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HomeMy WebLinkAbout04-05-2016 Item 7, White (3)COUNCIL MEETING; ITEM NO-: 1 lewv AW40e I(Ift II ' I ♦� r � relll�city .an Building & Safety Division • 919 P9Q0§1,tiopb8Qkt01-3218 WI S OBIS -"O • (6051 781-71 60 Project Address 2077 SLACK Assessor's Parcel Number 052-124-013 Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Project Description PHOTOVOLTAIC SYSTEM - ROOF MOUNTED Permit Type _ Building Mechanical X Electrical Plumbing Sign Demolition Grading Property Owner WHITE, LINDA L Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO, CA 93405-2107 License # Contractor R E C SOLAR INC Contractor's Phone No. 540-5467 Mailing Address 775 FIERO LANE, SUITE 200 Contractor's State Lic. No. 750184 City/State/Zip SLO CA 93401 Project Manager ZORAN Project Manager's Phone No. 540-7618 Lender Name Lender Address C.B.C. Group _R-3 C.B.C. TypeV-B Stories 0 Codes: CBC07 CEC07 Census Dwelling U -n -its -10 Motel Rooms 0 Valuation $0.00 Fees Total Building Value $0.00 Building Permit 0.00 Legal Declarations Plumbing+Electrical+Mechanical Permit 60.00 Grading Permit 0.00 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION S.M.I.P. 0.00 Green Building Fee 0.00 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Energy Surcharge 0.00 commencing with Section 7000 of Division 3 of the Business and Professions Code, and Accessibility Surcharge 0.00 my license is in full force and effect Demolition Permit 0.00 Sign Permit 0.00 Contractor: R E C SOLAR INC Class: C10 License #: 750184 Misc Charge/Credit 0.00 Administrative Permit 0.00 Archival Fee 0.00 Subtotal 60.00 Investigation Fees 0.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 3a(2) - WORKERS' COMPENSATION DECLARATION - I have and will maintain Development Review Fee 0.00 workers' compensation insurance Fire Safety Surcharge 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Area - 0.00 as required by Section 3700 of the Labor Code, for the performance of the work for which Water Meter Installation 0.00 this permit is issued. My workers' compensation insurance carrier and policy number are: Wastewater Impact 0.00 Area - 0.00 Carrier: ZURICH AMERICAN Policy #:WC938235600 Expires 03101()Q Traffic Impact 0.00 Area - 0.00 - Affordable Housing 0.00 public Art 0.00 Code Enforcement 0.00 park Improvement Area - 0.00 Waterway Management Fee 0.00 Open Space In -lieu Fee 0.00 Total Fees 60.00 Balance Due Payments 0.00 Amount Date Receipt FPayment1 60.00 11/04/09 44721 60.00 Application Number090877 Permit Number 24223 Application Date 11/04/09 Address File Issuance Date 11/04/09 Fee Exemptions: Comments: / f VZ ire of Contractor. Authorized Aoe or 0-4-0q Land Use Information Address Info 2077 SLACK Sic Use RES -Single -Family Residence Detached Occupant Units 1 Zip 93405-2107 Checked Grid L-06 Comments Parcel Info 052-124-013 #1 #2 Traffic Zone 376 Zoning R-1 6100 District Area 0 Comments Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Owner Info WHITE LINDA L 2077 SLACK ST SLO CA 93405 Permit History Date Type Code App # Finaled Description Permit History Codes Building Caries Planning Codes Position 1: B Position 1: P Position 2: O=Occupancy Position 2&3: EN=Environ. Review; AR=Arch. Review; D=Design Review AD=Admin Review; PC=Planning Comm; C=Construction CC=City Council; CH=Cultural Heritage; Position 3&4: Construction HO=Home Occ; F=Fence Height; PI=Permit Issued M=Merger; D=Daycare; S=Sales PF=Permit Finaled Position 4: A=Approved; C=Certified; D=Denied; PE=Permit Expired K=Continued; P=Pending; S=Schematic; PW=Permit Withdrawn W=Withdrawn Type: B=Building;P=Plumbing;E=Electrical; Environ. Review: E=EIR; M=Mitigate Neg. M=Mechanical;D=Demo;G=Grading;S=Sign dec; N=Negative dec; X=Exempt *11/04/09 E BCPF 24223 11/19/09 PHOTOVOLTAIC SYSTEM - ROOF MOUNTED *10/03/06 BEP BCPF 21540 10/20/06 INSTALL WASHER & DRYER *04/08/05 B BCPF 20022 05/12/05 ADD ENCLOSED PATIO ROOM TO EXISTING DECK *01/19/01 B BCPF 15154 01/23/01 NEW SHEATHING FOR COMP SHINGLE RE -ROOF *11/13/00 E BCPF 14997 03/11/05 UPGRADE ELEC SERVICE/ADD 2 KITCHEN CKTS Value/Comments 500 20000 1900 CITY OF SAN LUIS OBISPO The information contained in this database is intended for informational use only. This information is provided for the convenience of users, but GEODATA SERVICES does not necessarily constitute precise property ownership or legal descriptions of any property, and should not be relied upon as an official 919 PALM STREET property record. The City of San Luis Obispo makes every effort to ensure the accuracy of this data; however, the accuracy of this material is SAN LUIS OBISPO, CA 93401 not guaranteed and users assume responsibility for independent verification of any and all information contained herein prior to use or reliance upon such information for any official purpose. The City San Luis Obispo disclaims any responsibility or liability for any direct or indirect (805) 781-7189 damages resulting from the use of this data. 1/27/2016 az� z oc I 114 toll 'IfLLL e/ 4() pf�`� 11,P OVA • . City of Sari WIS O SPO Building €� ;gaiety Division• 919 1' Ir t(y����'���� p {`'�1Per 01-321£t • (Spa} 7€31-71£30 Project Address 2077 SLACK Assessor's Parcel Number 062.124-013 Legal Description Cy SLO PHILLIPS ADD BL 40 LT 11 Project DescriptionPHOTOVOLTAIC SYSTEM - ROOF MOUNTED Permit Type Building Mechanical x Electrical Plumbing Sign Demolition Grading Property Owner WHITE, LINDA L Occupant/Business Name - Mailing Address 2077 SLACK ST Arch itectlEngineer CitylStateop SLO, CA 93405-2107 License # Contractor REG SOLAR INC Contractor's Phone No. 640-5467 Mailing Address 775 FIERO LANE. SUITE 200 Contractor's State Lic. No. 750184 City/State/Zip SLO CA 93401 Project Manager ZORAN Project Manager's Phone No. 540-7618 - Lender Name Lender Address C.f3-C- Group R-3 C.B.C. TypeV-B Stories 0 Codes: CBC07 CEC07 Census Dwellingnld-ifs 8 Motel Rooms 0 Valuation $0.00 Total Building Value $0.00 Fees Legal Declarations Building Permit 0.00 Plumbing+Electrical+Mechanical Permit 60.00 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION Gradin Permit 0.00 S.M.I.P. Green Building Fee 0.00 0.00 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Energy Surcharge mo commencing with Section 7000 of Division 3 of the Business and Professions Code: and Accessibility Surcharge 0.00 my license is in full force and effect Demolition Permit 0.00 Contractor: R E C SOLAR ING Class: C10 License #: 750184 Sign Permit 0.00 Misc Charge/Credit 0 00Administrative Permit 0,00 Archival Fee 0.00 60.00 Subtotal 0,00 Investigation Fees Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 3a(2) -WORKERS' COMPENSATION DECLARATION - I have and will maintain Development Review Fee 0.00 workers' compensation insurance Fire Safety Surcharge 0.00 Conshuotion Unit Tax Water Impact 0.00 Area - 0.00 0.00 as required by Section 3700 of the Labor Code, for the performance of the work for which Water Meter Installation 0.00 this permit is issued. My workers' compensation insurance carrier and policy number are: Wastewater Impact 0.00 Area - 0 00 Carrier.g1ft 1 AMERICAN Policy #:'NIC938_%_35600 Expires 03/01110 Traffic Impact 0.00 Area - 000 Affordable Housing 0.00 Public Art 0.00 Code Enforcement 000 Bark Improvement Area 0.00 Waterway Management Fee 0.00 Open Space In -lieu Fee 000 Totat Fees 6000 Balance Due Payments 0.00 AmmanAnmani Date Rceeipt Payment#1 60.00 11/04109 44721 Total Paid 60.00 Application Number090877 Permit Number 24223 Application Date 11/04109 _ Issuance Date 11/04109 Construction File Fee Exemptions: Comments: lsl Signed Original on File Signature of Contractor, Authorized Agent or Owner Date WHITE (110R-077WHIT) u ry u w -j w Ln Y z or 0.'wV p � V a� 0�0 a u^o uLUL, CL o ao� a z a L" �C7 p r 00> v N > H > U �? 7 � v K ¢rz "int' �zz err Lu Oa C9 ui O O M ��F � w H LO�pw ate= aN� cm - LU ! wi z�� aQz zx Vza [nLLL F rnz .. 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M� Q iWY u=per BYO OC9 zcm D� ' w L I- O z 0 u ~ O 0 U O0 La z� ¢ U u w w U) O }�n. w U ¢ m U=¢p0 u a �❑ U w bj�❑Q U J L C1 0 clp NQJ QZ7 j w0¢a z O O Ox QFOcY� Gp !-_❑ 4 w zZ: Ln Qw �U¢ QpWi p WaF-C3 }p _0 J0801- - �� Lf, z BOLL ❑rm0 R = < zx ��� pU � ZJ S F W ❑ Q Ow= W JLL L. K d Q cl. Al ~ J��O ZW n JI)V'ma! by(Kns Died" I1€ F Powm ON (,! I-W-21KINKH A 5 E i I e(I Po,,� e r " P r r,,ix M W Maxtinum VoUgc rvpr!'-'`s 41 3 V tvlaxlrmm Po"ve( Ctkrfenl f1p,1111. 5 01;i A Opel I Gjl'—d Voftlgo M6 50 Ili v Z)Wrt 0cul cljoenl ".7A Wind 11 sro'x Load 6OPSr {1667pa) Tc,mfmu,�tkire Co(Ah&,(,nf {Vot,) -0 142 W OuojUily f,,?t Pallel ; Paflet VVeiphl 1 ^as mA! NCC IC fbwv Gfflciemy Module Efficiency 14 BIF 0 6 C, 194.8W 18 V� 16 7eb Watl9 Jx-'I F1 1-- 0,W M I axnIum System Volt?qj(? Sert&,, Fwsc, Raling coo v 15A War (anled Tojemrri e 0'� -0 1 +104 JI)V'ma! by(Kns Died" 3 Oyp)r'' Dodo's M d LI I r, At C�a 13,56 FV (1 . 26ml) ,9i€ igial 353 Lb, !1601 rr7ln 0`J Ai 62.261 4a1 m, (I 5a0x798x46 mm) Cable Length mm) C01o, Size I Conjmctor Type No Wind 11 sro'x Load 6OPSr {1667pa) %'ActDlfnm"�O'nLxvMA 632x W2 13 in 11C;0'W315x1850 rorm) OuojUily f,,?t Pallel ; Paflet VVeiphl 34 pcsh23,1 5 Lbs (503 kg} 1 auantily tx"1-53 Treiber 1052 Pm Amb3(;:W OppiaZingc, --I I' W, 1"f" k I to 46`("; INPUT DATA Fronius IG Plus I 3.0-1 ,,,„ i 3.8-1 Recom:me,nded PV-I'moer (Wp) MPPT-Vcltage Range Max- Input Voltage {at 1000 'Nino= 18'F (-1WG) in open cirgnst opetalion) Nominal Input CZurrenl 5,0-1 LIM 6.0.1 OM$ 7.6-1 PI 4250-5750 5100-6900 6350-8600 230 ... 500 V 600 V 10.5A I- 73,8,4 W.6 A- 10.0-1U 11.4-1 a 11.4-3,y 1 12.0-3,4 T 500-11500 1 9700-13100 9700-13,100 10200-13800 31,4 A ?.,tax, usable Input Current I 1/4,0 A 17.8 k '3.4 A 28,1 A 35.1 A I 46,7 A , 53,3 A 53.3 A i 56.1 A Acknissible conductor size (OC) No. 14 - 6 AWG OUTPUT DATA Fronius IG Plus 3.0-114H 3,8-1 wr 5.0-1 u r 6.0-1 7.5-190.0.1 u 11.4-1 our 11 A-3 nru. 12.0-3w.wr�r, Nominal output power (Im_ 3000 W 3800 V4 5000 W 8000 W 7.500 W 9995 W 11400 W 11400-0 12000 W Max. continuous output power 104°F (40-C) 208 V / 240 V / 277 V 3000 W 3800 W 5000 VJ6000 W 7500 W 9993 W 11400 VJ 11400 'W 12000 W 208 V / 240 V / 277 V 208 V 1240 V Nominal AC output voltage 277 V Operating AC voltage range 208 V 183 - 229 V (-12 / +10 %) (default) 240 V 211 - 264 V (-12 / 00 %) 277 V 244 - 305 V (-12 / 110 %) Nominal output current 206 V 14.4 A 18.3 A 24.0 A 2.O.8 A 361 A 481 A 54.6 A 31,6 A' n.a.T 240 V 12.5 A 15,8 A. 20,11 A 25.0 A 31,3 A 41.7 A 47.5 A 27.4 A' n,a, 277 V 10.8 A 13,7 A 18.1 A 21,7 A 27;1 A 36.1 A 41.2 A n.a. 14,4 A' Max, output current 208 V 16.4 A 18,5 A 27,3 A 32.6 A 37.0 A 54.6 A 55,5 A 32,0 A' n.a. 240 V 14,2 A 14.4 A 23,7 A 25.4 A 35,5 A 47.4 A 54.0 A 31.2 A' n,a. 277 V 12.3 A 15,6 A 70,5 A 241.6 A 30.7 A 1 40,9 A 46.7 A n.a- 16.4 A' Admissible conductor size (AC) 1,10, 14 - 4 AWG Max, continuous utility back feed current 0 A Nominal output frequency 60 Hz Operating frequency range 59.3 - 60.5 Hz Total harmonic distortion < 3 Power factor 1 GENEHAL DATA Fronius IG Plus 3.0-1 3.8-1 5,0-1 6.0-1 7.5-1 ( 10.0-1 11.4-1 11.4-3wn. 12.0-3.