HomeMy WebLinkAbout646 PerkinsCityof Sa.. Luis Obispo
p
Home Occupation Permit n«- U5u0-_-i-1
Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7170
Please print clearly or type. Return this completed form with your $ application fee. This form will be your permit when approved. In
some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate.
NOTE: Private property regulations such as deed restrictions or Conditions, Covenants, and Restrictions (CC&R's) of homeowners' associations
may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance
with any applicable private regulations before applying for City approval.
"� Business /
Applicant. 1 �"f V 6 6"V,6 .So-✓ Name: 1D/G z y,,56 ✓ L�/f��. Phone: ftS
Address: & V (o G^J 4t1-1,1 7' 6 Zone:
Previous Business Address (if changing locations within the city limits): /�; ( 5!J 6-4 J`'
Do you own the home: ❑ Yes KNo` (If you do not own the home, the owner must sign this form consenting to your home occupation.)
This residence is: a Mobile Home ❑ Yes" (the park manager of the mobile home park must sign this form consenting to your home
allo occupation.)
a Condominium '53-Yes ❑ No in a Homeowner's Association ❑ Yes Pl�'No
Accurately describe your business: / /AE—mo& 6z S /
Will customers visit the home? ❑ Yes (See Requirement #2 below) 0 No
A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required.
Requirements for Approval
1. Home occupations shall not involve customer access or have
other characteristics which would reduce residents'
enjoyment of their neighborhoods. The peace and quiet of
residential areas shall be maintained.
2. There shall be no customers or clients except for
❑ Private instruction, such as education tutoring, music, or
art, on an individual basis, provided there are not more than
six (6) students in any one day.
❑ Physical therapists. including massage. or other
therapists, who shall have no more than one client on site at
any time and no more than six (6) clients in any one day.
❑ Attorneys, accountants, and other low -visitation
consultants.
Businesses with customer access shall maintain at least one
(1) on -site customer parking space in addition to their
required residential parking. Parking in a driveway that has a
minimum depth of 20 feet from the back of sidewalk and is
made available to customers during business hours of
operation shall meet the definition of a parking space.
3. Activities shall be conducted entirely within the dwelling unit
or an enclosed accessory building and shall not alter the
appearance of such structures. (Horticultural activities may
be conducted outdoors.)
4. There shall be no sales, rental, or display on the premises
(internet and phone sales okay).
5. There shall be no signs other than address and names of
residents.
6. There shall be no advertising of the home occupation by
street address except that street address may be included on
business cards and business correspondence originating
from the home.
APPLICANT: I understand that, if a permit is issued, I must
meet the requirements listed above. If the requirements are not
met, II':e permit A,ill be vok� anr: the home or'cup£tlon -nest
cease immediately.
, � � � , , "-7:::: --- � I g " �,Z_
p 'cant's Signature to
7 No vehicle larger than a van or three -quarter -ton truck may
be used in connection with a home occupation. A marked
commercial vehicle used in conjunction with the occupation
shall have no more than two (2) square feet of advertising.
Licensed vehicles and trailers used in connection with a
home occupation are limited to one (1) additional vehicle
and/or trailer.
8. The home occupation shall not encroach on any required
parking, yard, or open space area.
y. Parking for vehicles used in connection with the home
occupation shall be provided in addition to parking required
for the residence.
10. Activities conducted and equipment or materials used shall
not change the fire safety or occupancy classifications of the
premises, nor use utilities in amounts greater than normally
provided for residential use.
11. No use shall create or cause noise, dust, vibration, smell,
smoke, glare, or electrical interference, or other hazard or
nuisance.
12. No employees other than residents of the dwelling shall be
allowed to work on -site. (Babysitters or domestic servants are
not considered employees of a home occupation.)
13 Clients or customers shall not visit the home occupation
between the hours of 7:00 p.m. and 7 00 a.m.
14, If the home occupation is to be conducted from rental
property, the property owner's authorization for the proposed
use shall be obtained.
15. No delivery or commercial pick-up shall be by vehicles larger
than a typical delivery van (Fed Ex, UPS, etc.). Direct
customer pick up is prohibited.
PROPERTY OWNER': As owner of the property, I give the
applicant permission to conduct business there, subject to the
above conditions.
1
7 L�
PRINT owner's na
Ownerh Si ature
" A property manager of an apartment complex may sign in place of the
property owner.
Received by: ` Date: /-,U/ to 1 I
Permit Approved by: 1, 4 � � �bQ��EJul Date: _ k_�)" ( C� I Z
Comments:
White: Address File (after approved) Yellow Finance (after approved) Pink: Applicant (after approved) (Revised 06-22-16)
* . occ- 054,0 - 3v,� I
990 Palm Street BUSINESS LICENSE RENEWAL
San Luis Obispo, CA 93401
(805) 781-7134 1 ST NOTICE
bt@siocity.Org New License Period is: 07/01/2021 - 06/30/2022
BUSINESS LICENSE NO. 113482
Business Dickenson Electric SPhone No. (805) 709-4158
Name and
Location Fax No.
(, y 4 P 6 Q_vz_q l S L_ t"i . k- N -4--:1 t3
SA-1i S O CA 9 '5 t_I t) l
Mailing DICKENSON ELECTRIC
Address PO BOX 14021
SAN LUIS OBISPO, CA93406-4001
Email pjdtheshocker@gmail.com
Website
Description of Business Electrical Contractor For Residential And Small Commercial Upgrades
APN Federal ID No. - State ID No.
PAYMENY DUE
DATE
07/31/2021
EXPIRATION DATE 06/30/2021
Start Date
3/14/2016
Rate Type
GC
SIC Code
1731007
NAIC Code
238210
Ownership Sole Propnetorship
State License No. 1007745
License Type C-10
Expiration Date 9/30/2021
Resale No.
Owners, Partners, or Corporate Officers - Please provide complete and up-to-date information by making necessary corrections .
Name Paul J. Dickenson
Address 611 - ;=HfE 9R-
Title Owner
Phone #1 (805)709-4158
Phone #2
Are you a 5usiness that is regulated by the NPDES Storm Water Industrial General Permir7
If yes, please provide the SIC # and one of the following. WDID #, INDID Application #. NEC #, NONA#
• Renewal Instruction
1. Enter your Gross Receipts from 2020 in the box at the right.
If your gross receipts are zero, please provide an explanation as to why your
business earned no receipts.
2. If line 1 is $0 to $50.000 the tax due is $25.00.
If line 1 is over $50,000 compute the tax due by multiplying the amount of line t
by 0005,
3. Business License Fee is $58.42.
4. If paid after July 31 st, please add $15.00 per month or 1.5% of the outstanding
balance, whichever is greater.
