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12120018
CITY OF'CUPE'RTINO BUILDING PERMIT DEFERRED# BUILDING.ADDRESS 1919-I'VALLC0,PKWY CONTRACT"OR>`NOVOICONSTR=UC---.� 'OWNER'S,NAME: APPLE:INC 1460 O'BR1EN DR " DATE' ISSUED: 12/0572012 OW'NER's,PHONEI MENLO PARIC;'CA'•94025 PHONE NOij(650)701'4500 ,LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG -" ELECT PLUMB t .Liccnse.Class•' ,Lic."# k 0 2=2 r " AI� MECH RESIDENTIAL COMMERCIAL L Contractor ;N[m CUV1Sh'uC OVA Date ,1'" a 1'a I hereby affigm,`that I am licensed under<tFie piovisionsaof"Chapter 9 JOB=DESCRIPTION: INTERIOR. -1 OF OFFICES,UPGRADE OF ELECTRICAL;. (commencing with Section 7000)'of Divist6n`3 of ilie 136iins's&Professions_ WALL FINISHES,FLOORING,AND,CEILING...INSTALL 4 NEW Code and thatmy license;is'i`n full force and effect. OFFICE DOORS.AND RELOCATION OF I EXISTING DOOR'12/05/12-DEF#I ADA SHOWER.UPGR4'DES ISST) I hereby Af irm;under penalty of perjury one of the:folIbwing;two,declarations: 12/20/12 !I:have:and`vvill niaintairfa'.certificate.ofconsentto,set f-insure for Worker's Compensation,as;provided=forby-Section 3700,of the,La-bor,Code',for,the performance ofthe'work for which this permit-,is i"sued., �Ll ave;an&will maintain-Worker's Compensation Insurance;%as provided for by Secti6n;3700 ofthe Labor-Cod_e,for the performance,ofthe work-forwliich=this: permids issued. Sq:."Ft,FloorArea: Yaluation:isIo00o0 APPLICANT CERTIFICATION, Lcertifythat I have read this application and state that=therabovetinformatiomis - correcL l agree to,comply with all city and.county ordinances and,state laws-relating APN Number:'31620074.00' Occupa_n_cy Type:. [o'building°construaion;,and'hereby authotize�representatives''of thi's cit y'to.enter _ upon.tficiaboyc mentioned property for,inspection purposes. (We),agreeto save •indemn_ify and keep harmlessttie,City-of Cupertino against liabilities;judgments, costs and expenses§which may accruie,ag4inst said Crtyin;consequence ofthe: PERNIIT'EXPIRE'S IF W©RK IS NOT STARTED grantingofthis permit: Additionally the applicant.:understands and^will comply with.alfnon-poi,t-sourcelregulations perthe Cupertino Municipal Code,Section WITHIN 180 DAYS OF PERMIT ISSUANCE OR. 9:is. p 180 DAYS FROM.LAST CALLED INSPECTION: 7' S_ignature ��iJ� Date __ Issued b ,. Date�r � —/2— ❑ OWNER-BUILDER DECLARATION" Ilhereby,affi_rm that;l am exempt from the.Contractor's"License Law for one of theifollowing two.:rcasons: RF-ROOFS:. I,,as owner of theroe ' p y g p p p rty, r or-my em to ees,with Wages as their+solekoin ensation, :Altroofs;shall be,inspected priorto�any,roofng material'bcing installed. Iia roof is will do:the work;and;the,structure ismot intended,or offered for s1ale;(Sec.7044, installed°without,first,obtaimng an inspection,[;agree°to remove^_all pew_materials for Business&Professions Code) inspection'. = I,as owner'ofthe property,am exclusivel'y.contracti'ng with licensed contractors,to cons tructthe,project(Sec.7,944,Business&Professions�Code). Signaturc,.of Applicant: ''Dafe: I:herebyaffirrn under.penalty of perjury one of the>following three ALC,ROOE•COVERINGS'TO