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14050075CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: 14050075 19050-19088 STEVENS CREEK BLVD CUPERTINO CA 95014 (375 07 046) OLIVIA JANG OWNER'S NAME: ( UNITED POLARIS INC) DATE ISSUED: 11/07/2014 OWNER'S PHONE: (408) 905-8798 PHONE NO: LICENSFM.-CONTRACTOR'S DECLARATION License Class Lie. # Contractor OLIVIA JANG Date I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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 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 03-28/2017 OWNER -B TII DER DE L R TION 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 s `^ sale (Sec.7044, Business & Professions Code) 2. 1I 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. 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 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 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 03-28/2017 ,v PERMIT INFO: - —BLDG —ELECT -PLUMB _ MIECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: LOREE CENTER - EXTERIOR SITE WORK AND LANDSCAPE DETAILS INCLUDING RE -STRIPING AND RECONFIGURATION PARKING AREA & TRASH ENCLOSURE REPLACEMENT REV#2 - RECONFIGURATION OF DOORS/LANDSCAPING - ISSUED 3-28-2017 REVISION #1: REVISE THE PARKING/ACCESSIBILITY LAYOUT ALONG JUDY AVE. - ISSUED 8/18/15 Sq. Ft Floor Area: I Valuation: $128000.00 APN Number: Occupancy Type: 37507046 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Leggev RF 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: 03-28/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(x) 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: 03-28/2017 / f` CONSTRUCTION LENDING A ry 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 understand my plans shall be used as public records. Licensed CITY OF CUPERTINO BUILDING PERMIT ffBUEL;DING ADDRESS: CONTRACTOR: PERMIT NO: 14050075 88 STEVENS CREE�BLVD CUPERTINO CA 95014 (375 07 046) OLIVIA JANG OWNER'S NAME: (UNITED POLARIS INC) DATE ISSUED: 11/07/2014 OWNER'S PHONE: (408) 905-8798 PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # BLDG -PLUMB Contractor OLIVIA JANG Date —_ELECT MECH _COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — _RESIDENTIAL with Section 7000) of Division 3 of the Business & Professions Code and that my JOB DESCRIPTION: license is in full force and effect. LOREE CENTER - EXTERIOR SITE WORK AND LANDSCAPE I hereby affirm under penalty of perjury one of the following two declarations: DETAILS INCLUDING RE-STRIPING AND RECONFIGURATION r, I have and will maintain a certificate of consent to self-insure for Worker's PARKING AREA & TRASH ENCLOSURE REPLACEMENT Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. REV#2 - RECONFIGURATION OF DOORS/LANDSCAPING - ISSUED 2. I have and will maintain Worker's Compensation Insurance, as provided for by 3-28-2017 Section 3700 of the Labor Code, for the performance of the work for which this REVISION #1: REVISE THE PARKING/ACCESSIBILITY permit is issued. LAYOUT ALONG JUDY AVE. - ISSUED 8/18/15 APPLICANT CERTIFICATION Sq. Ft Floor Area: Valuation: $128000.00 1 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 APN Number: Occupancy Type: representatives of this city to enter upon the above mentioned property for 37507,046 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. PERMIT EXPIRES IF WORK IS NOT STARTED Additionally, the applicant understands and will comply with all non-point 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 03-28/2017 Issued by: Le ac OWNER BUILDERDECLARATION Date: 11/07/2014 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 RE-ROOFS; All roofs shall be inspected prior to any roofing material being installed. If 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 new materials for —� sale (Sec.7044, Business & Professions Code) with licensed inspection. 2. 11, as owner of the property, am exclusively contracting `- 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: 03-28/2017 r. 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. 