10110186I
CITY OF CUPERTINO BUILDING PERMIIDATE \I- _�) -) ___K1 _L_1 I/ I
BUILDING ADDRESS: 10200 S DE ANZA BLVD I CONTRACTOR: TICO CONSTRUCTION CO I PERMIT NO: 10 110 186 1
G--NER'S NAME: SEAGATE
6_iER'S PHONE: 8314392849
V LICENSED CONTRACTOR'S DECLARATION
License Class 1� Lie.# 57qli� P�qo
Contractor rg4(A-�.'VY) Date -3 -3
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 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 ofthe Labor Code, for the performance of the work for ich this
permit is issued.
APPLICANT CERTIFICATION VUV--L
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 pe it. Additionally, the applicant understands and will comply
with all non -point s urce regA ations per the Cupertino Municipal Code, Section
9.18.
Si-ature Date 3[ 30111
0 OWNER -BUILDER DECLARATION
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)
1, 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
t,- the above mentioned property for inspection purposes. (We) agree to save
nify and keep harmless the City of Cupertino against liabilities, judgments,
COSLS, 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.
1585 TERMINAL AVE
SAN JOSE, CA 95112
DATE ISSUED: 01/13/2011
PHONE NO: (408)499-0266
BUILDING PERMIT INFO: BLDG I- ELECT r- PLUMB r-
MECH F_ RESIDENTIAL I- COMMERCIAL r -
JOB DESCRIPTION: FLOOR 1-4- COMM'L TI- TENANT IMPROVEMENTS,
STRUCTURAL,
MECHANICAL/ELECTRIC/PLUMBING(63,180SQ)- NO RE -ROOF
3/4/11- DEFERRED #I- FIRST FLOOR PARKING RECON FIGURATION
Sq. Ft Floor Area: I Valuation: $5000000
APN Number: 36901035.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Date:J--P-(,
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 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. 1 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 Coee, Chapter 9.12 and the
Health & Safety Code, Sections 25505, 25533, and 25534.
0 r or authorized ag"t,
xC, Date:31 I
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of mrk's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Ad
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Signature Date I Licensed Professional-
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10200 S DE ANZA BLVD I CONTRACTOR: TICOCONSTRUCTION CO I PERMIT NO: 10110186
I OWNER'S NAME: SEAGATE 1 1585 TERMINAL AVE � I DATE ISSUED: 01/13/2011
'VNER'S PHONE: 8314392849
Ll� LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
Contractor77: o� Date.
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 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 tile
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 ERTIFICATION
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
_ . ) —
OWNER -BUILDER DECLARATION
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 (See.7044,
Business & Professions Code)
1, 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
con-ect. 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
)nting of this permit. Additionally, the applicant understands and will comply
th all non -point source regulations per the Cupertino Municipal Code, Section
9. i S.
Signature Date
SAN JOSE, CA 95112 1 PHONE NO: (408)499-0266
BUILDING PERMIT INFO: BLDG r— ELECT r— PLUMB I—
MECII r- RESIDENTIAL r— COMMERCIAL r—
JOB DESCRIPTION: FLOOR 1-4- COMM'L Tl- TENANT IMPROVEMENTS,
STRUCTURAL,
M ECH AN ICA UELECTRIC/PLU M BING(63,180SQ)- NO RE -ROOF
Sq. Ft Floor Area: Valuation: $5000000
APN Number: 36901035.00 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 18 YS OF PERMIT ISSUANCE OR
18CI DAY LAST CALLED INSPECTION.
