13120139CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20071 SUISUN DR
CONTRACTOR: DE ANZA BUILDERS
PERMITNO: 13,120139
ONVNEWSNAME: MRAILEINTIM AND MIIIOKO
1129 LITTLF JOHN WAY DATE ISSUED - 03/06/2014
OWNE51" 111IONE: 4086562000 9
It
SAN JOS CA 95129 PI IONE, NO: (408) 865-0222
JOB DESCRIPTION: RESIDENTIAL E] CO'MINIERCIAL
.11JEENSED CONTRACTOR'S DECLARATION
1043 SQ FT ADDITION TO INCLUDE 514 TO IST FLOOR,
Class
494 2ND FLOOR 35 SQ FT SAUNA, REMODEL 1020 SQ FT
License
1�
—�6
THRU OUT SFDWL,, INSTALL IIVAC UNIT
—
Contractor )ate
I iNaej
--
REV 4 1 - ADD (N) WOOD DECKTO REAR OF SFD (311 S.F,) - ISSUED
I berebval'tirm that Inin heenscd under file provisions 01,01apter. 9
9/221114
(Corillnericing with Section 7000) ofDivision 3 ofthe Business & Professions
Code and that my license is in fulf force and effect.
I hereby affirm under penally (if perjury one of fire followifig two declarations:
I have and will maintain a certificate ofcorissent to self -insure for Worker's
as provided for by Section 3700 ofthe Labor Code, for tile
)Compensation,
lei fomiance ofthe work Im which this permit is issued,
Stf. Ft Floor Area:
Valkintion:S250000
I have and will maintain Wolkcr9S CoulpCoSali011 insurance, as provlded for by
AIIN Number: 36928005.00
OcculialleyType:
�Section 3700 of tilt Labor Code, Im the performance ofthe work for which this
Permit is isstred,
A IT Ij(..ANT CTRTI FICATION
I certify that I have read this application and state thaw the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct I agree to comply wait all city and counly ordinances and state laws rchftilm�
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to bruldim, constfuction, and hereby authorize representatives ofthis city to, elite,
to save
180 DAYS FROM LLA,5:"ALLK4, INSPECTION.
upon the above mentioned property for inspection Purposes (We) agree
inderimit'yand keel) harmless 1pl�uv 1) I'Cupertino against
L
costs, and expenses which 111i C it, against said City in consequence of tile
Date: 2 -2-
oranfing offlus perrint. Add' oll',11 diCappliCalu Undermandsand %vill comply
A Code,Section"
itil alro011-I)Oult SOUTU rU, flatrO s per the Cupertino Municip,
9.M
4
RE -ROOFS:
-22,-
Signature are
All Tool's shall be in prior to any Tooling nititelial being installed. If roof Is
installed without first obtainnig air inspection, I agree to remove all new materials for
nisficctiom
ONNIN111-BUILDER DFCLARATION
Signature of Applicant:— Date;
I hereby affirm that 1 .1111 exempt from the Contractor's License I.avv for one of
the following two reasolls:
ALL ROOF COVERINGSTO BE CLASS "A" Oil BFIFFER
1, as owner ofthe property, or 111)'employces with wages as their sole compensation,
will do the work, wand the structure is not intended or offered for sale (Sec 7(r )44,
Business & f1rofcssions Code)
I, as o%viter ofthe property, aamexdusively contracting withlicensed contractors 10
HAZARDOUS MATERIALS DI!j(jQSURV
�
construct the project (Sec. 7044,13usifies s & frofessions Code)
I have read the hazardous materials requirements under Chapter 6.95 of the
Califoruia Ilealth & Safety Code, Sections 25505,, 25533, and 25534. 1 will
I hereby affirm under penalty of pel-jury one of the following three
maintain olinpliallee Nsith the Cupertino Municipal Code, Chapter 9.12 and tire
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have ,in(] wili mainlain a Certificate of Conscrit toself-insure for Worker's
material. Additionally, should I rise equil i elft oI- devices which entit hazardous
Compensation, as provided for by Section 3701) ofdre Labor Code, for tire
,fit- continirinanis as defined by the Bay At Air Quality.Niamiagentelit District I
with tine CtlPel-fi 10 lunicipal Code, Chap1el-9.12 and
perlionnarice of tie Nvork for which this permit is issued.
