HomeMy WebLinkAbout1861 Hope Address Filesan luls oBI--;Clty t*[poProjectAddress 1861 HOPEAssessor's Parcel Number0s2-231 -001LegalCY SLO PHILLIPS SYN ADD BL 26 LT 5 TO 8CODEX:rrenProject DescriptionPermit TypeProperty OwnerX BuitdingX Mechanical xElectrical X Plumbing Sign -Demolition -GradingSMULLIN CRAIG W ETALOccupanUBusiness NameArchitecUEngineerLicense #Contractot's Phone No.Contractor's State Lic. NoMailing Address 1419 ARBORAVECity/State/ZipContractorMailing AddressCity/State/ZipProject ManagerLender NameC.B.C. GroupCensus 434LOS ALTOS CA,94024-OWNEROWNERSARA_R-3C.B.C. TypeV-BResidential Alteration or AdditionFees103.500.000.000.500.000.000.00111.500.00103.50103.5022.250.000.000.00Project Manager's Phone No. S+3-7IZZEnforcementBuilding PermitPlumbing+Electrical+Mechanical PermitGrading Permits.M.l.P.Green Building FeeDemolition PermitSign PermitMiscCharge/Credit 0.00AdministrativePermitArchival FeeSubtotal 215'50lnvestigation FeesBuilding Plan Review FeeFire Safety Plan ReviewPlan Review Subtotal 125.75Development Review FeeFire Safety SurchargeFire SystemsFire Sur/Sys Subtotal 0"00Construction Unit TaxWater lmpact 0.00 Area -Water Meter lnstallationWastewater lmpact 0.00 Area -Traffic lmpact 0.00 Area -Affordable HousingPublic ArtCode EnforcementPark lmprovement Area -Engineering Development Review FeeOpen Space ln-lieu FeeTotal FeesBalance DueStories 0 Codes: CBC10 CEC10Dwelling UiiiS-ts oMotel Rooms 0ValuationTotal Building Value$0.00$0.00Legal Declarations2b(l) - OWNER-BUILDER'S DECLARATION - l, as owner of the property' or myemployees with wages as their sole compensation, will do all of the workand the structure is not intended or offered for sale. (section 7044, Business andProfessions Code: The Contractors' State License Law does not apply to an owner ofproperty who, through employees' or personal effort, builds or improves the property,provided that the improvements are not intended or offered for sale. lf, however, thebuilding or improvement is sold within one year of completion, the Owner-Builder will havethe burden of proving that it was not built or improved for the purpose of sale)By my signature below I acknowledge that, except for my personal residence in which Imust have resided for at least one year prior to completion of the improvements coveredby this permit, I cannot legally sell a structure that I have built as an owner-builder if it hasnot been constructed in its entirety by licensed contractors.3a(2) - WORKERS' COMPENSATION DECLARATION - I have and will maintainworkerc' compensation insuranceas required by Section 3700 of the Labor Code, for the performance of the work for whichthis permit is issued. My workers' compensation insurance carrier and policy number are:Carrier: PolicY #: ExPiresFee Exemptions:0.000.000.000.000.000.000.000.000.000.000.00444.750.00PaymeAmountntsPayment #1444.75Date11t16t12Receipt58462Total Paid444.75Application Numberl20938 Permit Number 26775Application Date11Address Filet16112lssuance Dale 1'lh6l12Comments:ort\\roz_bu-
ocr-2&-20t2Oct' 15 12 12'.19aMcNamara RpaI Estate6 43775r_,.50) 949-3725P. 003,'003p.31?: 11HomeBuilding & Safety Division e glg Falm Street r San Luis Obispo, CA 93401 o {805) 781.7180 r 1805) 781'7182FaxOWN E R'q Aq KN OWLE DG-UFN.r A N P VER I F !.cAT I o N o F-lNF-oRFnAT[8,1\lDearPrsperty Ownec ffiBuilding Permit ApplicationNo.has been submitted in your narne listing yourself re ihe builder of the propedyim provements sPecified atWe ar6 providing youAcknowlVerificationForm toyou a,{/4rcyourtheOrvrrer-Builder. We will not issue affi cffili of san Luls ontsporesponsibilities and possible risk