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11080134CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11080134 INC OWNER'S NAME: FORGE DRIVE INVESTORS, LLC 690 GIBRALTAR DR DATE ISSUED: 12/02/2011 OWNER'S PHONE: 4152845700 MILPITAS, CA 95035 PHONE NO: (408)942-8200 ❑ ' LICENSED CONTRACTOR'S DECLARATION License Class Lic. # I Contracto Date I hereby affirm that I am licensed corder 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. BUILDING PERMIT INFO: BLDG r ELECT r— PLUMB F_ MECH r RESIDENTIAL r COMMERCIAL JOB DESCRIPTION: APPLE- PHASE II COMM. T.I (55,940SQFT)- RESTROOM REMODEL, OPEN & PRIVATE OFFICES, CONFERENCE ROOMS, LOBBIES & BREAKROOMS 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 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 Sq. Ft Floor Area: permit is issued. APPLICANT C>RTIFICATION 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 derstands and will comply with all non -poi ource regulations per the Cu rt' Municipal Code, Section 9.18. Signatur DattV?�W �, ❑ OWNER -BUILDER DECLARATION I 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) 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: 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, 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 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. Signature Date Valuation: $3915800 APN Number: 31609030.18920 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Date: Issued by - 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. 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 jeath fety Code, Sections2,25533, and 25534. er a ent: �� DatvA�p CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of stork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed BUILDING ADDRESS: 18920 FORGE DR OWNER'S NAME: FORGE DRIVE INVESTORS, LLC OWNER'S PHONE: 4152845700 iff LICENSED CONTRACTOR'S DE/C�L'ARATION License Class Lic. # ` Contraator�14 Date I hereby affirm that I am licensed under tine 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 tinder 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 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 -poi s urce regulons per the Cap tino Municipal Code, Section 9.18. . _. Signator Date ® OWNER -BUILDER DECLARATION I hereby affirm that I am exempt front the Contractor's License Law for one of tate following two reasons: 1, as owner of the property, or illy employees with wages as their sole compensation, will do the work, and thee 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 (Sce.7044, Business & Professions Code). I hereby affirn► tinder 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 (lie 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, I become subject to the Worker's Compensation provisions of the Labor Code, I mast forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CER'T'IFICATION 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 indemnity 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 regulatims per the Cupertino Municipal Code, Section 9,18. Signature Date CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: I t080134 INC 690 GIBRALTAR DR DATE ISSUED: 12/02/2011 hHLPITAS, CA 95035 PHONE NO: (408)942-8200 BUILDING PERMIT INFO: BLDG ELECT PLUMB MECLI I RESIDENTIAL F- . COMMERCIAL JOB DESCRIPTION: APPLE- PHASE It COMM. TJ (55,940SQFT)- RESTROOM REMODEL, OPEN & PRIVATE OFFICES, CONFERENCE ROOMS, LOBBIES & BREAKROOMS 1/6/12- DEFERRED #t- INSTALL 3 PRE -MANUFACTURED ACOUSTIC & CHAMBERS - 2/9/2012 DEF#1 ISS'D Sq. Ft Floor Area: Valuation: $3915800 APN Number: 31609030.18920 Occupancy Type: Issued by: y _ -2 , -� / 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. