HomeMy WebLinkAbout100 Casa Street Permit History$.efiifirstB uf @rrupsnrg
THIS lS TO CERTIFY thot the building herein described wos constructed
under Building Permit No 8753 This structure, owned by
Ftderlck J:_9r$Ltr_{:D_"_ _ ond locoted qt
meets qll the requirements of the Uniform Building Code for Group
B-2 o ccu po n cy. r h i s ce rt i f i co t i o n ffi BJisllgdts tEH##$:-t# fIffi '
of soid building ond remoins in effect until such Occuponcy chonges.x%By-
Brilding Official
Crrr or Sart Lurs Qatspo
Dlarch 25, L982
Project Address
Department of Community Development, 990 Palm Street
Post Office Box 32'1, San Luis Obispo, CA 93406 (805) 541-1000
100 Casa Street
owner t s
Dr. John Hartman
O\dner's Mailing Address 2841 Cabrtllo Drive, Ventura, CA 93003
Contractor' s Balley GonstructLon
1.136 Gypress, Santa Uar la.cA 93454Contractorrs Addre
Architect or Engineer RoBs,LevLn & Uaclntyre
Address 1129 ltargh St.. San Lule Obispo. CA 93401
I,ICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licensed under the provisions of Chaptcr 0 (commenc-
ing with Seetion 7000) of Division 3 of the Ilusincss und Professions Code, and my
license is in full
Business-Hour Phone 648-5191
se No.205399 Phone 922-0p.36
License No.
PhonF
c-6637
WORKERS' CO}IPENSATION DECLARATION
I hereby affilm that I have a certificate of consent to self-insure, or a eertificate
of Workcr's Comperrsatiorr Insulance, or a eertified copy thereof.
Policy No. Company
I Certified copy is hereby furnished.
ffi Certified copy is filed the
Lieense Class
foree and effect.
B-1
cffyotsanluls oBtspo Construction Permit
Certif ication
l|}lLtd.,ntt is issttctl
this apyilicntion nnd state that the above informatiott
rvith all city alxl county ortlilutnccs and statc lalvs
Lic-
Date Contractor Balley IulubcrconstructLon
OWNER-BUILDER DECLARATION
I hereby affirm th{rt I am exempt from the Contractor's License Larv for the fol-
lo*'ing rcasotr (Sec. 70i11.,1, Bu-siness and Profcssions (-'otle: Any city or county rvhich
requires a permit to construct, alter, improvc, dcmolish, or repair any structure,prior to its issu?rnce, also rrquircs the ay4rlicant for such ltermit to file a signed
statement that he is licensed pursuant to the Drovisions of the Contractor's Li-
cense Larv (Chapter I (corumencing rvith Section 70O0) of f)ivision 3 of thc llusiness
and Professions Code) or that he is exempr therefrour and the basis for the alleged
) esemption. Any violation of Section ?031.5 by.any applicarrt for a pernrit subjectsI thc applicant to a civil penalty of not more tharr fivc hundrcd dollars ($;i){l).):
I I, as ou'ner of the property, or my cmployees rvith wages as their sole conr-
pensatiott, 'n,ill do thc n'orl<, and the stnrctrrro is not intenderl or offcred for sale
(Sec. 7044, Business and Profe-ssions Cocle: The Contractor's Liccnse Law does
not apply to an owner of property who builds or inrproves thereon, and who docs
sttclt rvork hinrself or thlough his os'n ernlrloyet's, provirleti that such irnprove-
nents are not intended or offered for sale. If, horvever, the building or improre-
ment is sold within one J'ear of completion, the owner-builtler q'ill have the burden
of provitrg tirat he did not buiftl or.intprove for thc I)url)ose of sale.).
fl I, as olner of the property, am exclusivcly contracting rvith licensed contrac-
tors to construct the ploject (Sec. 70.14, Business and Professions Code: 'lhe Con-
traetor's Lieense Larv does not apply to an orvner of property rvho builds or im-
I)roves thereon, and rvho contracts for such projects n'ith r contractor(s) licensed
pursuant to the Contractor's License Law.),
! I am exempt uncler Sec. B' & P. C. for this
CENTIf,''ICATE OF'X'NO}I WORKERS'
COMPENSATION INSUNANCE
('Ihis sectiorr rrccd uot be con)pletcd if the pcrnrit is for one hundred dollars
($10O) or less.)
I eertify that in the performance of the work for which this pennit ls issued, I
shall not employ any pcrson in tny manner so as to bccome subject to the \\'orkers'
Conrpensation Lan's of California.
Datc
-
Applicut
|iOTICE TO APPLICANT: If, after making this Certificate of Exemption, ]'ou
should beeorne subjcct to the \\'orkers' Compensation provisions of the Labor Code'
you must forthwith comply with such provisions or this permit shall be deemed re-
voked.
CONSTNUCTION LI,]NDING AGI'NCY
I hereby affirur that thcre is a construction lcnding lgency for the perforrnance
of the work for wiiich
7Q^t"
Lender's Address
Lender's Nanre
I certify that I have rcad
is correct. I ilgrce to comlll
relating to building
the abo
hereby rcprcselltatiYcs of this countY
reason
Ddte orvner
44-80
rl
to en
Signature or Agent
purposes.
Date
Gw_)f
safilrils oHryo PEFIMIT
Proj*t Address:
100 Gase Street
Department of Community Drelopment
99O Palm Street / Pct Office Box 321
San Luis Obispo, CA 93406 aO5/541-1OOO Eguitolng E Electrical EPlumbing D Heating/Cooling
tl Groding tr Retoining Woll El Porking lot
Dat€ lssued:Permit No.8753elasls'.
K
FI
Receipt no. 232-
Cstification sigrred (se back of this form)
Fs Paid
ltJ
EXTERIOR WALL:
Iwooa siai.s fleti.t
l-lwood .rri- flconc- Block
Els.r."o l-lconc Tilt-uP
Estone veneer fiuetat
ROOF:
[l co-p- Built-up
I rrr"t r
D co*p. Shinsle
I Wooo Shingle/Shake
I etectric
f] cas Furn.
l-l Gas walt
I sot"t
Icontinuous
FOUNDATION
Type of Construction: TYPe No-Y-U
Veneer Tile
Concrete
O@upancy Group
[f sr"o
l-l pi"r.
FRAM€:
fflwood stua
I ruetat
l-l .ri-u"t
ADDRESS OF
THE PROJECT:100 Oare Straet
tances from prop€rty lines to nearest
structure, after work is completed-
nearest existing building on s:rme
lot. (Write ':ATT" if attached).ATT
SideRear SideD SET from this new work to- actual dis- Front
LesahBesgition:
Lot Block
UseZone FireZone LotArea
to 3 651687 Sq. Ft52-Ltz-37Callfsrata lark
As6or's Number
Tract
Rel'orining Woll rlnforrnotionr Lenglh- Height
-
Esl, Vqlue $
flaltlng Arat, DlrPenetng &
Duot"
t8?
Moteriol
3.