you may insur by having'lhis permil is,sued in your name aitruitOing permit uniil you have read, initialed your understanding of each provision, signofficiallddress indicated above. An agent of the orvner cannol execule ihis notlce unles:sinsurance colrerage.Before a buitding permit can be issued, this form must be cqmpleted and signed by the property owner and returned to theagency resporcible for issuing the permit Noler A copy af ,he propefty olner"s driverb ltcensq torm nitarizatla$, ar othervari$iatioi acceptable to the agency is required ta be presented vhen &rc permit E iss{red to verify lhe Froperly ownefssignafr,tre.ed, and returned this form to us at ouryou, the property owner, obtain the priorappraval of the permitting authority-D/RECT/ONS: Read and initial each slatement below to signify you under.s;land or verify this information,lt-)X\a. , understand a frequent practice of unlicensed percons is to have the property own€r obtain an 'Olrler-Buildef building permft that erronequslyimlf,es that Se propefry ovwreris providing his or her o'rvn labor and material personally. l, as an Orvner-Buildet, may b€ held liable and subject lose'rious financial'risi< toi any injuriis sustained by an unlicensed person and his or her employeos whilo working on my properiy' My homeotunersinsurance rnay not Frovide cove'.age for those injui'ies. ! am willfully acting as an 0r'r'aer-Builder and am a',1are of the l;rnits of my ir,surance coverag€ foriniuries to tterkers on my orop€.4y.t- I understard building pennils are not required lo be signed by property orvners unloss they are responsibJe for the conslruction and are not hhirE/ E-ticenseC Contractorto assume this rosponsibility.;f1]1t.l unde,$tard as an 'lCwner-BuildeC'I sm the responsible party of record on the permiL I undestand that I may protsd myself from Fotentid- -fi-frfr'ciat risk by hiring a licensed Contractor a nd having the p€rmit fi led in his or her name irstead of my c'lvn.l0,M_A.I understard Contractors aro requirod by law t0 b€ licensed and bonded in california and to trst th'lir licelse numbers on permits and conbacts.' -ALU I understand if t employ or aulerwise €ngage any persons, sthor than Ca:ifornia licensed Contracl$rs, and the total value of my canstruction is at,r''q6&[fi; hundred doilars ($50b), lnctuding taUoianO mdterials, I rnay be considered an "em$cyef under slate and federal lav/.,'J U- ,undersland if I am considered an "employef unde!'state and federal law, I must register with the, stat8 ard federal govemment, wilhhold payrEll"ffi; prwide workers' compensalion disability insurance, and contribute to unemploymenl conrpensal on for each -employee." I also understand rnyiailure Bc abide by lhess laYvs may subject me io serious fiftancial risk.&l , ,understand under California Contractors' Stale License Law, an Owner-Builder wiro builds dngle-family residanlial structures cannot legally'Eiliia Urem with the lnt-Anl lo offer them for sale, unl€ss alt work is performed by licansad subcontractors and the number 6f slructures does nol exc€edforx within any caterdaryear, orall of lhe r,loak is perFofined under cont€ctwith a ncensed general buiiding Coni:acrtor-4LLU I urderotand as an Ownor€uilder if I soll ths proFgfty for which this permit is issued. I may qq held lia.blo tor any financial or pelsanal iniunes" GEineA by arry subsequent owne(s) that re sult ftorn any latent construction defects in lho workmanship cr materials.ALt-t undersland I may oblain more informalion regarding my abltgations as an "employeF from ih,: lnlemat ReYenue $eruice, the United States-ffiit Busln"=s Adminjstriticn, the