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15060113CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10310 N FOOTHILL BLVD CONTRACTOR: D & B LEGACY LLC PERMIT NO: 15060113 OWNER'S NAME: D & B LEGACY LLC 10450 SERRA ST DATE ISSUED: 07/01/2015 OWNER'S PHONE: 4082344835 CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] CONSTRUCTION OF 2 STORY COMPLEX (15 UNITS) - License Class Lic. # FOUNDATION ONLY Contractor Date 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 Sq. Ft Floor Area: Valuation: $150000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32615096.00 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 180 D RO CALLED INSPECTION. 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 I Date: 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. RE -ROOFS: Signature Date 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 Date: Signature of Applicant: 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 Ba Area Air Quality Management District I performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with thef ertino unicipal Code, Chapter 9.12 and the Health &Safety Code, Sectio 5 O5, 255 ,and 25534. 2 Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: 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 CONSTRUCTION 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 perm�t. A4�}ditionally, the applicant understands and will comply with all non-poiors""ce�t'pgulations per the Cupertino Municip 1 Code, Section Licensed Professional 9.18. / iiiiii � �� Signature_ Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15060159 10310 N FOOTHILL BLVD CUPERTINO CA 95014 (326 15 096) TERRY M BROWN GENERAL CONTRACTOR CUPERTINO, CA 95014 OWNER'S NAME: D & B DATE ISSUED: 07/28/2017 OWNER'S PHONE: (408) 234-4835 I I PHONE NO: (408) 691-3007 I License Class 13 Lic. #352642 Contractor TERRY BROWMGENERAL CONTRACTOR Date 11/30/2017 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: 1. 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 ection 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, Section 9.18. Sig r ��—�'��'Date 07-28-2017 BUILDING PERMIT INFO: BLDG —ELECT _ PLUMB MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: CONSTRUCT (N) 15 UNIT APARTMENT COMPLEX (14130 S.F.) WITH GROUND LEVEL GARAGE (4,560 S.F). Sq. Ft Floor Area: I Valuation: $1700000.00 "N Number: Occupancy TType: 326 15 096 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Kim Dunbar Date: 07/28/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is t. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. 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: 1. 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 foi 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. 3. 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 mention ed 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. Signature Date 07-28-2017 Signature of Applicant: Date: 07-28-2017 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 the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized age Date: 07-28-2017 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 I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 CryryUPiE� Nf0` ON (4088)) DI 777-3228• FAX ((408) 777-3333 • buildingCa)_=ertino.org //)�® 9OS q 91 CUP I 1 Amow I i AT.TF.RATTON/TR T n" FVTCTnwiTIFPPPPTzn vr)PT(;FRA4 TN4T PTT/jY PR OIDV' S NR 15 Og 6 1 L_ c- PH NE OWNS AME, t:?;,,' 4 Q 3 EMAIL C L_ 2- 31 V � C STREEr �D S CITY STATE ZIP Y FAX f v50 l CONTACT NAME PH NE E-MAIL' STREET ADD SS �'c— IC 5LV-0. CITY, STATE, ZIP Q `^A- r FAX El OWNER •❑ OWNER -BUILDER VOWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTPACTORNAME LICENSE NUMBER � Z 3 S� LICENSE TYPE BUS. LIC COMPANY NAME E-MAIL —F6 w U/N IOYAri co;pAm