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14080047CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10545 RAMPART AVE CONTRACTOR: MIRACLE DESIGN & PERMIT NO: 14080047 RENOVATION OWNER'S HAYWARD, CA 94545 PHONE NO: (510) 265-0221 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL INSTALL 29 (N) LIGHT FIXTURES IN LIVING RM & License Class_ Lic. # KITCHEN AREAS. REPLACE 8 WINDOWS & 1 DOOR (NO " STRUCTURAL, WILL MEET EGRESS/TEMPERED WHERE Contractor ate REQ'RD I hereby affirm that I am licensed under the provisio of C apte 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 e ation, as provided for by Section 3700 of the Labor Code, for the C*perfor the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $10000 maintain Worker's Compensation Insurance, as provided for by 0 of the Labor Code, for the performance of the work for which this APN Number: 36926045 00 Occupancy Type: is issued. APPLICANT CERTIFICATION I certify 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 IT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 FRO CALLED INSPECTION. 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 j Date: granting of this permit. Additionally, the applicant understands and will comply with all non point so ce regulations per the Cupertino Municipal Co e, Se tion 9 18. RE -ROOFS: Signature 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date• I hereby affirm that I am exempt from the Contractor's License Law for one of 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, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I 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 Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupe no Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 2 5,2593-, d 2,V34. Section 3700 of the Labor Code, for the performance of the work for which this4� 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 CONS RUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9 18. Signature Date CUPERT INO CONSTRUCTION -PERMIT APPLICATION "\ ON V� O COMMUNITY DEVELOPMENT. DEPARTMENT e BUILDING DIVISI 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildino(cuoertino.ora 77 n TTrml T^^T F7 LL'V1c7n-0 /n-P77PRFr) ORMTXT.4LPFR 41T 4 1J NEW CuNSTRul:11u1N IU rwulllun U / PROJECrADDRES t I APN� / —O S 1 ;:--'T ADDRESS CI -Y, STATE, ° } �j CO h A AI A. . REET.ADDRESS C , STATE, ZIP ❑ ORTTER ❑ OWNER-BUII.DER ❑ OWI��AGE?Sr ❑ CoNr ACl'OR ❑CONTRSCTORAGEN ❑ ARC''�ir_CT E]GLS.==R ❑ DEVELOPE ❑ TENP?Sf OlATRACeIORICEN SENlArbE LICENSE TYPE I BUS. LIC C ANY N' - E E-MAIL e I F.AX ST REST ADD F / I r'Y, STATE, ZIP I PHONE Aids —r I BUS. LIC 4 .4RCHr1iCTfr.NGITTEER NAME I LICENSE NLfT 'R COMPAXY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP I PHONE t DESCRIPTION OF WORK41 na� A 7 / t PA e /9j L el ot Ge - aP EKE .TSTING L'SE PRO ED USE OTSIR PE R1E USE TYPE OCC. I SQ.FT. I VaLUAT701�T(5) E=G NEW FLOOR DEMO TOTAL AREA I AREA AREA I NFr AREA BATHROOM BITCF ]EN 01rIER ARE Rr'MODEL AREA REMODEL AREA REMODEL AREA PORCHAREA DECK AREA T0TALDECK/P0RCHA.REA GARAGE AREA: DETACH ❑ .ATTACH r Du cLLn.G UNrfS: ISA SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? 13NO ADDITION? []NO --PIS APPL-IC-.4TION—� YTS�� tS. PROVIDE CDP�OF IS THE BLDG ATS r l i t5 CE - _ :aL \%ALU.4-TION: PLAhTTINGAPPL-, F-] NO PLAXND,1GAPPROVAL LE=1 I £ICHLERHOME? NO By my signature below, I certify to each of the following: I am the property owner or authorized a5 - to act on the mer's behalf. I have read this application and the information I have pro ' ed is co L I h 'Fe read the Description of Work and verify it i e. I armee to comply with all applicable local ordinances and state lay Ts relating to mg cons io uthorize re res tives of Cupertino to enter the above-ide ified ope ty or inspection purposes. Signature of ApplicanvAgent: Date: SUPPLEZ4E-,kf M ON RE Q LIRE 1\reW SFD or Multidwellings: Apply for demolition permit for WON n�tcouR� sIIII�LIGPL`�'�TEFTEEi� existing building(s). Demolition permit is required prior to issuance of building��_� r b �- permit for new building. —3 RE -SS- MR-42-5-51 _ Commercial Bldas: Provide a completed Hazardous Materials DisclosureADg—ip form if any Hazardous Materials are being used as part ofthis project. Copy of Planning Approval Letter Gr Meeting with Planning prior to _<t �'�UBLIC'�3TORhS�r- �5 © � _ Building Permit application.