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15010113I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20650 PARK CIR I CONSTRUCTIONR OJN BARTZ I PERMIT NO: 15010113 I OWNER'S NAME: NIU JIMMY C AND NANCY H 11901-A FELTON EMPIRE RD ( DATE ISSUED: 01/21/2015 OWNER'S PHONE: 4083987743 I FELTON, CA 95018 I PHONE NO: (831) 706-0228 I Cf 4�_�T ONTRACTOR'S DECLARATION License Classi Lic. # Contractor .�/ 6 l4 ii�— 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 wh y a crue against said City in consequence of the granting of this p rt. Addit' ally, the applicant understands and will comply with allnon- rut source r lations per the Cupertino Municipal Code, Section 918. Signatu Date ?✓ 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 918. Signature Date JOB DESCRIPTION: RESIDENTIAL [] COMMERCIAL E] REPAIR WOOD PATIO ENCLOSURES ON UNITS 1 & 2 AND REPAIR UPSTAIRS WOOD BALCONY FOR UNIT 4 revision #1- unit 2 bathroomrremodel 48 sq ft- issd otc 3/24/2015 Sq. Ft Floor Area: I Valuation: $11000 APN Number: 32632016.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FR0,r6 CALLED INSPECTION. Issued by: Dat Ly 65 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. 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 yr Air Quality Management District I will maintain compliance r the Cuperti Municipal Code, Chapter 9.12 and the Health & Safety Cod , Sections 2550 533, 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 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVIS,ON 10300 TORRE AVENUE • CUPERTINO, CA 55014-3255 (408) 77.7-3228 • FAX (408) 777,3333 • buildingcu CUPERTINO I .. r7 MXT/nn1.TCTDrT!`•T`Tnu n AnnTMn'KT 7 ATT'F'RATTnT.T/TT n RFIIWO& FFFRRFTI nRT(-;TNAT.PFRMTT» A,4�-15A/J! '2 PROJECT ADDRESS i APN . OV RNAME PHOIN'E I E-MAIL ,N 'u J;'�eTwi al 83� 76 6 d STREET ADDRESS ` CITY, STATE, ZIP. I FAX - CONTACT NAME, ; - JG Ila/47-z— PHONE 1— -2;4 3 -�3 J 1 -3 -2;47 - STREET ADDRESS ': STREET CITY, ATE,: ZIP FAX E" O)XTER ❑ OWNER -BUILDER• `. ❑ OWNTERAGEENT 110 CONTRACTOR .- ❑ CONTRACTORAGEAT ❑ ARCHITECT ❑ ENGA'EER , ..,❑ DEVELOPER .❑ TEA*ANT CO'N RACTO NA LICENSE NUMBER LICENS 'PE BUS. LIC 9 J D171,7612, G-3 COMPANY NAME I E-MAIL FAX G{ A ZIP STREET ADDRESS C as=' �i� PHONE ARCHITECT/ENGINEER N.A.1,4E LICENSE NUMBER BUS. LIC 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK J rY O G Q G l 4 - - 0- ........... EXISTING USE PROPOSED USE CONSTR TYPE 4 STORIES USE TYPE OCC. I SQ.FT. VALUATION (S) EXISTG AREA NEW FLOOR I AREA DEMO AREA TOTAL NET AREA A y1 • I ✓ ,rr�� ( L.%� / O/� c BATHROOM KITCHEN OTHER REMODEL AREA `l� `DECK RPA40DEL AREA REMODEL AREA _ PORCH AREA AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH ❑ ATTACH 9 DWELLING UMTS: - IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? EINO ADDITION? ❑NO PRE -APPLICATION ❑ YES IF YES, PROVIDE.COPY OF I LETTER 1S THE BLDG AN [I YES EICHLERHOME? EIy _ _� TOTAL VALUATION: PLA'N'!N7NGAPPL� ❑NO PLANNTI�GAPPROVAL ❑NO kyr' By my signature below, I certify to each of thed o ng: I am the property owner or authorized agent to act on the property owner's behalf I ave read this application and the information I have pro v' is o I have read the Descri rork and verify it is accurate. I agre/Cpm ply with all applicable local ordinances and state laws relating to bu' Ing c ruc ' n, h '�e ntatrves of Cupertino to enter the above ntiiieertyfor inspection purposes. Sig;atureofApplicanUAgent:Date:� MATION REQUIRED SUPPLEMEN�dm,ellingn- ��yLA>tze ,E_ �,F;.IROIxu.G.sLIP New SFD or Multifal pply for demolition perrnit forTCOLJ�TER existing building(s). Demolition permit is required prior to issuance of building permit for new building. wvgg ��230 �PREsiaV BUIID�GPL4I�RE�LE�Y G- _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ON 3aNDARn PLBLTC�I7RICS form if any Hazardous Materials are being used as part ofthis project. .