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HomeMy WebLinkAbout3240 S Higuera copiesCI - -)f O sa mans oimspo P=�RMIT Department of Community Development 990 Palm Street / Post Office Box 321 —.109N901% San Luis Obispo, CA 93406 805/541-1000 ❑ Building ❑ Electrical ❑ Plumbing ❑ Heating/Cooling Project Address: 3240 South Higuera Date Issued: 2/17/78 Permit No. 7034 $ 212,000. FEES Structural: Electrical: Plumbing: Heating/Cooling: Other: VALUE OF WORK $_ 455°00 Total Permit Fees: $ Plan -check (# } ®Previously Paid Const. Unit Tax 141.00 55.TO-- q5 nn TOTAL FEES $ 683.50 REQUIREMENTS: ❑ Fire Hydrants for Const. ❑Water Press. Regulator ❑Backflow Protection ❑Grading Permit [—]Retaining Wall Permit []City Business License [:]City Contractor's Lic. ❑State Contractor's Lic. []Water Fees to be paid ❑Sewer Fees to be paid []Curb, Gutter and Sidewalk Permit ❑ Encroachment Permit Additional Review []Environmental Impact Report ❑Ord. 604-A Deficiency ❑oiscretionar Action ARC No. 77$5 Use Permit No. Other Special Conditions: NO WORK ABUVB TRE SLAB UNTIL THE CREEK MAINTENANCE BASEMENT AND CMiON DRIVEWAY AGRELTIENf ARE SUBMITTED TO AND APPROVED BY THE CITY. John L. Kellerman/ve 2/17/78 Authorized Department Representative DATE 4�rFea, Paid Date Z' Receipt No. �1 ?11,C) ❑ Certification signed (see back of this form) WHITE - File LIGHT YELLOW -Applicant PINK - Clerk GOLD -Counter Owner Mail Address ZIP Business -Hour Phone Walter Bros, Construction Co., 3230 So. Higuera St., SLID 93401 543-5854 Contractor or Builder Address Phone State License No. Owner 244394 Architect or Designer Address Phone State License No. W MW, Inc. 979 Osos St. 543-7057 C6524 Engineer Address Phone State License No. Robert Trivision & Associates, 144 N. Orange St., Orange, CA 714-997-9120 CE23244 Q ZI Bank or other source of loan Address Bank of America, San Luis Obispo Type of Project: ® All new ❑ Add ❑ Alter ❑ Repair ❑ Demolish ❑ Move ❑ Install ❑ Proposed use of the new building, addition, No. of new No. of bed- living units rooms in Bldg. No. of height stories New area Cost per ft. or area to be altered, repaired, etc. created new units (Total) (Total) (in sq. ft.) sq. W1. Commercial/Retail Store 10-811 1 10,000 21.20 2. cc 01 3. a. New work includes: []Garage Carport - []Attached []Detached Legal Description: Assessor's Number Use Zone Fire Zone Lot Area Lot21 Block Tract SLO Suburban 53-041-33 C -H Sq. Ft. WPROPOSED SETBACKS - actual dis- Front Rear Side Side Distance from this new work to UJtances from property lines to nearest structure, afterwo k is completed. I I nearest existingbuildingon same lot. (Write "ATT" if attached). ADDRESS THE PROJECT. 3240 South Higuera St. 2/17/78 Type of Construction: Type No. V—N — Occupancy Group F-2 FRAME: FOUNDATION: EXTERIOR WALL: ROOF: HEATING: W ❑ Wood Stud QContinuous ❑ Wood Siding Concrete El Metal El Wood Trim ❑ Timber ❑ Slab ❑ Stucco ❑Brick ®Cont. Block ❑Conc. Tilt -up ® Comp. Built-up E] Metal ❑ Comp. Shingle ❑X Electric ❑Gas Furn. ❑ Gas Wall ❑ Piers ❑Stone Veneer ❑Metal ❑ Wood Shingle/Shake ❑ Solar []Brick Veneer ❑ Tile $ 212,000. FEES Structural: Electrical: Plumbing: Heating/Cooling: Other: VALUE OF WORK $_ 455°00 Total Permit Fees: $ Plan -check (# } ®Previously Paid Const. Unit Tax 141.00 55.TO-- q5 nn TOTAL FEES $ 683.50 REQUIREMENTS: ❑ Fire Hydrants for Const. ❑Water Press. Regulator ❑Backflow Protection ❑Grading Permit [—]Retaining Wall Permit []City Business License [:]City Contractor's Lic. ❑State Contractor's Lic. []Water Fees to be paid ❑Sewer Fees to be paid []Curb, Gutter and Sidewalk Permit ❑ Encroachment Permit Additional Review []Environmental Impact Report ❑Ord. 604-A Deficiency ❑oiscretionar Action ARC No. 77$5 Use Permit No. Other Special Conditions: NO WORK ABUVB TRE SLAB UNTIL THE CREEK MAINTENANCE BASEMENT AND CMiON DRIVEWAY AGRELTIENf ARE SUBMITTED TO AND APPROVED BY THE CITY. John L. Kellerman/ve 2/17/78 Authorized Department Representative DATE 4�rFea, Paid Date Z' Receipt No. �1 ?11,C) ❑ Certification signed (see back of this form) WHITE - File LIGHT YELLOW -Applicant PINK - Clerk GOLD -Counter CERTIFICATION BEFORE THE CITY CAN ISSUE THIS PERMIT, THE APPLICANT MUST COMPLETE THIS CERTIFICATION ON ALL COPIES. INSTRUCTIONS — In 'section A, on contractor's licenses; you .must either give your State contractor's license number or certify that you don't need a license. Check the appropriate box and fill in any informa- tion that applies to you. 'In section B, you must certify either that you have worker's compensation insurance or that you don't need it. Check one of the boxes. Then read section C and sign `at the bottom. A. CONTRACTOR'S LICENSE In accordance with the requirements of Section 3800 of the California Labor Code, I, the undersigned, hereby state with regard to Chapter 9, Division 3 of the Business and Professions Code: W z 0 Y U Iil I U ® I have a valid California State Contractor's License in full force and effect with the following classification and Aicense number: Classification License No. I am exempt from these provisions by reason of the following: D a. I am the owner of the property described in this permit application and I am building or improving structures thereon for my own occupancy and not to be offered for sale. O b. The work involved is of a casual, minor or inconsequential nature and will not exceed One Hundred Dollars ($100.00) for all labor, materials and other items. c. Exemption is based on the following section of the State Contractors' License Law: Section B. INSURANCE COVERAGE (Sec. 3800 Calif. Labor Code) © Certificate of worker's compensation insurance, copy thereof or certificate of consent to self -insure from Director of Industrial Relations, has been filed with the City and is stili in effect. UJ z E3 The permit sought is for one hundred dollars or less. 0 O 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. I understand that failure to comply with applicable worker's compensation laws shall cause revocation of the permit. C. COMPLIANCE WITH THE LAW All work allowed by this permit shall comply with City and State laws. I understand a separate permit is required for work within a public right-of-way. I also understand this permit becomes invalid if work, is not started within 60 days of the date the permit is issued. applicant's signature date city of sari WIS OBI SPO Certificate of Occupancy THIS IS TO CERTIFY that the building described below was constructed under Building Permit No. 1677 This structure, owned by Walter Bros .---------- __ --- . and located at ispo, CA meets all the requirements of the Uniform Building Code for Group ------- 1: ?