HomeMy WebLinkAbout804 Boysen Address FileW ctty
Building & Safety
o[-qan lurs oBrspq
Division .agvo Palm Street . San Luis Obispo, CA 93401-3249 . (865)
Construction Permit
zerztad
Project Address 804 BOYSEN
Assessor's Parcel Number 052-331-010 .Legal Descripti on CY SLO TR 66 LT 10 BL A
Project Description REPLACE STAIRWAY TO 2ND FLOOR APTS
Permit Type X Building Mechanical Electrical Plumbing Sign
-Demolition -Grading
property owner MoELHINNEY FRANCES H occupant/Business Name CASA DE ANNA APARTMENTS
Mailing Address 47 S TASSAJARA Architect/Engineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
City/State/Zip SAN LUtS OBtSPo CA,93401-1559
OWNERContractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
U.B.C. Type V-N
Census number 434 Residential Alteration or Addition
Project Manager's Phone No. 543-2230PHOENIX FABRICATION
Lender Address
U.B.C. Group R-1 Stories 1 Codes: UBC 94 NEC 93
Motel Rooms 0Dwelling Units 0
Valuation
Residential Alteration/Addition/Conversion 6,600
Fees
$6,600.00
$6,600.00
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Administrative Permit
Miscellaneous Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Fire Safety Surcharge
Construction Unit Tax
Water lmpact
Water Meter lnstallation
Wastewater lmpact
Traffic lmpact
Total Fees
Balance Due
Total Paid 264.56
Application Number 80260 Permit Number 12404
Application Date 04114/98 lssuance Dale 94122199
1, O.WNER BUILDING
I am exempt from the reason:
[ /, as owner of the property, or my employees with wages as their sole
compensation will do the work and the structure is not intended or offered
for sale.
'Oafrs owner of the property, am exclusively contracting with licensed
G*tractors to construct the project.
I Not applicable.
2. WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a cerlificate of consent to self-insure, or a'certific.ate
of Workers' Compensation insurance, or a cerlified copy hereof
Certified copy is hereby furnished
copy is filed with the City.
applicable
3, CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
g I certify that in the performance of the work for which this permit is issued,/ t shatt not employ any person in any manner so as to become subject to the
Worker's Compensation Laws of California
! rVot appticable
NOTICE TO APPLICANT:
lf, after making any of the foregoing declarations, you become subject to any
Labor Code or License Law provision, you must comply with such provisions
or this permit shall be deemed revoked.
I cerlify that I have read this application and state that the above information
is correct, I agree to comply with all city ordinances and sfafe /aws relating to
building construction, and hereby authoize representatives ofthis city to
enter upon the above-mentioned property for inspection purposes. Unless
noted under "Special Conditions", this permit becomes null and void if work
or construction authoized is not started within 180 days, or if construction
or work is suspended or abandoned for a peiod of 1 B0 days any time after
work is commenced.
Special Conditions:
csmmenls:
132 61
131 .95
'131 .95
0.00
0.00
0.00
0.00
0.66
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
131 .95
0.00
0.00
0.00
0.00
0.00
0.00
0.00
264.56
0.00
Payments
Payment #1
Amount
264.56
Date
04t22t98
Receiot
1467
@
Address File
re ractor or 7g
*Mllllru ctry oF can luls oBtspe
ffiBuilding&SafetyDivision.990PalmStreet/Box8100oSanLuisobispo,cnss+os-e,1ool(805)781-7180
CONSTRUCTION PERMIT
Pnoject Address 804 BOYSEil
Assessorrs ParceI Nunber 052-351-0010 LegaI Description cY sto TP 6A lr tn Rt r
Project Description pFpaIp sTpltcTltpat I Y APT STAIRS
Permit Type
Property oHner
l.lai L ing Address
City/State/Zip
Contractor
It'lai t ing Address
Ci tylState/Zi p
Project llanager
Lender Name
U.B.C. Group
_LBui tding _l,lechanica[ _Electrical _ptur$ing _Sign _Demotition _Grading
Project llanagerrs Phone No.1L'l-7)LA
R-',|U.B.C. Type V-1HR
I'CFI IIINNFY FPANCFS I{Occupant/Business llame
Archi tect/Engineer
License #
Contractorrs Phone ]lo.
