per Bldg. i.uuc A = Area D = Dollars Y = Yards I' Census Number Descriptlon riiill-ft [5 i liriT i i]r ilLT ilt] i[iri]rjli, Census Sub-Code I Census Number Total Aroa Total Bldg. Value or Yarde ol Gradlng : , {ii'0 Helght (ft.) S Storles Plan No. I ?0 Il{E FflLi-0lilfifi PRtllfl]ilAfilr FttE *F:E $ii-fi.itcr It ltl*r{frf FiFtRE F[StllT Ii'c']*HCE: IrllLtllib FtFt{iT i:LiFt ilirfi: |iITHAilIiiii P€RftIT ii.tlTi:lIAi. fEft]tlT I,'LiJilNIilil f'TRHIT i}EI'!i]L iII ilIi PERFIT rii l i r.iiiiiil11f,FPt$ PtrlH nlt[( Eiltft8i FLti{ lilE[fi HATTft [[i{3TRiJ[T 1!$i L]ii11 I iX 6NJi}IH[ FERitil FAftIIIiiE t[I PTRi'iIi ItlCFrIFIL]l Ftt PL*}i THEI:H AOJUSTI{EHT TIfiE ft}IO fi{T[ftIf,t A[ttII{ I STEAT I \,i $ t i t FEr ft€t.l 4< i i iiaiJ I !r: 1 C8, 80 . iri.t PFi T ?tti I ll.; l I l" it'.,j )f , f,r,l e .Jo TITAL fLE'i *fiilliilI f'eit . EAI-AilTT'- Speclel Condltlons: Appllcatlon Numbet ?i6 1!,. Date 5n5iE! Ao$vlty Date Eii4lEs Thls pcrmlt lr only valld when endorred by an authorlzed representallve ol the Communlty Developmcnl DoPanmcnt' AuthorEed Permlt Number lssucnce Dalc T{OTICE TO APPLICANN if, aftCi m.ifnS any ol th6 liregoing declardions, you bocoms subioct to any Labor Cods or Ucsnse fa* piovision, you muit comply wilh such pfovisions or this pormit shall b€ d06m€d raroksd. I corilly that I haw rsad thls appllcation and stat6 that ths abovs inlormation is corrocl, I agree to com'olv with all city ordinancss and slato laws rolating to building construction, and heroby iutfrriii rip6r.ntatives 0l this clty to ontor upon $e abovs-flEntionsd property lor inspociion purpos8s. Dai!Contraclor, 0rworkit LEGAL DECLARATIONS OWNER BUILDER DECI.ARATION: I am exemol lrom the conltaclorrs Liconso LaYY l0r the iollowing reason: D(iJoilni of ths propsrty, or my omployess rvith wagss as their sgle compensalion will d0 the work and th8 struclure is not intsndad.ot offersd lor sale. fl l, at o*nor ol ths property, am excllsivsly cdntracling with licensed contractgrs l0 construct th€ Proiect. fJ t{ot applicable WORKERS COIIPENSANOil DECLAMTION: i-tr."uiJm* 1ra I havc a cerdffcato ol consent to sell-insurg, 0r 'a certilicate ol \ibrkers' Compensaion insurance, or a corlifsd copy hersol (Ssc. 3800, Lab' C) ! cerlified @py is horeby furnishsd. - ./ [J certitieo copi is lilsd with tho city. L.['{01 applicabls CERTIFrcATE OF EXET'PTTON FROM WORKERS COMP. INSURANCE M iertify tttai in the perlgrmancs ol the wgrk tgr which this permit is issued' I shall ngt erprov ani person in any manner so as to become subiect lo the lrJorker's compensation Laws ol California.! Not applicable orlglllal-Applicanl lvhlt!'FIG 59-87 #ru coNsTR( -.'loN PERMIT (-_ Clty ot San Luls Oblspo. Eulldlng Dlvlslon. 990 Palm Str€etrBox 8100. San Luls Oblspo, CA 93403-8100 o (805) 549-7180 304,5 Ht(il.tfi:f, 5 Bulldlno Sulte/Unlt 0 Asgsssor's Parcel Number 53-tl,tl-,.lir+f-rtl Leoal Descrlotlon rlY lrl l.l{ qt-fii liin I Prolect Descrlptlon t[]lAt{I lr{Pftfj'+ftltrlT FflR F{ILF 5;ri0P Permlt Class illII T IIH T I Electrlcal - Gradlng Prolect Addross Permll Type Bulldlng Mechanlcal Demolltlon Plumblng l.lthar - Slgn Property Owner u0Ll{I [r]NsTRU|TIfili ttii fi I Malllno Address I?E* EI?ilAI 5T Phone Number Occupant/Buslness Name Bustness Owner's Name ri't[ U-IIUFfiI{T Ftli]Fi[ CIil FILF Contractor's Name fHfiI5 [[N5T Malllng Addrqss F a{ Erl! :31I rUi ltUl- Ll.L Contraclor's/Phone No.u0;- 7i3-eii:J4 FiolectManagerrArchltect EFUIE FRASEII Lender Name u.B.c.U.B.C. Type Glty/State till{ l-iii[ fl]l$Pfi' lfi Zlp Code ?.i{iil 4ii?'r Phone Number Clty/State/Zlp Contractor's State Lic. No. ,iIil9:+ Prolect Manaoer's Phone No. Lender Address SubJect to Flood Zone Requirements No. of Bldgs. Unlts per Bldg. 1 Bldg. Value Code it A/D/Y per Bldg. 35 " riil0 A=Area D = Dollars Y = Yards I Gensus Number Descrlptlon ltnli-RE5 I DTNII*r {!t.T lAlDi l0lllt11 Census Sub-Code H Census Number Tolal Bldg. Area Total Bldg. Value or Yards ol Gradlns -J-r, I tl.!r_t Helght (ft.) E Storles p1"n 11o.f t){ THr f f,Lt tr{riitfi PRELi}11ilAfi:Y ffr,$ fiF[ 5U$.]Ei;i 1{] {;fll}ririt liEF0SE F[frr1l t ifiililillr: f ct: Itil ^ 5'i fl[{:i" 5ij fi[l, * lJ t-r lit-1 1ii5 i'rli;tl-1., lll:, tfl: [[t.# ptitttlItl6 Pf,iifitI Fi iiil liiFf,r: tiiiHAr{ri:nr ttfiiilT li [i]Tltli.frL t ff:fliI FiltilElilE FFiiHIi f'ili[tlll0l,l i[ffl17 [.H.r.P. irAi{ltcAPFtI f'tfilt fll{[]r FtlFftEY FLiri,i fH[[]1 "? iiq t:rq., r.1 tt l,l cruf6 tlil fEtl i,till.cT,qlJi;i Ilii'l lllil I Irii fiR{i[ill& rr$:i"ilI f'l1fiF. Ittfi l.ilT fIH[tl l HIiftilFil"!,t FFt Fl.ittl ililtr.k .isllt';l iiilil Sltlt{ Ffifil{l I *l,tiifl l! tft.i { I !,rF 'iti t:illlt t ar, fiHiitlilT frl!i) !Ai.11'dCF: 1 t -1ll,.rlltrl 'ii ir:'1 I Speclal Condlllons: Permll Number i{'5il 0Llssuance Date Iti* ro - q/ Authorlzed D6partmont RoprosgntatlYa Date ti73t:Appllcation ication Date Code Activlty Date Thls permll ls only vatld when endorged by an aulhorlzed representatlve ol the