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Home My WebLink About1284 San CarlosN.g 5003 CITY OF SAN LUIS OBISPO ELEGTRTCAL PERMIT This permit is issued with the undersigned -applicant's agreement and acknowledgement that all work will be done in accordance with bitv ordinances, i".f"Ji"g ."y siecial r^equire-"rrii uttd other applicable lais. This permit becomes invalid if work is not .r"]"J,,*rf,i,., go aryi. ihi. p"irlit'do'es not inil.rde permission to rnake any structural altirations or install plumbing, sewage or sidewalk facilities. Business License Permit Card Street File tr tr tr FEE $---15-OQ--- f Items - - .- New single-family residence with --- square feet' DATE - - - --Seg-' - 8-+ -1-9El --. - - owner - - - -Sg-q -TlYlo-g Address 128/r San Gerlos Contractor Eetes ElectrLc Address --1236-Al r{ te Type Bldg. - Fire Zone- Special Requirements Inspectar of Buildings. . Circuits & Feeders . ,Switches ,Lighting outlets --Recept. outlets -, Fixtures -,--Range & Oven , ,- --Dryer Water Heater '['ransformers - ,.---,Signs --.-- Other Space Heater , ---Temporary Service Pole Service Size CONDUCTORswlTcHCON OU IT Motors FEEH.PNO \ '1." i --,---- ------ -*-City Clerk.John L.Ke1 Fees ---l--Permit ---_--- --.----New Dwell. -,- ------Circuits ------ ------Outlets ------ -*----Fixtures ------ -*-1---S"rui.e -.----- ------Appliances --- .------Transformer -- ------Motots ------- -------Alteration ---- ----Other aTOTAL-.- $ In accordance with the requirements of Section 3800 of the California Labor Code,.I, the unaersigned, hereby state'with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: bOtI have a valid California State Contractor's License in full force and effect with- the following classiflcation and license number: classificatiJn ---C:-L0--(eleetrtcla[ License No. 3781139----- 2. I am exempt from these provisions by reason of the following: a, I am tlie owner of thi property described in this permit application and I am luitaing or improving slructur"es thereon for my own occupancy and not to be offered for sale,b. ftre wort< 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. n""-ptio" is based on the foiiowing iection of the State Cbntractors' License INSURANCE COVERAGE-Check appropriate box (one must be checked, sec. 3800 Calif. Labor Code). n Certificate of workmen's compensation insurance, copy thereo-f or certificateu ;i^"";;;;; i; ;;tf-fi;;"" rroft- Director of Indu3trial Relations, has been filed with the City and is still in effect. tl The permit sought is for one hundred dollars or less' for which this permit is issued, so as to become subject to the I understand that failure to Law: Section Er Applicant--- laws cause revocation AUfi';:?-67 t rTrl s s S{9* gtlZZZS I l;t CITY OF SAN LUIS OBISPO BUTLDING PERMIT This permit is issued with the undersigned applicant's agreement and acknowledgement that all work will be done in accordance with bity Ordinances, including any slecialiequiremeni-sandother applicable-lai's. This permit becomes invalid if work is not started riithin 60 days. This iermit toes notlnclude permission to-ilnstall electrical, plumbing, sewage or sidewalk facilities. Business License fi Permit Card I Street File !Permit Fee Plan Check Fee Other Fees t29 L967 $--a $-- $------------ rorAl, $----1-.