5. The State CASp fee is $4.00.
6. Add boxes 2-5 at the right to compute the total tax and license due.
7. Please sign and return this form with your payment
PLEASE MAKE CHANGES TO YOUR ACCOUNT BY COMPLETING THE BACK OF
THIS FORM.
IF YOUR LOCATION HAS CHANGED WITHIN CITY LIMITS A ZONING CLEARANCE
IS REQUIRED AND AN ADDITIONAL FEE OF $111.86 WILL APPLY.
MISSING OR INCOMPLETE INFORMATION CAN DELAY THE APPROVAL OF
YOUR RENEWAL.
If business is no longer active in San Luis Obispo, please enter closing date
here and return to the address above. Date:
Date of Birth
Driver's Lic #
SSN # —ON FILE —
PLEASE COMPLETE THE FOLLOWING:
1. Actual Gross Receipts
2. Business Tax Amount
3. Business License
4. Penalty
5. State CASp Fee
6. TOTAL AMOUNT DUE
$ % L�
$ 58YY.422
$ 4.00
$ O� .
NOTICE Under federal and state law, Compliance with disability access
laws is a serious and significant responsibility that applies to all
California budding owners and tenants with buildings open to the public.
You may obtain information about your legal obligations and how to
comply with disability access laws at the following agencies The
Division of the State Architect at www dus ca.dovldsa - The Departme.it
of Rehabilitation at www dor ca dov - The California Commission on
Disability Access atwww ccdaca.Gov
NOW PAY ONLINE
Using your Account 113482 and
PIN# 153278.
Proceed to
httos://businessrenewal. slocity. ora
Follow the instructions provided to
renew.
I reviewed this renewal notice and the information is accurate to the best of my
knowledge. I understand the issuance of a business license and tax certificate does not PLEASE MAKE CHANGES TO YOUR
coni roof of compliance with other city, county, state, and federal regulations ACCOUNT BY COMPLETING THE BACK OF
THIS FORM. NOTE: MISSING OR
LZ
oL I INCOMPLETE INFORMATION CAN DELAY
Signature —of Owner or Representative Date
-- THE APPROVAL OF YOUR RENEWAL
• RENEW ONLINE OR RETURN COMPLETED RENEWAL NOTICE TO ABOVE ADDRESS WITH A CHECK PAYABLE TO CITY OF SAN LUIS OBISPO -
Printed 8/12/2021 9 36 am
online renewal pin #: 153278
0000(J Z
BILLING CONTACT
Paul Dickenson
Dickenson Electric
REFERENCE NUMBER FEE NAME
i
TRANSACTION PAYMENT AMOUNT PAID
TYPE METHOD
OCC-0560-2021
Home Occupancy Business -Renewal or New
Fee Payment
Check #1002
$36.32
Home Occupation Permit
Fee Payment
Check #1002
$177.34
IT Surcharge
Fee Payment
Check #1002
$5.41
SUB TOTAL
$219.07
TOTAL $219.07
August 23, 2021
J0000)
Page 1 of 1
C ITY O F
sAn tuf OBISPO
C A L I F 0 R N I A
Building & Safety Division - 919 Palm Street • San Luis Obispo, CA 934013218
Project Address: 646 Perkins Ln
Unit or Suite(s):
Project Description: RETROFIT 11 WINDOWS
Contractor: TRICAMO CONSTRUCTION
Business: (805) 534-4004
Owner: STANIEC JENNIFER AM REVOCABLE TRUST
BUILDING PERMIT
Alt/Addition - Single Family
BLDG-2"5-2018
Issuance Date: 10/31/2018
Assessor's Parcel Number: 004-581-019
Legal Description:
Fire Sprinklers: Not Provided Stories 1�. ,.0_ Code Year: 2016 Dwelling Units: Motel Rooms:
Census: 434 - Residential Alteration or Addition Construction Type: V-B
Occupancy: Residential, 1 and 2 family dwellings (R-3)
Dimensions Valuation
Category: SQFT: Group Type Sq. Ft Factor Valuation
Manual $10,000.00
Fees
Payments
Fee Name
Fee Amount
Date Receipt 0
Amount
IT Surcharge
$5•06
10/31/18 18,722-10-31-2018
$198.38
Green Building Fee
$1.00
Total Paid:
$198.38
Window Retrofits (non-structural) -BLDG $190.82
SMIP (Residential)
$1.50
Total Fees: $198.38
Plan Check Account Payment by Contact
Contact Name
Account Name
Status Total Credits Total Debits
Account Balance
Total Account Balance:
Balance Due: $0.00
Legal Declarations 0
#2 IDENTIFY WHO WILL PERFORM THE WORK
2a —CALIFORNIA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
commencing with Section 7000 of Division 3 of the Business and Professions Code, and my license is in full force and effect.
#3 IDENTIFY WORKERS' COMPENSTATION COVERAGE AND LENDING AGENCY
WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to
$100,000, in addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney's fees.
3a - WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
#4 DECLARATION BY CONSTRUCTION PERMIT APPLICANT
By my signature below, I certify each of the following:
I am a CA Licensed Contractor.
r
15ighAture of Co ractor, Authorized Agent or Owner
October 31, 2018
Date
C1 _,1 of sAn WIS OB14, . 0
home occup ati on p Eizm it
Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7170
Please print clearly or type. Return this completed form with your $ ��E' application fee. This form will be your permit when approved In
some cases, you may have t, ^ompiv with additional conditions. Also, be sure to get a business tax certificate.
NOTE: Private property regulations such as deed restrictions or Conditions, Covenants, and Restrictions (CCBR's) of homeowners' associations
may restrict or prohibit home occupations even if such use is allowed by City Regulatio s. Applicants are encouraged to determine compliance
with any applicable private regulations before applying for City approval
_ Business
Applicant: -�4 ' 1/ -�' / -y Name: Phone:
Address: �`�11'; I �Cr�lc rPL� Ll�':> f�i Zone:
(Previous Business Address:
Do you own the home: ❑ Yes b No' (If you do not own the home, the owner must sign this form consenting to your home occupation.)
This residence is: i ,, 9 Mobile Home ❑ Yes P No a Condominium ❑ Yet No in a Homeowner's Association O Yes M No
Accurately describe your business: + ' Id coo -I ji ly, � j — -
Will I customers visit the home? Yes No (See Requirement�2 below)
A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required.