Communlty Developmonl Departmont. NOTICE TO APPLICANN It, aller making any ol the l0regoing declarations, you become subiect t0 any Labor Code 0r ljcense Law provision, you must comply wilh such provisions or this permit shall be deemed rovoked. I cerlily lhat I have read lhis applicalion and state that the above inlormalion is corred' I agree l0 comply with all city ordinances and state laws relating t0 building construclion, and hereby authorize represenlalives 0l this city t0 enlsr upon th€ above'menti0ned property l0r inspecti0n purposes. Unlsss noted under "special Corlditions," rhis permit becomes null and v0id il work or construclion authorized is nol starled within 180 days, or il construcli0n 0r work is suspended or abondoned l0r a period ol 180 days any lime alter work is commenced. Slgnaturo ol Conlractor, Aulhorlzod or ownor q/t) Dato LEGAL DECLARATIONS OWl{ER BUILDER DECLARATION: I am exempt lrom the contraclor's License Law lor the lollowiflg reason: f) l, as owner ol tho properly, or my employees with wages as lheir sole compensation will do the $rork and the.struclure is not intendsd or otlered lor sale. fl l, as owner ol lhe property, am exclusively contracting with licensed conlractors l0 construct the proiecl. Ef Not applicable WORKERS COMPENSATTON DECLARATION: I hereby atlirm that I have a certilicate ol consent lo sell-insuro, 0r 'a.cerlilicate ol l{lorkers' Compensation lnsurance, 0r a certitied copy hsreol (Sec. 3800, Lab. C) D Certilied copy is hereby lurnished. SCertitieO coiy is liled wilh the City. D Nol applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I I csrlily lhat in ths porlormanco ol lho wolk lor which this psrmit is issusd, I shall not employ any porson in any manner so as to becoms subiecl t0 lho t|orker's Componsalion Laws ol Calilornia. Sl Not applicable o.lolnal-Applicanl whlto'fllo Pink-AssessoJ 00ld-Counler 59'87 #ru CONSTRU "';ION PERMIT (-,- Clty ol San Luls Oblspo . Bulldlng Dlvlslon . {Xl0 Palm StreetrBox 8100 . San Luls Oblspo, CA 93403-8100 . (805) 549-7180 ProJect Address Assassor's Parcel Number 304u HI0iltnii 5 It.LutifttAiIir 5t[iu F{.lft 6ilr[ $ililP Eulldlno Legal Descriptlon Sulte/Unlt il -ffi-lhcrttrflFi Descrlptlon Permlt Class Permlt Type - Bulldlng Malllng Addrsss - Demolltlon - Gradlng ir0LHT tffisTfttitTIilll llrc A i.- Mechanlcal - Electrlcal - Plumblng - Slgn Property Owner tq:+ pf,gr'!D gT Malllno Acldress Phone Number OccuDant/Buslness Name Buslness Owner's Name ,:HFIS tirlilt Contractor's Name Zlo Code Phone Number rilEflfil fi{"itiliii- tlili i{iii' Contractor's State Llc. No. Prolect Manager's Phone No. Lender Address Sublect to Flood Zone Requlrements a' n int 4t1 contractor-Phone No. Prolect Manaoer/Archltect Lender Name !-5 U.B.C. Group - QA{ -'l'? + -;.'P'1i Ftllr'f rf',i\{fF U.B.C. Type No. of Bldgs. Units per Bldg. Bldg. Value Code A/D/Y per Bldg. A=Area D = Dollars Y = Yards Census Number DescriptionCensus Sub-Gode Gensus Number ll l.i{ i Total 8ldg. Area Total Bldg. Valuo or Yardc ol Gradlnq Helsht (ft.)Storles ? 0'r Plan No. u }UII IIUfr I,EIIHII Ft.Ai{ il{ru: Hf fi.iAl'rilAr" PERfiIT ft[llnlCfil FTftHIT Pr.ulllilN6 F[fiiil1 Df Hfil- I T lri'l tt{lii I I 5.t1,t.P, i,IA}{OICNPPTil PLAii iHEII.I. FlitF:EI Ft.iifl lH[Cii Stti[Fi iiAi l"li [illisTFUlTi{iH r.lflll liix iififiI'ltl5 Ffrlllill" PA.litili{[ lilT l]ffifil I I,I I IilliF II Ii FF T f't firt llHltf ritiriih ti{f til 51fi}I tiiilll i trlH{llil S{ft}ri l lit: i 4Et t t I I U. ,Jil I +Yb , iiit i :; . irr'' l:, iili . iiii I[rsL rrE:i SilrtUllT F'cii ii eil itillI Speclal Condltlons: Permlt Number irl1l0ltl /)(t ([c- /n- y'/ lssuance Date Aulhorlzed Dopa.lment Reptessnlallve Dal6 I u:jhi Appllcation Nuq[p1is,,,q 1 Appllcation Date r, Actlvity Code 1;ttthint Activlty Date Thls permll Is only valld when endorsed by an aulhorlzed reprosontatlv€ ol lhe Gommunlty Developmenl DePartment. NOTICE TO APPLICAI{T: ll, aller making any ol lho loregoing declarations, you become subiecl lo any Labor Codo or Llconse Law pr0vision, you must comply with such provisions or this permit shall bo deomod rsvoked. I certily that I have read lhis application and slale that the above inlormation is cofrecl, I agree to comply wilh all city 0tdinances and slate laws relating to building conslruclion, and hereby aulhorizo fepresenlatives 0l this cily to enter upon lhe above-menlioned properly tor inspection pufposes. Unless noted under "special conditions," this permil becomes null and void il work 0r construction authorized is nol started within 180 days, or il construclion or work is suspended or abondoned lor a period ol 180 days any lime alter work is commenced. {-f lo Slgnaluro ol or own8l LEGAL DECLARATIONS OWNEE BUILDER DECLARATION: I arn exemol lrom the conlractor's License Law l0r tho loll0tving reason: I l, as owner ol the prgporly, or my emplgyees wilh wagos as lheir solo compensation will d0 lhs work and ths struclure