I have in(] will maintain Worker's Corupensanon Insurance, as provided for by
will maintain complilince
the Ilealth & Safety (,.'ode, Sections 25:505,. 5.,33, and 25534,
Section 3700 ofthe Labor Code, fear (lie Perforin ante of' [lie work for which this
011'riel- m•authorizedagent: Date:
permit is issued.
I certify that at the performance ofthe work for which this permit is issued, I shaH
oot employ any person, in any manner so as to become subject tel tile Worker's
CONS 11ON VENDING AGENCY
C(illipeirsation laws ofCalifornri. If, after making this certificate ofexerripliou, I
become subject to the Worker's Compensation provisions ofthe Labor Code. I niust
I hereby affirm that there is a conslruction loading, IgCricy for the peTformance of
forthwith comply W0 such provisions or this permit shall be decrued revoked.
work's for which this permit jS rsSLled (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 lr0'orrnation is
correct I agree to cornply Wull all City and county ordinances and state laws relating
to bUlldillil' construction, and hereby a1110101rzc representatives offlirs city to enter
upon the above arcutiorred property for inspection purposes (We) agree to save`rim
ARCIIITI.,',LI`S DECLARA
indemnify and keel) harmiess flee Cuy of Cupertino almilist, II IbaI i ties, j udgment s,
costs, and expenses which miry accrue ai,,iijjst said City in consequence ofthe
I understand my plans Shall he used as public records.
granting of this pemilt Additionally, the applicant underslands and will comply
%%,ull oil non -point source regulations per tire Cupertino Municipal Code, Section
Licensed Profcssional--...
9. 18,
Signature Date--—
relTrOWEMM
(408) 777-3228 - FAX (408) 777-3333 - tL Li1dinq9cu.Per-bf1() Or
"elllrCNT F-1
❑ ALTERATION /'rl '1;D REVISION/ DEFERRED ORIGINAL PERMIT # ✓
IN LyV CcNsrRl
—TAPN
4 —00)
PROJECr ADDRESS
r-vOC"L., 7
%�)'
O"INER NANIE PHONE
V -- (, 4 6 2
E-NIAIL
L c :i�'
STREETADDRESSCITY,
20o"JA
STATE,ZIP� '7,
L-� PE+Lk] N IA �j
FA.X
CONTACT NAME
PHONE
STREET ADDRESS
CITY, STATE, ZIP
I
FAX
❑ OWNER ❑ OWNEF-BUILDER. El: OWNER AGENT ❑ CONTRACTOR El CONTRACTOR AGENT El ARCHITECT 11 ENGINEER F1 DEVELOPER 11 TENANT
CONTRACTOR NA I
LICENSE NUMBER
LICENSE TYPE
BUS. LIC 4
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
I I -7A
CipSTA
', TE, ZIP
!�k
ARCHFLECTIrNGINIEER NAME
SE NUMBER
BUS. LIC 4'
COMPANYNANIE
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
_UA
EXIS11NOUSE
PROPOSED USE CONSTR. TYPE
4 STORIES
USE
TYPE
OCC
SQFT.
VALUATION (S)
EXISTG
NEW FLOOR
DENIO
TOTAL
AREA
AREA
AREA
NET AREA,
BATHROOM KITCHEN
OTHER
REMODEL AREA REMODEL AREA
REMODEL AREA
PORCH AREA DECK AREA ioTAL DECK,'PORCH AREA
GARAGE AREA: [] AT-TACH
ISA SECOND UNIT E] YES
SECOND STORY []YES
BEING ADDED? [:] NO
ADDITION? NO
PREAPPLICATION EIYES IF YES, PROVIDE COPY OF
IS THE BLDG AN [] YES
RECTIVE
'er'q'&
TAL VALUATIO
PLANNTN'GAPDL �' [:]NO PLANNING APPROVAL LET- ,,,,\,
EICHLER HONIE7 r-1
10!Z26L
By my signature below, I certify to each ofthe follo'Ong t: I am the property 0,xner or authorized agent to act on the property owner's behalf. I have read this
't
application and the inforniation I have provided is c rre �t I have read the Description ol'Work and verify it is accurate. I agree to comply withall applicable ➢ocal
ordinances aad state laws to hU Idiig constr ct 1) 1 authorize representatives ofCuperthio toenter the above-"dentified 'Droperly for inspection p,urposes-
la6ng
gnatureof AppliaAget: Date�
SUPPLEMENTAL INFORMATIkIN REQUIRED
PLAN ajEcKTYPE
ROUTING SLIP
OVER-THE-COUNTER
y
BUILDING PLAN REVIEW
New SFD Or Multifamily dwellings: Apply for demolition permit for
eXiSthigbUilding(s), Deiiiolitioiipermit fly requii-edpi-iortoissu�iiiceofbLI ilding
permit for new building,
0 EXPRESS
PLANNING PLAN REVIEW
Conimercial Bldgs: Ptovide a completed Hazardous, Materials Disclosure
11 STANDARD
PUBLICNVORKS
fOrjjj ifally Ha2ardous Materials are being used as part ofthis project.
