HomeMy WebLinkAbout879 Meinecke Permitsctty G san luts oBtspol:
Building & Safety oivfsro-n . 990 Palm Street . San Luis Obispo, CA 93401-3249 . (Bo5) 781-7180
Project Address 879 MEINECKE
Assessot's Parcel Number 052-175-009 Legal Description CY SLO T3OS R12E PTN SEC 27
REPLACE & UPGRADE HOOD SUPPRESSION SYSProject Description
Permit Type X Building Mechanical
Property OWNEr RSCR CALIFORNIA INC A DEL CORP
Mailing Address
City/State/Zip
10140 LINN STATION RD
12
Census number 437 Commercial Alteration or Addition
Non-Residential Alteration
Fees
Electrical Plumbing Sign
-Demolition
OccupanUBusiness Name CASA DE VIDA
_Grading
ArchitecVEngineer
License #LOUISVILLE KY,40223.
Contractor Contractor's Phone No'466-0211
Mailing Address 5507 TRAFFIC WAY Contractor's State Lic. No.579499
City/State/Zip ATASCADERO CA93422
Project Manager GARY HAEUSER Project Manager's Phone No. 466-0Zt 1
Lender Name
U.B.C. Group
Lender Address
U.B.C. TypeV-N
Dwelling Units 0
Stories 0 Codes: UBC
Motel Rooms
1 NECl
Valuation
1,850
Value
$1,8s0.00
$1,850.00Total Building
I Declarati
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Misc Charge/Credit
lnvestigation Fees
Microfilm
Subtotal
0.00 Administrative Permit
Building Plan Review Fee
Fire Safety Plan Review
Plan Review Subtotal
Development Review Fee
Fire Safety Surcharge
Construction Unit Tax
Water lmPact 0'00 Area -
Water Meter lnstallation
Wastewater lmpact 0.00 Area -
Traffic lmpact
Affordable Housing
Public Art
Code Enforcement
77.49
Total Fees
Balance Due
Total Paid 217.58
Application Number040672 Permit Number 19442
Application Date O7t19lo4 lssuance Date 09/0'l/04
ons
Law for the following reason:
E 1 as owner of the propefty, or my employees with wages as their sole
Tompensation wilt do the work and the structure is not intended or offered
for sale.nl, as owner of the property, am exclusively contracting with licensed
tdntractors to construct the proiect.
fl wot appticable.
2. WORKER'S COMPENSATION DEGLARATION:
7 hereby affirm that I have a certificate of consent to self-insure, or a 'ceftificate
of Workers'Compensation insurance, or a ceftified copy hereof
n Certified copy is hereby fumished.
fi, C"rtn"a
"opy
is filed with the City.
ll ruot applicable
3. CERTIF]CATE OF EXEMPTION FROM WORKERS COMP. INSURANCE
I I ceftW that in the pertormance of the worl< for which this permit is issued,
I shalt not employ any person in any manner so as to become subiect to the
lVorkels Compensation Laws of Calffomia
@ Not applicable
NOTICE TO APPLICANT:
If, after making any of the foregoing declarations, you become subiect to any
Labor Code or License Law provision, you must comply with such provisions
orthis permit shall be deemed revoked.
t ceftify that I have read this application and state that the above information
is conect, I agree to comply with all city ordinances and state laws relating to
building construction, and hereby authorize representatives of this city to
enter ipon 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 stafted within 180 days, or if construction
or work is suspended o r abandoned for a peiod of 1 80 days any time after
work is commenced.
Soecial Conditions:
Comments:
Q* r- ot1
74.60
74.10
0.00
0.00
0.00
0.00
0.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
65.95
11.54
52.52
12.97
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
217.58
0.00Payme
Amount
nts
Payment #1
Payment ff2
87.82
129.76
Date
07t19lo4
09/01/04
Receiot
15788
16466
Address File re of
V\
or Date
p*ila*'
,W ctty o[ san Lurs oBt c
Project Address 879 MEINECKE
Assessot'sParcelNumber 052-175-009
Building & Safety Division . 990 Pal Street . San ob CA o (805) 781-7180
Legal Description CY SLO T3OS R12E PTN SEC27
Project Description REPLACE ROOF SHEATHING DETACHED REC ROOM
Permit Type X Buildino Mechanical
Property Owner RSCR CALIFORNIA INC A DEL CORP
Mailing Address '10'140 LINN STATION RD
City/StateZip LOU1SV;LLEKY,4OZ23-
Electrical Plumbing Sign
-Demolition
Occupant/Business Name CASA DE VIDA
ArchitecVEngineer
License #
Contractor's Phone No.
Contractor's State Lic. No.
Project Manageds Phone No. 71+350-2634
Grading
Contractor
Mailing Address
City/State/Zip
Project Manager
Lender Name
U.B.C. Group
OWNER
JESSE JAMES
Lender Address
U.B.C. Type V-N
Census number 437 Commercial Alteration or Addition
Stories
Dwelling Units 0
1 Codes: UBC
Motel Rooms
98 NEC98
0
Valuation
Non-Residential Alteration 2'145
Fees
Total Building
al Declarati
$2,145.00
$2,14s.00Value
ons
Building Permit
Plumbing Permit
Mechanical Permit
Electrical Permit
Grading Permit
s.M.l.P.
Energy Surcharge
Accessibility Surcharge
Demolition Permit
Sign Permit
Adminisirative 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
Affordable Housing
Public Art
Total Fees
Balance Due
following reason:
wages as their sole
intended or offered
for sale.
n /, as owner of the property, am exclusively contracting with licensed
kitactors to construct the proiect.
lNot applicable.
2, WORKER'S COMPENSATION DECLARATION:
I hereby affirm that I have a ceftificate of consent to self-insure, or a 'certificate
of Workers' Compensation insurance, or a certified copy hereof
I certnea copy is hereby turnished.
l) Certified copy is filed with the City.
LLhNot applicabte
STCNNTiCNTE OF EXEMPTION FROM WORKERS COMP. INSURANCE
{t ,",tiry that in the performance of the work for which this permit is issued,
i€hall not employ any person in any manner so as to become subiect to the
Worker's Compensation Laws of California
I Not appticable
NOTICE TO APPLICANT:
lf, after making any of the foregoing declarations, you become subiect to any
Labor Code or License Law provision, you must comply with such provisions
or this permit shall be deemed revoked-
t cettify that t have read this apptication and state that the above information
is correct, I agree to compty with all city ordinances and state laws relating to
building construction, and hereby authoize representatives ofthis city to
enter ipon the above-mentioned property for inspection purposes. Unless
noted under "specia! Conditions", this permit becomes null and void if work
or construction authoized is not stafted within 180 days, or if construction
or work is suspended or abandoned for a peiod of 1 80 days any time after
work is commenced.
SDecial Conditions:
Total Paid 85.05
Application Number 00962 Permit Number 14891
Application Date 10/05/00 lssuance Date 10/05/00
84.s5
0.00
0.00
0.00
0.00
0.50
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
85.05
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
85.05
0.00Paymen
Amount Receiot
4224
Date
1 0/05/00
ts
Payment #1 85.05
Address File
Comments:
or Owner
.fcct o,
CITY OF SAN LUIS OBISPO Business License E
Permit Card n
Srreet File f1
N9 0123
15.00
a
Solar Equipment Permit
This permit is issued with the undersigned applicant's agreement and ackn_owledgement that all work will be done in accordance
with City Ordinances, including any specialrequirementsandother applicable-laws. This permit becomes invalid if work is not
started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk facilities.
FEE $ ...
Number SCHEDULE
1 Permit SPA. SPA EQUIPIAIIT & SOIAR SYSTE}I
Collecto(s)
Storage, Tank(s): Gal. CaP.
Rocks: Cu. Ft.
Water Piping Connection
Electric Moto(s): 1-5 hP
5-10 hp
10-25 hp
25 & over hp
Other Equipment:
,,
t,
,,
,,
,t
,,
Date
Owner
Occupancy
Contractor
Address
Special Requirements
February 16, 1982
Casa De Vtda
79 Melnecke Street
rest home
Nova Energy System
P. O. Box 670
Santa Utrgarl.ta, CA
,,
--------'--City Cle&.John L. Kellernran/ve lnsp ector of Buildings.
FeesEach
TOTAL $ 15.00
15.00
15.00
2.00
3.00
5.00
10.00
1.00
1.00
\,
fn accordance with the requirements of Section 3800 of the California Labor Code,.I, the
ir,"J""-.-igt*a, frerely iiate'with regard to Chapter 9, Division 3 of the Business and Pro-
fessions Code:
L. I have a valid California State Contractor's License in full force and effect with
lTi:1H,1""'l:::'il::* -gS{:::: lil:l License N". --4-e!?-5-?----2. I am exempt from these provisions by reason of the following:
;.-i ;; tfre owner of thi property described in this permit application and I am
U"iidiiri, o" i*p"o"i"S itru?turirs thereon for my own occupancy and not to be
offered for sale.
INSURANCE COVERAGE-CheCk alrpropriate box (one must be checked, sec.
3800 Calif. Labor Code).
tr Certificate of workmen's compensation insurance, copy tfielegJ or certificate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
of the work for which this Permit is issued,
ln to the
to
laws
of
of
manner so to
revocation
MICROFILMED
SAVE ORIGIT.JIL
cftyofsan luls oBtspo Construction Permit
Certification,
Project Address
owner's Name
owner's Mailinq Address
Contractor' s
contractor ' s
Department of Community Development,
Post Office Box 321, San Luis Obispo, CA
879 llelnecke
Casa de Vlda
879 MeLnecke San Luls Ob
990 Palm Street
93406 (805) 541-1000
isoo^cA 93401
I hereby affirm that I am licensed under the provisions of Chaptcr I (commene-
ing with Section 7000) of Division 3 of the Ilusiness tnd Professions Code, and my
license is in full foree and effect.
