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B-2016-1462CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 18880 HOMESTEAD RD CUPERTINO, CA 95014-0721 (316 09 037) CONTRACTOR: ( NOVO CONSTRUCTION INC ) MENLO PARK, CA 94025 PERMIT NO: B-2016-1462 OWNER'S NAME: CUPERTINO OFFICE PARTNERS DATE ISSUED: 03/03/2016 OWNER'S PHONE: 408-567-9900 PHONE NO: 650-399-5449 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #791022 Contractor ( NOVO CONSTRUCTION INC ) Date 03/03/2016 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. 2.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-point source regulations per the Cupertino Municipal Code, Section 9.18. Signature___________________________________ Date 03/03/2016 OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor’s License Law for one of the following two reasons: 1.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) 2.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 for which this permit is issued. 2.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 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 03/03/2016 BUILDING PERMIT INFO: X BLDG ELECT PLUMB MECH RESIDENTIAL X COMMERCIAL JOB DESCRIPTION: APPLE - T.I. TO CONVERT STORAGE ROOM TO CONFERENCE ROOM (2ND FLOOR) 331 S.F. Sq. Ft Floor Area: Valuation: $50000.00 APN Number: 316 09 037 Occupancy Type: B (Tenant Improvements) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: ALEX VALLELUNGA Date: 03/03/2016 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: 03/03/2016 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 agent: ________________________________ Date: 03/03/2016 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________________________________________________ CUPERTINO CONSTRUCTION PERMIT APPLICATION \ COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION/ 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 V (� V (408) 777-3228 • FAX (408) 777-3333 • building(o cupert!no.org 1I11JJ// ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/T1 -9 REVISIO /DEFERRED ORIGINAL PERMIT Ztilla' 14foZ PROJECT ADDRESS ! O (J W Hv OVf Sk a etpr K.Ozic� I �N ONTIERNAME PHONE E-MAIL pA1� I ql�-$(p(sa(U %�o J`� Uo(.'E-OriN—t'117--O�+o�(c.L'� 57REET.4DDRESS CITY, ST TE, ZIP1 FAX ( r� ) f , /�/� '75-614 1 iVli �N\�C 40A I.�IJ ey 1Vta l.�l 15-61`! CONTACT 14AMB PHO?iE 9i7-5G6-G�(os E-MAIL 1/iC�orlti h1L�_ ViCirotios- IZCOM STREET ADDRESS CITY, STsTE, ZIP 95014 FAX CA ,�.,/' LN OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACT+eO�RAGENT ❑ ARCHITECT ElENGINEER 11 DEVELOPER ❑ TENANT CONTRACTOR NAME era Skew LICENSENUMBER , ` 41 M LICENSE TYPE' BUS. LTCm COMPANY NAME N9Ju CGnSfruC+i Orl E-MAILFAX CJI n(SVp (tl 151f v\.CA STREET ADDRESSCITY, N&O OY6rir STATE, ZIP F*4-1t CA 95'(37 57 PHONE Mcv\10 50 -5695 ARCHITECDENGINEER NAME`M1� C rfall 4 l�t LICENSE NUMBER BUS.LIC' COMPANY NAME � I -I&A f'ike e -4 -:5e -4-:58t �n 'i Heels /-7C�\ EA1,AIl w GO\ FAX -- STREET ADDRES, Nate^ StLOU41 y c� cel CITY, STATE, ZIP bctv�4ose t75113 PHONE x/0$`2/3 -W22-1 DESCRIPTION OF RIOKK - �-ik F`Ct�..a�Ilj1�/ �eS���M C25SG, i�7 _ Al•Fernc::lc-. /+titct;n5 _ iCdAinn r�Y -eAvL� . - ----- — ffo — EXISTING USE PROPOSED USE CONSTR.TYPESTORIE 'S USE TYPE OCC. - SQ.FT. VALUATION (S) E%ISTO NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODELAREA PORCH AREA DECKAREA TOTAL DECKIPORCH AREA GARAGEAREA: DETACH ❑ATTACH 'DWELUNGUNITS: ISA SECOND UNIT ❑YES SECOND STORY ❑1'ES BEINGADDED? ElNO ADDITION? ❑NO PRE -APPLICATION ❑YES IF ITS, PROVIDE COPY OF IS THE BLDG AN [DJ YES REf EIA EDB - "- �„a�, TOTAL VALUATION: PLANT-ING.APPL' []NO PLANNING APPROVAL LETTER EICHLER ROME? ❑NO x 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 ba) e read the Description of Work and Verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -idents ied p operty for inspectioD proposes. Signature of Applicant/Agent:�'tiJ�+ Date: _����lD SUPPLEMENTAL INFORMATION REQUIRED , r- PLAN CHFCKT eE „N._,x4: ti.., „�„ -, _ ROUTING SLIR„= T❑¢ �❑ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of buildingA, O\ ER TYE COTJ\TER SUILDI\G PL4\RE\ ]ER permit for new building. ❑ - ^.. `❑ PLA\Ni�c PLAN'to RE{IEni r Commercial Bldgs: Provide a completed Hazardous Materials Disclosure s7a�-D aRn i r \t oRl.s - _ form if any Hazardous Materials are being used as pall of this project, ,❑ 7-❑PDHLIc ❑ f - -♦3 tRcE 3 � ` w FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning Prior to ❑ T�< -'0 & = < subrnittal of Building Peaapplication. LAI 5A\ITAP215E N ER DISTRIC7 t ., sY. - s AT, P❑ L\\TRRO O\\ En TAL 73EALTH B d&4pp_2011. doc revised 06121/11 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1462 18880 HOMESTEAD RD CUPERTINO, CA 95014-0721(316 09 037) NOVO CONSTRUCTION INC MENLO PARK, CA 94025 OWNER'S NAME: CUPERTINO PROPERTY DEVELOPMENT DATE ISSUED: 03103/2016 OWNER'S PHONE: PHONE NO: (650) 701-1500 LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic. #791022 Contractor NOVO CONSTRUCTION INC Date 02/28/2017 XBLDG _ ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH _ RESIDENTIAL X COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: APPLE - T.I; TO CONVERT STORAGE ROOM TO CONFERENCE I hereby affirm under penalty of perjury one of the following two declarations: ROOM (2ND FLOOR) 331 S.F. 1. I have and will maintain a certificate of consent to self -insure for Worker's DEF# 1 - UPGRADE SITE ACCESSIBILITY; 2ND FLOOR- UPGRADE Compensation, as provided for by Section 3700 of the Labor Code, for the RESTROOM(300 S.F.); ALTERNATIVE MEANS APPLICATION �} performance of the work for which this permit is issued. METHOD FOR REVIEW. 2! P 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 d1 permit is issued. Sq. Ft Floor Area-, Valuation: $50000.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above information is correct. Iagree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 316 09 037 A (Tenant Improvements),B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point _ WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cupertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION, Sigma -----..i Date 4-13-16 Issued by: Sean Hatch Date: 03/03/2016"/1 OWNER -BUILDER DECLARATION 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 1. 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) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date; 4-13-16 1 hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER -1, 1 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health &Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air'Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall f be deemed revoked. Owner -or -authorized -agent: APPLICANT CERTIFICATION Date; 4-13=16 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18, i understand my plans shall be used as public records. Licensed Signature Date 4-13-16 Professional l — CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1462 18880 HOMESTEAD RD CUPERTINO, CA 95014-0721 (316 09 037) .