j) Date:
Issued by:
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 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. 1 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 99
oethorize I
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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professiona
I CITY OF CUPERTINO BUILDING PERMIT I
I BUILDING ADDRESS: 10200 S DE ANZA BLVD I CONTRACTOR: TICO CONSTRUCTION CO IPERrvHTNO:10110186
I OWNER'S NAME: SEAGATE 11585 TERMINAL AVE I DATE ISSUED: 01/13/2011 1
I OWNER'S PHONE: 8314392849 1 SAN JOSE, CA 95112 1 PHONE NO: (408)499-0266 1
CK LICENSED CONTRACTOR'S DECLARATION
License Class Lic. 4
Contractor �C, 0 r-4A6&1/61-t�A Date
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 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 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__L—/
V
11 OWNER -BUILDER DECLARATION
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)
1, 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 liabi Hties, 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
BUILDING PERMIT INFO: BLDG F ELECT F PLUMB F
MECH F RESIDENTIAL F COMMERCIAL F
JOB DESCRIPTION: FLOOR 1-4- COMM'L Tl- TENANT IMPROVEMENTS,
STRUCTURAI,
MECHANICAUELECTRIC/PLUMBrNG(63,180SQ)- NO RE -ROOF
Sq. Ft Floor Area: I Valuation: $5000000
APN Number: 36901035.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 18 YS OF PERMIT ISSUANCE OR
180 DAY LAST CALLED INSPECTION.
Issued by: Date:
U
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 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. 1 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 tho
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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
I . CITY OF CUPERTINO BUILDING PERMIT,., '0') �4_1 1 1 1
.BUILDING ADDRESS: 10200 S DE ANZA BLVD CONTRACTOR: TICO CONSTRUCTION PERMIT NO: 10 110 186
CO
()WNER'S NAME- SEAGATE 1585 TERMINAL AVE DATE ISSUED-. 01/1312011
QWNER'S PHONE: 8314392849 SAN JOSE, CA 95112 PHONE NO: (408)499-0266
El COMMERCIALE]
LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL 11
License Class !!> Lic.#
Contractor i ZCO LO -4- Date
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 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
perfonmance 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 pennit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
$.J T
11 OWNER -BUILDER DECLARATION
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)
1, 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
per-fonnance 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
pennit is issued.
I certify that in the per-fonnance 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.
Signature Date
FLOOR 1-4- COMM'L TI- TENANT IMPROVEMENTS,
STRUCTURAL,
MECHANICAL/ELECTRIC/PLUMBING(63,180SQ)- NO RE-
ROOF- -
02111-/M-I-1,REV'9J--P,KV1$E 1STIFLLOR WALL LAYOUT
INC:LUD'E9 ME'Ii:�RANICAL & ELECTRIC-ISSD 3/41/11
Sq. Ft Floor Area: I Valuation: $5000000
I APN Number: 36901035.00 1 Occupancy Type: I
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by:
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 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. 1 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 [
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 255_3L
a�titi;oviied qgel�� 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 Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed Professional
CITY OF CUPERTINO
F_ - M-.1 FEE ESTIMATOR - BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 10200 s. de anza blvd
DATE: 11124/2010
REVIEWED BY: bobs.
PC FEE ID
APN:
I BP#:
*VALUATION:
F$5-,000,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
7,07"4L
� FLOOR 4flk.A'.
PENTAMATION 113TI
PERMIT TYPE:
WORK
structural, M,E,P,
��rovements
SCOPE
F0.0Thrs
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(S.f.)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
11-B,111-B,1V,V-B
63,180
$6,352.60
IBTIPLNCK
$22,563.40
IBT]INSP
I'l-Ice, Insp. P . CO
$22,563.40
Suppl. Insp. Fee -.0 Reg. 0 OT
F0.0Thrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstruclionTax
I
I
Acoustical Fee: 0 Yes (E) No
$0.00
0
E)
Work Without Pen -nit? 0 Yes 0 No
$0.00
TOTALS:
63,180
$6,352.60
Travel Docninentution Fees:
$22,563.40
..........
NOTE. These te6 are based on the Preliminary information available and are onlv an estimate. Contact the Dept for addnl info.
FEE ITEMS (Fee Resohition 09-051 Eff 711110)
!S� 9
QTY`/FEE
Ak(-h. Plan, Cvtt�e�
Vj��b. phm
1.?n: Plqp: C'Aleck
W'�,(;h. Pu;-mii Fee:
Phi fni�. Fcc,
N".',";" Fee
01hel 11"'c/l. Imp
L-1
Li
$0.00
Numb. h?.y, Fec.