Lieense Class Lie. Number
Date Contractor
OTVNER_BUILDER DECLARATION
I hereby affirm that I am exempt from the Contraetor's License Larv for the fol-
lowing rctrson (Sec.70111.5, Business and Profcssions Cotle: Any city or county rvhich
requires a permit to eoustruct, alter, improvc, dcmolish, or repair any structure,prior to its issuance, also rcquires the ay;plicant for such permit to file a signed
statement that he is licensed pursuant to the provisions of tha Contraetor's Li-
eense Larv (Chapter $ (conrmencing rvith Section 7000) of Division 3 of the lJusiness
and Professions Code) or that he is exempr therefrorn and the basis for the alleged
eremption. Any violation of Section ?031.5 by.any applicant for a permit subjects
tlte applicant to a civil penalty of not more tharr five hunrlred dollars (9t00).):
ft f, as on'ner of the property, or my employees with wages as their sole com-
pensation, rvill tlo the worl<, and the strllcture is not intencled or offered for sale
(Sec. 7044, Busiuess and Professions Code: The Contraetor's License Law does
not apply to an owner of property who builds or improves tlrereon, and who does
streh work hinrself or thlough his own ernployecs, providetl that such improve-
ments are not intendcd or offered for sale. If, horvever, the building or improve-
ment is sold within one Jiear of completion, the owner-builder will have the burden
of proving that he did not build or improre for thc l)ul'pose of sale.).
I I, as owner <tf the property, am exclusivcly contracting rvith licensed eontrac-
tors to construct the ploject (Sec. 7044, Business and Professions Code: The Con-
traetor's Lieense Larv does not apply to an orvner of property rrho builds or im-
proves thereon, and rvho contracts for sueh projects with a contractor(s) licensed
pursuant to the Contraetor's License Law.).
D I am exempt under See. B. & P. C. for this
reason
Date Orvner
Business-Hour Phone
404752 Phone 438-4466
No
Poliey No. Company
! Certified copy is hereby furnished.
I Certified copy is filed with the building inspection department.
Date
-
Applicant
CERTIFICATE OF EXE}IPTION F'RO}I WORKDRS'
COMPENSATION INSUNANCE
(This sectiorr rrecd not be if the pcrmit is for one hundred dollars
($100) or less.)
I eertify that in the of the Is issued, f
shall not any pcrson to the Workers'
Laws of
Date 2
APPLICANT: If,this of you
should subject to the W ' Comrrensation provisions of the Code,
you must forthwith comply
voked.
such provisions or this permit shall deemed re'
CONSTRUCTION LENDING AGIINCY
I hereby affirm that thcre is a construction lelrding agency for the performance
of the rvork for which this irerrnit is issrrctl
Nnna
(
Address
Norra Ener s tem8
P. O. Box 670 Santa lta CA
Architect or Engineer License No.-
Addr€ss Phoqe-
I,ICENSED CONTRACTORS DECLARATION WORKERS' CO}IPENSATION DECLARATION
I hereby affilm that I have a certificate of eorrsent to self-insure, or a eertificate
of \Yorker's Compensation Insurance, or a certified copy thereof.
]
IS
I fy that I have read this applica
agree to rvith all
tnd
state that the above information
county ordinanccs and state laws
representativcs of this countY
I
to
(\ )-"
the a
44-80
to
of Applicant or
inspection ptlrposes.
Date
Mi#F:trJFiLi'{ffiD
$AVF CIFIGihiAI-
crh/c:
sari lrls mryo PtgFllvllr
Proi$t Address:
879 Meinecke
Department of Community Dwelopmmt
99O Palm Stret / Post Office Box 321
San Luis Obispo, CA 934OO ao5/541-lOOO E! guitaing D Electrical D Humbing I hleating/Gooling
u Groding tr Reioining Woll E Porking Lot
84BO
$ 3,500.VALUE OF WORK
FEES
Structural:
Electrical:
Plumbing:
Heating/Cooling:
Other:
l-l Fire Hydrant for consL
[w"t.r Press. Regulator
l-l Backf low Protection
EGrading Permit
D Retaining walt Permit
Dciav Busin€ss License
$28.00
Date lsued:
LlLglst
l-lcity co..r.ctor's Lic.
flsoa" contractor's Lic-
l-lw.t". Fees to be paid
Es*". Fe6 to be paid
flCuru, Gutter and Sida^ralk Psmit
I Encroachment Permit
Psmit No-
Additional Rwiew
flEnvironmental ]mpact Report
Dord.6(X-A Deficiency
flDiscretionary Action
ARc No,-
Use P6mit No.-
othd-
Total
Permit Fees: $
Plan-chck (# 15
flPreviously Paid
const- Unit Tax
TorAL FEES $ 46.20
VALIDATION _
John L. Kellerman/ve
Sp*ial Conditions: Flood Zone Fi'nish Floor or Floodproof Elevotion
) L8,20
not Paid
LlLe/8t Reeipt
signed (see back of this form)
DATEAuthorized Department Repres€ntative
UJo.
F
occupancy c.otp !l-1
EXTERIOR WALL:
I wooo sioirg [e.i"t
l--l wooo tri- flConc. Block
l-l s.r..o [--lconc. Tilt-up
lstone veneer fluetat
l-lBri.k v**,
I Co-p. Built-up
fl uetar
D co-p- shingte
fl wooa Shingle/Shake
Drir"
I-l electric
I cas Furn.
[-l Gas watt
Isot"t
Icontinuous
Concrete
v-NType of Construction: Type No.
FOUNDATION:
flsruu
I ei.r"
FRAME:
l-l wood Stud
fl ru.t.t
I ti-urt
ADDRESS OF
THE PROJECT:879 Meinecke Street
PROPOSED SETBACKS - actual dis-
tancs from property lin6 to n€r6t
structure, after .work is completed.
Front
200t
Distance from this new work to
n€r6t existing building on s:!me
lot. (Write "ATT" if attached)-101
Side
5t
Rear Side
15t200 r
Legal Description:
t-ot 9 Brso"p175 1.r..Sq- Ft52-L75-09
Assessor's Number P-O 3
Use Zone FireZone Lot Ar€
ltJha
Cost per
sq. ft.
Type of Proiect, l-l ett .* E aoo D at.", l-l Repair l-l Demotish [-l uor"
Ns work includes: [Garage IGarport [Attached nDetached
Est. Volue $
WITEEISIIAIR NAMP
(in sq- ft.)
B
3.
2-
aJ@
Nsfl
ncubic ,yords.orbic yords; Totol FillGrudi,ng 'ln{onmtion: Totq,l Cut
Moteriol
No. of bed-
rooms in
new units
No. of neur
living units
created
No. of
stories
(Totat)
l-l tnstatt
Bldgr
height
(Total)
1. PIareRqrND srRucllttREs &
Proposed use of the nw building, addition,
or ar€ to be altered, repaired, etc.
Reto,ining Wo'll'l nfiorrnotionr length- Heighf
None
Bank or other source of loan Address
Enginer State License No.PhoneAddress
Architect or DGigner Sbte Licens€ No.Address PhoneY'
IIJ
=z
Contractor or Builder State License No.
Ovmer
PhoneAddress
owner Mail Addres
Casa D.e Vlda, 879 Meinecke St., San tuis ObisPil, 6 5M-s33293401
Buins-Hour Phonez)P
WHITE - File LIGHT YELLOW - Appla€nt PINK - Clerk GOLD - Counter
CERTIFICATION
BEFORE THE CITY CAN ISSUE TilIS PERMIT. THE APPLICANT MUST COMPLETE THIS
CERTIFICATICIN ON ALL COPIES. \
IN$TRUCTIONS - ln seiction A, on gwrtractor's,licenses, ypu must either give your.$tate contracto/s
license number or c€rtify that you don't need a license. Check the appropriate box and fill in any informa-
tion that applies t0 you.
ln section B, you must csrtity either that you have worker's compemation insurance or that you don't
need it. Check one of the bcxes.
Then read section C and sign at the bottom
A" CONTRACTOR'SLICENSE
ln acmrdance with the rquirements of Section 38tX) of the California Labor Code, l, the undersigned,
hereby state $rith rqard to Chapter 9, Division 3 of the Busines ard Professions Code:
E I have a valid Galifornia State Contractort Licsrse in fult fore and effect with the following
classification and license number:
Classification License No.
I am exempt from tlese provisions by recon of the fallcwing:
O a" I am ths ouvn* of the p()perty dscribed in this permit application and I am building or
improving structures thereon for my own occupancy ard not to be offerad for sale,
O b. The work involved is of a @ual, minor or inconsequential nature and will not exceed One
Hundred Dollars t$100.0O1 for all labor, marerials and other itgns.
O c. Exemption is basd on the following sedtion of the Statd Contrastors' License Law:
Section
B. INSURANCE COVERAGE {Sec.3800 Ca[f. Labor Code]
Cl Certificate of wcrker's ccmpensation insurance, copy fiereof or certificate of consent to
self-insure from Director of lndustrial Relations, ha been filed witb the City and is still in effect.
D Th€ permit sought is for one hundred dollars or less.
tr I certify that in the perforrnance of the work for whicfi this permit is isued, I shall ilot employ
any per$n in any ma*ner so as tc become subject to the worker's sompensation lars of
California. I understand that failure to comply with applicable worker's compensation laws
shall cause revocation of the permit,
C. COMPLIANCE WITH THE LA$'
All work allowed by this prmit shall comply with City ard State laws. I understard a separate
permit is required for work within a public rightcf-way" I also understand this pnnit beernes
invalid if work.is not started within 6$ days of the date the frmit is isued,
z
U
tuzovo
t,J:
{J
}$?',3S'TF j
applicant's signature dae
Gtyo[san luls oBtspo const'u8*?fi,,!lill';
Proiect Address
Department of Community Development, 990 Palm Street
Post Office Box 321, San Luis Obispo, CA 93406 (805) 541-1000
879 Meinecke St.
Casa de Vida
Ownerr s Narne r
Business-Hour Phone
544-5332
owner's Mailing Addres 879 Meinecke.San Luis Obispo.CA
Owner License NoContractor's Nm€ ---'Phone
contractor's Address
Architect or Engineer License No
Addres
LICENSED CONTNACTORS DECLARATION
I hereby affirm that I am licensed under thc provisions of Chaptcr I (commenc-
ing with Section 7000) of Division 3 of the Ilusincss :rnd Professions Code, :rnd rny
license is in full foree and effect.
