11060043 CITY OF CUPERTINO BUILDING PERMIT
BFILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR:TM!!f_'`f't)FtE PERMIT NO: 11060043
i F'Tr'R'17111Ct'r
ONNNFR'SNAME: HK INVESTMENT'S � / DATE ISSUED:09/02/2011
A'VER'S PHONE: 4082053496 Mt' PHONE NO:
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL, COMMERCIAL
11
License Class_2 Lic.# '9C VERIZON WIRELESS- COMMERCIAL TENANT
IMPROVEMENT
Contractor �lPn�rnSk.�. ��ny1��/ _ (2910SQFT) NON-STRUCTURAL INCLUDES MECHANICAL,
hereby affirm that I am licensed under the provisions of Chapter 9 ELECTRIC,PLUMBING,DRYWALL& FRAMING.
(commencing with Section 7000)of Division 3 of the Business&Professions
('ode and that my license is in full force and effect.
hereby affirm under penalty of perjury one of the following two declarations:
I lime and will maintain a certificate of consent to Self-insure for Worker's
Compensation.as provided for by Section 3700 of the Labor Code, for the
perlorniance of-the work for which this permit is issued Sq.Ft Floor Area: Valuation:$175000
1 have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the I-abor Code,for the performance of the work for which this APN Number:32632054.00 Occupancy Type:
permit is issued i-
APPLICANT CERTIFICATION
I :crlill that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
t,,building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FROM LAST CALLED INSPECTION.
utdcnutify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply Issued b � Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
r) 18
RE-ROOFS:
gnature___ DateAll roof's shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law for one of Signature of Applicant:_ Date:
-- -
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I. as owner of the property,or my employees with wages as their sole compensation,
%+!.I do the work.and the structure is not intended or offered for sale(See.7044,
f3usmCSS& Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
constrtet the project(Sec 7044,Business&Professions Code). 1 have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
C ompcnsation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain W'orker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
Owner or authorized agent: Dater
I certify that in the performance of the work for which this permit is issued,I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must 1 hereby affirm that there is a construction lending agency for the performance of
forUhwlth comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address _
I 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 inspection purposes.(We)agree to save ARCHITECT'S DECLARATION
indemnity'and keep harmless the City of Cupertino against liabilities,judgments,
,ts,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
.WiTIV of thre permit Additionally the applicant understands and will comply
th all non-point Source regulations per the Cupertino Municipal Code_Section Licensed Professional
18 ——
Signature Date
REVII�IVr'4 IP
CITY OF CUPERTINO BUILDING PERMIT DATE _
BUILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR:MENFMSHA PERMIT NO: 11060043
DEVELOPMENT
O" R'S NAME: HK INVESTMENTS 4950 W 145TH ST DATE; ISSUED:09/02/2011
0N4,. 'S PHONE: 4082053496 HAWTHORNE,CA 90250 PHONE NO:(818)212-4958
LIC TRACTOR'S DECLARATION
BUILDING PERMIT INFO: BLDG ELECT PLUMB
Lich, lass Lic ti Lt' ) r _
MEC" ' RESIDENTIAL ' COMMERCIAL
Con�affirnl�hat
DateGIensed under the provisiq s of hapter 9 JOB DESCRIPTION: VE
R170N WIRFI.F.SS COMMFRCIAI.TTiNAN L
(commencing with Section 7000)of Division 3 of the Business& Professions IMPROVEMENT
(2910SQFT)NON-STRl1CTURAL.INCLUDES MFCtIANICAL,
Code and that my license is in full force and effect.
ELECTRIC,PLUMBING,DRYWALI.&FRAMING
1 hereby affirm under penalty of perjury one of the following two declarations: ;, ,. _ I f 4+i t v
I have and will maintain a certificate of consent to self-insure for Worker's
Compensation,as provided for by Section 3700 of the Labor Code,for the '
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued Sq.Ft Floor Area: Valuation:$175000
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is APN Number:32632054.00 Occupancy Type:
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 inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, PERMIT EXPIRES IF WORK IS NOT STARTED
costs.and expense's whih ma
cy ccrue against said City in consequence of the
granting of this permit. Addnally,the applicant undo ds and will comply WITHIN 180 DAYS OF PERMIT ISSUANCE OR
wStir all non-point sourc gulations per the Cupe o Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION.