2-
ottI.gB1
t
1
tr
carport [AttachedNil work includ6: flGarage O
cubic yords; Totol Fill
fl tnstatt
Blds.
height(Total)
101
No- of nfl
living uhils
created
No- of bed-
rooms in
new units
New
area
(in sq. ft.)
485
Propced u* of tlre nil building, addition'
or ar€ to be altered, repaired' etc'
No. of
stori6(Total)
crbic'Yords.
flaaa Elat.", ER.p"ir [-lDemotish
Groding 'ln{ormotionr Totol Cut
Type of Project, [-l All ."*
sq.
Cct per
ft.
28.10
Xone
sourceor
Engineer Addr6 No.
No.
t tBrffiBri t?.8.<ar1 ilec 1 AIA G@try298 Clsb lDrlve 8ea trlle ob LrporCAorArchitectD€signer Address Phone
DE.AIf Gonstructi Of 93402.Ipr Oror 313296Contractor or Builder Sbte License No.
2232 328-
Address 77Phone
Mail Address
lOO Casa gtreetr 8ae trsLc Obtspo, Ot
ztP
93401FreCcrl.ek J. Eraatr tDt 543-6121
Business-Hour Phone
Owner
O
ilil
6
a
I
14rooo.VALUE OF WORK
REOUIREMENTS:
f-l Fire Hyorants for const. l*lciay co*.uctor's Lic'
[w.to Press. Regulato, filst"." contractor's Lic'
l-lBackflow Protction l-]w..", Fea to b€ paid
l-lGrading Permit Es*"t Fees to be paid
I R"ti.i.g Wall Permit I curu, Gutter and Sidilalk Permit
Oci.v Busins License Ejnaoachmet:: P9t1]tI f. C. Iilceace
speciat conditions: Flood Zone Fi'nish Floor or Floodproof Elevotion
elzslsL
DATE
Additional Review
flEnvironmental f mpact Report
[orcl. 6Oa-A Deficiency
flDiscretionary Action
ARc No.--
Use Ptrmit
FEES
Slructural:
Electriel:
Plumbing:
$ 68.00
10.o0
8-50
Oths
H€ting./Cooling:
Other:
Total
Permit Fe6:
Plan+heck (#
$
ElPreviously Paid
const. Unit Tax
-
ToTAL FEES $ 86.50
VALIDATION _ln
Jobn L. Kellcrran/ve
nol
Authorized Department
WHITE - File LIGHT YELLOW - Applicant PINK - Clerk GOLD - Counter
EERTIFISATION
BHFORE THE EITY CAN IS$UE THI$ PEHIVIIT" THE APPLICANT MUST COMPLETE THIS
CFRTI F ICATION Of\I ALt CCIPI HS.\ -.. \
. ' :lI' }|U$[RUCTION$ - lri sectiogr &" lon $ontrbstof's,li csn$es, youL, mirsf either * give :your_Statir :con$*btor,s
license numhar*of csrtify that ysu don,t r.lsed a li sen$e. Gh*ck the appropriate box and fill in any informa-tirin itrat eppt iei$flFiqu I l-
1:ln sectio6 .St y. .oU ; n"!.r|gt, certi f y,Qi the l r hQtj you : ft qxf,ryorkgr'1 qgmFnsatiop i,agugancq gT. that yg_$ don'tneed it.Gheck one of the boxes.
Then read sectisn C and sign at the bottom,
A. CONTRACTOR'SLICENSH
ln accordance with the requirements of section 3s00 of the california La6or code, l, the undersigned.
herehy state with regard to chapter s, Division 3 of the susiness and professions code:
Cllh*veavali
. classificatlon
Classification
d Califarnia $tate Contractor"s License in full
anU. licensa number:
force and effact with the following
'l:
Llc&iise nio.
B.
u
Z0
gJ
T
:.(
*l
7"ov
{.}
iJlx
I am ex*mpt frern these provisions by rea$on of the following:
f,l a' I am ths owner of the property dessribed in this permit application and I am building orirnproving $tructure$ thereon for my own oceupancy and not to be offerd for sale.
Cl b' The work involired is of a casual, minor or inconsgqtential nat-ure and will notse4eeed oneHundred boltars q$rao.goi rS-r lii tabar, materiats:ini Jti.iiia*-.i - -'.- "'
ffi c. Hxemption is bassd cn the follqwin&rn.qtig.rLot"thg $3qqContractors' License Law:
Section
IN$URANCE CCIVERAGE ($ec. tSCIO CatiiLabar Codel
o ssrtificate *f worksr's compensaticn insurance, copy thereof or cefiificate of consent toself-insure fram Director of lndustriat Relations, ha$ been filed with the city and is still:in effest.n Th€ perrnit saught is for cne hundred dollars or less.
tI I *ertify that in the performance of the wcrk for which this permit is issuad, I shall not employany perssn in any manner so a$ to beeome subiect to the worker's compensation laws ofcalifornia- I understand that fairure to compry with appricabre workert csmpen$ation rawsshall cause revccation of the perrnit. -"-r::--i-'Y:' '""'"
CCIMPLIANCE WtTt-t THF LAW ',.;
.' r'l-:
All weirk alloured by this permit ehall cornply with city and State iarui I underst*nd a separate
f**Til !s require{JoSrqug-t$: flthln ?'public right*af-way. I arsc undcrsrand this permit becomesinvalid if work,is not $tarted within 6s days ef the d*te the permit is issud.
applicant'* signature : date
j:: \r-i;' -_, l. .- '.:.' ,... .... ,_
cftyotsan luls
mmunity Development, 990 palm Street21, San Luis Obispo, CA 93406 (gO5) 541-1000
Construction Permit
Certif ication'Department of Co
Post Office Box 3
Project Address
Ownerr s
Ownerrs Mailing Addres
Contractor I s
Contractorrs Address
Architect or Engineer
Address
100 Oasa Streer
Frederl.ck J. Grant, ll,D.
100 Casa llfreet. $an Luls
Gonstruct
2232 Inyo Dr., Loa Osoa
I{llltan Bronn & p .R. Nee1, AIA
298 Oountry Club Dr.
, ca 93401
rCA
, $an Luls Ob lspo, CA
eNo 383296
Business-Hour phone 543-6L2L
Phone 528-L377
License N".c03636/c03 %L '\.
LICENSED CONTNACTONS DECLARATION
r hereby affirm that r am lice'sed untler flre provisions of chaptcr g (eommene-ing with section ?000) of Division B of the Ilusincss tnd professions code, :rnd mylicense is in full foree and effect.
WORKERS' CO}IPENSATION DECLARATION
r hereby affirm that r have a certificate of cousent to self-insure, or a eertificateof Worker's Compensation Insurance, or a eertified copy thereof.' -
Lieense Class
Date --- Contractor
reason
Date Orvner
96 Poliey No. Compan-v
! Certified eopy is hereby furnished.
I Certified copy is filed with the building inspection department.
Date
-
Applicant
CENTITICATE OF' EXE}IPTION FROIT WORKERS,
COMPENSATION INSURANCE
(This sectiorr rrecd llot be contpletcd if the perrnit is for one hundretl dollars($100) or less.)
