HomeMy WebLinkAbout144 Stenner Address FileWru coNsTRlf,-,ftoN PERMTT L,
City ol San Luis Oblspo . Bullding Division . 990 Palm Street/Box 8100 o San Luis Obispo, CA 93403-8100 o (805) 549-7180
Prqject Address 144 SrEt{i{iR Bulldlng Suite/Unit A
Assessor,s parcel Number ii-iY3-$Ule-Legal Descrlption [r $t[ i.fi,Ji [iT i.Tit i-T I
iJPCfti0E StE9ictE {tH$ fiftifltIS t0R A & B
Permlt Class
Permlt Type
-
Bullding
-
Mechanlcal
-
Demolltlon
Electrlcal Plumbing
-
Grading
Sign
Property Owner HSSOIIIFTH J ftI[HAft[ TII.JT
Address
Number
l;l:? L{\u'Jartii Lin Glty/state tiJS iiliur fit
Code YJtiji-tlUlqj
Occupant/Buslness Name Phone Number
Buslness Owner's Name
{igffiaContractor's Name
Mailing Address Clty/Stat6/Zip
Contractor's Phone No.
Prolect Manager/ArchItec irotect tr,tanagerCPn-ona No. 5tt-5?il8
dontractor's State Lic. No.
Lender
U.B.C. Group
Lender Address
U.B.C. Type Subject to Flood Zone Requirements
No. of
Bldgs.
Units
per Bldg.
Bldg. Value
Code
A/D/Y
per Bldg.
A=Area
D = Dollars
Y=Yards
Gensus Number DescriptionCensus
Sub-Code
Gensus
Number
040
Tolal Bldg. Area
Total Bldg. velue
or Yards of Gradlng Helght (ft.) S Stories Plan Nd. ?4
rff REC.*rH ft[C.&
SIJILIiIIIE PERiiIT
Ptfrt CllE[R
HEIHNHIflfiL T[fti,IIT
ELESTRIIAI PERNIT
FLUIISIf{E FEftI{IT
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rrc r&L{rguls F}ttLlnlHftl{l fetlj flRI SUEJEII T0 fi{Ailst Hrilfit PIFHIT l55U*tt[tr
(*zr-lssuance Date
1tr1|rlPermlt Number
DateDepartmenl
a9$l
Speclal Condltlons:
ThJs permlt ls only valld when endorsed by an authorlzed reprosontallye ol the Communlty Developmont DePartmont.
Application Numbb?'i3fi
lpptGtion DrtA/cel?tffi
Activity Date
: LEGAL DECLARATIONS
' owNER BUTLDER DEGLARATIoN:
I am ex8mpt lrom the conlractor's Liconss Law lor the lollowing reason:
-[h, as ownor of th8 property, or my smployoes with wages as their sole compensalion will do
tho work and the structure is not intendsd or otlorod lor sale.
n l, as ownor 0t tho property, am exclusively conttacting with licsnsod conlractors to
cilstruct ths project.
Ll Not applicablo
WORKERS COMPENSATION DECLARATION:
. I hersby aflirm that I hav8 a csrtilicats ol consenl to solf-insuro, or 'a certilicate 0l !{brkorsf
Compensation insurance, or a cortilied copy hsrool (Ssc. 3800, Lab. C)- D csrtifisd coov is herebv lurnishod.n cerrttiso coii is tiled with ths city. El Not applicable
NOTICE TO APPTICANT:
ll, attgr making any 0l the forogoing doclarations, you become subiect t0 any Labor Code or
License Law provision, you niust comply with such provisions or this permit shall be deemed
r6voked.
I cortify that I have read lhis application and state that tho above information is corrsct, I agroe
t0 comply with all city ordinancas and state laws rolating to building construdion, and hereby
authorizs ropresentatives 0l this city t0 enter upon the above-mention€d property l0r inspection
purposes.
Unloss noted undor "spscial Conditions," lhis permit becomes null and void il work or
construction authorized is not startsd within 180 days, 0r il conslruction 0r work is suspended
or abondonod lor a period ol :180 days any time atter vvork is commenced.
t-22-q
DaleAgont^L
orlginal-Applicant Whilo-tllo Pink-Assossor Gold'Countor 59-87
CITY OF SAN LUIS OBISPO
ELEGTRTCAL PERMIT
4 --rou""Heater
- Temporary Service Pole
Service Size
Business License tr
Permit Card !
Street File n
616
FEE $-Z!:!rc--
o
aN
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with City C)rdinances, including any slecial r-equiremenii and other ap_plicable 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 plumbing, sewage or
sidewalk facilities.
Items
- --- New single-family residence with - - -,--a----- square feet.
------Circuits & Feeders
------Switches
------Lighting outlets
--Recept. outlets
----- Fixtures
------Range & Oven
------Dryer
----Water Heater
- --,-Transformers
----- Signs
----- Other
CONDU IT swtTcH CONDUCTOR
Motors
No.H.P FEE
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:
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 items.
c. Exemption is based on the following section of the State Contractors' License
---l--Permit -------
-:3- ru"- Dwell. ---
-+/ -Circuits ,--,,-
------Outlets --,- -
------Fixtures ------
- --Service - -----
-a/-- .Appllances ---
,------Transformer --
-- ---N{otors -------
**----Alteration ----
------Other
TOTAL. - -s--Zt:!-?