is not inlend0d or oflered l0r salo ! l, as owner ol the properly, am exclusively contracting w1h licensed conlractgts to conslrucl lhe proiect. R Not applicable WORKERS COMPENSATION DECLARATION: I hereby aflirm that I hav6 a cerlilicale 0l conseol lo sell-insure, or 'a cerlilicate ol vvorkers' Compensation insurance,0r a certilied copy hereol (Sec. 3800' Lab. C) D iertilied copy is hereby lurnished. [l certitieo coii is liled with the cily. n Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE fl I certily that in the porlormance ol lhe work lor which this permil is issued, I shall not employ any person in any manner so as to become subiect lo thE l\torker's compensalion Laws ol Calilornia. El Not applicable Origlnal-Applicanl Whlts-Fllo Plnt-Ass6ssot Gold-Counlor 59-87 I cttyco of *J san Luls oBtspo( t NSTRUCTION PERMIT A e596 Department of Community Development,990 Palm Street/Post Off ice eoxJgl9$an Luis obispo, CA 7 TYPE 0F El Gombination n ng trRemodel trElectrical !Plumbing nMechanical trSolar nGrading PERMlTtrRetainingWa|ltrPalkingLottrDemolitionDMovingD0ther Project Address 304rr S. Hisr.tera Street Bldg. rrA!r [Jse Zone r'- q San Luis Obispo Suburban 53-O4L-22 Lot Number 22 /-.1 Assessor's Number 1530 ala Santa Bari:ara 4661sss 2l Lucern, Cal'ucos u Ca phsns Ca Day Phone 965-452 I 995- 183 I Pnone 543-1794 Lic. No.- Day Phone- or Builder Architect Rarie Consrructlon or Designer Richmond. Rossi .MoutsoneLAdd I 5 OCCUPANCY & GROUP B*2 TYPE OF CONSTRUCTION Type Ii - Sprinkl-ered FOUNDATI0N: ! Wood E Concrete E stan fl Piers/Caissons FRAME: n wood Stud E lrletat E Timber E Masonry EXTERIOR WALL: E Wood Siding E Stucco n Masonry Veneer E Masonry n Brick n Concrete Block E tttetat R00F: D auin-up E tttetat n Composition Shingle ! tlte tr Wood Shingle/Shake HEATING: ! Electric E Gas Furnace E Gas Wall E Sotar STATE REOUIREMENTS: n rnergy ! Sound n Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the provisions ol Chapter I (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in tull lorce and eftect. License B-1 License Number AQ$AOA Contractor Rarte Const.ructlon 7-r 1-86 OWN ER BUILDER DECLARATION: I am exempt from the contractor's License Law for the following reason: fl I, as owner 0l the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or otfered l0r sale. n l, as owner 0t the property, am exclusively contracting with licensed conlractors l0 construct the project. n I am exempt under Sec.B. & P.C. lor this reason Date___ Applicant WORKERS COMPENSATION DECLARATION I hereby affirm that I have a certificate 0f consent to self-insure, or 'a certilicate ol workers' Compensation lnsurance, or a certilied copy hereof (Sec. 3800, Lab. C). n Certitied copy is hereby lurnished. 0wner Contractor B Certilied copy is tiled a InvesEments Ltd. Hi 9rler sr-. - sl.oa PROJECT INFORMATION Type ol Project: Proposed Use: Tndrefrial 1?l Serial Tenani- Address t"nmnarni a'l Setbacks: Material Mobile/M0dular Home lnlormation: Manufacturer 58. I D.0.H. No. 2rl ! 0ther Rear Floorlrea 9.C00 Garage- Barn- Carport- Covered Porch- Deck- Storage- No. Bedrooms- No. Bathrooms- No. Stories Building Height 16t -A'11 Retaining Wall I nlormation:Lenoth Year [^ D.M.V. Lic.State- No. Bedrooms MovingBuildinglnf0rmalion:PresentL0cation Locality- Presenl Proposed U Tot. Lin. Ft. of Fdtn.- Grading lnlormation: Tot.1t,r(|,Cu. Yds. Tot.Cu. Yds.; Area ol Dislurbance TOTALVALUATION......!R , 1? fr{\3 - Plan Check No.Q Combination Permit Building Permit Electrical Permit Plumbing Permit Mechanical Permit s Eir 'r.', A S 1-;rn5-i)ii s .l a NOTICE OF APPLIGANT: lf, atter making this certificate 0l Exemption, you should become subject to the v\Jorker's Compensation provisions ol the Lab0r Code, you must comply with such provisions or this permit shall be deenn€d revoked. CONSTRUCTION LENDING AGENCY I hereby aflirm that there is a construction lending agency l0r the performance ol the work lor which this permit is issued (Sec. 3097, Civ. C.) CERTIFICATE OF EXEM I certily that in lhe perlormance 0l the w0rk l0r which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of California. days any time is commenced. -::PrySlllDe'artment {u, ^,n,(: PTION FROM WORKERS COltlp. tHsUnnttbe 'n'ru'ji REQUIREMENTSn water Fees to be Paid n Fire Hydrants lor Const. n Sewer Fees to be Paid E City Business License fl C/G/S Perrnit Reg'd. E State Contractor's Lic. n Encroachment Permit SPECIAL CONDITIONS 741 Other: Other: TOTAL PERMIT FEES n Construction Unit Tax TOTAL FEES VALIDATION .Iohn L. I'iellermanllm Authorized Department Representative c 1.0 X*-ll-ir- .i_:.1 Lender's Name Leider's Addiess I certily that I have read this application and state that the above inlormation is correct. I agree t0 comply with all county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property l0r inspection purp0ses. NOTICE Unless noted under "special Conditions," this permit becomes null and void il work or construction authorized is not started within 180 days, 0r if construction 0r work is suspended or abandoned l0r a oeriod ol 180'l ,'4-. of Contractor or Authorized Agent Signature of owner (lf owner Builder) WHITE - Applicant YELLOW - File 7-1 1-8 PINK-Assessor GOLD - Counter SEQ DATE TOTAL AMOUNT Date Gleyco t -l ' {' i 'of -.