Califomia Departm-nt of ilenefit Paynrents, and lhe California Dtuk;ion ol lridqstrial Acqidents' I algo undertand Irnay oontact the Califomia Contractors' State License Board (CSLBJ ai 1-800-321-CS-A G752) or www,rslb.ca.gov for more iniormalion abaut I'Esnsedcontractors.)J ,O.l am aware of and consent to an Owner€uilder buflding permit applied for in rny narnei and undorsland that I am the party legallyand'Gilancially responsibla {or proposed construction activity at the followtng project addrass:ttPrint Name of PropeSignature54.qad*fV {-/ LtDate:bTotal P.003
' . ocT-24-?012Oct 15 12 12'.19a1?:11HomeMcNamara ReaI EstateF43??91--'(6S01 949-3725P.00?/003p,2ffi cruy o[ san Luls ontspo&rilding &Sa@r Division e 919 Palm Street o San Luis Obispo, CA 9340{ r {805}?81-7180 r {8051781.?{&2 FaxAUTHORTZATTON OF A,GEfiT TO 4gT ON PROPERTY OWNER:$ BFIJALFliot€: This form shdl be complelec by th€ prcperty o\ilner oniy lvhon designaung an agenl of lhe prcperly owner {or pufoses relatec to a constructjonpermil for llre Osrner"9uilder.Project Location or Address:Scope of Construction Project (or Description of Work):b";ih \vt1J"-,*fiq<-A- 'of lnformation Form, the executionof which I understand is my personal responsibility' I herebyauthorize the following person{s}to act as my agent{s} to apply for, sign, and file the documents necessary to obtain an Owner'Builder Permit for rnY Project.Name of Authorized AgentAddress of Authorized Agent:oI declare under penalty of perjury that I am the property owner for the address listed aboveand I personally filled oul the above inforrnation and certify its accuracy. l\fo{e; A copy of fheownefs drivefs *cense, form notarization, or other verification acceptahle to fhe agency isrequfred fo &e presenfed when the permit fs lssred to verffy ffte pr"operty owner's signature, .Property Owner's Name (please print):S#naa*tZ- €f>ZttL(.,/rL/sProperlyOwnefs SignaiureDate:DnBuilding Application No"
'|lllllllillillllll|ul\lllxcoNSTR{tloNPERMlT'f,.|El!! a*, ^r c-- r ,.r- nrr.* . q,,rrar^^ n'i-ytrton o om petm SrraeuBor 8100 r Sgn Lulr Oblcoo. CA 934q3'81O' (gI5) 5a9'7180Addreesi861 i]0PtBulldln0Leoal DescrlptlonSulte/Unlt-fiTfiTTfrITilF5_5YI{ AiIO BL P6Agsegsor's Parcel NumberFEI,IT'VT IiO}i-PiPIIITTEN FAPTITII.!Ii IH GBFAEEPermlt ClessPermlt TypsBurrdrns -ffi:?,lff'POUIID5 IIAYHE EIUI- Electrlcal- GradlngPlumblng-'SlgniPropsrty OwnerUaltlng AOOress lsAi litjFE 5lCltyrState-iHn LUti uDl"\rriffPhone Number,iq I -rJ6qZloCodeYSqti I -c(]J.rOccupant/Buslness NamePhone NumberBuslnegg Owner's NameContrector's Namefiilt{iRMalllns Addr€sgCltyrstatorzlpGontractor'g Phone No.Contractor's State Llc. No.Prolect ManagerlArchltectiitt{LAliLProlect Manaoer'E Phone No.bq I -q36qLender NameLonder AddressU.B.C. GroupU.B.G. TlpeSubloct to Flood ZoneNo. ofBldgs.Unltsper Bldg.Bldg. ValueCodeA/D/Y.per Bldg.A = AreaD= DollarsY=.YardsCensu g N umber DestilptlonGensusSub-CodeCensusNumber(rfrr.rTotrl Bldg. AreaTotal Bldg. Valucor Yards ol GradlngHelght (lt.) AStorleePlan No.B ?4Ft! Ril"tFEE FfC.IttiitLlltit6 F[R!'lliii.Al{ iHic},HTIHf,}IICAL FFRIIllfl.t[TRicAr. PIRHITI.LLII{EI}IS PEFI{I TN€HOLITI|.iN FTRIIIiCH'FHAHli IIltFFTtl FI.AI{ I.HE[I.rliEFEY PLAH [l{€i*1t . 