-" 0!1 u„ u0r uru uK uvr `lax, Effrclency 96,290 CEC Eificlency 206 V 95.0% 95,0 °rn 9516 % 95.5';" 95.o $6 95.0 % 95.5% 95,5 % 240 V 95.5 °in 95.5 -A 9a.5 9a 96.0 ^l0 96,6 34. 95,5 4n 96.0 4 96.0 °lc so rr a. 277 V 35.5 41a 95,5 % 96,0% 98,0 l0 96,0 0/0 96.0 / 96.0'40 n.3. 96.0 Consumption in standby (night) < 1 W Consumplion d+Luing operation 8 W 15W 22 W Cooling - Conlrollod forced ventilation, variable Ian speed Enclosure Type - NEMA 3R Unit Dimensions (W x H x D) 17,1 x 24,•5 x 9.6 in, 17.1 x 36.4 x 0.6 in, 17.1 x 48.1 x 9.6 in. Inverter Weight 31 lbs. (14 kg) 57 lbs. (26 kg) 62 Ibs• (37 kg) Wking Compartment Weight 24 lbs. (11 kg) 26 Ibs. (12 kg) 26 lbs. (12 kg) Admissible ambient operating temperature -4 ,,, 122°F (-20 ... +50'C) Compliance UL 1741-2005, IEEE 1547-2003, IEEE 1547.1, ANSi/IL`L'E 062,41, ('CC Part 15 AR t3, NEC Article 690, C22. 2 No. 107.1-01 {Supt, 2001) INPUT DATA Fronius IG Plus 30-1 u 3.8-1 W4. 5.0-1 W:s 6'0.1 y 1.. 7.5-1 UNI I 10.0-1 uui 11.4.1 uni 11.4-3 oen® '44v{.Im Ground fault protection Internal GFDI (Ground Fault Detector/Interrupter); in accordance with UL 1741-2005 and NEC Art. 690 DC reverse polarity protection Internal diode Islanding protection Internal; in accordance wilh UL 1741-2005, IEEE 1547-2003 and NEC Over temperature Output power derating / active coaling per Phase 4 Fronius USA LLC Solar Electronic Division 10421 Citation Drive, Suite 1100, Brighton, Michigan, 48116 is E -Mail: pv-us8fronius.com $ www.fronius-usa.com iE WHITE (11OR-077WHIT) z T J J z WLU u z O o ani G C Lr)V) a w LU J m Q to CD O O O d 00 Lu- Lu r3 ua �Z �cL C wp LUQ Q z© e- X m Q © � U a O w C Z � LL 35 O O zLUF o7 u d z ca ? zzw O z z mY z w�U � 0 d W � r �C O COQ u� p of zuV) N ti U O � z M �5 D ¢ L -z w C 4 J m CLOU r� IL' FO U) N F- a LI L, rte. Li - LL a_ z ¢ z zwNp p w L� w C)C z z 0 Z Z ` d 00 Lu- Lu r3 ua �Z �cL C wp LUQ Q z© e- X m Q © � U a O w C Z � LL O O zLUF o7 u d z ca ? zzw O z z mY z w�U � 0 d W �C O COQ u� p of zuV) N ti U O � z M �5 D ¢ L -z w C F J ztLi d m CLOU Q W N FO U) N F- a LI L, rte. Li - LL a_ z ¢ z zwNp p w L� w C)C z z 0 Z Z ` n (n m ? Fw— C7 a W � 2Y c, x wuzwh� v � 71 W V LL w z z o C Cil M1OLnpUur F'- -i U CCL } r u d 00 Lu- Lu r3 ua �Z �cL C wp LUQ Q z© e- X m Q © � U WHITE (110R-077WHIT) Q U D V) 0 c M W Q W U QYO U w Q Ln �� AD �w„^O Z o 7 S J 6 LU �w LU S w > a i„ z rh w J Q U U) J O z f CL UJ Q ae O w LL 2:1 b 0 Lw U a 6R v�LL WHITE (110R-077WHIT) H u 0 z O w z w a D D LL J F O O F n mom a o 0OG o LL p w0 0 �tnp �qN :,iF u z ~O m w 4 a' NO DLLtn� NyF' In <a wIs U O ❑�4 F-❑U�1 }-W Nz� H Oul (nu e ¢ O 4 aNOZ F aO.a�n4„> °-Q uaff rOwO -0O G D L7 F U7 a i L'�dpaV=im az ya }- QF -Z h-wfl d D��`a3c5 zaa �' Q�D��JDtn4 Z a L � � f UD W 0 09' I. i— 1 1 1 UJ F— T— z O �J I. — 00 Q_ LUw ^. w0 0 L13 L w y LU o, K 2 m O o, U M � M Q N � N O Z p N N N i O J OO y + a N m N a ac Nat �ry m J F m 1�n a 4 In Q Z 4 o m LL; C q C7 w Q lP3 N ip. 6 ` n? m Lok w v tt 0 L � � � d M Uj m 4k `14'1+x, � N a 0 09' I. i— 1 1 1 UJ F— T— z O �J I. — 00 Q_ LUw ^. w0 0 L13 L w y LU o, IqfI�BDP city .',►n Buildin & Safety Division • 919 P 9 Y _- �LYLI�LI tuffs Bisr o yy, ,,��,,��,pb �p ft01-3218 • 805 781-7180 ��II1111 � ) 'roject Address 2077 SLACK 13.00 4ssessor's Parcel Number 052-124-013 Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Project Description INSTALL WASHER & DRYER 5.60 Permit Type X Building Mechanical X Electrical X Plumbing Sign Demolition Grading Property Owner WHITE LINDA L Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO CA, 93405-2107 License # Contractor OWNER Contractor's Phone No. Mailing Address Contractor's State Lic. No. OWNER City/State/Zip 0.00 Project Manager LINDA Project Manager's Phone No. 543-8801 Lender Name Lender Address C.B.C. Group R-3 U.B.C. TypeV-N Stories 0 Codes: CBC01 CEC04 Census number 434 Residential Alteration or Addition Dwelling Units 0 Motel Rooms 0 Fire Safety Plan Review Valuation Residential Alteration/Addition/Conversion 500 $500.00 Fees Building Permit 28.35 Plumbing Permit 13.00 Mechanical Permit 0.00 Electrical Permit 5.60 Grading Permit 0.00 S.M.I.P. 0.50 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Misc Charge/Credit 0.00 Administrative Permit 0.00 Archival Fee 0.00 Subtotal 47.45 Investigation Fees 0.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 Development Review Fee 0.00 Fire Safety Surcharge 0.00 Construction Unit Tax/Plan Preparation 0.00 Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Area - 0.00 Traffic Impact 0.00 Area - 0.00 Affordable Housing 0.00 Public Art 0.00 Code Enforcement 0.00 Park Improvement Area - 0.00 Waterway Management Fee 0.00 Total Fees 47.45 Balance Due Payments 0.00 Amount Date Receipt Payment #1 47.45 10/03/06 28976 Total Paid 47.45 Application Number060906 Permit Number 21540 Application Date 10/03/06 Issuance Date 10/03/06 Address File Total Building Value $500.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for gale. f, as owner of the property, am exclusively contracting with licensed co tractors to construct the project. ❑ Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, ora certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ❑ 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 Worke►'s Compensation Laws of California ❑ Not applicable NOTICE TO APPLICANT.• If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions" this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: Comments: or 401111111P city or sap tuis oy c"' o Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 Construction P rmit Project Address 2077 SLACK Building Permit Assessor's Parcel Number 052-124-013 Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Project Description ADD ENCLOSED PATIO ROOM TO EXISTING DECK Permit Type X Building Mechanical Electrical Plumbing Sign Demolition Grading Property Owner WHITE LINDA L Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO CA, 93405-2107 License # Contractor REICORP REMODELING Contractor's Phone No. 541-3600 Mailing Address 582 HIGUERA ST Contractor's State Lic. No. 746243 City/State/Zip SAN LUIS OBISPO CA 93401 Demolition Permit Project Manager WILLIAM FERRARO Project Manager's Phone No. 703-043. 3 Lender Name Lender Address U.B.C. Group R-3 U-1 U.B.C. TypeV-N Census number 434 Residential Alteration or Addition Residential Alteration/Addition/Conversion Fees Building Permit 337.60 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 0.00 Grading Permit 0.00 S. M.I.P. 2.00 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Misc Charge/Credit 0.00 Administrative Permit 0.00 Investigation Fees 0.00 Microfilm 0.00 Subtotal 339.60 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 Development Review Fee 0.00 Fire Safety Surcharge 0.00 Construction Unit Tax/Plan Preparation 0.00 Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Area - 0.00 Traffic Impact 0.00 Affordable Housing 0.00 Public Art 0.00 Code Enforcement 0.00 Park Improvement Area - 0.00 Total Fees 339.60 Balance Due Payments 0.00 Amount Date Receiol. Payment #1 339.60 04/08/05 19827 Total Paid 339.60 Application Number050306 Permit Number 20022 Application Date 04/08/05 Issuance Date 04/08/05 Address File Stories 0 Codes: UBC 1 NEC 1 Dwelling Units 0 Motel Rooms 0 Valuation 20,000 $20,000.00 Total Building Value $20,000.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. 0 1, as owner of the properly, am exclusively contracting with licensed con ctors to construct the project. Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. ✓ Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE ❑ 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 Wor is Compensation Laws of California L_JNat applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: Comments: Of or Owner I,��f lllll CItY Of pan IUIS O r SP O Building & Safety Division • 990 Palmtreet • an Lui Obispo A 93401- 249 • 0805) 781-7180 rM Project Address 2077 SLACK Assessor's Parcel Number 052-124013 Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Project Description NEW SHEATHING FOR COMP SHINGLE RE -ROOF Permit Type X Building Mechanical Electrical Plumbing Sign Demolition Grading Property Owner WHITE LINDA L Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO CA, 93405-2107 License # Contractor OWNER Contractor's Phone No. Mailing Address Contractor's State Lic. No. City/State/Zip Project Manager LINDA WHITE Project Manager's Phone No. 543-8801 Lender Name Lender Address U.B.C. Group R-3 U.B.C. Type V -N Stories 1 Codes: UBC 98 NEC98 Census number 434 Residential Alteration or Addition Dwelling Units 0 Motel Rooms 0 Valuation - Residential Alteration/Addition/Conversion 1,900 $1,900.00 Building Permit Fees Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit Miscellaneous Charge/Credit Investigation Fees Microfilm Subtotal Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Fire Safety Surcharge Construction Unit Tax Water Impact Water Meter Installation VVastewater Impact Traffic Impact Affordable Housing public Art 67.90 We 67.40 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Fees 67.90 Balance Due payments o.00 Amount Date Receipt Payment #1 67.90 01/19/01 5588 Total Paid 67.90 Application Number 10082 Application Date 01/19/01 Address File Permit Number 15154 Issuance Date 01/19/01 Total Building Value $1,900.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: ' as owner of the property, or my employees with wages as their sole compensation w9l do the work and the structure is noti"ntended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed o rectors to construct the project. ❑ Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that 1 have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE `R 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 Worker's Compensation Laws of California Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked, l certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions= Comments: of Contractor, Authorized Agent or city Of ';An WIS OB I SP O Nfiral Building & Safety Division • 990 Palmeet • Sin Luis Qbispa, 934010 49'0 (805) 781-7180 Project Address 2077 SLACK Assessor's Parcel Number 052-124-013 Legal Description CY SLO PHILLIPS ADD BL 43 LT 11 Project Description UPGRADE ELEC SERVICE/ADD 2 KITCHEN CKTS Permit Type Building Mechanical X Property Owner WHITE LINDA L Mailing Address 2077 SLACK ST City/State/Zip SLO CA, 93405-2107 Contractor THOMA ELECTRIC Mailing Address BOX 1167 City/State/Zip SLO CA 93406 Project Manager ED Lender Name U B.C. Group U.B.C. Type Census number Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I. P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Permit Miscellaneous Charge/Credit Investigation Fees Microfilm Subtotal Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Fire Safety Surcharge Construction Unit Tax Water Impact Water Meter Installation Wastewater Impact Traffic Impact Affordable Housing Public Art Fees 0.00 0.00 0.00 30.65 0.00 35.00 MM 0.00 0.00 0.00 0.00 0.00 4.35 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Fees 35.00 Balance Due Payments 0.00 Amount Date �Rpcefpt_ Payment#1 35.00 11/13/00 4743 Total Paid 35.00 Application Number 01087 Application Date 11/13/00 Address File Permit Number 14997 Issuance Date 11/13/00 Electrical Plumbing Sign Demolition Grading Occupant/Business Name Architect/Engineer License # Contractor's Phone No. 543-3850 Contractor's State Lic. No. 274276 Project Manager's Phone No. 543-3850 Lender Address ____ Dwelling Units Valuation Stories 0 Codes: UBC 98 NEC98 Motel Rooms 0 Total Building Value $0.