CASA DF INNA ADAP
47 C TACCA.IADA
saN tUts oFrspn ca -1559
OLINER
RRIICF DASI{
Contractorrs State Lic. llo.
Lender Address
Census nunber 434 Residentiat Aiteration or Addition
Stories 2
Drelling Units 0
VALUAT I ON
Residential. Repair/Al,teration---llo Census. $ 4OOO 4000
Codes: UBC 91 NEC 90
: i:ie'q.4$1" il;'tP I l'ilff [] ffi Y g-
B fot:T',"-4"\T I ffi N
r ',i,i'i ii't:l N0'i i-].:rrf i li{j:lPiiCTi.D i\flD/0R APi:iiOvF-D
1 ,fif.iliVt i:lr.[
Total Buitding Vatue 4000
-pggg
Bui Lding Permit
PLu$ing Permit
l,lechanical Permit
EtectricaI Permit
Grading Permit
s.l't. t.P.
Energy Surcharge
Accessibi t ity Surcharge .
Demotition Permit
Sign Permit
Adnini strative
lli sce[ [aneous Charge,/Credi t
Investigation Fees
li,licrof i tm
. Subtotal 73.30
Plan RevieH
Construction Unit Tax
llater Ifipact
Llater l,leter Insta[ [ation
l.lasteHater Irpact
TotaI Fee Calculated
Balance Due
64.60
0.00
0.00
0. 00
0.00
0 .50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
8.20
41.99
0.00
0.00
0.00
0.00
115.29
0.00
'.T,',
Conments:
Apptication Nunber @
Apptication Date 09/21/93
Permit Nunber
lssuance Date
08925
Paynent #1
Payment #2
Totat Payment 115.29
pAyltENTS
-
Amount Date Receipt
42.00 09/21/93 0375
73.29 09/?7/93 0451
LEGAL DECLARATIONS
OWNER BUILDER DECI.ARATION:
I m exempt from the contmctor's Licenae law for the following reoson:
f , * o*n", ofthe property, oi my employe with wage u their oole comperuation
will do the work and the structure is not intended or offered for sale.
_ I, m owner of the property, m excluively contracting with liceroed contractoro to
comtruct the piojct.
_ Not applicable
WORKERS COMPENSATION DECI-ARATION:
I hereby affinn that I have a certificate of coment to relf-imure, or 'a certificate of
Workero' Compenration imumce, or a certffied copy hereof (Src. 3800, lab. C)
_ Certified copy ir hereby fumishd.
_ Certified copy ir filed with the City.
_ Not applicable
CERTIFICATE OF D(EMPNON FROM WORKERS COMP. INSURANCE
_ I cerfiff thot in the perfommce of lhe work for which thir pennit ig issued, I shall not
employ any pemon in any monner 8o ao to become eubject to the Worker's Compemation
Iaws of Colifomia.
_ Not applicable
NOTICE TO APPLICANT:
If, after making my of the fioregoing delarationr, you beome subjet to my Iabor
Code or Liceue I:w provirion, you mut comply with ruch proviriom or this pemit shql!
be deemed revoked.
------I certiff that I hove read this application and state that the nbove information ir comct,
I agree to comply wirh all city ordinmcq and stste lawg relating to buiHing construction, and
hereby authorize representative of thir city to enter upon the abovementioned propergr for
impertion purpore.
Unlss not€d uder "Spcial Conditiom", thir pemit bcomes null ond void if work or
construction authorized ir not start€d witbin 180 days, or if coutruction or work ir
surpended or abandoned for a period of 180 dayr my time after work ir commenced.
