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HomeMy WebLinkAbout15040115CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15040115 10734 S STELLING RD CUPERTINO CA 95014 (359 22 005) ZHI - QIANG WANG SAN JOSE, CA 95132 OWNER'S NAME: CHUANG CHANGSYANG AND YUNG HO DATE ISSUED: 02101!2016 OWNER'S PHONE: ( PHONE NO: (408)191.0484 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO; License Class B Lic. 4861326 Contractor ZHI - QIANG WANG Date 07131/2019 _ BLDG — ELECT — PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION; CONSTRUCT ONE STORY ADDITION (1970 SQ FT); AND A I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE (425 SQ FT). m. 1 have and will maintain a certificate of consent to self -insure for Worker's "REVISION #1 - COVERED CARPORT TO REMAIN AND Compensation, as provided for by Section 3700 of the Labor Code, for the CONSTRUCT (N) GARAGE (469 S.R) AT FRONT PORCH AREA; ADD erformance of the work for which this permit is issued. 2 (N) FLAT DORMERS AT THE REAR ADDITION - ISSUED 7/1312016 ndwill maintain Worker's Compensation Insurance, as provided for by 9v- REV #2 - RELOCATE SUBPANELAND,4XT!SNEW PANEL- ISSUED ection 3700 of the Labor Code, for the performance of the work for which this 10/12/2017 �( permit is issued, BIN A APPLICANT CERTIFICATION I certify that I have read this application and state that the above REV 4 2 - UPGRADE AND RELOCATE MAIN PANEL (400 AMP); information is correct, I agree to comply with all city and county ordinances RELOCATE (t) SUB -PANEL AT ADDITION; RELOCATE AND and state taws relating to building construction, and hereby authorize REPLACE SUB -PANEL AT MAIN HOUSED. 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 Sq, Ft Floor Area: Valuation: $272000.00 may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point APN Number: Occupancy Type; source regulations per the Cupertino Municipal Code, Section 9,18. ___ 35922 089 Signature Date 10112/2017 PERMIT EXPIRES IF WORK IS NOT STARTED 1C WNER78UILDER DECLARATIQN 180 DAYS OF PERMIT ISSUANCE OR 1 hereby affirm that I am exempt from the Contractor's License Law for one of tileWITHIN following two reasons: 180 DAYS FROM LAST CALLED INSPECTION. r. 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 Issued by• ABBY AYENDE sale (Sec.7044, Business & Professions Code) Date: 02/01/2016 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (See.7044, Business & Professions Code). RE-RODFS: I hereby affirm under penalty of perjury one of the following three declarations: All roofs shall be inspected prior to any roofing material being installed. If a roof is r, 1 have and will maintain a Certificate of Consent to self -insure for Worker's installed without first obtaining an inspection, I agree to remove all new materials for Compensation, as provided for by Section 3700 of the Labor Code, for the inspection. performance or the work for which this permit is issued, x. I have and will maintain Worker's Compensation Insurance, as provided for by Signature of Applicant: Section 3700 of the Labor Code, for the performance of the work for which this Date; 10112/2017 permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Labor Code, I must forthwith comply with such provisions or this permit shall I have read the hazardous materials requirements under Chapter 6.95 of tite be deemed revoked, California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain contplianee with the Cupertino Municipal Code, Chapter 9.12 and the APPLICANT CERTIFICATION Health & Safety Code, Section 25532(a) should I store or handle hazardous I certify that I have read this application and state that the above information is material. Additionally, should I use equipment or' devices which emit hazardous correct. I agree to comply with all city and county ordinances and state laws air contarninatits as defined by the Bay Area Air Quality Management District I relating to building construction, and hereby authorize representatives of this city will maintain compliance with the Cupertino Mwdclpal Code, Chapter 9.12 and to enter upon the above mentioned property for inspection purposes, (We) agree the Health & Safety Code, Sect�Tns 25505, 25533, and 25534. to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Owner or authorized agen . consequence of the granting of this permit. Additionally, the applicant understands Date; 1 011212017 and will comply with all non -point source regulations per the Cupertino Municipal CON -LN LENDING E Y Code, Section 9.98. 