15010005-PUBFIRM WILLIAM H TRUSTEE & ET AL
CITY OF CUPERTINO BUILDING PERMIT I
1 BUILDING ADDRESS: 10400 E ESTATES DR ' CON TR CT ON COMPANY I PERMIT NO: 15010005
1 OWNER'S NAME: FRY WILLIAM H TRUSTEE & ET AL 110351 SAN FERNANDO AVE i DATE ISSUED: 0)105/2015 j
OWNER'S PHONE: 4089968173 1 CUPERTINO, CA 95014 1 PHONE NO: (408) 605-8200 1
® LICENSED CONTRACTOR'S DECLARATION
License License Class Lic. # 5a Q / v J'
Contractor m . 5hc
1 hereby affirm that 1 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.
1 hereby affirm under penalty of perjury one of the following two declarations:
l 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, SectZo
9.18. q
Sign �—^'� Date I 5
❑ OWNER -BUILDER DECLARATION
1 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).
1 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, 1
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 COMMERCIAL
ENCLOSE (E) PATIO (137 S.F.), REPLACE 5 (E)
WINDOWS. REMOVE (E) FIRE PLACE & CHIMNEY & ADD
(N)
WINDOW IN FP LOCATION. REMODEL (E) 140 S.F.
Sq. Ft Floor Area: 1 Valuation: $30000
APN Number: 36925038.00 1 Occupancy Type:
PERMIT EXPIRES . IS NOT STARTED
WITHIN 18 S OFPfRMIT ISSUANCE OR
180 F ALLED INSPECTION.
y: 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 1 store or handle hazardous
material. Additionally, should 1 use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District 1
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505r25n d34.
Owner or authorized agen Date:ff
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
1 understand my plans shall be used as public records.
Licensed Professional
Signature Date
CITE' OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10400 E ESTATES DR
CONTRACTOR: WM H FRY
PERMIT NO: 15010005
CONSTRUCTION COMPANY
OWNER'S NAME: FRY WILLIAM H TRUSTEE & ET AL
10351 SAN FERNANDO AVE
DATE ISSUED: 01/05/2015
OWNER'S PHONE: 4089968173
CUPERTINO, CA 95014
PHONE NO: (408) 605-8200
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
ENCLOSE (E) PATIO (137 S.F.), REPLACE 5 (E)
License Class_ Lic. # 52a /
WINDOWS. REMOVE (E) FIRE PLACE & CHIMNEY & ADD
Contractobi✓h rc-a 006 lUe 3 j
(N) WINDOW IN FP LOCATION. REMODEL (E)140 S.F.
.
REV # 1 - FLOOR FRAMING DETAILS IN KITCHEN &
I hereby affirm that I am licensed under the provisions of Chapter 9
ENTRY TO SHOW SUPPORT FOR INSTALLATION OF (N)
(commencing with Section 7000) of Division 3 of the Business & Professions
TILE FLOORING - ISSUED 2/3/15
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
Sq. Ft Floor Area:
Valuation: $30000
performance of the work for which this permit is issued.
0
1 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
APN Number: 36925038.00
Occupancy Type:
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 D IT 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 D OM CALLED INSPECTIO .
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
l�
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comp)
Issued by.
with all non -point source regulations per a Cupertino Municipal Code, Sect
9.18.