I'l-Ice, Insp. P . CO
NOTE. These te6 are based on the Preliminary information available and are onlv an estimate. Contact the Dept for addnl info.
FEE ITEMS (Fee Resohition 09-051 Eff 711110)
FEE
QTY`/FEE
MISC ITEMS
Plan Check Fee:
$6,352.60
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: E) Reg. 0--
oT
Fo-6
I hrs
$0.00
PME Plan Check:
$0.00
Pen -nit Fee:
$22,563.40
Suppl. Insp. Fee -.0 Reg. 0 OT
F0.0Thrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstruclionTax
I
I
Acoustical Fee: 0 Yes (E) No
$0.00
0
E)
Work Without Pen -nit? 0 Yes 0 No
$0.00
PLLONGRNGC
$0.00
Select a Non -Residential E)
Building or Structure 0
I A
Travel Docninentution Fees:
Strong Motion Fee: IBSEISAffco
$1,050.00
Select an Administrative Item
Bld Stds Commission Fee: IBCBSC
$200.001
",.M A . ...... R'11i,�.�,(...", -J'- _"'f"""330,1166.001
60.
.......... ........ . .............. .... ........
$ 0. 0 0 A
$30,166.1 010
Revised: 11/08/2010
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
: . . w
ADDRESS: 10200 s de anza blvd. DATE: 03/04/2011
APN: BP#:
REVIEWED BY: bobs.
*VALUATION: 1$2,500
*PERMIT TY PE: Building Permit
PLANCHECKTYPE: Tenant Improvement
PRIMARY Commercial Building
U E: I
["Iec. permil Fee:
PENTAMATION
� PERMIT TYPE:
WORK
floor parking level accessibility features.
��first
SCOPE
P�`Ijwh' bty. Fee,
----------
Mcch. Plan CheLk-
Plumb Nut? Cht"�!'
A-/vz.. Plan
117, T permil Fee.
Fl,mh. Po mii Fee.
["Iec. permil Fee:
Other Afech, Insp.
0'q��'y ln.�p Li
Other Imp.
A-lech. Imp. Fee.,
P�`Ijwh' bty. Fee,
Elcc. In.sp. Fcc-
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. 0 OT
0.0
lirs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstructionTax
F-1
Acoustical Fee: 0 Yes (E) No
$0.00
0
E)
Work Without Permit? 0 Yes 0 No
$0.00
Plaqajn�
$0.00
Select a Non -Residential 0
Building or Structure 0
-w,
Strong Motion Fee: IBSEISA17CO
----------
Mcch. Plan CheLk-
Plumb Nut? Cht"�!'
A-/vz.. Plan
117, T permil Fee.
Fl,mh. Po mii Fee.
["Iec. permil Fee:
Other Afech, Insp.
0'q��'y ln.�p Li
Other Imp.
A-lech. Imp. Fee.,
P�`Ijwh' bty. Fee,
Elcc. In.sp. Fcc-
NOTE. These fees are based on the Preliminary information available and are onlv an estimate. Contact the Dew for addn'l info.
FEE ITEMS (Fee Resohilion 09-051 Eff 717110)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
Select a Misc Bldg/Structure
or Element of a Building 'A
Suppl. PC Fee: (F) Reg. 0 OT
0.0
h"
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee -0 Reg. 0 OT
0.0
lirs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
ConstructionTax
F-1
Acoustical Fee: 0 Yes (E) No
$0.00
0
E)
Work Without Permit? 0 Yes 0 No
$0.00
Plaqajn�
$0.00
Select a Non -Residential 0
Building or Structure 0
Travel Doc7onentatl . on
Strong Motion Fee: IBSEISA17CO
$0.53
# Revision
$760.00 IREVCOAffI Tenant Improvement
Bldg Stds Commission Fee: IBCBSC
$1.00
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-IM
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$1 .53
$760 00 0
$761.53
Revised: 03101/2011