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06030033 (2) CITY OF CUPERTINO r •r413 "= €s '�• ` & ' BUILDING DIVISION PERMIT ASIO, IRAOTOR1�N'+'UR TTO,N BUILDING ADDRESS: PERMITNO. 486 LINDA ANN CT ER'S NAME: PERMITISSUE DATE BARRY BARNETT 03/20/2006 PHONE: SANITARY NO. CONTROL NO. ARCHT EC(ENGINEER: BUILDING PERMIT INFO BLDG ELECTPLUMB MECH Sop LICENSED CONTRACT'OR'S DECLARATION JobDescri tion w 1 hereby affirm that l am licensed under provisions of Chapter 9(commencing p with Scolio. )alDiv(alon3of the Business and Profcesions Code,and mylicense is in full forte aoodend efface 8 FT FENCE ALONG REAR AND SIDE PROPERTY LINE ?o h PIZrs License Class Contractor 31 Data CunECL 77W ARCHITECTS DECLARATION < I understand my plans shall he used as public records it Licensed Professional ,3 OWNER-BUILDER DECLARATION AM I hereby from that I em exempt from the Contractor's License Law for the C 00 following memo.(Section 7031.5,Business and Preassione Code:Any city Or county $7000 5 8 r wh'ch requires a Permit o eom uct.alter.Improve,demolish.or repair any structure _�i prior oits issuance,also requires the applicant for such permit mfileasignod statement xx< that he is licensed pursuanttaNeprovisionsofNeConua uerilAcnseLaw(Chapter 9 Sq. F[.Floor Area Valuation iF•$ (cmanorcng with Section 7(X0)of Division 3 Of the Business and Profeuinni Code)at .. That he is exempt therefrom and the bub for the alleged exemption.Any violadone( Similar 7031.5 by any applicant for a permit subjects the applicant o a civil Penalty of ik Pumiti Occupancy Type not mom Nan five hundred dollars($50)). - ❑1.as owner of the property.m my employees with wages as their sole Compensation, will do the workmd the structure bnotiMendedo offered Imsak(Sec.7W.Business R 1(ed Inspections and Professions Code:The Counselors License law dean rot apply o an owner of p property who builds or impraws thereon,and who does such work himseiror through his Own employees,provided that such improvements art not intended orolfemd forsale.IL builder thebuildingmimproprovinaEldwbhinot year of completion,the owner- builder will have the buNcn of proving that he did not ddid or improve for purpose of ❑1,as owner of the property,,Business ssi and mofeusti n{with 1lttnsed conueemss m (onstmm Naes not (See.7014,wnrofandnywhoans Code:)The vestim or's rad cense law coca not apply je an owner of property who esed p or improvca Neuron.and whocontractsLacm for such projects with a cpnlnttor(s)licensed pursuant m the Contractor's License Law. lampi under Sec .B&P C far Nis reuon net Dem WORKER' C M ENSATIONDEC RATION 1 hflimt ereby aunder ty of perjury One of the following declarations: ❑I here and will maintain a Certificate ofComm,to self-imum far Wom r'sCompen- sada.,u provided for by Section 3700 of the labor Cole,for Ne pmdormuwc of tire work for which thin permit I.issued. O 1 Mw and will maintain Workers Compensation lownocc,a required by Section 3700 of the labor Code.for the pedarman..of the work for which this permit is issued. My Workers Compensation Imunnce carrier and Policy number am: Caller. Poli,No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSAMON INSURANCE , (rbissccdnn mod not becompleted little pmmh Is forme hundred dollars(1000) nr kis) , I ecoily that In the performance of the we for which this Permit b issued,I"I not employ any petmnya ncrsn as to c to mbjectmd rkcn'Compemaif . n Laws of CaliforniaOa Applinnt NOTICE TO APPLICANT:If.after mak Gmia Exemption,you should become object m ftWohcra Compere g tb rteam ion previsions of the labor Code,you mot wJ 0 foMWith romply with such provisions or this permitshall he deemmd