*. san Luls oBtspo NSTRUCTION PERMIT A r??B Department of Gominunity Development, gg0 Palm Street/Post office ao* g#i5Jn Luis obispo, cXd#ffiB6dj'sffi+ffifi+g TYPE OF PERMIT E Gombination n Retaining Wall ! Building tr Remodel tr Electrical! Parking Lot tr Demolition n Moving ! Plumbing ! Mechanical D Solar n Gradingn 0ther Project Address 3046 S . Iliguera Street , Ste. D gr. Lot Number 22 , 30 Bbck T.^rl San Luis Obispo , Sul.urban Assessor's N z^^o C-S 53-CI41-22,3!j Owner Bil-1 Gerard Steve Boyle itichmond' Rossi Montgonery 27E.n rra, Santa B P.O. llox 727, SLC, CA Phone ,o"" 416 lliguera. SLO 'CA Phone Contractor or Builder Architect or Designer Add Add 544-2L42 543-L794 rin c-9931No Rossi Hon OCCUPANCY & GROUP TYPE OF CONSTRUCTION V-N FOUNDATION: fl Wood n Concrete 6 Snn E piers/Caissons FRAME: fl Wood Stud B uetat ! Timber n Mason ry ROOF HEATING: [] Ehctric EGas Furnace n Gas Wail [ Sotar STATE RE0UIREMENTS: D Energy ! Sound ! Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the provisions 0f Chapter g (commencing wilh Section 7000) 0f Division 3 ol the Eusiness and Prolessions C0de, and my license is in lull torce and efiect. License Class B-1 L.icense Number 452643 Contractor Steve Bovle 2-25-87 OWNER BUILDER DEGU\RATION: I am exemit lrom the contraclor's License Law lor the lollowing reason: ! l, as owner ol the property, 0r my employees with wages as their sole compensation will do the work and lhe structure is not intended 0r oflered for sale. n l, as owner ol the property, am exclusively contracting with licensed conlraclors to construct the proiect. E lamexemptundersec., B. & P.C. for this reason WORKERS COMPENSATION DECLARATION I hereby alfirm that I have a certiticate 0t consent t0 self-insure, or 'a certificate of Workers' Compensation lnsurance, 0r a certilled copy hereof (Sec. 3800, Lab. C). E Certilied copy is hereby lurnished. ! Certitied copy is tiled with the county Planning Department. CERTIFICATE OF EXEMPTION FROM d SLO CA Day Dhnna 54'i-77't4 PROJECT INFORMATION Type ol Proiect: Proposed Use: TENAIiIT N.,IPROVEMENT Commer Setbacks:2 Rear Floor 1310 sf E*zno Carport Covered Porch Deck Storage_ No. Bathrooms_ No. RetaininoWall lnformation: Lenoth 416 i EXTERIOR WALL: D Wood Siding EI Srucco D Masonry Veneer' E Masonry I gricr n concreti Btock EKMetat ! auift-up E[ Uetat [-l Composition Shingle n ltefl WooO Shingle/Shake Material Year- serial No.- D.o.H. No.- Mobile/ Modular Home lnformation: Moving Building lnformation: Present I o.rlitu Proposed Grading lnformation: Tot. D.M.V. Lic. No._No. Bedrooms_ TOTALVALUATION...... Plan Check No. Gombination Permit $ 18.000, - Building Permit Electrical Permit ... Plumbing Permit Mechanical Permit. . Other: Other: TOTAL PERMIT FEES n Construction Unit Tax TOTAL FEES REQUIREMENTS E Water Fees to be Paid [ 0tner ! Fire Hydrants for Const. n Sewer Fees to be Paid n City Business License fl C/G/S Permit Reg'd. E State Contractor's Lic. fl Encroachment Permit SPECIAL CONDITIONS Presenl Yds"; Areao, Tot. Lin. Ft. ot Fdtn I87.0C Y \ I cerlify that in the perlormance ot the person in any manner so as lo become work lor ;,:./. Aoolicanl INSURANCE issued, I shall not employ any Laws of California. f\ NOTICE OF APPLICANT: lf, after making this Certiticate 0t Exemption, you should become subject t0 the ltrjbrker's Compensation provisions of the Labor Code, you must comply with such provisions 0r this pernit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atfirm that lhere is a construction lending agency for lhe performance ol the work lor which this Wrnil is tssued (Sec. 3097, Civ. C.) -l Lender's Nrmc Lender's Address I certify that I haw read this application and state lhat the above inlormation is coffecl. I agree to comply wilh all county ordinances and stale laws relating t0 quilding construction, and hereby aulhorize representatives 0l this county to enter upon lhe abovFmentioned property lor inspection purposes. - NOTICE Unless noted under_'tspeciatcbngiliofl-s," this permit becomes null and void il work or construction authorized is not shrted yithi4,f8o days, or il construction or work is suspended orabandoned lor a period ol 180 crrt;al.Wyngaty work is commenced. ;7 ;' 1-'' | ('--- Signature 0l Conlractor6r Authodzed Agent Signature 0l owner (ll 0wner Builder) 'r{lTE - Applicant YELLOW - File Authorized Department Representative v VALIDATION John L. Kellernan/jkt intue ..'.'.''.'.'