-q9--- DESCRIPTION OF STRUCTURE OR WORK Use ) Patio t Estimated value - ----*---4Q0--- -Units---:=-*-- How \cqtcA Garage E Calport n ------X------ Attached E Detached tl tr New E Addition H Alteration E Repairs E Move E Demolish E Width--L6-l--- Length-J-8-t--- Height-3-r--- Stories---*- Foundation -- - $l-a-b- - - Exterior wall- - - - - - - - - - *""t- -31{f;- -*--------Ci.ty Clerk,Insp ector of Buildin gs, appropriate box (one must be checked, Sec. or less. for which this permit is issued, so as to become subject to the that failure to cause revocation \ In accordance with the requirements of Section 3800 of the California Labor Code, I, the un["i.ig""a, hJreby state-r'eith regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. I have a valid California State Contractor's License in full force and effect with the following classification and license number: IN s800 tr Certificate of workmen's compensation insurance, copy thereol or certificate of consent to self-insure froin Director of Industrial Relations, has been filed with the City and is still in effect. Classification License No. 2. I am exempt from these provisions b,y reason of the followilg: -.;.- i ;m tfre owner of thi property described in this permit application and I am luitaing or improving itru-cturls thereon for my own occupancy and not to be offered for sale. b. dtte *ort involved is of a casual, minor or inc-onsequential. nature and will not "i"u"A Onu Hundred Dollars (9100.00) for all labor, materials and other items. c. d""*pti"n ii based on the foiiowing Section of the State Contractors' License owner - -E-e-g- -f 4J1-o-r- - - - Address--1?-84--$-a$---cer-Lqs- A,nderson Builders 2480 Gerda St.Address Builder Arch. or Eng Address Special requirements T^c Parcel No. 7 Block--E-Terrace 4-773-O7 LOCATION INFORMATION No. - - -L?S-4- - street-- $-49- - $-arAqs- - -- - - Front yd.---- ----- Side yds. --*------ I --------Existing Read vd. Nearest bldg.----------- u.u "o'S--1 Fir" "orr"-1-- Iot size-----x----- Law: Section I laws $% CITY OF SAN LUIS OBISPO BUILDING PERMTT This permit is issued *it\,b" undersigned _applicant's agreement and ackn-owledgement that all work will be done in accordance with bitv Ordinances, including any sleciali:quiremen6andother applicable_laws. This permit becomes invalid if work is not srarted #itli" OO d"y.. This iermit ioes not include permission to-iistall electrical, plu-mbing, sewage or sidewalk facilities. Business License n Permit Card n Street File n Permit Fee Plan Check Fee Other Fees 2243, L967 $-s--.-o-9------ $- 5.00 DESCRIPTION OF STRUCTURE OR WORK retaining wal1 LOCATION INFORMATION San CarlosN".__l?91__ , ^.7 Block-E--- 4-773-O7 Parcel No. LJse zone,--- Fire zone---- Lot size-----X----- Frontyd.--- ----- Sideyds. --------- I -------- Read vd. Ken Taylor L284 San Carlos St. Gust Anderson for which this permit is issued, so as to become subject to theI understand that failure to c-^^^ tUtu Owner Address Address Builder Estimated u"t r" -$l9-9!-0-q-------------- unifc New D Addition E Alteration E Repairs D Move tr Demolish tr Width--- - - - - - L"r,gth- ?-! l-- - H"igt, - - -l : - - Stories----- - Foundation--e-o-Bt-r- Exterior wall---------- Roof--- How heated- TyP"------- Group--------Special requirements Garage fl a Attached tr In accordance with the requirements of Section 3800 of the Californja Labor Code' IJhe "nJ""-*-is;d, ft"""lyitut"'with regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1, I have a valid California State Contractor's License in full force and effect with the following classification and license number: Nearest bldg.-----------Address - - - ?4 g-Q - q9I-04 - $-L- Inspector of Buildings. be checked, Sec. 3800 I certificate of workmen's compensation insurance, copy tlre1eg.f or certificate of consent to self-insure from Director of Industrial Relations, has been filed with the City and is still in effect. n The permit sought is for one hundred dollars or less'2. I am exempt from these provisions b-y reason of the follow.ing: ,.;.