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15110002
Pq CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10131 BUBB RD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15110002 OWNER'S NANIE: 101 THREE ONE LLC 415 CLYDE AVE STE 105 DATE ISSUED: 11/02t2015 OWNER'S PHONE: MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ License Class Lic. RENOVATION OF EXISTING OFFICE SPACE COMBINED 2 OFFICES # INTO I PRINTING ROOM; ADDING HARDLID CEILING TO 1 ROOM; ������I�cb!ate CI Contractor s ADDING 2 PHONE ROOMS; CONVERTING 1 CONFERENCE ROOM TO OFFICE; (N) FURNITURES IN OPEN OFFICES (1,308 SF) 1 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. 1 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: $750000 performance of the work for which this permit is issued. UA.ave 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: 35720004.00 Occupancy Type: permit is issued. 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED 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 Issued b �frL�1-C% Date: granting of this permit. Additionally, the applicant understands and will comply y with all non -point source regulations per the Cupertino Municipal Code, Section RE -ROOFS: 9.18. y %�� %. ., . Signat a Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, 1 agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, 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. 1 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 1 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 1 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, Sees 5505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this / permit is issued Owner or authorized agen���,,, ,�� Date: 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 1 have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnity and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 4 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10131 BUBB RD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15110002 OWNER'S NAME: 101 THREE ONE LLC 415 CLYDE AVE STE 105 DATE ISSUED: 11/02/2015 OWNER'S PHONE: 4159555075 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL , —, � RENOVATION OF EXISTING OFFICE SPACE -COMBINED �• cense ClassR Lic(4 ��(9 .-� �/ 2 OFFICES INTO I PRINTING ROOM; ADDING HARDLID 3C40 -M I�C>(JL��•L�Date i / 2 CEILING TO ONE ROOM; ADDING 2 PHONE ROOMS; Contractor I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION 91: REMOVE CEILING WORK FROM STRATEGY ROOM 128 (commencing with Section 7000) of Division 3 of the Business & Professions AND ADD LIGHTS; ELECTRICAL TRENCHING; PHASING PLAN FOR Code and that my license is in full force and effect. TCO. ISSUED 11-18-15 1 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: $750000 performance of the work for which this permit is issued. ave 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: 35720004.00 Occupancy Type: permit is issued. 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED 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 granting of this permit. Additionally, the applicant understands and will comply � Issued by: �/ �IV �� Date: with all non -point source regulations per the Cupertino Municipal Cpde, Section 9.18. U RE -ROOFS: Signatur , 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 Signature of Applicant: Date: hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, 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 1 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 1 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 1 performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and 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 the Health & Safety Code, Sections 25505, 25533, and 25534. l permit is issued. Owner or authorized age Date: 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. 1 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, ARCHITECT'S DECLARATION 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 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10131 BUBB RD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15110002 OWNER'S NAME: 101 THREE ONE LLC 415 CLYDE AVE STE 105 DATE ISSUED: 11/02/2015 OWNER'S PHONE: 4159555075 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL OFFICE License Class2 Lie.# � I � D?� D �p RENOVATION OF EXISTING SPACE - COMBINED OFFICES INTO 1 PRINTING ROOM; ADDING HARDLID Contracto'Yn�n��\ ' Date 1 �—I CEILING TO ONE ROOM; ADDING 2 PHONE ROOMS; I hereby affirm that 1 am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions REV #2 - REVISED MILIVN'ORKS AND PARTITION WALLS. ISSUED 1-6-16 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: $750000 performance of the work for which this permit is issued. 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 APN Number: 35720004.00 Occupancy Type: permit is issued. 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 WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED 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 granting of this permit. Additionally, the applicant understands and will comply Issued by: Date: With all n - oint source regulations per the Cupertino Municipal Code, Section 9.18. r RE -ROOFS: Signatu ate_�f t/f I_I All roofs shall be inspected prior to any rooting material being installed. If a roof is r installed without first obtaining an inspection, I agree to remove all new materials for inspection. El OW -BUI ER DECLARATION Signature of Applicant: Date: 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, as owner of 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). 