. PINK-Assessor GOLD-Gounler SEO DATE TOTAL 1ffii' \ "'- " ) '-.' Clry oF '-, ]'san Luls oBl(po'"'.i CONSTRUCTION PERMIT A ffizz Department of Community Development, gg0 Palm Street/Post Off ice Box 3fr, San Luis Obispo, CA9ts4ffi(805) 5ifFffieffi?g TYPE OF PERMIT n Combination n Retaining Wall 3046 South Hlguera Sireet 22,23 Fllnnk Tract i{lguera Investrnents Ltd. Rarig Construction RlchmondrRossirMontgomery Address tr Building ! Remodel n Electrical tr Parking Lot tr Demolition ! Moving SLO Suburban n Humblng n Mechanical tr Solar E Grading |1 0ther 7 nnc c-s Use Assessor's Number 53-041-30 & 22 ,..r, 1530 Chapala, Santa Barbara$,ffpnon.96s-4521 466rur, 21 Lucern, Cayucos,CA p;,'n.995-183 1 416 Higuera, SLO, CA pho 5t+3-r794 No. Project Address Lot Number 0wner Contractor or Builder Architect or Designer OCCUPANCY & GROUP TYPE OF CONSTRUCTION Type II Sprlnklered FOUNDATI0N: EWood I Concrete Estan ! Piers/Caissons FRAME: E wood Stud E wtetat E Timber n Masonry Day Phone- PROJECT INFORMATION Type ol Project: Proposed Use: EAFJY GRADING cotrrmereial Setbacks 5gl Rear 211 Floor Area 90009F caraoe Carport- Covered Porch-na.L Storage- No. Bedrooms- No. Bathrooms- No. Slories- Building Height Retaining Wall lnformation: Length- Heig EXTERI0R WALL: E Wood Siding fl Stucco E Masonry Veneer E Masonry n Brict< n Concrete Block n Metat R00F: n auitt-up n Metat D Composition Shingle n tite E Wood Shingle/Shake HEATING: ! Electric ! Gas Furnace n Gas Wall E Solar STATE REOUIREMENTS: E Energy n Sound ! Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the provisions 0l Chapter I (commencing with S€ction 7000) 0t Division 3 0f the Business and Professions Code, and my license is in lull lorce and effect. ts-l 389696 License License Number Itlalerial Mobile/ModularHomelnformation: Manufacturer- Serial D.O.H D.M.V. Lic. No.No. Bedrooms- Moving Building lnlormation: Present Locality Present Use- Proposed U Yds.: Areaof TOTALVALUATION ...... Plan Check No. B6n9n Combination Permit Building Permit Electrical Permit .. Plumbing Permit Mechanical Permit. Other: Other: GRADII{G:35.00 TOTAL PERMIT FEES! Construction Unit Tax TOTAL FEES s 195,00 REQUIREMENTSn water Fees to be Paid F Fire Hydrants for Const. E Sewer Fees to be Paid E City Business License fl C/G/S Permit Reg'd. E Statr Contractor's Lic. ! Encroachment Permit SPECIAL CONDITIONS VALIDATION John L, Kellerman/ve Authorized Department Representative Tot. Lin. Ft. of Fdtn.- 11r Yds.; contractor Rarig Construction n.to 316186 OWNER BUILDER DECLARATION: I am exempt lrom the conlractor's License Law lor the lollowing reason: n l, as owner 0t the property, or my employees with wages as lheir sole compensation will do the work and the structure is not intended or oflered for sale. E l, as owner 0t the property, am exclusively contracting with licensed contractors t0 construct the proiect. n I am exempt under Sec.B. & P.C. for this reason 6.n nn WORKERS COMPENSATION DECLARATION I hereby atlirm thal I have a certificate 0t consent lo self-insure, or 'a certilicate oi Workers' Compensation lnsurance, or a certitied copy hereol (Sec. 3800, Lab. C). n Certilied copy is hereby lurnisheq. ffi curtiti.o cobi is titeo iittr tn$drfr$lptanning Department. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I certify that in the performance ol the work for which this permit is issued, I shall not employ any person in any manner s0 as to become subiect t0 the Worker's CompensationLaws ol California. Date- Lender's Name E 0tner 316/86 NOTICE OF APPLICANT: lf, afte. making this Certiticate ol Exemption, you should become subject to the Ubrker's Compensation provisions 0J the Labor Code, you must comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby aftirm that there is a constructioh lending agency lor the performance 0t the work lor which this permit is issued (Sec. 3097, Civ. C.) Lender's Address I certity that I have read this application and state that the above inlormalion is correct. I agtee t0 comply with all counly ordinances and state laws relaling t0 b'uilding constructi0n, and hereby authorize representatives 0l this County to enter upon the above-mentioned property lor inspeclion purposes. NOTICE Unless noted under "special Conditions," this permit becomes null and void il work or construclion authorized is not started wilhin 180 days, or il construction 0r work is suspended 0r abandoned tor a period ot 180 days any time atter work is commenced. Signature ot Contractor or Signature 0f own€r (lf owner Buildeo t:t) 1,,i..,t . ; . DATE r", It TOTAL AMOUNTWHITE - Applicant YELLOW - File PINK - Assessor GOLD - Counter SEQ Date ty #ru CONSTRI.C, ION PERMIT C, Ctty ol San Luls Oblspo. Buildlng Division . 990 Palm Street,Box 8100 . San Luls Oblspo, CA 934G1-fi(Xl o (8(E) 5t19.7180 Prol€ct Address ?0iA t{lf,ltFRA cl Assessor's Parcel Number qr-116r-ilrrnfl-rir Bulldlns Legal Descrlptlon Sulte/Unlt R i,,i TI N FH Tf}:A5 PAR A Permlt Class l1intTi:tti Permlt Type { Bulldlng L Mechanlcal - Demolltlon .