$ _______1.00' I taQl-------f,"-a'
____G_,&_
INSURANCE COVERAGE-Check appropriate box (one must be
3800 Calif. Labor Code).
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.
I certify that in the performance of the work for which this permit is issued,
I shall irot employ an-y 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---
che"kel &c.
b
____5_,Inspector of Buildings.City Clerk.
Type Bldg. - Fire Zone--
Special Requirements
I
_t
I
I
D^TE -4,-'zz--G*
Address --/-4-
---*l
Address
C)wner -
Law: Section
CITY OF SAN LUIS oBtSPO s"$ji'*"Ff.dltp rL
PLUMBING PERMTT 5;H',:,:' E
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with City C)rdinances, including any special requirementi and other applicable laws. This permit becomes invalid if work is not
started-within 60 days. This permit does not include permission to make any structural alterations or install electrical, sewage or
sidewalk facilities.
ti,":
lE
t:rin"li'g'')l'-t-r
8
FEE $ 3Q :-{
Fixtures
-'--3- Bathtubs
------Showers
S3 --Lavatories
--,3-- W"r"r Closets
-J --fir"t en Sink
----- Floor Drain
--Laundry Tray
------Urinal
- --Water Softener
-r3-- CtottesWasher
------Dish Washer
------Grease Trap
- - --Drink Ftn.
----- SIop Sink
-----Other
------Other*-.
------Other
------Other
In accordance with the requirements of Seetion 3800 of the California Labor Code, I. the
undersigned, hereby state with regard to Chapter g, Division 3 of the Business and Pro-
fessions Code:
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number:
Classification License No. ------- ---
INSURANCE COVERAGE-Check appropriate box (one must be checke[. ,.ec.
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insurance, copyof consent to self-insure from Director of IndustriCifiled 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 ambuilding or im,proving structures thereon for my own occupancy and not to beoffered for sale.b. The work involved is of a casual, minor or inconsequential nature and will not
exceed One Hundred Dollars ($100.00) for all labor, materials and other items.c. Exemption is based on the following section of the State Contractors' License
-=3---Wur", Heater
- ----Space Heater
------Furnace
----- Wall Heater
----- Gas Dryer
------Register
------F]ues
Gos Applionces
- -I.-Permit
-1*J--Firt.rr".
---1- s".". cor,rr.
------Gas Heatine
-=$i-w^r"rg""r"",
------Gas Outlet
-k--Wut"rPiping
---,- Drainage Pipe
----- Lawn Sprinkler
------Fire Sprinkler
TOTAL
Items
-_l],-f,o#
-__ffi
w
tfl
$-_-.00
Fees
City Clerk.of Build.ings.
DArE - - -4--- t-rr= - - -a -
--14-/-- -ps**"^)
I
Special Reguirements
I
II
I
I
I
I
-i
I
I
1Address
Location
Owner
V,
Occupancy
Contractor
eJL )
I
__t
Law: Section
tr
Applicant---
,\
t"'
CITY OF SAN LUIS OBISPO
BUTLDING PERMTT
DESCRIPTION OF STRUCTURE OR WORK
N I1o
11lli.lp?qinpfs License. n
'"'P8fitt'Card 1 jJ n.? ?
o4"-S-
Pbfmii-TAe
a
rl s-Street File n
e{
/oqo
{62}tu"Check Fee
Other Fees
Owner
Address
Arch. or Eng.
Address
Builder
$__-_-_----__This permit is issued with the undersigned _applicant's agreement and ackn-owledgement that all work will be dgle in accordance
with bitv Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not
started #ithin 60 days. This iermit ioes notlnclude permission to-ilnstall electrical, plumbing, sewage or sidewalk facilities.TOTAL $_2a--:__
LOCATION
Block-----
ur" --J-:- )tt;*--
Estimated "^r'" /-7AAA- units--5-----
New g-(ifdition I Alteration ! Repairs ! Move E Demolish tr
w ldth -& -*. k^stn /-Q u.igt, -./- /- rr^", - *-
FoundatiorC-d.-la€t-Exteriorwall----------Roof ---------
uo* t " r.aE ! -eo* -, *" - %- - - croup - -ft- - -
P arcet N o.qf /- :- I -7-3- -: - Z Z - - -
u " r^K# ir" ronE- ur rir-f -0-x l-6'5
F,ont yd.-O-( sia.yar. -----/y'-, L
Nearest btds.7-6----
N ffi_/4*fiu-u/4:4far
Read vd.
Special requirements
Address
of Buill.ings.
INSURANCE COVERAGE-Check appropriate box (one must be
380Qjalif. Labor Code).
ffittiticate of workmen's compensation insurance, 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 hundred dollars or less.
tl 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 beeome subject to the
workmen's compensation laws of California. I understand that failure to
Garage fl -- Attached tr Detadred tr
.tc.
2. I am exempt from these- provisions b-y reason of the follow.ing: -.u.- f u* t6e owner of thi property clescribed in this permit application and I am
fuiiaing or improving slru?tur-es thereon for my own occupancy and not to be
offered for sale.
b. The *ort< involved is of a casual, minor- or inc-olsequentjal. nature and will not
Jxceed One Hundred Dollars ($100.00) for all labor, materials and other items.
c. n"e-ptio" is based on the foilowing section of the State Contractors' License
Clerk.
shall cause revocation