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law forthe following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. u t, as owner of the property, am exclusively contracting with licensed contra rs to construct the project. of applicable.. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof qpffified copy is hereby furnished. TCertified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE /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 Work Compensation Laws of California D`Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct 1 agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, orif construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions; Comments: 11' 1 � -tom Signature of Contractor, Authorized Agent or Owner Date AGREEMENT CONDITIONS OF USE OF ACCESSORY STRUCTURES UPON APPROVAL OF REQUEST FOR ENTITLEMENT This agreement, made and entered into this 22nd day of September 1980 , by and between Mrs. Linda 'shite (hereinafter called "Owner") and the CITY OF SAN LUIS OBISPO, a municipal corporation (hereinafter called "City"). W I T N E S S E T H: WHEREAS, Owner has made application with City for approval of a garage conversion to guest/playroom and new carport ; and WHEREAS, approval of said application by City entitled Owner to modify or construct an accessory structure (described and delineated on Exhibit "A", attached hereto and incorporated herein by this reference) on Owner's property at 2077 Slack Street San Luis Obispo, Californis (a legal description of the property is attached hereto, marked Exhibit "B", and incorporated herein by this reference), subject to execution of this agreement by Owner and City. NOW, THEREFORE, in consideration of the mutual benefits, promises and agreements set out herein, the parties hereto agree as follows: 1.1 ROSS LEVIN MACINTYRE ARCHITECTS August 27, 1980 Mr. Jack Kellerman Department of Community Development City of San Luis Obispo 990 Palm Street San Luis Obispo, CA 93401 Re: Plan Check Remarks White Residence Garage Conversion 2077 Slack Street, San Luis Obispo Dear Mr. Kellerman, The following comments are in reply to the Plan Check comments. General: 1. Washer moved to Work Room adjacent. 2. Playroom is not Kitchen - sink has been omitted from plans and (E) plumbing capped off - Sheet A-1. 3. Electrical heat omitted - small gas unit installed of 7,840 BTUH output. This meets 25 BTUH/square foot allowable. 4. (E) window in west wall is being replaced with 4'0" x 4'0" to provide emergency exit within 44" of floor - see Sheet A-1. 5. (E) 8'0" x 4'0" sliding glass window - to have sliding panels removed and replaced with permanent fixed panels - see note on Elevations A-1. 6. See note No. 1 on Sheet A-1 Floor Plan. 7. Side yard and space behind supports complied with - see Site Plan A-1. 8. The 6' distance from face of curb to property line is correct as verified with Mr. Ernie Miller - City Engineering Department on 8/26/80. 9. Access to tub plumbing provided - see Floor Plan A-1. 10. (E) drive under carport altered to change slope to 1%. Yo r ery tr / y an j Va ner -Pro-j-ect Architect - Ross Levin MacIntyre Architects c.c. Mrs. L. White enc 1129 MARSH STREET, SAN LUIS OBISPO, CALIFORNIA 93401 (805) 543-1291 ���IIIIIIIIIIIII ili�1 �1t�l��i i1 1 Of SAn tUIS OBISPO 990 Palm Street/ Post Office Box 321 & San Luis Obispo, CA 93406 • 805/541-1000 TO—,-d''� ` r ►� DATE FROM } SUBJECT -. city of sAn tuts ogispo A P P R 0 110 SUP 2 ._ 1980 ■. "JL�J 1_ I�_i!1�1� 1'�'J ■ � ��J ! 111 �_ rrl FA WA I ivi& IL LVA 5 �O ;l'; s;}l' 'r 3P.1 Ri ULATIONS DIV, 11Building ❑Electrical ElPlumbing El Mechanical El Solar ❑❑ COT Oi SAN LUIS 0015p�Swimming Pool „^ APPLICANT: Please fill in the unshaded areas on the front of this form, where an pro ori ate- Please orint clearly Don't fill out the back. e� 0_� Lr C. CSF 1W O R K U N Plumbing: l Mechanical z Other: r�lan�check O Previously Paid O 0 Const. Unit Tax REQUIREMENTS: ❑ Fire Hydrants for Const. ❑ Grading Permit ❑ Workman's Comp. Insurance ❑ Water Press. Regulator ❑ Retaining Wall Permit ❑ State Contractor's License ❑ Backflow Protection [ICA L/OSHA Permit ❑ Other Special Conditions: a . _ dL '1«ifiL.(�A /moi jar/% Ora Cor ec'd. �V f-CA10 I e �O TOTAL FEES $ 4 P71 Owner Mail Address ZIP Business -Hour Phone %J S} i . S re Date g Contractoror Builder Address Phone State License No, Architect or Designer Address Phone UJ State _icc0nsefl�. - 3 F=2�+[—V Inf. 6:rn Engineer Address Phone State License No. Bank or other source ofioan Address Type of Project: ❑ All new El Add ,Iter ❑ Repair ❑ Demolish ElMove❑ Install El), i7 CJ N;71 Ti -Ipso+ No. of new No- of bed- Bldg. No. of Proposed use of the new building, addition, living units rooms in height stories New area SE-CF10"'i Cott pot lt. r or arcbe alt reo repaireh,teic, created new units (Tonal) (in sq. ft.) Si.l (�(Total) CJ UJ 2' 0 New work Includes: DGarage rport — E]Attached etached Legal Description: }y�y,.� Assessor's Number Use Zone Fire //yZone Lot Area I1 Block � Tract "IL ����� Lor , .J ��� �� 11- 1 �./ I Sq Ft. PROPOSED SETBACKS - actual dis- Frpnt Rear Sid . 4- Distance from this new work to UJtances from property lines to nearest structure, after work is completed./ -— nearest existing building on same lot- (Write "ATT" if attached). ADDRESS OF S/oc S in THE PROJECT: FRAME FOUNDATION EXTERIOR WALL ROOF HEATING Wood Stud ❑ ContinuoUs ❑ Wood Siding ❑ Stone Veneer ❑ Conc. Tilt -up 9Comp. Built-up ❑ Metal Electric W ❑ Metal Concrete �y,, f 11 Wood trim ❑ Brick ❑ Metal Comp. Shingle ❑Tile NGas Furn _. ❑ Timber IS p club l- W'iflr5N I Stucco ❑Conc. Block ❑Brick Veneer ❑Wood Shingle/Shake ❑Gas Wall ❑ Solar -_ Type of Construction: Type Na. Y— AT Occupancy Group R—_2; Flood Zone Fin. Floor or Floodproof Elev. —+ e� 0_� Lr C. CSF 1W O R K U N Plumbing: l Mechanical z Other: r�lan�check O Previously Paid O 0 Const. Unit Tax REQUIREMENTS: ❑ Fire Hydrants for Const. ❑ Grading Permit ❑ Workman's Comp. Insurance ❑ Water Press. Regulator ❑ Retaining Wall Permit ❑ State Contractor's License ❑ Backflow Protection [ICA L/OSHA Permit ❑ Other Special Conditions: a . _ dL '1«ifiL.(�A /moi jar/% Ora Cor ec'd. �V f-CA10 I e �O TOTAL FEES $ 4 P71 1 I have rR a this completed application carefully The information is accurate. S} i . S re Date g :gen-t n me print d .. 11 CItySAnILJS OBISPO 990 Palm Street/ Post Office Box 321 0 San Luis Obispo, CA 93406 • 805/541-1000 ° IN Ila m''l�'s[ �I� f P I C'ff� Rif TO— DATE FROM SUBJECT - - - ACU-L- - city of sAn tuts oBispo ADMINISTRATIVE OFFICE Post Office Box 321 — San Luis Obispo, CA 93406 — 805/541-1000 July 18, 1980 MEMO To: Jack Kellerman From: Lee Walton - 4� K - Subject: Complaint I have received a complaint from a resident that an illegal conversion may be taking place at 2077 Slack Street. Please have someone check it out. LW:mp crLy C `' san w kiisMIT E I1�+Jo i9 iapartment o9 - Development I�Ir 990 Palm Street / Post Office Box 321 l� e M-10 �San Luis Obispo, CA 93406 805/541-1000 ®Building L leCtricM ® Plumbing ®Heating/Cooling ❑ Grading ❑ Retaining Wall 0 Parking Lot Date Issued: Permit No. 8337 3 `J(/' 9/2/80 {j JS Mail Address ZIP Business -Hour Phone 2077 Slack St., San Luis Obispo, CA 95401 543 -Hour 1551 Address Phone State License No. Project Address: 2077 Slack St. Owner Linda White Contractor or Builder Owner Architect or Designer Ross -Levin-1 Engineer aanK or other source of loan None Grading Infomlmtion: Total Cut Type of Project: ❑ All new Address Phone State License No. 1129 Marsh_ St., San Luis Obispo, CA 543-1291 C-6637 Address Phone State License No. Address ❑ Add 4,6A Iter Proposed use of the new building, addition, or area to be altered, repaired, etc. cubic yards; Total Fill El Repair ❑Demolish No. of new living units created 1. Convert garage to guest/playroom 2. Carport ❑Move ❑Install No. of bed- I Bldg. rooms inJI height new units (Total) 1 1 20' cubic yards. No. of New stories area (Total) (in sq. ft.) 180 3. f I t 1 Retaining Wall Information- Length— Height Material Est. Value $ New work includes: Garage )E]Carport ElAtteched CDetached $E� Legal Description: Assessor's Number Use Zone Fire Zone Lot Area Lot 11 Block 43 Tract Phillips Syndicate 52-124-13 R-1 3 7600 PROPOSED SETBACKS - actual dis- 2V*nt Rear Side Side Distance from this new work to tances from property lines to nearest nearest existing his ne g on same structure, after work is completed. eXis ing "'---–"----- lot. (WriteATT. °'ATT" if attached)_ ADDRESS OF THE PROJECT: 2077 Slack St. Type of Construction: Type No. 1 V -N Occupancy Group R-3 FRAME: FOUNDATION: EXTERIOR WALL: ❑State Contractor's Lic. ❑Ord. 604-A Deficiency Wood Stud ❑Continuous ❑ Wood Siding ❑Brick ❑ Metal Concrete ❑Wood Trim ❑Conc. Block ❑ Timber Slab Stucco ❑Conc. Tilt -up CITY TO NOT RENT Piers ❑Stone Veneer ❑Metal ❑Brick Veneer $ 4,300, VALUE OF WORK EES iC p Fes late fees Structural: $ 64.00 Electrical: 5.25 Plumbing: 8.00 Heating/Cooling; 4 .00 Other: Total Permit Fees: $ Plan -check (# y previously Paid Const. Unit Tax TOTAL FEES $ 81.25 Cost per sq. ft. 10.00 Sq. Ft_ ROOF: HEATING: 10 Comp. Built-up C] Electric ❑ Metal ❑ Gas Furn ❑ Comp. Shingle ❑ Gas Wall ❑ Wood Shingle/Shake ❑ Solar ❑ Tile REQUIREMENTS: ❑ Fire Hydrants for Const. Additional Review I] City Contractor's Lie. ❑Environmental impact Report ❑Water Press. Regulator ❑State Contractor's Lic. ❑Ord. 604-A Deficiency ❑Backflow Protection ❑Water Fees to be paid [_]Discretionary Action ❑Grading Permit ❑Sewer Fees to be paid ARC No. ❑ Retaining Wall Permit El Curb, Gutter and Sidewalk Permit ❑ City Business License Use Permit No. ❑ Encroachment Permit Other X W. C. Insurance (file w/City) Special Conditions: Flood Zone „`„ Finish Floor or Floodproof Elevation ^ PERMIT ISSUED SUBJECT TO OWNER SIGNING AN AGMW4ENT WITH THE CITY TO NOT RENT CONVERTED GARAGE AS A SEPARATE LIVING UNIT. VALIDATION — Permit a%pire&'In 120 do ys if wor not gunk John L. Kellexi an/ve 9/2/80 Authorized Department Representative DATE WHITE - File LIG HT YELLOW - Applicant Fees Paid Date F Receipt No. Certification signed (see back of this form) PINK - Clerk GOLD - Counter F-XIST. GO STE CEM, LINED WATER HENDEASON EXIST, FIRE HYDRANT ,, tn r i . I a )> 3C r lu 6111 w oi. 