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as def€€ned by the Bay Area Air Quality Nianagentent District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the ;,,,aZ11h&,Code, Sections 25505, 25533, and 25534. ' e t 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 Nam Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY' F CUPS TIN BUILDING PE I 11 �° 4p, t J BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DEVCON PERMIT NO: 11080134 CONSTRUCTION INC OW'NER'S NAME: FORGE DRIVE INVESTORS, LLC 690 GIBRALTAR DR BATE ISSUED: 12/02/2011 OWNER'S PHONE: 4152845700 MILPITAS, CA 95035 PHONE NO: (408)942-8200 JOB DESCRIPTION: RESIDENTIAL Q CONMIERCIAL® LICENSER CONTRACTOR'S DECLARATION L01( t �' APPLE- P SE II COMM. TJ(55,940SQFT)- RESTROOM License Chas Lie. # +c REMODEL, OPEN & PRIVATE OFFICES, CONFERENCE Contractor , ),E JJ ;_,,5,3 ` Date ROOMS, I hereby affiruh that I am licensed tindIer the provisions of Chapter 9 LOBBIES €& BRE AKROOMS (commencing with Section 7400) of Division 3 of the Business R Professions Code and that my license is in fall force and effect 2/9/12 - DEF#2 - 6 TESTING CRAMBERS-STRUCTUTRALISSID I hereby affirm tinder penalty of perjury one of the following two declarations: 3/Is/zalz 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 fo€• which this permit is issued. Sq, Ft Floor Area: Valuation: $3915800 I have and will maintain Worker's Compensation Insurance, as provided r APN Number: 31609030.18920 Occupancy Type: Section 3700 of the Labor Code, for the performance of die work for hit tis permit is issued. APPLICANT CERTIFICATION I certify that I Have read this application and state drat 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 ISO DAYS OF PERMIT ISSUANCE OR to building construction, and hereby audhorize representatives of this city to enter 180 DA17S F ROM LAST 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 % Issued by: ���%/V /—/A�G%� Date: granting of this permit. Additionally, tine applicant understands and will comply with all non-poin source regulations per the ertino Municipal Code, Section 9.18. Signat �- Date %''lf RE -ROOFS: Ali roofs small 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. G� OWNER -BUILDER DECLARATION Signature of Applicarnt: Bate: 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 (lie property, or my employees with wages as their sole c0lurnsation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of tile 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 maintaina 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 Nfanagement District I will maintain compliance with the Cupertino 1®Iunicipal Code, Chapter 9.12 and performance of the work for whiclhthis permit is issued. the Health & Safety Code, Se s 5505, 25533 and 2553 . I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of die work for which this Owner or authorized ag Date ? s 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 mariner so as to become subject to tine Worker's CONSTRUCTION LENDING AGENCi' Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compens-,tion 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 irhdeninify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of die 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 regulaticxhs per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date CITY OF CUPERTINO BUILDING PERMIT DA - � I VM BUILDING ADDRESS: 18920 FORGE DR CONTRACTOR: DEVCON CONSTRUCTION PERMIT NO: 11080134 INC OWNER'S NAME: FORGE DRIVE INVESTORS, LLC 690 GIBRALTAR DR DATE ISSUED: 12/02/2011 OWNER'S PHONE: 4152845700 MILPITAS, CA 95035 PHONE NO: (408)942-8200 ❑ LICENSED CONTRACTOR'S DECLARATION C - License ClassLic. # Q) Contractor IJt=ivcC��.ZDate !