El LARGE
❑ FIREDEPT
Copy of Planning Approval Letter or Meeting Nvith Planning prior to
MAJOR
El SANITARY SIEWFR DISTRICT
su—bmitlal ofBifilding Permit application.
0 ENVIRONMENTAL im,,um
B1dgApp_201 Ldoc revised 00/21111
D 04
FEE ESTIMATOR — BUILDING DIVISION
ADDRESS: 20071 SUISUN DR DATE: 0,9/2212014 REVIEWED BY: MELISSA
36928005 —IBP#. 13120139 'VALKATION-
Iso
APN.
PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration Repair
.... . . .. . . PENTAMATION
PRIMARY 1GENRES
USE: SFD or Duplex PERMIT TYPE
NVORK I REV # ji - ADD (N) WOOD DECK TO REAR OF SFC (311
SCOPE
NOTE: T/lis estintate does not includeftew (we to otner vepartments (i.e. riurtritieg, I 111M, -1,
1 1. ..__.r „.4:.....r,. it", 1]"Ilt fnr f1fidn'l infl).
Ws 5 orL are 0 .
imtrict, etc.), inesejeeimeft ur, it, tf Pic
FEE ITEMS (1, lac g)hltie7,
................. .
FEE
QTY/FEE
M
MISC ITES
Plan. Check Fee: Hourly Only? OYes (D No
WOO
11OLirs
$143.00
Plan Check, Hourly
1ST PLNCK
SLIPPI. PC Fee: 0 Reg, 0 OT
1 —0-0 1
hrs
$0,00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? 0 Yes (D No
$0.00
SLIPI)I. Insp. Fee:0 Reg. 0 OT
0.0
lirs
$0.,00
_
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
0
Work Without Permit? 0 Yes (F) No
$0.00
Advanced 11h,111.11 Lmg-Lee,
$0.00
Select a Non -Residential
Building or Structure
0
01
.4
$'0.00
1.0 3III's
$143.00
I n specti oils
IS77,VS, Inspection, Hourly
J
131(JL� SjcI, Cornmission Fee:
$0.00
StIBTOTALS:
$0.001
'001
TOTAL FEE:
$286.001
Kevisea: uojzut1-w-+
REKTIVED
A IP R 2 4 2 015
CONTRACTOR / SUBCONTRACTOR LIST
wmffmmmuz��
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOBADDRESS: ZOC�. '1') PERMIT. VSkamu. % Sel
OWNER'S NAME: —V's , PHONE It 'W'?> Q,15(o
GEINERALCONTRAC..ffl
TI BUSINESS LICENSE #
. . . .. ... ... . ... ... ................
ADDRESS:� \�Z.0_'Y
*Our municipal code requires all businesses worting in the city to have a City of Cupertino business license.
I I
NO BUILDING FINAL OR FINAL O(..(.1JPANCV INSPECTION(S) \N,'ILI, BE SCHEDULED UNTIL T14E
GENERAL CONTRACTOR AND ALL SLTC0NTRACT'ORS HVVE OBTAINFA) A CITY 01,"' CUPERTINO
BIJSINESS LICENSE.
I am not using any subcontractors:
Signature
Please check. applicable s ubco it tractors and complete the following information:
Date
. .
............
SUBCONTRACTOR
. ... . ... ..............
BUSINESS NAME
...........
BUSINESS LICENSE #
. ......
Cabinets & Millwork
Cement-Finishin-g
V�; q
_7
Electrical
L- kc c,
Excavation
........ .............. ............
........... .......... ..... . . .....
Fencing
. . .. . .......
..................
........ ..... .
Flooring / Carpeting
. . . .... . ........ .... . ..... . . . . ............ . . . .
Linoleum Wood
. ........ . . . .
Glass / Glazing
. . ....
Heating
. .... ...... . . .. ........................
vv%. �,-Aok� J- VA vk
.. . . .................... .
Insulation
\,e. 0
e\ <
Landscaping
. ....... . .. . ....