{ Electrlcal - Gradlng Plumblng - Sign Prooerty Owner i;01 i'lY t[ilSTRLiiTIl-JH ltui i r] MalllnO Address i 0fir gDnAit iTr 'l_ !r, r.rr1:i . r l Phone Number Occupant/Buslness Name Buslness Owner's Name Contracior's Name :tirAFlHt-fil6CIHAEILL Mallln0 Address lBCir :;AI]TT EAE.F*RA Contractor's Phon€ No. Prolect Manaser/Archltect HITL.F FlllllTEllfrEpY Lender Name U.B.C. Group 8e U.B.C. Type i I-fi crty/state Jcrit t u I5 cu IlPl , [n Zlp Code t34ill -4+99 Phone Number Clty/Stale/Zlp 5AH LUIS 0FISPo. C* 934+l-0i'rj4 Contractor's State Llc. No. q9:i?i Prolect Manager's Phone No.513-1 ?S4 Lender Address Sublect to Flood Zone Requlrementa No. of Bldgs. i Unlts per Bldg. I Bldg. Value Code i1 A/D'Y per Bldg. 10, s0{j A = Ar6a D = Dollars Y-Yards 0 Census Number Descilptlon r't0H-Fi:lD$,tT l*r ALi /fi[0iIIHVEF Census Sub-,Gode Census Number Tolrl Blds. Aree Total Bldg. Value or Yardc ol Gradlng i ll , iil.'ii Heloht (lt.) t Storles I Plan No.8 ?{ THT Fl]IICIiIII{E FfrEI.IIIII{{FY FTIS ART 5U8IT{IT Ji] iHilHEE BEFilFE PTFfiIi ISSUAIIIE: Ftt fi,'r^ 11.31 l t.i' g.Fr t SSlb i:5 1 L 05! i0ir FET R[T,T ilrll l!Ufi I\F'F'$11 i'LAK i]HTLT: ;E;i.q6111;11 rtFiliT rtlrTpiitqi. PtrlHlT PrLitlFil!F ltFFl't irfHiri li ilrri PtPllii :.ii I i HAHIIIAPPF.D Fi 11]j tHEli iHt*6 r P,.*li i:HF',lt: i ,5r i8ef sfldIF' t4A jgP CflI{IIRUCTIO}I UI{II TAi ERA$II'16 PF-RI{I T F,IEH I IiE I IrT FTF|}II T ?1 Ir:Rilr il i,t ijEi rLAH IHi!ii( AI']iiSTltfillI glEr{ ruFnlI ii0t{lHiBTa4ii'rE ! l1l TiIAL FEES *flttilNI Ft Il !.iAL*NIE t t i 180. Jil llr'lii .;l+t Speclal Condltlone: Appllcatlon Number 13?l Appllcatlon p"1" 3/trU,IY'rl Actlvlty Code Actlvltv Date Thlr permll ls only valld when endorged by an aulhorlzed repreeentatlve ol lhe Gommunlty Developmont DePlrtment. Permll Number lii'' ffi Authorlzed Deparlmant Reprsssntatlve Date NOTICE TO APPLICANN ll, alter making any ol the loregoing doclarations, you beclme subiect to any Labor Code or License Law provision, you must comply with such provisions or this psrmit shall b0 d0m0d revoked. I certity that I have road this application and state that tho abovo inlomation isconoct' I agfso to comply with all city ordinancss and stalo laws relating to bullding construclion, and hsrBby i authorize representativos ol thls city to snlor upon ths above-msntioned proporty lor lnspoctbn purposes. Unless notsd under "special Conditions," this p€rmit boconFs null and void il rIork or construction authorizod is not starlod wilhin 180 days, or it construction or rvoik is suspondcd or abondoned l0r a psriod 0l 180 days any timo altor work is commsnced. o Signaturo ol or orYncr LEGAL DECLARATIONS OWNER BUILDER DECLARATION: I am exemot lrom ths contraclor's License LalY l0r the lollowing reason: n l, as owner ol lhe prop€rly, 0r my employees with wages as their sole compensation will d0 the work and the strucluro is not intsnded or otlered lor sale. n l, as owner ol lhe prop€rty, am exclusively contractino wilh licensed contractors t0 conslruct lhe proisct. F.l'lot applicable WORKERS COMPENSATION DECI.AMTION: I hersby atlirm that I have a certilicats ol consent to sell-insure,0r 'a cerlilicate 0l ltbrkets' Compensation insurancs,0r a cortilied copy hereol (Sec. 3800' Lab. C) t-f ierlitied copy ls hereby lurnished.p certltieo coiy is tiled wfuh the cily. I Not applicable CERTIFICATE OF EXEMPTION FROTI WORKERS ! I cerlity thal in the performance ol the work lor which enploy any person in any mannor so as t0 bocome subject t0 ol Calilornia. Fllot aPPlicable COMP. INSURANCE lhis permit is issued, I shall not the Vlbrker's Comp8nsation Laws odglnal-Appllcant Wnm-Fnc Pink'Asscssor 6old'Countc 5S87 M CONSTRU ION PERMIT City of San Luis Obispo o Building Division . 990 Palm Street/Box 8100 . San Luis Obispo, CA 93403-8100 . (805) 549-7180 Proiect Address Assessor's Parcel Number -.',-' Building Legal Description Suite/Unit ion Permit Class Permit Type - Building Property Owner Mailing Address Phone Number Occupant/Business Name Business Owner's Name Gontractor's Name Mailing Address Contractor's Phone No. Project Manager/Architect Lender Name U.B.C. Group - Mechanical - Demolition - Electrical - Grading - Plumbing - Sign U.B.C. Type City/State Zip Code Phone Number City/State/Zip Contractor's State Lic. No. Proiect Manager's Phone No. - ' .' : : Lender Address Subject to Flood Zone Requirements No. of Bldgs. Units per Bldg Bldg. Value Code AIDIY per Bldg. A = Area D = Dollars Y = Yards Census Number DescriptionCensus Sub-Gode Census Number Total Bldg. Area Total Bldg. Value or Yards of Grading Heisht (ft.)Stories Plan No. Special Conditions: Permit Number lssuance Dale Authorized Deparlment Representative Date Application Number Application Date Activity Code Activity Date This permlt is only valid when endorsed by an authorized representaliyg of the Community Development Department. NOTICE TO APPLICANT: lf, atter making any 0J the loregoing declarations, you become subject to any Labor Code 0r