License Class Lic. Nurnber
Date
-
Contractor
OWNER-BUILDER DECLARATION
I heretry affirm that I am exempt from the C'ontractor's License Larv for the fol-
lou'ing rclsorr (Sec. ?0i11.5, Bu-siness and Profcssions C-lotle: Any city or cottnty l'hiclt
requires a permit to construct, alter, improvc, dcmolish, or repair any structure,
plior to its issuance, also rtrluiles the applicant for such l)ermit to file a signcd
statement that he is licensed pursuant to the provisions of the Contractor's Li-
cense Law (Chapter I (commencing rvith Section 7000) of Division 3 of the lJttsiness
and Professions Code) or that he is exempr therefrorn and the bnsis for the alleged
exemptiort. Any violation of Section ?031.5 by.any applicant for a permit subjects
the applicant to a civil Jrenalty of rrot mote tharr five htrndred dollars ($i00).):
E I, as on'ner of the propert1 or my employees with wages as their sole con-
pensation, s.ill do thc rvorl<, ancl the stnrcture is rrot intenderl or offcred for sale
(Sec. 7044, Business and Profe-ssions Code: The Contractor's Liccnse Law does
not apply to an owner of property who builds or improves tltereon, and who does
srreh rvork hinrself or thlough his on'rr ernlrlo;'ecs, provided that such irnprove-
ments are not intended or offered for sale. If, horvever, the building or improve-
, rrtelt is sokl within one J'car of completion, the owner-builder will have the burden
sf'fi,-ioving th&t he tlid not buittl or improle for thc I)uurose of sale.).
i., if'I, as owner of the property, am exclusively contracting lvith licensecl contrac-
'to1q !o construct the project (Sec. ?O44, Business and Professions Cotle: 'l'he Con-
tiactor's License Larv does not apply to an orvner of property rvho builds or im-
proves thereon, and who contracts for such projects n'ith rr contractor(s) licensed
pursuant to the Contractor's License Law.).
E I.'Am exempt under See. B' & P' C' for this
Date orvner
WORKERS' CO}IPENSATION DECI,ARATION
I hereby affirm that I haye a certificate of consent to self-insure, or a eertificate
of lYorker's Compensation Insurance, or a certified copy thereof.
Policy No. Company
! Certified copy is hereby furnished.
fl Certified copy is filed with the building inspection department.
Date
-
Applicant
CENTIFICATE OF' EXE}IPTION F'NO}T WONKERS'
COMPENSATION INSURANCE
(This sectiorr rrecd not be coutpletcd if the pcrurit is for one hundred dollars
($100) or less.)
I certify that in the performance of the work for this ls issued, I
shall not employ any pcrson in to the Workers'
Laws of
Alrlrlicant
NOT If, after this Certificate of Exemrrtion, you
should become subject to \Yorkers' Compensation provisions of the Labor Code'
you must forthwith conrply with such provisions or this permit shall be deemed re-
voked.
CONSTRUCTION LENDING AGDNCY
I hereby affirrlr thal thcre is a construction lcnding ageney for the performance
of the work for which this irelrnit is issucrl
Lender's Naure None
Lender's Address
I certify that I have rcad this application and state that the above informatiolt
is correet. I itgree to comply tvith all city and county ordin:rnces and stntc larvs
rel
to
lrlg authorize reprcst'tttativcs of this county
a;.-Z,; /
44-80
Signatrrre of Applicant or Agent
for inspection purposes.
#fi?y8iy,ff
CITY OF SAN LUIS OBISPO
ELECTRICAL PERMIT
Business License
Permit Card
Street File
N? 3499
FEE s- 7.--Ol--
D
n
n
-
------- --*City Clerk.
Address
Address
Type Bldg.Fire Zone-
Special Requirements
Inspectu of tsuildings,
X S;""t';:l,t t| Y3ilI'T:ls"r""Tx,"sflti:;ll'3i"ilfilt"ii'*:ffi"'*:,'i'ffl?ii
filed with the City and is still in effect'
tr The permit sought is for one hundred dollars or less'
3.J7= 7-Y
77
Items
New single-family residence rvith --- square feet'
-. Circuits & Feeders
, Switches
,-- Lighting outlets
-- - --Recept. outlets
,.----,.Fixtures
,--- ---Range & Oven
- -. Dryer
- --.-Water lleater
- -,.-- 'I'ransformers
- --- -Signs
*---- Other
-- Space Heater
* ..-Ternporary Service Pole
Service Size
CONDUCTORswtTcHCONDU IT
Motors
FEEH.PNO
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:
RANCE COVERAGE-Check appropriate box (one must be checked, sec.
3800 Calif. Labor Code).
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number: ? 7 ? n rl AClassification License XI*--!-I-Q--/--/
2. I am exempt from these provisions by reason of the following: -.;. I am t6e owner of th'e property d-escribed in this permit application and I am
nuitaini o" improvin* itruitur"es thereon for my own occupancy and not to be
offered for sale'b. iitu *o*t i"uolved is of a casual, minor or inconsequential n-ature and will not
"".u"a O". Hundred Dollars ($100.00) for all labor, materials and other items.
c. eil-ptio" is baied on the foiiowing iection of the State Cbntractors' License
Fees
$ -- _----t.00
--a-:e
---l--Permit -------
------New Dwell. ---
------Circuits ------
------Outlets ------
------Fixtures ------
--*---Service - -----
------Appiiances ---
.--*---Transformer --
- - -.,r- I\iotors ------ -
--f -.--Alt"ration ----
,,----Other
TOT.AL - - .0n
Law: Section
tr
Srq Vg
D
l{
t-
1.,
r1
Business License A
Permit Card n
Street File tr
be done in accordance
invalid if work is not
N9
o"t"I4I-9b--2f-.
Permit Fee
#32 p6r, Chech Fee
Other Fees
..1
4 951r
CITY OF SAN LUIS OBISPO
BUII-DING PERMTT
This permit is issued with the undersigned,applicant's agreement and acknowledgement that all work will
with City Ordinances, including any special requirements and other applicable laws. This permit becomes
starred withitr 60 days. This permit iioes notlnclude permission to install electrical, plumbing, sewage
L974
$--
I at
or facilities.75.00
3 1058 g
DESCRIPTION OF STRUCTURE OR WORK
Remodel & Flre Alarm
Height-------Cr^i^-
Ovrmer -Urrlted-Cbsrch-Care Center
Address 879 llelnecke
Arch. or Eng. UeJ-er--Uc-tr 1eq-&-As-Eqg----
Address 1108 Garden St.
Address Sacramento, CA
- .., Securlty Equipment Corporatlotottt"t4 I 6y -Ta ;aaa aa=-Ave; - - - -.F.orrt yd. - - lJ-'- - - Side yds. - - -Q ] - - - - t -- - - 3g-t-
Rear yd. --!!?:-----Nearest bldg.---------
Special rcquirenents
l4:3r-{_e_r_:_!fo_r1e__-_
LOCATION
lUse N
Lot-------- Block-----
Estimated value 11,800.I Initr Parcel No.52-t75-A7
NewD Additiontr AlterationE Repairsfl Movetr DemolishE ur" -H9lf Fire zone-!-- Iot
^ R7S ee^^r Mol naclca
1
v
Width--------f enoth?xlstlng
Foundation-- Exterior -__^ll Roof---------
How ll.catcA V-l Hour G.o"p---D:?--
Garage I Caqport tr ------X------Attacled tr Deta&ed tr
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:279077ClassificationLicense No.
Inspector of Buildings.
COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif" Labor Code).
A Certificate of workmen's compensation insurance, copy tJreleof or certificete
of consent to self-inzure 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.
of the work for which this permit is issued,
se as to become subject to theI understand that failure to
-.-------City Clerk.
2. I am exempt from these provisions by reason of the following: --a. I am tf,e owner of thi property described in this permit application and I am
building or improving slru-cturbs thereon for my o-wn 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 ($100.00) for all labor, materials and other items.
c. Exemption is based on the foilowing section of the State Contractors' License
Law: Section
tr manner
laws shall cause revocation
,xi?s#"iffi
",:a
a':::,'1.
i-r
,.i
-1
. i :-:n
I
CITY OF SAN LUIS OBISPO
PLUMBING PERMIT
This permit is issued with the undersigned _applicant's agreement and acknowledgement that all work will be done in accordance
with bitv Ordinances, including any siecial iequirement"s and other applicable lais. This permit becomes invalid if work is not
started .nlitlin eO days. Thir pei-it dots not inilude permission to -ik" any structural altirations or install "tj[frfi::.],fj$f. it' {, g q gsidewalk facilities.
FEE $
A * [r]'i0
Business License
Permit Card tr
Street File tr
N o 32"r 0
3,so
'\ 'li I
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
COVERAGE-Check appropriate box (one must be checked, Sec'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:
380O Calif.
6*ni"rt,-comDensation insurance, coPYfroir Director of Industrial Relations, has been
Labor Code).
of workmen's thereof or certificate
-----CitY Cletk.
1. I have a valid California State Contractor's License in full force and effect with
the following classif icatio4-4nd licens! nurpber:
Classification -------- (=|- -*_+-6 License No. --------2. I am exempt from these proiisions by reabon of the following: --a. I am t6e owner of th6 property ciescribed in this permit application and I am' building or improving struttur-es thereon for my own occupancy and not to be
offered for sale.
of consent to self-insure
filed with the City and is still in effect.
tl The permit sought is for one hundred dollars or less.
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 foiiowing Section of the State Contractors' License
I
=--l-ffi=t ns?ecbr of Buildings.
naa,",J-dfS- So
Special Requirements
I
Contractor
_871Location
Fees
$_____ 2.00
-7r--5?-
Items
--- I --Permit
------Fixtures
------Sewer Conn.
------Gas Heating
-*----Water Heater
- -[-- -c", o,,tlet /rutr,rr
------Water Piping
------Drainage Pipe
------Lawn Sprinkler
------Fire Sprin}ler
TOTAL
Gos Applionces
------Water Heater
------Space Heater
------Furnace
------Wall Heater
------Gas Dryer
------Register
------Flues
I
#tJSFlHrlo,.
I
N.e 4606
CITY OF SAN LUIS OBISPO
ELECTRTGAL PERMIT
This permit is issued with th-e undersigned .applicant's agreement and acknowledgement that all work will be done in accordance
with citv c)rdinances, i".l"dine any s?ecial i"quir"-"rrft and other applicable lais. This permit becomes invalid if work is not
;il;;r;1;;6'd")" 'ffi
r?;i;t;'"t .,ot i"'.t"a" permission to rnaie any structural alterations or install plumbing, sewage or
sidewalk facilities.
FEE $-l-1' Q Q
Business License
Permit Card
Street File
tr
tr
-77
..New single-family residence with -- square feet'
Circuits&Feeders - ?*nor.Heater
,-Ternporary Service Pole
Service Size
Items
CONDUCTORswtrcHCON DU IT
Motors
FEEH-PNO
Address t77M
corrrrr.ror\A(idd4- I
Addr"r* -ap
Type Bldg. SS&4- Fire Zone--3
Special Requirements
INSURANCEcovERAGE_Checkappropriatebox(onemustbechecked,Sec.