�1Y10
Signature / Date •C�
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:
II 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)
1, 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. 1 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 Cupertin9dunicipal Code, Chapter 9.12 and
l have and will maintain Worker's Compensation Insurance, as provided for by
the Health &Safety Code�jSections and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Owner or authorized Dat
1 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
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
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
ARCHITECT'S DECLARATION
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
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 CA
(408) 777-3228 ^ FAX (408) 777-3333 • building()cugertino.org \
❑ NEW CONSTRUCTION 2 ADDITION A ALTERATION / Ti ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJ CT ADDRESS I n •
APN # n r
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�A
CONTACT NAME
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CITY, STATE, ZIP
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❑ OWNER OWNER -BUILDER ❑ OWNER AGENT Pr CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRAgT1 R NAME
LICEN
y�E NUMB�R�
TY
LICEN PE
BUS. LIC #
CO,,, \MM\PANY NAME
E `MrIL
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STREET ADDRESS
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ArI� !CT/ENGINEER NAME
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I
BUS. LIC #
o
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/
COMPANY NAME
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FAX
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CITY, STATE, "LIP ^
CAI'
P}i()jYJ� a O
�l y 6 6• o
DESCRIPTION OF WORK
'
v i s' e1 3
L-o t ��-
EXISTING USE PROPO?D USE CONSTR. TYPE # STORIES
USE TYPE OCC. SQ.FT. VALUATION ($)
sr- F.4 VoLl 1
EXISTG
AREA I -�) u
NEW FLOOR
AREA )
DEMO
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°`.
TOTAL
NET AREA I d
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BATHROOM
REMODELAREA /7P
KITCHEN
REMODELAREA A, I 6
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REMODELAREA -,-I do
PORCH AREA
DECK AREA
TOTAL DECKIPORCH AREA
GARAGE AREA: ETACH
/Q
r) /A
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# DWELLING UNITS:
IS A SECOND UNIT []YES
SECOND STORY []YES
BEING ADDED? .10 NO
ADDITION? O
17
PRE -APPLICATION OYES IF YES, PROVIDE COPY OF
ISTHEBLDGAN ❑YES
REC
TOTAL VALUATION:
PLANNING APPL # Q"O PLANNING APPROVAL LETTER
EICHLER HOME? RINO30,
_
By my signature below, 1 certify to each of the following: I am the property owner or autho agen t6-Bct on the property owner's behalf. I have read this
application and the information I have provided is correct. 111 c read the Description of Work and Verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building const Ion. thorize representatives of Cupertino to enter the above- identified propert for inspection purposes.
Signature of Applicant/Agent: Date: I — 5 — � 0
SUPPLEMENTAL tOtMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
❑ OVER-THE-COUNTER
❑ BUILDING 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.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑
❑
LARGE
FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
non
BldgApp_20ll.doe revised 06/21111
RL
1
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION
10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255
(408) 777-3228 e FAX (408) 777-3333 ^ building-cupertino.org
❑ NEW CONSTRUCTION ❑ ADDITION
❑ ALTERATION / TI ICI REVISIO / DEFERRED ORIGINAL PERMIT #
PROLE , DRESS /
j�^
APN # 6 IF2r i D 8
O ER NAME
I
PHO ! r/� MAICA
(�Yl
j
TREET ADDRESS
Cr STATE, ZIP (
FAX
�
CONTACT NAME
PHONE
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTO A
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
f` U
COY 'Fr
E-MAIL
FAX
STREET A� (/i/✓ _ n
�/ CiU-ei
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
EXISTING USE
PROPOSED USE CONSTR.
TYPE
# STORIES
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: LJ DETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECOND UNrr ❑ YES
SECOND STORY ❑ YES
BEING ADDED? ONO
ADDITION? ONO
PRE -APPLICATION YES, COPY
IS THE BLDG AN ❑
CEIVED
TOTAL VALUATION:
AANNINGAPPL# ❑NOOYES
PLANNING PLANNINGAPPROVALOF
LETTER
EICHLERHOME'
_.
+. �,�" * F� :
By my signature below, I certify to each of the following: I am the property owner or authori agent to act on the property owner's behalf. I have read this
application and the information I have provided is correc I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buildin O I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature ofApplicant/ o n : G d W»1 *fZ Date:
SUPPLEMENTAL INFORMATION REQUIRED
. ,, PT AN CRECK
/ ry ' F •:e
�w�i�a r`, I
�
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
_❑ OVERTHE-COUNTER
t[e �;
BUILDIISGPLANREVIEW
permit for new building.
