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06050133 CITY OF CUPERTINO ' a BUILDING DIVISION PERMIT BUILDING BUILDINGADDRFSS: CHRIS AND CATHY JENSEN PE" NO'06050133 10952 SWEET OAK ST OWNER'S NAME: PERMIT ISSUE DATE CHRIS AND CATHY JENSEN E: SANTIARY NO. CONTROL NO ARCHITECT/ENGINEER: - BUIDINGPERMITINFO BLDG ELECT PLUMB MECH :eco LICENSED CONTRACTOR'S DECLARATION mF 1 hemby affirm that 1 am 1'wensed under provisions of Chapxr 9(commencing lob Description SZ with Section7MU)of Divieion 3 ofthc Business and Profeuiom Cade,and my license is Sin. inrmlrameandOffier. SOo REPAIR DRYROT DAMAGE AS NEEDED AND REPLACE j,a�vt License CI Lie.P ego Dam 5 1a/c•a Contractor t /04e- _q o2 EXISTING SHOWER/TUB ARCHITECT'S DECLARATION f a 1 unelcnund my plana shall be used as public meorda y nW U s o Licensed Pmfcssionel t]I - UILDER DECLARATION Ihereby.Sere OWre Rmpt from Ne,Conoaemf s License Law for the O fallowing meson.(Saito 83I.3, Businai and Professions Cade:Any city Of cwnry <m which reUu u a permit m ei=s calm, t rorS.densolishPCMiLh.of repair any umcmin priorm its issuance.also mquira the applicw for such permitmfilc aligned summem 16280 < thus he I%Remitted pursuant dpursuanotcprovisionsoftheContramr''sLianxlaw(Chaplm9 Sq. Ft. Floor Area Valua[iQ Fls-0 (commencing wilt,Section 7")of Division 3 of the Business and Professions Code)or 4�9 that he is eumpt therefrom and the baso for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant he a civil poeWty of APN Number Occupancy Type nut mom tan five hundred dtllaas(33(10). 32651054 . 00 p 1,in°aria of the property,or my employees with wages u their solecompensation. will da the work and the saadu a is not intended err.Nind tonal,(Sec.7044,Business and Pmressions code:The Communities License law doa oar apply m an owOcr or Regyired Inspections pme enywhobuilds oridpmvutbimprand who dOcasmh wort collected for gh hu me employees.due Wilding improvement tient earor/mpiednt fa sale If. however,Ne building ns improvementll hale within one year of completion,the owner- builder will have the burden of proving that be,did mon Auld or improve for puryme of sale.). 1,as owner of the property,am exclusively convening with licensed wnuxmn In consumer the proper(Sec.7(44,Business and Professions Cade:)The Contmelr's U. cove law dors not appiy w an owner of property who Will or Lmpmvrs thereon,and, who contracts for such pmjecu with a conuacmr(s)licensed pursuam in the Contractor's O License. 0law. 6 I ern exempt under Sec B k P C far this mann Own, Dam WORKERS COMPENSATION DECLARATION 1 hereby afGnm under penalty of perjury one of ton following declmatiome 1 have and will maintain a Certificate of Consent in self-insure for Workers Counter. .cation,a provided for by Section 3700 of to Labor Code.for the Performance of the wort for which this permit is Ounce. ❑1 have and will maintat Wwl Compensation insurance,as required by Section 37M of the labor Cade,for the performance ofthe wort for which thin permit is Issued ' My WorYefs Compensation hssurarmc artier and Policy number arc: Carver. PolicyNo.: CERTIFlCATE OF EMPnON FROM WORKERS' COMPENSATION INSURANCE (DniSxction need not M Complexe if tic permit is ran one hundreddallars(SIM) r fir las) 1 artily take in the performance of the work for which this permit is bound.I shall not employ any person in any manor an as in became,subject to the Wotken'Compensation Laws of Califomia.Dam Applicant NOTICE TO APPLICANT:If,after making this Certificate of Exemption.you should become subject to the Workers Compensation provisions a the,labor Cede.you moa .J,Z faMwith comply with such provisions or this permit shall be doomed revoked. z O CONS RUCf1ON LENDING AGENCY 4 [-+ ounchy thi Where4 Wood (Sec. ,Civ.agency for the pertermumre of a to cork rte which this permit is issued(Sec.709'1,Civ.C.) 1 Q Lender's Name Z Lender'sAddrLaa U Q 1 certify that 1 have mad this application and sax Na the awn information u Ls.f^ cortect.I agree to comply with all city and county ordinances and sum laws relating to O U building concoction,and hereby authoirerepresentatives of this city no cnmr upon the W above me judgm properly for inspection purposes. t„a (We)agree m save,indemnify ane kcep harmless to City of Cupenin0 against z incoities.mensli eofthocoag and of thisawhich may in anyway acerae against said City t 1 z in consequents of Arc irantinP of this permit ^ APPLICANT ST DS AN WILL COMPLY WITH ALL NON-POINT Issued by: Date � SOURCERO�I /, �7 S� �oL Re-roofs Signuu p on r Dam HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant perm or handle locations material in defined by the Cupertino Municipal Cade.Chapter 9.13.aha the Health and Safety Code.Section 25532(a)7 ✓ All roofs shall be inspected prior to any roofing material being installed. C]Y. pm Will the applicator or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove emir haxadaus aircomam.mn '"fiO.d by the Bay Area Air Quality Managcmcnt all new materials for inspection. District, ❑Yes 1 have maJ the ha>ardauamamriab myuimmau umkr Chaper Q93 tf the Wil nu HcalthhSafcty Cade.SaUom 25303.23333 am12531d.1 urlerstaM thazifthc Wilddinging Jan nm ou try haat a mnem.Nat it u my maprnsibility to modify de asupm,of the mgair, ht n u, ytpormiaur ofacmdreamora ere Signature of Applicant Date Jt Sly �oG All roof coverings to be Class"B"or better Owner or mthorizcd agent Date,' ' CITY OF CUPERTINO sm 1 of 1 PERMIT RECEIPT OPERATOR: amyw COPY # 2 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 32651054 . 00 DATE ISSUED. . . . . . . : 05/16/2006 RECEIPT # . . . . . . . . . : 34424 REFERENCE ID # . . . : 06050133 SITE ADDRESS . . . . . : 10952 SWEET OAK ST SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : CHRIS AND CATHY JENSEN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : THRASHER TERMITE CONTRACTOR . . . . . . . : LIC # *OWNER* COMPANY . . . . . . . . . . : CHRIS AND CATHY JENSEN ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , TELEPHONE . . . . . . . . : EE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 6, 280 . 00 137 . 16 0 . 00 137 . 16 0 . 00 BENERGY PERMIT FEE 137 . 16 65 . 84 0 . 00 65 . 84 0 . 00 BPFIXTURE UNITS 2 . 00 18 . 00 0 . 00 18 . 00 0 . 00 PPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BSEISMICRE VALUATION 6, 280 . 00 0 . 70 0 . 00 0 . 70 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 260 . 07 0 . 00 260 . 07 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 260 . 07 21024 TOTAL RECEIPT 260 . 07 • - Community Development N 'J 10300 Tone Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 �UPEkTINO Building Department JOB ADDRESS: dock5,)- 5—e cr O aN(- 5T PERMIT # OG6 S,6 33 OWNER'S NAME: Ckrei d C„4-,z J b w s s-w PHONE # a o - 35 -q 9-(el GENERAL CONTRACTOR: M i t, „ E o`�E s• FAX # / I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum/ Wood • Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile • Owner/Contractor Signature Date RESIDENTIAL,Pit k`�]� PROJECT kET CITY OF CUPEkTINO r PIP iVED Assessor's Parcel Number: MAY: 2006 Name of owner. (fA 7-+J (f44 (Z_ S JL C- J Project address. 165 Contact person. YJ C7 4- Phone. k0 35q-114 q Fax. Net square footage of lot. Existing Proposed Square footage: First floor: Second floor: Garage: TOTAL: • Are there at least two 10 foot by 20 foot clear spaces inside the garage?--�N Is privacy protection planting required for the project? On what floor(s) is work being done? Brief description of Wrk. " fA,- l P,, Dk.( Ror A- Z rX,8 Code editions: 2001 CBC (Y - N)2001 CFC (Y - N)2001 CMC (Y- N rH-n--o ' r+ 2001 CPC (Y - N)2001 NEC (Y - N) 0 � �fferA,t 5��40 F IL- 4 � Effective 110/02a rL R-r SiSTANr &IS7 A M . ,Vf e- A,T-j+a-o 6 Ak C, IJ4- LVJ fl- (),A AA k-T C V_ OFFICE Copy Plan Review Process Work Book Page-8-Revised 4/28/04 �A ST(GQ- • 1 •� y. rsn � l, ��k�� (�D Elm ® ® � • • PLUMBING COMMON CONSTRUCTION ERRORS! INSPECTION AND TESTING OF SHOWER RECEPTOR LINERS DESCRIPTION / DISCUSSION Shower receptors are plumbing fixtures and must conform to the UPC requirements regarding Material Standards. For a tile-lined receptor, the installation standards are contained in IAPMO IS-4. Also, all receptors must meet the requirements in UPC Chapter 4 (Plumbing Fixtures and Fixture Fittings). An approved type shower floor drain with sub-drain shall be installed with every shower membrane. Some common non-metallic membranes used are built-up (hot mopped) with asphalt roofing felt and listed flexible plastic or vinyl sheeting. The sub-drain flange is equipped with a clamping ring to make a tight connection between the membrane and sub- drain. .Also, it shall have weep holes in the clamping ring that drain into the waste piping in case a leak should occur in the the floor. All liniggmatpgi LAULbe slo 2d '/.?per foot to the • &etp holes by means of a.�rmed sloping sub-base, and shall extend upward on the side walls and door threshold of the shower.