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Home My WebLink AboutSLOUNIFLOW_FS1 Admin iRC3926i Color_2479_001Last Nan PACIFIC GAS & ELECTRIC4878 3 I Construction Permit San Luis Obispo County Planninq Department THIS PERMIT CONSTITUTES AUTHORIZATION BY THE C DESCRIBED HEREIN, SUBJECT TO ALL APPL]CABLE PRO\ Proiect Address 4315 S. Higuera Lot Number PAR I Block - Tract / 0ther PTN P.A Comm.qt nc LUC INN Deai fi a Crc l, F'l antni n ?65 Fl llmar lemr{rl Mailing Ad( Colltnciol o1 --/l'tB"u""Z- €r/- Ssrl 4 {32 C"/1 TION OF THE PROJECT 76-071-09 A.P.N -- Lot Size 10 ac. \ 422-8822 Susiness Hour Phone License Chss - - [taiting]; LEGAL DECLARATIONS UCENSED CONTRACTORS DECLARATION: I am licensed under the provisions ol Chapter 9 (comm€ncino with Section 70wy "' -...-.- th0 Calilornia Business and Prolessions Code, and my license is in lull lorce and etlect. Licenss Number Contractor - oate OWNER BUILDER DECI.ARATION: I am oxempt lrom tho contractor's License Law lor lhe l0llowino reason: D l, as ownor ol the property, or my employees with wages as their sole compensalion will do the work, and the structure is not intended or otlered tor sal0. E I, as owner ol the property, am exclusively contracting with licensed conlraclors to construcl the prolect. E I am exempt under Ssc,8. P. & C. lor this reason Date Applicant WORKERS COMPENSANON OECLARATION I hereby atlirm lhat I have a certilicate ol consent lo sell-insure, or a certilicate of Workers' Compensation lnsurance, or a cerlilied copy hereol (Sec. 3800, Calil. Labor Code). License No. r01 544-9700 RCE 32081 State License No I Proposed Use: Setbacks: Fronl 0 Sides 0 Bear Habitable Floor Aroa - Garage --- Barn - Carport "_Covered Porch - oeck -Storage - No, Balhrooms No. Stories Square Feel Height Mobile/ModularHomelnlormation: Manulaclurer Year -Serial No. 0.0.H. No. o.M.V. License No State - No. Eedrooms MovedBuildinglnlormation: Locality Present Location Proposed Uso Tol. Lin. Ft. ol Grading lnformation: Tot. Cut Cu. Yds.; Tot. Fill ----- Cu. Yds.; Area ol Disturbance TYPE OF CONSTFUCTION Foundalion Frame -Rool Pitch Rool Material Exterior Wall Mechanical and Energy lnformation: Type Space Heating Type Water Heating Fireplace Type Mil c+rfa Fnnin6aFe Mailin0 Ad 6AQ Drr rrctritrct, Erniuiei'oiEirdoT - - n E Certilied copy is hereby lurnished. Certilied copy is liled with lhe county Planning 0epartmenl I Dale Applicant CERTIFICATE OF EXEMPTION FROM WORKERS COMP, INSURANCE I certify lhat in tho perlormance ol the work lor which lhis permit is issued, I shall not employ any person in any manner so as to become sublect to the Worker's Compensation Laws ol Calilornia. Dale Applicant NOflCE TO APPLICANT: ll, after making this Cerlilicate ol Exemption, you should become subiect to the Worker's Compensalion provisions ol the Labor Code, you musl comply with such provisions or this permil shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atlirm lhat lhere is a conslruction lsnding agency for the perlormance of the work lor which this permit is issued (Sec. 3097, Calil. Civil Code). Lender's Name Utility lnlormation: Water Source Sewage 0isposal Gas Type ivietiiod oi Energy Compliance FEES TOTAL VALUATION 6 6nn =s 62 an Plan Check Plot Plan Adlustment Tree Removal Energy Compliance = 0lher 0ther SMIP Tax = -------50-Encroach. Permit Mrcroform = ---4-O0- Building Permit . , Grading ........ SepticTank .,,.. Temp.Pole ..... s 4O-61 1 -00 SUBTOTAL OTHER TotalPsmilteo -J23-63REOUIREMENTS FOR FINAL INSPECTION - Curb, gutler and sidewalk Fite Salety lmplovements Last Nan PACIFIC GAS & ELECTRIC 487R3 Construction Permit San Luis Obispo County Planning Department THIS PERMIT CONSTITUTES AUTHORIZATION BY THE COUNTY OF SAN LUIS OBISPO ALLOWING CONSTRUCTION OF THE PROJECT DESCRIBED HEREIN, SUBJECT TO ALL APPLICABLE PROVISIONS OF THE COUNTY CODE. 4315 S. Higuera San Luis Obispo 76-07L-09 Proiect Address Locality A.P.N Lot Number PAR 1 Etock - Tracl / Orher P.A. sLo r Comm st na LUC 0w.t olo(il Address Monte cA 93901 Zip Code Eusrness Hour Phoneb Gontrector or Iorrr Mailing Address No.State License No. 1 LEGAL DECLARATIONS ucENsED coNTRAcroRs DEcLAninoxt I am licensed under the provisions ot Chapter 9 (commencing with Section 7000) ol Division 3 ol the Calilornia Business and Prolessions Code, and my license is in full lorce and iflect. License Class No.State No. PROJECT INFORI'ATION TypeorProiect: FUEI STofiAGE TANK Proposed Use: Setbacks: Fronl 0 Sides Bear 0 Habitable Floor Area - Garage - Barn - Carport - Covered Porch - oeck - Storage - No. Bedrooms - No. Eathrooms - No. Stories Retainino Wall lnlormation: &ciitrct, Certilied copy is hereby turnished. Certitied copy is liled with the county Planning Department. Date Appticant Date Appticant Lender's Name , ^-e^-'. ^)':.^.^.. License Number Contractor - Date OWNER EU]LDER DEGLARATION: I am exempt ftom the contractor's License Law lor the lollowing reason: ! I, as owner ol the property, or my employees with wages as iheir sole compensation will do the work, and the struclure is not intended or otlered lor sale. E I, as owner of the property, am exclusively contractinq with licensed contractors to construct the proiect. E I am exempt under Sec.B. P. & C. lor this reason Date -- Applicant WORKERS COMPENSATION OECLARATION I hereby atlirm that I have a certificate of consent to sell-insure, or a cenilicate ol Workers Compensation lnsurance, or a certilied copy hereol (Sec. 3800, Calil. Labor Code). - Square Feel E Height I ennlh Mobile/ModularHomelnformation: Manutacturer Year - Serial No.D.0.H. No. D.M.V. License No.State - No. Bedrooms MovedBuildinglnlormation: Locality Presenl Location Proposed Use Tot. Lin. Ft. ol Fdtn.- Gradino lnlormation: iol. Cut Cu. Yds Tot. Fill - Cu. Yds.; Area ol Disturbance TYPE OF CONSTRUCTION Foundation Frame - Roof Pitch Rool Material Exterior Wall Mechanical and Energy lnformation: Type Space Heating Type Water Heating Utility lnlormation: Fireplace Type Water Source Sewage Disposal Gas Type iiricihod of E::efgy Compliance FEES TOTALVALUATION = BuildinsPermit. = S 62.80 ptancheck .. = S . 4O-63_ Grading 16.00 Septic Tank Adjustment Temp. Pole Energy Compliance SMIP Tax 0lher -- Encroach. Permit = Microlorm = ---4.00-SUBTOTAL CERI|FICATE OF EXEMPNON FROM WORKERS COMP. INSURANCE I certify that in the perlormance ol the work tor which this permil is issued, I shall not emptoy any person in any manner so as lo become subiect t0 the Workers Compensation Laws ol Calilornia. NOnCE TO APPLICANT: ll, alter making this Certilicate ol Exemption, you shoutd become subiecl to the Worker's Compensation provisions ol lhe Labor Code, you must comply wtth such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby atlirm that there is a construction lending agency lor the pertormance ot the work lor which this permit is issued (Sec. 3097, Calit. Civit Code). Other - = = + TreeRemoval = + oTHER NOTICE The Unilorm Building code rBquires that this pormit become nuil and void il work or construction authorized is not started within 190 days after the permit is issued, or if conslruction or work is suspended 0r abandoned lor a period ol 190 days any time after work is commenced. I certity under penalty ot periury that I have read this 3pp1;gr1;.. and state that the above tnlormation ts correcl. I agree to comply with all county ordinances and state laws relattng to building constructron, and hereby aurhorize represenraiives ol lhis county to enter uponlhe above-mentioned property for inspection purposes. Failuro to request s progress inspection in any t8(Hay period is eyidence that work has bocn abandon€d.DK /o/p/ra% REOUIREMENTS FOR FINAL INSPECTION Curb, gutter and sidewalk - Boad Tax Land Use Permit Conditions - Landscaping lmprovements - Encroachment; Type _ Septic Tank Requiremenls: Gallon Septic Tank; SPECIAL CONDITIONS: Oate Received: Daie lssued: -- lssued By: rotal Pe.nit Fee --------123.63 Fire Salety lmprovements - Parking Lor lmprovements -- tencing lmprov€ments - other . . ... 