... . . ......... . . ....
Lathing
— ---------
Masonry
Painting / Wallpaper
-L7"w7r
Paving
Plastering
___
__� __m_mm
Plumbing
tqlA t�GTD M-Lp—
51
Roofing
Septic Tank
. . .. . ..... . ............
Sheet ---- ... .. ......
Metal
�.\ . ..... ... . ....
Sheet Rock
-File
. . . ..........
0 Owner / Contractor Signature
Date
CITY OF CUPS RTINO BUILDING PERMIT
BUILDING ADDRESS: 20071 SUISUN DR
CONTRACTOW DIANZA BUILDERS IIERMITNO:. 13120139
OWNER'SNANIE: KUCIILEIN'l'INI AND MHIOKO
1129 LITTLE JOHN WAY DATE ISSUED: 03/0612014
OWNER'S PHONE; 4086562009
SAN JOSF, CA 95129 PHONE NO: (408) 865.0222
LICENSE'D CONTRACTOR'S DECLARAT ION
J013DES(,'lZll3'flON�lll�'SIDEN'I'IAI� COMMERCIAL
1043 SQ FT ADDITION TO INCLUDE 514 TO 1ST FLOOR,
it 1-1
494 2ND FLOOR 35 SQ FT SAUNA, REMODEL 1020 SQ FT
t
THRU OUT SFDWL, INSTALL HVAC UNIT
Date_
I hereby affirm (hill I am licensed under the provisions of Chapter 9
(cornmencing Nvith Section 7000) of Division 3 of tire Business & Professions
Coyle and that in), license is fit full force and effect.
I herebyaffirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure tsar %Vorker's
as provided for by Section 3700 of Clic I abor Code, for (lie
rformance of the work for which this permit is issued.
Sq. Ft Floor Area:
Valuation: $250000
le.ompensation,
have and wfll inainlain Worker's Compensation Insurance, as provided Im by
ection 3700 of the Labor Code, for the performance of the work for xviliell this
permit is issued
APN Number: 36928005.00
OccupaucyType:
I Certfl`v that I ha% e read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct I a.rce to comply Nvitli all city klo(I colony ordinances and state laws relating
WITHIN 1801 DAYS OF PERMIT ISSUANCE OR
to building construction, and hereby authorize representatives ofthis 64 to enter
180 DAYS M LAST CALLED INSPECTION.
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keel) Iit illess the City, of Cupertino against I lab i I i ties, I udginents,
It City in consequence of tire
costs, and expenses 411111 rilayaccrue against said
Issued by- Date:
granting of this ficril it., dditionaHy, tile applicant Understands and will comply
with all non-poon so ince regulations per the Cupertino Municipal Code, Section
RE -ROOFS:
7.18.
sitniature, Date
All root's shall be inspected prior to any roofing material being installed. If a roof is
instailed W111101.11 firm obtaining an inspection, I agree to remove all new materials for
inspection.
0 ONVNER-RUILDER DECLARATION
Signature of
I hereby affirul that I amn exempt front the Contractor's, License Law, fill- one of
the following INvo reasons.
ALL ROOF COVERINGS TO BE CLASS "A" OR BET ER
1, as owner of the property, or my employees with wages as their soh; compensation,
will clo time work, and the structure is not intended or offered for Sale (Sec.7044,
Business & professions Code)
1, as owner of the property, ant exclusive]), contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct tile project (4ec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
(,,alifornia llealth & Safety Code, Sections 25505, 25533, and 25534. Twill
I hereby affirill under penalty of perjury one of the following (ill -cc
maintain compliance with the Cupertino Municipal Code, Chapter 9,12and the
declarations:
Health & Safety Code, Section 2553ZQ) should I store oi- handle hazardous
I have and will maintihi a Certificate of Consent to self -insure for Worker's
material. Additionally, should I rise e(juipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants its defined by time Bay. rea Air Quality Management District I
performance of the work Ibr which this pennit is issued.
will maintain compliance with the Ci Iter lillolMilillcipid Code, Chapter 9,12 and
I have and will maintain Worker's Compensation 111SUrnaMas provided for by
Section 3700 of [lie Labor Code, for the performance of the work for which this
(lie Illealth & Safety Code, sectio s 2-- 25533, and 25534.
Owner or authorized agciW Date:
perniit is issued..