1 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,) Signature Date 1011212017 Lender's Name Lender's Address CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: 15040115 10734 S STELLING RD CUPERTINO CA 95014 (359 22 005) ZHI - QIANG WANG SAN JOSE, CA 95132 OWNER'S NAME: CHUANG CHANGSYANG AND YUNG HO DATE ISSUED: 02/01/2016 OWNER'S PHONE: PHONE NO: (408)391-0484 LICENSED CONTRACTOR'S DECLARATION BUII.DING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lie. #861326 Contractor ZHI - QIANG WANG Date 07/31/2017 — BLDG _ELECT _PLUMB MECH RESIDENTIAL COMMERCIAL 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. JOB DESCRIPTION: CONSTRUCT ONE STORY ADDITION (1970 SQ FT ; AND A I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE (425 .SQ FT). 1. I have and will maintain a certificate of consent to self -insure for Worker's ompensafion, as provided for by Section 3700 of the Labor Code, for the "REVISION #1 - COVERED CARPORT TO RE AND erformance of the work for which this permit is issued. CONSTRUCT N GARAGE (469 S.F.) AT FRONT PORCH AREA; ADD 2. I have and will maintain Worker's Compensation Insurance, as provided for by 2 N FLAT DORMERS AT THE REAR ADDITION - ISSUED 7/13/2016 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 Sq. Ft Floor Area: Valuation: $272000.00 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize A Number:2005 Occupancy Type: representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the 3599 22 005 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 PERMIT EXPIRES IF WORK IS NOT STARTED source regulations per the Cupertino Municipal Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED SPECTION. g tan tan ure Date 7/13!2016 OWNER DECLARATION Issued by: ABBY AYENDE ` -BUILDER Date: 02/01/2016 m I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RE 1. I, as owner of the property, or my employees with wages as their sole -ROOFS: All roofs shall be inspected prior to any roofing material bei g installed. If is compensation, will do the work, and the structure is not intended or offered for installed without first obtaining an in I agree to remo eroof a all new materials for sale (Sec.7044, Business & Professions Code) inspection.ption, z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date: 7/13/2016 s. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. - z. 1 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 HAZARDOUS MAT R A S DISCLOS I have read the hazardous materials requirements under R Chapter 6.95 of the permit is issued. California Health & Safety Code, Sections 25505, 2553 , and 25534. 1 will 3. I certify that in the performance,of the work for which this permit is issued, I maintain compliance with the Cupertino Municipal Code Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store r handle hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should I use equipment or devices which emit hazardous exemption, I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code, I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and be deemed revoked. the Health & Safe e, Sections 25505, 2553 , and 25534. APPLICANT CERTIFICATION / or I certify that I have read this application and state that the above information is :Ovine '.Date: 7/13/2016 correct. I agree to comply with all city and county ordinances and state laws CONSTRUCTION LENDING AGEN a relating to building construction, and hereby authorize representatives of this city I hereby affirm that there is a construction lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ .) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands Lender's Address and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ARCHITECT'S DECLARRATION I understand my plans shall be used as public records. Signature Date 7113/2016 Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15040115 EEEJ 10734 S STELLING RD CUPERTINO CA 95014 (359 22 005) (ZHI - QIANG WANG) SAN JOSE, CA 95132 OWNEW S NAME: CHUANG CHANGSYANG AND YUNG Ho DATE ISSUED: 02/01/2016 OWNER'S PHONE: PHONE NO: 408-391-0484 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class D Lic. #861326 Contractor (7H1 - QIANG WANG ) Date 02/01/2016Cg _ BLDG _ ELECT T PLUMB RESIDENTIAL,— COMMERCIAL 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. JOB DESCRIPTION: CONSTRUCT ONE STORY ADDITION (1970 SQ FT); AND A T hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE (425 SQ FT). i. 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. 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 11/13/15-EXTENDED PERMIT APPL TILL 1/13/16 Sq. Ft Floor Area: Valuation: $272000.00 this permit is issued. APPLICANT CERTIFICATION 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 359 22 005 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 CALLFDINSPECTION. Code, Section 9.18. Issued by: MELISSA Signature ✓ - Date 02/01/2016 Date: 02/01/2016 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 first obtaining an inspection, I agree to remove all new materials for following two reasons: 1, as owner of the property, or my employees with wages as their sole installed without inspection. 1. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: 2. I, as owner of the property, am exclusively contracting with licensed Date: 012/01/2016 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 have and will 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 Code, Section 25532(a) should I store or handle hazardous this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety material. Additionally, should I use equipment or devices which emit hazardous 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 air contaminants as will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of Compensation of the the Health & Safety Code, Sections 25505, 255331 and 25534. be deemed revoked. Date: 02/0112016 APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is CONSTRUCTION LENDINGAGENCY I hereby affirm that there is a construction lending agency for the performance C.) 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 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 to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in ARCIFHTECT'S DECLARATION consequence of the granting of this permit. Additionally, the applicant will comply with all non-point source regulations per the I understand my plans shall be used as public records. understands and Cupertino Municipal Code, Section 9.18. Licensed Signature Date 02/01/2016 Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 15040115 10734 S STELLING RD CUPERTINO CA 95014 (359 22 005) ZHI - QIANG WANG SAN JOSE, CA 95132 OWNER'S NAME: CHUANG CHANGSYANG AND YUNG HO DATE ISSUED: 02/01/2016 OWNER'S PHONE: PHONE NO: (408) 391-0484 LICENSED CONTRACTOR'S DECLARATION ARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic. #861326 Contractor ZHI - QIANG WANG Date 07/31/2017 — BLDG _ELECT _PLUMB MECH RESIDENTIAL_COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — — with Section 7000) of Division 3 of the Business & Professions Cade and that my license is in full force and effect. JOB DESCRIPTION: CONSTRUCT ONE STORY ADDITION (1970 SQ FT); ANDA I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE (425 SQ FT). 1. I have and will maintain a certificate of consent to self-insure for Worker's mpensation, as provided for by Section 3700 of the Labor Code, for the * *REVISION #1 - COVERED CARPORT TO REMAIN AND erformance of the work for which this permit is issued. CONSTRUCT (N) GARAGE (469 S.F.) AT FRONT PORCH AREA; ADD z. I have and will maintain Worker's Compensation Insurance, as provided for by 2 (N) FLAT DORMERS AT THE REAR ADDITION - ISSUED 7/13/2016 Section 3700 of the Labor Cade, 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 Sq. Ft Floor Area: Valuation: $272000.00 information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize APN Number: Occupancy Type: representatives of this city to enter upon the above mentioned property for Inspection purposes. (We) agree to save Indemnify and keep harmless the 359 22 005 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 PERMIT EXPIRES IF WORK IS NOT STARTED source regulations per the Cupertino Municipal Code, Section 9.18. WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 711312016 OWNER-BUILDER DECLARATION Issued ARBY AYENDE �Ot O 1„ , / 1 , , r�,�p , V�.W 1/� W� "1 Date: 02/01/2016 2/0 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 RF-ROOFS: All roofs shall be inspected prior to any roofing material being installed. I£ a roof is compensation, will do the work, and the structure is not intended or offered for installed without first obtaining an inspection, I.agree to remove all now materials for sale (Sec.7044, Business &Professions Code) inspection. a. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code), Signature of Applicant: I hereby affirm under penalty of perjury one of the following three declarations: Date:17 13 2( 016 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this permit is issued. z. 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 HAZARDOUS MATERIALS DISCLOSURE permit is issued, I have read the hazardous materials requirements under Chapter 6.95 of the a. I certify that in the performaneepf the work for which this permit is issued, I California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the o Health &Safety Code, Section 25532(a) should I store or handle hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should I use equipment or devices which emit hazardous exemption, I become subject to the Worker's Compensation provisions of the air contaminants as defined by the Bay Area Air Quality Management District I Labor Code, I must forthwith comply with such provisions or this permit shall will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and be deemed revoked. the Health &Safe de, Sections 25505, 25533, and 25534. APPI ICANT CERTIFICATION I certify that I have read this application and state that the above information is Owner or auth: correct. I agree to comply with all city and county ordinances and state laws Date: 7/13/2016 relating to building construction, and