HomeMy WebLinkAbout3134 Spring Address File$ifi'tur.q,gpl$po BUILDING PERMIT
Electric Service Upgrade
EPM-1161-2021
lssuance Date: 61312021Building & Safety Division . 919 Palm Street. San Luis Obispo, CA 93401-3218
3134 Sprinq Ct Assessor's Parcel Number: Q452!8.Q9,Project Address
Unit or Suite(s):
Project Description: PANEL UPGRADE'100 TO 200 AMPS. SAME
LOCATION
Contractor: LIVE OAK ELECTRIC
Business: (805) 540-0321
License Type: California State Contractor License
Owner:STEVEN POLK
Legal Description:
License Number: 1028630
Fire Sprinklers:
Census:
Occupancy:
Motel Rooms:
Construction Type:
Dwelling Units:CodeYear: 2019Stories 0.00
Dimensions
Category:
Valuation
SQFT:Grouo Tvoe So. Ft Factor Valuation
Manual $2,500.00
$0.00
$129.02
Plan Check Account Payment by Contact
Total Account Balance
Fee Amount
$129.02Total Fees:
Account Name
Balance Due
Contact Name
Fee Name
$129.02
AmountDate
5t25t21
Fees
Status Total Credits Total Debits Account Balance
(up to 200 amp) -BLDG 31.458-05-25-2021
Total Paid
Payments
Receipt #
$125.20
$3.82
Electric Service Upgrade
lT Surcharge
.. .l
Sifi'Lul.q,,pplfipo
Building & Safety Division . 919 Palm Street ' San Luis Obispo, CA 93401-3218
3134 Sprino Ct Assessofs Parcel Number: @52!-@,
BUILDING PERMIT
Photovoltaic - Single FamilY
EPM-0411 -2021
I ss uance D ate: 3 123 I 2021
Classification: C10 - Electrical Contractor
Project Address
Unit or Suite(s):
Project Description: GRID-TIED. ROOF MOUNTED. 8.9 KW PHOTOVOLTI Legal Description:
SYSTEM
Contractor: A.M.Sun Solar
NICOLAS HORTON
Business: (805) 772-6786
License Type: California State Contractor License License Number: 969522
Owner:STEVEN POLK
$172.84
$172.84
Account Balance
Plan Gheck Account Payment by Contact
Total Account Balance
$172.84
$'t72.84
Fee Amount
Total Fees
Fees
Account Name
Balance Due:
Contact Name
Fee Name
$0.00
Amount
Status Total Credits Total Debits
Photovoltaic System
Date
3123121 30,713-03-23-2021
Total Paid
Payments
Receipt #
Fire Sprinklers:
Census:
Occupancy:
Dwelling UnitsCode Year: 2019Stories 0.00 Motel Rooms:
Construction Type:
$16,100.00
Sq. Ft
ValuationDimensions
ValuationFactorTvDeGroup
Manual
SQFT:Category:
rur]J]lllU clty o[''tn luls oBtspn
WBuildingas"t"tyDivision.9bb-PalmStreet/Box8100.SanLuisobispo,cnggaos.8"-1oor(805)781-7180
CONSTRUCTION PERMIT
Project Address 31J6 SPPING
Assessorrs ParceI Nunber 004-521-0006
Project Description
Permit Type
Property oBner
Mai Iing Address
Ci tylstate/Zip
Cont ractor
ilai ting Address
ci tylState/zi p
Project Manager
Lendir llame
U.B.C. Group
Census nwber
AppI ication Nwber 30742
Apptication Date 101'14193
08966
saN lltls oRIsPo CA- 93/.01-6014
10t1t,t93
Stories 1
Dre[ ling Units 0
PAYl.lEllTs-
Amount Date Receipt
30.50 10114/93 0719
EY SIO TR 166 BL A LT 6
-FEES-
Bui tding Permit 30.00
Pl.unbing Permit O.0O
ilechanicat Permit 0.00
Etectrical Permit 0.00
Grading Permit 0.00
S.lil.I.P. 0.50
Energy Surcharge 0.00
Accessibitity Surcharge 0.00
Demotition Permit 0.00
Sign Permit 0.00
Adninistrative. 0.00
llisceItaneous charge/credit 0.00
Investigation Fees 0.00
llicrofi tm 0.00
subtotat 30.50
Ptan Review 0.00
Construction Unit Tax 0.00
I'later Irpact 0.00
Llater l{eter Instaltation 0.00
LlasteHater lrpact 0.00
Total Fee calcutated 30.50
Balance Due 0.00
LegaI Description
RFPI AEF ROOF SI{EATI{ING
_!Bui tding _l'lechanicat _El,ectrical, _Ptunbing
-Sign -Demotition -GradingDAMFNY UTI I IAI' J & GALE A occupant/Business Name
Architect/Engineer
License #
Contractorrs Phone No.
