15090016CITE' OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION PERMIT NO: 15090016
OWNS 'S NAME: APPLE COMPUTER INC
1460 O�BRIEN DR DATE ISSUED: 09/02/2015
OW ER'S PHONE: 4084721275
MENLO PARK, CA 94025 PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL
� 7i
APPLE - 1ST FLR SOUTH WING - T.I. TO RECONFIGURE
License Class Lie. #
ST0R2AGE/OFFICE SPACE TO (N) OPEN OFFICE AREA (758
1 � p A'D
b
S.F.)
Contracto,NO 4A ei
I hereby affirm that I am licensed under the provisions of Chapter
(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
C�_,Pchsation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $225000
�p ormance of the work for which this permit is issued.
�a a 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: 31602105.00
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
dVIT�IIN 180 RMIT 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
18 FRO ALLED INSPEC ION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
Date:
granting of this permit. Additionally, the applicant understands and will comply
Issu
with all non -point so c regulations per the upertino Municipalde, S ction
9.18. t"
C---
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
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
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 (Scc.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
declarations:
maint�in compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Code, Section 25532(a) I or handle hazardous
Health & Safety should store
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
Area Air Quality Management District I
air contaminants as defineNtthertino
performance of the work for which this permit is issued.
will maintain compliance Municipa Code, Cha55&
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code,05, 5 33,aSection
3700 of the Labor Code, for the performance of the work for which this
Owne or authorized agenDat
permit is issued.
1 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
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
CUPERT INO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingCa)_cupertino.org oY o,521-6
❑ NEW CONSTRUCTION ❑ ADDITION Wq ALTERATION/ Ti I—I REVISION /DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS f�lN}� Loa
APN f{ O� 10_(;
OWNER NAME /\ (`
j•� 1
PHONE O�
E-MAIL
0z _ OC• e.t1S�(1 � � C.D
STREET ADDRESS n
CITY, STATE, ZIPI� Q 1 q C
FAX
CONTACT NAMEF �SS�L✓
PHONISC)2_�
E-MAIL
STREET ADDRESS
CITY, STATE, ZTP CA^ u � O q
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT uCI ARCHITECT 1-1 ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
ts��, vrn L
LICENSE NUMBER
-7 1 2 2 -
LICENSE TYPE
BUS. LIC N
COMPANY NAME
E-MAIL }
FAX
STREET ADDRESS
�l(so
CITY, STATE, ZIP
C q�IoaS
PHONE
U'6��t�u
ARCHITECT/ENGINEER NAME
Cl\\u u.11-\ `c s� � t�a>�
LICENSE NUMBER
C -61 73l
BUS. LIC #
COMPANY NAME `
b �s� S�i��E�
E-MAIL,
�t,ss��l �c�-�-�c�•�a�
FAX
STREET ADDRESS_ I
b1-LC,� ` (_WA, -� I�Wkl� .LS
CITY, S TEE ZIP Q u) IPHONTEIS_
(!(
DESCRIPTION OF WORK
bMo'Q�Li � �15) rI(_t S�ptzAUr:� T1CSU� At -Io Cio»�'�1Z�,�Cr�
$-��t�t`-. lwib d��,"� �R,��JR�'�; �1�o C�vO>-1 Ci�t•'F)C� S�At� .
EXISTING USE
C)rv)L,C-J
PROPOSED USE CONSTR.
6IFIF
TYPE
1/�
c'\
# STORIES
Li USE TYPE
OCC.
SQ.FT.
