HomeMy WebLinkAbout1450 Prefumo CanyonN° 5822
CITY OF SAN LUIS OBISPO Business License ❑
Permit Card ❑
BUILDING PERMIT Street File ❑
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance
with City Ordinances, including any special requirements and other applicable laws. This permit becomes invalid if work is not
started within 60 days. This permit does not include permission to install electrical, plumbing, sewage or sidewalk Facilities.
DESCRIPTION OF STRUCTURE OR WORK
Use __Residence_&._Garage_________
------------------------------------------------------
Estimated value _--_�31-JQQ__-__-___-__ Units _______-_
New E� Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width _27' 11 /g�3E' 4" Height_ 1 a ' __ stories --- 1--
comp.bui1
Foundation S1db-_-Exteriorwal_tUCCO-__Rpp
fcrp-wffod- s
How heated 9 S fUrn. Type --- il-i ------ Group__ 1 ____
Garage M Carport ❑ _?T'_-X-- --- 24'Attached ❑ Detached)]
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LOCATION INFORMATI01 S u j
Street__tef1nQ_CAUQ_rL i
I
Lot_ _Z ----- Block----- Subdivision ---- 535---
Parcel No. __53-2A2-01__________________
Use zone0_a=_ Fire zone_3__. Lot size_____X
R-1
Frontyd._QSide yds. SZ_______/_______
yd. __22Nearest bldg.._0_____
Date_____OCto�Qr
Permit Fee
Plan Check Fee E_ PAID____-_
Other Fees(Park)$--- 1_59 _QQ__
TOTAL $_ 301 _00
Owner ___________
Address __ Z9_j✓SAS__treP,tr-SLLI
Arch. or Eng. Meyer2_Merrian) _°_Assoc. _
Address
Builder _TilomaS_1__Lt'hLaa________
P. 0. Box 131
Address _GMver_ Lity,_CA_____-__
Special requirements Landscapiiq_tc _be_installed_ _approyed_pri_or_to_4s�llp�tt�e
Jo combustible stockpiling or construction prior to Fire Dept. approval.
totider:--lxrea--LL—A- r-nr.--------------------------------------------------
1
---------- _. - ___ -_--- -.---------------------City Clerk. - - -- —% Inspector of Buildings.
In accordance with the requirements of Section 3800 of the California Labor Code, I, the
undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Pro-
fessions Code:
1. I have a valid California State Contractor's License in full force and effect with
the following classification and license number:
Classification -------- B-l------------------------- License No. _ LM67_____
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
Law: Section-----------------------------------------------------------
INSURANCE COVERAGE —Check appropriate box (one must be checked, Sec.
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 not employ any person in any manner so as to become subject to the
workmen's compensation laws of California. I understand that failure to
comply with applicable workmen's compensation laws shall cause revocation
of the permit.
Applicant__ _"�_ m - _ _
V