BE'?CLASS"A`'OR BETTER' decla�ationsi lhd,e and will maintain a Certificate"of Coinsent to s lfinsu r CITY OF CUPERTINO FEE ESTIMATOR-•BUI.LD:ING DIVISION ADDRESS 49191.Vallco PlNty DATE: 12/2012012: REVIEWED,BY: Sean, A.PN BP#:, 12120018 *VALUATION'. $0 PERMIT TYPE: Building,Perm`t PLAN CHECKTYPE: Alteration,/ Repair PRIMARY PENTAMATION SFD°or Duplex 1GENRES PERMIT'TYPE: w kk , Deferred Submittal:#1; ADA shower'u 0rades. SCOPE i . �s F • x a'ft'L' z �.:IT?��k.2C_i a.€ri�) ,',C�3- _..`st'G-.'iF ' i..F,: .�,trr •' if)aY2.-S7'i.°. :f .tz </s ;•<. rrtlt 3.`t- Li ,.>>.. r E: This,estimate:doesxnot`iticludefees,due to otlier�Departmentv(ke."Planning;Public'Xbrks,Fire,Sanitdry.`Sewer Disfrtct,School NOTr Districtetc These ees,are based,on the. 'relirnina ;in ornzation available and ate,oiil"an estimate. Contactathe,De t or bddn'l;in o: FEE`IT,EIVIS�F•ee Kesolution 11-053 Fff 7.1"'/?). FEE QTY%FEE -MISC-ITEMS "P.lan.Check Fee;, . Hourly Only?:,o Yes E No $0.00 F 17 hours' Plan Check,Hourly -Suppl. PC Fee: Q Reg. OT ..0,0 firs $0.00 $133:00 ISTPLNCK PME Plan.Check: $0:00 P:errriii.Fee: $0.00 - ;Suppl Insp Feer Reg: UT' 01.0 hrs $-0.90 PME,Unit Fee,,, �PN1E Permit Fee:; $0.00' Work without-Permit?. 0 Yes 0 No $0.00'' Advanced.Planninp:Fee, $0:00 Select a Non=Residential . fr z, I ' .< zFr,;t iat: ><.,r Buildingor'Structure 0 Strong MotionrFee: $0.00Select an.Administrative Item B'lda Stck Commission Fee: SUBTOTALS $0.00 -$'133.00 �' TOTAL F=EE $:° 00 2 ) R2 ed. 112012. , CITY OF C:UPERTINO BUILDING PERMIT BUILDING ADDRESS: 19191'VALLCO,PKWY CONTRACTOR:NOVO CONST RUCTION- 'PERMIT NO: 121200118, OWNER'S NAME; APPLE INC, 1460 O,'BRIEN Df� DATE ISSUED: 12/05./20,12 OWNER'S PHONE: MENLO PARK,,CA 94025 PHONE:NO:(650)Z01-1500 JS[ LICENSED`CONTRACTOWSDECLARATION JOB DESCRIPTIONsID .RESENTIAL 11. COMMERCIAL License Class-. 02> 1ic- !74Q !'OZ2 INTERIOR TI.OF'OFFIC•ES;UPGRADE OF ELECTRICAL, W'ALL:TINISHES;'F,LOORING AND CEILING.INSTALL 4 Contractor ,/ _ Date 2 5' NEW Icommencmr with Sect o lice used o under the provisions of Chapter 9, OFFICE DOORS AND'RELOCATION,OF I EXISTING.DOOR ' Y ( ga ) �f-Division 3,of the:Bosiiness&Professions Codi..aod,thi t my'license is iWfull-force and,effect.. I hereby'affirm underrpenalty,4,,perjury onerof the;follow_ng two declarations;. - �I hay:,and will maintain a certificate'of consent to'self insure for,Workeris Coriipensation,;as,provided for by Se6tion,3700 ofthe'La_borC'ode;,forahe ,performance7of themork for"which this permit is issued., Sq.FGFloor'Area: V,aluation:,,$106000 'I have and will maintain.Worker's Compensation Insurance;;as pmvided.for;by Section3700�of the LaborCode,for the perforinance of the work.f6r4hich,this APN'Number:,3.1620074.00 Occupancy Type: ,permit.is^issued. APPLiICANT"CERTIFICATION .I certify that`I,have[read this application,and state that he,ibovetinform ation.i's PERMIT IF WORKIS NOT STARTED correct,)agree-to comply with all city;and county ordinances and state,laws,relating WITHIN"180 DAYS OF PERMIT ISSUANCE OR to buil'iling construction„ani)"hereby authorize?representatives ofthis citytosenter � DAYS. upon the above mentioned property for inspection purpo"ses (We)iagree'6 save 180'DAYS,FROM LAST CALLED INSPECTION., 'indemnify and keep barmlessethe City of Cupertinolagainst liabilities,, iabilities,judgments, costs and.expenses,"ich-may accrue.against;said City°in consequence of the /2 grantmg.of this permit. Additionally,the:applicani understands and':will-_comply Issued by. Date:_ / with;all"non-point source regulations per the,;Cupertino�Mu_nicipal`Code,Section ,9.18. Si nature Date Z p prior Ry roofing material being,`installed.,lf a roof is g, All shall be ins ected aorto anroofin mater installed without firstobtammg an:inspection,,[agree to remove all new materials for inspection. El OWNER-BUILDER,DECLA'RATION _ , (hereby affirm that;(am exempt from the,Contractor';s-Lice_ns_e.Law fo_r one of Signature of.Applicant> Date: `thefollowing two:reasons; ALL ROOF COVERINGS`TO BE CLASS"'A"OR.BETLER as owner'ofthe property,or my employees with!wages as!fheir'sole compensation, will�do the work,land`the structure;is notimended or offered for'sale, (Sec:7044_; Business&,ProfessionsCode), !,,,as owner of the property;am`ezclusively'contracting,wiih licensed'contractorsto HAZARDOUS.MATERIA LS DISCLOSURE constructithe,lproject.(Seci7044,Busi'ness,&Professions,Code), I have,readahe hazardbiwmaterials.regoiremen_ts under Chapter 6:95 ofthe California Health:&Safety'Code,Sections 25505,25533;and 25534_. d,will I hereby.iffirm�under,penAty of perjury one of the foll"o`wing;three maintain,compliance:with the Cupertino Municipal Code,Chapter 9.12 and they declarations:• Health,&Safety.Code,section,25532(a)should I.store or handle hazardous 1 have;aridFw ll maintain,a Certificate of Consent,to self=insure;forWorker's material. Additionally,,should'Cuse-equipment'or devices which,emithazardous Compensation;,as provided.for.by Section:3700,ofthet,LaborCode,for the air contaminaiffi srdehi eilay the:Bay,Area Air'Quality Management'D_istrict I perfoiinance+of the work;fonwhi6h this permit is y will nial,n&,compli?nc a Sections 25505, o Municipal Code,Chapter 9.12.and P � I have�and will maintain Worker sCom ensation Insurance,asiprovided for'b tY ai d'25534. Section 3700 of the Labor,Code,for the"perfonnanc_e ofJhe°work for which this permit is issued„ Owner,or,authorized agent: Dater Lcertifythat in'tI a.performance:oftheworkforiwhich this permit is,issued,6shall. knot employ any person in any rhanncr:so asr to become subjectto the Worker's Compensa[ion,laws of California. If,rafter making this certificate 6f exemption;I CONSTRUCTION LENDING'.AGENCY beco.subjectto'the Worker's�C6inpensationtprovisions of the Laborcode;;l.mu_std heieby'affinn"that there,is a.constructiod•lending agency for,the performance of forthwith comply'wiih such provisions or'this„permit+shall.beA&med.revoke& work's;ior which`this permit is"issued(Sec:3097,Civ C.j Lender,'s,Name. .APPLICANT CERTIFICATION Lender's Address .1"certify,that.)•have read°this application;and,state that9thelabove,4infonnation is correct. 