r4 E - FAX 'rte/. fL�I.JA/ G C', _. STREET ADDRESSr logy) SCFnic,,3t,V� CITY, STATE, ZIP CuP4ER- J-40 CA -g501 P4o�f��( �d0 7 ARCHITECTAW.Eh�NAME Cf' - r'I -)-N.24C� LICENSENUMBER iA k I BUS. LIC COMPANY NAME S -i iQ T E-MAIL S l aT rVJe FAX v© vAP115 ,% STREE aZ CrrY,STATE, ZIPD PHONE O� 1 G CL o DESCRIPTION OF WORK ►� —t0L J •O . G.L,e W ru IV u G7t D N no 55 Q 1=17 tit AA, 5 60 5Q F EXISTINGUSEP OPOSEDUSE CONSTRTYPE 44STORIES TYPE VCAn /-i , " yo C l do USE OCC. SQ FT. VALUATION (S) EXLSTG. / AREA ,IA/ - NEW FLOOR, AREA DEMO AREA TOTAL NEIAREA A BATHROOM. REMODEL AREA WA KITCHEN. OTHER. REMODEL AREA REMODEL AREA PORCH AREA . DECK AREA TOTAL DECK/PORCH AREA GAyGE AREA: DETACH ATTACH DWELUNGUNiTS: IS A SECOND UNIT ❑ YES • - SECOND STORY OYES BEING ADDED? ONO ADDITION? ONO PRE -APPLICATION JeIVES IF YES, PROVIDE COPY OF " ISTHEBLDGAN VED- �,- _-_ - TO PLANNING APPL � NO PLANNING APPROVAL LETTER EICHLER HOME? _ � # v � � _ � � 1K YV 1K' LQ u By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property 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 accurate. I agree to,comply with all applicable local ordinances and state laws relatin t uilding con tion, I authorize representatives of Cupertino to enter the above -identified property for inspection purposes, Signature of Applicant/Agent: - Date: SUPPLEMENTAL INFORMATION REQUIRED R`SM6 csLi� FY � �F OkR THE COUNTER �x � � fl BTJII DII� G PLA'N'RI VLEi3 New SFD or Multifamily dwellings: Apply for demolition permit for -existing building(s). Demolition permit is required prior to issuance of building F - permit for new building. E C7�ExERss -� ATv x�vlE�v4 PLAI�ALn G PLIN Commercial Bldgs: Provide a completed Hazardous Materials Disclosure sTArmA P s� oRxsg _ form if any Hazardous Materials are being used as part of this project. _ �gtE�EPT _ Copy of Planning Approval Letter or Meeting with. Planning Prior to s` �, � �� 011 submittal of Building Permit application. .�• °R F41 i W4, FggYIs�xTCr � 0�.'MEI�TAL^..HEALT$c.-., BldgApp_2011.doc revised 06/21/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10310 N FOOTHILL BLVD CONTRACTOR: D & B LEGACY LLC PERMIT NO: 15060113 OWNER'S NAME: D & B LEGACY LLC 10450 SERRA ST DATE ISSUED: 07/01/2015 OWNER'S PHONE: 4082344835 CUPERTINO, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL E] CONSTRUCTION OF 2 STORY COMPLEX (15 UNITS) - License Class Lic. # FOUNDATION ONLY Contractor Date 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 Sq. Ft Floor Area: Valuation: $150000 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32615096.00 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 180 D RO CALLED INSPECTION. 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 I Date: 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. RE -ROOFS: Signature Date 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 Date: Signature of Applicant: 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 Ba Area Air Quality Management District I performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by will maintain compliance with thef ertino unicipal Code, Chapter 9.12 and the Health &Safety Code, Sectio 5 O5, 255 ,and 25534. 2 Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: 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 CONSTRUCTION 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 perm�t. A4�}ditionally, the applicant understands and will comply with all non-poiors""ce�t'pgulations per the Cupertino Municip 1 Code, Section Licensed Professional 9.18. / iiiiii � �� Signature_ Date CONSTRUCTION PERMIT APPLICATION J5C(�' COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228• FAX (408) 777-3333 • buildinga-cuoertino.org KNEW CONSTRUCTION ❑ ADDITION I I ALTERATTnW/Ti F� R7VTCT0V/r11=FFRRFTI nut(-.n.TeT '=T?VrrrL PROJECT ADDRESS i © I APN OWNERNAMEr, S PHONET r E-MAIL Y , l._ F 4 '� - L �-- L- `-t 64j • 2 3 Lf W?,�v �c r��� z,c�,. �i ►�, STREET ADDRESS, �O" `1' S-� S' T • CITYSTATEZIP , SOI 4 FAX FA CONTACT NAME,—�� l��� PHONE C.