HomeMy WebLinkAbout779 Buchon Permits Packet? 779 Buohon
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BUILDING PERMIT
Alt/Addition - Single Family
BLDG-0295-2020
Issuance Date: NOT ISSUEDBuilding & Safety Division • 919 Palm Street • San Luis Obispo, CA 93401-3218
003-536-003Project Address:779 Buchon St Assessor's Parcel Number:
Unit or Suite(s):
Legal Description:RTROFIT 1 WINDOW SAME SIZE & LOCATIONProject Description:
Contractor: HOME DEPOT USA INC
Business: (626) 225-4590
License Type: California State Contractor License License Number: 602331 Classification: B - General Building Contractor
License Type: California State Contractor License License Number: 602331 Classification: C17 - Glazing Contractor
License Type: California State Contractor License License Number: 602331 Classification: C-2 - Insulation and Acoustical
Contractor
License Type: California State Contractor License License Number: 602331 Classification: C36 - Plumbing Contractor
License Type: California State Contractor License License Number: 602331 Classification: C39 - Roofing Contractor
License Type: California State Contractor License License Number: 602331 Classification: C-6 - Cabinet, Millwork and Finish
Carpentry
Owner: Larry Soderberg
Home: (805) -55-0-97
2019Code Year:Stories
:
Not ProvidedFire Sprinklers:Motel Rooms:Dwelling Units: 1.00
Census:Construction Type:V-B
Occupancy:Residential, 1 and 2 family dwellings (R-3)
Valuation
Group Type Sq. Ft Factor ValuationCategory:SQFT:
Dimensions
Fees
Fee AmountFee Name
Green Building Fee $1.00
Window Retrofits (non-structural) -BLDG $197.12
SMIP (Residential)$0.50
IT Surcharge $6.01
Total Fees:$204.63
Payments
Date Receipt #Amount
2/11/20 $204.63 26,203-02-11-2020
Total Paid:$204.63
Contact Name Account BalanceTotal DebitsAccount Name Status Total Credits
Plan Check Account Payment by Contact
Total Account Balance:
Balance Due:$0.00
Legal Declarations
#2 IDENTIFY WHO WILL PERFORM THE WORK
2a – CALIFORNIA LICENSED CONTRACTOR’S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect.
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code:
The Contractors’ State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a
licensed Contractor pursuant to the Contractors’ State License Law).
#3 IDENTIFY WORKERS’ COMPENSTATION COVERAGE AND LENDING AGENCY
WARNING: Failure to secure workers’ compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to
$100,000, in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney’s fees.
3a - WORKERS’ COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain workers’ compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am a CA Licensed Contractor.
Signature of Contractor, Authorized Agent or Owner Date
February 11, 2020
DEPARTMENT OF BUILDING
Crry or Sen Lurs Onrspo
Car.rronr.rre
set I act<..d.fi'if. s ide lines'-.f,--*
t_, :
ul' !
BUNLDNNG PERNINIT
'This perrni,t becomes inpalid. i.f work
is not started within 60 days
N9 1865
Plan Check Fee g -----
o^," ----4-hsJ-{g----
Permit Fee - - - $-4.--:---
Ro rest bl U
DESCRIPTION OF STRUCTURE OR WORK
New Addition Alteration Repairs Demolish€
Front ---------5---- ----** Depth -7 ___-- _
Foundation --a:k,Ll*:-.-*--- Height - - -f'- -- - - -
Roof - - -€P.t +- D* - - - - ---- Ext. Cover S-l-p-ri,r-
Stories --- -rl- --!----- --- Typ. of Const. E--y-------
How Heated ----<:,-,---* Typ" of Chim. -=*____--__
Garage or Caqport - Attached----_ Detached___ ._
owner E r-'-= Affi-g--,fu-a,*-a-a-
r\ddress Z-7 f --1-;tseay-e^'f
rorAl - - $-z-=----
Eng. or Arch
Address
Builder * - dz t4:1- -rf,grL-**---
Address
Plans and specifications are consid,ered.
an integral part of this peruni.t.
This permit does not includ.e permission for cutting of Sneets,*!4"g sewer co-nnections, constructing cu,rbs or ti.e installi.ng
of elect:rical and. plurnbing facili.ties.