€,ffi-ag,$: II2EDETI'E,,t�..� S.... Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. �gt. © _ JOR�� s rr XSE�R�ERDISTRiC� B7dgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO MV V UQ rrna A rrn-D 111TT7r nrN!_' n-FV-FQ-FnN LEIADDRESS: 20650 park cir DATE: 03/24/2015 REVIEWED BY: Mendez Plan Check Fee: APN: BP#: *VALUATION: $5,690 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Du lex p PME Plan Check: PENTAMATION PERMIT TYPE: USE: Permit Fee: Hourly Only? ® Yes Q No $0.00 Suppl. Insp. Feer Reg. ® OT 1 0.0 WORK revision #1- unit 2 bathroom remodel 48 sq ft PME Unit Fee: SCOPE PME Permit Fee: JAW a;3� ,"f 40M '�� as i�t qua ilkch. Plan Check Phimb. Ploy Check Elec, Plan C"heck Aleclr, Penuil Fee: Plumb, Aermit FCC,: Elec. Permit t ie C)iht�i 1feeFr, Insp. Cather Plumb Insp.thei Lslec. Itiala. tdech. Insp. fie: Plumb. lash. Fee: Flee. Insp. Fee: NOTE. This estimate does not include fees due to other Departments (Le. running, rauttc rry/na, v, t.. -,y ��••� !'.,ntnrt tbo Want fnr nddn'1 info. "[street, U14-1. !/Evac cw u/c u— v.. ».. ......»..». FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) .._ ... - FEE - - QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes Q No $0.00 Suppl. Insp. Feer Reg. ® OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruch.tin Tax: ,(iininistrative Fee: Isms �G JAW a;3� ,"f 40M '�� as i�t qua ilkch. Plan Check Phimb. Ploy Check Elec, Plan C"heck Aleclr, Penuil Fee: Plumb, Aermit FCC,: Elec. Permit t ie C)iht�i 1feeFr, Insp. Cather Plumb Insp.thei Lslec. Itiala. tdech. Insp. fie: Plumb. lash. Fee: Flee. Insp. Fee: NOTE. This estimate does not include fees due to other Departments (Le. running, rauttc rry/na, v, t.. -,y ��••� !'.,ntnrt tbo Want fnr nddn'1 info. "[street, U14-1. !/Evac cw u/c u— v.. ».. ......»..». FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) .._ ... - FEE - - QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: Q Reg. ® OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes Q No $0.00 Suppl. Insp. Feer Reg. ® OT 1 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruch.tin Tax: ,(iininistrative Fee: E) Work Without Permit? ® Yes IS No $0.00 Advanced Planning Fee: $0.00 F-2 —1 hours Inspections $286.00 ISTINSP Inspection, Hourly 0 Tr vel Uocuinentalion Fees: Strong Motion Fee: IBSEISMICR $0.74 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 bOEM4� $1.74 t $286.00 TOAL FEE ° $287.74 Revised: 02/14/2015 14 20652- Pari Glc, r2�iirlr�i_in 011 yg�F Z At aorr-- LA on -j. Un; fis � acrd 2 . r /h b4 oq ZadSt l�f�comj dl/ cz13 a BLD� COIDET 1MfLj PLOT PLANb O vca- CHEC.ED BY • � fe�O�aL�� DAM S p 4MEPT. DATE BLDG. DEPT. of n -F/,r-s-/- F/00/ - 9 All American Roofing & General Construction Phone (831) 706-0228 . 