-- No howe .No tile work shall proceed until the pan and drain construction has been inspected and tested. The lining is tested for tightness by placing a test plug into the drain and filling with water to the top of the door threshold for 24 hours with no loss of water. Note: It is important that both the upper and underside of the lining be subjected to test at the point of contact with the sub-drain. This means placing the test plug down the drain beyond the sub-drain flange to test the connection. On many occasions, the Inspector will see an improper water test method. Sometimes only the top of the drain and the weep holes are plugged to retain water in the receptor, or the lining is continuous under-the clamping ring (not cut out) and thus retaining water in the receptor. In either case the drain assembly is not under test. When the test plug is removed, all of the water shall drain out by gravity through the main drain and then through the weep holes. Refer to UPC Section 412.,8 Page 8 IUPC ILLUSTRATED TRAINING MANUAL • a manner that it does not occupy the space required the test at the point where the pan is clamped to the for wall covering. It must not be nailed or perforated drain Ficure 4.28. at any point less than one (1) inch (25.4 mm) above In addition to these requirements, floors of the finished dam or threshold. Figure 4-21 public shower rooms must have a non-skid surface. illustrates the proper method of installing lining material. They must drain so that waste water from one bather does not pass over the area occupied by other LINING MATERIAL NAILING TO BE A MINIMUM — i OF (2E.4 mm) ABOVE FINISHED DAM T OR THRESHOLD 3" (76.2 mm) /I (FUR OUT OR NOTCH STUDS TO RECEIVE � LINING.) APPROVED TYPE SUBDRAIN Figure 4-21 • An approved type subdrain (see Fig. 4-22) shall bathers. Gutters in public or gang shower rooms be installed with every shower subpan or lining. . must have rounded corners to facilitate cleaning. The Each such subdrain shall be of the type that sets gutters must be sloped at least two percent toward flush with the sub-base and shall be equipped with a drains. Drains in the gutters must be spaced not clamping ring or other device to make a tight more than eight feet from the sidewalls, and not connection,between the lining and the drain. more than sixteen (16) feet (4876.8 mm) apart. The shower receptor must be tested for leaks by Many reported incidents of serious burns and filling it with water to the level of the rough threshold. shocks received while showering have prompted the The test plug must be placed so that both the top requirement for .anti-scald shower valve;: and the bottom sides of the subpan are subjected to thermostatic mixing or pressure balancing shower %"(6.4 mm) DIAMETER WEEP HOLE C= — OO UO _ - Figure 4-22 142 • � ' RESID (Yp ROJECT COVER SHEET: ( ... CUPERTINO � MqY I j�E Assessor's Parcel Number: 620 Name of owner. (f+4 2,S Js—e " s c—J Project address. 16q 5 Sw r,,E- 5TGLf C- T- Contact person. ( eY i C7 q- Phone. y Fax. Net square footage of lot. Existing Proposed Square footage: First floor: _ Second floor: Garage: -` TOTAL: • Are there at least two 10 foot by 20 foot clear spaces inside the garage? —J,(�N Is privacy protection planting required for the project? � On what floor(s) is work being done? IN ` Brief description of work. r C A-.a (]Qy 2e r pA-,"+e C_ qa ,VEE o EO, eEel 1;y, 5 T. • 4 Sflpw 6tL / 7"v3 Code editions: 2001 CBC (Y -N)2001 CFC (Y -N)2001 CMC (Y- ffS�r 2001 CPC (Y -N)2001 NEC (Y - N) J . I✓(, Effective 110/02 , NSTA`L 64' .8 zc P-Ec-,5Tar.i, �E In P£-2ED C-rr� s5 Nr - s(�-,C, M . C-r2-E 6-4 �cc_ln fk //�� /� Of " vQ- LVE (. 1 r of4 [JA �+(LoonsS. 1/�l' PE2 Fr �Dea .� Pv e l-30' r)iAMkTEQ_, • Plan Review Process Work Book Page-8-Revised 4/28/04 ®�' /!-STS Q- gP-�r l,.( • 3`{ „ F o„ � � g� r� noo M -� �— S� � � sn � �. I���� 6 �� Go., a���nN � � _----- �- � Fr • F PLUMBING COMMON CONSTRUCTION ERROR& INSPECTION AND TESTING OF SHOWER RECEPTOR LINERS DESCRIPTION / DISCUSSION Shower receptors are plumbing fixtures and must conform to the UPC requirements regarding Material Standards: For a tile-lined receptor, the installation standards are contained in IAPMO IS-4. Also, all receptors must meet the requirements in UPC Chapter 4. (Plumbing Fixtures and Fixture Fittings). An approved type shower floor drain with sub-drain shall be installed with every shower membrane. Some common non-metallic membranes used are built-up (hot mopped) with asphalt roofing felt and listed flexible plastic or vinyl sheeting. The sub-drain flange is equipped with a clamping ring to make a tight connection between the membrane and sub- drain. Also, it shall have weep holes in