12120035 CITY OF CUPERTINO BUILOI'NG PERMIT
`BUILDING ADDRESS;,20735 STEVENS CREEK•BL'VD• CONTRACT.OR;'C+&;L,CONSTRUCTION. PERMIT NOr 12120035
OWNER'S-NAME, ALLAN LAU 934POCATELL'O,AUE DATE ISSUED:03/04/2013
OWN.ER'S PHONE. 4082053496 SUNNYv!ALE;,CA 94081'. PHONE NO:(408)781-2464
❑ L'ICENSED,CONTRACTOR'S,DECLARATION. JORDESCRIPTION: RESIDENTIAL El COMMERCIALE]
License,Class Lic.;# / PARIS BAGUETTE-SUI.T,E`A/B—COMM.T.13,190 SQ FT
�.
CONVERT EXISTING RESTAURANT TO BAKERY`.
Contractor_ Date
ij
er
Icomm nc ng w t aSect on-7000e of Div sion,3,'of the B,u of Chaptero
•) � ,mess&',Professions
Code and that mylicenseis in full force and effect.
'I lieretiyaffirm.ander penalty of;perjury one:of ihe`followiog-two de'cl'arations:
I have and,will.maintaina certificate of consentto;self;insure'for'Wo-r_ker's,
,Compensation;as;provided,for.by Section 3700:of the Labor Code,forthe
performance ofahewwork for which_this permit',is issued. Sq.Tt FloorArea: Valuation:$200000
`I have and.wilLmaintain Workers Comperisation•lnsurance„as provided forby
8ection,,3700 ofthe,Labo'rCode,.for the perfomia&e of the work;forwhich this
APN-Number:.32-632054:00 Occupancy Type:
germ it,is;issued�
APPLICANT`CERTIEICA7;l ON,
I certify that,I have read application and sate fhatthe above”informatiowis PERMIT`EXPIRES IF WORK,IS NOT'STARTED
correct; l.agree to;complywith all city.and county ordinances and,state laws_relating WITHIN;.180 DAYS OF PERMIT ISSUANCE OR
to building construction and hereby"authorize representatives of this crtyto enter
'upon die-above,mentioned property for mspection•purposes. _(W6),agree to-save 180 DAY ROM LAST CALLED W$ CON.
;indemnify and keep harmless'theCity of Cupertinohagainstli'abilities,judgments,
costs,and,expenscitwhich may accrue,againsffsaid City in consequence,ofthe
;graming'of this permit Additionally;„the•applicant understands and will.comply Issued by: Dat
with all,non-point _g SI per tti,Cupeitino�Mumcipol.'Code;Section
9;18.
- RE-ROOFS:
,SignatureDate ; '3 All roofs shall be inspected,pnor to any roofing�material being installed..If a•roof is
installed without firstaobtaining�an�inspection,I agree,to remove all new matenals"vfor
inspection.
❑ OWNER;BUILDER"DECLARATION
Signature of Applicant: Date:
`thereby affirm that I amiexempffrom`the Contractor's Lreense:Law for one of
the following two",reasons: ALL ROOF COVERINGS TO`BE CLASS"A"OR BETTER
,I,asownerof the prop"'erty,ornivemployees'with.wages.as,theii Sole compensatibn,
_ —
will&the-worlc;•an&the'structure is notintended'or,offered1orsale4Sec.7,044,
Business,&Professions Code)
'I,as owner'of the property,am.exclusively contracting wiih'licen_sed,contractorsAo HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec:7044Business'&Professions Code)'.. I have readthe hazardods materials requirements under Chapter 6.95 of the
California,Hcalth&Safety Code,Sections 25505„25533,'and 35534.",I will
`I hereby.affirm under penalty of perjuryoncW the-following-three maintain compliance with the Cupertino Municipal Code_,Chapter',9.12 andthe:
declarations: Health&:.Safety Code;Scciion•25532(a);should,l store or,handle hazardous
1 have and will,mainiain;a Certificate ofConsent toself=insure for Worker.', material. Add ti'onallyshould.[use equipment or deviceswhich emit hazardous
"Compensation,i§,provided,for-,,by�Section 3700'of the Labor Code,for the air-contaminaots,as defined,by the=Bay Area AirQaality'Management Districtill
performance ofthe•work for which;this.permitris,issue& Will:maintain;compl ince with the;Cupertlno,Municipal Code,Chapter 942'-and
;I,have and�wdl':rtiainta�d Worker,'s Corripensation�,lnsurance„as prov,ide8 for by t_he;Health&Safety cod e„Sect_ions>25505,25533;,and 25534.,
Section 3700 of the.Labor;Code,for;the,performance;of the;work for which°this Owner or authorized agenti• ��
'permitis=issued.