2. I have and will maintain Worker's Compensation Insurance, as provided for by HAZARDOUS MATERIALS DISCLOSURE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. I that in the of 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 3. certify performance shall not employ any person in any manner so as to become subject to the Health & Safety Code, Section 25532(a) should I store or handle hazardous I or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should use equipment air contaminants as defined by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and Labor Code, I must forthwith comply with such provisions or this permit shall the Health & Safety Code, Sections 25505, 25533, and 25534. be deemed revoked. APPLICANT CERTIFICATION Owner or authorized agent 1 certify that I have read this application and state that the above information is Date: 03-98/2017 correct. I agree to comply with all city and county ordinances and state laws to building construction, and hereby authorize representatives of this city I hereby affirm that there is a construction lending agency for the performance relating to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ C.) 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 DE("I,ARATION Code, Section 9.18. ARC HITECT'S 1 understand my plans shall be used as public records. Signature Date 43- 82 /2017 Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19050-19088 STEVENS CREEK BLVD CONTRACTOR: UNITED POLARIS INC PERMIT NO: 14050075 OWNER'S NAME: UNITED POLARIS INC PO BOX 1805 DATE ISSUED: 11/07/2014 OWNER'S PHONE: 4089058798 CUPERTINO CA, CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL LOREE CENTER - EXTERIOR SITE WORK AND License Class Lic. # LANDSCAPE DETAILS INCLUDING RE -STRIPING AND RECONFIGURATION PARKING AREA & Contractor Date TRASH ENCLOSURE REPLACEMENT I hereby affirm, that I am licensed under the provisions of Chapter 9 REVISION #1: REVISE THE PARKING/ACCESSIBILITY LAYOUT ALONG (commencing ith Section 7000) of Division 3 of the Business & Professions JUDY AVE. - ISSUED 8/18/15 Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $128000 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. APN Number: 37507046.ALL Occupancy Type: APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAY ED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I granting of this permit. Additionally, the applicant understands and will comply V: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505,.25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner agent: Date: l permit is issued. or authorized 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs; and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date �l V'Z'�� CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19050-19088 STEVENS CREEK BLVD CONTRACTOR: UNITED POLARIS INC PERMIT NO: 14050075 OWNER'S NAME: UNITED POLARIS INC PO BOX 1805 DATE ISSUED: 11/07/2014 OWNER'S PHONE: 4089058798 CUPERTINO CA, CA 95014 PHONE NO: JOB DESCRIPTION: RESIDENTIAL F] COMMERCIAL E] ❑ LICENSED CONTRACTOR'S DECLARATION LOREE CENTER - EXTERIOR SITE WORK AND License Class Lic.9 LANDSCAPE DETAILS INCLUDING RE -STRIPING AND Contractor Date RECONFIGURATION I hereby affirm that I am licensed under the provisions of Chapter 9 PARKING AREA & TRASH ENCLOSURE REPLACEMENT (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 Valuation: $128000 performance of the work for which this permit is issued. Sq. Ft Floor Area: 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 APN Number: 37507046.ALL Occupancy Type: permit is issued. APPLICANT CERTIFICATION information is PERMIT EXPIRES IF WORK IS NOT STARTED I certify that I have read this application and state that the above correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter 180 DAYS FROM 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 of the ` �� costs, and expenses which may accrue against said City in consequence Issued by: Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is inspection, I agree to remove all new materials for installed without first obtaining an inspection. -BUILDER DECLARATION Signature of Applicant: Date: rcOWNER ereby affirm that I am exempt from the Contractor's License Law for one of ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER following two reasons: 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) HAZARDOUS MATERIALS DISCLOSURE I, as owner of the property, am exclusively contracting with licensed contractors to (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I construct the project California Health & Safety Code, Sections 25505, 25533, and 25534. 