(NOVO CONSTRUCTION INC) MENLO PARK, CA 94025 OWNER'S NAME: CUPERTINO OFFICE PARTNERS DATE ISSUED: 03/03/2016 OWNER'S PHONE: 408-567-9900 PHONE NO: 650-399-5449 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class B Lic. #791022 Contractor ( NOVO CONSTRUCTION INC ) Date 03/03/2016 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing _ MECH RESIDENTIAL X COMMERCIAL ^ with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: APPLE - T.I. TO CONVERT STORAGE ROOM TO CONFERENCE I hereby affirm under penalty of perjury one of the following two declarations: ROOM (2ND FLOOR) 331 S.F. 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 Y by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $50000.00 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 APN Number: Occupancy Type: ordinances and state laws.relating to building construction, and hereby 316 09 037 B (Tenant Improvements) 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said. City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal 180 DAYS FROM LAST CALLED INSP CTION. Code, Section 9.18. -- _. Issued by: ALEX VALLELUNGA Signature "' "— Date 03/03/2016 Date: 03/03/2016 OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for i. I, as owner of the property, or my employees with wages as their sole inspection. compensation, will do the work, and the structure is not intended or offered for sale (See.7044, Business & Professions Code) Signature of Applicant: z 1, as owner of the property, am exclusively contracting with licensed Date: 03/03/2016 contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. I have read the hazardous materials requirements under Chapter 6.95 of the 2. I haveandwill maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(x) should I store or handle hazardous 3. I certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health & Safety Code, Sections 2 SOS, 25533, and 25534. 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 , - Owner or authorized agent: be deemed revolted. Date: 03/03/20.16 APPLICANT CERTIFICATION Icertify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's. Name to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Licensed Professional Signature Date 03/03/2016 ..._.......-__._-._... _.__....... CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 CUJ ERT [N© (408) 777-3228 •FAX (408) 7 7-3333 • building(afcupertino.org INEW CONSTRUCTION ❑ ADDITION ALTERATION /TI ❑ REVISION /DEFERRED ORIGINAL PERMIT # '40 PROJECT ADDRESS APN #S�G 0 O 0VNERNAME PHONE] Iy 9A- G(; EMAIL "' STREET ADDRESS �./o w rf t y d00 l CITY, ZIP � G) �D FAX i S��STATE, CONTACT NAME E-MAIL lice, �,'{M�n o�G c� PHONE % Sv' VR- E>4�) � b � U �'N/1 �vsa�, c v N•�u Cc�y+C� v �c-� , STREET ADDRESS I/ j D F,tA, CITY, STATE, ZIe D FAX D '(�I Y� c j ❑ owNER 11 OWNER -BUILDER ❑ OWNERAGENT . XCONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT I u t>svI4 CONTRACTOR NAME " `-6Y7) AA� CO -45"C -6-f7) `V ' I LICENSE NUMBER -7 M t -S LICENSE TYPE (� J' BUS. # _ (� COMPANY NAME E-MAIL FAXL STREET ADDRESSCITY, 7���`>^ O STATE, ZIP �c�o Cts gNa PHONE0 o-31a-5`{� ayk ARCHITECT ENGINEER NAME S yY LICENSE NUMBER BUS. LIC # ' G.-Vy 0 COMPANY NAME y fl E-MAIL - +' FAX �; C Y 11 b�� 1 STREET ADDRESS CIL"ITY, A E, ZIP Q � 3 PHONE b - QS& La voa(v13 DESCRIPTION OF WORK T ?ta JYIC . w✓ NW-D,rLt o C,0056nj, C14 VUW - loypi vekvw. ;�.-+w�� lru� . wL C&—A AtS 2 ,14-0 EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES - - - USE TYPE OCC. SQ,FT. VALUATION (S) %z9Y� CO711}r/1!