3800 Calif. Labor Code).
wditicate of workmen's compensation insurance, goPY
of consent to self-insure from Director of Industnal
filed with the City and is still in effect'
il The permit sought is for one hundred dollars or less'
DA
Owner
11 zz
MA*
,,,- Srvitches
LJ-tiglrring outlets
- - t!-R"."pt. outlets
- - - Fixtures
. -,--Range & Oven
- -..- Dryer
- ----Water Heater
. .- - -'l'ransformers
-. .---,Signs
.-, Other
*-- ---- ---City Clerk.
In accordance with the requirements of Section 3800 of the California
undersigned, hereby
fessions Code.:
state with regard to Chapter 9, Division 3 of the
Labor Code, I, the
Business and Pro-
thereof or certi{icate
Relations, has been1. I have a valid California State Contraetor's License in full force and effect with
the following
Classification
number:
2. I
b.
-- Inspector of Buildings'
Fees
---l--Permit ---,----
------New Dwell. ---
------Circuits *-----
3Ao"tt"ts ------
---Fixtures
---.---Service -.-----
-2.--Appliances ---
.------Transformer --
- ------ Motors -------
----*-Alteration ----
----Other
TOTAL - - -oa
c,
classification
License No.
u
,l{Mii:-i
SAVE C,
crw oF sAN LUIS OBISPO Business License {
Permit Card tr
Street File tr
N o 4115PLUMBTNG PERMIT
This permit is issued with the undersigned applicant's agreement and ackn_owledgement that all worlc will be done in accordance
with bitv Ordinances, includins any #ecial ieluiremenE and other applicable lai,s. This permit becomes invalid if work is not
.r"ii"J#i,fti" 60 dayi, This peimit dols not ini'lude permission to mate any structural altirations or install electrical, sewage or
sidewalk facilities.
FEE $J 3 .5!
-77
)Fixtures 11 11
------Bathtubs
--1---Showers
I --LavatoriesI -4"r", Closets
--Kitchen Sink
Floor Drain
----*-Laundry Tlzy
----- Urinal
------Water Softener
Clothes Washer
------Dish Washer
--- --Disposal
----- Grease Trap
-,----Drink Ftn.
- ,---Slop Sink
------Other
------Other
------Other
-----,Other
Owner
Location-97lw
6-
3800 Calif. Labor Code).
{ C"*iti"rte 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.
L
Contractor
Address
Special Reguirements
INSURANCE COVERAGE-Check appropriate (one must be checked, Sec.fn accordance with the requirements of Section 3800 of the California I,abor Code,.I, the
undersigned, hereby stateiith 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 aLd license number:
Classification ---, ----- &*-l-------- License No. --------2. I am exempt from these prolfsions by reason of the following: -a. I am t6e owner of thb property dlscribed in this permit application and I am
l"itai"g or improving slructurLs thereon for my own occupancy and not to be
offered for sale.b, The *ort involved is of a casual, minor or inconsequential n-ature and will not
exceed One Hundred Dollars ($100.00) for all labor, materials and other items.
c. n"emittion is based on the foiiowing iection of the State Contractors' License
Law: Section ----------
for which this permit is issued,
so as to become subject to theI understand that failure to
thereof or certificate
Relations, has been
Insp ectar of Buildings,
Fees
$__--- 2.00
3-'--W-
[-Sa-
t'@a-
_50I
f-oI
Items
--l--PermitZ-j___lrxtures
--f---s".". Cor,.,.
------Gas Heating
------Watcr Heater
------Gas Outlet
---L--Water Piping
------Drainage Pipe
---l--L"*r, Sprinkler
------Fire Sprinller
TOTAL
Gos Applionces
-*----Water Heater
------Space Heater
------Furnace
------Wall Heater
------Gas Dryer
------Register
------Flues
tr
Applicant--
laws shall cause revocation
i:l
i
Jg? .,6981n"ru-W-f?77___
nnq1q
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
This permit is issued with_ th_e undersigned.applicant's agreement and ackn-owledgeme}t that all work will be done in accordance
with City ordinances, iJ;;;;;t si"ciali"q,rir.*-".,t"andother applicable-lai:.Thi: permit becomes invalid if work is not
,i".r"a-7rrilr"'A;t;.- |hl#"#ir io"r not'ir,"lude permission to'i?rstall electrical, pltimbing, sewage or sidewalk facilities'
Business License El
Permit Card tl
Street File n Permit Fee
Plan Check Fee
Other Fees
$------------
$
TgTAL $____4_5,'.99__
DESCRIPTION OF STRUCTURE OR WORK
Ur" _ _ _ _ _,44-4--Q -19-s.
g - [o-o1p
23,22O.
Estimated value I f-lr
Ovrrner ----Casa-l)e I/t r{ g
Address 879 Meinecke Ave.
Arch.orE"g.--!9-cl!1s--E-qe!ree-r9-------
Address 1326 Chorro
Builder Woods by Design
146 5rh sr.
Address Baywood Park, CA
appropriate box (one must be checked, Sec.
New E AdditionK Alteration E Repairs fl Move il Demolish E
width - -15- I - - - Length - - ?-6-t- - - H"ight- - -9 I - - sto,i"s- -1 - - -
Foundation--:-b!---Exterior*"u1!9-c-c-9---noor-9-9[P!g-1s
Howheated-9!99-t-{19--Type-----v-:1-!tI-,-G-ttp---a-:2--
Garage [J Carport tr ------X------ Attached D Detached E
l_----------City Cle&'.
In accordance with the requirements of Section 3800 of the Califo-rnja Labor Code, I, the
irij"".*"itil?,-1'J"il-v ii"ti'iilii'i-.i-*a t" Ctrapter 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
lr,uloir"*i"eclassiricatioB3tuu.:T:::l_:: Licenservo._ffiClassification
2. I am exempt from these provisions b-y reason of the following:
a. I am the o*"u" ii"ifr[^i;;;;t{t a;t""ibed-in this permit application and I aJn
building o" #p;;;;t't;;il;""t-th;;on to" -v dwn occuirincv and not to be
offered for sale.
b. i'h1;;;f l";tll;ed is of a casu-al, -nl!.ol or inconsequential. nature and will not
J*.""a O". H;il;";iD;ltt""-(S1OO.OOl for all laborl materials and other items'
c. E;;;;d;i;;;ili;-ttl;roit'o*i"g lection of the- State Contractors' License
3800
llft Certificate of workmen's compensation insurance' copl' t!re1e9f or certificate* #-"-oit'r-Jtii i; ;tf:fi;;"e lioir 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'
- Inspector of Build.ings'
Ma{nackaNo.---8-29---- Street--
Nearest bldg.-----------Rear yd.
LOCATION INFORMATION
Special rcquirements
Lende-r-:-N-oge-
Law: Section
Applicmt----
l,llcRn . ,
SAVE di,;3,,,'l,t.
ii;
:i,i
;q%
Fi re
co9T
Sq. Fi
z^5.fr o
ZONES
Use
STATE LI,CENSE
NU,MIBER
cb
fu. Fi
AREA
z__
Gnoup
Stories
g*
Tvpe
H.eiqht
CITY BUSIN'ESS LICENSE
SIATE CONTRACTOR'S LICENSE
FOR |S9UE
GRADING PERMIT
'CURB, GUTIER ond SIDEWALK PM'T
FIRE HYDRANTS FOR CONST
WAIER FEES PAID
SEWER FEES PAID
2b
Lenqth
lidE -l
I
Units
-
2B
TOI,AI NUMBER OF PARKING SPACES.
wid.rh
zbqh,&rla
ADDRESS
'7(
a-s;lQ.a,.il
Used As
a
Neorest 'Bldq
I
ADDrnoN *I l* C-IM> Aftl. *r.
Reor LineSid.e LinesBqck
Lot Size.BlockLolStreet
-
Assr's. No
,n
'MAI'N. BU'ILDI,NG
ACCESSORY BLDG.
OTHER STRUCTURES
ALTERATION
.REPAI'RS
MdVING
DEMOLISH
1 APPLICATION FOR STRUCTURE PERMIT
IS HEREBY
'IIADE
TO THE CITY OF SAN LUIS OBISPO
THIS APPLIC,ATION lS FOrR AtL WORK WlTHlNl THE STRUCTURE OR ASSOCIATED THEREWITH
,.,",'fT; liH"
No. ptqnl *"tto 3
Permir No. 67g (
u,u"a,lf'L'l"l'J
OWNER:
PHONE:
DESIGNER
,BUILDER
PHONE,
N.o.
CONST. LEN,DER,
ADDRESS.
R
N MEIAL
TYPE OF FRAME
N TIMBER
FOUNDATION
n coNT. coNc.gdrng
EXTERIOR WAtt
fl BR|CK
n coNcRETE BLOCK
n coN,cRETE T|LT-U,P
fl BRICK vFN.. n STONE vEN.
n coMP. BUTLT-UP
E{omp. sHols,
[i':Et,rr'crBtc
GRADI,NG PERMIT FEE
OTHFR
ROOF COVERING
f] METAL
f] TILE
HEATING
N GAS FURN
E*'6/OOD STUD
I PTE.RS
N METAL
llrsrucco
n wooD srDING
I wooD TRIM
[] N /OOD SHGLS
I WOOD SHAKE
T GAS WALL
$..
SPECIAL
IIST ITEMS PERTAINING IO APPTICATION
i,
V
is lrue qnd correct.
with.
'il
1r ri-J}'
AUG 31 1977
PrAllf{lilt Al[[ BlllLoltl0 0tP[
e[I ffi $m tllls 0Bl$0
tn
t
TOTAL NUMBER OF B'EDROOMS
I hove.corefully exqmind the obove completed oppli
All City ordinqnces qnd Stqte lows goveming building
SIGN HERE:- (Owner i BY
cotion ond
I
Dote Phone
urill
I
Agenrl
A
CON.DUIT SWITCH
Service Size
CONDUCTOR
Motors
NO.H.P FEE
TOTAL FEE
TOTAT MOTOR FEES
/
(1
c?
'(n
ttt
4G
J \-'-- ::
-> --
squore feet
ELECTRICA!.