'A a City of son lues oaispo I�lillll �l!'l BUSINESS LICENSE SUPPLEMENT Department of Community Development • 990 Palm Street/Post Office Box 8100 • San Luis Obispo, CA 93403-8100 • (805) 549-7171 Print clearly in ball-point or type only in unshaded area. Attach this form to your completed business license application and return both to the Finance Department. The City Planning Staff will help you with the Zoning, Parking and Permit Sections. APPLICATION FOR: ❑ New Business jContractor ❑ Change of Mailing Address, ❑ Change of Location ❑ Change of Ownership Applicant Andrew Farrell Day Phone 805-5L3-8519 Business Name Farrell Painting - Business Location U'/' b1acK ST,. Mailing Address, P 0 Box 1162 , San Luis Obispo Ca 93.06 Fully describe your business (Include type of goods or services offered, number of employees, hours, etc.) This is to be a painting service for both houses and commercial buildings. The employee number will begin at one (myself) and will grow with the growth of the business. ZONING INFORMATION What zone is your business in? Is your business allowed in this zone? ❑ Yes -permit not required M Yes -with a permit. If a permit is required, what is the application number? REQUIRED PARKING City parking requirements are based on the floor area or lot 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. Floor area occupied by your business: 4 square feet. Area devoted to outdoor sales or storage: square feet. Total number of off-street parking spaces provided exclusively for your business: Total number of off-street parking spaces required by the city: 0-- _ HOME OCCUPATION PERMITS You will need to apply for a Home Occupation Permit if your home in a residential zone is the base of operations for your business—serving as a mailing address, office, shop, or related use—even if you do work in other locations. The property owner must sign the permit application, consenting to your occ on. Is this a home occupation? ❑ No [A Yes If so, has a home occupation permit been granted? ❑ No ❑ Yes — SIGN PERMITS Most new businesses will need new signs, and new signs require a Sign Permit. (Signs for home occupations are not allowed-) Refer to the city's Sign Regulations for specific requirements in obtaining the appropriate Sign Permits. Is a Sign Permit required? a No ❑ Yes If so, has a Sign Permit been granted? ❑ No ❑ Yes, number Supplement reviewed by r Date Notes to file WHITE -ADDRESS FILE YELLOW -PLANNING PINK -APPLICANT 18-84 e 11 , . 4CJ� �,11,iplilm,� lli crty of San WIS OBIS�PO EANIQ0 HOME OCCUPATION PERMIT Department of Community Development, 990 Palm Street/P.O. Box 8100, San Luis Obispo, CA 93403-8100 (805) 549-7171 Please print clearly or type only in the unshaded areas. Return this completed form with your $25.00 application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business license. Business Applicant Andrew Farrel] Name l n r�-- P.I -I Pa i n-hiII g Phone 543-8519 Address — 2077 Slack st. , San Luis Obispo—,Ca, Zone y Do you own the home? ❑ Yes I$ No. (If you do not own the home, the owner must sign this form consenting to your home occupation.) Accurately describe your occupation* House painting service *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 My home occupation will comply with the following: 1. This business will be conducted entirely inside without altering the appearance of the home, grounds or adjacent buildings. 2. There will be no sales or displays on the premises. 3. There will be no signs other than address and name of residents. Those signs will meet the requirements for my zone. 4. There will be no advertising which identifies the home occupation by street address or location. 5. My home occupation will not encroach on any required parking, yard or open space. (Parking space in a garage is normally required parking.) 6. No vehicle larger than a 3/4 -ton truck will be used in connection with my home occupation. Parking for vehicles used in connection with my home occupation will be provided in addition to parking required for the residence. 7. Activities conducted and equipment or materials used will not change the fire safety or occupancy classification of the premises. Utilities will not be used in amounts greater than normally provided for residential use. 8. My home occupation will not create noise, dust, vibration, smell, smoke, glare, electrical interference, or other hazard or nuisance. Receive Permit Comme 9. No employees other than residents of my home will be allowed. 10. Clients or customers will not visit my home between 10:00 p.m. and 7:00 a.m. 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 bevoi id the home occupation mustcease immediately. Applicant's signature Date 4 '' OWNER: Asownerof the property, I give the applicant permission to conduct business there subject to these conditions. Owner's illy n �. 1 j� name (print) Owner's signature X'f 26: Date, White - File Yellow Applicant Pink- Finance 7-83 t -I M 30 0--5 FnC o ro o"dQ ti yp tt,y 10 ro GR I O 0, Z, • CD e+ �. e•F fD `1 p I yy fi P Q I O CD A+ ,..hryn n� ro Y, j R. ro A, o OR 1 �•'�� ?�� I ro yl m Y. 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Z A O Z 2 Z mm m u O v m N Z r cm m Wz m (A m m 7 d C b 7 r 40 � HC = F-1 :0 N z .0 i 1 i Vi s � y �0 y �ci 1 1 r ■ PO s 1 r 1 1 IA N I I 554 P, 1 q ne oMqq tea_ city (, j Sd11 Project Address 125 LONGVIEW Assessor's Parcel Number 052-094-017 Project Description RESIDENTIAL ALTERATION OR ADDITION Permit Type X Building X Mechanical X Property Owner FRENCH GEORGE O TRE ETAL Mailing Address 125 LONGVIEW LN City/State/Zip SLO CA, 93405-1433 Contractor CRIZER CONST Mailing Address p0 BOX 6952 City/State/Zip LOS OSOS CA 93402 Project Manager ROBERT CRIZEE Lender Name Building Plan Review Fee C.B.C, Group R-3 C.B.C. Type V -B Census 434 iidentlal Alteration or Addition - -1 Fees Building Permit Plumbi ng+Electrical +Mechanical Permit Grading Permit S.M.I.P. Green Building Fee Demolition Permit Sign Permit Misc Charge/Credit 0.00Administra Archival Fee Subtotal Investigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Development Review Fee Fire Safety Surcharge Fire Systems Fire Sur/Sys Subtotal Construction Unit Tax Water Impact 0.00 Area - Water Meter Installation Wastewater Impact 0.00 Area - Traffic Impact 0.00 Area - Affordable Housing Public Art Code Enforcement Park Improvement Area - Engineering Development Review Fee Open Space In -lieu Fee 557.00 0.00 0.00 0.50 0.00 0.00 0.00 ive Permit 0.00 0.00 557.50 557.00 557.00 0.00 557.00 1W xis, o�i.,po Legal Description CY SLO TR 28 LT 9 & PTN LT 8 Electrical X Plumbing Sign Demolition Grading OocupantlBlsiness Name Architect/Engineer License # Contractor's Phone No. 528-4812 Contractor's State Lic. No. 433754 Project Manager's Phone No. 471-4973 Enforcement Lender Address Valuation Stories 0 Codes: CBC 13 CEC 13 Dwelling Units 0 Motel Rooms 0 Total Building Value Legal Declarations 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION $0.00 $0.00 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 Contractor: CRIZER CONST Class: B License #: 433754 0.00 0.00 3a(2) - WORKERS' COMPENSATION DECLARATION -1 have and will maintain 0.00 workers' compensation insurance 0.00 0.00 as required by Section 3700 of the Labor Code, for the performance of the work for which this 0.00 permit is issued. My workers' compensation insurance carrier and policy number are: 0.00 Carrier: STATE FUND Policy #: 7113-0030N Expires 01/0/115 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Fees 1,671.50 Balance Due 0.00 R _ _ ._L- r'ajliflemb Amount Date _ Recei t Payment #1 1,671.50 06/18/14 65717 Total Paid 1,671.50 Application Number 140522 rermn rvumoei La-iyo Application Date 06/18/14 Issuance Date 06/18/14 Address File Fee Exem tip ons: Comments: city of ;an tuis oi5isr i ± - ��1-3218 ____ Rldlrlinn R.. Cofofifl'niicinn .. Iq Pal �Ef xiQ sIFQeF (805) 781-7180 Project Address 125 LONGVIEW Assessor's Parcel Number 052-094-017 Legal Description CY SLO TR 28 LT 9 & PTN LT 8 Project Description REPAIR EXTERIOR DECK Permit Type X Building Mechanical Property Owner FRENCH GEORGE O TRE ETAL Electrical Plumbing Sign Demolition Grading Occupant/Business Name Mailing Address 125 LONGVIEW LN Architect/Engineer City/State/Zip SLO CA, 93405-1433 License # Contractor GANNAGE CONSTRUCTION Contractor's Phone No. 550-6331 Mailing Address PO BOX 2078 Contractor's State Lic. No. 778043 City/State/Zip ATASCADERO CA 93423 Project Manager MIKHAIL GANNAGE Project Manager's Phone No. 550-6331 Lender Name Lender Address C.B.C. Group R-3 C.B.C. TypeV-B Stories 0 Codes: CBC07 CEC07 Census 434 Residential Alteration or Addition Dwelling nlT its Motel Rooms 0 Valuation - Residential Deck, Canopy, or Trellis Alt/Addition 1,000 $1 000 00 Building Permit Fees Plumbing+Electrical+Mechanical Permit Grading Permit S. M. 1. P. Green Building Fee Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Misc Charge/Credit O.00Administrat Archival Fee Subtotal Investigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal Development Review Fee Fire Safety Surcharge Construction Unit Tax Water Impact 0.00 Area - Water Meter Installation Wastewater Impact 0.00 Area - TrafFic Impact 0.00 Area - Affordable Housing Public Art Code Enforcement Park Improvement Area - Waterway Management Fee Open Space In -lieu Fee Total Fees Balance Due 49.49 0.00 0.00 0.50 1.00 0.00 0.00 0.00 0.00 ive Permit 0.00 50.99 0.00 0.00 44.05 0.00 44.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.04 0.00 i y1111.x11LIX -.. Amount Date Receipt Payment #1 95.04 08/25/09 43845 Total Paid 95.04 Application Numbero90683 Application Date 08/25/09 Nddress File Permit Number 24093 Issuance Date 08/25/09 Total Building Value $1,000.00 Legal Declarations 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 farce and effect Contractor: GANNAGE Class: B License #: 778043 3a(2) - WORKERS' COMPENSATION DECLARATION - 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. My workers' compensation insurance carrier and policy number are: Carrier:STATE COMP FUND Policy #:238-001-1081 Expires 08/25/09 flee Exem tions: Comments: Signature of Contractor, Authorized Anent or Owner 1014111AR city of san lues oimso "'e, ., Building & Safety Divisio„ • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 Construction Permit Project Address 125 LONGVIEW Assessor's Parcel Number 052-094-017 Legal Description CY SLO TR 28 LT 9 & PTN LT 8 Project Description FAU INSTALLATION (2 UNITS) Permit Type Building X Mechanical Electrical X Plumbing Sign Demolition Grading Property Owner FRENCH GEORGE O TRE ETAL Occupant/Business Name GEORGE FRENCH Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO CA, 93405-2107 License # Contractor OCHS HEATING & AIR Contractor's Phone No. 544-7767 Mailing Address 2090 SWAZEY ST Contractor's State Lic. No. 281810 City/State/Zip SLO CA 93401 Project Manager Project Manager's Phone No. Lender Name Lender Address U.B.C. Group R-3 U.B.C. Type V -N Stories 1 Codes: UBC 1 NEC 1 Census number Dwelling Units 0 Motel Rooms 0 Valuation Total Building Value $0.00 Fees - - Legal Declarations Building Permit 0.00 1. OWNER BUILDING DECLARATION: Plumbing Permit 6.65 1 am exempt from the contractor's License Law for the following reason: Mechanical Permit 77.55 ❑ 1, as owner of the property, or my employees with wages as their sole Electrical Permit 0.00 compensation will do the work and the structure is not intended or offered Grading Permit 0.00 for sale. S.M.I.P. 0.00 ❑ 1, as owner of the property, am exclusively contracting with licensed Energy Surcharge 0.00 contractors to construct the project. Accessibility Surcharge 0.00 Qat applicable. Demolition Permit 0.00 2. WORKER'S COMPENSATION DECLARATION: Sign Permit 0.00 1 hereby affirm that I have a certificate of consent to self -insure, or a 'certificate Misc Charge/Credit 0.00 Administrative Permit 0.00 of Workers' Compensation insurance, or a certified copy hereof Investigation Fees 0.00 LJCertified copy is hereby furnished. Microfilm 0.00 ertified copy is filed with the City.. Subtotal 84.20 Not applicable Building Plan Review Fee 0.00 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE Fire Safety Plan Review 0.00 ❑ 1 certify that in the performance of the work for which this permit is issued, Plan Review Subtotal 0.00 1 shall not employ any person in any manner so as to become subject to the Development Review Fee 0.00 Worker's Compensation Laws of California Fire Safety Surcharge 0.00 Qmotapplicable Construction Unit Tax 0.00 NOTICE TO APPLICANT. Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 If, after making any of the foregoing declarations, you become subject to any Wastewater Impact 0.00 Area - 0.00 Labor Code or License Law provision, you must comply with such provisions Traffic Impact 0.00 or this permit shall be deemed revoked. Affordable Housing 0.00 1 certify that I have read this application and state that the above information Public Art 0.00 is correct, I agree to comply with all city ordinances and state laws relating to Total Fees 84.20 building construction, and hereby authorize representatives of this city to Balance Due 0.00 enter upon the above-mentioned property for inspection purposes. Unless Payments noted under "Special Conditions", this permit becomes null and void if work Amount Date Receipt or construction authorized is not started within 180 days, or if construction Payment #1 84.20 02/10/04 13337 or work is suspended or abandoned for a period of 180 days any time after work is commenced. Sr�eci-al--Conditions: Total Paid 84.20 Application Number040151 Application Date 02/10/04 Address File Permit Number 18871 Issuance Date 02/10/04 comments: ments: Authorized Agent or citv of :an Project Address 125 LONGVIEW asp Assessor's Parcel Number 052-094-017 Legal Description CY SLO TR 28 LT 9 & PTN LT 8 Project Description SEWER REPLACEMENT/REHAB PROGRAM Permit Type Building Mechanical Electrical X Plumbing Sign Demolition Grading Property Owner FRENCH GEORGE O TRE ETAL Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SLO CA, 93405-2107 License # Contractor ACTION ROOTER Contractor's Phone No. 541-1333 Mailing Address PO BOX 202 Contractor's State Lic. No. 557901 City/State/Zip CAYUCOS CA 93430 Project Manager ALEX Project Manager's Phone No. 541-1333 Lender Name Lender Address U.B.C. Group R-3 U.B.C. TypeV-N Stories 1 Codes: UBC 1 NEC 1 Census number Dwelling Units 0 Motel Rooms 0 Fees Building Permit 0.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 0.00 Grading Permit 0.00 S.M.I.P. 0.00 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Administrative Permit 0.00 Miscellaneous Charge/Credit 0.00 Investigation Fees 0.00 Microfilm 0.00 Subtotal 0.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 Fire Safety Surcharge 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Area - 0.00 Traffic Impact 0.00 Affordable Housing 0.00 Public Art 0.00 Total Fees 0.00 Balance Due Payments 0.00 Amount Date Receint Total Paid 0.00 Application Number030194 Permit Number 17694 Application Date 02/21/03 Issuance Date 02/21/03 Address File Valuation Total Building Value $0.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed ror ractors to construct the project. EL Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that / have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. rLj, Certified copy is filed with the City. Not applicable ERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 1 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 Worker's Compensation Laws of California ❑ Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions" this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: FEES EXEMPT PER CITY COUNCIL RESOLUTION #8730 (SERIES 1997) FOR VOLUNTARY SEWER LATERAL REHABILITATION. 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IE a 3m mo N m o d n N CL n N wyw c 0 gin S- _ m { W j p C K N O ' m w O N z C _ 0 w C^ n:E W N 0 O• co m Y0A 0o z as vi. d- yO D 7 m to O. n n o m •w m 3 n o i r0 -F N w_ w w o 0 0 7 7 fD m v z w c m 3 CD } C -n CLI rJ G7 A C7 �m z r�rrr-r em m qtl-o rn rn rn :rj PC C= - Fri ri -0 M z rn 'n �- m rrn ro Z -n cr. r^I M. c crt rn ro m cry as m a+ Col ra M M m QomQ]] Iti'1 F', rT� rrt - C77 C9 3c r.0 -0 m om, -1 ci s• L-3 mai � z -u = mm a P rra m x ti 8m qy C M LO Mo t=v `m w ' r' m --i w c -a r1J � r J --1 m --4 A rvi !M aq Y> -n c co 0-ZI Y m C7 0 m v n m 0 m r,= co O m N w O i v z o r c m F fD m CD :3O rn 0 c 0 CL O Cr CD O` a m CD a+ m QJ Ti m 0 0 rJ y �7 7 co c N b z, c 0 :T 3 p m m 1 m v w � a 0 m N 0 7 to v D z Oil MoD r. o c CL w wyw c mD wvFL 1 i0 _ m { W CL OI o O ' m w -u (D z C _ 0 w m C W N 0 O• co m Y0A 0o z as yO D v C r v 2 K CD :3O w 0 cD 3 CL O m 7 O` M o rA � n a Fu 0 o m 0 :T z _ 0 - co 5 c 0 m N v to C) z 10 o c w w c 3 N D aO M pp � o m -U (D z O w 0 =r Y0A 0 7 Z D 7 m to w to w z m OZ m 0 3 (D W -e _ ro CD /� l / A to � r1 `` ca CDH ru co v -D 0 0 CD :3O CD 3 3 7 cD 3 CL O O m M = SAN LUIS OBISPO PLANNING COMMISSION RESOLUTION NO. 5018-90 WHEREAS, the Planning Commission of the City of San Luis Obispo did conduct a public hearing in the City Council Chamber of the San Luis Obispo City Hall, San Luis Obispo, California, on May 23, 1990, pursuant to a proceeding instituted under application No. A 59-90 by Vincent Walsh. USE PERMIT REQUESTED: To allow a high -occupancy residential use for seven adults. PROPERTY DESCRIPTION: On file in the office of Community Development, City Hall. GENERAL LOCATION: 1555 Slack Street. GENERAL PLAN LAND USE ELEMENT: Low-density Residential. PRESENT ZONING: R-1. WHEREAS, said commission as a result of its inspections, investigations, and studies made by itself, and in behalf and of testimonies offered at said hearing, has established existence of the following circumstances: 1. The use is appropriate at the proposed location. 2. The use will not adversely affect the health, safety, or welfare of persons living or working at the site or in the vicinity. 3. The use will comply with property development standards of the High Occupancy Residential Use Regulations. 4. The project is categorically exempt from environmental requirements. Resolution No. 5018-90 Use Permit A 59-90 Page 2 NOW, THEREFORE, BE IT RESOLVED that application No. A 59-90 be approved subject to the following conditions: 1. No more than six persons eighteen years of age or older may reside at 1555 Slack Street, unless an amendment to this use permit is approved by the Planning Commission. 2. Parking for a minimum of rive vehicles shall be provided on the site at all times. 3. Required parking may not be provided within any required yard or setback area. 4. Parking of one vehicle in tandem with another is approved. 5. A minimum of 300 square feet of usable floor area per adult occupant shall be maintained in the dwelling at all times. 6. A minimum of one bathroom per three adult occupants shall be maintained in the dwelling at all times. 7. Upon receipt of reasonable advance notice, the property owner shall allow the Community Development Director or his/her designated representative to inspect the property to verify compliance with these conditions of approval and Section 17.93 of the Zoning Regulations. 8. The use permit shall be reviewed in one year (May 23, 1991), by the Community Development Department or upon receipt of any reasonable citizen complaint. At such review, the Community Development Director may add, delete, or modify conditions of approval, or may revoke the use permit. 9. The property shall be maintained in a neat and orderly manner at all times. 10. Parking shall be provided to the approval of the Community Development Director and shall conform with all city standards, saving as many trees on the site as possible. Resolution No. 5018-90 Use Permit A 59-90 Page 3 The foregoing resolution was adopted by the Planning Commission of the City of San Luis Obispo upon the motion of Commr. Kourakis, seconded by Commr. Gurnee, and upon the following roll call vote: AYES: Kourakis, Gurnee, Billington, Karleskint, Schmidt, and Hoffman NOES: None ABSENT: Peterson Arnold B. Jonas, Secretary Planning Commission DATED: May 23, 1990 ❑s9❑�m ❑-'❑❑dv I r C m 3 :3 "1`e-� �2w�yxm _ m 1 y m *1a Qm s. W CD cd; °`�-- it v �O m gm m �m—om si ;moo °a 3�m Yo °vZi �mSiS =m r C-1 I� v x _ m ;:LO P Y < f c 0 ci z C t CD �sZ a1.av vD a O a O S O u' o o hc a g Z N6 m rn ❑ o�� < o m in �0 � Z o0 .o 41 CL O n m M y �sJ w >nff M dV � is -•(y fs'I c CD (n CD .r.J N7 }.� ('�.. 4.1 .. =j ITr SNA r'i CD Cn Q o5D CD Lq S• CL m (a O a„,1 n _ om �. Sr;Q mm Q M 3 on y rr u »•, baa N n O o N K-0 .w-. a m o o a[ t - i 4-1 F o— S O C y N (1 (D N n SL neo Dti g m m F— �3 m n r mnl .'< y Baa -o A a y o n o a R o y y c z m S, w _?coir w ma mac, c ar Hra n y rn 0 F. 3c n Ew ? CD rn y f3D y w n N O (D n lA (n (D fD ti O wy (O O S Q � m a O N w OO G (D O o Cm CD O D A O a CD m n 0 a 0 7 N 0 !n t aJl -0 C m 3 :3 m Qy (D c' m 1 y 0 co Qm s. Fri zi CD '- it ID to T. r+ -.7 m w TI 7 rn -. si to c z o c 3 r C-1 I� v x CD N a A f � ,fl .pJ C t CD W �I vD a r»I r ccn u' amw CD cn N o w 7 v �D T 0o v a� m 41 CL O n m M y �sJ w >nff M dV � is -•(y fs'I c CD C CD .r.J N7 }.� ('�.. 4.1 .. =j ITr 0.0 t0 V'x CL (a O a„,1 n _ mCD M rr u »•, -r. �PP [aa .c. -, a[ t - i 4-1 p'r1 i r 0 C CD CL CD z w 3 CD K 0 3 z -0 C m 3 :3 � Qy (D c' m 1 y 0 co Qm s. O C to CD a n -I rJ7 ID to w m w mCc CD 7 si to c z o c 3 r v m I� v x CD N a A f � ,fl .pJ C t CD W CO vD a you yoD ccn CA amw CD cn N o w 7 v �D to 0o v a� m O CL O n m CL N y c CD C CD ? 0.0 t0 Wz CL (a O mCD C CD CL CD z w 3 CD K 0 3 O 0 -0 n � m (D 0 CD a :3 O ID to w m w mCc O r: o D o y ' c D z m N a y f W v a t CD W CO =r a (CD ccn CA m CD 0 o w 7 w 3 to 7 fD w O CD m Z y 7 CD ? ci o mCD III co r -0 n 0 v N 0 CD m :3 O CD CL O 0o D z w z m m -n 0 w p O m 3 7 co O a to ccn m to - a W m w CD ? ci m 7 w ' 0 ,. CD m z a o O S. �p v z if�D 3 o Q 7 co CD to - m 7 7 y W C a 7 to CD t 3 fD O O � w C) m w wCD o 0 ,. � U3 0 O �p v if�D 3 Q 7 co to 7 SL 0 U) w 7. z r c O Q 0 0 a C ,rG 0 Ul w RECORDING REQUESTED BY A WHEN RECORDED RETURN TO: city of San 1U1S OBISPO Community Development Department 990 Palm Street P.O, Box 8100 San Luis Obispo, CA 93403-8100 DOC, NO. GG33ti OFFICIAL RECORDS SAN LUIS OBISPO CO., CA NOV 4 8 1988 FRANCIS M. COONEY County Clerk -Recorder TIME 3. 