rewkad. - �� CONSTRUCTION LENDING AGENCY [-+ I hereby affirm that them iso Construction lending agency for the performance of the work for which this permit Is issued(Sec.3097,Civ.C.) Wti Q Leaces Name z Lemice.Addrass U Q I ttmfy the,I have mad this application and state that Ne above information is W(.. correct.l agree to Comply with all city and county ordinances and sem laws relating to ' DU building construction,and hamby outhome repreamULIws of this City to enter upon the W above-mentioned property for inspection purpears. gL (We)agree to save,indemnify and keep harmless the City of Cupertino against ,.,[A y !14billims,Judgments,costs and expenses which may in my way accom against said Cb V gA77 In consequence of the gnnnng of this Peron. A LICANT UNDER DS AND WILL MPLY WITH ALL NON-POINT Issued by: Date - ->y,uc, E REGULATI NS L —�� Re-roofs SigretureofApp VComrecmr Dam AZARDOUS MATERIALS DISCLOSURE Type of Roof Willthea ' rat or future building occupant store or handle harardous material defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety me. Section us ON.zss32(a)7 ❑Yea All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or dcvicw which If a roof is installed without first obtaining an inspection,I agree to remove ami,haxEdousair Cintaminan6 as,dcliinod by Ne Bay Area Air Quality Management all new materials for inspection. District? ❑Yea 0 N I hew mad the ham dour materials requirements under Chapter 6.95ofthm Calif., nie Health&Safety Code.seNons25505.25533 end 25534.1 undemand that Vint Wilding d notcurrentlyIt tenant Nat It a nvhility m notify the occupant of to immenuwhichmu hemet pnorini cos eni0'mofOCcumry. Signature of Applicant Date owner or eu@oda dso— .Dare All roof coverings to be Class "B"or better • CITY OF CUPERTINO Item 1 of 1 PERMIT RECEIPT OPERATOR: bethe COPY # 3 Sec: Twp: Rng: Sub: Slk: Lot: APN . . . . . . . . : 32613073.00 DATE ISSUED. . . . . . . : 03/20/2006 RECEIPT #. . . . . . . . . : 33643 REFERENCE ID # . . . : 06030033 SITE ADDRESS . . . . . : 22486 LINDA ANN CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : BARRY BARNETT ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : CUPERTINO CA, CA 95014-1026 RECEIVED FROM . . . . : BARRY BURNETT CONTRACTOR . . . . . . . : LIC # COMPANY . . . . . . . . . . : ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . . • TELEPHONE . . . . . . . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL __________ _____________ __________ __________ __________ __________ __________ BENERGY PERMIT FEE 137.16 65.84 65.84 0.00 0.00 BPERMFEE VALUATION 7, 000.00 137.16 0.00 137.16 0.00 BSEISMICRE VALUATION 7, 000.00 0.70 0.00 0.70 0.00 BPLANCHK PERMIT FEE 137.16 183.04 183 .04 0. 00 0.00 __________ __________ __________ ---------- TOTAL PERMIT 386.74 248.88 137.86 0.00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ____________ __________________ CHECK 137.86 1200 TOTAL RECEIPT 137.86 • Barry Barnett • 22486 Linda Ann Court Cupertino, CA 95014 Fence Summary: C0Y\- ry ( -vr1 - 1. Fence Type: "Board on Board" Redwood l) 2. Height: 8 feet 3. Length: 151 Linear feet M i/ 4. Post Hole Depth: 4,47te_48 inches deep; inch diameter hole 5. Posts: 4x6 Pressur6 Treated - Limited Lifetime Gaurantee 6. Kickboards: 2 x 12 Pressure Treated Redwood 7. Rails: Solid 2x6 Rails with cleats Top View '2x6 Solid Rails with Cleats. Board on Board Construction • 4 x 6 Pressure Treated Posts 146' 5' �2��` ~�' s �✓sT SUB ITTAL U 1 N'L A- MAR 0 7 2006' OFFICE COPY MRR 02 2006 11 : 46AM HP LASERJET 3200 ;;rr P. 1 Can 0 aicp J4AtIAtEs Lilwilw 6 Amw Tei:(408)971-WOOD r- 809 North 13th Street (971-9883) Sen Jose, CA 86712-1527 Fax:(4o8)27-LOGGER