I certify ttiatin the performance of the,work�for,which:thisrpermihis,Lissued,'hshall
'hot'employ,anyperson m;anymarmef.so'as to,become'subject to;the`Workei's,
Copensation laws,ofCalifornia: If„after;making,thig+certificate-dfexemption;;1 CONSTRUCTION LENDING AGENCY
m
become;subjecttb the Workei's Compensation provisions'of th-e L-aborCode,I.musf I"hereby,affirm th_at•there is a-construction4ending agency for the;peiformanc_e of
forthwith-comply with such p,ovisionsior this permitshall fie deemed revoked : work's for whichdlSis permit>is issued'(Sec.3097,CiVC)
_. Lenders Name
APPLICANT`CERTIFICATION, Lender's Address
I certify thai'l haveread'tliis:applicdiiep and state that-the above informahon,iss
correct;I agree to�comply with all city and county ordinances and,state laws•relati_ng
to building construction,and hereby authorize retire of tfiisEci to e
p ty rite,'
upon,the:above mentioned property+for,inspection purposes (We)agree to gave:
indemnify and-keep harmless the City of Cupertino:against•liabdi'ties,judgments;, ARCHITECT'S DECLARATION
costs and!expenses•whrohrnay accrue against said.City.in consegiience;of the I,understand my,plans shall be use&as publics ecords.-
granting of this permit.Additionally;the,applicant understands and will"comply,
with,"all`,non-point'so"urce regulaiions,per:the Cupertino,Municipal Code;,Section Licensed Brofesgional
9:18.
Signature Date
CITY OF CUPERTIN.O
HFEE ESTIMATOR-BUILDI_NG�DIVI_SI:ON
k " � ADDRESS: 20735 S'CB DATE: 1,2/07/2012 RE-VIEWEDBY: MENDEZ
APN: BP,#: -VALUATION: $200.;000
x:TERMITTYP..E: Building P&tnit PLAN CHECK TYPE: Tenant Improvement
PRIMARY - PENTAMATION.
USE:
Commercial Building PERMIT TYPE: 1ATe
WORK PARIS BAGUETTE COMM. TJ 3,190 SQ FT- CONVERT EXISTING.RESTAURANT TO BAKERY
SCOPE
-"- TYPE OF 'VCR AREA,
O
CCUPANCY'TYEE:; CONSTR. s:L PC FEES' PC FEE ID BP FEES ,BP FEE ID
A(Tenant-Improvements) 11-B,III-B,IV;V=B 3,190 $2;4,00.66 1ATIPLNCK $1,636,19 ]ATHNSP
TOTALS: 3,190 $2',4,00 66 $1,636.1931 Ow p
014
--d� �, .��* c aaxply �, �
M1ECH,H®URI�Y I es Ng PLUMB,H®URL�YYesQ No` EEC,H®URLY,' Yes' Q No`
���� 3 r ��
ti;ech: 1'I r. C,".ricck- Pllwnb, Platz C keck Elect. Platz Check'
1lac/i..l'�>fnfil Fee:.. � Plumb:Permit Fere, k"Iet'. P',vwiit Fee,
()t/ter•zh'ech:Insp.. Oiliri.7?(unzli rr,sp... Utlrer=f.lec?Irs .