1901 A Felton Empire Road Felton, CA 95018. Lic # 910057 Re 20652 / 20650 Park Circle Cupertino Permit numbers 15010113/15010111 9/16/15 To whom it may concern, I, Jon Bartz, respectfully request an extension for the above referenced permits. Reason extension is necessary: The above referenced permits are for two buildings at the same location. These buildings contain multiple units. As we have been in the process or performing repairs to all of these units, the tenants have had to be relocated, and the units have to be repaired one at a time. This has resulted in long wait times in between work on units. We are now working on the final two units, and are approximately three weeks from having all the work completed, as pertaining to the above referenced permits. Again, I respectfully request an extension on the above referenced permits. Regards, Jon Bartz Contractor, License number 910057 831-515-2346 Page 1 of 1 All American Roofing & General Construction Proprietary Information KA CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20650 PARK CIR CONTRACTOR: JON BARTZ PERMIT NO: 15010113 CONSTRUCTION OWNER'S NAME: NIU JIMMY C AND NANCY H 1901-A FELTON EMPIRE RD DATE ISSUED: 01/21/2015 OWNER'S PHONE: 4083987743 FELTON, CA 95018 PHONE NO: (831) 706-0228 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ REPAIR WOOD PATIO ENCLOSURES ON UNITS 1 & 2 AND L% ] nn License Class / Lic. # / QV REPAIR UPSTAIRS WOOD BALCONY FOR UNIT 4 �� Date/Z,1 Contractors (Jn 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 erformance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $11000 have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32632016.00 Occupancy Type: 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 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 L LED 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 Date: �7�� granting of this Additionally, the applicant understands and will comply with all no oint sour a regulations per the Cupertino Municipal de, Section 9 18. RE -ROOFS: Signatu Date S 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 'rtMunicipal Code, Chapter 9.12 and 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 the Health & Safety Code, ctions 25 05, 2 and 25534. Owner or authorized ager . Date:/ fJ 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 CZSTRUCTION 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 CCUPERTINO F-1 T. T-1-7 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O (408) 777-3228 • FAX (408) 777-3333 • building 0-cupertino.orc F-1 ATI TTTIM F-1 AT TIID ATVIAT/TT F— T?T;vrcTrNm/TIFFFRPPr) nPTr;TNAT. PFRMTT!! PROJECT ADDRESS �j /_CO par. /�/� /�. ,/ (!%J' T`V APPN # 2,23 2 / / / J L es 00 OWNER NAME al /u(A// (/V 1'l A�,.n PHO!!ft �j/ ,'�/ / E-MAIL STREET ADDRESS �fof I Vp�/"dn Y/�,{,r , N /�A�J /'Y' CITY, STATE, ZIo�� /cc�J ���i �/ 7507 CONTACT NAME IO� �(/�, (V/ (� PHO /, CC _% 2 �� J/✓ G> E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT IILCONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I n a ,.�� L/'(,/ (/ ,& LICENSE NUMBER I /S/��� LIC yP BUS. LIC 93!5'176 /K� ! / D COMPANY NAME / J / iA,✓-,{.rI -�jj)� SiiW�� V /�(/���'i/ /EF E-MAIL Ir��. rr�� /n,�)r�yyer -yl , I '. /'�^V� %� FAX COYA /3 EIH/ STREET ADDRESS J(�o/ CITY TAE � Wil/ PH Ff�l) 15C2� ! 7 !'Q /LLIICC ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. 4 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK n / M 0 10S gh` 6W;) _ EXISTING USE PROPOSED USE CONSTR. TYPE # STORD3S USE TYPE OCC. SQ.FT. VALUATION ($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA 15ECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY [I YES BEING ADDED? ❑ NO ADDITION? []NO PRE -APPLICATION ❑ YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YES TOTAL VALUATION: PLANNING APPL # PLANNING APPR AL LETTER EICHLER HOME? ❑.