Requirements for Approval
1. Home occupations shall not involve customer access or have
7. No vehicle larger than a van or three -quarter -ton truck may
other characteristics which would reduce residents'
be used in connection with a home occupation. A marked
enjoyment of their neighborhoods. The peace and quiet of
commercial vehicle used in conjunction with the occupation
residential areas shall be maintained.
shall have no more than two (2) square feet of advertising.
2. There shall be no customers or clients except for:
Licensed vehicles and trailers used in connection with a
❑ Private instruction, such as education tutoring, music, or
home occupation are limited to one (1) additional vehicle
art, on an individual basis, provided there are not more than
and/or trailer.
six (6) students in any one day.
8. The home occupation shall not encroach on any required
❑ Physical therapists, including massage, or other
parking, yard, or open space area.
therapists, who shall have no more than one client on site at
9. Parking for vehicles used in connection with the home
any time and no more than six (6) clients in any one day.
occupation shall be provided in addition to parking required
❑ Attorneys, accountants, and other low -visitation
for the residence.
consultants.
10. Activities conducted and equipment or materials used shall
Businesses with customer access shall maintain at least one
not change the fire safety or occupancy classifications of the
(1) on -site customer parking space in addition to their
premises, nor use utilities in amounts greater than normally
required residential parking. Parking in a driveway that has a
provided for residential use.
minimum depth of 20 feet from the back of sidewalk and is
11. No use shall create or cause noise, dust, vibration, smell,
made available to customers during business hours of
smoke, glare, or electrical interference, or other hazard or
operation shall meet the definition of a parking space.
nuisance.
3. Activities shall be conducted entirely within the dwelling unit
12. No employees other than residents of the dwelling shall be
or an enclosed accessory building and shall not alter the
allowed to work on -site. (Babysitters or domestic servants are
appearance of such structures. (Horticultural activities may
not considered employees of a home occupation.)
be conducted outdoors.)
13. Clients or customers shall not visit the home occupation
4. There shall be no sales, rental, or display on the premises
between the hours of 7:00 p.m. and 7:00 a.m.
(intemet and phone sales okay).
14. If the home occupation is to be conducted from rental
5. There shall be no signs other than address and names of
property, the property owner's authorization for the proposed
residents.
use shall be obtained.
6. There shall be no advertising of the home occupation by
15. No delivery or commercial pick-up shall be by vehicles larger
street address except that street address may be included on
than a typical delivery van (Fed Ex, UPS, etc.). Direct
business cards and business correspondence originating
customer pick up is prohibited.
from the home.
PROPERTY OWNER': As owner of the property, I give the
APPLICANT: I understand that, if a permit is issued, I must
applicant permission to conduct business there, subject to the
meet the requirements listed above. If the requirements are not
above conditions.( -
met, the permit will be void and the home occupation must
cease immediately.
PRINT owne 's ame ,
Applicant's lignature Date
" A property manager of an apartment complex or the park manager
of a mobile home park may sign in place of the property owner.
Received by:
Date: - l
Permit Approved by:
/&
Date:
Comments:
White: Address File (after approved) Yellow Applicant (after approved) Pink. Finance (after approved) (Revised 06-15-09)
660i 'n
city of For Office Use Only -----
A" san lUIs OBISPO DATE/AMOUNT:
CLASS/GROUP/CAT:
BUSINESS NO:
BUSINESS LICENSE & TAX CERTIFICATE APPLICATION
990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 - (805) 781-7134
Application for. ew Basin s ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership
j,
Business Name �- // '� t Phone
9Gh- 30:5 3 /S
Email , -, c ) �w,I' J►t Website fJ
Ownership Status: loubl c ❑ Private
/
Ownership Type: ❑ Corporation ❑ PartnershipSole Proprietor ❑ Employee Owned ❑ Trust ❑ Other
Business Location A Suit No. City : e i .. )State ,/ +'•'- Zip
PO Box addresses cannot be accepted as bushmis focitions - if your business is located in San Luis Obispo, please complete the last page of this application.
Location Type: ❑ Commercial Home Occupation ❑ Industrial Residential
A -
Mailing Address Suite No. L_�' City : PIl_. 15AXiai State! r4 Zip! _
Owner/Contact NameFIRI J![
illState Sales Tax No.
State Franchise No. Business Open Date
NAICS Coding: Please check the category(ies) that best describe your business activity.
❑ Retail Trade (44-45)
❑ Accommodation or Food Services
(72)
❑ Professional, Scientific or Technical
Services (54)
❑ Management of Companies &
Enterprises (55)
❑ Health Care or Social Assistance (62)
❑ Construction (23)
❑ Manufacturing (31-33)
❑ Wholesale Trade (42)
❑ Transport or Warehouse (4849)
❑ Information (51)
❑ Finance or Insurance (52)
❑ Real Estate, Rental or Leasing (53)
❑ Educational Services (61)
❑ Arts, Entertainment or Recreation
(71)
provide a detailed description of the nature of your business, including
�. jl A / n L,....v ..wil .1 I,,,I/ IY'f'L'ia / -iK'/lUJfiJ, '/_
❑ Administrative, Support, Waste
Management or Remediation
Services (56)
❑ Agriculture (11)
❑ Utilities (22)
❑ Other Services (except Public
Administration) (81)
o Public Administration (92)
4 Other
or services offered. - f
9
r' ,-YA.,.1 .G♦ I('.- i .t I-, �.1 fir/! I �i a ff' ��Jf�GS �� _ YYI " f/ ' fflLkL I'Y/I n t tr<
Are you selling or offering the following services or products?: �1 O DATE 04/19/2012 iR
❑ Tobacco ❑ Massage Therapy ❑ Filming Sales on Streets & Sidewalks $131.00
rts.00
Are you doing business from your home? b�Yes ❑ No NECKS PATV 1156.00
i TOTAL SN.
Applicant / Representative: I reviewed this application and the information, 14 accurate to the b my knowledge. I undjet� iii
the issuance of a business license & tax certificate does not constitute proof of compliance with u"city, county, state, and federal
regulations. 1 _ Nt,,065TlREC 1 1, ��� THE
Signed v �' 1 Title "11fl, Date J
ORIGINAL -Finance WHITE - Planning CANARY -Utilities PINK - Customer
000006
a b r san tuts om s i
�II �
At home occupation p eizmit
p
Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-717C
Please print dearly or type. Retum this completed form with your $ application fee. This form will be your permit when approved. In
some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate.