I certify that in the performance of the work for which this permit is issued, frn any so as to beeome s ubJeet to the \Yorkers'
If, after making this Certificate of Exemption,J'Oushould become subject to the Workers'Compensation provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed re-voked.
CONSTNUCTION LENDING AGI'NCY
I hereby affirm that there is a construction lcrrdirrg ilHcncy for the performanceof the rvork for which this petrnit is isstrctl
Lender's Nanre None
Lender's Adrlress
I certify that I have read this application and state that the above informationis correet. I aglee to comply tvi th all city arrrl county ortlinances and stntc la.lvsrelating to building constru ction, and hereby authorize represontatives of this couthe a property for inspection pllrposes.
OWNER-BUII]DER DECLARATION
f hereby affirm that I am exempt from the Contractor,s License Larv for the fol-Iowing rcasorr (sec. ?0i11.b, Btr-*iness antr profc..ssions cotle: Any city or county whichrequires a permit to const.rct, alter, improvc, aemolistr, or repair any strueture,prior to its issuanee. a.rso roquires tire alrlrticant for sucrr pernlit to file a signedstatemetrt that he is licerrsed pu."u*nt io itin p.our.ions of the contraetor,s Li-celse*LTv (lhapter g (eorumencing rvith section 700o) of Division B of the Ilusinessand Professions code) or that he is exenpt ir,e.errom and the basis for ilre allegedesemption. Any vioration of- section z03i.b by.any applicant for a permit subjectstlte applicant to a civil penalty of'ot more tirarr five hundred dollars (s5Oo).):
! r' as oq'ner of the property, or my employees with wages as their sole com-pensation, \'ill tlo tlte n'ork, and the strrrctrrre is not intendcd or offered for sale(sec' 7044, Busi'ess and professions code: The contractor,s Liccnse L:tw doesnot apply to an owner of property who builtls or improves ,rereon, and who doesstteh rvork hinrself or th.ough hls orrn .rnlrloyuur, provitrcd that such improve-ments are not intendcd or offered for sare. rf, horvever, the b'irding or impro'e-m-ent is sold within one yea.r of completion, tto'o*ro.-t,,irj". *ill n.ie the bur4enof proving that he did not builtl or imjrove for. ilic pur.pose of sale.).
D I' as owrter rtf the property, arn exclusivcly contracting with licensed contrac-tors.to.co_n.struct the project 1sic. ?0-ra, g;i"""" and professious code: ,rhe con-tractor's Lice'se Larv does not apply to1"-oiur". of property nho builds or im-proves thereon, and rvho contracts f-or such projeets *'iilr-,. clntractortst lieensedpursuant to the Contractor's License Law.).
E I am exempt under Sec. B. & p. C. for this
44-80
to enter
Signature of or Agent
nty
PARKING LOT PERMiT APPLICATION
l"EuHrtt-t *{r;IC]
'ADA26> FrLl5
Projec ' tii"'
Locati on: ldA d;/\4t4 14. 4- L.d2. Oate: l4,l0 119Lot: ?1 €ffi: ;tt"ae*: Parcel Number:AUFFIXT* ?N.t- A,!e.
Appl i cant/Contractor
f{laplAu 4{-tD"-' Ac 6.L.a.
lOat :at+t ?r- '
. iif'
SUBMIT ONE SET OF PLANS INCLUDING THE FOLLOWING INFORMATION:
Describe the property on which the work is to be done by:
A vicinity map. ,, ,,
A sca'le appropriate .to the complexity of the project.
A north arrow.
-
All boundary lines fully dimensioned.
The name, location a'nd width of all adjacent public or private streets and
easements
The location of all existing buildings on the subject property and any l
improvements.on the adjacenl property within 1S-feet of the property line.;.1,1,
The location of all trees on the property with trunk diameters of 4" or
greater and/or overall height of S-feet br taller.
Existing contours or, when appropriate, spot elevations sufficient to-:- depict ixiiling topography.
The size. and location of all existing drainage courses and structures.
Proposed finish contours.
Proposed retain'ing walls (see application for retaining wal1 permit), with
top of wall and top of footing elevations and all steps shown , ..'
The top and toe of all slopes, existing and proposed. \;
Show al'l proposed drainage swales and structures. ,'
The quant'ity of material to be cut and filled in cubic yards
Ful'ly dimension site plan to include driveway appro'ach width, driveway w'idth,
aisle width, parking spaces
Shov,r l'ighting, trash enclosures and other.parking-furniture when they are
to be provided or otherwise required by city regulations.
Show all landscape planting and screening. Show means of -irrigation for
'landscape planting. Show size, type and placement of plants.
lot permit,l l Publ ic
Owner
.:; ]
Name:JdLl*,fL&.J [-,tr.ttr?.t tttl.6tl-&
Address: lllS -6 @p ef ., A,L,O.t
Te1 ep hone: 644- g66e
i
1
I
After you have obtained a parking
to arrange an inspection schedule.
gna ure
o
ices Department
CITY OF SAN LUIS OBISPO
BUTI.DING PERMIT
Business License
Permit Card
Street File
tr
tr
n
N9 5208
pate---J-![9!!I-31, 1975
Permit Fee $---3-8-.99----
Plan Chech Fee
Other Fees
o t 'i i "i iJ "-*i
'TOTAL
rt
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be dgpp,iargcondance
r,virtt biry Ordinances, including any sleciair'equirementiandother applicable hfi,s. This permit becomes i"v"ttfriif Subitilr rldt
started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities.3E.00
''lse
Estimated value
DESCRIPTION OF STRUCTURE OR WORK
7,315.
LOCATION INFORMATION
N..--LQ9----- street----Gesa,St.
?5r36,37 Bloclc- - - - - s"Mi"iri"$3f-1!
52-182-O6Parcel No.
us" "oo"!0-- Fire zone--l- rrt ,i""-1!-1-x--3-?9
Fro.t yd. -L601-- - siae yar. ---891--- t - - - - - - - -
Rear yd. -?99-t-t-- - - Nearest bldg. - -* -?'8-r- - - -
lledlcal Gorp. of $en Lulr Obltpo
Owner
Address 100 Care tlt.
Arch. or Eng.Rorc & Lenrln
Address 1149 Harsh St.
Buitder ---qIpJ
Address
Inrytector ol Buil.ilings.
4
a
New D Addition E Alteration E Repairs E Move E Demolish E
width - -1{-r- - - Length - -3f-t- - - Height- 19l|- -Cr^-:-- 1
Foundation-8-ltb-----Exteriorwall--E!!r-c-c!-f"tH:l-1Tp
How heated-Ell-flr-{nr Type---V-:U- Group--t:Z--
Garage I Caqport tr ------X------ Attached tr Detached E
r r-:s
_-City Clqk.
Speci.al rcquhements ---------
Lender: None
COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insurance, copy thereof or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
n The permit sought is for one hundred dollars or less.