1;agreeto comply with all city'and countyordinances and state,laws.rel'ating to building constructlon,,an0ereby authorize:representatives,ofibis city to'enter, ,up-on the above mentioneihproperty for inspection purposes (We)agric torsave ;indemnify and keep harmless'the City of Cupertino,against.habilities;'judgments, ARCHITECT'S'DECLARATION <costs,and expenses whicmmay accrue,"against;said,Ciry,in-consequence of the, 1 understand`my-plans9shall.be`used as-public.records., granting,ofthi's permit.Additionally;the=appl,i'cantunderstandsaand will comply 'with all non-point source:regulations perthe Cupertino Municipal,Code,Section Licensed'Professional =9.118. Signature Date ;CITY,OF CUPERTINO O®l� mow° FEE`ESTIMATOR— BUILDING DIVISION F,ADDIRFESS: 191.91 vallco pkwy: 1 st1loor DATE:, "121051201-2 REVIEWED BY: bob s. BP#r *VALUATION: $100;000 FPERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARYPENTAMATION USE: Commercial Building PERIVIIT'TY,PE: 1B TI WORK I-J. comm office sp'ace'non structural include M,Ej no Ps. SCOPE, TYPE,,OF' FLR AREA OCCUPAI�ICY`TYPE: PC_FEES PG FEE ID BP FEES BP FEE ID CONSTR'. s.f. B.(Tenant'lmprovements) 1(-8,111=B°'1V,V-B 0 $0.00 $-0.00 TOT-ALS: 0 $0.60 $0.00 1VIECHH®URLY ®� es, ® No PLUMB HOURLY ® Yes lvo'' ELEC,HOTRLY' ® Yes �No r� *, .,� _ ivteeli—Plan T-T ?:'Inrnh.pk;n 0)cck F/ec::Plan(;Fze- bpi=ch. 1'�rn_iLFee: ,r'h Hifi. t'iYn.ih!-ee:' '1,._:kermtr.lrer:. t)l/te G/eeh.7rzsn. Qrl„rr '?'urrb..,'rEs,r, 0iwrT ec' 11,SP, NOTE."T)iis,estiinate,does:not=ineludefees due to other-Departments(i.e.Planning„P,ublic Works; Fire,Sanitary SewerDistriet,School Distrriet;etc. : 'These ees,are:based on.,he relimina- in,ormation availab'le.and are,onl an estimate Gontact,the.D"e t'oraddn'Z in""o. FEE-ITEMS (Fee.Resolution 1-1-053 Cf. 7} /1/12) FEE QTY/FEE 'NII C,ITEMS Plan CheckFee Hourly Only? Yes :No. $0.00 .hours Plan Check,,Hourly, Suppl. PC Fee Q Reg. OT' 0,,0 hrs $0.00 $266:00 1STPLNCK PME P1an,Check $0:00 Permit Feer Hourly Only? (-)Yes 0 No $0.00 Suppl. Insp. Fee:Q Reg. Q OT 0..0 hrs $0.00 PME�UnitTee: $0.00 PME PermitTee: $0.00 C'omyP iyc ion , cLt., rldinzlristrati've F`ee: V✓oTk'Without'Permit? 0 Yes (j) No :$0.00 Advanced Planning F,ee: $0.00 hours Inspections E) 7eoDoZ m"I'sntutivn Fees':' $1,064.00 1STINSP Inspection,Hourly Strong iMotion Fee: IBSEISMICO $21.00' Select an,Administrativ-e Iters. B1dg:Std"s.Commission F-ee IBCBSC $4.00 � , SUBT�OT=,�AILS: � $25.00. $1 33'0.0`0 TOTArL FEE $1. 355:00 -Tv ,. Revised: 10101%2012 ? Building pepartment + City:Of Cupertino I;030,0,T6rre,Auenue - Cupertino,,CA,95014-325.5;: . '408 7-71,t-3'228 "Telep �' Fax :408-77.7=3.33-3 C�O.IeTT�ZACaTOR:/ SUBCOIeTTICTORDIST _._ o-s JOB'ADDRESS ' t 111 i ? F_r :PERMIT# Zj'ZC')"`I:f'. .OWNER';S NAME; PHONE - . . � ►nIC.., Y. GENERALCONTRACTOR: 0 . ro :� ct -n "-j BUSINESS'LICENSE'#' 2 3P_-S'T.I: . ADDRESS: �.f laD Obje( _ 'Lw, CITY/ZIPCOD,E:, .