NOTE: Private property regulations such as deed restrictions or Conditions Covenants and Restrictions (CC&R's) of homeowners' associations
may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance
with any applicable private regulations before applying for City approval Ci 1J_0 _ 1 3 JCZ
lcx �Nf a Very, ✓�' - Business /r'am--
Address: /f ,�J L
Do you �ho�:" D Y o (If you _ o n
This residence is: a Mobile Home ❑ yes 0 no
r e e, the owner must sign this form consenting to your home occupation.)
a Condominium ❑ yes ❑ no in a Homeowners Association ❑ yes ❑ no
Accurately describe
your home business:, % -C
Will customers visit the home? D yes ry w (See Requirement #2 below)
A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required.
Requirements for Approval
1. Home occupations shall not involve customer access or have 7. No vehicle larger than a van or three -quarter -ton truck may
other characteristics which would reduce residents' be used in connection with a home occupation. A marked
enjoyment of their neighborhoods. The peace and quiet of commercial vehicle used in conjunction with the occupation
residential areas shall be maintained. shall have no more than two (2) square feet of advertising.
2. There shall be no customers or clients except for. Licensed vehicles and trailers used in connection with a
❑ Private instruction, such as education tutoring, music, or home occupation are limited to one (1) additional vehicle art, on an Individual basis, provided there are not more than and/or trailer.
six (6) students in any one day. S. The home occupation shall not encroach on any required
❑ Physical therapists, including massage, or other parking, yard, or open space area.
therapists, who shall have no more than one client on site at 9. Parking for vehicles used in connection with the home
any time and no more than six (6) clients in any one day. occupation shall be provided in addition to parking required
❑ Aftomeys, accountants and other low visitation for the residence.
consultants.
Businesses with customer access shall maintain at least one
(1) on -site customer parking space in addition to their
required residential parking. Parking in a driveway that has a
minimum depth of 20 feet from the back of sidewalk and is
made available to customers during business hours of
operation shall meet the definition of a parking space.
3. Activities shall be conducted entirely within the dwelling unit
or an enclosed accessory building, and shall not alter the
appearance of such structures. (Horticultural activities may
be conducted outdoors.)
4. There shall be no sales, rental or display on the premises
(intemet and phone sales okay).
5. There shall be no signs other than address and names of
residents.
6. There shall be no advertising of the home occupation by
street address except that street address may be included on
business cards and business correspondence originating
from the home.
APPLICANT: I understand that, if a permit is issued. I must
meet the requirements listed above. If the requirements are not
met, the permit will be void and the home occupation must
cease immediatel
10. Activities conducted and equipment or materials used shall
not change the fire safety or occupancy classifications of the
premises, nor use utilities in amounts greater than normally
provided for residential use.
11. No use shall create or cause noise, dust, vibration, smell,
smoke, glare, or electrical interference, or other hazard or
nuisance.
12. No employees other than residents of the dwelling shall be
allowed to work on -site. (Babysitters or domestic servants are
not considered employees of a home occupation.)
13. Clients or customer; shall not visit the home occupation
between the hours of 7:00 p.m. and 7:00 a.m.
14. If the home occupation is to be conducted from rental
property, the property owner's authorization for the proposed
use shall be obtained.
15. No delivery or commercial pick-up shall be by vehicles larger
than a typical delivery van (Fed Ex, UPS, etc.). Direct
customer pick-up is prohibited.
OWNER': As owner of the property, I give the applicant
permission to conduct business there, subject to the above
conditions.
PRINT owner's name
�� ✓ �� �� Owner's Signature
Applicant's signature Date
A property manager of an apartment complex or the park manager of
a mobile home park may sign in place of the property owner.
Received by Date C) — C'
Permit Approved by / Date
Comments: YL Si"c_c t� j U-- U/ — UCH
White: Address File (after approved) Yellow. Applicant (after approved) Pink: Finance (after approved) (Revised 2-1-07)
{. city of
gjgh;bSA*ntUIS OBI Sp0
For Office Use Only -----
DATE/AMOUNT:
CLASS/GROUP/CAT:
1111.y1i1�Ycg.La�
BUSINESS LICENSE & TAX CERTIFICATE APPLICATION
990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 — (805) 781-7134
Application for: aNew Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership
0. m o- one a Sp 5� s ,tom
Business Name 1 l� 11'Y� (r>e �� `,'� h7 ` Z- (C `. Phone J4�0
Legal Status of Business: FC}rpraton ❑ Panip ❑ Sole Proprietor
Business Location 7b �Zr"C� "''L. Z�- iteNo��_CityJ State 'Zi�
PO Box addresses cannot be accepted as business locations- If your business is located in San Luis Obispo, please complete the last page of this application. j
Mailing Addressl S-=+iZ (o )', s)1'_\1 Suite No. +- City . --L� ��C— State L,�2L Zilf. I
Owner/Contact Name�-
State Sales Tax No.
State Franchise No. Z`1 �S �n 1 toBusiness Open Date `t 1
Type of Business: 1
❑ Retail ❑ Professional ❑ Service ❑ Contractor (State Licensed) Lie. No.
\,,)�Manufacturing/Processing/Wholesale ❑ Recreation/Education/Public Assembly ❑ Agriculture
❑ Transportation/Communication ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential)
❑ Other
01 09/30/,.OW 16:5i 039T83 PLU
Describe your business. Include the types of goods or services offered. RUSTNErS TAX 175.00
IAURLE
Are you selling or offering the following services or products":
❑ Tobacco ❑ Massage Therapy ❑ Filming ❑ Sales on Streets & Sidewalks ❑ Soliciting
Are you doing business from your home." 0 Yes ❑ No
Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. 1 understand
the issuance of a business license & tax certificate does not constitute proof of compliance with other city, county, state, and federal
regulatiotp%—'
Signed Title K �� Date
® Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer Cj f -16 202OL6313
I ULi
city of szn us oeispo
--=��N HOME OCCUPATION PERMIT
Community Development Department - 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171
Please print clearty or type only in the unshaded areas. Return this completed form with your $ application fee. This form will be your
permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate.
NOTE: Private property regulations such as deed restrictions or Conditions, Covenants and Restrictions (CCSRs) of homeowners associations
may restrict or prohibit home occupations even if such use is allowed by City regulations. Applicants are encouraged to determine compliance
with any applicable private regulations before applying for City approval.
H ^' ES +•� , h r S U �/ Business,- 6 A To F I `A r 8` �hr ggo -�4
A*(cant Name TALENT c; O, t llor� S 4 7- (/O S
Address 4'% P� R K /^�S /y, - B , S "� '�'� U Q/S PU CA
Zone
Do you own the home? ❑ Yes �No. Of you do not own the home, the owner must sign this forth consenting to your home occupation.)