___ occupancy. This certification applies to _ J: �Lai1 �_ 1L,1y� J V �-Lk C;1«0 ------ ---- --- 50C�a1- w .r2_ of this building and remains in effect until such occupancy changes. BY-------------�'' -------------------- Building C?fficial 0RqJF11k1J city of son Luis osispo MIN.o CONSTRUCTION PERMIT 1-677 Department of Community Development, 990 Palm Street/Post Office Box�M, San Luis Obispo, CP'934t38`j805) WI -1000 ext. 79 TYPE OF LN Combination ❑ Building El Remodel 0 Electrical ❑ Plumbing �E] Mechanical ❑ Solar ❑ Grading PERMIT ❑ Retaining Wall ❑ Parking Lot ❑ Demolition ❑ Moving ❑ Other Project Address 3240 South Higuera Street (Building #2) Use lone Lot Number 21 Block 1 Tract Suburban Tract Assessor's Number 53-041-31 Owner Walter Bros. (Don C. Walter) AddfeSs P.O. Box 809, SLO, CA 93406 543-5854 Day Phone Contractor or Builder Walter Bros. Construction,Incftdres$ P.O. Box 809, SLO, CA Phone 543-5854 Architect or Designer PMO Architects, AIA Address 1125 Grand Aye.,SLO,CA Phone 481-8166 Lic. No.3638 Tenant Social Secur.; tti, ddress Day Phone 543-5854 OCCUPANCY & GROUP TYPE OF CONSTRUCTION: V FOUNDATION: ❑ Wood ❑ Concrete ❑ Slab ❑ Piers/Caissons FRAME: ❑ Wood Stud ❑ Metal ❑ Timber ❑ Masonry EXTERIOR WALL: ❑ Wood Siding ❑ Stucco ❑ Masonry Veneer ❑ Masonry ❑ Brick ❑ Concrete Block ❑ Metal ROOF: ❑ Built-up ❑ Metal ❑ Composition Shingle ❑ Tile ❑ Wood Shingle/Shake HEATING: ❑ Electric ❑ Gas Furnace ❑ Gas Wall ❑ Solar STATE REQUIREMENTS: ❑ Energy ❑ Sound ❑ Handicapped LEGAL DECLARATIONS LICENSED CONTRACTORS DECLARATION: I am licensed under the 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. B-1 License Class License Number Contractor Walter Bros. Date 7/1/85 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 construct the project ❑ 1 am exempt under Sec. . B & P C. for this reason Date A.nnlicant 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 cony is hereby furnished. COPY is with the nty-Plannin Oe r_ n!.'� jj � {erg .�� Applicant CERTIFICATE OF EXEMPT1pN FM,M 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 Date Annlinant NOTICE OF APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker s Compensation provisions of the Labor Code, you must comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's N?,me Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. NOTICE Unless noted under"Special Conditions," this permit becomes null and void if work or construction authorized is not started within 180 days, or it consiruclion or work is suspended or abandoned for a period of I80 days any litre a er war is commenced. slgnalure of Contractor or Authorized Agent (r�jA�T� �G• �f�T�(,C�j _ Signature of Owner (If Owner Builder) WHITE — Applicant YELLOW — File PINK — Assessor GOLD — Counter PROJECT INFORMATION Type of Project: 1—''} rii'--'& MODEL (Tenant Improvements Proposed Use . commercial Setbacks: Front Sides Rear Floor Area Garage Barn CarportCovered Porch Deck Storage No. Bedrooms No. Bathrooms No, Stories Building Height Retaining Wall Information: Length Heldhl_ Material Mobile/ Modular Home Information: Manufacturer Year Serial No, D.O.H. No. D.M.V. Lic, No. Stwte No, Bedrooms Moving Building Information: Present Location. Locality Present Use Proposed Use Tot, Lin. Ft. of Fdtn. Grading Information: Tot. Cut Cu. Yds,; Tot Fill Cu. Yds.; Area of Disturbance TOTAL VALUATION ......S 73,950. Plan Check No. $ Combination Permit ....... $ 464.00 Building Permit ........... $ Electrical Permit .........$ Plumbing Permit ......... $ Mechanical Permit ........ $ Other: $ Other: $ TOTAL PERMIT FEES $ ❑ Construction Unit Tax $ TOTAL FEES $�'' REQUIREMENTS❑ Water Fees to be Paid ❑ other ❑ Fire Hydrants for Const. ❑ Sewer Fees to be Paid ® City Business License ❑ C/G/S Permit Reg'd. ® State Contractor's Lic. ❑ Encroachment Permit SPECIAL CONDITIONS VALIDATION John L. Kellerman/ve '7/1/85 Authorized Department Representative Date r J S�EC� 'DArtE TO'faL AMO,II,NT