Ponelboorcis - Brqnch Circuit
Elevolor
Switchboqrds - Moin
ets
[ighting Oullets
Alterqtion (I
Oven - Commerciol
Ronge - Commereiol
X-Rery Unit
Temporory Service Pole
Spoce Heot
V/elders
Trcl ns f orm ers
Wster Heoter
Dryer
Ronge ond Oven
s I n ords
Service {Amps I
Circuits ond Feeders
New Residence (Apt's.l
Items
$14,oa
i'-, CI r)
() , t*r \--i
"7"*3
$
Fees
TOTAL FEE
MECHANICAL
Paint Sproy Booth
Air Conditioner - Fockoge
Greqse Hood
Vent Sysiem: Mulfi Ducts
Vent System: Single Duct
Evoporofive Cooler
Air Hondling Unit: *10,000 CFM
Air Hqndling Unir: -.l0,000 CFM
Comp. - 5l H.P. snd Over
Comp . 3l H.P. to 5l H.P
Comp. - l6 H.P. to 3l H.P
Comp. - 4 H.P. io 16 H.P.
Comp. - 3 H.P. or Less
Boiler - Over 1,250 MBTU
Boiler - 501 to 1,000 MBTU
Boiler - i,000 to I .750 MBTU
Boiler - l0l to 500 MBTI.J
Bsiler - 'l 00 MBTU or Less
Heqfer: Wqll
He0ler: Floor
Heqler: Suspended
Furnqce - Over 100 MBTU
Furnqce - 100 MBTU or Less
hems
$
$
Fees
TOTAL FEE
/
/
I
/
PLUMBING
Pvt. Sewoge Disposol System
Gos Piping
Vent - Comb. Prod
Kettle - Commerciol - Steqm
Well - Deep - Over 25ft
Well - S'hollow - 25 It. or Less
Bockflow Prevenler - Comm.
Bockflow Preventer - Res
Gos Dryer - Commerciql
Sink - Other
Dishwosher - Commerciol
Clothes Wqsher - Commerciql
Sink - Commerciol Kit
Sink - Bor
Sewer Conn
Slop Sink
Drink Ftn
Greose Trop
Fire Sprinkler { Heods I
Droinoge Pipe
V/oter Piping
Gos Outlet
Wqter Heoter
Dish Wqsher - Residentiol
Disposal - Commerciql
Clothes Washer - Residentiql
Wqter Softener
Urinol
Lqundry Troy I
Floor Drqin/Sink
Kitchen Sink - Residentisl
Wqter Closets
Iqvotoriest :1 " j--
Bidef.*t'8
Showers
Bcrthtubs
llems
sl3"s'c
'{-,{} {}
z.o(1
; ), r.ji. )
I r ) .t-,-J
,;y-t.t i)
L
$
Fees
cll.v.JI
san luls PEFIMIT
Proi*t Address:
879 Dtelnecke Ave.
$ 9r216.
FEES
Structural:
Electrical:
Plumbing:
Heating/Cooling:
Other:
VALUE OF WORK
$60.00
REOUIREMENTS:
l-l Fire Hydrants for const.
l-l wrt.. Pr6. Regulator
! Backflow Prot€ction
lGrading Permit
E guitoins
tr Groding
Date lssued:
3lelst
Fl ciay corar"stor's Lic.
fl Stut" Contractor's Lic.
Dw.a". Fees to be paid
[s*v", Fes to be paid
Department of Community Dwelopmmt
99O Palm Street / Post Office Box 321
San Luis Obispo, CA 93406 8O5/541-1OOO D Electrical fl Humbins I Heating/Cooling
fl Retoining Woll E Porking Lot
Permit No.8517
Additional Review
[Environmental ]mpact Report
Dora- ooa-a Deficiency
[Discretionary Astion
ARC No.-
Total
Permit Fees: $
Plan+heck (#
@Previously Paid
ConsL UnitTax
TOTAL FEES $ 60.00
VALIDATION -
John L. Kellerrnan/ve
fl Retaining Wall Ptrmit I Curu, Gutter and Sidilalk Psmit Us Permit
Dcltv Busins License I Encroachment Permit oth6-
N W.C. InsurtGGQE
Special Conditions: Flood Zone
-
Fi'nish Floor or Floodproof Elevotion
Fees Paid
3le/8L
6.in"".ion
R*eipt N
signed (s@ back of this form)
DATE
not
Authorized Department Repr€sentative
ltJG
F
FOUNDATION
flcontinuous
Concrete
Isruo
I ei"r"
I Wood Sidins
l-l wood Trim
D s.r".o
flstone vener
fleri"t
llConc. Block
IConc. Titt-up
f]ruetat
l-lBri"k v".o,
D co-p. Built-up
I rta.tar
E Co-p. Shinsle
D wooo Shingle/Shake
Drit"
l-l Et""tri.
I cas Furn.
Ie*w"rt
l--l sot.t
EXTERIOR WALL:
Occupancy Group
-
Type of Construction: Type No.
I Wood Stud
I u"t"t
fl ri-o"t
ADDRESS OF
THE PROJECT 879 lleinecke Ave.
RearPROPOSED SETBACKS - actual dis-
tances from pro.perty lines to n€rest
structure, after .work is completed.
Front Distance from this new work to
n€r6t existing building on sme
lot. (Write "ATT" if attached)-
Side SideIJJFa
Legal Description:
lot 9 etoct175 rract Sq. Fts2-L75-O9
Assor's Number
PO -'
Use Zone FireZone Lot Ar€
18.00
Cct per
sq- ft-
Typeofproject: FlAtt..* Dooo Eet.", flRepair l--lDemotish Iruor" Etnstatt
Relcrinino Wo'll lnformotion: Lenoth Heioht Est. Volue $
Swimning Pool
3.
2.
1.
(Total)
Bldgr
height
CDetached
Moteriol
anbic yords; Totol Fill yords.Gmding ln{orrrmtion: Tolo,l Cur
Nw
af6
{in sq. ft.)
5L2
No. of bed-
rooms in
new units
No- of new
living uhits
cr€ted
No. ofstori6(Total)Proposed use of the nil building, addition.
or area to be altered, repaired, etc.
cubictr
CarportNew work includes: flGarage
AddreBsrce of'loanBank or other sou
None
Farrel T. IliLes, 1010 S. Robertson Blvd.r Log Angeles, CA
State License No.
9398
Engineer PhoneAddres
EI
=z
Architect or De igner State Liere No.Addre6s Phone
CaL-Real Pools , 7O7 W" Micheltorena St. rSanta Barbara' CA 962-O39L 3A2295
AddrsContractor or Builder State License No.Phone
Gasa De Vida, 879 lrleinecke, San Luis ObisPo, S 93401
Mail Address Business-Hour PhoneOwnerztP
WHITE - File LIG HT YELLOW - Applicant PINK - Clerk GOLD - Counter
*EBTIFICATION
BHFORg THE CITY CAN I$SUE THI$ PERMIT" THE APPLICA$T MUST COMPLFTE THIS
CERT|F|CAT|ONONALLCOP|F$. -\\t :..
IN$TRUCTION$ * ln section A" *n contractods- licenses,,you m{st either give yoqrr State contractor's
license numher or c€rtify that yclt don't nsed a license. Chec* the appropriate box and fill in any informa-
tionthatappliestoyau. rr'--'" .'i " I I ' r'"i ' I'
ln secticn B" ycu must certify *lther tlrat you hav* warker's compensation insurance or that you don't
need it" Check one of the boxes.
Thenread$eGti0nCandsignbtttreuottom..(a...:.]
A. CONTRACTOR'SLICENSE
ln accordance with the requirernent$ of Section 3800 of the California Labor Code, l, the undersigned,
hereby $tats with rqgard to Chapter g, Division S cf the Business and Professions Ccde:
fl I have a valid California $tate eantractor's License in full force and effect with the following- classification and license nurnb*r:
Ctassification * *Licenss No.-
I am exempt frsrm these provisicns by r€ason of the following:
fl a. I am the owner of the prCIperty described in this permit application and I arn building or
improving structures thereon for my own occupansy and nct to be offered for sale.
tl b. The work involved is of a caqual, minor or inconsequential nature and witl.not exceed One
Hundred Dollars {$100.00} tor itt labor, materials and other items.
ffi c. [xemption is based on the following s*ction of the $tate Contrastors' License Law:
$ection
B" INSURANCE COVERAGE {$ec. 3800 Catif. Labor Code}
il Sertificate of worker"$ cornpen$atien insurance, copy thereof or certificate of ccnsent to
self-insure from Directcr of lndustrial Rel*tions, has been filad with the City and is still in effect.
n Th* permit sr:ught is for one hundred dollars or les$,
H I certify that in the perfcrmance of the work for which this permit is issued" I shall not employ
any person in any manner so as to bgcome subject to the worker's compensaticn laws of
California" I ilnderstand that fallure to ccmply with applicable worker's compepsatipn laws
shall cause revocation of the permit.
C" CCIMPLIA$CE WITH THE LAW
All work allowed by this p*rmit shall cornply with City and $tate laws. I understard a reparate
permit is required.$tlrdy-ttt,.wi$hi.n a.public right-of-way. I atso understand this permit become$
invalid if work,is not start*d within S0 daysnf the date the permit is issud.
7c
ll
(.)
x
o
v
il,ix
IJ
]VNIEIHO SAV,S
03t^fltJoHStt/!t
applicant's signature date
styo[sanluls oBtspo Construction Permit
Certification ':
Project Address
Owner's Name
ownerrs Mailing Address
Contractor's Name
CaL-Real Pools
Department of Community Development, 990 Palm Street
Post Office Box 321, San Luis Obispo, CA 93406 (805) 541-1000
879 Meinecke Ave.
Casa De Vida
879 l"leinecke,San Luis Obispo, CA 93401
License No
Business-Hour Phone
302295 Phone 962-039L
License Class
Dete
Contractor's Addre 707 W, Micheltorena St Santa
Architect or Engineer Earral T M{ 1
I o 0 s o Ro hcrrts on Blvd Los Anoolae eAAddress
I,ICENSED CONTRACTORS DECLARATION
I hereby affirm that I am licertsed under the provisions of Chaptcr 0 (commenc-
ing with Section 7000) of Division 3 of the Ilusiness ttnd Professions Code, and my
license is in full foree and effect.302295Lic. Number
License No.q?qR
WONKERS' CO}IPENSATION DECLARATION
I hereby affirm that I have a certificate of corrsent to self-insure, or a certificate
of \Yorker's Compensation Insurance, or a certified copy thereof-
Policy No. Company
copy is hereby
copy is filed with department.