/k� !I/. at EXISTG AREA 371 NEW FLOOR AREA 3 3 t DEMO q / AREA 3! 6 TOTAL NET AREA fp v JACvtitit l 1 3 d b 00 a BATHROOM KITCHEN - OTHER REMODELAREA REMODELARE.A REMODELAREA 00 PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: DETACH ATTACH # DWELLTNG UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑ YES BEING ADDED? ONO ADDITION? ❑NO PRE -APPLICATION []YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑ YESRECEDED BY �,// TQ.TAL VALUATION: PLANNING APDL # ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the pro vner'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 relating to building constiucf T I a h4jiize representatives of Cupertino to enter the above -id ntified property. for inspection purposes. Signature of Applicant/Agent: p Date: G, SUPPLEMENTAL INFORMATION REQUIRED n w �rL�I�CHECKTIPE a New SFD or Multifamily dwellings: Apply for demolition permit for �� ER xxE cavaTElz w� ❑ BUILDI\G rLA\ IiE�=iE�� ` �� - existing building(s). Demolition permit is required prior to issuance of building for new building. Ear ss� 4 5 �i Pyi NNINGr permit Commercial Bldgs: Provide a completed Hazardous Materials Disclosure I sTAinARD �uBLlc��oRls 9 _ form if any Hazardous Materials are being used as part of this project. Approval Letter or Meeting with Planning prior to Copy of Planningpp — `' `" I] hM.AJOIL � ti � � '` I] SA_\ITAR] SE44 EIZ DISTRICT submittal of Building Pernlit application. w' LTH-- BldgABB_2011.doc revised 06121/11 cvT� CITY OF CUPERTINO WN FEE ESTIMATOR - BUILDING DIVISION ialADDRESS: 18880 HOMESTEAD RD TYPE OF CONSTR. DATE: 03/03/2016 REVIEWED BY: ALEX APN: 316 09 037 BP#: BP FEE ID "VALUATION: 1$50,000 'PERMIT TYPE: Building Permit PLAN CHECKTYPE: Tenant Improvement PRIMARY USE: Commercial Building IBTIPLNCK $656.36 PENTAMATION PERMIT TYPE: 1 B TI woRK APPLE- T.I. TO CONVERT STORAGE ROOM TO CONFERENCE ROOM 2ND FLOOR 331 S.F. SCOPE $0.00 OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID B (Tenant Improvements) II-B,111-B,IV,V-B 331 $2,102.26 IBTIPLNCK $656.36 IBTIINSP $0.00 PME Plan Check: $0.00 Permit Fee: $656.36 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 331 $2,102.26 $656.36 1lIECH .HOURLY E Yes No PLUMB; HOURLY ..0j Yes ' Q No " ELEC, HOURLY Yes G) No e E3 E3 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc. ). These fees are based on the vreliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053I ff 7,71113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,102.26 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $656.36 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning_Eeek $0.00 Select a Non -Residential Building or Structure 0 0 on Strong Motion Fee: IBSEISMICO $14.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00 SUBTOTALS:,, $2,774.62 $0.00 TOTAL FEE: $2,774.62 Revised: 01/01/2016 CD'Jn =„FAV, -c cm,:-..,S.C. I „•-.moi I Iz, S A 1 _� _ C ^ ,k C 0 U_ -f GID!\ v I. � _4100���-L. 1 , .i'. er B1:IC. 1....-GGlCS{_C� r ^ I - I (LOS) 376-4-010 (n or!ej F (gi- C8) 378-9134-2 P-1—AN R'FVTE- COMMENTS `COPE Oi IWORh . n� C -O', C Xi5 '! !1, -- ?1 a lC} it _.IL ';5 shall b.. mode ” d ._.. i. G Sou ' Submit C0 -1r t:dp=-rmit cLpl!Cat ion &- -f':-::!s tO SaL ._ Clara. Co'. -;1 : ii � D�--i ,G, _r! - y � ;,}} ��!:iG�s c� J! 1!�(-mac .13 n'1Tii ! /5 fact Cl 2 _ire. , inc_ia;�" }:_J!.. I "!lll Z o - ! 1!l..li T! ra ! - Di �- o 3c, c_ c 906 DD 111;J iL !. i -m L 0213 bLL. Vro-yi�ly �'lih a. 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