Accumteydescnbe T IISQ Tkf We-%IE TO riAve- A FOR .- y Avt,�--s,s PHv•if� PiaPZtt
your home occupabw* G A & - rn E r0 D O A r rH E1' A /v0 0 %/ E
C-a -,% E S ; o M y if 0 J+ 5, r A J-SO HAVE ^% Y C, o r ru —
'A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. PA"`r""V
REQUIREMENTS FOR APPROVAL
1. Home occupations shall not Involve frequent customer
access or have other characteristics which would reduce
resldents' enjoyment of their neighborhoods. The peace and
quiet of residential areas shall be maintained.
2. Activities shall be conducted entirely within the dwelling unit
or an enclosed accessory building, and shall not alter the
appearance of such structures. (Horticultural activities may
be conducted outdoors.)
3. There shall be no sales, rental or display on the premises.
4. There shall be no signs other than address and names of
residents.
5. There shall be no advertising the home occupation by street
address except that street address may be Included on
business cards and business correspondence originating
from the home.
6. No vehicle larger than a 3/4-ton truck may be used In
connection with a home occupation.
7. The home occupation shall not encroach on any required
parking, yard or open space area.
�• Parking for veliiciw used In coniii6ction with iiie norr'ie
occupation shall be provided In addition to parldng required
for the residence.
9. Activities conducted and equipment or materials used shall
not change the fire safety or occupancy classifications of
the premises, nor use utilities In amounts greater than
normally provided for residential use.
10- No use shall create or cause nolse, dust, vibration, smell,
smoke, glare, or electrical Interference, or other hazard or
nuisance.
11, No employees other than residents of the dwelling shall be
allowed. (Babysltters or domestic servants are not
considered employees of a home occupation.)
12. Clients or customers shall not visit the home occupation
between the hours of 10:00 p.m, and 7:00 a.m.
13.If the home occupation Is to be conducted In rental
property, the property owner's authorization for the proposed
use shall be obtained.
APPLICANT: I understand that, if a permit is issued, I must meet
the requirements listed above. If the requirements are not met,
the permit will be void and the home occupation must cease
immediately.
R--�- ¢l 1 &/99
Applicant's Signature Date —
OWNER': As owner of the property, I give the applicant
permission to conduct business there, subject to these
conditions.
ne g N8MG (print)/
�e a igna ure ate
'The property manager of an apartment complex or the park
manager of a mobile home park may sign in place of the owner.
/99
WHITE - FILE YELLOW - APPLICANT PINK - FINANCE 15-95
,.I
III 1: ',IOJ
BUSINESS NO.
mrniiiulllllll�u�fll'! city of san lots oRispo ":;,"�o"°;<.,
---------------- --------------------- I BUSINESS TAX CERTIFICATE APPLICATION
Finance Department • (805) 781-7134 • 990 Palm Street / P.O. Box 8112 • San Luis Obispo, Ca 93406-8112
Application for: -i New Business -i Change Business Name XChAte of Location J Change of Ownership Change of Mailing Address
Confirm with Community Development that the business is consistent with city regulations prior to establishing your business location.
Community Development Department - (805) 781-7170 • 990 Palm Street - San Luis Obispo, CA 93401 • lower Level City Hall
Business Name P, - -Irfi L- F— T G4, I Business Phone S 4 -7- 1?0
Doing Business As (DBA) OR In Care of
Legal Status (Corporation, Partnership, Sole Proprietor) Sa L E f Iq C)
� D
Business Location +6 r E/� i-/--S 4 "-� -1t H Suite No. City _S L O State G r-1 Zip 9, 3,9,e /
Mailing Location 64 6; 10ER K At —R Suite No. City S State G A Zip 9 340 /
Owner Name S P4 ^ 1 f S r-✓. w S a,-V Social Security No._
State Franchise No
State License No. (if applicable)
Federal ID No.
State Sales Tax
31,a3S-
Business Open Date Lj 90 Gross Receip is
List names, home addresses and SOCIAL SECURITY NUMBERS of all principles in the business (use additional pages if necessary) 5----
j,01-- F S c,i� 1. / C sot,, . %4 C, rL' R K/—S -Sep , r A 1? 3401/
Type of Business: ❑ Retail J Wholesale J Professional Service J Contractor (State Licensed) J Manufacturing
U Property Rental (Residential) -j Property Rental (Non -Residential)
Does your business have non-profit status? J Yes /,,(No If yes, will you be doing solicitations? J Yes J No
If yes, the solicitations will be performed by: -i Owner -i Employee J Volunteer J Hawker -i Permit # (Issued by Police Dept.)
Fully describe your business (Include type of goods or services offered, hours, etc.):
y FNT EIPTA JU(s(JLi.v41 13A4-L049n/ C-RE,47to, 'S 1�4CF 4A1.1 ri,,
Please check one: >(Ground Floor J Upper Floor J Number of Employees: full-time part-time
Approximate floor area occupied by the business: ';� 70 square feet. Area devoted to outdoor sales or storage: square feet.
Are you sharing with another business— I[Q If yes, with
Name and address of Landlord as stated on Lease C F, i vO Y Z) T IFA — R E A c 1 Y - / 3, b e-+ 4 qo N �v.4 ,P j)co c. /4
If this application is for change o locatio name, ailing add s or ownership, complete the following: Q 3� 4-
Previous Name or Owner
Previou ovation/Mailin l 3 7 >^. A_ c k !FR S T S L O, 9 3/
Applicant/Representative: I have reviewed this application and the attached material. The information is accurate to the best of my knowledge.
I understand the issuance of a business tax certificate does not constitute proof of compliance with other city, county, state and federal
regulations, including but not limited to zoning, building code or other land use regulations (SLOMC 3.01.102).
Signed �'�/ � Title n r...Date
® Printed on recycled paper.^ r
ORIGINAL - Finarwe WHITE -Planning 'CANARY - Utilities PINK -Customer 'v V �_ ` -;- J 202016313
OFFICE USE ONLY
ZONING INFORMATION
What zone is this business in?
Is the business allowed in this zone? 0 Yes, permit not required.
J Yes, with a permit.
J No,
Zoning Regulations Classification _
REQUIRED PARKING
City parking requirements are based on the floor area of your business. Check the City's Zoning Regulations and the Parking and Driveway
Standards to determine the number, size and type of spaces required.
Total number of off-street parking spaces provided exclusively for the business:
Total number of off-street parking spaces required by the City:
HOME OCCUPATION PERMITS
A Home Occupation Permit is required if the home is in a residential zone and is the base of operations for a business - serving as a mailing
address. office, shop, or related use - even if work is performed in other locations. The property owner or manager must sign the permit
application, consenting to the home occupation.