License Law pr0vision, you must comply with such provisions or this permit shall be deemed revoked. I certily that I have read this application and state that the above inlormation is c0rrect, I agree to c0mply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property {0r inspection purp0ses. Unless noted under "Special Conditions," this permit becomes null and v0id if work 0r construction 3ulhori zed is not started within 180 days, 0r il construction or work is suspended or abondoned {or a period of 180 days any time after work is commenced Authorized Agent Date LEGAL DECLARATIONS OWNER BUILDER DECLARATION: l 4m exempt lrom the conlractor's License Law lor the following reason: L-.1 l,asownerof theproperty,0rmyemployeeswithwagesastheirsolec0mpensationwill do the work and the slructure is not intended 0r ollered tor sale. E l, as owner ol the property, am exclusively conlracting with licensed contraclors to construct the project. n Not applicable WOBKERS COMPENSATION DECLARATION: I hereby aftirm that I have a certificate of consent lo self-insure, or 'a certi{icate of \iJorkers' Compensation insurance, or a certilied copy hereof (Sec. 3800, Lab. C) I iertilied copy is hereby lurnished. tr CertitieC copy is liled with the City. tr Not applicable CERTIFICATE OF EXEMPTION F,.ROM WORKERS COMP, INSURANCE E I certify thal in the performanca oi the work for which this permit is issued, I shall not employ any person in any manner so as t0 become subject to the Worker's Compensation Laws qLCalilornia. L-l Not applicable 0riginal-Applicant White-File Pink-Assessor Gold-C0unter 59-87 '#ro CONSTR[.(]''ION PERMIT (, Clty ol San Luis Obispq r Euildlng Dlvlslon o 990 Palm Stre€UBox 8100 r San Luis Oblspo, CA 93a03'8100 o (815) 5{9-71d) Prolect Address Agssssor's Parcel Number Proloct Descrlptlon Permlt Class rFilSrii ii,iFtt!!1Fl4Ffii l: I Bulldlng IrL !ittriryrll - ,lil" ilI ?ilai rilciiFR& q Bulldlns LeOal Descriptlon - Plumblng Helsht (ft.) E Storles I Sulte/Unlt E iy ii ti Ft! r'l_6-c FAR q Slgh Plan No.B ?4 Appllcatlon Numbei t4S3 Appllcailon Date i/05/90 ActlYlty Code Actlvltv Date $/05/90 (a,a1i I - ni$ ir-ii I Permlt Type Owner Address Number Name Owner's Name Name M Address Phone No. Name Area Condltlonr: U.B.C. Type I I-H Tolrl Bldg. Value or Yards ol Gradlng - Mechanlcal - Demolltlon i Electrlcal - Gradlng U Clty/State lfiil IUIS 0BI5P0. [A Zip Code :;3t+t:'i-4{9',' Phone Number Clty/State/Zlp iCH ttlls 8nl5r'0. [A 93'{fl-i'ili!f] C,ontraclor's State Llc. No. ,1!58?i Prolect Manage's Phone No. s4?-1??,+ Lender Address Subjecl to Flood Zone Regulrements i , liiLl P Thla permlt lr only valld whcn endorred by an authorlzed rsprossntlllvo ol the Communlly Dcvclopmcnl Dcplrlmcnt. I No. of Bldgs. I Unlts per Bldg. il Bldg. Value Code i fiir A/D/Y per Eldg. A = Area D = Dollars Y = Yards l, Census Number Descrlptlon li0H-FitS ! ijtilT I Al ili-T I SlLi i L"DriiJiFttl Census Sub-Code EUILIIHE PTfiI!IT FI-AN [lJEI:T fif[HAHICAi- f'flfiHi I [itirFiri:i FtFirlT iLilt1Fltil f iFtli r LrHnl IIi;11, FEqtil? HqHillcAFFtii I'LAN rHtil iiiitrC'. Fi 5lJ lUit'r' qFtIE E I'A TER C{}HSTRUITiOH U}III TAX ij,qli[llHfi PERtlli PAFIIIIiT LJi PiAfiIT i,liilR0FIl^14 FEE F'Lnr{ [HiCi ADiUSIttiliI SiiH FTFNIT .trr,!{fiJlqTtti!irr t ** r:lj FFt Rt(.t 4. t: \-t:ti 5ir tq,jt Rti.$ ri,rl" ;rlnr, Ftt lq i!,'! ac aF i ). iiifii_ F:[t AfiSiJHI IA I P riiLtltltI iHi rft lil.llNS FRtLlliitlAPY fttr |)b:f tllllii'T iil {lHfiHEE $tFfiFE FEFHII 1$lUAilli; )ensus ,lumber Aulhorlzed t)6pertmont bJ{-r I iir tg*lssuanco Dlle Pcrmll Numbcr o Dato \> NOTICE TO APPLICAilN ll, aflsr making any ol lhe loregoing declarabns, }!u bocoma subiec{ to my labor C0d0 0r Lic0nso Lary provisirn, you musl comply wlth such provlsions or this pormit shall bs doenod r€voked. I cerlily that I havs r3ad this application and stats that the abov8 inlormation b conBc{' I agm to com'ply wltn all cly ordinancbs and stato laws relatlng to bulldlng construCion' a{ tnlry authorizd representdlvgs ol this clty to 8nt0r upon ths abov6-mgnlioned prof*ty lor lnspectlon purp0sos. Unloss not6d undst "speclal Gondillins," thls pormlt bocomos null and Kid ll wort-or construcilon authori:sd li not startod wnhln 180 days, or ll @nstrudlon or t6rk ls susgoodod or abondonod lor a toriod ol 180 days any timo aller work ls commenced. q Sl0neturc ol LEGAL DECLARATIONS O\{NER BUILDER DECLAMTIOI{: I am exomol kom the contraclor's Licsnse Law for ths lollowing reason: n I, as ownsr ol tho prgpsrty, or my €mplgyses with wagss as their sole componsatign will d0 lhe work and tho structuro is nol intonded or ottered lor sale. ! I, as owner ol th6 prgp€rly, am exclusively cgnlracting wilh licensed cgntractgrs l0 conslruct the proiecl. F.t{ot applicabl8 WORKERS COfilPENSATION DECLARATION: I hsroby atlirm that I have a csrtlllcate ol Consonl lo solf-insuro, or 'a certilicate 0l l,librkers' Compensallon lnsuranco, or a corlilied copy hsreol (Ssc. 3800, Lab. C) I Certtttec copy ls horsby lurnishod. fterririeo coii is liled with lho clly. n Not applicabls CERTIFICATE OF EXEMPTION FROTI WORKERS COMP. INSURANCE n I csrtity that in th6 perlormanco ol ths work lor which this permit is issuod, I shall ngl employ anj p6rson in any manner so as t0 bocoms subisct lo the l{lorker's Compensation Laws ot Calilornia. (Not applicable Ondnel-Appflcrnt Wtlt!