Assessor New Construction

New Construction Cost Statement - Commercial

Owner Name:

First NameLast Name

Address:

Mailing Address

Property Address

CityState / Province

Postal / Zip Code

Fee Parcel (APN):

Permit Number:

Project Description:

IMPORTANT

Our records indicate that a building permit was issued, or new construction has occurred on your property. New construction must be assessed upon completion or as partially complete on January 1 if not completed. Please complete and return this form within 15 days of receipt. The assessed value of the new construction will be based on information you provide, along with comparable cost and market data. Please include any documentation you believe will assist our office in valuing the new construction, including photos.

Project Timeline:

Has work started on this project?

If not, has this project been permanently abandoned?

Start date:

MonthDayYear

If project is complete, date of completion:

MonthDayYear

If not complete, estimated % complete as of January 1st:

Type of Construction:

Structural and Exterior

Frame:

Foundation:

Other

Roofing:

Other

Exterior:

Interior Structure and Finish: Stories

Total Building Height (ft):

Number of Stories:

Height per Story (ft):

Mezzanine?

Interior Structure and Finish: Ceiling Finish

Ceiling Finish:

Other

Interior Structure and Finish: Floor Finish

Carpet?

Carpet (Area in sq ft):

Hardwood?

Hardwood (Area in sq ft):

Vinyl?

Vinyl (Area in sq ft):

Tile?

Tile (Area in sq ft):

Concrete?

Concrete (Area in sq ft):

Other

Other Floor Finish (Indicate Type and Area in sq ft):

Interior Structure and Finish: Roll Up Doors

Roll Up Doors - Quantity:

Roll Up Doors - Height (ft):

Roll Up Doors - Width (ft):

Interior Structure and Finish: Systems and Fixtures

Systems and Fixtures - Heating:

Type of Heating:

Systems and Fixtures - Cooling:

Type of Cooling:

Systems and Fixtures - Lighting:

Type of Lighting

Systems and Fixtures - Sprinklers:

Systems and Fixtures - Elevator:

Other

Other Systems and Fixtures:

Site Improvements:

Parking Lot

Parking Lot (sf):

Parking Lot # of Spaces:

Fencing?

Fencing (length in ft):

Fencing Material:

Retaining Wall?

Retaining Wall (length in ft)

Monument Sign?

Other

Other Site Improvement:

Building and Tenant Information

1. Total Area of New Construction (sq ft):

Net Rental Area (sq ft):

2. The property is:

Date of Lease:

MonthDayYear

Lease Terms:

3. Use of Newly Constructed Area:

Office (sq ft):

Office Rental Rate:

Retail (sq ft):

Retail Rental Rate:

Retail Retail Rate:

Industrial (sq ft):

Industrial Rental Rate:

Warehouse (sq ft):

Warehouse Rental Rate:

Other Newly Constructed Type Area (sq ft):

Other Newly Constructed Type Rental Rate:

4. Tenant pays:

5. Name of Tenant/Business:

6. Was the new construction paid for by tenant?

Tenant paid a portion

Tenant-paid portion ($):

Is the tenant responsible for the property taxes for the new construction?

Cost Information

Please complete all applicable sections. If the item does not apply, indicate with "N/A". If an item has been included in another section, indicate in which section it is included. Please attach a copy of the itemized construction contract or invoices, if available.

Architectural and Engineering Fees:

Building Permits and Environmental Studies:

Site Preparation (site clearing. demolition, excavation. fill, grading, trenching. etc):

Building Cost (foundation, shell, roof, electrical, plumbing, heating and air conditioning, interior and exterior finish, built-in appliances, cabinets, painting, etc):

Exterior Additives (fencing. paving. retaining walls. other buildings, etc):

Landscaping (sprinklers, yard lights, lawns, shrubs, trees, etc):

Well, Pump, Tank, or Water Hook up:

Septic or Sewer Hook up:

Cost for Solar Improvements:

Carrying Charges during Construction (taxes, interest, insurance, etc):

Fees, Taxes, and Rentals (sewer connection, water meter, supervision, legal, equipment rental, sales tax, etc):

Contractor's Overhead and Profit:

Check if no contractor was used

Additional Labor and Material Costs not included above:

Total Construction Costs (as of date of completion, if incomplete as of January 1st of this year):

Remarks:

File Upload

This is a formal request for information made under California Revenue and Taxation Code Sections 441(d) and 470. The information provided will be held confidential under Section 408, except as permitted under Section 408.3. The Assessor's Office may contact you for additional information

Name

First NameLast Name

Email

example@example.com

Phone

Phone NumberFormat: (000) 000-0000.

I certify that the foregoing and all infromation hereon, inclusing any accompanying statements or documenats, is true and correct to the best of my knowledge and belief.

Signature
Signature*

Date

MonthDayYear

ROLF F. KLEINHANS