-- i ;* tfie owner of th-e property described in this permit application and I am f"ii,iiiri: oi i-proving sl"u?tur-es thereon for my own occupancy and not to be offered for sale. b. ih;;"k i"tolved is of a casual, minor- or inc-onsequential. n-ature and will not ui."eA-O"JHundred Dollars ($100.00) for all labor, materi-als and other items. c, n:"!*ption is based on the foiiowing Section of the State Contractors' License Classification License No. City Cle&. ! shall cause revocation Jiii{'12-5? ti"25u? Business License 6 Permit Card tr Street File ! #59 B fr?Jlil zZI D,t"-- -Jg! 9- -12, - ]9-Q? - - - - Permit Fee E---15-:Q9-- Plan Check Fee $----?-r5-0--- Other Fees $----------.- tro+48 [ i$ - - -4?-zI -a-7 -> il J .i.i: .l L CITY OF SAN LUIS OBISPO BUILDING PERMTT This permit is issued with the undersigned applicant's agreement and acknowledgeme:rt that all work will be done in accotdance with bity Ordinances, including any specialr-equiremen6andother applicable_laws. This permit becomes invalid if work is not starred #itnin 60 days. This fermit Soes notlnclude permission to-ilnstall electrical, plu-mbing, sewage -Slfffyt}"Sfntftf Z 5 !l g DESCRIPTION OF STRUCTURE OR WORK .Use -----d Two Rooms New ! Addition ff Alteration ! Repairs D Move tr Demolish ! Owner Ken Tavlor Address L284 San Carlos St. Arch. or Eng.Gust Anderson Address Builder - Au-4e gs -o-n - -B-uil-de -rg Address * _2_4_8_Q_ _Q_e_t$e _ €t. COVERAGE-Check appropriate box (one must be checked, Sec. 3800 Calif. Labor Code). How heated- Type-----Y- Group---l--- Garage E Carport Attached fl Detached E In accordance with the requirements of Section 3800 of the California Labor Code,,I, the inJ"t-*-igti6A, trerefv state;ith regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: L. I have a valid California State Contractor's License in full force and effect with the fotlowittg classification and license number: Classification License No. -------- 2. I am exempt from these provisions by reason of the follow.ilg: ;.-i t* tie owner of thb property dlscribed in this permit application and I am ["ilai"g o" i*proving itru^ctur-es thereon for my own occupancy and not to be offered for sale. b. ifi;;rk hnolvea is of a casual, minor or inc_onsequential- n-ature and will not "ti."ea OnJtlundred Dollars ($100.00) for all labor, materials and othet items. c. e:"i*pti.in i. based on the foiiowing lection of the State Contractors' License wiCq.l-6-:-6-'j'r",g*-?!-l---Height------vurl L 'Conc.& -- Stucco Foundation Pi e-rs- - - Exerior wall - I- I I--- Il - - Stories--1----vofllp r n certificate of workmen's compensation insurance, copy tfreleg-f or certificate of eonsent to self-insure froir Director of Industrial Relations, has been filed with the City and is still in effect. n The permit sought is for one hundred dollars or less. Aru"*"pecnr of Butdings. LOCATION INFORMATION N".--1-ag4--street---$.an---c-ar-l9is----- Richh,nd ut--!----- Block--F-- SubdivisionTe. tr;abcg, Special requirements 4r6tr Read vd. ---?1:-6::- Nearest trag.--4!-t:--- Fron y d. - -?-6-l-- sia" yar. --l-i----, -City Clerk. m DEPARTMENT OF BUILDING Crrv or SaN Lurs Oerspo Car-rros.Nre ..\ A.!".'...si de .1-ines , 5Q.'.. ,c:,.. c:;''c r: L/ 77-?-l BUXN-DNNG PERMNT if work Permit Fee - - - $------------ Date Plan Check Fee $ ol. bs,cci i. I lus ,s d.ays TOTAL $lclg U s DESCRIPTION OF STRUCTURE OR WORK 1@ Alteration O"n$o , Demolish Owner Address Eng, or Address Builder Address Arch a - *-------- --- -r: .'- .t l:::.