Contrector'sLicense r _� (276-6443) r #567277 \�\. tv HOME DATE Gn WORK RFP � jj r n GFLL INV n FAX LOC Jos sl F 3�r; 83Z-A (t AGENT AMn�D wFiNap see owiavil - �77 vts�Srj aa-s q-14191- t � 1 • ) Zx`�a ZzHBL f I LI A41 r- - rrr" H 0 $ h�D First eke ices S �'..Y Total Fee t0i adtlUfonal e4 a vises-:50.00 ��.. �_ �t�g�d Sfgnetu-re Quoted PrNxe Good For 30 Days wtdch'wHl b8 credHad beck of$rita d insfalagm- ACC,r 111 '!a OF Omboo" APII� AFT omratlma and Prices I nava read and uriderafefid twih aides d ifris Proposal and bont4a6 the eddentlumaand Tensa !!9 )h .accept " • of this Proposal and Contract. sgtjkw Lumber A Fends le a"i16ro'rtxed to perkefi the work as 6W&-tFAr9l'e ew"mwit not�°� Ind tltin.pMment Is must be In writing 94 heum Prior to the start al work and In C1 by�InUlconcerned vAl he meds of.sum-"ft' ac°°U�subject b Merest et ins rata of to%per abadut*dta,4iPsriA611t�1G0 Otr+"{qb 6ntl egrea'itiat Pias. annum. I k aver uncle �d gulareCde9,.itrec U tltere�.- Ibnpl coals aseoddadwah the;noHectlan d mpniae due,Including court wets end attomsds fees, WOMB wHYbe bor 9—dl rtlea'oWigalad tD mall a �Y f. Af L'PAR17lS RESPDXIJE FOFYRA'fiVINTTO 61GW 9 DATE 9ELOW - Pleae9'Resd gearrse e*AAWN misasas eddakrW em Is berore apnprp Signature Date.Signature Date^,,--.— Signature Date Signature Date DATE WORKTOOQH1h NCE '' CD -in •— N cmaQ (_V d � CO) .� N C° N O Al^ O a °tS N a `° w m 0u m •� � g ° v ° a Z pim ch 12 3 \ Q - OE Wl. � rn n � J N p aD V Lg w � e - ------------- -------------- ry N N N N L L U I J U N - t - O p N — Z r O O to O Lo w U U a Ln 02/23/2006 12:00 FAX 9109499127 AArr.MAAK/GCI 0 002 • To:Hallmark Group Attn: Chuck Gardner Re:New 8-Foot Fence between 10526& 10536 North Foothill Blvd. Cupertino, CA and 22486 Linda Ann Court, Cupertino,CA Dear Chuck, As the owners of record,the City of Cupertino is requiring a letter of approval from you before we can construct the new fence we discussed earlier today. Therefore I've drafted a small bit of language below that should be sufficient for them. DESC$EMON OF NEW FENCE The new fence will be approximately 8 feet tall and constructed of redwood. It will be in a style similar to the existing fence that runs along the property line of the other set of duplexes adjacent to your properties. We intend to remove all the current mismatched sections of fence between our properties including the old articulated stucco section,which is leaning, and in disrepair. The new fence will be approximately 146 feet in total. We plan to use heavy-duty posts and kickboards to assure a long lasting and sturdy fence that will last for many years- The fence will be constructed by a licensed and insured fence contractor and will have all the necessary permits from the city of Cupertino. • If the above description is agreeable to you, please sign this letter and fax it back to me at(408) 733-3086. 1 will begin work on the new fence as soon as we can get things scheduled and permitted. We very much appreciate your cooperation with us in this matter.You have been more than fair and I think you will be very pleased with the outcome as this will most certainly serve to add value to both our properties. Signed: Dated: 99/93/k. Chuck Gardner for The Hallmark Group LLC. Owners of record for the properties located at 10526 and 10536 North Foothill Blvd,in Cupertino California. • City of Cupertino 10, Plan Check Transmittal Permit# 06030033 Plancheck# 1 Project 8' FENCE REAR/SIDE Y FileDate F=317/06 Address 22486 LINDA ANN CT Owner BARNETf Description Plan Check Status (attach comments and return to Building with plan set) Plan Dept check# Date Due Date Staff Comment