tdc:Gh:hasp:.F're: PIi.;Ci;li.•Tiisp.I'c�e_ ii'Iec. Insp.Pee:
NOTE:This,,estimate does not include fees due?o,other Departments•(i.e.,ilanriing,,Public Works,,Fire,Sanitary Sewer District;School
Distriet,'eta`. These ees,ari?:based,on,the' ?eliinin`a ,fin ormation.availabicandare,onl wivestim"ate Contact the De t• oraddn3In o:
FEE ITEMS (F!.&Resohdion 14,nQ5 , 711%121 FEE QTY/FEE MISC;ITEMS
Plan CheckFee $2,400:66• Select a;Misc Bldg/Structure
pp g. 0 his, or Element of a Building
Su "'1i PC Fee.. Re OT 0.0 $0.00
PME.Plan•Check:' $0.00
Perrnit Fee";q $1;636.:1,9
Suppl.vInsp..Fee-.0 Reg: .0".OT 0,0 hrs" $0.00
PME Uriit Fee: $0.00
'PME.Pernii'tTee: $0..00
<;nnslrrlcic�,n,.12�
A(hnirristrafive Fee:
Work Without Perris V Y;es (F) No $0.00 G
Advanced.Planning:Fee.. $0.00 Select a Non-Residential 0
7i tire}!Dodi nerlu(ori 1 e es Building:or,Structure O
Strong.NlotionTee: IBSEISMICO $42.00 ;S'elect an Administrative Item
Bldg Std's Goininissi6h—Fee' IBCBSC $$.00
. ,
STBTOTAI;S
$4 $OTOTAL FEE
,086.$5 00 $4,086:85
Revised: 10/01/2012
CITY Of CU•PE_RTINO BLT.ILDING PERMIT
BUILDING-ADDRESS' 20735 STEVENS CR EK'BLVD CONTRACTOR:{C&'L CONSTRUCTION PERMIT NO: 12120035
;OWNER'"S NAME <ALLAN'LAU �9300CATELLO.QVE' DATE ISSUED::03%04`/2013
OWNERS PHONE: 4082053496" SUNNYVALE,CA 94087 PHONE'NO:(408):781-2464
.. .
' .❑ LICENSED CONTRACTOR'S DECtiARATION JOB'DESCRIPTION'."RESIDENTIALE] COMMERCIALE]
License;'Class Lic:_# Po _IZZW S BAGUETTE-SUITE A%B-COMM.TX3,190 SQTT'
+ CONVERT EXISTING RESTAURANT TO�BAKERY
`ContractorC'',
� iV'&1T Date _ s3 �y DE_F'#°1=-INSTNEL W.ALK-IN COOLERIFREEZER_ISSUED
Fhereb affirm that I am licensed onder,theprovisronsi f Chap
y-_ - � � eri9 540/1013 '
(commencing with+Secti6n'7000)of.6ivisi6n,.3,,of the'Busmess&;Professions
Code ai d that,my,lieense,is:in full force and effect.
i ereby Ahr.in under,penalty.of perjury:one of;thifoli6Wing:two declarations:.
Lhayeand;401 maintaifi,wcertificate of,consent:td,s--elf-insure,forWorker's
Goinpensation,as-,provided,for bySecfiom3700 of'the Labor Code,forthe
performance of the work.foi':whicfi this'perrnit is:,issued. Sq.Ft Floor-Area: Valuation:$200000
U,have,and-will maintain'Worker'.s�Compensation,Insurance,as provided.for by,
pe
ons;00 of M.
Labor Code tfor=the performance d,tfie!work for which thi''s
APN Number:3263-2054:00 Occupancy Type:•
APPLICANT CERTIFICATION
-1 certify that I havearead'thisiapplication and state thatiheiabove,rnformation is PERMIT EXPIRES IF WORK IS:NOT`STARTED
bcorrect Ilagree to cornply,wiih all city,and coumy ordinances and state,laws relating
to budding•construction,and'hereby authorize repiesentatives:of tfii'scity to,:enter W'ITRIN 180'DAYS RMIT:ISSUANCE,OR
' apon the above mentioned„property for inspection puiposes (We):ag�eeJto;save 1'8b`DAY :LAS LED INSPECTION.
iiudemiiifyand keep harmless the City of Cupertino-�against liabilities;'judgments;
costs,and expenses.which'rnay+accnie,agamsf said CRy'in'consequehce of the S / 3
granting of this permit. Additionally;tfie;applicani undersfands.and,will comply .Iss y� Date:
with•all.non point=sourcerregulations per;theCupertino Municipal;Cod'e,.Section
9'18.