hereby authorize representatives of this city CONSTRUCTION LENDING AGENCY to enter upon the above mentioned property for inspection purposes. (We) agree I hereby affirm that there is a construction lending agency for the performance to save indemnify and keep harmless the City of Cupertino against liabilities, of work's for which this permit is issued (Sec. 3097, Civ C,) judgments, costs, and expenses which may accrue against said City in Lender's Name consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Lender's Address Cade, Section 9.18. ARCHITECT'S I understand my plans shall be used as public records. Signature Date 7/1312016 Licensed Professional CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION imlADDRESS: 10734 S STELLING RD TYPE OF CONSTR. DATE: 04/16/2015 REVIEWED BY: MELISSA APN: 359 22 005 BP#: BP FEE ID *VALUATION: 1$272,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: 2nd Unit? Yes No I OTC.,, Yes (2)No PENTAMATION PERMIT TYPE: 1 R3SFDADD WORK ADDITION OF 2009 S.F. TO ADD 3 H BEDROOMS 3 N BATHS N LAUNDRY & N` FAMILY SCOPE I ROOM PME Unit Fee: OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE ID R-3 (Custom) It-B,III-B,1V,V-B 2,009 $2,880.93 IR3PLNCK $2,479.01 IR3INSP Permit Fee: $2,479.01 Suppl. Insp. Fee:Q Reg. Q OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Clonstrniction :Tax: Adfi inistrative Fi'e Work Without Permit? 0 Yes E No $0.00 TOTALS: 2,009 $2,880.93= Travel Documentation Fees: $2,479 01 Strong Motion. Fee: IBSEISMICR ech. Plein Check Phimb, Plein Check Elec:. flan Check L1ecA Permit Fee: /'hunb. Permit Fee: Dec. Permit Fee:: Other bkch. Insp. Oiher Pluinb Ajsp. C111zer Elec. Insp. A,Iech..Insp. Fee: Plun7h I isp, Fee: Ekl c. Insp. Fee: NnTF- Thk estimate does rant include fees due to other Departments (i.e. Planning. Public Works, Fire, Sanitarp Sewer Disj District etc.. These ees are based on the Prelimina information available and are only an estimate. Contact the Dept jW addn'1 info. FEE ITEMS (Fee Resolution 11-053 F f 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,880.93 Select a Mise Bldg/Structure or Element of a Building Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $2,479.01 Suppl. Insp. Fee:Q Reg. Q OT 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Clonstrniction :Tax: Adfi inistrative Fi'e Work Without Permit? 0 Yes E No $0.00 Advanced Planning Fee. IPLLONGR $281.26 Select a Non -Residential E) Building or Structure 0 A Travel Documentation Fees: Strong Motion. Fee: IBSEISMICR $35.36 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $11.00 $5,687.56 $0.00 _ TALIjE. $5,687.56 Revised: 04/01/2015 Dear Building Officer, I would like to request for an extension to my building permit. I was out of Cupertino for one month. I don't know the application for building permit expires on October 13th. My architect said she will extend it for me. But when I come back, I found out I need to apply it by myself. I hope it is not too late to apply for it now. Sincerely, CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION j&-FAFD7R7E7SS: 10734 S Stelling I DATE: 04/16/2015 APN: BP#: REVIEWED BY/Sean 'VALUATIO $375,000 °PERMIT TYPE: Building Permit PLAN CHECK TYPE: Ne Construction PRIMARY SFD or Duplex USE: 2nd Unit? , Yes • No PENTA ATION 1R3SFDW PERM TYPE: WORK Construct one story addition 2009 sq ft Attached second dwellin unit (70sq ft). SCOPE R3PLNCK OCCUPANCY TYPE: TYPE CONSTR.R. FLR AREA s.f. PC FEES P EE ID BP FEES BP FEE ID R-3 (Custom) II-B,111-B,IV,V-B 2,770 $3,025.83 R3PLNCK $2,916.89 IR3INSP Permit Fee: 21916.89 Suppl. Insp. Fee:Q Reg. OOT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 "nes $677.77 .4dxnindslralive Fee; E) Work Without Permit? C) Yes o $0.00 TOTALS: 2,770 $3 25.83 I7,avel Docuxnerwaflon Feer: $2,916.89 Strong Motion Fee: IBSEISMICR .14ech. Plan Check I IPlumb, Purr Check I VFlee. Plon Cbech �Iech. Punta f=ee: Plumb. Permit Fee: Ekc. Pernrit Fee: Oiher,Uoeh. h -up. OtherPhu=rb lrcp. Otte 0,,(Insp. Li I yj I .klach. /7f51). P6•t: Plumb, Iran. /'es; klea. 1asp. 1'ee: NOTE: This estimate does not include fees due to other Departmen s (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.. These fees are based on the prelimina informatio available and are only an estimate. Contact the Dept for addn'1 Info. FEE ITEMS (Fee Resolution 11-053 Eff. V 3) FE QTY/FEE MISC ITEMS Plan Check Fee: $3,0/5.83 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: 21916.89 Suppl. Insp. Fee:Q Reg. OOT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXR 1 "nes $677.77 .4dxnindslralive Fee; E) Work Without Permit? C) Yes o $0.00 Advanced Planning Fee: IPL NCR $387.80 Select a Non -Residential E) Building or Structure A I7,avel Docuxnerwaflon Feer: Strong Motion Fee: IBSEISMICR $48.75 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $15.00 SUBTOTALS:' $7,072.04 $0.00 TOTALFEE: $7,072.04 Revised: 04/01/2015