;❑r EX_PRESS'
r
❑ PLANNINGPAL"AN REyLEW 'y
��.��.�
�, x
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
STA!\DARD
e 4 tNT`'i v u tr
❑a PUBLIC WORK$y aka
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form if any Hazardous Materials are being used as part of this project.
ri 4i
r� �t
❑ +LARGE�)i Grp r Y rw
❑ FIRE DEP;�)z�i 3 tti
Copy of Planning Approval Letter or Meeting with Planning Prior to
_
❑ e �tA lOR a } , c
❑t SANITt* -
ARYSEWER DISTRICT..:.�..
submittal of Building application. Permit a licati
s >a •
5 l t 5
xr�tr.' b=sci,.. ,'
a,O�ALREALTH; x'., -_.p.
❑ .E1.IIRONMENI
B1dgApp_2011.doc revised 06121111
C
CUPERTINO
GENERALS PERMT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT e BUILDING DIVISIO A�*E
10300 TORRE AVENUE o CUPERTINO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 o building cD-cupertino.org
F I PLUMBING ❑ MECHANICAL ❑ ELECTRICAL ❑ MISCELLANEOUS I 00
PROJECT ADDRESS �� APN#
OWNERNAA I t
!
P�IOI� �I 23
IE b J f4-14 C60S th
STREET ADDRESS
CITY, STATE, ZIP / ^
FAX C
CONTACT NAME
PHONE
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
7
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTORAGE IT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTItACTOR N ( /
LICENSE IvJMBER 7 _ J
LICENSE TYP�7
0'
BUS. LIC #
r
g s
COMPANY NAME
e^
E-MA-
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF ❑ SFD or DUPLEX ❑ MULTI -FAMILY
PROJECT IN WILDLAND ❑ YES
PROJECT IN
❑ YES
IS THE BL.DG AN ❑ YES
BUILDING: ❑ COMMERCIAL
URBAN INTERFACE AREA ❑ NO
FLOOD ZONE
❑ NO
EICHLER HOME? ❑ NO
DESCRIPTION OF WORK G n, f�
G� (' vr/7 rid
e/vyr �> Td
!P r. eJ CaV,� n -N
TOTALVALUATION:
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the
owner's behalf. I have read this
application and the information I have provided is correct..I have read the Description of Work and verify it is -a .
ate. I agree to comply with all applicable local
ordinances and state laws relating to building n ctioat 1 authorize representatives of Cupertino to enter the above-identifi� property for inspec2ti,on purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION REQUIRED'
r
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MEPMiscApp_2011.doc revised 06121111
WE
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
iaADDRESS:
10400 E ESTATES DR
DATE: 02/09/2015
REVIEWED BY: MELISSA
APN: 369 25 038
BP#: 15010005
VALUATION: Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
PENTAMATION FURN/A
PERMIT TYPE:
WORK
REV # 2 - RELOCATE FURNACE FROM GARAGE TO INTERIOR CLOSET
SCOPE
hrs $0.00
Mech. Plan Check Lfl
!'hunk. Plan Chcck
Elec. Plan Check
Mech. Permit Fee: IMPERMIT
Fill,-b. Permit Fee:
Vlec. Permit Fee:
Other Mech. Insp. 0.0 hrs $48.00
Other Plumb Insp.Li
Other Elec. Insp. ET
Ilech. hash. 1 ee:
IPhuuh. hrsp. ree:
/;l('c. InVI), / ee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Elf.' 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
= # Mechanical
$143.00 IMFR=<100 Furnace, Forced -Air
Suppl. PC Fee: (!) Reg. () OT E0j
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:
$48.00
:
C0i1St1'11Cti0t1 TUX:
Administrative Fee: 1ADMIN
$45.00
Q
�
Work Without Permit? ® Yes 0 No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
i
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee:
$0.00
Select an Administrative Item
Bldg Stds Commission Fee:
$0.00
SUBTOTALS:
$14-1.00
$143.00 TOTAL FEE:
$284.00
Revised: 01 /06/2015
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 10400 E ESTATES DR
DATE: 01/05/2015
REVIEWED BY: MELISSA
APN: 369 20 038
BP#:
-VALUATION: 1$30,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
PENTAMATION 1GENRE
PERMIT TYPE: A
WORK
ENCLOSE E PATIO 137 S.F.),REPLACE 5 E WINDOWS. REMOVE E FIRE PLACE &
SCOPE
CHIMNEY & ADD (N) WINDOW IN FP LOCATION. REMODEL (E) 140 S.F. KITCHEN
/, ii. Plrrri ('bn e h
/Triad). l'lan ('he rL
L;lei'. Klan Check ck
-AIch. Fee:
Ph!f b. Pe rtnit Fee:
lile c. Perniii Fee -
711re r "ie Ali lily'L]
Othe" Plr+mb lnsr,L17--
Usher Iris/:,. Ll
ih-Ch la.a/:. FfIC.