E I certify that in the performance of the work for which this permit is issued,
I shall not employ any person in any manner so as to become subject to the
workmen's compensation laws of California. I understand that failure to
workmen's compensation laws shall cause revocation
In accordance with the requirements of Section 3800 of the California Labor Code, I, 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:
Classification License No.
2.-I am exempt from these provisions by reason of the following:ra. I am tlie o'wner of the property described in this permit application and I am
building oi improving stru?turbs thereon for my own occupancy and noJ 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 t''.J,zn)
CITY OF SAN LUIS OBISPO
Heoting qnd Cooling Permit
Busiqqqq Ucp"Se
P"-tht;d.?dr- l/
This permit is issued "rit\ th" undersigned.applicant's agreement and acknowleag"-:ltl.-r:lt^work will be done in accordance
with Citv ordinances, r""f"Jrrg *i $ecialiequirement"sandother applicable_laws. This permit becomes invalid if work is not
,i"rla-r,Jr-r,r"A;#.- iilr i"*r loes not'include permission to^iistall electrical, plu:mbing, sewage or sidewalk facilities.
001{?}tE
!
il ilD{g- sff? " ir
Street File
SCHEDULEr
.-. Other
Dote qla.39
^ t P:ermit ---.--..-.--.---j
J--. ,..,,,.":" Cl,:Niiiu. i n - Grovitv - Froor .
-----.--- Heoter: Suspdnded - Woll - Floor
0
Combustion Products Vent- --------------Locotion I O. O
Repoir, Alrerotion or Addrtion
---.1--- .. Boiler, Comp. or Absorb. Unit: ------------ H.P. ----'-
Air Hondling Unit: CFM ------"'
Occuponcy
Contrsctor
Address
Speciol Requirements --
Insp ectnr of Buil.dings.
box (one must be checked, Sec'
Evoporotive Cooler -
lncinerotor, Commerciol
Vent System: Single Duct - Multi. Ducts - Greose Hood ---'-'
Gos Pipihg @ $.gO per outlet. Minimum $l'50
-----City Cleft.
3800
n Certificate of workmen's compensation insurance, copy theleg.f or certificate|. ;f'"'##ff ;; ;;tf:fiilr:. -f"6fr- Di"""tor of rnduStriai Relations, has been
filed with the Citv and is still in effect.
It1ol
Fees
I
Eoch
t -- - - - - - - ---- - - -- - - -- - --t.....".......
I
f
'---"-'--"'--'-------'
L -________-._.____.----t"
s /..d-'...&...
4:'.fr'""'t-"---'-"-"--'
TOTAL
r.q;12
'--'-'- "r --- " -'- - " "'
X
oJ't''a ."vzl'i'+i; .,
"i/r).. -:.;,.*vo;r,""1
.(y
EITY OF SAN LUIS OBISPO
ELECTRTCAL PERMIT
r'''.iil5Jl"*,3 oJ' 6
Permit Card D
Street File n
il *"iL[
Ne 3?56
This permit is issued with the undersigned .applicant's agrcement and acknowledgement that all work will be done in accordance
with Citv C)rdinances, i".f"Ji"e any slecial i"quir.*.rrG and other applicable lais. This pcrmit becomes invalid if work is not
;;;;;;;,il;;6 .i.r. i-h; n"?'rit'a"lt not inilude permission to ,''"k. any structural alterations or install plumbing, sewage or
sidewalk facilities.
FEE $-12.,N--
Items
New single-family residence with ---- sguare feet'
lA circuits & Feeders
...Switches
-- --Lighting outlets
--- ---Recept. outlets
--,,.--Fixtures
. ,-,--Range & Oven
-.-.- I)ryer
- ----Waterl-{eater
,- .- - ---'{'ransformers
-...--- - Signs
--,-,--.Other
DATE
- .- SpaceHeater
- --, - -Ternporary Service Pole
Service Size
CONDUCTORswtTcHCONDU IT
Motors
FEEH.PNO
0oAddress
Contractor
Address
Type Bldg Fire Zone-
Special Requirements
--- Inspector of Buildings.
appropriate box (one must be checked, Sec.
In accordance with the requirements of Section 3800 of the California Labor Code,-I, the
""a"i"-ld"d, hu""by 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 Clerh.
Classification License No. --------
n certificate of workmen's compensation insurance, copy thereoi or certificateu ;i^"";;;fi i; ;;Iffiil; rroil-5i""ctor of Indu3trial Relations, has been
filed with the City and is still in effect'
n The permit sought is for one hundred dollars or less'
IN
3800
2. }rm exempt from these provisions by reason of the following:-' ft.J];; lfi; o*n"" ot thb property dlscribed in this permit application and I am
(Z f"iiaiiii, or improvins it.ottrrr"". thereon for my own occupancy and not to be
offered for sale.b. Th;;;"fl;tolved is of a casual, minor or inconsequential.n-ature and will not
u*""ua O"" ltundredDollars ($100.00) for all labor, materials and other items.
c. d".trpti"-ii ir Uu.ua.."" the foiiowing iection of the State Contractors' License
Law: Section ------*---
Fees
---l--Permit --- -,--
--Outlets
------Fixtures ------
---,-- Service - -.----
----*-Appliances -*-
.------Transformer --
- -,----Motors -------
-------Alteration ----
------Other
TOTAL - - -$n
ta --New Dwell. --,
- Circuits
X
CITY OF SAN LUIS OBISPO
PLUMBTNG PERMIT
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will bedoneinaccordance
with bitv C)rdinances, including any siecial iequiremeni-s and other applicable lai,s. This permit becomes invalid if work is not
started r.Jithin 60 dayi. This peimit'do"t ttot inilude permission to mate any structural alterations or install electrical, sewage or
sidewalk facilities.
Business License tr
Permit Card tr
stre$iiftit$|-$ Fo o }4 t s
N
J\ l:i-i *- '' 1
tl
u
3550o
!l
ilt
FEE $-l-l ,50
Fixtures
----.---City Clerk.
--.----Bathtubs
------Showers
---.- --Lavatories
------Water Closets
- - Kitchen Sink
------Floor Drain
------Laundry Tray
----*-Urinal
------Water Softener
------Clothes Washer
----- Dish Washer
------Disposal
------Grease Trap
--r---Drink Ftn.
--l---st"p si"t
------Other
------Other
- -,--C)ther
------Other
In accordance with the requirements of Section 3800 of the Californis TJabor Code, I, 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:
IN CE COVERAGE-Check appropriate box (one must be checked, Sec'
3800 Calif. Labor Code).
tr certificate of workmen's compensation insurance, copy t!re1e9J or certificate
of l-;il;;a to self-insure froir Director of Industriral Relations, has been
filed with the City and is still in effect.
tr The permit sought is for one hundred dollars or less.Classification
exceed One Hundred
Exemption is based
of the
Dollars ($100.00) for all labor,
on the following section of thd
following:
permit application
own occupancy and
License No.
materials and other items.
