Application & Fee Est for B-2016-121212,74-
CUPERTIN0
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CONSTRUCTION PERMIT APPLICATION
CONId1UNl 1 f DEVELOPWIENT'DEPART WENT BU'iLDIN'I3 DIVISION
1 O3O0TORRE AVENUE • CUPERTINO, CA 05014-3255
(40S)) 777-3228 " FAX-(408) 777-3333 " buildino�cuD= ino.con ^ y 2,' 2,
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KIKODEL AREA
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BEING ADDED+ No
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By my si€n=_-hre below, I ceniy to each of the following: I an the pr cpery' ownar or euth FKA to- ,G-hes�e__this
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2pOution and The information I have provided is cor, ect, I have read the Descip:ion of Work and verify j .L' _moo comply with all applicable loco —
ordinaoces and state laws Eel athng to buiiding constaxtion. I authori � represe,Y_tNts of Cupertino to entsr4':' 0 id-oti=led Droperiy :or inspection puT?eses.
SirnatueofApplicant(.A�ent =—�"� Date:
STiPPLEAdF—KITALT'POR.hi11I0N -!RED
New SFD or MultifLmi?y &vell;n_s, Apply or damolition ae-r't Y^or
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EXISting Wilei:nc(g). Dernollti Oi] is 'e0!:: e0 prior t0 `.oL'E 1c6 Of building-'-j
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G�i u•'`i °;F -
Pe —Tit for newbuildipg
Co -.-+ere 4] Bldes: P;ov;de a ce-rplefad Hza; do!s M=`enals D,scles
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' Copy o. PI -- s::; App.oval Le,ter cr Meeting ;vih P1=��- �g prior to
s>:bT±itta1 or Buld_.g Per. -if application.
m,ised 06121/11
CITY OF CUPERTINO
WE FEE ESTIMATOR - BUILDING DIVISION
20693 GREENLEAF DR DATE: 01/1912016
REVIEWED BY: MELISSA
JAEADDRESS:
APN: 326 56 007 BPii:
*VALUATION: $26,800
"PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
PENTAMATION 1 R3SFDREM
USE:
PERMIT TYPE:
WORK
REMODEL E 130 S.F. KITCHEN & 3 E BATHS 110 S.F. LIKE FOR LIKE. NO STURCTURAL
SCOPE
CHANGES)
.I9edr. I *Ian 'he 1,
. evh. Pemw ltw:
chher "it', h. hup.
Plumb_ Aicc�+Ch�zk
1'lvu+i=. Yr,>red+Pre-
LJilur l`l;rnr5 lr, tn.
Afech. Imp. F (",. i'1rsraG. Ir+,rp,
NOTE: This estimate does not include fees due to other Denary
Piece. P1o;r Gxc$
f +.c )''runt l,a(':
(kh,x liicc. !,r,,a
fS(e c. lisp, lee:
Plannink, Public Works, lire, Sanitary Sewer District, School
/)icfrinf afn ) Tho o rnoe nra hand nn fhn nrn/inaiwmw infnrnmlinn nvn)Inhle and nra nnh, mr nciinmie Cmitnet the Dent fnr addn'l tofn.
FEE ITEMS ffice Resolution 11-053 Eff. 7111132
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
130 s.f.
$645.00
Remodel, Kitchen (<=300 sf)
1REMMsxIT
Suppl. PC Fee: (DReg. Q OT
o
hrs
$0.00
PME Plan Check:
$0.00
F1 10 1 s.f.
$645.00
Remodel, Bath (<=300 sf)
11?EMJ?),SEAT
Permit Fee:
$0.00
SuppL Insp. Fee: Reg. 0 OT
O.O
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
CQrlstr'uclioil ?X;
_ dininistrrttive Fee:
0
Work Without Permit? 0 Yes (2) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
Q)
e
Trvxr l Z3rx;a rtenXrxrinn 1'ee.c:
Strong Motion Fee: 1BSEISMICR
$3.48
Select an Administrative [tern
Bldg Stds Commission Fee: 1BCBSC
$2.00
SUBTOTALS:
$5.48
$1,290.00
TOTALFEE:i
$1,295.48
Revised: 01/01/2016