VALUATION($)
EXIISSTG
AREA
NEW FLOOR
AREA
DEMO
AREA
TOTAL
NET AREA
1
/
BATHROOM
REMODEL AREA 11a
KITCHEN
REMODEL AREAN f �,
OTHER
REMODEL AREA
PORCH AREA
DECK AREATOTAL DEC%K/PORCH AREA
GARAGE AREA: DBTACH
[]ATTACH
# DWELLING UNITS:
JP
IS A SECOND UNIT YES
SECOND STO YES
1 \
BEINGAD ❑NO
ADDI 'NO
PR&APPLICATION [-]YES IF YES, PROVIDE COPY OF
PLANNING APPL N ;MO PLANNING APPROVAL LETTER
IS THE BLDG AN,Y TOTAL VALUATION:
EICHLER AiE'! ❑ NO —606
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act o erty owner's behalf. I have rea
application and the information I have provided is correct. I have read the Description of Work and ver' curate. I agree to comply with all applicable loca
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for i pec on purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL IN RMATION REQUIRED
) ' ` PLAN CHECK TYPE
..' ROITTING SLIP
3..
❑` OVER THE COUNTER
❑ BiJILDING.PLAN REVIEW
New SFD or Multifamily d ngs: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
❑' EXPRESS
❑• PLANNING PLAN REVIEW
}
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
CI STANDARD
❑ 1PUBLIC'WORKS '.
_
form if any Hazardous Materials are being used as part of this project.
,, '
;❑ LARGE T_
❑ :FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
MAdORy_
❑ SANITARYSEWERDISTRICT .
submittal of Building Permit application.
❑. rENVIRONMENTALMEALTM
B1dgApp_2011.doc revised 06/21/11
CITY OFA CUPERTINO
IM -1 FEE ESTIMATOR = BUILDING DIVISION
OCCUPANCY TYPE:
1 INFINITE LOOP
DATE: 09/02/2015
REVIEWED BY: MELISSA
JimADDRESS:
APN: 316 02 105
BP#: �(�%`
'VALUATION: 1$225,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
PRIMARY Commercial Building
USE:
IBTIPLNCK
PENTAMATION 113 TI
PERMIT TYPE:
WORK I
APPLE - 1ST FLR SOUTH WING - T.I. TO RECONFIGURE STORAGE/OFFICE SPACE TO N
SCOPE
OPEN OFFICE AREA (758 S.F.)
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
B (Tenant Improvements)
I -All -B
758
$3,185.55
IBTIPLNCK
$1,394.65
1BTIINSP
Eley. Insp. Fee:
PME Plan Check:
I
I
Permit Fee:
$1,394.65
Suppl. Insp. Fee -E) Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
TOTALS:
758
$3,185.55
F
$1,394.65
MECI3 HOURLY. Yes No
PLUMB;'HOURLY I Q Yes,;: ). No ..
ELEC, FIOURL.Y- `Yes No ;
Alech. Plan Check
Plumb. Plan Chock
Elea .Plan Check
,Wech. Penllil Fee:
Plumb. Pe:rmil. ee:
Flee. Permir Fee:
Other Mc ch. Insp.FI I
()the;- Plumb Insp.
Other Flee. Insp. Li
Arlech. Insp. Pee:
Phimb. Insp. Fee: I
Eley. Insp. Fee:
NOTE: This estimate does not include fees due to other Departments (I e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc.). These feet are based an the nreliminary information available and are only an estimate. Contact the Dent for addn'1 into.
FEE ITEMS (Fee Resolution 11-053 E . 711/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$3,185155
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: (j) Reg. 0 OT0.0
hrs
$0.00
PME Plan Check:
$0:00
Permit Fee:
$1,394.65
Suppl. Insp. Fee -E) Reg. 0 OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Contraction Tax:
F
Ach nlnistrative Fee:
0
G
Work Without Permit? 0 Yes (j) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
I
E)
0
i
Travel Doe u nenlatlort Foes:
Strong Motion Fee: IBSEISMICO
$63.00
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$9.00
SUBTOTALS; :
$4,652.20
$0.00 TOTAL FEE ;
$4,652.20
Revised: 07/02/2015
7 U
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1 INFINITE LOOP
CONTRACTOR: NOVO CONSTRUCTION
PERMIT NO: 15100107
OWNER'S NAME: APPLE COMPUTER INC
1460 O'BRIEN DR
DATE ISSUED: 10/15/2015
OWNER'S PHONE: 4084721275
MENLO PARK, CA 94025
PHONE NO: (650)701-1500
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
APPLE -1ST FLOOR - UPGRADE FINISHES AND
icense Class Lic. #. y 0 2 L
REPLACEMENT OF CEILING AND FURNISHINGS IN (E)
Contractor..�✓UVo [o.�✓�f'yycT7o.(r Date I ! � y Z6/ 5
CONFERENCE ROOM (832 S.F.)