State Contractors' License
in this and I am
for my not to be
b. The work involved is of a casual, minor or inconsequential nature and will not
----- lnspecnr of Buildings
Special Reguirements
3
Address
sl_,__
0
- l-o o-Location
Occupancy
Contractor
l_1 :1 r
5{s
Fees
$--.-- 2.oo
__/_,__f_rt
--/-,--f_9-
--/-,-.'.-a-
--/-'-'f. -9-
--/:-,Sl--a---Z:-*-
sJl:-f,-q-
Items
---l--Permit
--/-*-F,'r.,..,
------Sewer Conn.
------Gas Heating
I W^r"rHeater
-?--Gas outlet
--/---w^r"rPiping
--1---Dr^inage Pipe
--1---L^*nsprinkler
------Fire Sprinl.ler
TOTAL
Gos Applionces
--l---t"r", Heater
-----*Space Heater
------Furnace
-r----Wall Heater
------Gas Dryer
------Register
------Flues
2.
c.
X
'[-
Business License n
Permit Card n
Street File !
II426"/t
E-------J-:Permit Fee
Plan Check Fee
Other Fees
N9
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
This permit is issued with the undersigned applicant's agreement and acknowledgem-e_nt that all work will be done in accordance
rittt birv Ordinances, including any slecialiequirement-sandother applicable_laws. This permit becomes inrlalid_if-.p,-ofli is not
,l".i"a'rJrrrt";fi#.^ nhiti"*rio"rrrotin.ird"f"tr"ioio" ro'ii".i"ti-"t".,.i."i, ft"'*uing, sewage otlitil8i,tiatli f#ilities? 1 l] il ?
$_-----------
fr ,.*. ir; il E -'LJ.-
'tOtAL'" "$_ _ ___ _ _ _g)_l_ -
Use
Estimated
WORK
Unie----
*".K**I AlterationD RepairsE MoveE Demolishtr
width - -5: - - Length - - 7- - - - u.ight - / -- Storius- -/- - -
Foundation-- Exterior wall---------- Roof---------
How L.aqtaA
tr Attached E Detached E
of the California
Division 3 of theIn accordance with the requirements of Section 3800
undersigned, hereby state with regard to Chapter 9,
fessions Code:
INSURANCE COVERAGE-Check appropriate box (one must be checked, See'
3800 Calif. Labor Code).
Labor Code, I, the
Business and Pro-
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number
License No. --------
b.
tr Certificate of workmen's compensation insurance, copy
of consent to self-insure from Director of Industrial
thereof or cerfificate
Relations, has been
Addr ess /e AL - - - -#-'8-d- - f* - -
Owner
Builder
Address
Arch. or Eng.
Address
Inspector of Buildings.
LOCATION INFORMATION d
N,4A-A--- so..r-C-es.1 Sfr
L"P- f -S-& tkl.ock- - - - - Subdivision - -
Parcer No. s,iZ =/3? -: -A ^6 - - - - - - - -
ur#" e--Fire "one€,- Lot size-----x-----
F rcnt yd. -e - p- sia" ya'. -U/-€1 - 4 - k
s p eci at r e quir em ents U$.C
" - - - - - S 14:ji-, - - - - - - -
Nearest btdg-A-A:-t-dtRead vd.
--City Clerk.
c.
! _-
CITY OF SAN LUIS OBISPO
PEhMIT for CONSTRUCTION of
DRIVEWAE SIDEWALK CURB AND GUTTER
Ne 2073
tgdzfaL( T,TION OF WORK:
Street Address
Ss.@ of-
LotS-{t-.4€p
/ oq fn*n ..,rt/-'.C te--lX-
Owner
St. between
St. and -*-
Subdivision Phone
DESCRIPTION OF WORK:7-o
Lr'Construct Concrete Driveway *l' -Width---/ 6--- nengtn-
- -{-Coostruct Concrete Sidewatk
*-{--Construct Concrete Curb and Gutter Lensth*-/-'fl-
------To Repair
i lAnr<s:
Owner Notifigd by -*-.---E:------ Date---------
Form rr,*p.frtffi#y CXn-\t uate$-[o-;;
Final Inspection by ------------;-- Date---------
("o'r?^ry arpwli b c+ ) W ,:r:,r/j{*7i, i't"!'.
Final Survey by
Cut Sheet by
Date---------
Date---------
AGBEEMENT: All work perforrned under this permit shall be in accordance with the Standard Plans and
Concrete Dri,veway, Sidewqlk, Curb and Gutter i.n the City of San Luis Obispo and the General Provisions
FORM INSPECTION IS MADE
for Construction of
se side of this ptermit.
No CONCRETE rs rw
DrpanrnnrNT oF Puerrc Wonrs, Uy--r4/z--PBnurtrrr
om the
,d
GENEBAL PROVISIONS
1. It is understood and agreed by the Permittee that the issuance of the permit shall
constitute the aeceptance of the provisions hereon.
2. This permit shall be posted on the job site in a conspicuous place and easily ac-
cessible.
D.
4.
5.
6.
7.
8.
o
10.
11.
72.
13.
All work shall be done in a.thorough and workmanship-iike manner. Any work not
so done shall be corrected by the Permittee at his expense at the request of the
Engineer.
The Permittee shall be responsible for preserving all stakes unless authorized to
remove such stakes by the Engineer.
This perrnit shall become null and void if the work'is not commenced within sixty
(60) days from date of issue, or within sixty (60) days of notification that grades
are ready and cornpleted within thirty (30) days thereafter.
The Permittee shall remove at his own expense all obstructions such as trees,
stones, debris, roots, etc,, that are encountered in prosecution of the work.
The Permittee shall safeguard the publie at all times d.uring the course 'of the
work by the erection of barricades, lights and by-pass walkways subject to direc-
tions of the Engineer. The Permittee is responsible for all liability for personal
iirjury or property damage which may.arise out of work herein permitted or which
may arise out of failure on the Permittee's part to perform his obligations under
this permit in respect to constnrction and maintenanee; In the event any claim of
such liability is made against the City of San Luis Obispo, or any departrnent,
officer, or ernployee thereof, Permittee shall defend, indernnify and hold them and
each of them harmless from such claim.
Any underground utilities damaged during the course of the worl< shall be the re-
sponsibility of the Permittee.
fn case it should. be-necessary. to move the propedy .of any orrner of a public utility
or franchise, such owner rn'ill, upon proper application by the Perrnittee, be notified
by the City Engineer to rnove such property within a specified reasonable time, and
the Permittee shall not interfere with said property until after the expiration of
the time specified. :
The right is reserved to the owners of public utilities and franchises to enter upon
the street for the purpose of making repairs or changes of their property that may
become necessary by the work. The City shall also have the privilege of entering
upon the street for the purpose of repairing sewers, or making house drain con-
nections therewith, or repairing culverts or storm drains.
Before pouring concrete the forms are to be inspected and approved. Request for
inspection must be made four (4) hours in advance.
The Permittee shall remove all surplus material and rubbish f,rom the work and
fill to grade with approved material all holes and depressions in adjacent areas.