� 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 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 penin ' Additionally, the applicant ustands and will comply with all non -p 'n so ce regulati ns per the Cope no unicipal C de, Section 9.18. Signatur Date / ❑ OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I 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, 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 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. Date BUILDING PERMIT INFO: BLDG I ELECT r PLUMB MECH f— RESIDENTIAL r COMMERCIAL' .TOB DESCRIPTION: APPLE- PHASE II COMM. T.I (55,940SQFT)- RESTROOM REMODEL, OPEN & PRIVATE OFFICES, CONFERENCE ROOMS, LOBBIES & BREAKROOMS 3/13 -DEFERRED #3- INSTALL PRE -MANUFACTURED ACOUSTIC TESTING CHAMBER, LOCATED IN LAB 212-7/24/12-DEF#3 ISS'D Sq. Ft Floor Area: Valuation: $4315800 APN Number: 31609030.18920 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FRO_M/ LASTCALLEDINSPECTION. Issued by: 14 v r/I CSL Date: ,•� Y /?" 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 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. 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 C;;;Uate: , and 25534. Owner or authori CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of «ork's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO TiRF. F.CTTMATOR - RITII,DING DIVISION ADDRESS: 18920 forge drive TYPE OF CONSTR. DATE: 08/17/2011 REVIEWED larry s PC FEE H) APN: BP#: VALUATI N: $0 rPERMIT TYPE: Building Permit 55,940 PLAN CHECK TYPE: Tenant Improve nt PRIMARY Commercial Building g $20,592.20 IBTIINSP PENTAMATION 1B TI PERMIT TYPE: USE: PME Plan Check: $0.00 WORK hase 11 - interior tennant improvement, restroom remodel open and private offices conf. rooms SCOPE lobbies, break rooms $20,592.20 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE H) BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 55,940 $5,798.00 IBTIPLNCK $20,592.20 IBTIINSP hrs $0.00 PME Plan Check: $0.00 Permit Fee: $20,592.20 Suppl. Insp. Feer Reg, 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 TOTALS: 55,940 $5,798.00 $0.00 $20,592.20 MECH, HOURLY 0 Yes (F) No PLUMB, HOURLY Q Yes Q No E/LEC, HOURLY 0 Yes (F) No MISC ITEMS Jh" .Et> . ,; c, c :�, Plan Check Fee: $5,798.00 � tf8�•i' isridt},Ir tJ19�7. 1_.££7:. lid:: 1. Jll. law,'- jet st;'s?r?. fii.�p, hrs TI 6 d the relinzinar in ormation available and are onlyan estimate. Contact the Dept or addn'l info. NOTE. tese ees are ase on FEE ITEMS (Fee Resolution 11-053 E '. 7i1i11) FEE QTY/FEE MISC ITEMS Plan Check Fee: $5,798.00 Select a Mise Bldg/Stiacture or Element of a Building Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $20,592.20 Suppl. Insp. Feer Reg, 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Acoustical Fee: 0 Yes 0 No $0.00 0 G Work Without Permit? 0 Yes 0 No $0.00 Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 f p_ Strong Motion Fee: $0.00 Select an Administrative Item 1 Bldg Stds Commission Fee: $0.001 SUBTOTALS: $26,390.201 $0.001 TOTAL FEE: 1 $26,390.20 Revised: 07/04/2011 WNW - __ CITY OF CUPERTINO FFF FSTIMATOR — BUILDING DIVISION LEIADDRESS: 18922 forge dr. DATE: 01/06/2012 REVIEWED BY: bobs. PC FEE ID APN: BP#; "VALUATION: 1$300,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial BuildingPENTAMATION USE: IDS PERMIT TYPE: WORK deferred 3 chambers. SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID Deferred Submittal (Not R-3) II-B,111-B,IV,V-B 0 $0.00 Suppl. PC Fee: Q Reg. Q OT $0.00 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes 0 No $0.00 Suppl. Insp. Fee:Q Reg. 0 OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: TOTALS: 0 $0.00 $0.00 MECH, HOURLY 0 Yes G No PLUMB, HOURLY Q Yes Q No ELEC, HOURLY © Yes Q No ---- MISC ITEMS '... Only? Q Yes 0 No 111P'1-10' fle f ,i Fee: F, Plan Check, Hourly 1STPLNCK El Suppl. PC Fee: Q Reg. Q OT 0.0 1 hrs $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, aanuary fewer visrricy achoor r :_._.: _. t •l+i. ,... ,. 