�, l� E-MAIL 1brOWN tD9COC477•�'L STREET ADDRESS CITY, STATE, ZIPCU e_#q,� FAX ❑ OWNER ❑ OWNER -BUILDER 01ANERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS L 1 / .r s / 7^ - CITY, STA P PHONE C T J ARCHTTECT/ENGDgEER NAME ID ),LICENSE NaiNSER BUS. LIC # COMPANY NAI.M SA'4'\45-- E-MAIL FAX STREET ADDRESS 1'1—"1� IST- CITY, STlIr�3'.1ZJiP.,� � PHOT I Q' • `I S�- Z QC DESCRIPTION OF WORK EXISTING USE PROPOSED USE CONSTR TYPE 4 STORIES 1 USE TYPE OCC. SQ.FT. VALUATION (S) EXZSTG AREA NEW FLOOR, AREA DEMO AREA TOTAL NET AREA BATHROOM. KITCHEN. OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK./PORCH AREA GARAGE AREA: DETACH ❑ ATTACH R DVIELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ❑ NO ADDITION? [:]NO PRE -APPLICATION ❑ ITS IF YES, PROVIDE COPY OF PLA.NNTING APPL ,' ❑ NO PLANNING APPROVAL LETTER I IS THE BLDG AN ❑YES EICHLER HORSE? ❑ NO I D: _ + ii:: 13. " ` ' TOTAL VALUATION: t o0 ` By my signature below, I certify to eac f t fbllovring I am the propertauthorize went to act on the property owner's behalf. I have read this application and the information I have rovid i corre I have read the Description of Work andverify it is accurate I agree to comply with all applicable local ordinances and state laws relating to b Ildin c n. I authorize re resentatives of Cupertino to enter the above dents d pro rty for inspection purposes. Signature of Applicant/Agent: Date: 15 SUPPLEMENTAL INTFORMATION REQUIRED -�-ss� New SFD or Multifamily d«vellings: Apply for demolition permit for existing building(s). Demolition is required to issuance building ���tVJ 04 RTH1rCO� CThTER r� �-SUIL`DING P1 A�REYIEii �� �4 permit prior of permit for new building. r� "fl�xrF,Ess �� k r GPI N � V,IEI, ,, x �'PM- _ Commercial Sldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project.��gT4` a siA ARDr�,PUsr�w-. �2I Effi _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit �1�3A70Ra SYSERR�ITRI�o-. application. Bldg4pp_2011.doc revised 06/21/11 CITY OF CUPERTINO RM -7 FEE ESTIMATOR -BUILDING DIVISION im, ADDRESS: 10310 N Foothill Blvd DATE: 06/16/2015 REVIEWED BY: Paul Ftech. Permit Fee: APN: 326 15 096 BP#: ( © C)ta "VALUATION: $150,000 -� *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARY Multi -Family Dwelling USE: Building is 3 Stories 0 Yes E) No PENTAMATION 1GENRES PERMIT TYPE: WORK Construction of 2 StorV Complex 15 Units -FOUNDATION ONLY SCOPE NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are haled on the nreliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7111131 Gtech. Plan Check Phuub. 1'lon i'hccii Iilcc. Platt Cluck Ftech. Permit Fee: Plumb. Permit Fee: flee PCOHir Fee otilo: itcch. lacy. Other 3'lumb insp. Ocher Cle.c. Insp, 14!,; ,: h In ;;,, Fec . PhImb. lrtsp. Fee. OcI , Insp. Leer NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc ). These fees are haled on the nreliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 Eff. 7111131 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes Q No $0.00 5 hours $715.00 Plan Check, Hourly ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes Q No $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 0 units # new $0.00 ")L�17tll7JS't]"i2111'c' 1 c'C : 0 0 Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure E) 7ru1t'I l�ccr.tinc�f�lulinrt hc�cs. Strong Motion Fee: IBSEISMICR $19.50e hrs $715.00 Inspections ISTINSP Inspection, Hourly Blda Stds Commission Fee: 1BCBSC $6.00 SUBTOTALS: $25.50 $1,430.00 TOTAL FEE: $1,455.50 Revised: 05/07/2015