For further provisions, attention is called to the Standard Specifications for Cbn-
crete Driveway, Sidewalk and Combination Curb a.nd Gutter.
L, ut
i":;;.1 fr;l l{** 63'
::ijn-i( i:il l;i ''lt
5.gf" L,'.u < I,Lt'ifr..'
.lt t t'
'".. 11 f',..11.,1 rc
Ir': rt.i.Yi ".-"..#9. -
t,,B' do"/,v
t*i.r*i.i !h., --?.fr -\
**.r &*
#&{
rjtur,6r" 5 4tP $c;,ulff
,1.i-n lO.. frr*iTfac'1,*t.i-I
vi5*F
It v),&
93-cI+d
5
o
7*
&)+
r-
LTI
e
t
$$
f,(Ufse
*trrrt
*L
lnEliagblle:ig!:t-{'*r''ii
: :,:.t:g :E:=:ii::3:: 1:g gl:f;=S!ffi-- **
t1#:' t|tet'J ,iur,r r* or:e.lai
\J n"'r '
/|., r+LS
(, Fotadl lF u-z.
4 r1t
ht6u
:;I
tI
F
il
!r
'1.3*-1r"rxr
glir.8ff$S{..
rl!.* t;*q;'*L
I
tr
f
I
Id
{
t-{
h
tt{
ll
5
t
{\ F't's'
il:t t
{
L-
,{
CITY Of SAN LUIS OBISPO
BUTLDTNG PERMIT
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with bity Ordinances, including any slecialidquirementiandother applicable_laws. Jhil permit becomes invalid if work is not
starred #ithin 60 days. This p'ermit ioes notlnclude permission to-install electrical, plumbing, sewage or sidewalk facilities.
Business License Ef
Permit Card tr
Street File tr
///
l.[9 26I
o"t" - - P-99-@- q
- lt -\9-63 - - -
Permit Fee $---I?5-'-@--
Plan Check Fee $--
Other Fees $----------*-
TOTAL s---l?5-r99--
,' ITSCRIPTION OF STRUCTURE OR WORK
u."----4-e4!-c-4-9e4&er--o-{-Ss4-Ids--9b!ws-----
Estimated value -----?1rt50------ Units----:-----
New E4 Addition E Alteration ! Repairs [J Move ! Demolish tr
sqnare footagen L$37E L632 & b778
Wlatrt,------- Lb.rgth-- - - :- - - Height--- ---- Stories------
Fo,rrrdation,9l4.---- Exterior wall---$bec-qO Roof---b,LL-rrycont conc '. & briek
How heated-ggg-dg'lq;'Tyi,e----U- GroupJ:L---
Attached E Detached !
In accordance with the requirements of Section 3800 of the California Labor Code,-I, the
i"J""rld;,!, hereby state with regard to Chapter 9, Division 3 of the Business and Pro-
fessions Code:
/}) I hu.r" a valid California State Contractor's License in full force and effect with
'*2 i]ne followinE classification and license number:
INSURANCE COVERAGE-Check appiopriate box (one must be checked, Sec.
3900 Calif. Labor Code).
derflficate of workmerr,s compensition insurance, copy thereol or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
! The permit sought is for one hundred dollars or less'Classification License No.
2. I am exempt from these provisions by reason of the following: -.;.- i ;; tie owner of th'e property described in this permit applieation and I am
f"iidiiri, "" i-privi"g s.'tructur-es thereon for my own occupancy and not to be
offered for sale,
b. ih;;;"k dtolved is of a casual, minor_ or inc_or?sequential. nature and will not
;;;At9"tHundred Dollars (9100.00) for all labor, materi,als and other items.
c. e""*pti.jii ir baiea on the foiiowing section of the State Contractors' License
of the work
comply with applicable
of the permit.1
owner [he- iledisel -0 ent er- of -S&0i-
Arch. @ --John3oes
LLl+9 Marsh
Builder - - -Me[-gs - 9-o-ns-tnrction -Co] - - - -
2238 "S. Broad Street
Address
Address
Address
Inspector of Buildings.
Parcet No. ---5?l,L-924-
ft3"'ff #",o,,"---- Lot size-----x -----
J'9t6tt
F.o,,t yd. Jffi- * side yds. - - -3-L 1 - - - I - -59-r: - -
->':>/'2--
LOCATION
-9lty-Doglaeerr - - - - G - G -_be_apBrqved W---- {
Special r equirements ---f-?.annlng-
t "t---3ll-- Block--- -
Reacl vd. --?9-O---*- Nearest bldg.------'.-r*: -
No. - -1@- - - - - street- --Oas-q -$lleot- -- - --
35,36
City Clerk.
Law: Section
tr
Applicant--
tion la cause revocation
CITY OF SAN LUIS OBISPO
BUTLDTNG PERMTT
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 #ithin 60 days. This p'ermit does notinclude permission to^i?rstall electrical, phimbing, sewage or sidewalk facilities.
Business License n
Permit Card n
Street File n
N9
Dut -----// Z/4
$-/-
$___
_{_______!e-*
948
Permit Fee
PIan Check Feb
Other Fees $
rorAl E-/4*#--
DESCRIPTION OF
u* /fu,e-arta-L--
STRUCTURE OR WORK LOCATION INFORMATiQN',' -,]: 6
N o. r/e-a- - - - - so""€/s t?-
Lot-------- Block----- Subdivision--
Parcel No. 5.L= - t-8- * :- eto
85?6 n -'*Lii: ]lii1,i-;ir
o*n",/(E-EtcbL-GnE'z-,-,aE-
Address ---{-A'g-
a-E F.=Elo */
Estimated valre - ---5 I -Z"-ed/*:-- units---rT---
N",ffiaaition n Alteration ! Repairs E Move[ Demolish E
w ia*4-fr - - - Length -4- p- - - u"igl't- la- -er^-r^- /
Garage !tr ------X------ Attached E Detached fl
Arch. or Erg. ------
Use Fi.e rorre-3- fot size-----X-----""r4-7 Address
Builder
AddressF owdalo&-zt4- Exterior *^n ?-AE <- noor€e *rrfa
r,ow h"ut a,G--frs---- Tw"--E- croup,E-.*=
Ftontyd.r/&Q-- Side
Read vd.2 e8s
Special requirements
----City Clerk,
of the California Labor Code, I, the
Division 3 of the Business and Pro-
va'f:-- ----iLa-Q---
Nearest btdg.Ea------
&7?txp-&**-69=-S-re .
for which this permit is issued,
so as to become subject to the
that failure to
e
I have a valid California State Contractor's Lieense in full force and effect with
the following classification and license number:
-al?-Wuild.ings.
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
tr Certificate of workmen's eompensation insurance, copy thereof or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
n The permit sought is for one hundred dollars or less.
t
In accordance with the requirements of Section 3800
undersigned, hereby state with regard to Chapter 9,
fessions Code:
/
Classification License No. -
2. 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 stru?turbs thereon for my own occupaney and not to be
offered for sale.b. Tlie 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
I certify that in the performance of the work
I shall not employ any person in any manner
workmen's compensation laws of California,
Law: Section
!