I hereby affirm that I am licensed under the provisions of Chapter 9
Def#1 Accessible restroom - 15EMe,�
(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
Sq. Ft Floor Area:
Valuation: $50000
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 this
APN Number: 31602105.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
1 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: 1 !
with all non -point source regulations per th Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature'il0l Date ! / /9' /
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:
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
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 contractingwith 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, Chaptgr 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 thisOwner
or authorize' ent: / ////, Date: 1 1 1 S
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
Compensation laws of California. If, after making this certificate of exemption, l
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
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
Mai
CONSTRUCTION PERMIT APPLICATION
COVIJUNITY DEVELOFh4ENT DEFAR T HENT • BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 85014-3255
CUPERT[NO' (408) 777-3228 - FAX (408) 777-3333 - buildinola=nertino.cro
❑ NEW CONSTRUCTION El ADDITION . El : LTER.kTION / TI ® RENISIO / bEFERRED 0RI&-1NAL PEP-IJ,TT T I ',-0'100 (p
FROT'cr ADDR"cSS AP' R
1 r�vGt,�tTF �.o®v
OWNIERNAI"---
STREETA.DDRESSC1ITY,
ClIVIrE Lao,:;,
STATE, Z3 I FAX
wpe—arlArO CA A9014
CONTACT N.SVEA ^ �, O R &- Pri01vn
a
/,/1JA'r �I +2 - l Z A i fr ,� �a N APR Ga
STRE=i ADDR.=SS
CITY, STAT=, Z3
FAX
compri'vLo ell
ElowF r.R El. OWh=P,-3UISDER 13owl,�.RAC-ENT Z COI.*.Z0.COR 13CON RUCTORAGENT 11 ARCI-7ECT ❑ a1GT_cR 11 D�=LOPS ❑ 1LNAh-T
COIN-MACTOR NAVE LICENSE NUI,�3ER-4-9 LICTSE iYrB
BUS. LIC R
COI NAa-LE-
avcr�
Cog �
I ='NkII P
P.4X
AAO
/V
-now -ito rs A✓o
STREET ADDRESS
SN r3 6G ' lcu/ � %0
CITY, STATE, ZIP
A4 S^JL o PAP -le if 4A
PH0117T
6^0 - f95-16114
ARC" '9TECT/BNGaEER NA?✓B STV n LICENSE MJEER C l _q 'g
BUS. LIC R
COW�ANY NAhS
2,44. iL
I FAX
STREET ADDRESS
CITY, STATE; ZIP
I P i01 E
oS Hmwm�2t7 5i
5�},n/ �t2Ai✓'c.�s-c c7
DESCRIPTION'OF WORK
E77STL>`GUSE PROPOSED USE CONST -p -n -E ',STORIES
i
USE
TYPE
OCC.
SQ.FT.
V.4LUATiON (i)
B)CSTG
N`EW FLOOR
DEMO
TOTAL
F.REA
AREA
A R7 -A
XTET AR -=%k
�-
BATHROOMKTIM:=4
OT -ER
@�
REMODEL AREA
R ,60DEL AREA
REMODELAREA
PORCHAaEA
DECK AREA
TOTALDECKTORCIiARZA
GARAGEr.2?.A: DET,. -.