+_#r- Front ---- Foundation How Heated Garage.or Depth Height Ext. Cover Z*J-t Type of const. . T"---- - Type of Chim. Detached,----- Tlci.s permi.t does not include permi.ssi.on for cutti.ng of Streets, making sewer connections, constructing a.wbs or the i.nstalli.ng of electrical and plumbing facilities. P Plans and. specificati.ons me considered *7 an integtal part of this permi't' c" -----x, --- /--4---- )d _{I3'Zone--- Street - W Occupancy Completion LEGAL No. .-7-? ,s ** Fire Estimated Value Sub. -- Lot Size,---- Lot, hereby the that all costs and ------OwnEF i!. of s-----*---*l- I By- I v'Siir'iJ'i:i: :,3985i{ Business License d Permit Card n Street File ! Date----------- tlNdlTil 779 '"i: SeptCnber 19CITY OF SAN LUIS OBISPO BUTLDING PERMTT This permit is issued with the undersigned -applicant's agreement and acknowledgement that all work will be done in accordance with bitv Ordinances, including any slpecialiequiremeniiandother applicable-laws. This permit becomes invalid if work is not started #ithi" OO duyr. This iermit does notinclude permission to-iistall electrical, plumbing, sewage or sidewalk facilities. Permit Fee $-9^00------ Plan Check Fee #n3---- Other Fees 13 .5U TOTAL DESCRIPTION OF STRUCTURE OR WORK rUse ) Alrrminrrm sidino Estimated vulue -----$--L60-0-.-0-O Units---------- New E Addition E Alteration S Repairs E Move D Demolish E Width---65!- Length-3-[t---- Height- Stories---1-- Foundation Exterior wall---------- Roof-Comp-- How heated- TyP"------- Group-------- Garage fl Attached E Detached E In accordance with the requirements of Section 3800 of the California l:abor Code'.IJhe i,"J"-r*-ig*a, tr"""Uy itut"\rith regard to Chapter 9, Division 3 of the Business and Pro- fessions Code: 1. Ihaveavalid California State Contractor's License in full force and effect with the following elassification number License No.yffa011 Classification owner Kennetb*L--Taylor-- Address 128-tl- -San- Jar.los - Sf -- Arch. or Eng. Address Builder *Betie-r- Ilomes- -- - - -- - - Address -8t$0l-Bati$riR--Ave.--- INSURANCE COVERAGE-Check appropriate box (one must be checked, sec. 3800 Calif. Labor Code). \d C""tifi"ate of worknren's compensation insurance, copy tltereoJ or certificate ^ of consetrt to self-insure from Director of Industrial Relations, has been filed with the City and is still in effect' ! The permit sought is for one hundred dollars or less. 2. I am exempt from these provisions b-y reason of the following: -.;.-i ;* [[u o*o." of thb property ciescribed in this permit application and I am i"ii.iliii' "" iiiip"oving Jtructur"es thereon for my own occupancy and not to be offered for sale. b. ih;;;k l""olved is of a casual, minor- or inc-o4sequential. nature and will not "".e"a O". Hundred Dollars ($100.00) for all labor, materials.and other items. c. n"l*ptiiiiir baseO on the foiiowing ieetion of the State Contractors' License Parcel No. -- --- --4-f73-A7 ---- - Use zon&-l- Fire zonej-- I-at size-7Ar-X-100 Front yd.--- ----- Side yds. ---4!----l---5!-- I tRead vd. --451----- Nearest bldg.--8!------- Special requirements Block- -B- - - Subdivision- Bl-cI' - LOCATION INFORMATION No.-1284---- Street--Sia+-e*+1es------ -- f.nt 7 Inspector of Buildings.--City Clerk. City of San Luis Obispo, Calif. Departrnent of Public Worhs ORIGINAL APPLICATI0N and PERMIT for SIDEWALKS and CURBS N9 469 Fee or . Permission is requested to have the following work performed at the locatron Jcified below:San Luis Obispo, Calif., . .3-/.1!.-...., 19s-/ ,rUlS7P. W. side ot,,)ltlu-.1.ft..t1.Lp-r-. Street, betrveen -E-.- s*-sTr?-.--"-"' and:-Y8 cEir..E Streets, at house No. /-.? € .?... -in f.mnt o{vot ---7----------------'- in ntoct ;l --. - in tneKti.t!.-L-11..*tA. -E=-nX-n e-r==subdivision of the citv of R.Le.s. San Luis Obispo, California. n Construct standard cement sidewalk. Length u To repair _..