z cDarNn cT
Contractorrs State Lic. No.
UII I IAM DAMFRY Project l{anagerrs Phone }lo.
Lender Address
R-j U.B.C. Type V-N Codes: UBC 9'l llEC 90
A?/^ Peqidantial Altenation or Addition
VALUAT I ON
Residentiat Repair/Al,teration---No Census. $ 1090 1O9O
Totat Buitding Vatue 1090
Corments:
Permit Nunber
Issuance Date
Payment #1
Total Paynent 30.50
LEGAL DECLARATIO}IS
OWNER BUILDER DECIARA'TION:
I m exempt from the contractor's Licre I:w for the following rwn:
-
I, u omer of the property, or my employm with wags as their sole compmation
will do the work and the struchre i8 not intended or offered for sale.
tO;,D, u omer of the property, m excluively contracting with liceu€d contnctofr to
coctrud rhe prcject.
_ Not applicable
WORKERSCOMPENSATIONDECT-axn*TION:
I hereby aflm that I have a certificate of coment to self-imw, or 'a certifiete of
Worken' Compmation insumce, or a certified copy hemf (Src. 3800' kb' C)
-
Certified copy is hereby fumished.
_ Certified copy is filed with the City.
//Not aPPlicable
CERTIFICATE OF DGMPTION FROM WORKERS COMP. INSURANCE
pfl .-t;Cl rhat in the performance of the work for which this permit is issu€d, I shall not
mploy my person in my nmer so m to beome subject to the Worker's Compenration
I:ws of Califomia.
_ Not applieble
NOTICE TO APPLICANT:
If, after making my of the forcgoing dclamtiom, you bmme subjct to my Ilbor
Code or Ljcme Iaw provision, you mut comply with such provisiom or this pemit shall
be demed revoked.
I certi& that I have 1sl this appliotion and state that the above infomation is correct'
I agre to comply with all city ordimces and state laws relating to buiHing comtruction, ald
hereby authorize represmtativs of this city to eDter upon the above-mmtioned property for
impction purpce.
Unles noted under 'spaial Conditiom', this pemit bcoms null and void if work or
costruction authorized is not started within 180 days, or if comtruction or work ig
supmded or abandoned for a period of 180 days my timi irfter wor* is commced.
Spcial Conditione:
b.
Dateof Contnctor,Agmt or Owner
o 7s
GtyJ"f
san lrts PEFIMIT
3L34
Proiect Address:
Court
6,800.
FEES
Structural:
Electrical:
Plumbing:
Heating/Cooling:
Other:
Total
Permit Feg: $
pran+h*k w232
fiPreviously Paid
ConEt. UnitTax ,-
TorAL FEES $ 60.00
VALIDATION -
John L. Kellenran/ve
Authorized Department Repr6ontative
Department of Comm
99O Palm Street./ Post Box 321
San Luis Obispo, cA 934OG AO5/541-1OOO
VALUE OF WORK
$40.00
20.00
D Builoing D elec't ical I Plumbing D Heating/Cooling
! Groding tr Retcining Woll E Porking lot
Psmit No.8406Date lsued:
LLlrrlso
REoUIREMENTS: Additional Review
[-l Fire Hydranrs for ConsL ECitv Contractor's Lic- fiEnvironmental rmpact Report
l-'lw"t". Press. Regutator Elsot" contractor's Lic. Doto. oo+-n Deficiency
l-'lBackflow Protection Ow.a", Feg to be paid flDiscretionary Action
DGrading Permit Es*", Fee to be paid ARc No._-
DR.oi.i.gwallPgmit[curu,GutterandsidflatkPgmitUsePgmitNo.-
flCt." Business License I Encrmchment Permit Oths-
X W. C. Insurance (on file)
Special Conditions: Flood Zone
Fe6 Paid
LLltLls0 R*eipt
Cstification signed (se back of th-E form)
DATE
1.5.00
Cct per
sq. ft.