Date Approval? ASE 1 3/7/06 1 3/21/06 ASE ❑ Planning 1 3/7/06 1 3/21/06 ❑ • Assessor 1 3/7/06 1 3/21/06 ❑ -- adds Additional Plan Check Fee ❑ Hours Planning Fees Housing Mitigation Fee Amount _... . Heart of the City Specific Plan Fee A oant _._......._ r • d r�il� (2c12 Mg • CITY OF CUPERTI CU CITY PERMIT APPLICATION NORM 040 3�a� Ah 'WPN# CJQ Date: 2_ 7_ Buildin Address: Mailin Address (if different from building address): a C, Ann &J O ner's Name: Phone#: carr e Cy6B ) -12>3 - as 8 Contractor: 0 License#: res 1. vm)2v-av- � d e 5 �-7 a19 Cont 4 .Tq,y Phone: C{ %g cj-M-41da3 Cupertino Business License#: tv�A 19k Fax: 408- 7 5-W43 Building Permit Info: C.pRS uCi�� VICRftkv- S�� rO Qom/ � t� Bldg ❑ Elect ❑ Plumb ❑ Mech ❑ lob Description: Residential X Commercial ❑ Sq.Ft. Floor Area: q.Ft.: Cost ofProiect: Occupancy Group: Type of Construction: f` t Please check this box if the project is a Q AC.K C-0, second-story addition: ro'ect Size: Standard ❑ Larg Major ❑ Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> 100K to 500K Btu MECHANICAL BB,QILER3, 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-Resi/Mobile 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 I of 3 CITY OF CUPFRT� cuPE�wo PT APPLICATION FORM 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 MIXTURE 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 InstalVAlter 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 BREMAHU-1AN 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> l 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 Heat in MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL 2 of 3 CRY OF CUPERTINO CUPEyo, PERMIT APPLICATION FORM QuantityFee 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 BREMYENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECUL Special Inspection BUILDING BSVTIM 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 Foe sq foot PLUMBING PLLONGRNGC Planning LR Comme/Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING ZADDCHG Address Chane BUILDING • 3 of 3 CITY OF CUPERTINO pes' "'. ^ BUILDING DIVISION PERMITkCON3T„12ACT,Q,'12 T1VF12MA'TI01V BUILDING ADDRESS: PERMIT NO. 22486 LINDA ANN CT I` R'S NAME: PERMIT ISSUE DATE BARRY BARNETT 03/20/2006 PHONE: SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BO ELECT PLUMS MFCH O 30o LICENSED CONTRACTOR'S DECLARATION IbDescri tion 1 hemby affirm Nal l am lueosoP ed under provisions or Chapter 9(commencing with Section 7000)ofDlvWon 3 of to BualnevaM Nofesslom,Coca.send my license is in full fora and effect. 8 FT FENCE ALON REAR AND SIDE PROPERTY LINE :�? License Clm o.a 3 Dau Contractor Gem EC ARCHITECTS use DECLARATION � Y ��D I understand my pita shall a used as public recmds 5�U p�3 Licensed Professional APR /'0- 2006 . OWNER-BUILDER DECLARATION I 1 arehy.(Sous I am contort(ruse the GOaloRwr'm Liana Law for the O O following aeon.(Section on FD 1.5, r,Business;and improve, de Professions Cole:My city or aunty $7000 $ which requires•permit re consumer,alar,improve,h permit t fi repair any structure,omen, pdormia Issuance.Alan ayulra the applicant for wets permit to Ole uigneJ mtsumem < that k Is licensed pursuant In the provisions of the ConarausWe'l[Jecom Low(Chapter 9Sq.Ft.Floor Valuation IlsF{zCO (commencing with Section 7800)of Division 3 of the Business and Profaaions Coca)at a$ But he is eatm9t Morehead and the buts far the alleged commission.My violation of Section 7031.5 by any applicant for a permit wbjeces the applicant to a civil penally of um er Occupancy Type not moa tun five hundred dollen(5500). ❑L as owner of the property.Or my employees with wages u thebwle compereadon, will do the work,and the structure is notinunded oronered forsau(Sec.7044,Busircas and Profnsiosu Code:Ta Conuacmh Lkxme law does trot apply in an owner of Required Inspections pm perry who huilds or Improves Ihemon,and who doa such work himalf or through his own employmes,Provided that such Improvements as not intended uroRered fm sale.If, however,Ne building or Improvement is veld within one year of complmtien,the owner. builder will have the burden of proving that he did not build or intercom for purpose of sale.). 