0r] ?c6cSEIIEfiHATERIOHSTRUCTI{}II IfIIT TAI6R*[Iil6 PIRIIITPAR}iIIIE L{]T PEEITITITICROFILIT FEEPLAH CHECH AilJUSTIITHTEISH PERITIIAI}IIII{ISTRATIIIT0(t5.00 ?t&9TOTAL FETSf,IfOUfiT PRISSALAI{CE$iI?fi nfreri,fil.00I1ITT FBLLSHIHfi FSI| IitiI.IARY FIES AftT SUFJEIT T[ IHAI{I;E 8$ME FERfiII ISSLIAI{IE:Speclal Condlllons:155icatlon DateActlvlty GodeActlvlty DateThlr pcrmll lr only vrlld when cndorrcd by rn ruthorlzrd reprctonllllvc ol thc Communlty Dcvelopmcnt Dcptilment.Ocpartmrnl FcprtrcntallYo,iii4Drlclsruance DalePermlt NumberNOnCE TO APPUCAilT:It, altsr maklng any ol tho liregotng doclaratlons, you becomo subioct l0 any Labor Codo or' ticsnso taw prolsion, }ou musl omply wllh such provlsions or thls pormlt shall be desmsdr6rok6d.I csrtlly that I havo road thls appllcdhn and sld6 that tho abow hlormatlon ls conocl, I agrosto corn-pty wlth all clty ordlnancos and slato laws rolatlno to bulldlng conslruclbn, and horsbyauthortid represontAiws ot ttrls Oty to cntor upon lho abors-montionod pmperty lor lnspectlonpurposts.Unloss notod unthr "speclal Condltions," thls pormlt bocotnes null and vold ll work 0rconstruction authorlzed ls not startsd wlthin 180 days, or il onstruction or work is suspendsdor abondonod tor a porlod ol 180 &ys any tlm€ altor work is commenced.-3^Aulhorlzrd Agcnt ot OwnarA)Dqt!LEGAL DECLARATIONSOWNER BUILDER DECLARATION:I am oxcmot lrom tho conlractor's ucsnso Law for tho lollowing reason:Dfrs owner ol tho propgrly, or rny smploysos w1h wagos as thsir solo compensatlon will doths work and tho slrucluro b nol lntondod or ollcrod lor sal0.fl l. as ownsr ol thc poporty. am oxcluslvoly conlractlng wlth llcensed conlract6rs loconstruct lho Prolocl.D Not appllcabloWORKERS COIllPENSATION DECLAMTION:.I horoby atllrm lhd I havs a cartlflcato ol cons0nt lo soil-lnsure, or 'a c8rllllcats ol li/orksrs'Comperisatlon lnsuranco, or a cerlillsd copy herool (Soc. 3800' Lab. C)! CertlneO copy is horeby turnishsd.D Corlilied copy is lilsd wlth ths City. Llfl[ot appllcablsCERTIFICATE OF EXEMPNOil FROM WORKERS COHP. II{SURANCE*fr;rltt thal in lhs porlormanco ol tho rYork lor which this pormtt ls lssuod, I shall notemploy anli person ln any manner so as to beComo subFct to ths \i/brk6r's Compensalion Lawsol Calilornia.n Nol applicablsorlgln l-Appllcrd whlc-Filc nnk'Ass6ro] Gold'counttr 59'87
xaY tirn?tro. xollo laY. callt#roCONSTRU(-,iION PERMIT (,Clty ol San Luls Oblspo. Bulldlng Dlylslon . 9(n Palm Sire€UBox 8100 . San Luls Obispo, CA 9340i!-8100 o (8O5) 549-714)Prolsct AddresslB$l H0tEBulldlngSulie/UnltAssessor's Parcel Number 5?-l3l-(t{01-Legal DescrlptlonCY lLO PHILLIP5 $Y}I ADII 8L EiProJect Descrlptlon AnDlTt0N/ftElt00tl gFFPermlt ClassA00 t T l0t{Permlt 1}pe I Bulldlng- Mechanlcal- D€molltlonX ElectrlcalGradlngi plumbtngSlgnZlp Code934ir l -etl3-lProperty OwnerPOUI{I}S IIAY}IE ETUiMalAddr€ssPhone Number1S6I HOFE 5TOccupant/Buslness NamePhone NumberBuslnesg Owner's NameContractor's Namei]UHEEMalllno AddressClty/State/ZipContractor's Phone No.Coniractor's State Llc. No.ProlectManaser/Archltect 80EA[l{ EIIADProleci Manaser's Phon6 No. 409-6tl-g?06Lender NameLender Addressu.B.c.!lU.B.C. Type t.iiiSublect to Flood Zone RequlrementsNo. ofBldgs.IUnltsper Bldg.IBldg. ValueCodeA/D/Yper Bldg.A = Ar€aD = DollarsY = YardsDCensus Number DescrlptlonFIS IOTilTIAL ALTEFII AI)Ii i[NiJEft TCensusSub-CodeACengusNumber434Tolal Bldg. AreaTotal Bldg. Valueor Yardc ol GradlngHelghtI Storlestt"n *o. E :i)rEEir.f,tJPEI.IeP4{tFEE frii, *PUILDII.IB PIRflITPrAll [HE[iiItTIHAHIIAL PTRITIIELEIIF]IIiiL FEFiIIIiPTUIIBII{$ PTRIfITOIIIOLITICH PEPI1II9.il.i.F.IIA}IDIDAPPID PLAil CI.|TCKEI{EREY PLAI{ CHECTi q';i({1ft4{9tilEFUAIEFr;1!lcToiilTIfiil illirT t.1iL.llur!r!u!t turl r-'rLr !iifrFri,iiti6 FfFi'l11cAG!liic I nT i':c'i.{ITI ntlt,lttl LLtl I L:itlI Ifil[tr[FILlt FEtPLfri{ IHTTF At,JtigTHEIiTTIITE AHD f,IATEFIALA[|II i NI STFAT I V[50 lE+4.0tinTti FEEi'AIIIUI{T FAIDttct4 l .ttB1q1.48.