BP#:_________-______ Balance Due: $________._____
City of Lemoore – Building Department
711 W. Cinnamon Drive, Lemoore, CA 93245 (559) 924-6730
Building Permit Application
Application Date: _____________________________
Applicant: ___________________________________________________________ Phone: __________________________
Job Site Address: ____________________________________________________________________________________________
Owner Name: ____________________________________________________________________________________________
Owner Address: _____________________________________________________________________________________________
Parcel Number: __________________ Zoning: ______ Tract: _________ Lot: _________
Work Description: ___________________________________________________________________________________________________________
Commercial: _______ Residential: _______ Industrial: ______ NEW DRIVEWAY
ADDITION MOVE-IN
Building Sq. Ft.: ________________________ ALTERATION MOVE-OUT
REPAIR DEMOLISH
Occupancy: ________________________ POOL SIGN
SPA FENCE
Type: ________________________ REROOF GARAGE
GRADING OTHER
Stories: ________________________
Valuation: _$______________________
Bldg. Contractor: _____________________________________________________________________________________________
Address: _____________________________________________________________________________________________
Phone: _________________________ State License Number: ________________________ Exp. Date______________
City Business License Number:____________________
PLAN SUBMITTAL FOR RESIDENTIAL / COMMERCIAL
2 – RES OR 3 – COMM. SETS OF PLANS 2 – STRUCTURAL CALCS
2 – TRUSS CALCS 2 – ENERGY CALCS
3 – RES OR 2 – COMM. SETS/REDUCED PLOT PLANS 2 – REDUCED FLOOR PLANS
2 – TITLE 24
OFFICE USE ONLY
ACCEPTED – PLAN SUBMITTAL COMPLETE
REJECTED – PLAN SUBMITTAL INCOMPLETE – See special Instructions
Special Instructions: ____________________________________________________________________________________________________________________________________________________________________________________