-Ft Plnk'Asscas(i Gold'Counh. I clty of J dan'Luls oBtspor-r CONSTRUCTION PERMIT A 3r?7 Departrnent of Cornmunity Devetopment,eeo Palm Street/Post office 83f8+ San Luis onispolCAW$Atgbsl d*9O66$t+e TYPE OF PERMIT E[ Gombination n Retaining Wall ! Building tr Remodel tr Electrical tr Plumbing ! Mechanical ! Solar n Grading! Parking Lot tr Demolition n Moving tr 0ther Project Address Lot Number 22 ' 23 Block- a Str r.,.tsan Luis Obispo Suburban Assessor's Number rlJU unapala itt. Address Sanf a Berhara o e 4 93101 Day Phone IL549 Los Osos Valley Rd Phone 54 1-328 I Phone Lic. No._ A.^..3125 Calle Jazmin, SLO 543-7381 3046 S"Use Zone 53-041-30 965-45210wner Higuera Lnvestors, Ltd. Contractor M.L.I,I. Construction or Builder Architect Add Ronald l'l,artindal-e OCCUPANCY & GROUP R-? TYPE OF CONSTRUCTION v-i{ FOUNDATI0N: nWood nConcrete !Stao nPiers/Caissons FRAME: n Wood Stud Ef Metal ! Timber n Masonry EXTERI0R WALL: E Wood Siding ! Stucco n Masonry Veneer ! Masonry I grict< ! Concrete Block E trletal R00F: n auin-up D wtetat E Composition Shingle ! tite n Wood Shingle/Shake HEATING: E Electric ! Gas Furnace n Gas Wall n Solar STATE RE0UIREMENTS: ! Energy n Sound ! Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION : I am licensed under the provisions ol Chapter I (commencing with Section 7000) 0l Division 3 ol the Business and Prolessi0ns Code, and my license is in tull lorce and ettect. License class B- 1 License Number 343464 Contractor ll.L.W. Constructlon 1-3Cr-87 OWNER BUILDER DECLARATION: I am exempt from the contractor's License Law l0r the lollowing reason: ! l, as owner 0l the property, or my employees with wages as their sole compensation will do lhe work and the structure is not intended 0r offered for sale. E l, as owner 0l the property, am exclusively contracting with licensed contraclors t0 construct the proiect. fl I am exempt under Sec.B. & P.C- for service(vacuum & Setbacks:Front Rear sewing) Floor 8O0 sf ^ Carport- Covered Porch-Storage- No. Bedrooms- No. Bathrooms- N0. Stories- Building Height Retaining Wall lnlormation:I enolh l.lain ht Material Mobile/ Modular Home lnlormalion: Serial No.D.0.H. No. D.M.V. Lic.state- No. Bedrooms- Moving Building lnlormati0n: Presenl Locality- Present Proposed Tot. Lin. Ft. ol Grading lnformation: Tot.l} rl Cu. Yds. Tot. Fill-Cu. Yds.; Area ol Distu t or Designer Address- Day TOTALVALUATION...... Plan Check No. Combination Permit Building Permit Electrical Permit Plumbing Permit Mechanical Permit Other: Other:this reason Date- Applicant s 5.000 R 55.50 c c c s :( WORKERS COM PENSATION DECLARATION I hereby affirm that I have a certificate 0l consent t0 self-insure, .0r 'a certiticate ol W0rkers' Compensation lnsurance, 0r a certilied copy hereof (Sec. 3800, Lab. C). Planning CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I certify that in the performance ol the \rrork l0r which this permit is issued, I shall not employ any person in any manner s0 as to become subject to the Workeas Compensation Laws of Calitornia. NOTICE OF APPLICANT: lf, after making this Certilicate 0l Exemption, you should become subject t0 the l{brker's Compensation provisions ol the Labor Code, you must comply with such provisions 0r this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atfirm that there is a construction lending agency for the performance ol the work lor which this permit is issued (Sec. 3097, Civ. G,) Lender's Lender's Address TOTAL PERMIT FEES e tr Construction Unit Tax rQ TOTAL FEES !*55-50 REQUIREMENTSI water Fees ro be paid E[orner n Fire Hydrants lor Const. ! Sewer Fees to be paiO l,L.t"--Iqegrgnae E City Business License fl C/G/S Permit Reg'd. E State Contractor's Lic. n Encroachment Permit SPECIAL CONDITIONS VALIDATION John L" Kellernan/jkt r-n-fiv Authorized Department Representative I certily that I have read this application and state that the above inlormation is correct. I agree t0 comply wilh all county ordinances and state laws relaling to quilding construction, and hereby authorize representatives of this county 1o enter upon the above-mentioned property l0r inspection purposes. NOTICE Unless noted under "Special Conditions," this permil becomes null an! vdid it work or construclion authorized is not started within 180 days, or il construction 0r work is sllspended 0r abandoned l0r a period ol 180 commenced. Signalure or Authorized Agenl Signature ol owner (lf owner Buildeo WHITE - Applicant YELLOW - File X PINK -Assessor GOLD - Counter SEQ DATE TOTAL AMOUNT Date