Is this a home occupation? J No4iten
s
If Yes, has a home occupation per applied for? J No J Yes Date Applied
SIGN PERMITS
A sign permit may be required (Signs for home occupations are not allowed). Refer to City's Sign Regulations.
Is a Sign permit Required? J No J Yes
If Yes, has a sign permit been granted? J No J Yes Application Number _
Received By Date
Approved By _ _ Date
Notes to file
CITY OF SAN LUIS OBISPO Business License ❑
PLUMBING PERMIT Street`, e`d 0
This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will he 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. phis permit does not include permission to make any structural alterations or install electrical, sewage or
sidewalk facilities
N° 3973
o�
FEE $ -'
1f r
Fixtures
Gas Appliances
Items
Fees
r . i 1 ..
I
DATE - -31 /- ------------------
--
-
-_____Bathtubs Grease Trap
_Water Heater
__I__Permit
$_____ 2.00
I
Owner
------ Showers; _ __--_Drink Ftn.
Fixtures
___ _ __Lavatories _ _ Slop Sink
Space Heater
_Sewer Conn.
5 d D
Location
------Water Closets --- ___Other______
Furnace
------ Gas Heating
-------------✓ -----
-- --Kitchen Sink ------Other -
Water Heater
Occupancy Jam---- 1� ---
______Floor Drain _ __ ___Other _
-_Laundry Tray -Other ------
-- -Wall Heater
______Gas Dryer
Gas Outlet
----Water Piping
Contractor __ ____ t�
_ _-_Urinal - _ _ _ _ ___--_
_ _Drainage Pipe
_Water Softener _ _ _ _ _ _ _ _ _
Register
_ . - _ _ _Lawn Sprinkler
--
Address - ----------------------
_ _ Clothes Washer ---------
______Flues
_ __ _ _ _ Fire Sprinkler
P
---- -----
Special Requirements -----------------------
-Dish Washer
TOTAL -
_ _ Disposal
-------- .__--____--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:
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
Law: Section _-_________________------
_ /,on-.1--t-spector of Buildings.
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. 0 0 0 0 1 1
❑ I certify that in the performance of the work for which this permit is issued,
I shall not employ any person jja any manner so as to become subject to the
workmen's compensation of California. I understand that failure to
comply with applic• wo men's compensation laws shall cause revocation
of the permit.
A cant_-- _ _-
ti lP
�4 APPLICATION FOR STRUCTURE PERMIT
IS HEREBY MADE TO THE CITY OF SAN LUIS OBISPO
THIS APPLICATION IS FOR ALL WORK WITHIN THE STRUCTURE OR ASSOCIATED THEREWITH
OWNER: s FNTi4/n1N WELLS AD RESS 63[6 PERKINS J_E
PHONE: AG%/o4. / A A U rADj-A DA
DESIGNER
$ 4 M e
BUILDER
M Q
HONE:
P h N
G V_ F LPFI W t ,L L S
DESCRIPTION
No.
Street Lof
Block
Tract No.
Lot Size
ERK
NS
tU I
Used As Units
Set Back
Side Lines
r Line Nearest 81d
:to
S '
,22
�JJE'
1 DUPL1-=(
Z.
CON6T. LENDER: C) W E r,,.
DatesP 5 RECEIVED Permit No. 6 T91
D —6
No. Plans Rec'd ' J Issued:6!2-y 76
TYPE OF FRAME
STATE LICENSE [IMETAL ❑ TIMBER X WOOD STUD
Assr's. No. ZONES
Use I Fire
Group I e L
REQUIREMENTS FOR ISSUE
GRADING PERMIT
CURB, GUTTER and SIDEWALK PM'T.
FIRE HYDRANTS FOR CONST.
WATER FEES PAID
SEWER FEES PAID
CITY BUSINESS LICENSE
STATE CONTRACTOR'S LICENSE
ADDRESS:
UST ITEMS PERTAINING TO THIS APPLICATION AREA COST
!/ USE Width Length Height Stories Sq. Ft. Sq. Ft.
I/ MAIN BUILDING DZ x , x, 2
ACCESSORY BLDG.
OTHER STRUCTURES
ADDITION
ALTERATION
REPAIRS
MCIV I NG
TOTAL NUMBER OF GEDROOMS ITOTAL NUMBER OF PARKING SPACES:
1 have carefully examined the above completed application and I certify the some is true and correct.
All City or nc s and State laws governing building construction will be complied with.
7
SIGN H Owner) By _ (Authorized Agent
Date —__ — _ _- _ ___ __ PhonAddressed v/Z Phone
Cam- Oi.ETil, r,# q 3 0/ 7
FOUNDATION
❑ CONT. CONC. SLAB
EXTERIOR WALL
❑ BRICK
❑ CONCRETE BLOCK
❑ CONCRETE TILT -UP
❑ BRICK VEN. ❑ STONE VEN
❑ COMP. BUILT-UP
❑ COMP. SHGLS.
ROOF COVERING
❑ METAL
❑ TILE
❑ PIERS
❑ METAL
❑ STUCCO
'q WOOD SIDING
[, WOOD TRIM
'X WOOD SHGLS
❑ WOOD SHAKE
HEATING
❑ ELECTRIC GAS FURN. ❑ GAS WALL
VALUATION and FEES
E... 4.&�._06> .............. VALUATION OF WORK
STRUCTURE PEMIT FEE ................................ $..I.!-'- -- Oc>
ELECTRICAL PERMIT FEE .................... _.......... $ ........................
MECHANICAL PERMIT FEE ...................... ...._ $ ............
PLUMBING PERMIT FEE ...... ...... E............. .
PLAN CHECK FEE ....... .= ..... /... p1,.. 5.....Z:S.
GRADING PERMIT FEE ....... •....................... $ ........................
RETAINI.R WALL FEE .................................. $ ........................
OTHER T' AX. TAX ............................ $ 300. 00
TOTAL FEE ............................................ $
APPROVED
f \10T61 \'
WM MR.
0000l.
I with
ELECTRICAL
MECHANICAL
Items Fees
New Residence ( Apt's.)
Items
Furnace - 100 MBTU or less
square feet
$
Furnace - Over 100 MBTU
Circuits and Feeders
Heater: Suspended
Service ( Amps !
Heater: Floor
Lighting Standards
Heater: Wall
Range and Oven
Boiler - 100 MBTU or Less
Dryer
Boiler - 101 to 500 MBTU
Water Heater
Boiler - 501 to 1,000 MBTU
Transformers
Boiler - 1,000 to 1,750 MBTU
Welders
Boiler - Over 1,750 MBTU
Space Heat
Comp. - 3 H.P. or Less
Temporary Service Pole
_
Comp. - 4 H.P. to 16 H.P.