40 PM AGREEMENT CONDITIONS OF USE OF (ACCESSORY) STRUCTURES UPON APPROVAL OF REQUEST FOR ENTITLEMENT This agreement, made and entered into this day of 19�-°, by and between 1 ^ e f •,1 4 (hereinafter called "Owner") and the CITY OF SAN LUIS OBISPO, A MUNICIPAL CORPORATION (hereinafter called "City"). W I T N E S S E T H WHEREAS, owner has obtained a valid construction permit within the City of San Luis Obispo for k,, and WHEREAS, approval of said permit by City entitles Owner to provide, modify or construct 2_ on Owner's property at o535-_ 5' 4SL&,_. _ San Luis Obispo, California (Legal Description: Lot (0 Block Subdivision (,A p,pN 2 _ X2-1 _ �® ) subject to execution of this agreement by Owner and City. NOW, THEREFORE, in consideration of the mutual benefits, promises and agreements set out herein, the parties hereto agree as follows: 1. The parties hereto agree Owner and Cit entitles owner to CcCr� as approved by Constructio Perm that execution of this agreement by proceed to modify or construct t No 2. Owner agrees that the existing residence and the described addition, new residence, garage conversion, or the accessory structure, together shall not be used as more than one residential unit with one kitchen at any time unless and until it and the property meet all residential requirements, including but not limited to density (units/acre), parking, setback, access, and applicable Building Code provisions. 3. Owner agrees to allow the City, at any reasonable time and upon reasonable notice, to inspect the premises for compliance with this agreement. 4. Owner agrees that this agreement shall be binding upon and shall inure to the benefit of, the heirs, assigns, and all other successors in interest of the parties hereto. VOL 3 2 2 7 PAGE 1It8 76-86 Conditions of Use Agreement Page 2 IN WITNESS WHEREOF, the parties hereto have executed this agreement on the day and year first written above. 1/' c. Owner City of San Luis Obispo by Community Development Director State of California SS. County of San Luis Obispo rrrraara OFFICIAL SEAL Diane R. Stuart NOTARY f' R CCOWOMIM PINMCM MICE IN 30 UA 99" OGmIn MIr No 111.1M On this the 4th Owner day of November 19 88, before me, Diane R. Stuart --------------------------------- the undersigned Notary Public, personally appeared Vincent C. Walsh -- 0 personally known to me IM proved to me on the basis of satisfactory evidence to be the persono) whose narne=§t Ls ------------subscribed to the within instrument, and acknowledged that h---------- executed it. WITNESS my hand and official seal. Notary's Signature STATE OF CALIFORNIA I COUNTY OF SAN LUIS OBISPO. ss. I On this1 8th day of NtLvambrr , in the year 1988, before me _fliane RS,t•uart � Notary Public-------------- personally appeared known'to 1 me 1 1 to be Community Development Director of the Cit of S.L.O. 1 - _ and known to me to be the person who executed the within instrument on behalf of said public I 1 t corporation, agency or political subdivision, and acknowledged to me that the City of I I -San-Luis Obispo executed the same. r E1109 - OFFICIAL SEALpiane R. StuartNOTARY PUBLIC-CALIFORNIAPRINCIPAL OFFICE IN SAN LUIS OBISPO COUNTY(SEAL)y Commumn Expues May 5, 1959 t 1 Notary Public � �� ���,� ,R! ' PAGE I 1 _� -_^L. OF JDD� ------------ tflls" � p: I "j •I I 1 pl I 4v[ �t I �I I QI I I k I y ! LYu es7 p.,•a W FL Y al paarie0 � O IL L'Q� N � J R� w co C� Z " w LL G.1•i �Faa O� P 3 - - I - -- R -- - --- {-- 1 - - - - -- - -- - _ + i i Y i i � { by � � m '� � •�' o I �� w. 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N '^ N Z Q D z m u o D Z m O N _O N Q oNe Z J QZ W W ~ f W Q O u = 0 J a i Q O Q Q 0 0 W 0 a CL 'y V LO a I C? S -o I ISI«III�II IIIIIIfIrI� �i� CII �I city of can WIS OB I SP Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 250 GRAND Assessor's Parcel Number 052-116-006 Project Description REPLACE DAMAGED METER Permit Type _Building _Mechanical X Electrical Property Owner FRENCH GEORGE 0 TRE ETAL Mailing Address 125 LONGVIEW LN City/State/Zip SLO CA, 93405-1433 Contractor THOMA ELECTRIC Mailing Address BOX 1167 City/State/Zip SLO CA 93406 Project Manager ED THOMA Lender Name U.B.C. Group U.B.C. Type VV=N Census number VALUATION r., —t - - Application Number 60134 Application Date 03/04/96 Payment #1 Permit Number 10626 Issuance Date 03/04/96 Total Paid LEGAL DECLARATIONS i OWNER BUILDER DECLARATION: I am exempt from the contractor's License Law for the following reason: _ I, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. _ I, as owner of the property, am exclusively contracting with licensed contractors to const tthe project. of applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C) =11!ned cd copy is hereby furnished. copy is filed with the City. _ Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE _ 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 Worker's Compensation Law f California. 1/Not applicable Legal Description CY SLO TALR TR PTN LT 1&221&22 _Plumbing _Sign _Demolition _Grading Occupant/Business Name Architect/Engineer License # Contractor's Phone No. (805)543-3850 Contractor's State Lic. No. 274276 Project Manager's Phone No. 543-3850 Lender Address Stories 1 Codes: UBC 94 NEC 93 Dwelling Units 0 PAYMENTS Amount Date Receipt 35.00 03/04/96 1483 35.00 NOTICE TO APPLICANT: FEES Building Permit Plumbing Permit Mechanical Permit Electrical Permit Grading Permit S.M.I.P. Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit Administrative Miscellaneous Chg/Cred Investigation Fees Microfilm Subtotal 35.00 Building Plan Review Fee Fire Safety Plan Review Plan Review 0.00 Fire Safety Surcharge Construction Unit Tax Water Impact Water Meter Installation Wastewater Impact Traffic Impact Total Fee Calculated Balance Due 0.00 0.00 0.00 27.25 0.00 0.00 0.00 0.00 0.00 0.00 7.75 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 35.00 0.00 If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or, construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: 6 Signature of Contractor, Authorized Agent or Owner Date Address File ❑- - ooN � f o. -Am - o r _ RW -.a o'A o�-� Z Hxc3A /mom C) p 0' R m n m �_ OCL ri v9�C�eu O Z CA Z d f m b rr O g r v O O C 0 O y n m 3m0 d� .Wn..-•-_gym c w `c -2x r i rn i coom /mom n �$ -w. <Z �g�W> �" A a 'm w w a IS z -s m=.Z D v D an D cy r, 4D0 0-0 Ks5 O n my N 2 npm' O v CD D 3 co v a '$a 1 m F, o CO) q r. 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PFRMT �lll Project Address 250 GRAND Assessor's Parcel Number 052-116-0006 Legal Description CY SLO TALR TR PTN LT 1&221&22 Project Description DEMO GAR & SHED/ REMOVE GAR DOOR "^cmit Type X Building _Mechanical _Electrical _Plumbing _Sign _Demolition _Grading perty Owner FRENCH GEORGE 0 TRE ETAL Occupant/Business Name Mailing Address 125 LONGVIEW LN Architect/Engineer City/State/Zip SAN LUIS OBISPO CA, 93401 Contractor OWNER Contractor's Phone No. Mailing Address Contractor's State Lic. No. City/State/Zip Project Manager LINDA WHITE Project Manager's Phone No. 543-8500 Lender Name Lender Address U.B.C. Group M-1 U.B.C. Type V -N Stories 1 UBC Codes 91 NEC Codes 90 Census number 434 Residential Alteration or Addition Dwelling Units 1 VALUATION Description Yards/Dollars Area Value Residential Garage/Carport Alteration or Addition. 100 Dollars 100 Total Yards of Grading 0 Total Building Value 100 Fees Building Permit 30.00 Plumbing Permit 0.00 Mechanical Permit 0.00 Electrical Permit 0.00 Grading Permit 0.00 S.M.I.P. 0.50 Energy Surcharge 0.00 Accessibility Surcharge 0.00 Microfilm 0.00 n Review 0.00 __,volition Permit 0.00 Sign Permit 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Administrative 0.00 Miscellaneous Charge/Credit 0.00 Investigation Fees 0.00 Total Fee Calculated 30.50 Application Number 30147 Application Date 03/15/93 Activity Code Activity Date Department Representative Date :,Permit Number Issuance Date Special Condition: 08490 +m JOAV ' "%1 V-4" 4.0"-ON—og : 03/15/93 at CC)a VsoLms vif"90ows. At'VLIC.- I I MUS 1 TILL IN ALL UNZ5HAUt WAUE6 CONSTRUCTION PERMIT APPLICATION City of San Luis Obispo •Building Division • 990 Palm Street/Box 8100 •San Luis Obispo, CA 93403-8100 • (805) 781-7180 tProject Address (� 6;,� P Building Suite/Unit �' Assessor's Parcel Number Lt. Blk. Tract/SubdIV. Project Description Permit Type Building Mechanical Electrical Plumbing Sign Demolition Grading Other_ ..--.—,_._. Property Owner Mailing Address City/State Phone Number Zip Code Occupant/Business Name Phone Number Business Owner's Name Contractor's Name Mailing Address Contractor's Phone No. ,b Contact Person T Architect/Eng. Lender Name U.B.C. Group U.B.C. Type Licensed Contractor? ❑ YES ❑ NO City/State/Zip Contractor's State Lic. No. Phone Number Arch./Eng. Lic. No. Lender Address Sprinklers: ❑ YES ❑ NO Flood Zone: ❑ YES ❑ NO NOTE: Complete the following if this application is for only one building. If not, indicate the number of buildings here and complete a Supplemental Form for Multiple Buildings. FLOOR AREAS: Main Bldg. Deck/Porch BLDG. HEIGHT SETBACKS: Front Garage Accessory Bldg. STORIES Left Side Carport Swimming Pool Surface Area NO. OF BEDROOMS Right Side Addition/Alt. DWELLING UNITS Rear GRADING: PARKING LOT: RETAINING WALL: Cu. Yds. Moved No. of spaces Length Height SPECIAL CONDITIONS APPROVAL 1 1p~rS MSM 70 CORRECT CODE 'V LAnONS SHALL HAVEWffH'N 90 DAYS Mrail!!Jaga JW of "!a�,l! #OF PLANS: #OF STRUCT. CALCS: 7LICANT (Sign Name) PLICANT (Print Name) #OF ENERGY CALCS: _- 1 #OF SOILS REPORTS: VALIDATION 0.1/15/93 2:10F`iM 101##8063 AI._ BU ILD ING PERKITS.30. �O 3434=88 Application Numbpr A-1 T J Application Date Plan Ck. Fee Permit Fee C Valuation �/ IA I I I I I I I I I I I I I I I I 04 I ��d�-P�r�� I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I foggy Yon p, �•p �• � � fD CDfD ¢' '(Dy 1 I I I 'CID n a. 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I I I {• !� I 1 I I I,y E r � P I I 6 I I P'I I I II••� P E i I I I V I 4i1 I I 14/1 I w I I I I I I I to i f s ISO 0 lV I 1 1 I I I I i Y I I I { ���lillll ��' (C�I���1�'I������ ���+►f!6iil��i,�'. ������ f �1 ir„ ill�fil��lillllw� �3 � ��RRU %mij�, rin 11 December 7, 1978 City Of SAn IUI OBISPO DEPARTMENT OF COMMUNITY DEVELOPMENT Post Office Box 321 — San Luis Obispo, CA 93406 -- 805/541 -1000 X7(v Mr. & Mrs. Stanley Chapman Scientology & Dianetics 250 Grand Ave. San Luis Obispo, CA 93401 Dear Mr. & Mrs. Chapman: It has been brought to my attention that many leaflets advertising for Scientology & Dianetics have been found attached to street trees through- out the city_ We ask that you no longer post them on public property because it is prohibited by city law. Enclosed is a leaflet about leaflets. It will tell you where you can and can't put temporary signs. Please inform those who post signs for you of the rules. Call me if you have any questions. Sincerely, Candace Mercier Planning Enforcement Technician CM:vf Enclosure a a 0 ZL M' /4', 14 m I vl AD _ ❑no DI O D 3 C o y --1vl= W 'N O D n D m m 7o O :� Z Z ;co W M m Z m z N D O Q~ 7O (N!1 c c 2 d O z r 4 p C n { o rn mO p M O �► QI _< N T rn v 3 N 1 Z `^ lvmi�� v m Z N Ian F m r m n ."O n _ ❑no T N R Z T Z< Gf T o y N = D W 'N O D n >m m m 7o Z. :� Z Z ;co W 7C r N m Z O m m N N c r � rn mO p M O QI _< N T rn v 3 N O C Z `^ N o v m Z N Ian z D T Z , r N O < O D r � N N C T F m r m n ."O n J"� C N Z m 0 v Ga = Z A m m m A r Ani 0 rl 911 D v v N Z r cn m Am _ ❑no T N R Z T Z< Gf m O ami 1 7• Z m < m D J"� C N Z m 0 v Ga = Z A m m m A r Ani 0 rl 911 D v v N Z r cn m Am ❑lElEl❑ G -Ni T ❑ O O O v :� v N n O V 00 o D m N J"� C N Z m 0 v Ga = Z A m m m A r Ani 0 rl 911 D v v N Z r cn m Am CITY OF SAN LUIS OBISPO Planning and Building Department CATEGORY 1 HOME OCCUPATION (Fee free) Poco^ Sa'-.