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HomeMy WebLinkAbout424 Higuera Building Permits#ru CONSTRU. TION PERMIT \ Clly of San Luis Oblspo o Building Dlvlslon . 990 Palm Streot/Box 8100 . San Luis Obispo, CA 93403-8100 o (8O5) 549.7180 Address Assessor's Parcel Number t-5 i l-t)6pt- ProJect Descrlption nFFIi.t rJulLilitifi tti PriRlillrii iitt rlil Permlt Glass tiEll ti]|isTtiUtTlitti Permlt Type ;. Bulldlng i Mechanlcal - Demolitlon Property Owner F[5[il-*[Flj HARi. { Malllng Address 1354 lifift;r*ii t-ji Phone Number Occupant/Business Name Buslness Owner's Name Contractor's Name ni ruin Mailing Address Contractor's Phone No. ProjectManager/Architect tiF:[t: i'laiUflti.ftt-L Lender Name u.B.c.U.B.C. Type irfi"!Fl{ififii.El i i'ltiirL l[Fi tti F rililf-iilrlll I Gity/State liAll i Uiii ttl;i:iPl,r, il$i Zip Code ,{ Eleclrlcal - Grading Bullding Legal Descriptlon Suite/Unlt Plumbing Olher !,Y il '1 P]11 iil ri Sign i _r, .l i i, .\ jil, /1 1 irlr.J Phone Number City/State/Zip Cbntractor's State Lic. No. Project Manager's Phone No. c"rt'' 'i^)"t.1 Lender Address Subject to Flood Zone Requirements .. Census Number 2'itt Census Sub-Code n ! lt! Census Number Description ilFF l[t3 L:F-Uf i;iTitHt"0 Ffit|,1ill] 6Ah:;r6r A = Area D = Dollars Y = Yards fl ii ii A/D/Y per Bldg. i:iil! ,l/! Bldg. Value Gode ij;r? i;, Units per Bldg. No. of Bldgs. l Total Bldg. Area 7 il?() Total Bldg. Value or Yards ol Gradlng lll-il:j Height (ft.) -t! stories ?Plan No.S lti FTE l,.}tE.$0 ''ic oq I t5, X? ftEt.t 398l t l!r.!Jr a 3?81 toe I :6.' t,JIUt fllr arr at LL l1LL.t EUILIIH6 PTII}III PLAII THECT. I.IECHAIIIfifl1 FTRI{IT ELTITftIIAL PERITIT PI.|]HBIIIG PEfiIIIi stHllr.lTI0H PtftriiT CtrItr HAI{EIIAPFTD PLAH THEIH II{ERfiY PI.AI{ CHEIF: &?.i3 ,1?fl1 :tutt l.!A fc Dflfi I t-il risll!;Iftu{)Tltlli ui{l I TAr BlrAlruf; ['r.ri{!r F;iRf.lHE l{ri f;EfiillI flll&fillfi i-t[ PLAti i!.li,ri: iiri ]lliIiltfiT ct6l,t f'fRhtT ,il]iiI I{I5Tfil1T I |jt l:[, fli 3?91 T'lttt rrtcl!lnL I LLf *tiiitiiit i:str,t 1, lHt FilLtt]ill!l$ FRILtHlilAft? FEIS '1ft SiJDIICI T0 [tliilt$E lfFCIFrt Ptfif'flI I$5i]f,|{ilt; Speclal Condlllons: Permlt Number a1'r i . ^)r/. )2lssuance Dale Authoalzed Doparlmont Repres€ntativg Oate APPlication Num5sl I jr"i APPlicatlon P31s l:'ii rii"r Activity Code Date iji'i-iill t Thls permlt ls only valld when endorsed by an authorlzed represeniatlve ol the Communlly Development Departmenl. LEGAL DECLARATIONS OWNEB BUILDER DECLARATION: I am exempi trom the contraclor's Ucense Law lor the lollowing reason: LJ l, as owner ol lhe pr0perly, 0r myrmployees with wages as their sole compensation will d0 lhe work and lhe struclure is not intended 0r otlered lor sale. El, as owner ol the properly, am exclusively contracting wilh licensed conlraclors l0 tonstrucl the proiect. n Not applicable WORKERS COMPE}ISATION DECLARATION: I hereby atlirm that I have a cerlilicate ol consenl lo sell-insure, or 'a certiticate of V.brkers' Compensalion insurance, or a cerlilied ! CertitieO copy is hereby lurnished. ! Cerlitied copy is tiled with lhe City. copy hereol (Sec. 3800, Lab. C) ffruot appticalte CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE n I certily thal in the perlormance 0l lhe work lor which lhis permit is issued, I shall not employ any person in any manner so asto become subiect t0 the li/brker's Compensalion Laws ol Calilornia. F.Not applicable NOTICE TO APPLICAI{T: ll, atter making any 0l the toregoing declarations, you become subiect to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certily that I have read this application and state thal the ab0ve inl0rmation is correct, I agree t0 comply wilh all city ordinances and slale laws relating t0 building construclion, and hereby aulh0ri?e represenlatives 0l lhis city to enler upon the above-menlioned pr0perty tor inspection purposes. Unless 0oled under "Special Condilions," lhis permit becomes null and void il work 0r construclion aulhorized is not starled within 180 days, 0r il construclion 0r work is suspended or abondoned lor a period 0f 180 days any lime aner work is commenced. Aosnt or ownor DatBol original-Applicanl White-Fils Pink-Assess0r Gold-Counter 59-87 N9 ts25 ,2 l uGCITY OF SAN LUIS OBISPO BUTLDING PERMIT Business License tr Permit Card n Street File n Permit Fee PIan Check Fee Other Fees $-----_----__ 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 sidewalk faciliries. $___ TOTAL $____________ DESCRIPTION OF STRUCTURE OR WORK Ise No.