Special Conditionrr
t)
Signahrrc of Contractor, Authorized Agent or Owner ?s
City of San Luis Obispo, Calif.ORIGINAL
Department or pubric lvorks APPLICATI0N and PERMIT for SIDEWALKS and CURBS N s2t
Fee or +
Permis.sion is requested to have the following work performed at the location
.cified below
o
a
,r{-/fu-**of
house a
San Luis Obispo, California.
n Construct standard cement sidewalk. Length .-.-----. Width
By
By
By
counmence on/ot
and
..1.!-..-....---... in
of the City of
u Construct standard consrete curb and gutter. Length{A;";;;i -,,"a]"u ;;;;; ;;..i"";;' :2:476 ' i'ai" z--a-:.- "
n To repair
Length
REMARKS:
Contractor:
width.--.
l^*-/z ----_.-----2_.., Sq
&)
ftention is called to the provisions listed on reverse side of this permit whieh
L - "ut -.-.---.--------, 19------, and eontinue without delay until eompleted.
shall becpme Part of
Signrature of
Peimission is hereby granted to perform the work described above, in accordance with.conditions
Department Publie Works
/"**'fr 4**By ..-gitf+ngiaepr or Authorized Agent
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with Ciry C)rdinances, 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 make anv structural alterations or.install elecjrical, sewage or
sider,r'alkfacilities. ' t JUL'LZ-6, '37255
CITY OF SAN LUIS OBISPO
PLUMBING PERMTT
Fixtures
------Bathtubs
------Showers
..- - -.-- -Lavatories
------Water Closets
------Kitchen Sink
------Floor Drain
------Laundry Tlzy
------Urinal
------Water Softener
------Clothes Washer
------Dish Washer
------Disposal
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
Inspector of Buildings,
INSURANCE COVERAGE-Check appropriate
3800 Calif. Labor Code).
(one must be checked, Sec.
! 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.
! The permit sought is for one hundred dollars or less.
n 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
comply with applicable workmen's compensation laws shall cause revocation
of the permit.
Business License tr
Permit Card n
Street File tl
I.I9 IZ22
FEE $--€-&)---
A * flll0 5.i, it
DATE _
I
S_-___-r
I
aa..1_z_4__------t-
------Grease Trap
------Drink Ftn.
------Slop Sink
------Other
------Other
------Other
----- -Other
Location --i a-/---
Occupancy
Contractor
Address
Special Requirements
&V=
iI
Il
I
I
I
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I
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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 section of the State Contractors' License
--l
I
----*-Space Heater
------Furnace
------Wall Heater
*-----Gas Dryer
------Register
------Flues
Water Heater
Gos Applionces Items
--- I --Permit
------Fixtures
------Sewer Conn.
------Gas Heating
--.{-w"t". Heater
------Gas Outlet
------Water Piping
------Drainage Pipe
------Lawn Sprinkler
------Fire Sprinkler
TOTAL
*".,*-* '
-City Clerk.
EN
$'{-k)--
$______
Fees
Ayplica,nt---
I I I I I I I I I I l*r rr I 9c:' o'
r,[f,rt*fi;t[," fio?66 a *- i,ii[
N9
J.i" r'
CITY OF SAN LUIS OBISPO
PLUMBTNG PERMIT Permit Card
Street File
11 51
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will bedoneinaccordance
with City Ordinances, including any special requirementl and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This peimit does not include permission to make any structural alterations or install electrical, sewage or
sidewalk facilities.
s--3-.-&----FEE
r- --.----Brrh,.rb,
------Showers
.- - -.-- *Lavatories
------Water Closets
------Kitchen Sink
Floor Drain
------Laundry Tray
-----*Urinal
------Water Softener
------Clothes Washer
------Dish Washer
------Grease Trap
------Drink Ftn.
------Slop Sink
------Other
------Other
------Other
------Other
/f_4_t__
- Inspectar of Buildings.
(one must be checked, Sec.
-{
--------------l
Fixtu res
DATE
Owner
Location -
Occupancy
Contractor
--f-ac{
In aecordance 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: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 iterns.c. Exemption is based on the following section of the State Contractors' License
Address
Special Requirements
INSURANCE COVERAGE-Check appropriate
3800 Calif. Labor Code).
tr
D
tl Certificate of workmen's compensation insurance, copy thereof or certificateof consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
-------City Clerk.