©nak, d.ba I P& C Business 3orvi e e propose to conduct a home occupation of 1306;keaping and Tax Seryioo (describe exactly) at 250 Grand Avenue, San Luis Obisi)o, Ca. 93401 in a a-1 zone. My home occupation will comply with the following: Gainful employment engaged in by the occupants of a dwelling only, subject to: (1) Incidental to residential use. (2) No display or sales on premises. No outdoor storage. - (3) No signs except as permitted by the Sign Ordinance. (4) No vehicle larger than a 3/4 ton truck to be used in connection with Home Occupation. Provision must be made for off street parking of such vehicle in addition to standard requirements. (5) Activities to be completely within an enclosed building and not encroach on any required parking space. (6) Such activities shall not interfere with the peace and quiet enjoyment of the neighborhood. I understand that if there is any contravention of the above limitations, this approval shall be void. APPLICANT'S SIGNATURE o'L{ DATE 5/14/69 ADDRESS 357 Leff 3t., San Luis Obispo, Ca, TELEPHONE 543-0330 FOR OFFICE Dateufi,�/-ew( aw 40 ao r 131 r o ?H11city of - n tuis oBisri Iliz Buildinq & Safety Division • 919 8tFUe lQftf>RreJ401-3218 •_(805) 781=71 Project Address 2299 SANTA YNEZ Assessor's Parcel Number 052-244-009 Project Description ROOF - NEW SHEATHING FOR COMP SHINGLE Legal Description CY SLO MONT HTS BL 2 LT 22 Permit Type X Building Mechanical Electrical Plumbing Sign Demolition Grading Property Owner WHITE LINDA L Occupant/Business Name Mailing Address 2077 SLACK ST Architect/Engineer City/State/Zip SAN LUIS OBISPO CA, 93401-2107 License # Contractor GANNAGE CONSTRUCTION Contractor's Phone No. 550-6331 Mailing Address p0 BOX 2078 Contractor's State Lic. No. 778043 City/State/Zip ATASCADERO CA 93423 Investigation Fees Project Manager MIKHAIL Project Manager's Phone No. 550-6331 Lender Name 0.00 Lender Address C.B.C. Group R-3 C.B.C. TypeV-B Stories 1 Codes: CBC07 CEC07 Census 434 Residential Alteration or Addition Dwellingnl lits Motel Rooms 0 Valuation Residential Alteration/Addition/Conversion 500 Fees Building Permit 128.00 Plumbing+Electrical+Mechanical Permit 0.00 Grading Permit 0.00 S.M.I.P. 0.50 Green Building Fee 0.00 Demolition Permit 0.00 Sign Permit 0.00 Misc Charge/Credit 0.00 Administrative Permit 0.00 Archival Fee 0.00 Subtotal 128.50 Investigation Fees 0.00 Building Plan Review Fee 0.00 Fire Safety Plan Review 0.00 Plan Review Subtotal 0.00 Development Review Fee 0.00 Fire Safety Surcharge 0.00 Fire Systems 0.00 Fire Sur/Sys Subtotal 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Area - 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Area - 0.00 Traffic Impact 0.00 Area - 0.00 Affordable Housing 0.00 Public Art 0.00 Code Enforcement 0.00 Park Improvement Area - 0.00 Engineering Development Review Fee 0.00 Open Space In -lieu Fee 0.00 Total Fees 128.50 Balance Due 0.00 Total Building Value Legal Declarations 2a - CALIFORNIA LICENSED CONTRACTOR'S DECLARATION $5Q0.00 $500.00 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 Contractor: GANNAGE Class: B License #: Z78043 3a(2) - WORKERS' COMPENSATION DECLARATION - 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. My workers' compensation insurance carrier and policy number are: Carrier: STATE COMP FUND Policy #:238-001-1081, Expires 08!25110 Payments Fee Exemptions: Amount Date Receipt Payment #1 128.50 05/19/10 47008 Comments: Total Paid 128.50 Application Number100408 Permit Number 24651 Application Date 05/19/10 Issuance Date 05/19/10 r r Address File f RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO: City of San Luis Obispo Community Development Department 990 Palm Street San Luis Obispo, CA 93401-3249 Doc No: 1996-N919 Official Records San Luis Obispo co. Julie L. Rodewald Recorder Sep 30, 1996 Time: 16:02 [ 3] Rec No: 00021785 ;RF r r r r r r r r r ;TOTAL CONDITIONS OF USE OF (ACCESSORY) STRUCTURES UPON APPROVAL OF REQUEST FOR ENTITLEMENT Agreement This agreement, made and entered into this t day of 191. 1v by and between (hereinafter called "Owner") and the CITY OF SAN LUIS OBISPO, A MUNICIPAL CORPORATION (hereinafter called "City"). WITNESSETH WHEREAS, owner has obtained a valid construction permit within the City of San Luis Obispo for and WHEREAS, approval of said permit by City entitles Owner to pFevidew ed4f-y of construct on Owner's property at _ a290 iia Ynez San Luis Obispo, California (Legal Description: Lot 22- ?- Subdivision e.r, ti APN 452_Z4,A -009 subject to execution of this agreement by 6 vner and City. NOW, THEREFORE, in consideration of the mutual benefits, promises and agreements set out herein, the parties agree as follows: 1. The parties hereto agree that execution of this agreement by Owner and City entitles owner to proceed to rTr�construct a c,-zp2y-+ as approved by Construction Pefa'rit/Plan Check No.0� 2. Owner agrees that the existing residence and the QW sidenceaae cranuer+ern,r-tfa accessory structure, together shall not be used as more than one residential unit with one kitchen at any time, unless and until it and the property meet all residential requirements, including but not limited to density (units/acre), parking, setback, access and applicable Building Code provisions. 13.00 13.00 Conditions of Use of Accessory Structures Upon Approval of Request for Entitlement Page 2 3. Owner agrees to allow the City, at any reasonable time and upon reasonable notice, to inspect the premises for compliance with this agreement. 4. Owner agrees that this agreement shall be binding upon and shall inure to the benefit of, the heirs, assigns, and all other successors in interest of the parties hereto. IN WITNESS WHEREOF, the parties hereto have executed this agreement on the day and year first written above. ALL SIGNATURES MUST BE NOTARIZED Linda White by: , Owner George 0. French, Attorneydate Owner date In -Fact City of San Luis 0 ispo by Community Devei pment Director Arnold B. Jonas State of California } County of San Luis Obispo } On 7 . L ; _. 19 q(")- , before me, n ; ! A- At � it 61 1 Notary Public, personally appeared f c- ! • Pi'-'Pn;, _ (,'personally known to me, or ( 1 proved to me on the basis of satisJ actory evidence, to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that (s)he/they executed the same in his/her/their capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity(ies) upon behalf of which the person(s) acted, executed the instrument. Witness rYy hand and official seiai: J Notarj Public 47 Capacity claimed by si, ner(s): ( ) individual(s) ( ) corporation ( ) partnership TANYA ALLRED u� cc nrr►. #79 '3UBUC - c.AtiFt6u, r f. Crrnn. F-rtrt<as f�tw..9,136 I ( dattorn ey-in -fact ( ) political agency Conditions of Use of Accessory Structures Upon Approval of Request for Entitlement Page 3 State of California } County of San Luis Obispo } On E?19qL. before me, _ �,_ Q Yl (�' , _Ilnc� , Notary PubIlic, personally appeared 1 , (A personally known to me, or ( ) proved to me on the basis of satisfactory evidence, to be the person whose namefare<, subscribed to the within instrument and acknowledged to me that fi Itk@a L executed the same In is heftheir capacity. 91, and that by is h"itheir signatureijsrf on the instrument the person`) or the 9 entity(les) upon behalf of which the person(s) acted, executed the instrument. Witness my hand and official seal. Notary Public Capac0 claimed bz signer(s): ( ) individual(s) ( ) corporation ( ) partnership END OF DOCUMENT OF7=1C,fAE. SEAL I;ILW R. STUART �l'a'irr+�ua.tc-c�c�Fc,�rnrAA � LIM Gt7A114 IMON N 997w, SAN LUIS OMPO COUNTY MY [�mmWim EaP. May 29,1997 ) attorney-in-fact \_11, political agency C ity of ars WIS OBISPIE Building & Safety Division • 990 Palm Street • San Luis Obispo, CA 93401-3249 • (805) 781-7180 CONSTRUCTION PERMIT Project Address 2299 SANTA YNEZ Assessor's Parcel Number 052-244-009 Project Description CONVERT GARAGE TO 3RD BDRM & ADD CARPORT Permit Type X Building X Mechanical X Electrical Property Owner WHITE LINDA L 18.74 Mailing Address 2077 SLACK ST Electrical Permit City/State/Zip SAN LUIS OBISPO CA, 93401-2107 Contractor ED ALLRED CONST Energy Surcharge Mailing Address PO BOX 4655 0.00 City/State/Zip SAN LUIS OBISPO CA 93403 Project Manager ED ALLRED 0.00 Lender Name 0.00 Investigation Fees U.B.C. Group R-3 U.B.C. Type VVN Census number 434 Residential Alteration or Addition 196.82 Fire Safety Plan Review VALUATION Plan Review 196.82 Residential Garage/Carport Alteration or 196 S Residential Alteration/Addition/Conversio $ 5,276 Comments: Legal Description CY SLO MONT HTS BL 2 LT 22 X Plumbing _Sign _Demolition _Grading Occupant/Business Name Architect/Engineer License # Contractor's Phone No. 549-9350 Contractor's State Lic. No. 4.03636 Project Manager's Phone No Lender Address Stories 1 Dwelling Units 0 q Ft a $ 13.90 Total Building Value 2,724 5,276 8,000 PAYMENTS Application Number 60643 Amount Date Receipt Application Date 09/19/96 Payment #1 196.82 09/19/96 4067 Payment #2 224.25 09/27/96 4173 Permit Number 11129 Issuance Date 09/27/96 Total Paid LEGAL DECLARATIONS OWNER BUILDER DECLARATION: I am exempt from the contractor's License Law for the following reason: -1, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. _ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Not applicable WORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or 'a certificate of Workers' Compensation insurance, or a certified copy hereof (Sec. 3800, Lab. C) _ Certified copy is hereby furnished. _ Certified copy is filed with the City. Not applicable CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE 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 Worker's Compensation Laws of California. - Not applicable 421.07 549-9350 Codes: UBC 94 NEC 93 FEES Building Permit 140.60 Plumbing Permit 18.74 Mechanical Permit 18.74 Electrical Permit 18.74 Grading Permit 0.00 S.M.I.P. 0.80 Energy Surcharge 19.68 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Administrative 0.00 Miscellaneous Chg/Cred 0.00 Investigation Fees 0.00 Microfilm 6.95 Subtotal 224.25 Building Plan Review Fee 196.82 Fire Safety Plan Review 0.00 Plan Review 196.82 Fire Safety Surcharge 0.00 Construction Unit Tax 0.00 Water Impact 0.00 Water Meter Installation 0.00 Wastewater Impact 0.00 Traffic Impact 0.00 Total Fee Calculated 421.07 Balance Due 0.00 NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or, construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions: Signature of CprttraL or, Authorized Agent or Owner Daly Address File OVA,t 41 rty O� San lUlS ot3ISpQ BUILDING REGULATION DIVISION INSPECTION REQUEST Job Address Permit #,. Owner/Contractor Ph. # Requested By:_. L p Ready for inspection: M Th F .