❑ ATTACH
9DWELLING UI.TTS: ISASECOND UNIT El YES
SECOND STORY ❑1=S
BEING ADDED? ElNO
I
ADDITION? ❑NO
PR_ ; PLTCATION ❑-,aS IF Y:S, PROVIDE COPY Or
IS TAE BLDG ,LN ❑ YES IEf,
F %fE31 -
TOTAL V A.1.UATiON:
PLA?dN1NG P3PL m j]N0 PLAT'NTsG APPROVAL LETR
EICALER HOME?❑ NO
_
.` "I
By my signature belo\v, I certify to each of the following: I am the property ovmer or authorized agent to act on t proper owner's behalf I have read this
- -application-and-the-irifornation=I-hate-provided-is correct:--I•hzve-read-the-Descriptiomof-Work=and-verij-it-is accurate:=I ag ee-to�omply�;ith-ali'a5�lic ble ]o �l`"` "
ordinances and state laws relating to action, t rite representatives -of Cupertino to enter the above-identi Ied propery for inspection purposes.
_.,Si--nzh re of iDnl iczndAaent:_.- .--_, ..... _ _ ... __ __ .__ .___ .-.-. - _. _,.__.. _. _.,Date:
SLPPLE2 f—EXITAL LNiORMATi ONREQUIRED
_
_
PS CEECIPE _
—
R TLCOL�IFR
OWBLIII.DOGPWR.eV tiJ'
New CF) 07 2 fLlilfa7!ly d;;'elll gs; Apply for de 70l]t10 1 Dern—lit .OI
existing building(s). Derr,Olition pen ?lit is reall_r2.d DrIOi t0 1SSl]:3Ce 0I bL!1dL'�
_
nit I0I i�eW bllLdlPg•M&EIL.
-
pen
_S$
—:Commercial Bides: Provide a completed Ha-7ardous Materials Disclosure
—
Tli�dRl� — i
cr
PLBISC FF Or KS M-
Tor- if any Hazardous Materials are being used as cart e2 this project.
-
_ —
!
Copy of Planning Approval Leger or 2\feeting with Planning. prior to
�.�
SLb!71!ital OI BLild]Pa PC-T.11t ap)DI1CZt10n.
i MOR - s -
TTfaYSEv, DI�TRIC7- -
Bloc ap_2011, a'oc revised 06121/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 1 Infinite loop
FEE
DATE: 11/19/2015
REVIEWED BY:
Phuong
APN: 316-02-102
BP#:
Suppl. PC Fee: (F) Reg. O OT0.0
'EVALUATION:
$0
'PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Tenant Improvement
$0.00
PRIMARY Commercial Building
USE:
Permit Fee:
$0..00
PENTAMATION
PERMIT TYPE:
1GENCOM
WORK
Deferred #1 - Accessible restrooms
PME Unit Fee:
SCOPE
PME Permit Fee:
$0.00
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
1)i.ctrict_ v1r_ 1_ Thvco foac nro hncvd nn 1hn nrolirr�innru infnrmn/inn nvnilnhlo and nro only nn nclimnta_ Cnntnd 1ho 7)ent fnr nddn'I info_
FEE ITEMS (Fee Resolution .1.1-053 .Fff. 7%1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes (j) No
$0.00
0 hours Plan Check, Hourly
$143.00 1STPLNCK
Suppl. PC Fee: (F) Reg. O OT0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0..00
Suppl. Insp. Feel@ Reg. Q OT
F0,0
Thrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
-F-T
C."r17S1z11cilodi d(21':
G)
Work Without Permit? 0 Yes . • No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential Q
Building or Structure 0
�
F'%%b°z,'1 1.�!)t; 2f7i2E:'FilCit i Z)t'l .Fees:
Strong, Motion Fee:
$0.00
Select an Administrative Item
Bldg; Stds Commission Fee:
$0.00
fr
;SUBTOTALS:
$0.00
$143.00 , , . T&AL FEE;
$143.00
Revised: 10/01/2015