Signature A Date (U Issued by; Date:
d OWNER-BUILDER DECLARATION
�1 hereby affirm that I am exempt from the C'ontractor's License Law for one of RE-ROOFS:
the following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is
I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for
will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection.
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to Signature of Applicant: Date
construct the project(Sec.7044,Business& Professions Code). —
1 hereby affirm under penalty of perjury one of the following_ three ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE:
Compensation,as provided for by Section 3700 of the Labor Code,for the
performance of the work for which this pennit is issued. 1 have read the hazardous materials requirements tinder Chapter 6.95 of the
I have and will maintain Worker's Compensation Insurance,as provided for by California Health&Safety(lode,Sections 25505,25533,and 25534. 1 will maintain
Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&Safety Code,Section 25532(x)should I store or handle hazardous material.
permit is issued. Additionally,should I use equipment or devices which emit hazardous air
I certify that in file performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will
not employ any person in any manner so as to become subject to the Worker's 'stain-Colti�liance yvtth-t#t"e C upertino Municipal Code,Chapter 9.12 and the
Compensation laws of California. If,atter making this certificate of exempt io 1'� Health&Safety Code,Section� 5505,25533,and 25534.
become subject to the Worker's Compensation provisions of the Labor Code, must
forthwith comply with such provisions or this permit shall be deemed revoked. Own r or aut agent:
ate: Z4/ lT
APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY
I certify that I have read this application and state that the above informati ts/
correct. I agree to comply with all city and county ordinances and state laws relating I hereby affirm that there is a construction lending agency for the performance of,uxk's
to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec.3097,Civ C.)
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name
VT ify and keep harmless the City of Cupertino against liabilities,judgments,
cr nd expenses which may accrue against said City in consequence of the Lender's Address
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. ARCHITECT'S DECLARATION
—
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
I CITY OF CUPERTINO BUILDING PERMIT I
BUILDING ADDRESS: 20735 STEVENS CREEK BLVD I CONTRACTOR: - I PERMIT NO: 11060043
OWNER'S NAME: HK INVESTMENTS I K A e;-A I il-AA � HA I DATE ISSUED: 09/02/2011 1
OWNER'S PHONE: 4082053496 PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
License Class! Lie. #�,,
Contractor Pi 12�I1t 5�s. CON 5 r Irate r
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm tinder penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I 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 inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Signature.
Date 2�61
❑ OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I 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 inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
JOB DESCRIPTION: RESIDENTIAL
VERIZON WIRELESS - COMMERCIAL TENANT
IMPROVEMENT
(2910SQFT) NON-STRUCTURAL INCLUDES MECHANICAL,
ELECTRIC,PLUMBING,DRYWALL & FRAMING.
Sq. Ft Floor Area:
Valuation: $175000
APN Number: 32632054.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued b Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature ofAppl
Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements wader Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent: Date:
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
Date
1
CITY OF CUPERTINO BUILDING PERMIT DAT,F
BUILDING ADDRESS: 20735 STEVENS CREEK BLVD CONTRACTOR: MENEMSHA PERMIT NO: 11060043
DEVELOPMENT
OWNER'S NAME: HK INVESTMENTS 4950 W 145TH ST DATE ISSUED: 09/02/2011
OWN�2'S PHONE: 4082053496 HAWTHORNS, CA 90250 PHONE NO: (818) 212-4958
i
Lice lass Lic.#
Contra�hat
Date 0 1
ered under the provisi9 s of hapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
APPLICANT CERTIFICATION
I 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 inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expensCagainst said City in consequence of the
grant�g 6I Yhis permit. Add' nally, the applicant unde ds and will comply
w�i Ir""all non -point sourc gulations per the Cupe o Municipal Code, Section
9.18.