The permit sought is for one hundred dollars or less,
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
comply with applicable workmen's compensation laws shall cause revocation
of the permit.
Applicant---
Gos Applionces
---l--Wur.rHeater
------Space Heater
------Furnace
------Wall Heater
------Gas Dryer
------Register
------Flues
Items
---l--Permit
------Fixtures
------Sewer Conn.
------Gas Heating
---/--Water Heater
------Gas Outlet
------Water Piping
------Drainage Pipe
------Lawn Sprinkler
------Fire Sprinkler
TOTAL
Fees
-------/63
$Jsa--
$_-----
Law: Section ----q',----
I
]
iiili"1,l-55 6\?r60,,D * CIIll '{ frft
New E Addition I Alteration I Repairs E Move tr Demolish E
DESCRIPTION OF STRUCTURE OR WORK
u * - e-- a u.4-p- - - -Q -i: L,E- -&) ALr
Qrnriac
Foundation-- Exterior wall---------- Roof---------
Howheated- TyP"------- Group--------
Garage fl Caqport tr ----- Attadred E Deta&ed I
N ".,WU- - - snntfr c>-- -(a-e*. - - - -
Lot - iA - - - std-- 4- - subdivision-- -(- (-
- -
use zone---- Fire zone---- Iot size-----X-----
Front yd.---.----- Side yds. --------- I --------
Read vd. Nearest bldg.-----------
Special rcquirements
N9 817
Date---o-c 3
$---g-Qq--
$------------
$---_--__-_--
3aa
owner f,g.**-ta-/4c trlL,rxtu-t
I
Address 1-7-T^("44-&
Address
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
Business License
Permit Card
Street File Permit Fee
Plan Check Fee
Other Fees
!
u
n
This permit is iszued with the undersigned _applicant's agreement and acknowledgement that all work will be done in accordance
with Citv Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not
started #ithin 60 days. This iermit ioes not include permission to^i?rstall electrical, plu^mbing, sewage or sidewalk facilities.
LOCATION INFORMATION
Parcel No.Arch. or Etg. ------
Builder
Address
ClassiJication License No.
fuulv - Inspectar of Buildings.
INSURANCE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insuranee, eopy thereof or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
tr The permit sought is for one hundled dollars or less.
n I certify that in the performance of tho work for which this permit is.issued,I shall not employ so as to become subject to theI understand that failure toworkmen's
compensation laws shall cause revocation
CIe&.
.n accordance with the requirements of Section 3800 of the California Labor Code, Irthe
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:
2. I am exempt from these provisions by reason of t-he 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
Applicant-
o
CITY OF SAN LUIS OBISPO
PLUMBTNG PERMIT
s,*rni"ss.Lic.*r"66 0 515 B
Permit Card
Srrpet File
* IiIl{ i.;,i.I{9" ?1-ii
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 slecial r-eluirement"s and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This peimit does not inilude permission to make any structural alterations or install electrical, sewage or
sidewalk facilities.
n.{dFEE $_\7-_----___
Gos Applionces
--*---Water Heater
------Space Heater
-----*Furnace
------Wall Heater
------Gas Dryer
------Register
------Flues
Items
--- I --Permit
------Fixtures
------Sewer Conn.
------Gas Heating
---/--wur"rH""t",
------Gas Outlet
------Water Piping
------Drainage Pipe
-*----Lawn Sprinkler
------Fire Sprinkler
TOTAL
Fees
$-----'r?oo
$-3-e:-!
"4^fo
Fixtu res
DArE -/C-'-1-g-=/-3--'v \-owner4-"--.{7{-e-
Location -fA {04tfr, *
I
__________-_J
i -----Bathtubs
------Showers
. ..---.---Lavatories
------Water Closets
------Kitchen Sink
, ------Floor Drain
" ------Laundry Tray
------Urinal
I -------Water Softener
,. ------Clothes Washer
------Dish Washer
------Grease Trap
------Drink Ftn.