Appliernt
CENTIFICATE OF'PTION T'NO}T
INSURANCE
(This sectiou ttcctl ttot be eontpletcd
($100) or less.)
the perurit is for one hundred dollars
I eertify that in the performance of the which this permit Is issued, I
shall not employ any pcrson in ttnY r bccome subject to the Workers'
Cal-ReaL Pools ! Cqc.tified
ffierfitied
nurr*L
Conrpens4tiop Laws
n*c 3h/4 r1t1tt
Contractor
OWNER-BUILDER DECLARAA'ION
I hereby affirm that I am exempt from the Gontractor's License Larv for the fol-
lowing rcason (Sec. 70i11.5, tsusiness and Profcssions (-lotle: Any city or county rvhich
requires a permit to construct, alter, improvc, dcmolish, or repail any structure,
prior to its issuance, also rcquircs the applicant for such l)ermit to file a signed
statement that he is licensed pursuant to the provisions of the Contractor's Li-
cense Larv (Chapter {) (corumsncing rvith Section 70O0) of Division 3 of the lJusiness
and Professions Code) or that he is exempr therefrorn and the basis for the alleged
eremption. Any violation of Section 7031.5 by.any applicant for a permit subjects
tlte applicant to a civil penalty of rrot rnore than fivc hundred dollars (S500).):
! I, as ox'ner of the property, or my employees with wages as their sole com-
pensation, $'ill do thc n'orl<, and the strllctllre is not intendetl or offcred for sale
(Sec. 7044, Busiless and Professions Code: The Contractor's License Law does
not apply to an owner of property who builds or improves thereon, and who does
sueh rvork hinrself or thlough his os'n crnployces, yrrovitlcd that such improve-
ments are not intendcd or offered for sale. If, horvever, the bnilding or improve-
ment is sold withil one J'ear of completion, the owner-builder will have the burden
of proving that he tlitl not buitd or improvc for the putpose of sale.).
I I, as owner of the property, am exclusivcly contracting rvith licensed contrnc-
tors to construct the project (See. 7044, Business and Professions Code: 'Ihe Con-
tractor's Lieense Larv does not aplrly to an orvner of property l'ho builds or im-
proves thereon, and rvho contracts for such projects s'ith rr contractor(s) licensed
pursuant to the Contractor's License Law.).
fl I am exempt under Sec. B' & P' C' for this
teason
Date orvne'
4
of California.
icant
NOTICE TO APPLICANT: I this Certificate of Exemption, you
should becorne subject to the rkers'provisions of the Labor Code,
you must forthwith comply with such provisions or this permit shall be deemed re'
voked.
CONSTRUCTION LENDING AGI'NCY
I hereby affirlr that thcre is a constluction tclding ageney for the performance
of the work for which this irertnit is isstrctl
Lender's Name None
Lender's Address
I certify that I haye rend this application antl state that the above informatiotl
is correet. I iigree to comply rvith ll city antl county ordintrnces and statc laws
relating to building mction,authorize reprcst'lltativcs of this county
44-80
to enter upon the
or Agent
for inspcctiou purPoses.
M!ONOF'LMH}
S.A.\/F ORiIS,NAL
$.efiifirstB uf @rrupsnf,u
THIS lS TO CERTIFY thot the building herein described wos construcfed
under Building Permit No 3306 This struc'ture, owned by
Cere Con !{ol-I19--- -- ond locoted ot
- -9?9-UeiJcacks -Ays.' -Ecn lrrla -Obltpo-o -9-elt fo-ryj s - - - -
meets oll the requirements of the Uniform Building Code for Group
Occuponcy. This certificotion opplies to ---fll-
of soid building ond remoins in effect until such Occuponcy chonges.
D-2
Mrry 26, 1972 av fi&tr-Bailding
or Saw
Official
-/.:--
Crrv Lus Osrspo
-xitr85i$fi?
CITY OF SAN LUIS OBISPO Business License n
Permit Card tr
Heoting qnd Cooling Permit sneet File tr
This permit is issued with_ the undersigned applicant's agreement and acknowledsement that all work will be done in accordance
with citv ordinances, ilfiid;;t ti""iai"i"it *"nEa'dother applicable-bfil Thi: permit becomes invalid if work is not
;ilffiJffiffifi|*ihtr f"t-i, [""r "ori".t"a" permission to^ilnstall electrical, phimbing, sewage or sidewalk facilities.
I{9 6:3 2
FEE $ ..7,60
Eoch
s ..7..:..Q.Q.-TOTAL
o_...o
$_.__-_____-.2.00-
umber SCHEDULE
Plermit
Furnoce @----"---.---...- BTU. F.A. - Grovity - Floor
Heoter: Suspended - Woll - Floor
Combustion Products Vent --------
Repoir, Alrerotion or Addrtion
Boiler, Comp. or Absorb. Unit: ------------ H.P.BTU's. --
Air Hondling Unit: CFM -----------
Evoporotive Cooler
lncinerotor, Commerciol
----City Cletk.
e b6.a[!ruf 11fi:
I
LocotionTlM
o""uron"r},6u,,,n -L-r-++r&=q= -
Own
Controctor
Address
Speciol Requirements -----------
box (one must be checked, Sec.
A"*"Jt*;,"*re*1,Vent System: Single Duct - Multi. Ducts - Greose Hood -"---'---"---:! s,1i:#ffr:s;l#'ffi*i1# &;;rr
In accordance with the requirements of section 3800 of the california Labor code, I, the
undersigned, hereby .tut""iTtii'ii,i,*;i; Ci;pdi -9, Division 3 of the Business and Pro-
fessions Code:
1. I have a valid california state -contractor's License in full force and dfect withr'$:J""i',"#[1'**^T&'y:t-::1]-:1'------License"&-?--8-6-a-'s
2. I am exempt from these prottTiiotts by reason of the following:
a. I am the o*"i""'ii't-"rt5^;;;,;:iy d'",.*tU"li i" this permit ;pplication and I am
building o" i*p"i"iiiii Jtiirii"i""s 1t""ul" toi ;t ,twn occulincy and not to be
'offered for sale'
COVERAGE-Check
3800 Calif. Labor Code)
of Butldings.
thereof or certificate
Relations, has beenn Certificate of workmen's compensation insurance, copy
of consent to self-insure from Director of Industrral
iiteO wittt the Citv and is still in effect.
H
,r14
MICROFILfulEI]
SAVE ORIGINAI=
CITY OF SAN LUIS OBISPO
Heoting ond Cooling Permit
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with city ordinances, mJ"a*g ^"i.i".irtt'.'q"ir"merrtiandother
applicable-lais. This permit becomes invalid if work is not
;;j,"ijtrf,;j,ffi;;;',."ih;f"#i, io"t 'otir,"t.td" permission to'iirstall electrical, phimbing, sewage or sidewalh facilities'
Business License
Permit Card tr
Street File il
N9 585
FEE $t,
r[f;.eJE]zEoch
$ ..f.r..Q--9---.
$__._-_-_-_..2.00
TOTAL
''G
,:.a".d.'..o_..
"ufJ.4..
umber SCHEDULE
- P:ermit
Furnoce @----.-------..-- BTU. F.A. - Grovity - Floor
Heoter: Suspended - Woll - Floor --
Combustion P,roducts Vent --------
Repoir, Alrerotion or Addrtion
Boiler, Comp. or Absorb. Unit: ------------ H
Air Hondling Unit: .------'---- CFM
Evoporotive Cooler
gosq
Dute
Owne
lncinerotor, Commerciol
--*.-- Vent System: Single Duct
P. ----.--..--. BTU's. ..-
--,-City Cl.erk.
r-o.otio97
^l*9":
g 5"
Speciol Requirements ---------
'o!n"-alns^ru-; <'-[d
u
- Multi. Ducts - Greose Hood ------
Gos Piping @ $.30 per outlet. Minimum $1.50 ""'--
Other
COVERAGF--Check
3800 Labor Code).
Insp eetor of Buildings.
box (one must be checked, Sec'
t'3,"1#:1ft tf x3ilIiHffi ?Tl*"s'?!Tr#3F"ifiil;$ni'#ff ':'*::i'#f aT
iiled with the Citv and is still in effect.
tr
{tu
,frirfsf;i*t?
,
CITY OF SAN LUIS OBISPO Business License
"'/Permit Card tr
Sreet File n
N9 273sPLUMBTNG PERMIT
Thjs permit is issued with the undersigned applicant's agreement and acknowledgement- that all work will be done in accordance
;;il 6;;;'ij;i;;;;;, i""l"dinq any siecial ietuire*enti and other applicable lais. This permit becomes invalid if work is not
;;;;;J;rht";iilil.Ttt. p"ilil'd;r not in'clude permission to -ifr," any structural altirations or install electrical, sewage or FEE sI: tu
sidewalk facilities.
Fixtures
Bathtubs
------Showers
----.---Lavatories
------Water Closets
------Kitchen Sink
------Floor Drain
------Laundry Tray
------Urinal
------Water Softener
------Clothes Washer
------Dish Washer
------Disposal
------Grease Trap
------DrinkFtn.
------Slop Sink
------Other
------Other
------Other
------Other
I
Location 11Ll@
DATE
---Ba.s=-,
Owner
Occupancy
Requirements
Address
Special
Fees
$-----r.gg
--A-;-43-
s-7'-ffi--
Items
---l--Permit
------Fixtures
------Sewer Conn.
------Gas Heating
------Water Heater
------Gas Outlet
------Water Piping
------Drainage Pipe
--J---L"r,vr, Sprinkler
------Fire Sprinller
TOTAL
Gos Applionces
------'Water Heater
------Space Heater
------Furnace
------Wall Heater
------Gas Dryer
------Register
------Flues
---------City Clerk.
filed with the Gity and is still in effect.
tr The permit sought is for one hundred dollars or less'ur
flfr--t"tpector of Buildings.
In accordance with the requirements of Section 3800 of the California Labor Code, .I, the
""a""rld"a, ireieUy state with regard to Chapter 9, Division 3 of the Business and Pro-
fessions Code:
1.
.)
Law: Section
workments
in the
laws
of the work
laws shallpause revocation
MICROFILMED
$AVE ORIGINAL
CITY OF SAN LUIS OBISPO
BUILDING PERMIT
This permit is issued with the undersigned -applicant's agreement and acknowledgement that all work will be done in accordance
with Citv Ordinances, including any siecial iequir€ment"s and other applicable laws. This permit becomes invalid if work is not
.ir.r"J #irl,i" 60 days. This i'errriit Soes not include permission to-install electrical, plumbing, sewage or sidewalk facilities.