Signature_
OWNER -BUILDER DECLARATION
BUILDING PERMIT INFO: BLDG r ELECT ._ PLUMB f—
MECH ' RESIDENTIAL COMMERCIAL yW
JOB DESCRIPTION: VERIZON WIRELESS - COMMERCIAL TENANT
IMPROVEMENT
(2910SQFT) NON-STRUCTURAL INCLUDES MECHANICAL,
ELECTRIC,PLUMBING,DRYWALL & FRAMING.
e c'
6 E~ 'i ;`fir gL e 4.`Ei3/
t
Sq. Ft Floor Area: I Valuation: $175000
APN Number: 32632054.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
o � o I Issued by:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exemptio�, I�
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above informati 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 inspection purposes. (We) agree to save
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
Date:
RE -ROOFS:
All roofs shall be inspected prior to any roofing material beiig installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant: Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
_maintain- onflp-Rince with-the_Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section�)15505, 25533, and 25534.
or autt n iz0 agent:
M
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of Nwrk's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date
Licensed Professional
__ _ CITY OF CUPERTINO
rw—FFF FNTIMATOR - BUILDING DIVISION
ADDRESS: 20735 stvns crk blvd.
DATE: 06/06/2011
REVIEWED BY: bobs.
APN:
BP#:
*VALUATION: 1$175,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY
USE: Commercial Building
PENTAMATION 1 M TI
PERMIT TYPE:
WORK
t.i. commercial business space non structural include M E Ps.
SCOPE
OCCUPANCY TYPE:
CONSTRR. TYPE .
s.f.FLR AREA
�C FEES
C FEE ID
BP FEES
BP FEE ID
M (Tenant Improvements)
II-B,III-B,IV,V-B
2,910
$2,887.40
MTIPLNCK
$2,260.05
IMTIINSP
TOTALS:
2,910
$2,887.40
1 $2,260.05
MECH, HOURLY 0 Yes G No
PLUMB, HOURLY Q Yes Q No
ELEC, HOURLY Q Yes Q No
F
El
7VnWP- Thom inns nra h—ad n» ilia nraiif»i"ary irrMminlinn nvailahlo and nrP nn1v an estininte. Contact the Dent for i/ddh I info.
FEE ITEMS (Fee Resohition 09-051 Eff. 711110)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,887.40
Select a Mise Bldg/Structure
or Element of a Building
Suppl. PC Fee: G Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$2,260.05
Suppl. Insp. Fee:0 Reg. 0
OT
0.0
1 hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
F71
Acoustical Fee:
0 Yes (j) No
$0.00
0
0
Work Without Permit? 0 Yes (j) No
$0.00
Planning Fee.
$0.00
Select a Non -Residential
Building or Structure
0
0
_
T -,,,'
Strong Motion Fee:
IBSEKSMKCO
$36.75
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$7.00
SUBTOTALS:
$5,191.20
$0.00
TOTAL FEE:
1 $5,191.20
Revised: 04/29/2011
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION G
ADDRESS: 20735 stvns crk blvd.
DATE: 09/20/2011
REVIEWED BY: bobs.
APN: 7jS /
BP#:lL%�
xVALUATION: $100
YPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY Commercial Building
USE:
PENTAMATION 1GENCOM
I PERMIT TYPE:
WORK
revise floor plan layout due to soffit revision also omit parapet
SCOPE
}'L'tar/j r_<.. �. 17Er(>};
� f.E.'..�'a'!r d � .,<.0
. f'l;t}. r' t f ,.n di'f:'iy.
i t..
;<rM < �P .i�r( �''6,(I,
r�E,�f
;.i°tt'.'}".:1IL'i`17, i::Sj?,
{�r'.r'},�i' f°lit:}t%; i}7:'i —
(.}7?t£:}' t_,,. <.. f?r'::•jJ,
NOTE. This estimate does not include fees due to other Depts (i.e. Public Works, Sanitary Seaver District, School District, etc.).
These fees are based on the Preliminary in ormation available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (Fee Resohrtion 11-053 EJf Z I,/111
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Mise Bldg/Structure
or Element of a Building
Suppl. PC Fee: � Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:G Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
�•70'7 "I 'Ilf.°iiw? T C+A
i�rli72 pt i:>IF'r1°tt rE.' f"`E!?'.
0
G
Work Without Permit? 0 Yes Q No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
lllalwl Drx,',, 7i7f: r7t:#I'10H Fc 5:
Sty Motion Fee: IBSEISMICO
$0.50
#
$783.00
Revision
IREVCOMTI Tenant Improvement
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$1.50
$783.00
TOTAL FEE:.
$784.50
Revised: 09/02/2011