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person ill any manner so as to beconae subject to the Worker's
CONSTRUCTION LENDING AGENCY
Corlipensation laws ol-California 11' ' after makin.g this certificate of exemption, I
become subjeci to tile Worker's Compensation provisions of tile Labor Code, I must
I hereby affirm that there is a construction lending agency for the; performance of
forthwith comply will' such provisions or this permit shall be deemed revoked.
work's for ",]rich this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CI:RTJJFICATION
Lender's Address- _....-
I certify that I have read this application and stake that tile above information is
correct I agree to comply Nvo1lall city and county ordinances and state laws relating
to buildriw–construction, -,aid hereby authorize representatives' of this city to enter
Upon the above mentioned property for inspection purposes, (We) 'agree to save
ARC1IFfFC'I"S DECLARATION
indemnify and keel) baroness tile City oil'Cuperono against liabilities, judgments,
costs, and expenses Miich may accrue against said City in consequence offfie
I understand my plans shall be used as public records.
granting of thus pernin. Additionally, the applicant understands and will comply
Wi0i all non -point source regulations per the Cupertino Municipal ode, Section
I
Licensed Prolessionro
9,18.
Signature—, Date . . .... .
a
I
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DiVISIO
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 B
(408) 777-3228 - FAX (408) 777-3333 - bufl6nq(cDcupertino.orq
0 NEW CONSTRUCTim,, El ADDITION DALTERATION /T1 El REVISION/ DEFERRED ORIGINTALPERMJT�-
PROJECT ADDRESSaAPN, 2l�
OWIN"ERNAME
PHONE
E-MAIL
STREETADDRFSSCITY,
13 0 VW
STATE, FAX
r CA. 14S
CONTACT NAME 3 E 2
-MAIL
o f
STREET ADDRES
CYE�, STATE, ZIP er Lxz
FAx<f1w,( 6
0 OIANTR El OWNT-R-BUILDER O-WNER AGENT El CONTRACTCR El CONTTFACTOR AGENT X ARCHITECT El ENGINEER E3 DEVELOPER El TENANT
CONTRACTOR NAME
LICE NSENdlMBER LICENSEnTE
BUS. LIC
CO\,IPA\Y NAME
T-%LkIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHOT�T-
ARCHITECTIENG NEER NAME
LICENSE NIUMBER,14 a p p
BLIS. LIC 4
COMPANTNAME
�\i6u
FAX$f
STREET ADDRESSa
Iwll� A
)A /�
CITY, MAP
PHONE
�2 �
DESCRIMON OF WORK J�
FXI�T]Nrj U SE PROPPED USE
CO.11sTK T4TE
STORIES
USE
TYPE
OCC.
SQFT.
VALUATION
(S)
EXISTG
AREA Z 3 5AREA
NEW FLOOR
3-3k,,�7
DF?40
AREA
TOTAL, '2
NA
ETARE
BATHROOM
REIACDELAREA
KITCHEN
R11MODEL AREA
OTHER
RE -MODEL AREA
PORCH AREA
15�CK AREA
TOTAL DECKTORCH AJ�,F
ARAGE. CH
DETA
ATTACH
D WELLING UNIT5�
IS A SECOND u-,N'rr L] �-Ls SECOND IFI-ORY MA -ES
6'EINGADDED7 P10, ADDITION? ANO
0�'FS IF YES, PROVIDE ROVIDECOn'OF IS THF BLDG AN [ YES
No
RECEIVED LUATION:
G AFP1..= PLANNING APPROVAL LETTER EICHLERHOME? []NO
gn horized agent to -rr6ptrty owner's
By my s�� ature below, I cenify to each ofthe folly ?g: am the property owner or aut bcIx �1. I have this
a pliCsti read tj
1 114 1
P on and the: infonnat ion }-ha ve provided is Toe, have read the Desc6ptiori of Work andmify it is accurate. I agree to comply with all applicable local
authorize
ordinances and state laws relating to butldi:ig con ction. authorize tcPreSCnt2ti%c5 Of CUpert�10 to enter the above-identi lied property for inspection purposes.
�L
Signaune ofApplicant/Agent: Date:
SUPPLEN4ENTAL rNtit-MAT ONf REQUIRED
PLANTCIIEC I K TYPE
ROLMNG SLIP
''
11 OVER-'IRE4.OUNTER,
PLAN RDIENY
New SFD or Niultifamily dwellings� Apply for demolition pertnit for
"i
existing building(s). Dernoiftion permit is iequired prior to issuance of building
_D"eF1LD]`N"G
petshitfor new buiWin.u,
El EXPlaSS4Er;l
NIIN� P
ANl LAN RE171EW
Commercial Bides: Provide a compieted Hazardous Materials Disclosure
.,,� STANDARD
PUBLIC; NvORKS
for -Ill ifauy Hazardous N4aterials are being used as pat of this project.