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 Health & Safety Code, Section 25532(a) should I store or handle hazardous declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous by the Bay Area Air Quality Management District I Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and performance of the work for which this permit is issued. the Health & Safety Code, Sections 25505, 25533, and 25534. 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 Owner or authorized agent: Date: permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I Compensation of the Labor Code, I must I hereby affirm that there is a construction ]ending agency for the performance of become subject to the Worker's provisions work's for which this permit is issued (Sec. 3097, Civ C.) forthwith comply with such provisions or this permit shall be deemed revoked. Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, said City in consequence of the I understand my plans shall be used as public records. costs, and expenses which may accrue against granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. 1 I�0 % �1�4 Signature Date CITY OF CUPERTINO RM__ff FEE ESTIMATOR - BUILDING DIVISION 1AADDRESS: 19050 SCB DATE: 07/21/2015 REVIEWED BY: SEAN ;blrtc/t. Permit Fee: APN: BP#: *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECKTYPE: Tenant Improvement PRIMARY Commercial Buildin USE: g Pl imb. Insp. Pee: PENTAMATION PERMIT TYPE: 1 GENCO i WORK REVISION #1: REVISE THE PARKING/ACCESSIBILITY LAYOUT ALONG JUDY AVE. SCOPE Suppl. Insp. Fee:Q Reg. Q OT NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). Thesefees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/13) hlech. Plan Check Phwib. Plan Chec6 L7ee. Plan C,12C/C ;blrtc/t. Permit Fee: Plumb. Pertnit Fee: I lzc- P<<rrnir Fee: other ;1/ec•h. Insp. other Plumb Ins?. 0/her Alec. 117sp. Arhech. hzsp. Fee. Pl imb. Insp. Pee: I-, "e. Insl:). Fee: NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). Thesefees are based on the preliminary information available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 711/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (2) No $0.00 hours Plan Check, Hourly $286.00 ISTPLNCK A Suppl. PC Fee: (E) Reg. 0 OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. Q OT o-01hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 _T_T (..'on.sirtxtion Tax: Aclrninistrative Fee: Q E) Work Without Permit? 0 Yes E) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential 0 Building or Structure 0 A Travel Disc,aln.enlalion Fe,*es: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 SUBTOTALS: - $0.00 $286.00 , . TOTAL FEE: $286.00 Revised: 07/02/2015 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION II&DATE: ADDRESS: 19505-19088 STEVENS CREEK B 05/12/2014 REVIEWED BY: MELISSA `•7N,.,.. Edi RsJi i'�C(', APN: 37507046.ALL BP#r: hl®1 005�� VALUATION: 1$128,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building %]lGC. h7sp. &-': PENTAMATION PERMIT TYPE: 1GENC0 i WORK EXTERIOR SITE WORK AND LANDSCAPE DETAILS INCLUDING RE -STRIPING AND SCOPE I RECONFIGURATION PARKING AREA & TRASH ENCLOSURE REPLACEMENT NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, acnool n;r.r;, nfn 1 who" foaa oro hn d n" tte nroffmi"ar„ information availahle and are onlv an estimate. Contact the Dept_fbr addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eft.' 711./13) bJ:::: ;;. 1'.tu?r :.' C C' ' Phalli".i'y(ctt7 (-jt[:'t'h lae c. Non C.i2c:Ci( `•7N,.,.. Edi RsJi i'�C(', l-�JIt1Yt(?. i�8t Y77r .''c'f:. —I_ j1iQf. ;�(t77i7ii %'c .. Oytr?; 'ifG•C!i. ft25'!�. 01hur LJ 1 /s:c/+. in..i'•L'. l a<a: Yhtu h. /tJq)' Fee: %]lGC. h7sp. &-': NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, acnool n;r.r;, nfn 1 who" foaa oro hn d n" tte nroffmi"ar„ information availahle and are onlv an estimate. Contact the Dept_fbr addn'1 info. FEE ITEMS (Fee Resolution 11-053 Eft.' 711./13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? Q Yes Q No $0.00 © hours $834.00 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? 0 Yes Q No $0.00 Suppl. Insp. Fee -.(R) Reg. Q OT 1 0,0 1 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 C.Ut't.'�Ii`tlCflOn TaX: =lttlJ1ti11.5it'iilil'c /`r"'[': 1 0 0 Work Without Permit? Q Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non-ResidentialG Building or Structure 0 A l.i;'.)(:t1JYic'nf.Ctll011 Fees: Strong Motion .Fee: IBSEISMICo $26.88 3.0 hrs $417.00 Inspections ISTINSP 7 Inspection, Hourly Bldg Stds Commission Fee: IBCBSC $6.00 SUBTOTALS: $32.88 $1,251.00 TOTAL FEE: $1,283.88 Revised: 04/01/2014