RE-ROOFS:
Signature Date _ ” `� installed roofsw[tout inspecte npng air `to anyI tion,.g agree fol being`installed..If a,roof is
remove:all new materials for
inspection.
❑' "OWNEWBUILDEWDECLARATION
Signature of,.Applicant: . Dater
hereby afrirm,that.I,am exempt from-the'Contractor's`Lieeos"e Law.for one of
fhe following two reasons: ALL R-OOF COVERINGS`TO-BE CLASS"A"OWBETTER
I,as owner.ofthe,pioperty,,For my,employees.with=wages asjhe.ir�sole compensation,
will do the woik;and'the structure;is;not intended onoff-e-red.forsale(S&70.44,
'Business&Tr-ofess ons�Code)
,,as�owper ofthe,property;,ani ezclusivdy.contractingawith licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct'the,project:(Sec.70,44,Business&;Professions';Code). I have:read the,haMrdoas;inateri'alVrequirements;under Chapter 6.95 of the
'California Health&xSafety.Code,Sections,25505,25533,and 25534 twill
I hereby>affirmpnder'pen_alty of perjury oneiof'the;followtng three maintainycomplianee wit h%the Cupertino"Municipal Code,Chapter 9.12�and the
declarations: Health'.&,Safety,Code,=S,ection 25532(a)should Lstoretor handle;hazai dour
lhave and•will maintain.a,Certificate of Consentto selfrinsure"for Worker's material. Additionally,should I""use equipment'or devices which emit hazardous,
Compensation as,provided,foc>by°Section 3700 of the.Labor.Code,for the air contaminants asidefined by.the Bay,Area,Air Quality Management District I
perforniance of the'work',for which,this pe-rmitJs issued:. �willirii'a`intain compliancewith,the Cupertino Municipal Code,Chapter,9:12 and
I have andmill mamtain`Worker s Compensation-lnsurance;as provided,for by the.Health,&Safety Code;;Sec6ons 25505;:25533 534.
Secti6n37,00 of thetLabor Code for the perform_ance,o_f the work.for which,this -
pennit is issued Owner orauthorized agent: Date:
146rtifyihat*fthe performance:ofthe:work for;which this',perrni6s,issued,I shall
noremploy any person in any4manner so as to;become subject to the Worker's
Compensation;l'aws ofCalifornia,-If-,*r making=this-bertificate of,exempt ion,.I CONSTRUCTION_LENDING AGENCY,
become subject to the Worker's Co
forthwith'•comply with such;provisions or this permit`stiall be deemed revoked. work's for which this permit'lis issued,(See.3097;Civ C:y for he'perforrriancepf
ni ensation, provisions of the Labor Code,I;must [hereby affirm,that,lhere is a construction.l ng agent
Lender's Name: )
APPLICANT^CERTIFICATION ;Lend'er's Address
l.certifyttiat Ittiavc;read this ap"plication"and state ihaMhe,abovediitorrriation is
correct I'.agree;to comply with all city and county ordinances and state laws relating
tto buiIding construction and hereby authorize representatives of this city twenter,
upon the above mentioned property fou inspection purposes (We);agree tosave
indemni ,and keeb'harmless�the'Cit ofCu Cupertino against liabilities ud rrients, ARCHITECT'S DECLARATION
�' p� Y p g J- g.•
,costs,and;expenses which'niay accme�against,Said CfWin,consequepce ofxhe' l understand my.plans•sBall,lie used,as"public record&,
;granting=oftliis•permit.Additionally,theapplicant'understandsiand'Wil I comply
with all non poirifsourceregulations per the Cupertino Ivlunicipal'Code,.Section Licensed Professional
`9'.l 8._ . .