,s I
cause
Business License tlCITY OF SAN LUIS OBISPO
PLUMBTNG PERMT
Fixtu res
--,---Grease Trap
------Drink Ftn.
- Slop Sink
------Other
------Other - ----
Other---
Card tr
File tr
in accordance
I certify that in theI shall not
workments
I\TP 584
fn accordance with the requirements of Section 3800 of the California Labor Code, I, 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:
if work is not
, sewage or
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec'
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insurance, copy thereo{ or certificate
of consent to self-insure froir Director of Induitrial Relations, has been
filed with the City and is still in effect.
The permit sought is for one hundred dollars or less.
sidewalk facilities.
-Bathtubs
------Showers
:L Lavatories
--.5--W"t"r Closets
-- &--Ititeheo Sink
Floor Drain
- ----Laundry Tray
------Urinal
------Water Softener
------Clothes Washer
- - Dish Washer
Classification ---
L
FEE $ lr--1-.l
for which this permit is issued,
so as to become subject to the
License No. --------2, I am exempt from these provisions by reason of the following:a, I am tlie 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
I understand that failure to
of Buildings.
DArE - - - - /, -- - - & 3- -:- -
owner >""t- C^J"^)
Special Requirements
J-
Address
Location
#ut
Occupancy
Contractor
Feesvtf*dJA-
,* l.8o
$3-?-,-Q-6
;+eV-
- ----Sewer Conn.
------Gas Heating
------Water Heater
- f,,Gu, oul,t
- ----Water Piping
---- '-Drainage Pipe
-- -,-Lawn Sprinkler
------Fire Sprinkler
TOTAL
/Fixtures
___1
'l
Gos Applionces
------Water Heater
------Space Heater
--Furnace
--- Wall Heater
Gas Dryer
-,Register
- ----Flues
-City Clerk.
of
employ
workments shall cause revocation
*.3ith,... ,rar"rir#F
CITY OF SAN LUIS OBISPO
ELECTRICAL PETTMIT
Business
Permit Card
Street File
aqL
o
tN 416
$-g-{-?p
sidewalk facilities.
Items
------New single-family residence with --- -- square feet.
Space Heater
-,Temporary Service Pole
Service Size
CONDUCTORswtTcHCONDU IT
Motors
FEEH. P.No.
FEE
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
.f- -?- - ci...rits & Feeders
- Switches
- --Lighting outlets
----- Receot. outlets
n -/ fuA-*s,Fi*t,i,",
------Range & Oven
-,,---Dryer
- ---Water Heater
- ----Transformers
- ---Signs*- ---Other
In accordance with the requirements of Section 3800 of the California Labor Code, I, 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:
Classification
2. I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am
building or improving structures thereon for my ov/n 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 ($100.00) for all labor, materials and other items,c. Exemption is based on the following section of the State Contractors' License
tl Certificate of workmen's compensation insurance, copy
of consent to self-insure from Director of Industrial
filed with the City and is still in effect'
tr The permit sought is for one hundred dollars or less.
thereof or certificate
Relations, has been
Address -l -Q-p---C A-J- A - - - -
contractor A-: l- - - - -E IJ4/-r--------- -
Type Bldg. - Fire Zone,-
DATE
C)wner
Address
Special Requirements
-- ---Alteration ----?,$--ort.,ilza5
TOTAL - - -
Fees
o---{'__4.
$--l-
*'-?
$ _-_____t.001_-
Circuits
10_
A:A
- -----Motors
Permit ----- -
New Dwell. ---
- - Appliances
.---, --Transformer
------Outlets#-:I-Fi*rur.,
--J--s"rui."
- Inspector of Buildings.----------City Clerk.
;_8=6a'--
Law: Section
CITY OF SAN LUIS OBISPO
ELEGTRTCAL PERMIT
Business License !
Permit Card D
Street File n
I{9 403
FEE d*4
This permit is issued with the undersigned applicant's agreement and ackn_owledgement that all work will be done in accordance
with City C)rdinances, including any special re uirements and other applicable laws. Tlis permit becomes invalid if work is not
started within 60 days. This peimit'does not inilude permission to rnake any structural alterations or install plumbing, sewage or
sidewalk facilities.
Items
------New single-family residence with square feet.
Circuits & Feeders
Switches
- ---Lighting outlets
------Recept. outlets
------Fixtures
------Range & Oven
------Dryer
- ----Water Heater
- ----Transformers
- - --Signs
-,Other
Soace Heater
l-- Temporary Service Pole
Service Size
CONDUCTORswtTcHCONDU IT
Motors
FEEH.PNo.
In accordance with the of Section 3800 of the California Labor Code, I, the
Business and Pro-undersigned, hereby state with regard to Chapter 9, Division 3 of the
fessions Code:
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number:
Classification License No.
I am exempt from these provisions by reason of the following:a. I am the 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, minot 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
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
! Certificate of workmen's compensation insurance, copy thereo{ or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
n The permit sought is for one hundred dollars or less.
.:
H 4"t uO cAnsrF.@
ge4--
Fire Zone---
edtcDATE
C)wner
Address
Contractor
Address
Special Requirements
Type Bldg.
Fees
---l--Permit ---- -
- New Dwell. - -
Circuits
------Outlets ------
------Fixtures ------
---l--Service - -*--, Appliances ---
. -----Transformer --
- ----- Motors -------
--Alteration ----
---,--Other
@
$ _______1.00
TOTAL--- $
____-a___-
---$IZn--
-----#-D- ouz,t*, 4 K.-rnspectar of Baitdings.
a
----City Clerk.=r+]-/
2.
Law: Section
i-
tr)
'i;
'ii
tww
CITY OF SAN LUIS OBISPO
PLUMBING PERMTT
Business License
Permit Card
Street File *
I{9 458
FEE $/e
u.0rj
In accordance with the of Section 3800 of the California Labor Code, I, the
Business and Pro-undersigned, hereby state with
fessions Code:
regard to Chapter 9, Division 3 of the
1, I have a valid California State Contractor's License in full force and effect with
the following classification and license number:
Classification
2779 A -0i[l
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
tr certificate of workmen's compensation insurance, copy thereof or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
Fixtures
Bathtubs
------Showers
. - Lavatories
------Water Closets
- - --Kitchen Sink
------Floor Drain
------Laundry Tray
Urinal
------Water Softener
Clothes Washer
- ,,--Dish Washer
------Disposal
------Grease Trap
Drink Ftn.
Slop Sink
------Other ,----
------Other ,,---
- ----Other
----- -Other
License No. --------,I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am
building or improving struitures 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 ($100.00) for all labor, materials and other items.
c. Exemption is based on the following section of the State Contractors' License
DArE W*--&-?+1-Y-4-3---
owner,/*^r$t;* 7=A- -Odno
Location /nO - eou.nl-
conrractor ! * N .,X"-t-=8.*oq*--
Address -?-,--1----ry 2d.{
Special Requirements
Occupancy
$-----{.oo
- ---
$----t'-ry
],rc
FeesItems
--- I --Permit
----- Fixtures
- ----Sewer Conn.