LARCE
"a FI'RL' D PT
Copy ofPlanninc,Approval. Letter or Meeting with Plannina prYor to
;N11
submittal of Buildin.g Peniiit application,
MAJOR
S A RY SEIVER DISTRICT
ENVIRON'%IENT 4L TIFALI 11
Bld,-App_201 Ldoc revised 06121/11
CITY OF CUPERTINO
�k\ FEE, ESTIMATOR — BUILDING DIVISION
OCCUPANCY TYPE:
ADDRESS: 20071 suisun dr
DATE: 12118/2013
PC FEES
REVIEWED BY:
RP FEES
A PN:
V: /J
1---2 0/3
1,043
'VALUATION:
1$250,000
"PERMIT TYPE: Building Permit
PLAN CHECK TYPE:
Addition
PRIMARY SFD or Duplex
USE:
2nd Unit?
� OTC?
0 Yes (j) No
0 Yes (2) No
PENTAMATION 1R3SFDADD�
PERMIT TYPE: 'A
WORK
WOR
0 43 sq ft addition to include 514 to 1st floor, 494 2nd floor 35 sg
ft sauna, remodel 1020 sq ft thru out
0
SCOPE
sfd,wl, install hvac unit
�'f(
PME Unit Fee:
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA �
(s.f.)
PC FEES
PC FEE ID
RP FEES
BP FEE ID
R-3 (Custom)
11-BJH-BJV,V-B
1,043
$2,597.03
IR3PLNCK
$1,688.75
IRRNSP
$0.00
150 s.f
$626.00 626
Remodel, Kitchen (<=300 sf)
� IRMRF SKIT I
Perin it Fee:
$1,688,751
Suppl. Insp. Fee; Reg. 0 OT
0,0 hrs
$0.00
= s.f. Remodel, Bath (<=300 sf)
$,626.00 1 IREHRESBAT
PME Unit Fee:
$0.00
PME Permit Fee:
$47.00,
#
$70.001
Mechanical
1BREMAIR A/C Units (<=I OK cfiri)
TOTALS:
1,043
$2,597-03
$0,00
$1,68815
$,146.02
MECH, HOURLY 0 Yes E) No
PLUMB, HOURLY 0 Yes (2) No �
ELEC, HOURLY 10Yes (F) No
Mech, Plan Check 1 0,0! 1 hrs $0,00
1 "liam, 0/(m h,
iwA
Em ech, Permit Fee: IMPERMIT
Ph'ni' Prow l"'r'
Remodel, Other
IREMMOTH I
hrs
Other Mech, Insp, Fo-ol $47.00
T / Vm',
07
l rs
11"h hw'. I r ("
Numb bop i'U'
$0.00
NOTE. This estint ate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
Dictrirt ofr-). Thosp fees arp based on the vreliminary information available and are only an estimate. Contact the Dept for add h V info.
FEE ITEMS (Fee Resolution 11-053 QL71L'13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,597.03
.= sf.
$488.001
Remodel, Other
IREMMOTH I
A
Suppl. PC Fee: (D Reg. 0 OT 0.0
l rs
$0.00
PME Plan Check:
$0.00
150 s.f
$626.00 626
Remodel, Kitchen (<=300 sf)
� IRMRF SKIT I
Perin it Fee:
$1,688,751
Suppl. Insp. Fee; Reg. 0 OT
0,0 hrs
$0.00
= s.f. Remodel, Bath (<=300 sf)
$,626.00 1 IREHRESBAT
PME Unit Fee:
$0.00
PME Permit Fee:
$47.00,
#
$70.001
Mechanical
1BREMAIR A/C Units (<=I OK cfiri)
G
Work Without Permit? 0 Yes No
$0,00
Advanced Planijjflg_EeL IPLLONGR
$,146.02
Select a Non -Residential
Building or Structure:
G
0
Travel Documentation Fee: ITRAJID,OC
$47.00
Strom; Motion Fee.- I BSEISMICR
$25.010
Select an Administrative Item
1
Bldg Stds Commission Fee: IBCBSC
$10.001
SUBTO'TALS:
$4,
810.001
TOTAL FEE-.
$6,370.801
Revised: 1010112013