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 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(x) 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 1 performance of the work for which this permit is issued. will maintain compliance wit the Cupertino Municipal Code, Chapter 9.12 and 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 the Health & Safety Code,, tions 25505(25 1 533, and 25534. permit is issued. Owner or authorized ag L Date: l0 I certify that in the performance of the work for which this permit is issued, I shall \NID1G 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, l CONSTRUCTIOt 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, ARCHITECT'S DECLARATION 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 20 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10131 BUBB RD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 15110002 OWNER'S NAME: 101 THREE ONE LLC 415 CLYDE AVE STE 105 DATE ISSUED: 11/02/2015 OWNER'S PHONE: 4159555075 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 0 RENOVATION OF EXISTING FICE SPACE - COMBINED License Class �2� Lic. # 2 OFFICES INTO 1 PRINTING ROOM; ADDING HARDLID // Contractor �� /� �� (I Q�e(ate CEILING TO ONE ROOM; ADDING 2 PHONE ROOMS; I hereby affirm that 1 am licensed under the provisions of Chapter 9 DEFERRED #1: SITE, RESTROOM, AND BREAK ROOM ACCESSIBILITY (commencing with Section 7000) of Division 3 of the Business & Professions PLANS. ISSUED 11-18-15 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: $750000 performance of the work for which this permit is issued. ve 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: 35720004.00 Occupancy Type: permit is issued. 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. 1 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 upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED 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�N / %� c�7 Date: !/ Issued by granting of this permit. Additionally, the applicant understands and will comply ,�'1 / with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. / � ROOFS: Signature / � Date lLS^ any All roofs shall be inspected prior to any roofing material being installed. If a roof is r installed without first obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) 1, 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. 1 will 1 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 1 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 1 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, S� 25505, 25533, and 25534. i�7/ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.Owner or authorized ag Date I certify that in the performance of the work for which this permit is issued, 1 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, 1 must 1 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. 1 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, ARCHITECT'S DECLARATION costs, and expenses which may accrue against said City in consequence of the 1 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 VW CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: 10131 BUBB RD DATE: 11/02/2015 REVIEWED BY: PHUONG PC FEE ID APN: 35720004 BP#: `VALUATION: 1$750,000 PERMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY USE: Commercial Building 1BTIPLNCK PENTAMATION PERMIT TYPE: 1 B TA WORK RENOVATION OF EXISTING OFFICE SPACE - COMBINED 2 OFFICES INTO 1 PRINTING ROOM; SCOPE ADDING HARDLID CEILING IN ONE ROOM; ADDING 2 PHONE ROOMS; CONVERTING 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 1,308 $2,154.86 1BTIPLNCK $1,339.96 /BT//NSP $0.00 PME Plan Check: $0.00 Permit Fee: $1,339.96 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 TOTALS: 1,308 $2,154.86 ,arr flea /_r.): $1,339.96 MECH, HOURLY 0 Yes Q No PLUMB, HOURLY 0 Yes (D No ELEC, HOURLY Q Yes () No NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School niclrirl olr ) Thoco foot nro hncad nn Iho nro/iminami infnrmalinn availahlo and nro an/v nn oclimalo_ Cnnlarl lho nnnt fnr addn'l infn_ FEE ITEMS (Fee Resolulion 11-053 E(/.' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,154.86 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. O OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $1,339.96 Suppl. Insp. Fee -.0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 ,arr flea /_r.): G, i -,a ah O G Work Without Permit? O Yes (j) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 I Strong Motion Fee: IBSEISMICO $210.00 Select an Administrative Item BldgStds Commission Fee: 1BCBSC $30.00 SUBTOTALS: $3,734.82 $0.00 TOTAL FEE:' $3,734.82 Revised: 10/01/2015 � CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION kaADDRESS: 10131 Bubb Rd DATE: 11/18/2015 REVIEWED BY: Sean MISC ITEMS APN: BP#: 15110002 *VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Civil / Religious activities in BQ zone. ® Yes ® No PENTAMATION 1GENCOM PERMIT TYPE: WORK Revision #1: REMOVE CEILING WORK FROM STRATEGY ROOM 128 AND ADD LIGHTS; SCOPE ELECTRICAL TRENCHING; PHASING PLAN FOR TCO. NOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are haled on the nreliminary infnrmatinn availahle and are nniv an estimate_ Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 E . 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? © Yes Q No $0.00 F___27 hours Plan Check, Hourly $286.00 ISTPLNCK Suppl. PC Fee: 0 Reg. 0 OT 0.0 firs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Feer Reg. () OT 0.0 firs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONST,4XC $0.00 x Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure t 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: 10/01/2015 W-M CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution I1-053 E '. 7/1/13) ADDRESS: 10131 Bubb Rd DATE: 11/18/2015 REVIEWED BY: Sean APN: BP#: 15110002 'VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY Commercial Building USE: Civil / Religious activities in BQ zone. ® Yes ® No PENTAMATION 1GENCOM PERMIT TYPE: WORK DEFERRED #1: SITE RESTROOM AND BREAK ROOM ACCESSIBILITY PLANS. SCOPE NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent for addn7 info. FEE ITEMS (Fee Resolution I1-053 E '. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 1 # $286.00 Deferred Submittal IDEFSUBM Suppl. PC Fee: (F) Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax: IBCONSTAXC $0.00 rrzi�tiF;l�`��tt,'C: 0 G Work Without Permit? C) Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure G 0 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: 10/01/2015