�..' T=Al2I~�ESi} R.DIST�SICT��`� submittal of Bldg4pp_2011.doc revised 06/21/11 M CITY OF CUPERTINO tyl, FF.F. Fi.QTIMATnR — RITILI)ING DIVISION ADDRESS: 10545 RAMPART AVE DATE: 08/07/2014 REVIEWED BY: MELISSA MISC ITEMS APN: 369 26 045 BP#: *VALUATION: 1$10,000 xPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex USE: p Suppl. PC Fee: (E) Reg. 0 OT PENTAMATION 1GENRES PERMIT TYPE: A WORK INSTALL 29 N LIGHT FIXTURES IN LIVING RM & KITCHEN AREAS. REPLACE 8 WINDOWS & 1 SCOPE DOOR (NO STRUCTURAL, WILL MEET EGRESS/TEMPERED WHERE REQ'RD BY CODE). SWAPp ,_, itt-'--Yf. f'?rrr,t<�. 1'krn C�i"tczr.'it oljiter I'Nwnb Insp. f'Ittt;rls. itrsp. Vele Elec. Plan Check 0.0 1 hrs $0.00 Elec. Permit Fee: IEPERMIT Other Elec. Insp. 1 0.0 1 hrs $48.00 NOTE: This estimate does not include fees due to other Departments (i.e. rlanning, ruauc works, rtre, aumiury aewer —r—, . ,nuut f'nwtnrt tho Dont far addn'I infa- L.ousu, cap... i•awc cw w. .. o..o.,»... •.•.. .............. FEE ITEMS (Fee Resolution 11-053 E . 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # $574.00 Window / Sliding Glass Door 1WINREP Replacement Suppl. PC Fee: (E) Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 = $126.00 Electrical IBREMFIXT Fixtures, Lighting Permit Fee: $0.00 Supp/. Insp. Fee: Reg. ®OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Const, Kiev., F1 Administrative Fee: IADMIN $45.00 0 0 Work Without Permit? 0 Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G , Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $1.30 Select an Administrative Item Bldg Stds Commission .Fee: IBCBSC $1.00 651 8�L` $143.30 $700.00 TOTAL FEE: $843.30 Revised: 07/10/2014 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR /SUBCONTRACTOR LIST JOB ADDRESS: vS 7 S 1<-,9^ fit/ PERMIT # I yUYOO OWNER'S NAME: �A-r wt PHONE # W 463 -Ir_ -17 GENERAL CONTRACTOR: BUSINESS LICENSE # ADDRESS: CITY/ZIPCODE:. r *Our municipal coder quires all businesses working in the city to have a City of�Cuper o business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL UBCONTRACT RS HAVE OBTAINED A CITY FCU ERTINO BUSINESS LICENSE. 4*Y I am not using any subcontractors: Signature ate Please check applicable subcont actors and complete the following information: Owner / Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Ijf Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner / Contractor Signature Date <b 54FEE T 3040 SLIDER DOOR Thi 1� an ori 1i1 igned: 8/6/2014 t Pi'm 'mus — - notu d rmte& -8/6/2014 applicable fee has been paid or'J-66 Y Reviewe PA jj,' 36:x48" 72"X80" 8040 8020 8020 6068 96'X48" 96'X24" 96'X24" S S KITCHEN tl O BEDROOM 3 BEDROOM2 L' Building Department REVIEWEE ) FOR CODE COMPLIANCE TECHNOLOGIES _J, Thi 1� an ori 1i1 igned: 8/6/2014 t Pi'm 'mus — - notu d rmte& -8/6/2014 applicable fee has been paid or'J-66 Y Reviewe PA jj,' Ludwig EXISTING 08062014 1 All (no dims) Dinft RD" KITCHEN tl O ENTRY 'EXISTING WIN 6% `E)0ST1N 4 Mffli` NG I If KA 1W PC0Z3-,% ./ CHECKED By I)ATE.,QrZ7 P10NNING DEPT. DATE BEDROOMMASIM n!m I No 3 44, �.0 W_xig"I"This set of Plans and specifications MUST be kept at the b site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The stamping of this Plan and specifications SHALL RIOT b^ held to PP, c. of "inence, Ly All dimensio, t 0 given are subject T )jec job site and adjustment to fit job TECHNOLOGIES _J, Thi 1� an ori 1i1 igned: 8/6/2014 t Pi'm 'mus — - notu d rmte& -8/6/2014 applicable fee has been paid or'J-66 Y conditions. order placed. Ludwig EXISTING 08062014 1 All (no dims) Drawing #: 1 Scale: 0 1/ 4 54 FEET 648" 3040 RETRO FIT FRENCH DOOR 36:x48" 72"X80" 8040 RETRO FIT 8030 NEW CONSTRUCTION 8030 NEW CONSTRUCTION to ��J _.. i � i,�.a PANTRY " w , � r D Room O O O xe aaa"+w V .t s^ � Cd i f O O O KIT 'o O BEDROOM MASTER.... r,. ENTRY- apm�ao 4030 NEW CONSTRUCTION 48 X38" NEW WINDOWS NEW LIGHTING ****6" RECESSED LED'S CAN LIGHTS ****THREE PENDANTS OVER ISLAND ,ro o 27 FEET w 324" °o o 4830 NEW CONSTRU ff c�6F_RT1 N0 �3Uilding DAt78f'tment ? a 7 2014 REVIEWED FOR CODE COWLIANCE _ Reviewed By y All dimensions _size designations20 given are subject to verification on job site and adjustment to fit job TECHNOLOGIES This is an original design and must not be released or copied unless applicable fee has been paid or job Designed: 8/1/2014 Printed: 8/6/2014 conditions. order placed. Ludwig All (no dims) Drawing #: 1 Scale : 0 1/8" = l' CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10545 RAMPART AVE CONTRACTOR: MIRACLE DESIGN & PERMIT NO: 14080047 RENOVATION OWNER'S NAME: HAYWARD, CA 94545 PHONE NO: (510) 265 -0221 JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] ❑ LICENSED CONTRACTOR'S DECLARATION INSTALL 29 (N) LIGHT FIXTURES IN LIVING RM & 4 License Class �Q .� e �r Lic. # ggoogeL KITCHEN AREAS. REPLACE 8 WINDOWS & 1 DOOR (NO WILL MEET EGRESS /TEMPERED WHERE ,l_�u Contractor t`% Date jl^ -! STSTRUCCTURAL, Q� I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions ItEVISION #1: REMODEL HALLWAY AND MASTER BATHROOMS (100 SQ Code and that my license is in full force and effect. FT). ISSUED 11/7/14 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. Sq. Ft Floor Area: Valuation: $10000 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 36926045.00 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION certify 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 to 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. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the Issued by: ��jqr� /9��ii`T Date: 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 l -� 1 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. ❑ OWNER- BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of 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, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I 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 Compensation, as provided for by Section 3700 of the Labor Code, for the 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sectio s 25505, 255 3, and 25 4. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: 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 CONSTRUCTION LENDING AGENCY 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 I hereby affirm that there is a construction lending agency for the performance of forthwith 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CUPERTINO ❑ NEW CONQ!,r CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BU!, 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3 I (408) 777 -3228 • FAX (408) 777 -3333 • building(c)-cupertino.org ❑ ADDITION ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # 1111&014 7 PROJECT ADDRESS APN # a OWNER NAME E -MAIL STREET ADDRESS D 5q - 'K CITY, STATE, ZIP �� �JA, C..E FAX CONTACT NAME PHONE ' -MAIL / CtOf WIr\ STREET ADDRESS Q % CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT XCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME 0 ` - - LICENSE NUMBER S�foos2 LICENSE TYPE"" � A BUS. LIC # 6& r ,9 +� COMPANY NAME l�1Di�n E -MAIL, S4T.. 1liYi:t FAX A Z6S —o2z3 STREET