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Home My WebLink About200 GRAHAM AVE_ 99-00000124200 W GRAHAM AVE 99- 00000124 1 OF 1 CAI , r C Cgy of Lake Elsinore ERbUT 130 South Main Street PERMIT NO: 99- 00000124 DATE: 2/02/99 JOB ADDRESS . . . . . : 200 W GRAHAM AVE DESCRIPTION OF WORK . : DEMOLISH SING FAM RES OWNER CONTRACTOR SEYEDGAUADI ALI OWNER SEYEDGAVADI MAHBOUBEH A.P.# . . . . . . 374- 261 -002 1 OCCUPANCY . . . . CONSTRUCTION . VALUATION 3,000 DEMOLITION PERMIT QTY UNIT CHG 3.00 X 30.0000 DEMO PERMIT PER UNIT 1.00 X 5.0000 PROFESSIONAL DEV FEE FEE SUMMARY C KARUIS5 PERMIT FEES _ DEMOLITION PERMIT 95.00 TOTAL 95.00 SPECIAL NOTES & CONDITIONS DEMO 3 APARTMENT STRUCTURES SQUARE FOOTAGE 0 GARAGE SQi FT 0 FIRE SPRNKLR ZONE . . . . . . NA PAID 00 00 ITEM CHARGE 90.00 5.00 DUE 95.00 95.00 Operator; CATER Date: 2102199 02 Receipt: 0003555 03 00Totalpayment 495.00AmountTendered City of Lake Elsinore Building Safety Division in ZQ.ms p on th,., y, e3e jcb You must furnish PERMIT NUMBER andlheJOBADDRESSforeaCh respectivainSpeCdon: Approved plans must be on job at ail times: please !grad and Initial 1. 1 am licensed under the provisions of Bustness and Professlori l Cade Section 7000 fth et seq. and r M er Pl to to futl force. 2. ].as owner of the property. or my the structurere wages In the Intended OrcompensationwilldotheRorkandthestructurelenotIntendedor offered for Sale. 3. I. as owner of the property. am exclusively aonuRcung with kmad contractors to construct the profit. 4.1 have acertificate of consent toselfinsureoracertUkntrorworkem Compensation insurance or a certified copy thereof C 5. I" i not ebnploy any person ln any manner soastobecorneau"ect to Workers Coompensatlon Laws In the performance of the work for which this permit le 1--med. Note If you should Lecome subject to Workers Compensation after making this certi f cation. you must forthvlth comply with such pro- visions or this permit shall be deemed revoked. T Else Services Date M rrs Sol Pips nd Else Conduit Urtdw ound Footings BPO2 Sisal Rsi I amsnt WM Grout BPOA Stab Grads PLOT UnderWound Water Pipe SSO1 FloWh 6c Syslern SWO1 On Site Sews+ Find FramingBEQZ- Shear Wall & Pre-LathJM_ EL04 Rouah Elactric-Wirina ELO5 Rough Electric -T -Bar ME01 Ro2o Mechanical ME02 Du Venfilatiry Os Flo& Gas Pi t InsvilationSP12 SPt3 A Nailing BPtI LathtM Siding PL99 Final plumbing EL99 Final Electrical ME99 Final Mechanical BP99 TF inal Buildi. Code Pool 6 Spa Approvals Date Inspector OTHER DEPARTMENT RELEASES r Depari rxo Approval regt>ired Prior b the bAchM besrg released by the CityPOOIFoolSteelFlan./Forms P001 Pool Plumb eas. Test P003 Pre -Gunge Date Inspector ELOfi Plough Pool Elecbic Plenrang Sub List Approval Landwspe POOR Pool FanciralAccess FinaW e get En ineeri P009 FinalPoouS APPLICATION FOR BUILDING PERMIT VALUATION CALCULATIONS 1 City of Lake Elsinore 1 st FLOOR SF 2nd FLOOR SF 3rd FLOOR SF GARAGE SF STORAGE SF DECK & BALCONIES SF OTHER: CITY TATE ZIP PHONE SF GRADING f CUT CY NAME LICENSE P FILL CY VALUATION: FEES NEW :REPAIR BUILDING PERMIT S PLAN CHECK ADDITIONAL PLAN CHECK GRADING PLAN CHECK MICROFILM _--- COPIES IMPRO FEES SCHOOL FEES 130 South Main Steel APPLIC NO v APPLICATION RECEIV J D f DP i E PAID DATE C I certify that I have read this application and stotq that the above information is correct. I agree to comply w:•' all pity 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 inspec- tion purposes. Si wre of A an Agent Dote AGENT FOR CONTRACTOR OWNER AGENT'S NAME AGENT'S ADDRESS STREET CITY STATE ZIP REV. DATE 111.90 r BUILDING ADDRESS TRACT Rl CK P E LOT PARCEL 3 NAME BI yp_ n G n i . ADDRESS a U O i' l f T, Gf H /y PHONE O CITY STATE, ZIP r. L /'le- t' C_ 5/ iv -7 e // a-3 33 - - I hereby oRirm that I am Lcensed under pro+mons of Chopur 9 karnmencinq vrith SecliOa 70001 0l D,vision 3 of the Ousiness and Prolessions Code. and my license Is in full force and *llKi. LIC s C Y R SS AND CL 7 xr _ NAME MAIUNG ADDRESS CITY TATE ZIP PHONE CONTRACTOR'S SIGNATURE DATE cgs NAME LICENSE P u Z MAILING ADDRESS CITY STATE ZIP PHONE NEW :REPAIR OCCGRP.; CONST. DIVISION: TYPE: ADDITION MOVE NUMBER OF NUMBER OF STORIES: BEDROOMS: ALTERATION DEMOLISH ZONE: OTHER SINGLE FAMILY units HAZARD AREA? YES NO APARTMENTS units SPRINKLERS REQUIRED? YES NOCONDOMINIUMSunits TOWNHOMES units PROPOSED USE OF BUILDING: PRESENT USE OF BUILDING: COMMERCIAL INDUSTRIAL JOB DESCRIPTION T REV. DATE 111.90 r