- [.nr H*k -h- / - subdivision - - Estimated value ------u"it-d-- NewE AdditionE AlterationE RepairsE MoveE Demolish Use zone---- Fire zone---- Lot Y Width-------- Length-- Height------- Stories------ L t ^[^,]1\d--,Owner Address \t Arch. or Eng. Address Builder --$+*f:rg-bJ AddressFoundation-- Exterior wall---------- Roof--- How heated- Typ"------- Group-------- Garage Carport tr ------X------ Atached E Detached EI Special requirements In accordance with the requirements of Section 3800 of the California Labor Code, f, 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: City Clerk. Classification License No. I am exempt from these provisions by reason of the following: a. I am tf,e 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 ------- Lt-t Insp ector of Buildi.ngs. INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). tr Certificate of workmen's compensation insurance, copyof consent to self-insure from Director of Industrial filed with the City and is still in effect. tr The permit sought is for one hundred dollars or less. 'f,* thereof or certificate Relations, has been 2. Permit to Erect $ign Datefu---1$J-2t**--- (7/z of t%) -F""' gf-(1--Valuation: $- (Minimum fee .00) .,;--')DEPARTMENT OF BUILDING Crry or SeN Lurs Osrspo Ne L027 INSTALLATION INFORMATIO Flag length Wall - Susp'd mount -14:---- Structure Flush mount---------- Other Use permit required---- Date granted Base mount Center mount Variance ---- Date Pole Roof RMATIONTI Owner or, Lot ----Blk-----Su (-t Contractor 4-/zzz= ., No. {-z-{- Address fz/-- Address l-4**-z-- DESCRIPTION OT SIGN Neon ---: Metal --4'-- Single face -- Weight 2-a:-&------ Shop No. TT {""-t^-reads 2(€t faceDoublePlasticFluorescent Amperage Wattage Other Other U. L. No. Painted Length --6-:- Wood Other Imspeetor of Building \t'' if..:.' /- ,/vDEPARTMENT OF BUILDING Crrv or Ses Luls Ogrspo Application to Erect $ign 7 Valuation,SJA9 \ - Fee: $1 ') ..---, I .'l I ].- : .-::'-:-.: ir'.. $l.il,r BLocK No, -& 2 4 INSTATLATION INFORMATION Flag length \\/all Susp'd nrount -/-,---- Structure Flush mount---------- Other Use permit required---- Date granted \/ariancc requcstccl - -- Date nted Base mount Center mount Pole Roof DESCRIPTION OT SIGN Neon ---- \letal ---'/',- Single face --* Fluorescent Plastic Double face X- Lcngth - A /r.f IJeight -- 3---- Thickncss J * \\/eight ,J s1 ,14-,- -/11-e' copy &_a_^t2-.>,,b- F F /--rf,e--_SERT} Amperage Other Other Other \\Iattage U. L. No Shop No Painted ,X-,- \\Iood LO L-.\T: ON INF ORMATION \t,.4 2 9 S::.-ii 4r C- I/EKA-- df -_ Subdr -'\tl.lrcss 424 4tCrUgeA .ET- /1c o sE O'',,.,'JazrcY cj: S c uru-/) ,rrr'rr.r{fuO, \tl.llcss ' /3 3 , ?&. or. Lr',i ii:. J/ St zQ12c _s) J ,--Ut-Ge,ee-O sr City of San Luis Obispo Building Inspector L Ch I hate carefulll' exnnrined the abote ,conpleted.app.li- cation and kno'rv the saue is tnrc and correct. AII city ordincmces and statc lau,s Eovcrrting sigrr constrttction T N Auill be crtrttltlierl witlt. ln B1 -l r Permit Issued , /-Z{ Inspection DATEINSI'ECTON Plans Rec'd By Date E.rcavati,rn , Sisn'Slrr,u) , Pole Othcr (See retersc side for skctch) e65 Y OF SAN LUIS OBISPO PERMIT for CON,STRUCTION of IVEWAY, SIDEWALK CURB AND GUTTER Ne 1579 n arc - -. - -/ /: Z-f - - - - - -, to 6t- -}RK: ---42-Y---Owner Phone of- d"- I WORK: Concrete Driveway .Width---- Concrete Sidewalk Width---- Length--- Concrete Curb and Gutter tength--- --M,"!lL Final Survey by --------- Cut Sheet by Owner Notified by ------- Form fnspection by -----. - Final Inspection by ---------:---- Date--------- Date--------- Date--------- Date--------- Date---------' I work performed under this permi.t shall be i4 accordance with the Standard Plans and. Specifi'cati'ons for_Construction of vay, Siiew'alk, Curb and. Gutter in the City of San Lui.s Obispo and the General Provisions on the reverse:side of this permit. UNTIL FO RM INSPECTION IS N4ADE AND -Lffi-- No coNCRErE owor,rff"ffi -v,::i"2,,/x-,,D---