Business License tr
Permit Card D
Street File D
Ne 3306
Date-- - Mag -25-, -W1!"--- - -- - -
Permit Fee $--5JjL.5O-=-
Plan Check Fee $--?aj.d-3/25
Other Fees
TOTAL E--5ll-:r/----
DESCRIPTION OF STRUCTURE OR WORK
)u*
Estimated value -L.000._____ u -;h -
N"wEj Addition I Alteration D Repairs n Move D Demolish E
Garage ! Carport tr ------X------ Attached E Detached D
the following classification and license number:
____ ____ __ _8.-1__ _ _____ _Classification
widtr' ?-21- ! 611 length 3-13 ! 611 H"i gnt- - - - - - - Stories- - - I -
Comp.
Foundation 9-14---- Exterior *dl-q3]999-- Roof9}818 --
Howheated--Ele-elrl_c-to.ro;*f-lilia--Group--D-:3---
owmer - -C-are- 0-olEl:lua!-1Pa Tne-
2293 W. BaL[ Road
Address - AnrhEj,nr -0e"Llf,-9a80jr- ---- - -
Arch. or Eng. -MerlJnrl.-B€rbh-
Address ------Anghej.Er-------
Builder
Address
Owner
CE COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
E certificate of workmen's compensation insurance, copy t]re1e9.f or certificate
of co"sent to self-insure frofrr Director of Industrial Relations, has been
filed with the City and is still in effect.
tl The permit sought is for one hundred dollars or less.
City Cle&.
of the California Labor Code, I, the
Business and Pro-Division 3 of the
1, I have a valid california state contractor's License in full force and effect with
License No. -2l$633
2, I am exempt from these provisions h-y reason of the follow.iag: -.;.--i ;; tfre owner ot tir^e property d-escribed in this permit application and I a;n
6"lfiii-ti, "" ii"p"o"iiig s'truitur-es thereon for my o-wn occupancy and not to be
offered for sale.b. ih;il"k il;olved is of a casual, minor- or inc-onsequential. nature and will not
"ri"".ia O"J Hundred Dollars (9100.00) for all lab_or, materiels and other items.
c. f"i,*ptiiir-ir based on the foiiowing section of the State Contractors' License
/o*Inspector of Buildings.
u* -fr{:9Fire zone-3-- ut rir"?J-9lx-9-Bjt-t
Front yd.-- JEI-- side yds. --B-t31-- I 3B!3[-
Rear yd. -- -b?-t----- Nearest bldg. -----------
s p e ci at rcquir em ent s - - - 9-qs- -#- -'1 -8 Z- -q - -
_C_o1qg_!_'-_I*_rX{e_qg
Meinaeke St-No.-9-79----- Street--
LOCATION INFORMATION
f^+
Parcel No.
Mt. PLeasarton
Block----- Subdivision- gqp4'"--
52-L7547
m
t4'i..!
6clg#e
a9Ecr
'O.ose*a
.:l
r. t1:i
i) ': rl
i; - I
CITY OF SAN LUIS OBISPO
Heating and Comfort Cooling Permit N 395
This permit is issued with the undersignecl.applicant's agreement and acknowledgement.that all.work will be done in accordance
with Citv ordinances, in"1.rdilg any sfiecial iJquit"tn"r,t", and other applicable laws' This permit becomcs invalid if work is not
,ffi;Jd;?fi;;!.'?ht, p""t*ii a5* "ot iriclude permission to *uk" any structural alterations or install electrical, sewage
or sidewalk facilities.
r /g o ,--Q--o,-FEE
Business License
Permit Card
Street File
tr
!
o
Number SCHEDULE
Issuing Permit
Heating Appliance
Air Outlet
Combustion Products Vent
Commercial Graviry Venting System ,a.<sr|
Commercial Forced Ventinq - Undeft'QO*CFM
Commercial Forced V",rtirig - or.l'%ffi CFl/r 4M -L&H -"/o'&t'l'
Ventilation to comply with Occlpancy - Forced
Ventilation to comply with Occupancy - Gravity
Gas Piping - I to 5 outlets ($1.50) - 6 or more @ .30
Stack Construction under l5'
Stack Construction over l5'
Compressor under 20 H.P. and under 500,000 BTU
Compressor over 20 H.P. and under 1,000,000 BTU
Compressor over 50 H.P. and over 1,000,000 BTU
Expansion or Chilled Water Coil
Cooling Tower
Evaporative Coolers
Special Inspection - Per Hour
Other
+--5+
:4lr-fteio"9tr&M
"orrrru*So^
L*"
Add,"ssq-o B**-/-Q-1-:l-
Special Requirements
1q__J_o
$4..-0-o-
JrllLZ6{l-;
--#g'z€le_,1o8.4x
$
FeesEoch
$___ ___2.00
-----.&7s
-----2.-€Q,-
TOTAL
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:
Lieense -afiff3
of Buildings.
INSURANCE COVERAGE-Check appropriate box (one must be checked, see.
3800 Caiif. Labor Code).
fTertificate of workmen's compe_nsation insurance, cgpy !h9r9o{ or certifi-
;1d;l consent to self-insure- from Director of Industrial Relations, has
been filed with the City and is still in effect.
! I certify that in the performanoe of- the work for which this permit is is-
,""a.-iitt"ii troC e*pfoy any person in any manner so as to become sub-je.qt
Io 1ii" *ori.*en's cjmdensdtibn laws of California. I understand, that fail-
ur' to comply with alplicable workmen's compensation laws shall cause
revocation of the Permit.
Classification
2. I am.exempt from these provisions by reasons 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.
Appli.cant
MICFOFILh'Ii
SAVE ORIGI:
CITY OF SAN LUIS OBISPO
PLUMBTNG PERMIT
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with bitv Ordinances, including any siecial ieluiremenii and other applicable lais. This permit becomes invalid if work is not
,i"""J#,6i" eO auyi. This peimitto'es not intlude permission to *ik" any structural altirations or install electrical, sewage or
Business License
Permit Card
Street File
N9 2624D
tr
FEE $_*ft,&-
sidewalk facilities.
Fixtures
------Bathtubs
------Showers
---.- --Lavatories
------Water Closets
------Kitchen Sink
------Floor Drain
------Laundry Tray
------Urinal
------Water Softener
-----*Clothes Washer
-,--i-Dish Washer
------Disposal
------Grease Trap
------Drink Ftn.
------Slop Sink
------Other
------Other
------Other
- ----Other
fn accordance with the requirements of Section 3800 of the California I:abor 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 lirense 4upber:
crassirication ___:__::-:-_ _'___'K-\:i-llb---- License N". --7/tSS:--2. I am exempt from these provisions by reason of the following:
a. I am tfre owner of th-e property riescribed in this permit application and I am
building or improving structur-es thereon for my own occupancy and not to be
offered for sale.' b. Ttre 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.
e. nximption is based on the foiiowing section of the State Contractors' License
' Law: Section
IN COVERAGE-Check appropriate box (one must be checked, Sec'
3800 Calif. Labor Code).
"btf Certificate of workmen's compensation insurance, copy tlre1eo-f or certificate
^;i-;;t;;a
6 ;lf-fi4;re froit 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'
n I certify that in the the work for which this permit is issued,
manner so as to become subject to the
that failure to
cause revocation
I shall not
workments
DArE --u-or- -7- - - LZ-, ]9-z O-
ownerChxe- Cg*i= G"
Location -?A--- l'ltZaU rexf* 5t
- - - I 4cs p*-
- - b::2- - ----
contractor Ql.ta -Srczl#j,c€e5- -oE- il'lf'fua sp1<; ilta, .
Address :7-e>ril.-Lz-4-ia- Gs+ Hry(4L '
Special Requirements
Occupancy -
Insp ectar of Buildin gs,
Fees
$-----2oo
---.-tr4cd-,
$--=52,?&
Items
--- I --Permit
------Fixtures
------Sewer Conn.
------Gas Heating
------Water Heater
------Gas Outlet
------Water Piping
------Drainage Pipe
------Lawn Sprinkler
--J---f ir.Sprinller
TOTAL
Gos Applionces
------Water Heater
------Space Heater
------Furnace
------Wall Heater
------Gas Dryer
------Register
----Flues
of
employ
workmen
of
laws
w
MICROFILMED
SAVE ONIGINAL
CITY OF SAN LUIS OBISPO
PLUMBING PERMIT
Business License
Permit Card tr
Street File EI
N9 25e8
FEE $2,a1-,-50
Fixtures
-Bathtubs
Water Closets
-Q*rxit"ten sink
-\5--Floor Drain
------Laundry Tray
------Urinal
------Water Softener
--QtOottesWasher
----{-oon washer
----{-Dirpo."l
In accordance with the requirements of Section 3800 of the California Labor Code, I, the
otra"6ign"d, 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 JJffi i:.""1::::-l:i::l:]ff i:-Hlib-----License*".1-b,2a7-9
2. I am exempt from these provisions by reason of the following: -.a. i am tlie owner of th-e property d-escribed in this permit application and I am
l"iiai"S or improving slructurLs thereon for my own occupancy and not to be
offered for sale,b. itte wo"tilnvolved is of a casual, minor or inconsequential nature and will not
e"""ea One Hundred Dollars ($100.00) for all labor, materials and other items.
c. B"e*ption is based on the foiiowing iection of the State Contractors' License
M Certificate of workmen's compensation insurance, goPY tleleg.f or certificaten ;i-"-;;;;[ io rutt-i""ure fioir Director of InduStrial Relations, has been
filed with the City and is still in effect.
tl The permit sought is for one hundred dollars or less.
INS appropriate box (one must be checked, Sec'
3800
of Buildings.
18. l-1-:7--o--
Q*ffi*&i,
DATE
7tLocation
Occupancy
ContractorGe
Address
Special Reguirements
7sr
Fees
L-----*00
{oJ-'--o--o
-----S-'--t1-0
___j,_5_o
$'1Q-1'-Fid
Items
---l--Permit
l-3--1t*,,,,",
--/---s".". cor,rr.
------Gas Heating
------\4/ater Heater
------Gas Outlet
--l---w^n Piping
------Drainage Pipe
------Lawn Sprinkler
------Fire Sprintler
TOTAL
Gos Applionces
------Water Heater
------Space Heater
------Furnace
------Wall Heater
------GasDryer
------Register
------Flues
Law: Section \tr
s$E'8'JldfiR'
CITY OF SAN LUIS OBISPO
ELEGTRICAL PERMTT
Business License {
Permit Card fl
Street File tr
N9 2338
s 2d__6rz_s
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 s"pecial r^equirementi and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This peimit'dois not inilude permission to rnafte any structural alterations or install plumbing, sewage or FEE
sidewalk facilities.