X-Ray Unit
Comp. - 16 H.P. to 31 H.P.
Range - Commercial
Comp . 31 H.P. to 51 H.P.
_
Oven - Commercial
Comp. - 51 H.P. and Over
Alteration ( )
Air Handling Unit:-10,000 CFM
Lighting Outlets
Air Handling Unit: +10,000 CFM
Recept. Outlets
Evaporative Cooler
Switchboards - Main
Vent System: Single Duct
Ponelboards - Branch Circuit
Vent System- Multi Ducts
Elevator
Grease Hood
Air Conditioner - Package
Paint Spray Booth
TOTAL MOTOR FEES
TOTAL FEE $
Service Size
CONDUIT
SWITCH
CONDUCTOR
Motors
NO. H. P. I FEE
PLUMBING
Fees Items
Bathtubs
Showers
Bidet - -
Lavatories
Water Closets
Kitchen Sink = sidential
Floor n 'n 1-' a ,
Laundryfrr&l
Urinal
_ Water Softener
Clothes Washer - Residential
Dish Washer - Residential
Disposal - Commercial
Water Heater
Gas Outlet
Water Piping
Drainage Pipe
Fire Sprinkler (Heads)
Grease Trap
Drink Ftn.
Slop Sink _
Sewer Conn.
Sink - Bar
Sink - Commercial Kit
Sink - Other
Dishwasher - Commercial
Clothes Washer - Commercial
Gas Dryer - Commercial
Backflow Preventer - Res.
Backflow Preventer - Comm.
Well - Shallow - 25 ft. or less
Well -Deep - Over 2 5 ft.
Kettle - Commercial - Steam
Vent - Comb. Prod.
Gas Piping
Pvt. Sewage Disposal System
Fees
TOTAL FEE
TOTAL FEE
November 1, 1976
Mr. Benjamin Wells''
334 Carlo Drive
Goleta, CA 93017
Re: New Duplex, 646 Perkins Lane, San Luis Obispo
Dear Mr. Wells: A.
This is to reaffirm our various discussions regarding your
property located at 646 Perkins Lane in this city.
r As I pointed out to you on July 15 while inspecting your
T-pole installation, the structure (garage) encroaching on
your property will have to be relocated to provide proper
building separation prior to completion of your new building.'
As I indicated again on October 29, 1976, this must be accom-
plished prior to occupancy of your duplex.
- - Sincerely,
Walter DeBord6w
iuilding Inspector
WD:ve
cc: Job Site
JVN-24-LS 4z99Z8
r ._-. L L E
CITY OF SAN LUIS OBISPO Business License ❑
ELECTRICAL PERMIT 6912M6 4Z9930
t 'N h--5 44i99z8
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 make any structural alterations or install plumbing, sewage or
sidewalk facilities.
Items
_0�- New single-I'Mmily resid rice with-<1_1_SQ__ square feet.
Circuits & Feeders
Switches
Lighting outlets
_ _ - - _-Recept. outlets
Fixtures
------ Range & Oven
------ Dryer
------ Water Heater
Transformers
Signs
_ _ _-_ _Other
Space Heater
Temporary Service Pole
Service Size
CONDUIT SWITCH CONDUCTOR
Motors
No. H. P. FEE
------------------------- -------------- ------------City Clerk.
]__Permit _----_-
�_ New Dwell. -. _
Circuits ______
______Outlets ______
__Fixtures ---___
-2--Service ______
_---_-Appliances
-_____Transformer
-------Motors -------
------ Alteration ____
U — EN2 4 1 (7-4
D --- ELE
FEE $3 Q _-_ so
-
Fees DAT
$ -_ nn_
----_�.00 S�X.XJy
OwntIa
h_-------
Addr:
----�- D_Q Contractor __-- - ----------------
------- ----
------------ Address -- _ _ _
TOTAL - - - $J0_;
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 ------------------------------------- License No ---------------
2.m 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-----------------------------------------------------------
Type Bldg_ Fire Zone --- Z---_
Special Requirements _______________________
------------------------------------------
- 'Z/-(L___ Inspector of Buildings.
INSUNANCE 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. VI
OOa'�he permit sought is for one hundred dollars or less.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 wo • en's compensation laws shall cause revocatign
of the permit. 4Ae
Applicant _ _-- -42-o e --- -__ -
CITY OF SAN LUIS OBISPO B�tsirte it f,[ ns� P9 9 2 7
PLUMBING PERMIT Street File
❑
Street File D
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 make any structural alterations or install electrical, sewage or
sidewalk facilities.
N° 3828
Fixtures
Gas Appliances
Items
Fees
DATE __ __
2 (�
__ i !-�o-
-�-
-Bathtubs
_ - - -
--Grease Trap
-:?"'-Water Heater
1 _
. Permit
$_ 2.00
Owner
______Showers
------
Drink Ftn.
1_0-Fixtures
_��/_o-'�
_
___Lavatories
_ ___S1opSink
-- S -pace Heater
I
___(__Sewer
Conn.
Location
_-Water
Closets ------
Other-
Furnace
------Gas
Heating
_ _ _ _ _ _
_____`�'____
_ -Z'_ _
Kitchen Sink _ _ _ _
_ _Other
_ - Z
-Water Heater
Occupancy _
- ------------
------
Floor Drain
_Other-- ----
-- -Wall Heater
__
Outlet
-----------
- - - _ _ _
Laundry Tray
--Other--
_ -Gas Dryer
--]--Water
Piping
_ _ J !_ SM
Contractor - - _
----------
------
Urinal
__
_--_-_Drainage
Pipe
--__Water
-Water Softener
_ ----- -
--- --Register
- 4--Lawn
Sprinkler
� �_
Address
.__ ------
Clothes Washer
-- --
Flues
------Fire
Sprinkler
-----------
Special Requirements ____________________
Dish Washer
------------
TOTAL
$_�_s�d
__Disposal
-- -.---
----------------------------- -- - ------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:
Classification . ____-__ -___ License No. ______________
2 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----------------------------------
Inspector of Buildings.
INSUIMNCE COVERAGE —Check appropriate box (one must be checked, See.
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.
8'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 en's compensation laws shall cause revocation
of the permit.
Applicant---
CITY OF SAN LUIS OBISPO Business License ❑
Permit Card ❑
Heating and Cooling Permit Street File ❑
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 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.
Dumber
S C H E D U L E
Permit .....
---------------------------------------•------------------•---------- ------
2-.... Furnace .- ..�<.. BTU. F.A - Gravity - Floor .....................__ ......