------Gas Heating
Water Heater
- ----Gas Outlet
----Water Piping
------Drainage Pipe
---1,,L^*nsprinkler
------Fire Sprinkler
TOTAL
Gos Applionces
------Water Heater
------Space Heater
- - --Furnace
------Wall Heater
- --,-Gas Dryer
--,,-,Register
- ----Flues
.--/ A-4la=rk*-of Buildings,-,-.---City Clerk.
Law: Section
t,' - ',i (Ji't5t,)
d
CITY OF SAN LUIS OBISPO
PLUMBTNG PERMTT
Business License
Permit Card
Street File
56
s--E-o-6-{
9CI.35
v I{9
FEE
5t{?9 A *0lll
Fixtu res
--.----Bathtubs
- Showers
.-1-3--Lavatories
l-3 W^t"r Closets
--=3---t<ir.hen Sink
Floor Drain
------Laundry -ftay
- --- Urinal
------Water
- --- ClothesWasher
------Dish Washer
------Disposal
Grease Trap
Drink Ftn.
Slop Sink
------Other
------Other
- ----Other
------Other
G)
DArE W^"^#---1-7)-1-?-6-A-
owner 744;iI1- -UJ".4,Wa
Location /eA--Qa=uz--rJL-'----
Special Requirements
Address
Occupancy
Contractor
$_-___r,00
---,2L'245
- ----C'-re
____,-z_,{o
_____*?._.3-o
,_-,_-/_,_dc
$--gD-{!
Fees
--- I --Permit
,57--Fittur",
---1- S"*", Cor,r,.
*-----Gas Heating
--t{--W^r"rHeater
-ll- Gas outlet
---1-- wut", Pipi'g
--,---Drainage Pipe
----- Lawn Sprinkler
------Fire Sprinkler
TOTAL
Items
-tf---w^r"rHeater
- ----Space Heater
- ,-Furnace
----Wall Heater
- -,Gas Dryer
--- ,-Register
--- --Flues
Gos Applionces
l \-./_4_----City Clerk.
of Section 3800 of the California Labor Code, I, the
Business and Pro-
In with the
undersigned, hereby state
fessions Code:
of Buildings.
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
regard to Chapter 9, Division 3 of the
1. I have a valid California State Contractor's License in full force and effect with
3800 Calif. Labor Code).
lA/Cettificate of workmen's compensation insurance, copy
of consent to self-insure from Director of Industrial
filed with the City and is still in effect.
tl The permit sought is for one hundred dollars or less.
thereof or certificate
Relations, has beenthe followine classification-and license number:;iilli;;-""-:-|n-:-6;-E-;lE'.-4-:=t-A-LicenseNo.33.494
2. I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am
building or improving slructures 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
tr
I
.-j
This permit is issued with the undersigned,applicant's agreement and achn_owledgement that all work will be done in accordance
with bity Ordinances, including any slecial ieluirementi and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This peimit'dois not inilude permission to rrafte any structural altirations or install plumbing, sewage or
sidewalk facilities.
CITY OF SAN LUIS OBISPO
ELEGTRICAL PERMTT Street File {
$-€7-e---FEE
Items
------New single-family residence with ----- sguare feet.
lS
"r.."its
& Feeders
----,-Switches
- ----Lighting outlets
- Receot. outlets
/8J-ri*r,i,",
------Range & Oven
Drver
- /--wl"r Heater
-, ----Transformers
-,----Signs
------Other
- Space Heater
Temporary Service Pole
Service Size
CONDUCTOR
n*a n*
swtTcH
/o-o-P
CONDUIT
.g-.f,"
Motors
In accordance with the requirements of Section 3800 of the California Labor Code, I, 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
ffi i:l',"#'1?"-'::::'l:i*T:'j":::::lUI)-t---LicenseN,./-4-?-e-8-€-
2. I am exempt from these provisions by reason of the following:a. I am the owner of the property described in this permit application and I am
building or improving slructures 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
INSURANCE COVERAGE-Check appropriate box (one must be checked, sec.
lgoo Catit. Labor Code).
E/ Cu"tificute pf workmen's compensation insurance' coplr t!re1eo! or certificate
of consent to self-insure froir Director of Industrial Relations, has been
filed with the City and is still in effect.
! The permit sought is for one hundred dollars or less.
for which 1S issued,
to the
that to
so as to
In sp ector of Build.ings,
TOTAL - - -
Fire Zone-
Fees /%s
-AJ/,
Address
Contractor
- -Alteratioti -'t----j-orn,-{eftis
Address --Z-&-
$ _*-__--:1.00---l--Permit -----
--.----New Dwell. -,-
_____-1X,1:o
- ---&-tra
-----*Outlets ---r--
-/fl-ri"r"res ------
---.-6Service -.-----
- /l4ircuits
/&'4-o
Transformer
Motors_ _6_
:::'ffi-""______8_._6a)
------Appliances
/3"ffi
FEEH.P
JJ,O//
(_
NO
City Clerk.
Law: Section
n
I
cause revocation
CITY OF SAN LUIS OBISPO
ELEGTRTCAL PERMIT
Business License
Permit Card
Street File {
N9 52
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with blty Ordinances, including a"y slpecial i"quiremenii and other applicable lai,s. This permit becomes invalid if work is not
started.wi-thin 60 days. This peimit does not inilude permission to make any structural alterations *J11ptl{ryr$*F TY% $ Asidewalk facilities.B - $Illttt $--- ,td
*.r,tt---
Items
------New single-family residence with sguare feet.
------Circuits & Feeders
- - - Switches
- --Lighting outlets
------Recept. outlets
------Fixtures
------Range & Oven
------Dryer
- ----Water Heater
- ----Transformers
- ----Signs
-,----Other
Classification
- ----$pace Heater
,/:f "^porary Service Pole
Service Size
In accordance with the requirements of Section 3800 of the California Labor Code, I, 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:
CONDUCTORSWITCHCONDU IT
Motors
FEEH.PNO
License No. --------
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec'
p00 Calif. Labor Code).
{Certificate of workmen'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.
thereof or certificate
Relations, has been
2, I am exempt from these provisions by reason of the following:a. I am the 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 seetion of the State Contractors' License
D^rr "l*o), g, -12-1-5--
owner >LX, _A*"5+l-4
'L,-X-O-
Address --l-O- L--Ua-il, W.
con t rac tor >re;d - -L.-&:'- - -
Fire Zone---
Address'
Special Requirements
Type Bldg.
Fees
--,1--Permit -----,-
-,.- - New Dwell. - -
- Circuits
------Outlets ------
------Fixtures ------
--f---Service -.-----
------Appliances ---
.------Transformer --
- -----Motors ------
-- ---Alteration ----
Other ,------
$ _______1.00
______4-4)
rorAl--- $-----€-19
-aU-) r"spector of Buil^dings.'1---*---city cterk.
Law: Section
!
Applicant--
tsg