0 1.as owner of the property,em exclusively,contacting with licensed conuacmn ro coatmet the prOma(Sec.7044,Business and Professions Cade:)The Contwwr's Li. cove law does not apply in an owner of properly who builds or improves thereon.and, who contracts for such pmjecm adds a conuastor(s)licensed per umnt In tic Contractees License law. ❑tom Plunder5ac, Bk P C for thus muni Dau WORKERM ENSATIONDEC RATION 1 hereby affirm under ty of perjury,oro of the following declamtiotu: ❑1 have and will moinuin a Corollate of earn to ulf-inre far Worker's Cempem mien,as provided for by Section 3700 of the labor Cod0.for Ila performance of the woh for which this permit Is issued. ❑1 ham and will maintain Worheri Compensation Insurance,a required by Schon 3700 of the labor Code,far the performance of the work for which this panni,is issued. My Worker's Compensation Insurena artier and Policy number'im: Carrim Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thu seelen need not be completed If the permit Is foram hundred dollars(5100) or Ica) I anify,that in the parfohmanee of the over for which this Permit u issud.I mall not employanypmrwnpa nnerwuw ewbjectt yft)Anrrss'Compcesat n Laws of California.Doli APPlinnl NOTICE TO APPLICANT:IL afar mak g u Ccnifiau o Exemption,you should become subject in the Workeri Campem Ion provisions of the Labor Code,you must OZ foMwith comply with such provtsious Or this Permit Nall a darned naked. ry CONSTRUCTION LENDING AGENCY [-h I areby affirm Jos thea u a conation lending agency fords per...of CL ws Me work for which this permit or iuucd(Sec.3097.Civ.C.) WQ Lettuces Name � M Lender's Address U0 1 certify teal 1 am read Nim application and Main that the about infosnum.u (L F torten.I agree to comply with all city and county ordinances and save Iowa m sling la �O building construction,and hereby authorize represenatims of this city w mun,.Pnn lbe [r'7 move-mentioned pmpeny for inspection purposes fY (We)agree to ave,indemnify and keep harmless the City of Cupcnino against „w W Ilabillta,judgmenu,cora and espotua which may in any way name agalust said City t„) in eoMequenem of the granting of this permit. A LICANT UNDER DS AND WILL MPLY WITH ALL NON-POINT Issued by: Date SE REQu TI S �rU� Re-roofs fie_--- Signuure of App c VCmntrwbr Dau AZARDOUS MATERIALS DISCLOSURE Type of Roof Will tea fit a fuuebuilding occupant tom or handle hundous material as dented by the Cupertino Municipal Code,Chapter 9.12.and the Health and Safety m.Section 255324)T All roofs shall be inspected nor to an roofing material beim Installed. Oyu ON.- P P Y S g Will Me applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emu Im.oh ut air conuminanu u defined by the Bay Area Air Quality ManLIAMICOt all new materials for inspection. D"'n" ❑Yes ON. I am read to hamsrdoua muesid,requirc rents under Chapter 6.95 of the Califee- -I."cath&5.1myCedle,SoNuu 25".25533 and 25534.1 undermrd Jut ifthe buiwing J vel curmmly h tenant,that It I. nsdolity u ratify tic oceupwl of the berm,Is whim m ametpriorwi O of Occu cy. C) Signature of Applicant Date Dwnaroraataim da t Das All roof coverings to be Class"B"or better