6....,,.! ..., 41. Contact the Devt for addnn'l info. . L1J 11 /L1, L=. 11lc ccu 11 .i..0 c.s v.. s.s.. ........... FEE ITEMS (Fee Resolution 11-053 Eff. 7/1%IIZ ... ... ......... ..... ......_-- FEE -"-"-- --- - QTY/FEE ---- MISC ITEMS Plan Check Fee: Hourly Only? Q Yes 0 No $0.00 ® hours $520.00 Plan Check, Hourly 1STPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes 0 No $0.00 Suppl. Insp. Fee:Q Reg. 0 OT Q,Q hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 jj j y g Strong Motion Fee: IBSEISMICO $63.00 F 4.07 hrs $520.00 Inspections ISTINSP Inspection, Hourly Btdg Stds Commission Fee: IBCBSC $12.00 SUBTOTALS: $75.00 $1,040.00 TOTAL FEE: 1,115. Revised: 1701-72012 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18922 Forge Drive DATE: 03/13/2012 REVIEWED BY: F$400,000 APN: BP#: *PERMIT TYPE: Building Permit PLAN HECKTYPE: Alteration /Addition/ Repair PRIMARY Commercial Building TION IDS USE: IPE T TYPE: WORD Deferred Submittal of (1) acoustic testing chamber SCOPE I 1VUJ L: This estimatedoes not include fees due to other Departments (i.e. Phinning, Public Works, Fire, Sanitary Server District, School DhdripL ph-_ ). Thavo &,w fico haead A. ih, -H..; . ..... _-1 ­. __A, _.. —4-- 1.,. -1-- yl 1_ _ FEE ITEMS LEce Resohalon 11-053 Eff 711/11) FEE QTY/FEE] MISC ITEMS Plan Check Fee: Hourly Only? (j) Yes 0 No $0.00 1 hours $130.001 Plan Check, Hourly ISTPLNCK I Suppf. PC Fee: (D Reg. 0 OT 4,4 -hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes G No $0.00- Suppt. Insp. Fee:o Reg, 0 OT 0.0 hrs $0.00 PME Unit Fee: $0.00--i PME Permit Fee: $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Plannin�_, Peo: $0.00 Select a Non -Residential G Building or Structure 0 IBSEISA41CO $84-00 F Thrs o $130.00 Inspections ISTJNSP 7 Inspection, Hourly Wdjg_Stds Conimssi,,-)n Fee: IBCBSC $16.00 SUBTOTALS: $100.00 $260.00 TOTAL, FEE: $360.00 Revised: 1/19/2012 CITY OF ALT PERTINO vw, I FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 18922 forge dr. DATE: 02/09/2012 REN71EWED BY: bobs. APN: BP#- �17ALUATION: 1$650,000 *PERMIT TYPE: Building Permit 1PLAN CRECKTYPE: Tenant Improvement PRIMARY Commercial Building PE—NTAMATION USE: :1 1 PERMIT TYPE: IDS WORK deferred testing chamber total of 6, structural. SCOPE I OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID Deferred Submittal (Not R-3) [[-8,111-BjV,V-B 0 $0.00 4 hours $520.00 $0.00 Suppl, PC Fee: 0 Reg, 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? (DYes 0 No $0.00 Suppt. Insp. Feer Reg. 0 OT 0.0 firs $0.00 TOTALS: PME Unit Fee: $0.00 PME Permit Fee: 1 111. -. -1 Ilia callrfalfv. 1juvai taut 111C111(jejecs title 10 oluerVeParl"lells (i.e. Planning, Public Works, Fire, Saidiaty SewerDisiriet, School DiOrli-t ot,- ) Tlf,e., f— — h—d — il", FEE ITEMS (Fee Jx,e-sohaion 1.1-053 Eff 7/LU1 — FEEY/F QT , EE . .... . ..... MISC ITES M - ------ Plan Check Fee: Hourly Only? G) Yes 0 No $0.00 4 hours $520.00 'Plan Check, Hourly ISTPLNCK Suppl, PC Fee: 0 Reg, 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? (DYes 0 No $0.00 Suppt. Insp. Feer Reg. 0 OT 0.0 firs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 (D Work Without Permit? 0 Yes 0 No $0,0Q ,kd,vaticed Plarmfiw, Fee: $04 Select a Non -Residential Building or Structure 0 A S !on I-C(e! IRSEISHICO 1 .50 4.0 lirs $520.00 $520.00 Inspections STINSP inspection, Hourly I Or" RLd Stds, _0i �mrn iss ion Fee: IBCBSC / \ %26�� 26. 0 SUBTOTALS: 162.5 _16 $1,0 0.00 $1,040.00 TOTAL FEE; Tj$ �1 � �25 CO Revised: 1/19/2012