Signature Date
CITY'OF C-UPERTINO BUILDING PERMIT
BUILDING•ADDRESS:,20735 STEVENS CREEK'BLVD CONTRACTOR:C&LiCONSTRUCTION `PERMIT`NO:'12120035•
OWNER'S_NAME: ALLAN10 1.93.4 POCATELLO AVE DATE-ISSUED:03704/2013
OWN_EWS PHONE:.4082053496 SUNNYVALE,CA 94087• P.HONE'NOr(408)°7812464
O LICENSED:GONTRACTOR'S'DECLAR'ATION. JOB DESCRIATIQN: RESIDENTIAL COMMERCIALO
License;Class.. Lie:.#' ' ,. 33� PARIS-BAGUETTE-SUITE A/B-.COMM.'T.L3,190 SQ,FT
J CONVERT EXISTING`RESTAURANT TO BAKERY
Contractor ('O`4 rUGfirm Co_Date- ��� i'�
_ l
1 hereby affirm that I a m.licensed'und'er,the provkionsrof Chapter 9 7 lJ re -'rise
"
(commencing-with;Section.7000)'of Divii1on,3:of the,Business&Professions
Code aod;that my`license=is in full force and effect._ (,���A S4q,V I C..; O U J_ 4-,y u cqiv
1 hereby°affirm underpenalty of;perjury'oueof the16116wiog two declarations: 11 ' I q h?'I ng $V lS,t.toY1 S
Thave.,and willmaintain.a,certificate of.consent to�self'insure for Workei's:
'Comp ensation,,as-provided for by-Sect,iori.3700 of the L"aboi,.Code;'TSi the
;peiforifianceof them6rk forwhich this permit.is issued'.. Sq._Ft,Floor Area: 'Valuation:$200000
I have and,will;maintain;Worker's Compensation Insurance„as pro.v.ided forby
Section 3700''+of the Labor'Code,for the,perfornrance,ofthe work;forxwhich'this
permitis is"sued. APm
N,Nuber;-32632054_.00 Occupancy Type:
APPLICANT CERTIFICATION
I certify thativhave:read this applicationand'statejhafihe above,information is PERMIT EXPIRES.IF WORK`IS NOT STARTED
correct:l agree to complywith.all,.city and,couni ordinances and state laws>relating
to building construction;and:hereby authorize representatives of tfiis c�ty`to enfer WITHIN�;180 DAYS OE'PERMIT ISSUANCE OR
1
-_
upon the.above�mentioned property,for inspection purposes (,We)agree to save 180.DAYS 'CALLED INSPECTION.
indemnify and keep harmless`the City'ofCupertinoagain"st'liabilities,judgments,
,costs and expenses which may accrue agamsysaid Ci Jn consequence ofthe
,grantmg0this;perrnit. �,kdditidr ally,,the�applicani understands and will.comply Stied by:,�- � Date:
'with all non-point sour.'ceregulations'per the:Cupertino;Muniapal,Code;,Secti-on
9.1"8. -
E-
Sgnatur
ie -~ D /?-,G /3 All:roofs shall be inspected prior to an o00Finaterial being installed Ifa roof is
S -
_- installed.without.first obfaining,amirfspection,I agree toremove all.ne.w'materials;for
inspection.
D' OWNER-BUILDER'DECLARATION
Y P + Signature of Applicant; Date:
there b afCGrm.that;I,am exem-t.from°the�Contractor:s.License'i a}v;for one:of
the following Nwwreasons: ALL,ROOF;COVERINGS'TO BE CLASS"-A',OR BETTER
1„as owner of the property;,or;my employees with'kwages as„their=sole compensation,
will,do'he work,;and"thestructureAs:not`intended oroffered.for sale(Sec 7044;
Business"&Professions Code)
I;,&owner of flie:property;wii,exchusively;contracting;with licensed'contractors to HAZARDOUS MATERIALS'DISCLOSURE
constrnct,the�project;(Seci7044-Business&Professions Code)., I have'read^the hazardous',materials'req uirements-,un der,Chap ten 6:95;of the
Califoroia.Health&'Safety Code;Sections 25505,25533,:and:25534, Twill'
1_'herebyaffirm Synder penalty of perjuryaone of the following?three main tai n"compliance,with„the;Cupertino_Municipal Code,Chapter,9.121and the
declarations: maternal. Additionally,should IS se equipment orrdev ces which emit h zardous-
ore,or,hanlehazardous
I;have,and will maintain a1CertificateFof Consent to self=ihsure!for Worker's
Compensation,;as pmidedfor'by Section-3700:of the;Labor Code,;;f0vthe- air,contaminants as-idefined byythe.Biy Area Air Quality Management,District h
perfonnance;ofthe wo&forwhich this permitis:.issued. will maintain compliance:with.ihe.Cupertino.Municipal Code,Chapter 9.1.2 and
tihave and.will maintain Worker s�Corrrpensation Insurance as provided.for by the flea lth.&;Safety Code,•Sections 25505,,25533,anT25534.
