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4030068 CITY OF C TPERTINO cuCITY OF o NEW SINGLE FAMILY DWELLING O q 03 0 �-� PERMIT APPLICATION FORM APN# rDate: -Bui ding Address•SMailing Address (if iffere t fro b ldi address): 175 'ou �-� a�17 5 0-72 6rD O r C (7 �c� v� � Phone#: J21- ) -725 Contr c License#: 13 2 ���S�o�l Contac'r. I Phonab_-7 Cupertino Bus' e e ►J��S� Fax: 17 —ZS ill Building Permit Info: ,n D Single Story ❑ Two-Story Three- tory ❑ Basement ❑ Sq.Ft. Floor Area: $/Sq.Ft.: Cost of Project: J� Type of Construe on: / Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL. BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX lnd/Off/COmm/ uasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax—Resi/Mobile BUILDING BELEC1000 Elec 600V<= 1000A ELECTRICAL BELEC1001 Elec 600V> 1000A ELECTRICAL BELEC200 Elec Svcs 600V <=200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING D Iof3 /�/ 7 0 � CGS CITY OF CUPERTINo CITY CUPEfRT INO NEW SINGLE FAA1ILY DWELLING �T PERMIT APPLICATION FORM uanti Fee ID Fee Descri tion BMITIGATR AELECTRICPAL .. Res. Housin Mit Fee BMNEWMULTI New M ulti-Famil Res MECHANICAL - BMNEWSF&2F New Sf &2F Res Bld s - — BNEWMULTI Multifamil Res NUCOBNUCMME New Comm Electric BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb . PLUMBING BNUMULTI New Multifamily Res PLUMBING BOVERTIME Ins ection Overtime BPB ACKFLO BUILDING W Atmos heri c Vacuum PLUMBING BPCESSPO I' OL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP In Waste Interce for PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Repine Of Fixtures PLUMBING BPSEWAGE Sewa a Dis oral PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Tra PLUMBING BPVENT Alt of Drain & Vent PLUMBING BPWATER Install/Alter Water Pi e PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reins ection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <-- 10,000 cfm MECHANICAL BREMAPPLI A liance Install MECHANICAL BREMBUSWAY Remodel Busways BREMFIXT Li ELECTRICAL htin Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOv Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc A aratus ELECTRICAL BREMNRAPP Rem Non-ResA3I liance ELECTRICAL 2 of 3 t ` CITY OF. CUPERTINO CITY OF NEW SI1oIEsg..E+ FAI 41LY DWELLING CUPERTINO PERMIT APPLICATION FORM . V uanti Fee ID Fee Descri tionWELECTRICAL BREMPOWER Power Device/A azatus BREMRECEPT Re tl Switch & Outlets BREMRELOCA Relocation of Hood 13RENIREPALT R air/Alter Heatin BREMRESAPP Remodel Res A fiance BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Si s, Marquee ELECTRICAL BREMTHEATR Theatrical Li tin Fix i ECTRICAL BREMVENFAN Vent Fan Single Duct CHANICAL BREMVENSYS Ventilation S stems CHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL S ecial Ins ection BUILDING BSWIM Swimmin Pool BUILDING BTEMP Tem or Power ELECTRICAL BTEMPPERM Tem or Bld Permit BUILDING BTEMPSVCS Temp Dist Svcs *ELECTRICALL BUSLIC Business License ELECTRIC Electricalfoot LTFEE Elec Permit Issuance LMPERMFEE Mechanicals . foot ALMPERMITFEE Mech Permit Issuance ALPPERMITFEE Plumbin Permit IssuanceGPPLBG Plumbin Fee s foot ZADDCHG Address Chane BUILDING 3 of