-
LEGAL DESCRIPTION
rot -*-J--?--( ----_ Btk _-l_/___
Completion Date -------
Re-arks' lfi P- -*-Le S-L:f -
r<=n/------
N..22_7*__
Fire Zone---3-----Use Zone,--
---------
.,0 t2
Sub. *
AGREEMENT-Ia consideration of the issue and deliuery to me by the Inspector ol Buildinss of the Citt ol
proposed work-i'n accordance u,ith thc descrip,tion above set forih and aciordi.ng ti the provisions oi the ordi.roicel
the facts stated' by rne and. contained in the aboae ytermit are true as herein stied. It is'also agreed n keep the City
darngges which rnay, accrue frorn the use, or occupancy of the sidewalk, street or sub-sidew'alk sytace,
&- @ ------- -city crerk.
San Lui.s Obi.spo of the
of the City of San Luis
above the
that
and
---------Owner
of San
By --
'1
CITY OF SAN LUIS OBISPO Business License {
ELECTRICAL PERMTT 3:#,,!,1* E
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with City C)rdinances, including any specialiequirementsandother applicable laws. This permit becomes ipv3|idjlwgk is not - . ,. ^started *lthl., eO days. This peimit
-does
not include permission to mife any structural altirations or install bh[hHt6; /6*u& 9t 0 i I I 0
sidewalk facilities.
N9 27 97
ji -GEELI sf-r-&.i::
Items
------New single-family residence with -*---- square feet.
lq7
thereof or certificate
Relations, has been
of the work for which this permit is issued,
-owner -!==)--,
nuo,.7-.7--?--
naa,",Rfi&-Q--
Type BIdg. --fu-*--"- Fire Zone-
f,lz-aerfif.icate of woikmen's compensation insurance, copy'- of 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.
DA
------Circuits & Feeders
------Switches
------Lighting outlets
------Recept. outlets
------Fixtures
------Range & Oven
------Dryer
----*-Water Heater
--.----Transformers
------Signs
------Other
Law: Section -------
Space Heater
--**--Temporary Service Pole
Service Size
CONDU IT swtTcH CONDUCTOR
Motors
NO H.P FEE
----------City Cle&.
Special Requirements
COVERAGE-Check appropriate box (one must be checked, Sec'
Labor Code)
In accordance with the requirements of Section 3800 of the California Labor Code, I, the
undersigned, hereby state with regard to Chapter g, 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 number:
DClassification License No.
2. I am exempta. I am the
from these provisions of the following:
owner of the property in this
building or improving
offered for sale.
structures thereon for my
permit application and I am
own occupancy and not to be
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
manner so as toI
compensation cause revocation
Applicant-
Fees
$ -------2.00
t--&
---l--Permit -------
------Outlets ------
------Fixtures ------
------Service -.-----
------Appliances ---
.------Transformer --
- -----Motors
------Alteration ----
------Other
TOTAL - - -tfr
-New Dwell. ---
-Circuits
Inspectu of Buildings.
-? rr-vrr,r,,i ireqL r-,
ruro CONSTRUd,. ION PERMIT C,)
Clty ol San Luls Oblspo o Bulldlng Dlvlslon . 990 Palm Streel/Bor 8100 . San Luls Oblspq CA 93403-8lOO .(805) 549.7180
Address
Assessor's Parcel Number
Bulldlng Sulte/Unlt
Legal Descrlpllon ., ",.0 oo. .!, ..nr, ,., ,,
Permlt Glass
Permlt Tlpe I Bulldlno
Property Ownsr qnnFFFFgs rn r qr
Malllng Address ??q qlllHnu er
Phone Number
Occupant/Buslnesg Name
Buslness Owner'g Namg
Contrector'! Nam€
Addrsss
Contractor's Phone No.Qfrq-alt -Flcg
ProlectManag€r/Archltoct rFu xapTlt
Lender Name
U.8.C. Group R3 u.B.c.
i Mechanlcal
-
Demolltlon
I Electrlcal
-
Gradlng
-
Plumblng
Other
-
Slgn
+:ii, q- *ill|iir
Zlp Code qltn,-43r. r
Phone Number
Clty/State/Zlp ilir8ljil rA
Contractor's State Llc. No. 5t t?i1i
ProJect Manager's Phone No.
Lender Address
SubJecl to Flood Zone Requl
&F I -qrn!