section-3700of,the,Labor,Code for the,performance of thework,for which.this
ermit is issued. Owneror authorized agent: Dater ,
I�certify that,in.the`perforinance of`the'woikJq which this peris issued,Lshall
got employ,any,.pe-rson'in any'niannerso as,to become subject to the Worker's
Compensation laws of California if,after making this certificate of exemption,I CONSTRUCTION'LENDING AGENCY
become.sublact-to the:Worker's,Corripensat�onprovi'sions ofatie:LaborCode;,l must ;1 herebviaffrm that:there-is'.a,coiistruction lending.agency for'thepeiformance:of
f6hhwith'cornply'wiih such,piovisions orchis.permit�shall'be�deemedrevoked. work'skfor=which"this permit is,iss6ed,(Sec.-309.7,Civ C.)
. _ Leoder's'.Narrie
APPLICANT CERTIFICATION 'Lender's,Address,
7 cert fythatThave read this application;and.state that,the',aboves`information is
correct.Pagrce,to comply(with all city-and,county ordinances and,state laws;relating
to building_construction,,;and;hereby authorize representatives_s_f[tits city4o enter
upon the above menhonedproperty;for inspection purposes (We)agree to save.
`indemnify,.and keep:.harmless the City,of Cupertino agamstaliabilities,judgments, ARCHITECT'S-DECLARATION
costs;and',expenses which,may accrue against said,Citylinconsequence of the 1 understand'-.my plans shall'be used as public records.
granting,ofthis perinit.Additionally,the,applicant'understands';and`will comply
with all:non pom.tsource�regulations per.the Cupertino Municipal Code;Section Licensed Professional
;9.18:.
;Signature- 'Date
CI_TY.OF CUPEIMN.Q .
FEE"TIMATO:R-BUILDING DIVISION
ADDRESS: 20735$TEVENS`CREEK BLVD. DATE: 0:4/12/2013 . REVIEWED BY:: MELISSA
APN: 326 32 05.4 - BP# *VALUATION': $0
a�W ``
-*,PERMIT TYPE:. Building,Permit .PLAN CHECK TYPE;,. Alteration /Addition/Repair "
aPRINIARY Commercial Bu PENTAMATION
ildingfGENCOM..
USE;, PERMIT TYPE: .
" "WORK; #.1 DEFERRED,-SUBMITTAL;FOR WALK-IN COOLER%FREEZER INSTALLATION FOR PARIS
SCOPE,. BAGUETTE
, W �
NO �
;tilecar:'l:7ciyi_("1ieck phthr6,:11"lari C;geek, 1, ec_ Plazz.C;`heck
OTher .11arcYa.hzs�., Qdr_e�r.T','.�gml./n,cjr ,Udl'er Glee:InsP.,
tlech Insh.t°'ee 'Plrzrrrli.. lars�. /c�e< f f<;::. Imp lFee:
NOTE This'estimateVb s^nbt includefees'due,to'•other-:Departments(t ea Planning;Public and dre+
t,.etG e,i _W;orks,-Fire;Sanitary Sewer'District;Sc/zool
District,. . Tkeseeswre based on_,the, relimina in ormad6nvvailable only an estimate:. Coiztdct.'the De tf or addn'-'lin"o.
F1VI
EE•ITESyfI ee'Resolulzbn T1-0 i3 Eff 7/1,12) FEE QTY'/FEE MISC ITEMS.