�� E]NO By my signature below, I ce ' to each of the ollowing: I am the property owner r authorized agent to act On the property owner's behalf. I ave read this application and the inform Ion I have provi d is ct. read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws r lating to build n tativ�s obi upeitino to enter the above- dentif d property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLE AL INFORMATION RE UIRED Q� ��` P,LAN CHECK T YPE , ;. ROUTING SLIP p' ovER zHE coulvTER ❑ suHnING PLAN REVIEW New SFD or MVI ifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPREss ❑ !PLANNING PLAN. REVIEw Commercial Bldgs: Provide Hazardous Materials Disclosure u p C7 �rlisLlc woRlcs _ a completed form if Hazardous Materials are being used as ofthis sTalvnnRD f cE�k any part project. h ` ❑'i>IEDEPT Copy of Planning Approval Letter or Meeting with Planning prior to _ ❑,'$.4NITARXSE77RDISTRICT submittal of Building Permit application.p�tt� � '❑��NVIROIViVIENTAL,HEALTA.:"�, ,� u.'"a��t fir,,,,.. :� t... BldgApp 2011.doc revised 06/21/11 CITY OF CUPERTINO FM_7 FEE ESTIMATOR - BUILDING DIVISION 206S0PARK CIR DATE: 01/21/2015 REVIEWED BY: MELISSA IlaADDRESS: APN: 326 32 016 BP#: *VALUATION: $11,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY Multi -Family Dwelling USE: Building is 1 >3 Stories 0 Yes Q No PENTAMATION 1GENRES PERMIT TYPE: WORK REPAIR WOOD PATIO ENCLOSURES ON UNITS 1 & 2 AND REPAIR UPSTAIRS WOOD BALCONY SCOPE FOR UNIT 4 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are only an estimate_ Contact the Dent far addn'1 info_ FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1/13) BMW= QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (j) No $0.00 0 hours $143.00 ... Suppl. PC Fee: Reg. 0 OT :j-1{'ca7. Ilan (- 7"wck hrs $0.00 PME Plan Check: $0.00 /'/OUCh"C}; $0.00 Suppl. Insp. Feer Reg. 0 OT0 0 hrs 1'eefuil Fee: 1'ltamb. Permit PME Unit Fee: $0.00 PME Permit Fee: ?r�=e r'rrsn ; (:CS1t.SItatctiC�12 7c�t: —FT Other 1'lumJirun. -i,Jmiffi"4tr""tivc? Fc e: f`,>f�E. I�`e'ch. ET 0 Work Without Permit? ® Yes (j) No luh_ 1tz:' Advanced Planning Fee. $0.00 . hisp. Fee: Select a Non -Residential E) Building or Structure 0 1-1/cc, Insp NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are only an estimate_ Contact the Dent far addn'1 info_ FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? ® Yes (j) No $0.00 0 hours $143.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Reg. 0 OT FO.OT hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? ® Yes Q No $0.00 Suppl. Insp. Feer Reg. 0 OT0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (:CS1t.SItatctiC�12 7c�t: —FT -i,Jmiffi"4tr""tivc? Fc e: 0 Work Without Permit? ® Yes (j) No $0.00 Advanced Planning Fee. $0.00 Select a Non -Residential E) Building or Structure 0 I,"ii�'s'/ Pf(t `tiiYle,'eiiLttt!1Yt Fees:, Strong Motion Fee: IBSEISMICR $1.43 3.0 I hrs $429.00 Inspections ISTINSP -1 Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $1.00 S R'S $2.43 $572.00 _< TOTAL FEE: $574.43 Revised: 01/06/2015 ,q 1( 13 4AII i� PLOT PLANS c3itcKm BY DMM % PL 9 T. o DATE--------- Ec, Bl,f)G. DEPT 671i6j 13Y le 4G i CUPERTINO Building Department JAN 21 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: A0