� PM T. Pole ..... , date • • • • - • • • • � Roof Diaph. Nall . . Foundations .......... Gas Line/TestWood Slcvelck, ny .... Q ` ...-.,,,. � '4444 Wall Steel � WalerService..... Sewer Lateral ...... ` Top Out .... Undg. Plumbing ....... • • • • ... , . , 0 ShearWalfNall...,.., � Slab Steel ........ Grading/Dralnage . • , . [� • • • • ❑ Insulation ... - , , , . , , - ;-' Gas Meter ....... DWV Water Test ....... ❑ Fire wall , ❑ Undrpng/Hold Down .. ' 1-1 Elect. Meter , , - , 13 La[h t xt- Ini......... Ro. Plumbing , - Wafer Meter F 1 DryWali Nalf , . , ... - . 0 Solar ...... . Ro. E fact rl c .. , 0 •....,.[� Fireplace -,--, -1 Frame Parking Lot .......... , ...............� Waleriieatar Flr. Diaph. Nall .. . - ❑ Heafer•Comfort , - EDFinal Approval ' Date Requested Time r —�—Sy 4te. �• 5•�83� 1415 o d �-d d J P> Z ro r= n 00 O O r cnU ,1 Q i•y' i�A C�/1 �. cc �,� H CD Cz . m r CL c.e, PI c+ O (CD e+ C iA CSD CD C+ CL p p} ~ f20 S. r (KD (D (DD (D � m ` ' ��y O m �N a+ crD r CDC . C- c- CD 0 'C S .� CD {. 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C C CD m � y 0 m m O QCD (D 0 2 3 E] CD Z O 0- 916 A ,<3 Z0 3 O mEr. -u ��. C �y 0 O O O� `G �¢p'•y1y C G D O 3 < O 0 m (D ° v 3 .. 8 c 0. 3 , rt yy �: v 1 y ys = m<w R13 M 0 v a o ( 3 �o I _m o = co ALO O O1 vow Dc 3 9C:3 e� Q a Q .Nr K j w m cn m m < o v Im a �. m 01 g r R cr 0 c CL w Q 0 FF �g �'IA 0 U) 0 a o 01w 0j �a a �0 8 ;pu 0 A coo, W —0 J (D 3 m CD. mos o-4 8w s 30 < V (0 o 0 k A city of Inogan SAA Luis OBISPO For Office Use Only I7 AlvlOurlT: 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: New Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership Business Name E Phon1 G? J C1-6) vfly,s Legal Status of Business: ❑ Corporation ❑ Partnership ❑ Sole Proprietor c Business Location � j 4) LO Vey ,1'1 J Lr J Suite No. City Stater_"zipA o PO Box addresses cannot be accepted as busindss locations — If your business is located in San Luis Obispo, please complete the last page of this application. Mailing Address <`4 v' e_ Suite No. City State Zip Owner/Contact Name°L7Z [ �I L) U rJ State Franchise No. Tipe of 81:s'iness: ❑ Retail , Professional r ❑ Manufacturing/Processing/Wholesale ❑ Transportation/Communication ❑ Other State Sales Tax No. Business Open Date .. oo6-1 ❑ Service ❑ Contractor (State Licensed) Lie. No. ❑ Recreation/Education/Public Assembly ❑ Agriculture ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Describe your business. Include the types of goods or services offered. Are you selling or offering the following services or products?: ❑ Tobacco ❑ Massage Therapy ❑ Filming Are you doing business from your home?. Yes0 No It ❑ Sales on Streets & Sidewalks ❑ Soliciting Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand the issuance of a business license & tax certificate does not constitute proof of compliance with other city, county, state, and federal regulations. Signed Title 06V Date L� 2- C0L `. Aax Printed on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313 BUSINESS NO. i�+� luis DATE/AMOUNT��.ty o �� CLASS/GROUP/CAI A_ BUSINESS TALC CERTIFICATE APPLICATION Finance Department + (805) 781-7134 • 990 Palm Street / P.O. Box 8112 • San Luis Obispo, Ca 93406-8112 Application for: ❑ New Business ❑ Change Business Name VA Chpnge of Location ❑ Change of Ownership ❑ Change of Mailing Address * Confirm with Community Development that the business is consistent with city regulations prior t establishing your business location. Community Development Department (805) 781-7170 • 990 Palm Street San Luis Obispo, CA 93401 Lower Level City Hall Business Name �"IelG r: r�� t.✓ r f. Business Phone - ✓ f P Doing Business As (DBA) OR In Care of ,t.e5 a , _� E :l fL> / l i e- err %r.�,► G,l_ ��` Legal Status (Corporation, Partnership, Soll�etod -I t 4l koo r Business Location % d .. �� %� r' Suite No. City, '� J State'" Zip f i& Mailing Location f Suite No. City-" Stater Zip ` " r 'A5 Owner Name c t �FEw- .<.- Social Security No. rf State Franchise No. Federal ID No. State Sales Tax No. State License No. (if applicable) Business Open Date r Gross Receipts List names, home addresses and SOCIAL SECURITY NUMBERS -of all principles in the business (use additional pages if necessary) Type of Business: ❑ Retail ❑ Wholesale mfessional vice ❑ Contractor (State Licensed) ❑ Manufacturing ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Does your business have non-profit status? ❑ Yes ANo If yes, will you be doing solicitations? ❑ Yes 4. 12o - If yes, the solicitations will be performed by: ❑ Owner ❑ Employee ❑ Volunteer ❑ Hawker ❑ Permit # (Issued by Police Dept.) Fully describe your business (Include type of goods or services offered, hours, etc.): A Please check one: ❑ Ground Floor Upper Floor J Number of Employees: f- full-time part-time Approximate floor area occupied by the business: square feet. Area devoted to outdoor sales or storage: --- square feet. Are you sharing with another business} If yes, with whom: Name and address of Landlord as stated on M If this application is for change of location, name, mailing address or ownership, complete the following: Previous Name or Previous 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 consfitute proof of compliance with other city, county, state and federal regulations, includinigbyt not limited to zoning, building code or other land use regulations (SLOMC 3.01.102). Signed, Title rr1`i F_'-+ Date r"rinted on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020.6313 MY Of Sd - LUIS OBISPO EKY=j IT. -.:r. -x r HOME OCCUPATION PERMIT Community Development Department - 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171 Please print clearly or type only in the unshaded areas. Return this completed form with your $'5-3, a4 application fee. This form will ber �your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. X� -76L'7 '05'4 14�4,usFeo- NOTE: Private property regulations such as deed restrictions or Conditions, Covenants and Restrictions (CC&Rs) of ho ownare assoclatkarrs 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 �]c Applicant _ _ i%� E. % c.C�.";g _ Name � .�� � c..o srna r�! Phone Address .caE a ".5 Q L3• Zvi` IM Zone Do you own the home? Yes �1Z5E c�Pr�ao �sGtalii{ Ta ft:�dr1 r /y9� y []No. (if you do not own the home, the owrtar riiyst sign this lfgrm consenting to your home a�upatlon.) Accurately describe r Ess�es your home occupation`z-C `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 frequent customer 11 No employees other than residents of the dwelling shall be access or have other characteristics which would reduce allowed. (Babysltters or domestic servants are not resldents' enjoyment of their neighborhoods. The peace and considered employees of a home occupation.) quiet of residential areas shall be maintained. 12. Clients or customers shall not visit the home occupation 2. Activities shall be conducted entirely within the dwelling unit between the hours of 10:00 p.m. and 7:00 a.m. or an enclosed accessory building, and shall not alter the 13. If the home occupation Is to be conducted In rental appearance of such structures. (Horticultural activities may property, the properly owners authorization for the proposed be conducted outdoors.) use shall be obtained. 3. There shall be no sales, rental or display on the premises. 4. There shall be no signs other than address and names of APPLICANT. I understand that, if a permit is issued, I must meet residents. the requirements listed above. If the requirements are not met, 5. There shall be no advertising the home occupation by street the permit will be voi d the home occupation must cease address except that street address may be Included on imme -' tely. business cards and business correspondence originating from the home. 6. No vehicle larger than a 3/4 -ton truck may be used In Applicanre Signature at connection with a home occupation. 7. The home occupation shall not encroach on any required O'W'NED : As owner of the property, I give the applicant parking, yard or open space area. permission to conduct business there, subject to these 8. Parking for vehicles used In connection with the hom conditions. occupation shall be provided In addition to parking required for the residence. 9. Activities conducted and equipment or materials used shall Owners Name pnn 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 noise, dust, vibration, smell,Owner's Signature Date smoke, glare, or electrical Interference, or other hazard or "The property manager of an apartment complex or the park nuisance, manager of a mobile home park may sign in place of the owner. Received by ) Date j Receipt H4, Permit approved by ZZ —Date Comments ` WHITE - FILE YELLOW - APPLICANT PINK - FINANCE 5-95 eC G�C�.IC,�� •�. MEMORANDUM@ftn'�' 9990 Pa ° eciea,8100USaan Ws fbiispo,CCA 93403.8100 TO Judy FROM Jeff SUBJECT Address change request at 138 Longview Lane DATE 8/11/89 A Mrs. Hollister called me this week and said she would like her address changed from 138 to 139! She claims that the Postal Service changed the number several years ago and they have been using 139 ever since. Now when she is trying to sell the house, some questions on the correct address have arisen with the utilities, particularly So.Cal. Gas. Nice lady., Her number is 543-2257. Hopefully this is a simple one. Thanks. III city of san Lws osIspo NOTICE OF NEW ADDRESS Community Development Department, 990 Palm Street/Post Office Box 8100, San Luis Obispo, CA 93403-8100 / 3 9 L � of ea Hca vie. NEWADDRESS: / GENERAL LOCATION: ea V- 0A TRACT NUMBER (IF APPLICABLE): ASSESSORS PARCEL NO.: OLD ADDRESS TO BE REMOVED: OTHER ADDRESSES ON PARCEL:. cf b'Y7 e LL t! , /'Y-/ L S COMMENTS: S U. P-3ro L q ea is.2 a ee. � REQUESTED BY: S 14 ►� �! 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Attention: Mr. Jack Kellerman SOIL MECHANICS _ UND I1 February 6, 1969 RE: Foundation Loads on Garage and Proposed Second Floor Addition ,of Residence for William Hollister, 138 Longview Lane, San Luis Obispo, California. f Gentlemen: I have reviewed original color photos of the subject project showing the foundations at the time of construction. These photos were provided to me by Mr. Larry Sullivan and are available for your reference if desired. The excavation of the footing trenches clearly show the presence of rock, which is taken to be red shale (redrock). I was also advised that the foundation and driveway excavation required jackhammers to loosen the excavated materials. This has been verified by Howie & Shelton, local contractors. In checking the existing building loads, the present garage is developing only 540 Lbs. per lineal foot live load + dead load. In reviewing the proposed addition to be placed on top of the garage, it will increase the foundation load 1020 Lbs. per lineal foot. This will bring the total foundation load to 1560 Lbs. per lineal foot. It is apparent from the photos that the footing are a minimum of 12 inches in width. This will provide a foundation load of 1560 Lbs. per square foot which is extremely conservative for this soil condition. Si ncerel REW :1