-. \4ridth ..-. width n Construet standard concrete eurb and gutter. Le4gth -------:-----r---'- D Construct standard concrete ramp. Length 7 : ------ Width /4---- ---"'- By By Tnspected on 3///.... ....... -., 1sl7 By fi, ta,../d/.dm. part to commence on/ot Length -.---.- REMARKS,IVI Contractor ,-C r\ddress: A ttention is called to the provisions listed on reve]:se side of this permit which shall become -Jut ------.-..- ...--, 19--.---, and continue v"ithout delay until completed' Dated ----------, 19------ Signature of Orvner -' Permission is hereby granted to perform the work described above, in accordance with conditions Department of Public Works ,l?,mBy C,ity-Pngiile€r or Authorized Agent CITY OF SAN LUIS OBISPO ELECTRIGAL PERMIT This permit is issued with the undersigned applicant's agreement and ackn-owledgement that all worh will be done in accordance with bitv Ordinances, including any sie.i"l t^equiremenE and other applicable lai,s. This permit becomes invalid if work is not started #ithl.t gO days. This peimit'does not include permission to rnake any structural alterations or install plumbing, sewage or sidewalk facilities. Business License Permit Card Street File I{9 1623 FEE $---Z-Q,L--- I}l! Items -,----New single-family residence with - square feet. 3- Ci...,its & Feeders - - Switches --Lighting outlets -- ---Recept. outlets ----- Fixtures ------Range & Oven ------Dryer - ,---Water Heater -, ----Transformers - -,--Signs ---,--Other Classification Space Heater - ----Temporary Service Pole Service Size CONDUCTORswrTcHCONDU IT Motors FEEH. P.No. License No. 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 Pro- fessions Coder 1. I have a valid California State Contraetor's License in full force and effect with the following classification and license number: - Certificate of workmen's comDensation insurance, copy thereof or certificate ;il;;;t io i"u-itttn"e froir Director of Industriai Relations, has been filed with the City and is still in effect. n The permit sought is for one hundred dollars or less. for which this permit is issued, so as to become subject to the COVERAGE-Check appropriate box (one must be checked, Sec' 3800 Labor Code) I understand that failure to laws shall cause revocation 2. I am exempt from these provisions by reason of the following: a. I am the owner of the property described in this permit application and I am building or improving Jtnictur-es thereon for my own occupancy and not to be offered for sale.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 foiiowing section of the State Contractors' License Type Bldg. --&'*---- Fire Zone-- ffi Address ./-4-8- -&"*--- Contractor T-ri;w ,rDATE + C)wner - Special Reguirements Address --L-U-g-e--- ---l Permit ----- --,----New Dwell. ,,- --il.- Circuits --- - ------Outlets ---- - ------Fixtures ------ ,--.---Service -.----- -,---Appliances --- -------Transformer -- --Motors ------Alteration ---- ------Other {,0 r>TOTAL-.- $_ City Clerk.Inspector of Buil.dings, t$t ryro ctty E san luls ont ;@ D',ili;-^ O Qa{n+.' hh,iaian - O{ O Construct i on".,Rerm [[^A< a640 ^ /OnE\ 70{ 7{On Project Address 1284 SAN CARLOS Assessor'sParcelNumbei 004-773-007 Legal Description CY SLO TR 94 BLBLTT Project Description PHOTOVOLTAIC SYSTEM - ROOF MOUNTED Permit Type Building Mechanical x Electrical Plumbing Sign _Demolition _Grading Property Owner TAYLOR KENNETH L TRE ETAL OccupanVBusiness Name Mailing Address 1284 SAN CARLOS DR ArchitecVEngineer City/State/Zip Contractor Mailing Address City/State/Zip Project Manager Lender Name C.B.C. Group Census sLo cA, 93401-5334 