Census
Number
{3{
Census
SubGode
Census Number Descrlptlon
FESi DEI{T I AL RLTER/AOIICtiI{tlERT
A = Area
D = Dollars
Y=Yards
0
AIDIY
per Bldg.
r ii;lr
Bldg. Value
Code
1a!!
Unlts
per Bldg.
No. of
Bldgs.
i
Tolal Bldg. Area
Total Bldg. Value
or Yarde ol Gradlng Helght (ft.) q Storles ,{!9!-19:s-rl-
FET
sr.f,u
43.S8
RET. I
f30t
rli REt:.t
BUILDIIiB FIEHIT
PrAt{ cffilr.
ffiCHAIIICAL PEfiI{IT
ELECTRICAL PENNIT
PLUI{BIII8 FERIiIT
DEIIOTIIIBI{ PEFIIIT
s.t{. t.P.
IIAIII}ICAPPED PLftI{ THECT
EI{TRfiY PLAH IHECK
50 :?ge
SEIiER
HqTEft
[BI{5TftU[TiBH UIIIT TAi
GRANIilF PTF.FII
PAHF.II'{6 L']T FFR}iIT
illiFrriFIi-n Fit
PLAH rllit[i] illi,]ST$EHT
TIf,i AI{O HfliTfiIAL
AIIII III STRf]I I i;E
{'lj
T|]IAL FLES
All0tlliI Ff,iI
FrAl.Ai{[i
+
t
*
l!r.sE
il t.g$
t
TtlE Ffltlil{lH8 FRELlfill$RY FEES l'ftt SUBJEIT T0 lllA!{Ff FttnRi PtFtllT IS9UA}l[t
Speclel Gondltlonr:
Appllcatlon Number l0p0
Appllcatlon Date I lfiB/?fi
Actlvlty Code ?
Actlvlly Dats I /09/9rJ
Thb permll b only valld when endorsed by an rulhorlzed representallve ol the Communlty Developmonl Departmont.
Pernlt Number
lrruance Drte I I u?, llt)
I l,1L\lt
Aulhorlzcd Dopertmont Repro!cntailyo Oele
LEGAL DECLARATIONS
OWNER BUILDER DECUNNNTIbT:
I am sxompt lrom lho contraclor's Ucansa Law lor tho lollorying r0ason:
E t, as owner ol thc prcperty, or my employsos wlth wagos as thoir sole compsnsation wlll do
lho lork md tho structuto ls not inlendsd or ollsrsd lor sal€.
E l, as ownsr ol tho prop€rty, am oxclusivoly conlracling wllh llconssd contraclors to
con_struct tho prolscl.
lJ t{ot appllcablc
WORKERS COITIPEI{SATION DECLAMTION:
I horeby affrm that I haw a csrtlffcato ol consent l0 ssll-lnsurs, or 'a csrtilicde ol li/orkers'
Crmpsnselion lnsuranco, or a certilied copy h€reol (Sec. 3800, Lab. C)
L-l Cartiffod cooy ls hsreby tumishod.
E corritieo coii ts llled wth tho clty. D Nol applicablo
CERTIFICATE OF EXEMPTION FROiI WORKERS COMP. INSURAI{CE
E I corfily that in lho porlormanco ol ths work lor which lhis pormit is issued, I shall not
omploy any person ln any manngr so as to becoms sublscl lo lhe U,brker's Componsation Laws
ol Calilornia.
El tlot appllcabls
NOTTCE TO APPLTCANT:
ll, atter making any ol tho lorogolng doclarations, you becomo subloct to any Labor Codc or
Licanso Law provlsion, you musl oomply with such provisions or thls pormil shall be doomod
rsvoksd,
I certify that I hav6 rsad this application and stale that tho aboya lnlormation is coffect, I agreo
to comply with all clty ordinancos and stalo laws rolating lo bullding conslruction, and horeby
authorizo roprosontativos ol lhls city to 0nlsr upon ths abovo-montionod proporly br inspocthn
purposes.
Unless noled und€r "Special Condilions," this permit becomes null and void ll work or
construction authorized is nol startod within 180 days, or il conslruction or $ork is suspendsd
or abondoned lor a psriod 0l 180 days any time allsr work is commoncod.
1.,s-r.".fr /^ tr* 7o
Signatun ol Conlraclor, Aulhodzld Ag.nt or ftyncr Datc
orlginal-Applicant whtt6-Fil. Plnk-Assossor oold-Counlar 59-87