�. Plait Clieek.Fee: Hourly Only? 0 Yes � No. $0.00 hours° :Plan Qheck,.°Hourly,
`Su_PPl• PC Fee:`- 0 Reg. � OT" 0.0 hrs
$0.00 $2661.00 1sTP%Ncx
PME Man.Check: $0,:00
Permit-Fee: $0.00
°S'uppl:;.In_"sp'. Fee Q Reg: 'Q,OT FQThTS $0.0.0
PNIE Unit-Fee: $O,:OQ -
:PME P.ermit.Fee: . . $0.00
G6nsir7.i ion�'7irc,:
:�1'�lih.ir�istr�rtiwe:Fe��',•
Work`Without•Permit? O,Yes' ') No: $6.00
;Advanced Planning Fee: $0.00 Select a Nori=Resderitial
Ti-cr,5'T . t,0zruzrteratul«zzr 1IVCS. Building,or Structure. 0 .
- Strong•::Moti'on Fee:., $0.00° Select an Adminisirat'ive Iterry
BId :StdS Cominission;"Fee. $0.00'
' SUBT'OTALS:- $ $ 0TOAL,FEE 266.00
0:00, 2.66:0• Via. :$
•_ ..
Revised: 04/0'1,'/201'3, .
_ CITY,OF CUPERTINO
FEE.ESTIMATOR�- BUILDING DIVISIO-N
ADDRESS:=,20735 STEVENSCREEK BLVD7 DATE: 03/26/2013 REVIEWED BY': MELISSA
.APN:r :326'3 . Q54 054 BP#.: -VALUATION: $0
PERMIT TYPE: Building.Permit PLAN CHECK TYPE: Alteration / .Repair
PRIMARY . PENTAMATION
SFD,orDuplex., 1GENRE&
USE: EER'MIT TYPE: A
WORK "REVISION-4 1*"°.REVISE BATHROOM BAKERY& SERVICE LAYOUT: S rRUCTURAL.&
SCOPE ELECT,RICAL'LI:GHTING.REVISIQNS
r 's
>• + � ,, stir: �e � � i � �' x .a �
SII
lfeclt. flan+C'Yic;ck Phurtli; PlanCltec! Flee, l,'!an(`hack
titecit.Perririt Fe'; PG;mh, Permit Fire: I ler..•..Perinit Fee.
Oihcr
Ale c�li:•Insf�: C>lher'Plirna?r In:rp. OtJrc�t Elec. /nsp.
Afeclii%nsj?_'ee. Plur{rl r':fi�si�..F-c c': L le'c. %ns�z 1.'ei
NOTE:This,estimate does not include fees due`td dther.Departments.(I.e.,Planning,Public Works,Fire,Sanitary Sewer District,School
Nstrict,etc . ,7hese ees areshased,o4 ihe� relimina, ;info rmation availahle'and+are onl .an.estimate: Contactfthe De t or addn'-14in o:
FEE.ITEMS(Fee Re;"dlutionIl-053,EJT 71,11H), FEE QTY/FEE MISCITEMS.
Plan CheckTee: Hourly Only..? C)Yes M No! $0.00 0 hours: Plain,Check,Hourly
Sup0l.TCFee: '� Reg. p'OT ' p.0 hrs $0.00 $266:00 ISTPLNCx
PW'Pleari`Check: $0:00
Permit'Fee;_ $Q.00
Suppl. Insp:'.Fee,S'Re.g. Q OT 0;0 hrs $0:00.
P-ME UniiTee; $0.00
PNIE'Permit Fee:, $Q.00:
C�nslt.zrcticin 1�.anT_T_
Ad)niWstrwive Fee: Q
Work Without;P.ertnit? b Xes '&No $0.00 0
"Advanced PI'a"nnin�LFee_ $0.00 Select Non=Residential
/�rcriel J�nctrlr�c�7tcalt01.1 fees: 'Building or Structure
_.. Strong Motion Fee: $0.00 Select.an Administrative,Item
B1dg Stds Cornmjssion.F'ee: $0.00'
mss_
SUBT®TALS $0.00 $266.00' TOTAL,FE`, $266'.00:
>. K M .. ,_ate
Revised' 01/01/2013