............ Heater: Suspended - Wall - Floor ............................................... . ......
....... .. Combustion Products Vent ...................................................... .... ......
...... ... Repair, Alreration or Addition .............................................
............ Boiler. Comp. or Absorb. Unit: ............ H.P. ------------ BTU's.
......... Air Handling Unit:. ---------- CFM .........................................
.. ......... Evaporative Cooler -- ----------------------------................... ---.......
............ Incinerator, Commercial -------------•--------- ................. -----------
--- _`` Vent System: Single Duct - Multi. Ducts - Grease Hood -------
_.(D.... Gas Piping Ca $.30 per outlet. Minimum $1.50 _.. .
............ Other ---- --
-
---------- ----------City Clerk.
Each 11 � L tl�ee3 I
........... $_._a-._.�-
.--- ---... $. 0- 0
--........................... ......................
TOTAL $ .R-.S..a---
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 ------------------------------------ License No._----------_
2. rbuilding
exempt from these provisions by reason of the following:
am the owner of the property described in this permit application and I am
or improving structures thereon for my own occupancy and not to be
offered for sale.
-•-
N° 1164
FEE $ ---- { I x ...............
Date ................... .1.__.__..l...l.--- _l.-l-z__--_
Owne ....
Location�._yL....�0�!119-
Occupancy ---------------
Contractor
Address
Special Requirements ............................
Inspector of Buildings.
INSUANCE 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.
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 la f California. I understand that failure to
comply with applicable r me 's compensation laws shall cause revocation
of the permit. ^ .
AYYI -'� -- -----------
f rnr%gI tJ
- tJ J.
CITY OF SAN LUIS OBISPO JWtn& AoenJii 7ES ? 2 5
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 PARK:
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 --- --DUPLEX--------------
Estimated value ------ 451-500---------- Units_-__ 2
NewX1 Addition ❑ Alteration ❑ Repairs ❑ Move ❑ Demolish ❑
Width_32' --- Length_- 34'_- Height---16'- Stories-_2---
Foundation s lab Exterior walfrood sid. Roofwood _shgl
How heated gas furn. Type V ---------- Gtoup--- I __
Garage ❑ Carport ❑ _ - . _ _ - X _ _ _ _ _ Attached ❑ Detached ❑
LOCATION INFOR4, Ib J
No. __ 646---- Street__- Perkins -Lane
Lot- Pt._ 1 Block ----- Subdivision_ Yoakum
Parcel No. -----4-581-04 ---------------------------
Use zone R_ 2 Fire zone_3-_. Lot size46 ' -X_ 130'
Front yd.- _ 20' -- Side yds. -- - - '_,_ _ _ / _ _ ------
• Rear yd. 14' to 22 Nearest bldg.- ___-____-
---- - -- - - - --------------------- --City Clerk.
,-,N2 r,05688
JuA�f� 24, 1976
--
Date-----------------------
Permit Fee $--175.00 --
Plan Check Fee $---
_-_______
Other Fees $-- 300.00 --
TOTAL $__475.00 -
Owner -_ Ben jamin-Wells
334 Carlo Dr.
Address ----------
Arch. or Eng.-----------------------------
Address ----------------------------------
Builder ------- Owner
Address ---------------------------------
Special requirements ----------------------------------
Landes- Kos------------------------------------
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 ------------------------------ License No.____-___-_____
2. I am exempt from these provisions by reason of the following:
YY 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----------------------------------------------------------
_ - _ _ _ _ _ I nspector of Buildings.
INS ANCE 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 of California. I understand that failure to
comply with applicabl ork en's compensation laws shall cause revocation
of the permit.
Appli ----- -- -� 1��`�Y_----- --
rr��
Architectural Review Commission Page 5.
Meeting of May 10, 1976
Item No. 8. 646 Perkins Lane, Duplex, R-2 Zone, ARC 76-21, Preliminary
pprova
Modifications have been made to the previous plan per staff and Commission
recommendations. Staff recommends preliminary approval.
Mr. Benjamin Wells, owner, stated he agreed to the changes.
Commr. Winslow suggested a change to the trellis to fill in the gap between
the two buildings. Commr. Marshall showed staff how this could be accom-
plished.
Mr. Ecklund recommended installing a 6' high fence for screening in the parking
lot area adjacent to the street yard setback.
Mr. Bell was in agreement.
On motion of Commr. Field, seconded by Commr. Tjaden, Resolution No. 55-76
was adopted, granting preliminary approval, subject to addition of six foot
fence and trellis change.
Voting: Aye: Commis. Field, Tjaden, Marshall, Winslow, Maddalena, Kahn.
Noe: None
Absent: Comr. Kimball.
Item No. 7. 646 rkins Lane, Duplex, R-2 Zone, 76-21, Schematic Approval.
The staff has reviewed the proposal and is suggesting modification of the
plan. In addition to the revision to the site layout and landscape re-
visions, staff suggests that the roofing material be wood shingles rather
than asphalt as proposed. A 15' street dedication will be necessary.
Mr. Bartholomay presented staff suggestions regarding landscaping; placement
of birch trees and type of ground cover that can be walked on.
Mr. Ben Wells, owner, agreed to planting changes indicated and use of wood
shingles.
Mr. Ecklund recommended use of bronze anodized window frames.
Commr. Marshall felt these units should he upgraded as the1, will eventually
become rentals and should have some appeal. J
Mr. Wells stated the duplex would be for the use of his two sons while they
GO00`u
Architectural Review mission
Meeting of April 26, 076
Page 7.
attend Cal Poly. Later they may become rental units. The owner designed the
proposed structure and he and his sons plan to construct the building.
Commr. Maddalena felt the building lacks a little in design, but noted the
surrounding neighborhood contained similar construction.
Commr. Field thought the "simplistic box" design could be improved to some
degree.
Chairman Kahn agreed the plainness could be alleviated with minor changes.
Mr. Wells noted the lot is only 46' wide and difficult to build upon.
Commr. Marshall suggested the owner obtain professional help to improve the
design. The building should be a more pleasing residence for the occupants
when it becomes a rental. The unit could be pushed back 4', altering the
front elevation. Fairly insignificant site changes could make the building
look much better.
On motion of Commr. Maddalena, seconded by Comm.. Kimball, Resolution No. 47-76
was adopted, giving schematic approval, subject to staff recommendations and
modification of site plan and building design as discussed.
VOTING: Aye: Coimnrs. Maddalena, Kimball, Field, Marshall, Kahn.
Noe: None
Absent: Commrs. Winslow, Tjaden.