Fees Building Permit Plumbing+Electrical+Mechanical Permit Grading Permit s.M.t.P. Green Building Fee Demolition Permit Sign Permit MiscCharge/Credit 0.00AdministrativePermit Archival Feesubtotal 149'oo lnvestigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal 0.00 Development Review Fee Fire Safety Surcharge Fire Systems Fire Sur/Sys Subtotal 0.00 Construction Unit Tax Water lmpact 0.00 Area - Water Meter lnstallation Wastewater lmpact 0.00 Area - Traffic lmpact 0.00 Area - Affordable Housing Public Art Code Enforcement Park lmprovement Area - Engineering Development Review Fee Open Space ln-lieu Fee Total Fees Balance Due License # Contractor's Phone No. 540-5461 Contractor's State Lic. No.750184 Project Manage/s Phone No. aat-5396 Lender Address Stories 0 Codes: CBC10 CECl0 Dwelling tfiii-O Motel Rooms 0 Valuation Total Building Value $0.00 -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 force and effect Contractor: R E C SOLAR INC Class: C10 License #:750'184 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:ZURICH AMERICAN Policy #:! /C9,382359Q0. Expires 04101113 Fee Exemptions: R E C SOLAR tNc 775 FIERO LANE, SUITE 2OO sLo cA 93401 KYLE C.B.C. Type 0.00 149.00 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 149.00 0.00 Payme Amount nts Payment #l Date 08t23t12 Receiot 57390149.00 Total Paid 149.00 Application Number{20691 Permit Number 26560 ApplicationDate 081231'12 Address File lssuance Date OBl23l12 Comments: or Date ctuy ofiian luls oBtsfc Division . g r g p"G OnStSUtCtimOiSgWUd{o 1 -32 1 I . (so5) 78 1 -71 80Buildinq & Safetv ProjectAddress '1284 SAN CARLOS Assessor'sParcelNumber 004-773-007 Project DescriptionPATlO eru SneO Permit Type x Building Mechanical x Electrical Plumbing Sign -Demolition _Grading Property Owner TAYLOR KENNETH L TRE ETAL OccupanUBusiness Name .Mailing Address 1284 SAN CARLOS DR City/State/Zip Contractor sLo cA, 9340't-5334 Mailing Address 1107 EL CAMINO REAL Contractor's State Lic. No. 336439 City/State/Zip ARROYO GRANDE CA 93420 Project Man ager JOHN LARSON Project Manager's Phone No. +gg-t+t2 Enforcement Lender Name Lender Address Legal Description CY SLO TR 94 BLBLTT DAY CONST ArchitecVEngineer License # Contractor's Phone No.489-',t412 C.B.C. Group _R-3 Census 434 - nesiUer*iaf C.B.C. TypeV-B Alteration orAddition Valuation 16,000 Fees Building Permit Stories 0 Codes: CBC07 CEC07 Dwelling UniG-0 Motel Rooms 0 192 $q P1 @ $16,000.00 $16,000.00Total Building Value -Legal Declarations 2a - GALIFORNIA 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 force and effect Contractor: DAY CONST Class: E--92Q, License #:336439 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#:1909200 Expires 07l01l0g Fee Exemptions: Comments: Plumbing+Electrical+Mechanical Permit Grading Permit s.M.r.P. Green Building Fee Energy Surcharge Accessibility Surcharge Demolition Permit Sign Permit MiscCharge/Credit 0.00AdministrativePermit Archival Fee Subtotal 381'46 lnvestigation Fees Building Plan Review Fee Fire Safety Plan Review Plan Review Subtotal 0.00 Development Review Fee Fire Safety Surcharge Construction Unit Tax Water lmpact 0'00 Area - Water Meter lnstallation Wastewater lmpact 0.00 Area - Traffic lmpact 0.00 Area - Affordable Housing Public Art Code Enforcement Park lmprovement Area - Waterway Management Fee Open Space lnlieu Fee Total Fees Balance Due Payment #1 407.98 02119109 334.30 44.56 0.00 1.60 1.00 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 0.00 0.00 0.00 26.52 0.00 407.98 0.00 Receiot 41416 Total Paid 407.98 Application Number090126 Permit Number 23658 Application Date Ozrlgng lssuance Date 02/19/09 Address File of 4^/ or