P 1iff1b. insp. Fee.
I Elec. Insp� Fee:
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 Preliminary information available and are only an estimate. Contact the Dent for addn'l info.
FEE ITEMS (Fee Resolution 11-053 Ef..' 71'1113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
0 #
$503.00
Close Existing Openings
ICLOSOPNEX Exterior Wall
Suppl. PC Fee: (2) Reg. Q OTEDhrs
$0.00
PME Plan Check:
$0.00
137 s.f.
$859.00
Patio Cover / Sun Room
IPATIoENCw Wood, Enclosed
Permit Fee:
$0.00
Suppl. Insp. Fee:0 Reg. 0 OT
Iii] hrs
$0.00
= s.f. Remodel, Kitchen (<=300 sf)
$645.00 IREMRESKIT
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0 #
$431.00
Window / Sliding Glass Door
1wINREP Replacement
liqir 1(r.v:Ll
1c/i;2ii1ls0-d/1 V 1`de'
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
l'rovY / l.)(�ci!1 r Y11LlIlUli I'Ce8,
Strong Motion Fee: IBSEISMICR
$3.90
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$2.00
E__ SUBTOTALS:
$5.90
$2,438.00
TOTALFEE-T
$2,443.90
Revised: 10/01/2014
CITY OF CiJPER'TINO
FM-,7- FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10400 E ESTATES DR
DATE: 02/03/2015
REVIEWED BY: MELISSA
APN: 369 25 038
1 BP#: 15010005
"VALUATION:
Iso
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
PENTAMATION 1GENRES
PERMIT TYPE: 19
WORK
REV # 1 -FLOOR FRAMING DETAILS IN KITCHEN TO SHOW SUPPORT FOR INSTALLATION OF
SCOPE
(N) TILE FLOORING - ISSUED 2/3/15
1'/tvHb. 117an Clieek
I?ka(;. Mir., 07cc1'
:�r8(:Y:, J'd17r4i: Fee
Pjitrt?b. 1'r!'.7iit (' 48;
tStPC..l' f?!'Al/i /'c
(ltl er ;i-Ja i;. h p.Ell I
0ih, r r'Ilrwb f;^ j;
t.)t!rf r f: ;0 c.J.
he'll. Inv), / .:
Plr,orb. A40' I%«:
17m. h;sp.
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, eta). These fees are based on the prelimiina information available and are on1v an estimate. Contact the Dept for addn'l info.
FEE ITEMS (Fee Resolution ]1-053 Ff1. 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? ()Yes (E) No
$0.00
1 hours Plan Check, Hourly
$143.00 ISTPLNCK
Suppl. PC Fee: (E) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:jj Reg. 0 OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
("onstriu,tion 7"4v
Aden nislratire Fee:
Work Without Permit? Yes (j) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
7szrvel I)CrUuunetttrxfiora .F"ees:
Strom Motion Fee:
$0.00
Select an Administrative Item
Bldg Stds Commission Fee:
$0.00
SUBTOTALS:
$0.00
$143.00 TOTAL FEE:
$143.00
Revised: 01 /06/2015