Distance from th-s ns work to
neargt existing building on sme
lot. (Write "ATT" if attached).3gr39l
SideSide
I
Rear
85 ATI.
ADDRESS OF
THE PROJECT:3134 $prtng Court
FOUNDATION:
Icontinrous
Goncrete
flsruu
l-'l pi.rt
EXTERIOR WALL:
Iwoou Siai.g
l-'lwooo tri-
Ds.r""o
[sto.e veneer
Ie.r"t
flConc. Block
flConc- Tilt-up
ifluetar
flBri"t v"..".
ROOF:
D Co-p- Built-up
Iurt"r
fl co-o. shinsle
fl wooa Shingle/Shake
I rirc
l-l et""tri"
I cas Furn.
I Gas Wall
I sotut
R-3OccupancY Groupv-NType of Construction; Type No.
FRAME:
lwood Stud
I ru.tut
l-l .rr-u",
Legal D6cription:
lot 6 Brock A rract 166 Sq- FtR-14-52L-A6
Asesor's Number
3
ljse Zone Fire Zone Lot Area
FrontPROPOSED SETBACKS - actual dis-
tances from property lin6 to n€r6t
structure, after work is completed.
3134 Spring ct., HfT,fis obLspo, CA
Busins-Hour Phone
9340tQary Deno,
ztPOwner
Central Coast Patio Rooms, Rt. 3, Nipomo, CA
State Licerue No.
376095929-4698
Contrastor or Builder PhoneAddrs
Robert llaussler, Van Nuys, CA
State License No.Architect or Designer PhoneAddres
State License No,Engineer PhoneAddress
Bank or other source of'loan
None
Address
Type of project: l-l Atl r.* E aoo E at.". I nepair l-l Demolish D r,ror" D tnstatl
Reto,ining Wo,ll rlnfonnolion: Length- Heiglrt
-
Bldgr
height
2-
3.
Lgr
(Total)
cubic,lords.cubic lords; Totol FillGroding 'l,nfownotion: Totol Cut
Moleriol Esl. Volue $
B
New
a7a
(in sq- ft-)
456
No. of bed-
rooms in
new units
No- of nw
living uhits
cr€ted
No. of
stori6
(Total)Propced use of the nff building, addition,
or area to be altered, repaired, etc.
1. Patio Enclosure
N# work includ6: flGarage f]Carport
ltJo.
F
ul
tsa
UJ
=z
WHITE - File LIGHT YELLOW - Appli€nt PINK - Clerk GOLD - Counts
#W Gtyo[sanluls oBtspo Construction Permit
CertificatidnDepartment of Community Development, 990 Palm Street
Post Of f ice Box 321 , San Luis Obispo, CA 93406 (805) 54i -1000
3134 Spring Court
Project Address
Gary Deno Business-Hour Phoneownerr s Nme
3134 Spr ing Ct,. San Luis Obisoo. CAownerts Mailj-ng Address
contractor' s Central" Coast Patio se No.376095 Phone 929-4698
Contractor's Address
Architect or Engineer
R 3 Ni omo
Robert Haussler License No,
Address
LICENSED CONTRACTONS DECLARATION
I hereby affirm that I am licensetl untler thc provisions of Chaptcr $ (eomnrenc-
ing with Seetion 70O0) of Division 3 of the Bnsiness nnd Professions Code, and rny
license is in full foree and effect.376095License Class Lie. Nuniber
Date Contractor Central Coast Patio Rooms
OWNEN_BUILDER DECI,ARATION
I hereby affirm that I am exempt from the Contractor's License Larv for the fol-
lowing rctsotr (Sec.70i11.5, Business and Profcssions Cotle: Any city or county rvhich
requires a permit to construct, alter, improvc, dcmolish, or repair any structure,
ptior to its issuance, also rcquircs the a1;plicant for suclt yrcrmit to file a signed
statement that he is liceused pursuant to the provisions of the Contractor's Li-
cense Larv (Chapter I (commenciug rvith Section 70O0) rif Division 3 of the Ilrrsiness
and Professions Code) or that he is exempr therefronr and the basis for the alleged
exemption. Any violation of Section 7031.5 by.any applicant fot a permit subjects
the applicant to a civil penalty of not rnore than five hundrcd dollars ($500).):
f] f, as orvner of the properts, or my cmployees with wages as their sole cont-
pensation, s,ill do the rvork, anrl the strllcture is uot intended or offcred for sale
(Sec. 7044, Business and Professions Code: Thc Contractor's Liccnse Law does
not apply to an owner of property who buikls or improves thereon, and who does
srreh rvork hinrsclf or thlough his orvn ernployccs, provided that such irnprove-
ments are not intendcd or offered for sale. If, horvever, the building or improre-
ment is sold within one year of completion, the orvner-builder will have the burden
of proving that hc ditl not build or improve for the Ilul'pose of sale.).