the clamping ring that drain into the waste piping in case a leak should occur in the file floor. Alt lil matPrial sha 17 be sloe�ed 'ha,ger_oot to the • wee R holes by means of a-�n i ly f r med slsoo ing sub-base, and s a extend upward on the side walls and door threshold of the shower. No tile work shall proceed until the pan and drain construction has been inspected and tested. The lining is tested for tightness by placing a test plug into the drain and filling with water to the top of the door threshold for 24 hours with no loss of water. Note: It is important that both the upper and underside of the lining be subjected to test at the point of contact with the sub-drain. This means placing the test plug down the drain beyond the sub-drain flange to test the connection. On many occasions, the Inspector will see an improper water test method. Sometimes only the top of the drain and the weep holes are plugged to retain water in the receptor, or the lining is continuous under the clamping ring (not cut out) and thus retaining water in the receptor. In either case the drain assembly is not under test. When the test plug is removed, all of the water shall drain out by gravity through the main drain and then through the weep holes. Peferto UPC Section 492:8 • Page 8 UPC ILLUSTRATED TRAINING MANUAL • a manner that it does not occupy the space required the test at the point where the pan is clamped to the for wall covering. It must not be nailed or perforated drain Figure 4-28. at any point less than one (1) inch (25.4 mm) above in addition to these requirements, floors of the finished dam or threshold. Figure 4-21 public shower rooms must have a non-skid surface. illustrates the proper method of installing lining They must drain so that waste water from one bather material. does not pass over the area occupied by other LINING MATERIAL NAILING TO BE A MINIMUM — OF (25.4 mm) ABOVE FINISHED DAM T OR THRESHOLD 3" (76.2 mm) % (FUR OUT OR NOTCH T — - STUDS TO RECEIVE I % _ LINING.) APPROVED TYPE SUBDRAIN Figure 4-27 • An approved type subdrain (see Fig. 4-22) shall bathers. Gutters in public or gang shower rooms be installed with every shower subpan or lining. must have rounded corners to facilitate cleaning. The Each such subdrain shall be of the type :hat sets gutters must be sloped at least two percent toward flush with the sub-base and shall be equipped with a drains. Drains in the gutters must be spaced not clamping ring or other device to make a tight more than eight feet from the sidewalls, and not connection,between the lining and the drain. more than sixteen (16) feet (4876.8 mm) apart. The shower receptor must be tested for leaks by Many reported incidents of serious burns and filling it with water to the level of the rough threshold. shocks received while showering have prompted the The test plug must be placed so that both the top requirement for anti-scald shower valve;: and the bottom sides of the subpan are subjected to thermostatic mixing or pressure balancing shower (6.4 mm) DIAMETER WEEP HOLE Figure 4-22 142 � - CITY OF CUPERTINO d OF PERMIT APPLICATION FORM CUPEkTINO N# f a2 - �— C5 Date: Building Address: Mailing Address (if diff rent from building address): wee o. Cu a5t7I Owner' Name: ^ Pho e#: t 1 Co tractor I License #: eCr4do ( 0Pf2-q / Contact: Phone:(40)3r}-qq4yq Cupertino Business License#: I-7769 Fax: Building Permit Info: Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ Job Description: RZp j W-,AAae 0,A WkQeep'GLCe eri,5,1rfl InG Residential 11w8m U'o Commercial Eld Sq.Ft. Floor Area: Sq.Ft.: Cost of Project: I,l 3o$M4L .0ru��— 0%upancyGrou {-1 3200 2 Type of Constru tion: Please check this box if the project is a second-story addition: ❑ roject Size: Standard ❑ Large ❑ Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERl Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu . MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILER5 Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax —ResUMobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING 1 of L( CITY OF CUPERTINO CITY Or PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers .. PLUMBING BPSPRINK Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> I OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res AP21iance ELECTRICAL 2of3 CITY OF CUPERTINO CFTY OF PERMIT APPLICATION FORM CUPEkTINO uantity Fee ID Fee Description Fee Group BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BS WIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Change BUILDING • 3 of 3