{lijt.IHE F[I.LOi{IilS PRELIfiIIIARY FET9 ,i[T !;UE]T[T TI I:i{AII[i FETCRi PER|,liT iiSLIAhIi]i:Spoclrl Condlllonr:Permll Number5475lssuance Datell.rivniuYBapres6nlatlYoDatoAppllcailon Number ?0149Appllcatlon Date 5i irjt!?Actlvlty GodeFActlvlty Date l0lui 189Thlr pcrmll la only valld when endorced by rn authorlzed represenlallve ol the Communlly Developmonl Deplrtmont.NOTICE TO APPLICANT:ll, aller making any 0f lhe liregoing declarations, you beconE subFct to any Labor Co& orLiconse Law provision, you must comply with such provisions or lhls psrmit shall bo d€medrsY!kod.I cei.tify that I have read this applicalion and srate that th8 abovs inlomation is cofrsct, I agf0eto om'pty witlr all city ordinances and slalo larvs rslating to building i!flstruc{ion, and holsbyauthodid representatives ol this city to ont8r upon ths abovs.lrpntionoat pmporty lof inspoctionpurposes.Unlsss noted under "special Conditions," this p8rmit becomss null and \roid it vrork orconstruction authorizod is not startsd within .|80 days, or il construdlon or rvork is suspondedor abondonod lor a porlod ol 180 days any timo ansr work ls commoncod.ol Conlraclor, Authorizld Agonl ot owncrOal.!LEGAL DECLARATIONSOWNER BUILDER OECLARATIOil: \I am oxomot lrom tho contractor's Llconso taw lor lhs lollowing rsason:El l, as oiner ot ths properly, or my smployoos wlth wages as their sole compsnsation will dotfi rvort and the slruclurs ls nol lntendod or otlsrsd lor sale.E l, as .oymer ol tfu prop€rty, am oxcluslvoly contracting with licensed conlraclors l0construcl tho proiect.D tlot appllcabloWORKERS COMPENSANON DECIARATION:I hcroby atflrm that I haw a csrtilicale ol conssnt l0 sBll.insurs, or 'a cerlilicale ol \riorkers'Comw,isaion lnsuranco, or a corlilied copy horeol (Sec. 3800, Lab. C)fl CsnineO copy is hereby lurnished.E carrinec coi,i is lil€d with the cily. Rt{ot applicableCERTIFICATE OF EXEMPNON FROII WORKERS COilIP. INSURANCEg I csrtlly that ifl the g€rlormance ol tho yrcrk lor which lhis permil is issued, I shall nqtdftp6y ani person in any manner so as t0 bgcome subioct to the titorker's Compensation Lawsol Calilornia.E Nol applicablol0rlghal-Applicanl Wino'Flh Plnk'Ass!3s0. Gold-Countrt 59-E7
DEPARTMENT OF BUILDINGCrrv or SeN Lurs OsrspoCar-rronNreSet back................ Side lines'....'*..-dffiG'r,", ,/ I/BUNN-DNNG PERNINT'This permit beconnes inttalid' i.f worki.s not sta.rted witlurn 60 daYsl{9 10 61DatePlan Check Fee $----rorAl - - $---2-!--q--Perrnit Fee - - - $------------Fec,- - ir,- , llcir,:es'l b1c19..................UsI{ewDESCRIPTION OF STRU TURE OR WORKAddition Alteration--/Z-,-- --------- Deptho*n f .,r- Ea 3c /-e-s - - - -*-- ---:=---- ----Address -/&Ct /Y--1"-'e------g -Eng. or Arch. - -- -(- -- GDemolishFrontFoundationRoof -----6____--- Ext. CoverStories ---,--r1--Type of Const.How Heated :#:--,----- TyP" of Chim. -:-:::--glegg-g#srport - A*s&lil-=This permit does not include permissionmaking sew er connections,of elec*ical and plwnbingconstructingfacili.ties.AddressBuilderAddressc.FPlans and. specifications are consid$edan i.nte{r'al part of this perrnitfLotUse- -/-3-4-------_*___ xLEGAL DESCRIPTIONCompletion DateRemarks:Lot Size ----Sub.StreetBW_Al___AGREEMENT-Iq consi.d.erati.on of the i.ssue and deli.uery to rne by the Inspector of Build'ings of the City ofpropir"d. work i.n accordance with the de,scri.ptiotz aboue set forih and according t9 the proui'sions of the ord'inance.sihe'facx stated. by me and. contai.ned in the ibove pernrit are true qs herein stated. It is als-o agreed to keep the Citydoiogt uhi.ch kay ae*rue from the use or o""upon"y of the sidewalk, street or sub-sidewalk space.permit,,andISan Luistheof the City ofof* - - -Inspector of Bffi'f ings.Ithethatcosts__€l--_-t;Ci.ty Clerk.ByObi.spo