HomeMy WebLinkAboutCENTRAL AVE 570_09-0752CITY OF
LAKE LSIl`OR BUILDING &SAFETY / Df
Z DREAM EXTREME.
130 South Main Street
PERMIT
PERMIT NO: 09- 00000752 DATE: 9/22/09
JOB ADDRESS . . . . . : 570 I -1 CENTRAL AVE
DESCRIPTION OF WORK . : DEMOLISH ALL OTHERS
OWNER CONTRACTOR
MCRAE ARDEN E STINGER DEVELOPMENT
MCRAE HARLENE E 43244 VIA SABINO
619 - 954 -3110
LIC EXP 0 /00 /00
A.P.# . . . . . . 377 - 410 -026 4 SQUARE FOOTAGE 0
OCCUPANCY . . . . GARAGE SQ FT 0
CONSTRUCTION . . . FIRE SPRNKLR .
VALUATION . . . . 1,000 ZONE . . . . . . NA
BUILDING PERMIT
QTY UNIT CHG ITEM CHARGE
BASE FEE 45.00
5.00 X 2.7500 VALUATION 13.75
QTY UNIT CHG ITEM CHARGE
1.00 X 30.0000 DEMO PERMIT PER UNIT 30.00
FEE SUMMARY CHARGES PAID DUE
PERMIT FEES
BUILDING PERMIT 58.75 00 58.75
DEMOLITION PERMIT 30.00 00 30.00
OTHER FEES
PROF.DEV.FEE 2 TRADES 10.00 00 10.00
PLAN RETENTION FEE 3.27 00 3.27
TOTAL 102.02 00 102.02
SPECIAL NOTES & CONDITIONS
DEMO OF INTERIOR
n r: CNHTEM2 T Dr Crawer. 1
Date: 0 1122/D9 22 Receipt nr,: 1348
200 752
Bp BUILD?NC PERM 1 $!02.02
i
CS CNECK 1052 $102.02
Trans date: 9/22/09 Tine: 9:25:54
CITY OF
LAKE LSMORX
DREAM EXTREME,
APPLICATION FOR
BUILDING PERMIT
VALUATION CALCULATIONS
1st FLOOR SF
2nd FLOOR SF
3rd FLOOR
GARAGE
STORAGE
DECK & BALCONIES
OTHER:
Sig
SF
SF
SF
SF
VALUATION: / _ /'d
FEES
BUILDING PERMIT $
PLAN CHECK
PLAN REVIEW
SEISMIC
PLAN RETENTION
1 certify that I have read this application and state that the
above information is correct. I agree to comply with all city
and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this
city to enter upon the above - mentioned property for insp-
tion purposes.
Signature of Applicant or Agent Date
Agent for F] contractor owner
Agents Name
Agents Address
130 South Main Street
APPLICATION NO
APPLICATIO RR CEIVED
DATE e y
BUIL NGA DRE S 570 'fen }cL,\ I
TRACT BLOCK/PAGE LOT PARCEL
o NAME Lo PHARLS ( QSSOGteSW
N MAILINGADDRESS
C
O
N
h ereby affirm that I am licensed under provisions of c apter cemmend
with section 7000) of division 3 of the business and professions code,and
my license is in full force and effect.
LICENSE# q y 36 7 CITY BUSINESS io' )G76a
AND CLASS TAX#INAMt:T
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MAILING
ADDRESS 3Zd 'i Ul /.'J
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CITY STA IP n C
PHONE
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NAME _ \ LICENSE #
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MAILING
ADDRESS
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I NEW OC GRP.! CONST.
DIVISION: TYPE:El ADDITION
ALTERATION NUMBER OF NUMBER OF
STORIES: BEDROOMS:DOTHER
SINGLE FAMILY
APARTMENTS
ZONE:
0 CONDOMINIUME HAZARD YES
AREA? NOTOWNHOMES
COMMERCIAL SPRINKLERS YES
REQUIRED? NOINDUSTRIAL
REPAIR PROPOSED USE OF BLDG:
PRESENT USE OF BLDG:DEMOLISH
JOB DESCRIPTION
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