ADDRESS ���e 1�!' _ D I CITY, STATE, ZIP /I PHONE O •,• DT ({[ (LICENSE y ARCHITECT /ENGINEER NAME NUMBER BUS. LIC # COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Roll re 0 ri?J i / i yjre- I I 1 + oar al,k4we, I VEXIBITG GUS P 0 'OSE USE CONSTR. TYP # STORIES USE TYPE OCC. SQ.FT. VALUATION NEW FLOOR( DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA /00 REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ❑ ATTACH # DWELLING UNrrS: IS A SECOND UNrr ❑ YES SECOND STORY ❑YES BEING ADDED? []NO ADDITION? []NO PRE - APPLICATION ❑ YES IF YES, PROVIDE COPY OF PLANNING APPROVAL LETTER IS THE BLDG AN ❑ YES[-E EICHLER HOME? ❑ NO ZCEIV s " 'ni ° '`�� k �5 1x �, Ip - TOTAL VALUATION: PLANNING APPL # ❑ NO Al By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the DEntives ' f Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to b ' g construction. I thorize repre f Cupertino to enter the above-identified property for inspection purposes. > Date: / Signature of Applicant/Agent: SUPPLEMENTAL INFORMATION kXQUIRED r pi c cK rRE', .'' xoUTIN SLIP o Ta>4couTER�IIIhDTNG PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ XPi2ESS ; ❑' PLA NNING PLANREVIEw Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I]k sTANDnRn ❑ ruBLic woRxs form if any Hazardous Materials are being used as part of this project. ❑ T�SRE DEPT �Ow LARGE��fi� � +' _ Copy of Planning Approval Letter or Meeting with Planning prior to oh ❑ SANITARY SEWER DISTRICT 1 submittal of Building Permit applications ❑VIRONMENT LLTH .r BldgApp_2011.doe revised 06 121111 CITY OF CUPERTINO �UU UC! rTn4 A 9rnl2 — RTTTT .T)TNf f)IVT ,qTnN 71 71 44:1,7.. t':>s,urt Fee. NOTE: This estimate does not inctuae fees aue to owner uepartmemo (,.e. t_,uft -t -5, i —.1 "'" —, ­- __i_ __ ­t:•••.,to r'—toot tho nont far addn'l info. lulstrlcl, e[c. . lneae eea u,G uuu cu — � ­•••••••w• FEE ITEMS (Fee Resolution 11 -053 Eff 711113) ADDRESS: 10545 Rampart Ave DATE: 11/0712014 REVIEWED BY: Sean APN: BP #: "VALUATION: $12,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: . Alteration / Repair PRIMARY SFD or Duplex Suppl. PC Fee: Q Reg. OT PENTAMATION 1 R3SFDREM I PERMIT TYPE: USE: $0.00 PME Plan Check: WORK Revision #1: Remodel hallway bathroom and master bathroom 100 s ft . SCOPE Permit Fee: 71 71 44:1,7.. t':>s,urt Fee. NOTE: This estimate does not inctuae fees aue to owner uepartmemo (,.e. t_,uft -t -5, i —.1 "'" —, ­- __i_ __ ­t:•••.,to r'—toot tho nont far addn'l info. lulstrlcl, e[c. . lneae eea u,G uuu cu — � ­•••••••w• FEE ITEMS (Fee Resolution 11 -053 Eff 711113) •.- .,....__...._ �. __ FEE --__ -- - -_- QTY /FEE MISC ITEMS Plan Check Fee: $0.00 100 s.f. $645.00 Remodel, Bath (< =300 sf) 1REMRESBAT Suppl. PC Fee: Q Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction 1X3.1. Work Without Permit? ® Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non - Residential Building or Structure 0 0 Stroh Motion Fee: IBSEISMICR $1.56 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 � 'x t. sA $2.56 $645.00 TOTAL FEE: $647.56 Revised : 10/01/2014 105y5 Rpxnparf Ave; Cupet+ino, L2Z&ftghC MAL _ � 2.62Zy �c►_d..�s�ria�. �1.r.�._ Hayward Cot, _R45 -, 814065 e c, ..�......... Iom- 41�Ma • Cq08)72 -290_ y Ito COMMUNITY DEXIELCPP; /ENT DEPARTMEP BUILDING DIVISION - CUPERTINO APB -F O ED This s ^t of plans and specifications MUST be k Job site during construction. It is unlawful to n changes or alterations on same, or to dev ther; from, without approval from the Building The stamping of this plan and specifications S!- bo he:!d to permit or to be an approval of the of any provisions of any Cit Ordinance or Sty BY /1/ G DATE ___ % • / a/ PERMIT NO. OG % OFFIC NIA k at the any 3 ficial. L NOT ation Law. RECEIVED . ,�i `�' , BY COPY I '�- 3 0 005 m o. )< C> gam' n . Q .O PO 0- 4.09 1 0 dft� :Igo Ol