------Slop Sink
------Other
*-----Other
------Other
------Other
Occupancy
Contractor (LJ*t
I
-i
I
I
-t
I
I
--City Clerk.
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. --------
Labor Code)
n Certificate of workmen's compensation insurance, copy
from Director of Industrial Relations, has been
thereof or certificate
of consent to self-insure
filed with the City and is still in effect.
tr The permit sought is for one hundred dollars or less.
Address
Special Requirements
of Buildings.
COVERAGE-Check appropriate box (one must be checked, Sec'INSURANCE
3800 Calif
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 slructurbs 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 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
comply with applicable workmen's compensation laws shall cause revocation
of the permit.
Law: Section
tr
Applicm.t-t),
.A . .,. /..,.;. t , ,
..t .f..- :, {l{9 2128
o ^,. - /-Q-1 /- -?- :- 63- - - -
Permit Fee - - - $--t-4-.?-
Plan Check Fee $------
DEPARTMENT OF BUILDING
Crrr or SeN Lurs Osrspo
Cer-rronNre
BUIN-DNNG Ptr,RMNT
Set be.ck Side l-ines re'/a'
Reoairs Demolish
--t-p---?---'---Za--ff------
'This permit becomes inaalid
is not storted within 60
if work
doyt
Rear fine eare s t b 1dg......'L.........U s e
DESCRIPTION OF STRUCTURE OR WORK
Addition ,. Alteration
- - - /t -7:*-------- Depth
owner ft X Jt/: 9- &fu.qryt a:y'-- - -
Address 42fuLa1ee----t4--
Eng. or Arch. ------ ---a--------------E---
rorAl - -$_a--6-E-
j-/I jliel-.ii4--e8 -H__br
Uua 5.5'ar-to ()
@
Plans and me comsi.dercd 6
an integral part of this permit.UT
rNew,l
Front
Foundation
Roof -
Stories
Height
Ext. Cover -J
Type of Const.
Type of Chim
fao e r)
_E____
-'l,a!!-
Address
Builder
AddressHow Heated -- G AJ-------/0 Ganse or Camo# - Attached--€-'*- ' ^-'---B"'&gXi*-ndi'q
This permi.t d.oes not i.nclude p"r*irrionfo, *{ung of St "lr,making sewer connections, constructing a.wbs or tlte i.nstalling
of elect:rical and plwnbing faci.Iities.
LEGAL DESCRIPTION
Lot_---/4 Btk----A--
Lot Size---- -7-A-------x --/--A-
Remarks
o
_____/
Occupancy
Estimated Value ,-
Completion Date -
- - - - -Inspector of Buildi@.
the
that
*t
Clerk.
its and
I ,t
CITY OF SAhI IUIS OBISPO
Planning and Building Department
CATEGORY 1 HOME OCCUPATION
(Fee free)
q'-
/9C-.-e!.1.-/pionose to conduct a
home occupation of
(describe exactly)
at
ina C-S zoner
t{y home occupation wilL comply with the following:
Gainful employnent engaged in by the occupants of a dwelling only, subject to:
(1) Incidental to residential use.
(2) No display or sales on premises. No outdoor storage.
(3) No signs except as permitted by the Sign Ordinance.
(4) No vehicle larger than a 3/4 ton tnrck to be used in connection with
Horne Occupation. Provision must be nade for off street parking of such
vehicle in addition to standard requirements.
(5) Activities to be conpletely within an enclosed building and not encroach
on any required parking space.
(6) Such activities shall not interfere with the peace and quiet enjoyment
of the neighborhood.
I understand that if is any contravention of the above limitations, this
approvaL shall be void.
2/Y /
APPtICAl.lTr S SI GNATURE DATE 3,- tl* k tr
ADDRESS c c-c,TELEPHONE 4. &?7 z
Approved
f\*
FOR OFFICE USE ONtY
Date