� `�aleo ', �. - - IcUZ *Our'municipal.code;requires all-businesses,working in,-ahe city t,WhaO a'City of'Cuperiino business license. . ` NO0'`B'UILDING: 'FINAL OR .FINAL,.00CUPANCY INSPECTION(S)' WILL-.BE-SC.REDULED UNTIL'TIDE GENERAL; CONTRACTOR AND ALL, SUBCONTRAOTORS I4AVE OBTAINED'A. CITY-.OF;CUPER-TIN.O' BUSINESS LICENSE. I am,notusin - g,any subcontractors: • - _ �" .. -:_ _ Signature Date Pleasecheck.applicablc subcoritracfors:arid complete�the'-following-informationc: ° SUBCONTRACTOR, BUSINES'S NAME = BUSINESS LICENSE4' Cabinets°&&Millwork - G'emeritp R,inishing� _- • " - � ;- ' - :Electrical, - 'Excauat oris Fencing ,Flooring/ Carpet"ing r 'Tinoleuni[Vood Glass%:Glazing . = Heating -In"stulation. Landscaping ; Lathing. Masonry` :. Paint-iiig T`Wallpaper Pawing Plumbing Roofing; Sepfic Tank. . ;Sheet Metal Tile = - - ! • - - Owner/'.Contracfor=Signature�' _ r �Date CONSTRUCTION PERMIT APPLICATION- COMMUNITY'DEVELOPMENT'DEPARTM ENT•BUILDING;DIVISION 10300'TORRE,AVENUE•CUPERT:INO,CA 95014-3255 C U P E RT I N O (408).777-3228•FAX(408),777-3333•building0_)cupertino_org ❑NEVCONSTROCTION ❑ .ADDITION ❑ ALTERATION'.TI REVISION i DEFERRED ORIGINAL PERMIT'#' 12-1 2-6i e)' PROJECT ADDRESS �:APN#. OWNER NAMEPHONE E-MAIL STREET'ADDRESS ^ 1 L.Z� CITY, STATE,ZIP v� C� FAX CONTACT'NAME PHONE E-MAIL Naf vi v '' [DSO- �1 '- woolondud le<@ no,roc�nstwctivin.. STREET ADDRESS CITY.,STATE, ZIP. FAX ❑OWNER .❑ OWNER-BUILDER ❑ OWNER AGENT '.CONTRACTOR ❑CONTRACTOR AGENT ❑ 'ARCHITECT ❑ENGINEER ❑ DEVELOPERS ❑ TENANT 'CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.,LIC;# t e P a3 P91 COMPANY NAME E-MAIL FA ' ° c \orl to X STREET ADDRESS CITY,STATE,, IP PHONE. ARCHITECT/ENGINEERNAME INCENSE NUMBER` BUS.LIC,#+ COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,:STATE,ZIPPHONE DESCRIPTION OF WORK' S o b(n6tal for Owwer dgckg M*kn- bti ir1 *?, - EXISTING,USE PROPOSED USE CONSTR.TYPE #,STORIES USE; TYPE OCC. SQ.FT. VALUATION`($) -EXISTG NEW FLOOR DEMO TOTAL - AREA �Q AREA AREA ,NET:AREA DFFI�.1 - d BATHROOM' KITCHEN - REMODEL AREA REMODEL AREA REMODEL AREA p 'PORCH_AREA 'DECK AREA T OTAL DECK/PORCH AREA. GARAGE AREA: DETACH I - ❑ATTACH ' ,#DWELLING UNITS�t IS'-A�SECOND,UN,IT C]YES SECONDSTORY ❑YES �BEINGADDED? [:],NO 'ADDITION?, NO NO PLANNING ❑ VIDE,COPYOF IS THE.BLDG AN ❑YES RECEIVED BY: TOTAL VALUATION: PRE APPLICATION YES ,YES,PRO- __ _ , PLANNING`APPL'# ❑ APPROVAL GETTER EICHLER.'HOME? ❑NO Bymy signature below,I certifyto each;of the.following: I am--.the,p-Topqfty,owner or:authorized agent:to;'act.on'the property owner's behalf. lghave<read this a pp ication;and'dhe information L'.have,Provided is correct. I have readAhe.Description of,Work and verify itis accurate. I agree?,to comply with all applicable local S'or6nancesand lstate,laws relating to buildmg'.cohWuction. authorize`.representatives of Cupertino to enter`the,above-identified property for inspectiompurposes. g atureofApplicanUAgent- _- Date:, SUPPLEMENTAL INFORMATION RE QOIRED PLAiv,CHEcxTvre :ROUTING,SLIP-., New_ SFD�or Multifamily'dwe'llings: Apply for demolition perrrlit for exlstm bwldin s . Demolition erinif i5 re wired rior4o issuance Of building OYER THE COUNTER. BUlLD1NG,`PLAN REVIEW. g. gO . . P 9 P g ., ((! ,permit fqr neW,,building. ❑ EXPRESS, ❑ PLANNING,PLAN'REVIEW I _Commercial Bldgs: Provide:a c_dfnpleted Hazardous Materials Disclosure ❑,,vSTANDARD , El ,P.uBI I'.i—,WORKS;. 