! I, as owrer of the property, arn exclusively contracting rvith licensed contrac-
tors to construct the project (Sec. 70.14, Business and Professious Code: The Con-
tractor's Liceuse Larv does not apply to an orvner of property rvho builds or im-
proves thereon, and rvho contracts for such projects n'ith n contrnctor'(s) licensed
pursuant to the Contractor's License Law.).
! I am exempt under See. B' & P' C' for this
reason
Date orvner
WORKERS' CO}IPENSATION DECLARATION
I hereby affirm that I have a certificate of colsent to self-insure, or a eertificate
of \Yorker's Compensation Insurance, or a certified copy thereof.
Poliey No. Company
fl Certifieil copy is bereby furnished.
E rvith
Dater
CENTIFICATE OF EXD}IPTION T'ROM WORKERS'
COMPENSATION INSURANCE
(This seetiorr rrccd not be contpletcd if the pcrnrit is for one hundred dollars
($100) or less.)
I certify that in the performanee of the work for which this permit ls issued, I
shall not employ any pcrson in tny manner so as to become sutrJect to the \I'orkers'
Conrpensation Laws of California.
f)ate
-
Alrplicnnt
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you
shoultl become subjcct to the \Yorkers' Compensation provisions of the Labor Code'
you must forthwith conply with such provisions or this permit shall be deemed re'
voked.
CONSTRUCTION LDNDING AGI'NCY
I hereby affir.rn that thcre is a construction lcnding agency for the performance
of the work for which this irerlnit is is-srretl
Lender's Name
Lender's Address
I certify that I have rend this applicntion and state thnt the above informntioll
is correct. I :rglee to comlrl5' tvith all city and county ortlinnnces and state larvs
relating
to enter
to building constmct by authorize reprcselltativcs of this county
t.\
44-80
Signature of Applicant or Agent
for inspection purposes
Date
Gty of bdn luls ontspo
Department oJ Communlty Development,990 Palm Street,
San u is
Buitding ! Etectricat l-l etumuing I Mechanical I Sotu, D s*l--ing poot !
APPLICANT: Please fill in the unshaded areas on the f ront of this form, where appropriate. Please print clearly. Do n't f ill out tlie b€ck
. rao c)
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z
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Foz
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FEES 40.u oStr u ct ural:
Electrical:
Plumbing;
Mechanical
Other:
VALUE OF WORK REQU I REMENTS:
fl Fire Hyorants f or const.
f] w",., Press. Regulator
n Bactttow Protection
Special Conditions:
t*o,*-r.', "o#*,u."rr--
LJ st"t" contractor's L icense
fl o.n",
D Graaing Permit
[-l R"au,.ing watt Permit
fl cAL/osHA Permit
$
P,an,check e|U 4O ,Cl d
Previously Paid
const- Unit Tax
TOTAL FEES $
IConstruction Pe mit Application
hI EATI NGROOF
Yra6ec'ci
8o
No. Copies Rec'd.-_3Date Plans I
rolsal
EXTERIOR WALL
Electric
Gas F u rn
Gas Wall
So lar
Fin. Floor or Floodprool ElevOccupancv GrouP
n continuors E
$B
6'n
-3 F'tooazoneType of Construction: TYPe No
Timber
Metal
T ile
Eco-o. Built-uo S
n comp. shingle I]
! wooo Shingle/Shake
n Conc. Titt-up
6*..u,
! Br,"k u"n"",
E ston. venee,
fl e,i"t
fl conc. Block
n wood Sidins
n wooa Trim
n s.u".o
Co ncrete
S lab
Piers
!;lwooo stuo
Ll M.t"t
FOU NDAT ION
Lot AreaAssessor's N umber
t,
Si deS ide
Use
',/
q
?Sq. Ft.