Items
New single-family residence with --- sguare feet.
*l!-co""its & Feeders
------Switches
------Lighting outlets
------Recept. outlets
- -,--Fixtures
- ----Range & Oven
-- ---Dryer
------Water Heater
--.--- Transformers
------Signs
----- Other
.-- Space Heater
/ Temporary Service Pole
Service Size
CONDUCTORSWITCHCONDU IT
Motors
FEE
l. -{ o "r-s..1^
H.P
I --3
No.
In accordance with the requirements of Section 3800 of the Califonnia 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
Classification - - - --C-= -/ 4r.---
license number
--- License tt ". *{-6:56 !- -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 structur-es 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 ($100.00) for all labor, materials and other items.
c. Exemption is based on the foiiowing section of the State Contractors' License
IN COVERAGE-Check appropriate box (one must be checked, Sec.
3800 Calif. Labor Code).
{Ce*ificate of workmen's compensation insurance, cop}r tfre1e9.f or certiJicate
of consent to self-insure from Director of Industrial Relations, has been
filed with the City and is still in effect.
tl The permit sought is for one hundred dollars or less.
2!"* /-*, o *n r o f Buitdin gs.
-M
Fire Zone---
C)wner
o18,-lazDATE
I
Contractor
Address q+g-
Special Requirements
Type Bldg.
Address /C
Fees
--- I Permit
--_---New Dwell. ---
7Ll--Circuits ------
------Outlets ,-----
- ----Fixtures ------
-L--S"rui"" /O3-':-
- Appliances ---
_-----Transformer --
-*$-Morots ---- --
------Alteration ----
0-6"_25TOTAL - - -
2.
Law: Section
T.,IICROFILMED
SAVE Ci:iIGII{At.
PIANS RECEIVED BY:
Oqlc
No. Plons Rec'd.
I METAL
I coMP. BUILT-UP
COMP. SHGLS.
ELECTRI C
TOTAL FEE
/7az /
Permit tto,22 !-9
rc","cf-25-7 O
APPTICATION FOR STRUCTURE PERMIT
IS HENEBY MADE TO THE BUILDING INSPECTON OF THE CITY OF SAN IUIS OBISPO
&
OWNER
ARCHITECT
.ENChJ€FR
DESIGNER
BUI LDER
g'79
Set Bock
/{'
No.
DESCRIPTION
sPEclAt REOUIREMENTS U-O 93
eJ &# ?""..I PIERS
EXTEN]OR WAII
! BR|CK n _METAL
n coNcRETE BLocK (srucco
[] CONCRETE TILT-UP n wooD slDlNG
! BRICK VEN. ! STONE VEN. ! wOoD TRIM
ROOF COVENING
TYPE OF FRAME
N TIMBER WOOD STUD
r'fr5 r. i
{,rl;.-:. i :
! wooD sHGLs.
n wooD SHAKE
fl'ls'rut
! METAL
! TILE
)
;
VALUAIION ond FEES]knw"'s
::t[ :;i;.I : w;",: :i:wwuA
HEAIINC
! GAS FURN,n GAS WAIL
t
REQUIREMENTS FOR ISSUE
PTANNING AND BUILDING DEPT,
clTY oF sAt't LUts oBlsPo
I
PARKING PROVISIONS
I baue careful l7 examined tbe aboae completed application and. I know tbe same is h'ue and correct. All City APPROVED FOR
otdinances cottstruction tuill be with.
TIST ITENAS PERTAINING TO THIS APPTICATION
A FTFT }\ ^A
CURB, GUTTER & SIDEWALK
PIANNING COMMISSION APPROVAL
WORKMENS COMPENSATION
BUSINESS LICENSE
STATE LICENSE
OTHER
!A2-{
Fi re
3
cosr
Sq. Ft
,/A L9
5&t
LICENSE
MBER
n-4 7a7
a rlr ''1t1 4
Assr's. No.
Use
f-o
5
AREA
,
Sq. Ft
tadTD/
Lot Size
/7e'-
ZONES
x27€)
.187"b
Group
D-Z
StoriesHeight
Type
<'&ta/bt E-
t-le,e
g/.q'L'
Length
Unils
width
,21'/^*
Subdivision/Troct No.
W'ft""*'t*'44.
ADDRESS
2J
Block
t.lsed os(b,:/
/Lsget rt r
lot
Neorest Bldg.Reor Line
49'
Side Lines
g'--,3"
4P,r :4u
Street
4"-.*,'-.'e* 4 -
usE
MAIN BUI LDING (dr>t nlro,fo- r aa-t /rbfb:fi-{
OTHER STRUCTURES
ADDITION
ALTERATION
DEMOLISH
ACCESSORY BLDG.{/
REPAI RS
MOVING
Sign here
State laus
o
g buildin
By
Autborized. Agent DATE:
-{trs[i!y.'r'
nt'/r*l
drl;I
g
c- *-l
3]EP&"*qlk3sN'T eF e{Jry"DlSG
{-lr"rr t-u, s-,ts l-uts O$r$r'r:$pplilsatfinn to f;rect $ign
lllectrical t'(,)r-r: S..._, ".,.. -
?I
I.'1.
PLANMNG INFORMATION
Heiglrc Permitted --29
Area Per*rirterl
do*e
I
It-R.
Area
Area
Projection Over
Pubtic Property
Use Zone
Fire Zone
$erback
ISTSTAI,LATTS3{ T}TES&IITATI ON
Flush nrount---- Other
Llse perurit requircel**- - Date granted
Variilncc Date
Itoofllase rnount
tr'Vall
Structure$usp'cl rncunt
Flag length
(knter mount----Pok *l!-
DATEI!,{3t'EC',l:on
Inspeetion
a SE$0RIFTISIIT Sf SISII
Nr:*rlr.t- llet*l
I'trr€:{e${rr:r}t Flastic
lt* i r, {-q:,1 \{rood -X-.-. Flashing **
{-}ther'(}thcr Rrrtadng**-_
Single face - --, -
f)truhle facc X.-
LSCA,TS SK XN"F*N,RTAY3*S'
N".-jI![ $treet i/til-n-3ck-g
or', Lot ..- -. " Illk -- ---Subtlv
()rr,ner
Aclelress
connactor 5-NfU,UC Mrg-t-t-br-xt&$
Adr!'ess --lilG-EL.__*.._****_
STRUCTURA L IN FOR MATI0t'l
Pol.e flia.
rype $tiSf
llormdation:
widrh
L*nr:-th -- t2:
' Ilcith{:..51 -
'l'?iir:kness ,- -e-1
rl'*ig}:r -- -20-.O.lb-- shop N.o
C*py r*,'ds UNITED
FOG ttl_ Uyr.rr?If
Anperagc
\Vritfagir
U. [.,. Ne.
exa*ined the al:ovo cotttPleted
,"-Qlnn
Depth * *:e
Allorv Soi-l Press:
\Y/O Test
W Test
/SLJ"t*-
,
100 LbsI ltaue c,rr
eati** ax+l
efu!l;y
krrort the mnte is lrttc arrd corracf.
otdin'urce.s 11,r.rt Strrtl Lruts Soueraiag sigfl e:ort
rr,ill l,,e ccrrrrplierl ruitlr.Metliod of Auchorat'e to Buileli't'tg:
_)
By "- --.-
Plans S,ec'd Siby of $an tuis 0bisPo
Brrilding Inspector
Ii:lxcavnticn
P,>le -*-.. .-*
$ign (Sh,:p)
F I rrr'i'
By --
{ ?.... .. ._.Date *Permit Isseed:
I -*d'(?r #it
{
€rr:u,:**=3: t" Ne,#
FarK qtqin
f
Iqtt
V
I
I
I
I
I
,ll
tlgVry
1r;r
n
j
i
$1 I
?"81
at Fl
"9V
Le6{## LE-rrgRS * s t' r+u$h
gMeL{* tffiT"€fAS * *,r i,
'l?sutgd a-nd f:*tuitfgd *rh rt*ff.
Frrnfe* .sqrni' #.Y1 b*t€ .*{C€S
6'x {*"
{?ed*p**ed
P**tif
7'
Dqtr€tein
TJNITED CHURCH CARI CTNTER
FO R TI{ E MU UTI PLE HA ND ICA PP E D
-r-
EgrtNNrED cosl- t ttr.oo
IV1CINC(K6
srgpeT
tSteer
j
uNtTgD ($uRcl+ sfi{€ c€$rGR
on{
.ffi
P4R.rtN&
l-qfDRrvaon/
->
\
l
:
t,
t:
l.
i;
:i
!
-LocPrTiop O" ileN
DEPARTMENT OF BUILDING
Crrv or SaN Lurs Oerspo
Jiil-LT-'tr s 0iiroe il frfb'- lbgd'.""
Permit to lrect Sign varuation : s I -9-l -a ri,^:r r r,r!-#,1' rA
(Minimum fee $1.00)
N r . f\-4 -- s tree-t- Fl- g- l1l ee-Kf=
or, Lot,----Blk - ---Subdv
Address f# a" v# ff, go;-!r e?-!Y
Y - - -
Contractor.' - -, - -e]V-A/I=K-
LOCATION INFORMATION
Address
owner f*LrsR-EJLLE
T6L
Inspector of Building
INSTALLATION INFORMATION
Use permit required---- Date granted---
---- Date granted---
WallFlag length
RoofBase mount
Center mount
Structure
Other
Variance
Pole -----
Susp'd mount
Flush mount
copy reads - U [t LTEJz- -CL-\ p-K-e $ -aSRE-
"inw--2I!--" z//
L/
Double face
Length Amperage
Wattage
OtherOther
Thickness
Weight
DESCRIPTION OF SIGN
Painted
Single face -----
U. L. No.
Shop No.
H
Wood Other
N6* !--------Metal
PlasticFluorescent----
AGREEMENT: In considerarion of the issue and delivery to me by the Inspector of Buildings
por.d -ork in accordance with the description set forth above and iccording-to the provisions of
tacts stated by me and conrained in thJ above permit are true as therein- stated._ I also agree
from all costs'and damages which may accrue froT the use or occuPancy of the sidewalk, street
24ry
I here by the Pro-
the
agree to do
that
harmless
Owner
By
of the sign.