0ther Sq. Ft. Ledch Area ! mT ={z 9 A @ -j@ GJ Signature ol Conlraclor or Authonzed Agent Srgnature of owner (ll owner Suilder) 1.0. Verilication - Oate ilAtuilc |0DRESS: C{['ITV coVERrrErT oEltTEnl Siil iui$ 0Bi$p0; ci Receipl No ?fz t/ 'i ) Permit Applicotion New Permit O or lnstalled before July l, 1984 fi! oz ln'stalled atter July l, 1984 E or Renewed Permit Soa Amended Permit I Owncr \1'ne tCg!.t.tl r^ l'.1"f'!-i'r or ;'. f A'leniy Pacific &Ron II Fecllity III 24 Hour Emergcnry Gontacl Person 93901 ltPcilv Salinas I Srale [*356 East Alisal S-'t.l n:1'r:r f a:{rly Ndnte Service Center Wes sieer AJlreil 9reet 4315 South iligiuera Bucklqp Road C{v San Luis Obistrn Luis Obispo 7tP 93401 9rl^ CA356 East Alisa1 Salirias 93901 P5o.r s 1,r t.-OdL' Ron Battles (408/422-8822). Typc dl 86oss - Private GasE or Gasoline Station i QIoz Other ar rtsr5 Fjc rL rrY I Rural Aratr Only: Flango Jazs Nar , ' t,i ilr-i I r..ir Jnd tr{es Friesen B 4T COMPLETE THE FOLLOWING ON.A SEPARATE FONil FOR EACH COt{TAINEN IV Descriplion Conltinrr tlufrbar lil ttr,!t' s rr, :,,:! r,{ a(} '_ _' C. Year lnsialled: ----84 ------ fl Unknown E. Does the Container Store (Check One) El or Wasle Eta'' Product F Does the Contarner Slore l,4otor Vehicle Fuel or Waste Oil? 6 c, Yes E,c: No lt Yes, Check approptiale box(es): [.]. Uniea,ir:d D cz Regular B -': Preniium 6,r. Diesel' El o', Waste Orl El oo Other (List) --- - ll you answered yes; do not complete Pirt Vlll.! V Conlainer Construction A. Thickness crt Prrmary Ccrrtarnment: _-I./! - A Gauge 6 lnches El cm El Unkno'rn B 0.,V.rultcct (Locaied rn an unoeroround Vault ) tl6a Non-vaulted. Eor UnknOwn C El,,' Double Walled Dr': Srngle Waliecl D t Lined ft frt,r. eqybqn Sreel O rz Stainless Steet 0 ,,r Frberglass O or Polyvinyl Chloride fl ,1: Concrete O oo Aluntinum 0 Sl--el Clod E ''r Bronre fl '. LJni.rnortn []', Other O,,, Comp'rsite D 'o Non-melallic tr rr Earthen Walls ftrttl and P\Coc s A^d (odrli/,gnls Narne tlasl npdern ,1 5 '' Tsrrk f]cl Other: B. Manutaclurer (rl gppropr'",u,.Year of tlrg.: 84 D Contarner Capocrty 6r00-0 galtons O [Jnl..ncwn .46. Conlalnrr Conrlnrc$on E O or Rubl":er L-ined D oz Alkyd Lining tl or Epoxy Lining E or Phenolic Lin:ng fJ rr, Glass LininE 0.,' Clay Ltning f,l r,, urriined Eou Unknown Bos Olher: F E or 'Pclyethlene Wrap E oz Vinyl Wrapping n ca Cathodic Proleclion E oa Unknown E oo None E o" t", o, asphalt E os Other FjJcer Glass l'{rapped VI Plplng A" Aboveground Prping: EI or Doublewalled pip€ f(Cleck) appropriate br(c$l B oz. Goncrete.linod t€hch Q os Gravity fl :r Pressure B 03 Suction Q oo Unknown O oz None & Underground Pipin& Ekor llouble'walled pipe f(check) appropriaG uox(es)ll ' Ooa..ConcrotFlined tranch Q os Gravity fl04 Ptossure O or S.rction fl oo Unknown I O or Nonc VII Leak Detectlsn U,,' Visual [J rr Stock lnventory fl 'x Ground Water lvloniloltng Wells E os Tile Drain O oc Vapor Snill Wells 8J os Senso' lnstrument E o' Pressure Test 0 os lnternal lnspeclion O';g None D r,; Otner: VIII C Currrllnlly ot Ptwloudl ed lo complete thrs seclion Stored ln Undcrground Gonteinera il 0 o, [] r,: il,,- !,': Oc' O: Chrn|Grl Oo rvol Use ClttflPt'J! N.1.e rtjsr) a(td{ro^3] pappr ro. moc tm'Grttnlly Aryod ,$vtqElt ;:JtAC CAS t tll {ro*nl ls Container krcatrlcj on an Agric.ultural Farm? Qrrr Yes fitoz No Pdc.rrr t,e,a.':.1 Ferson Filing (Si gnature) X (805) 544-9700 For Local Agency Use 0nly j tw€6 i L couitYl co{1Acr,f,F.lotl ffiw7lnr coor rNspEc rlcrr oATE (l 5T lN5PECl loN) 1 PEHMII AFPROVAL OATE PEftMIl' ID. NUMI,'ER FOR STATE USE ONLY .O:..n.r,L l.l.r- f, '! 'ATE ID, NUMBER Ld', nr r', t' -46-