Lafter work is completedstr uctu
F ront
TractBlock
toDistance from this newR ear
Legal Description
Lot
actual dis-PROPOSED SETBAC
tances from propertv lines to nearest
ADDRESS OF
THE PROJECT
nearest existing building on same
lot. (Write "ATT" if attached).
FRAME
lQ""'
State License No.
Business-Hour Phone
State License No
State License No.
4 --,
Phone
ztP
uilder
sourceBank or ot
eer
Owner
(
a
Address
Add ress
an
(.
r'L-
"-/
</./-/. t-
(') "a -') 7 ,/7:,'7r'l
d i 4';"2*
oan
Contractor or Phone
PhoneArchitect or Designer
/'
Mail Address
Type of Project: n att n.* dooo f] et.", I Rupai, D oemolisn n tou.
nDetached
oa
2.
New work includes: !Garage I Carport ttach ed
DO NOT
FILL IN
THIS
SECTION
Cost per
sq. ft.
New
a(ea
(in sq. ft.)
No, of
stori es
(Total)
E tn.."tt
Bldg.
he i ght
(Totat)
No. of bed-
rooms in
new units
N o. of new
living units
created
"''
Proposed use of the new building. addition,
or area to be altered, rePaired, etc.
/":r :t ";t'l 7.1,7t f1 C l),tt .., 1, .,.-.' r_,
Lluwner,
this c
atu re
I have
(
Date ffin"n.
'r/
lication careful y. The information is accurate'
Agent's name printed
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tsa
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b N9 4256
o^t"---2:?l-4\-
Permit Fee $-Jlr-@----
Plan Check Fee $--?fu5-9----
Other Fees $-- - --------
Aro#A& i il $ - -?9-.!-9b: -ir t r
CITY OF SAN LUIS OBISPO . - . ; ,
BUILDING PERMIT
This permit becomes invalid if work is not started within 60 days. This permit does
electri-cal and plumbing facilities; make sewer connectionsl excavate in the street; and/or
or sidewalk. Plans and specifications are considered an integral part of t.his permit.
not include permission to install
consrruct ramps, curb and gutter
79"$I 4T5gUr
., DESCRIPTION OF STRUCTURE OR WORK
rse - - - - -{egldease--ead--alt -€areg:e---
Estimated uut r" - --$16r-Q99r-q9-- - --- --- - units-- -I --- - -
NewE Addition[ AlterationD Repairsn Move[ Demolish!
width- I+!- - - - - Length - - J-q - - - H"igt't- - 19- - s tories - - -1- -
wood stud stucco & rood
Foundation-- E"t"tiot-t""tt-!9-o-4-9-19noof-eh.ak8--
How heated - -ggg- -tg4gTyp" - * - - -V- - - - - - - - Group - - I - - - -
Garage ff Crrpott tr ------X------ Attached il Detached tl
3134 LocArIoN INFo$$+{F8Uo.rr.
No. - - -9-@- - - - street- -*d :EjnE:Iiomes--- -?*ry+ lgf..,.tq L(, Riyal Heigh
L;t'*--o- - - - Block - -41 S,rbdiuision - ---- -----
owner --&-e-d-Eiag-Ssee-e- ---
Address
Address
Builder --sgteu -&gry-egg- - -- ---------
Address -Riverslde
Parcel No.4-52r-06
bo.3g
Ur" rorr"El- Fir" "orr"_-3- Lot size-----X--196-
setback*-?9--*- side lines ---ll"-- l-- 5-----
Rear line ---aOl---- Nearest bldg. ---n------
Arch. or Erg. ------
S y e ci. al r e qui.r em ents
rcpai.r and rcmoval of buildings within the i;ty liwi.ts: and this permit may be revoked ot any time upon uiolation of oryaf the prouisjgns of said. ordinances,
/J24.-4fuHa--{l.nspectorof Buitdings.
of the
Luis
above the
that
and
Owner
of Obispo
Obispo and its