'form if any,Hazardous Materials are bei_ngwsed as,'part of this project. — `} RGE ❑ ,FIRE DEPT =z i _Copy'ofPlanning Approval Letter or'Meeting with Planning;prior to' ? , ' ❑' eMAJOR 4 '.. < ❑ 3SANITARY SEWER D1STRICT i k , -sub_mittal.Of.5BuiIding Permit.application. i' b ` ❑'yENVIRONMEN+TAL HEALTH' . BldgApp 2011.doe.revised 06/2-1/11 i CO'NSTRUCTI'ON PERMIT APPLI;CATLOfV COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION' 10300'TORRE,AVENUE CUPERTINO,; CA 95014-3255 (408) 777-3228'-•FAX(:40-8)777-3333 building(acuperfinO:org CUP;ERTI,NO (/ v a ❑NEW CONSTRUCTION' ❑ ADDITION; ALTERATION/TI ❑ 'REVISION'/DEFERRED ORIGINAL PERMIP# PROJECT,ADDRESS APN'# 'OWNER'NAME PHO N E-MAIL akn !* "52o- S "3 T STREET"ADDRESS' CITY„STATE,ZIP FAX N CtJ CONTACT:NAME. HON_E EMAIL STREET ADDRESS, A;,STATE, ZIP FAX o1�5R.� 0 OWNER 0 OWNER-BUILDER' +❑-OWNER.AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT El ENGINEER El DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER'7�I LICENSE TYPE BUS.,LIC•it�,Q t a7 COMPANY NAME E-MAIL FAX STREET.ADDRESS CITY:STATE,ZIP PHONE ARCH ITECTlENG[NEER NAME �V J" IN �''1 17 ,LI6ENSE&U-MIAER BUS.,LIC k kAgirGOMPANY,NAI4fE E-MAI FAX 3 j. e C 1 fes, STREET ADDRESS CITY,STATE,ZIP HON 'DE S-CRIPTION OF WORK O _• - 5 0 ._ Aj- F EXISTINGiUSE PROPOSED USEG NSTR: k STORIES USE! TYPE- OCC. 'SQ:FT. VALUATION'(S) EXISTG+ NEW FLOOR DEMO TOTAL - AREA/O QB� AREA 0 AREA :NET=AREA BATHROOM KITCHEN OTHER,,,_ REM EMODEL,AREA REMODEL AREA :REMODEL•AREA PORGH AREA DECK AREA, TOTAL DECK TORCH-AREA. GARAGE AREA: LJDETACH, - ❑ATTACH, #DWELLINGUNPTS: IS-A,SECOND`UNIT' E]YES SECOND STOAT. []YES BEING ADDED? .❑NO ADDITION? ❑NO :YES ff YESPROVIDE,COPY OF, IST}IE BLDG'AN 'YES "' -�' TRE'.APPLICATION ❑' - s.m_ ❑_ E RECEIVEDBY TOTAL VALUATION_ :PLANNING APPL•# E]NO PLANNING'APPROVAL LETTER EICHLER FIONIE7 ❑_NO u ' a / i - ,. -... By y _ fy, e property ownmor authorized agent[o act on fhe;property,owner's behalf. I have read this• B m si�nature;below;I certl to'each of the following I am the application,and`the information l'have prow ded,is correct. I;have`.read`the Descri'ption'of Work•and verify,it is accurate. T agree to comply with all`applicabfe local ordinances_ and state law-§;relatlng to building constru_cti . I authorize•representatives of Cupertino to enter the,a_b_/ove-identified.property.for inspection purposes. Si6nature of.Applicant/A�ent. SUPPLEMENTAL INFQRI\4ATION REQUIRED :, s Pl9ta CHEChTYPE �*z '7— Netv'SFD or Multifamily dwellings: Apply for demolition permit-ffor hg - _ � OVERTHE-COUNTER ' � NGPLANREViEN existing building(s) `Demolition pefmit is required'prlorto:'issuance of building permit for new building. r EXPRESS x s❑ PLAni'1INGPLANREVIEWe _ Comm ercialBIdgs: Pro-ide a,completed Hazardous'Materials.Diselosure� Ls ' f*'. form If.any_Hazardous Materials are being.used as,part of thisF,project: D xLARGE aeEPT Copy of Planning,Approval Letter-Or feeting with'Planning prior to ❑ MAJOR � ❑. SANITARY SERER DISTRICTc"� subrnittal of B.uilding'Rermit;application. , a ? , ' ❑;,n EiWIRONDIENTALHE tTH,n_, � BldgApp 207'l.doc revised 06121111