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S 2741 (2) .PPLICANTTO-FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY CITY OF CUPERTINtO BUILDING-ELECTRICAL, PERMIT NO. BUILDING DIVISION APPLICATION/PERMIT PLUMBING-MECHANICAL. Q �� /� BUH,DINGTRDJELTIDENT'IE CATION S 4} . BUILDING ADDRESS � �� / � � SANITARY NO.' APPLIC'AIION SUl3MITl'AL UATk OWNER'S PHONE: CONTRACTORo)'S NAME: LIC N NIC CONTROLM ARC "/ENGINEER: , LIC NO. ADDRESS: ❑ JIS� CONTACT: PHONE BUILDING PERMIT INFO ❑ City...Itant Fees Paid by Applicant(Initial) HIAO EIECT PLUMB MUCH LICENSE TRIC MIT„ FEE CONTRACTOR S DECLARATION QTY ELECPCR 1 hereby.fl rm 0 t 1 d a 1 p r soapier 9 m�mme g -. JOB DESCRIPTION A0'Z th Seri on]Wfq ofD i Oh N : nfe,w sG�daand acyls :e� TIAL 40, to "'dime std eflem PERMIT ISSUANCE �W U t" PEI ITL ❑KITCHEN REMODEL UU License Cl. L .tl APPLIANCES-RESIDENTIAL tiGa Dam Gn, t ADDITION ❑PLUMBING RE PIPE ARCHITECTS DECLA []MULTI-UNIT El STRUCTURAL Z 000 Z l underxrnd my plans shall[Sailed c,puhlie res.do PANELS -'� MODIFICATION p__4_0 UP'10200 AMPS m ❑INTERIOR El CHIMNEY REPAIR F r3 W L"criedP f i - 201 Iron AMPSIMPROVHMhNT OWNER BUILDER DECLARAI ION E]SWIMMING POOLS I hereby affinan M1 he,1 a.e.ampo firm the C t t License Law for the OVER 1000AMP5 11 11 ❑BATH REMODELREPAIR ❑DEMOLTI'ION yG d folln y ,(Section 70315 it .'.dr,cold Ponfiovul,ns Code:Any oil, etury SIGNS ELECTRICAL I�� 2 7 [_1 OTHER W W W y which acquires a permit to construct,alley,improve,demolish.or reps any s recture prior to its issuance,also resryires the applicant for such permit it)Ilea signedehteanent SPECIALCIRCUI'r/MI' N6 That heis licensed pursuant to the pmvieionxofthe Contractor's Licence Law(Chopeor9 ^^qO lCommencius with Semion]OIXO ofDivision3nfiho Buvinevs and Pmfmsions GWe)or TF,MRME'IfiRORPO COMMERCIAL, that he is exempt therefmm and the basis for the alleged exemption.Any Anlslien of _ ❑NEW BLDG/ADDITION ❑DEMOLITION Section 7031.5 by any applicantfor a pennit,abject,the applicant in a civil penalkyof POWERD - rn mom Than five hundred dollarx($500). IMPROVEMENT El IMPROVEMENT [IFOOD SERVICE- 5dO pi,as owner of the propetty,orgy employees ploys with wages as their sole cunderemier, SWIMMING PI]OI C ' F will da the work ane,hesourumis no,itvendedornlfercdrorslle(See.9(W4,Business ❑0'i'Hh:R mand Profeseio ov Code:The Contractors License Law does not apply to an owner of OUTLETS-SWITCHES-FIXR S© property who builds or impmvev parram,and who does such work himself or through his own employees,pmvideA that such improvements are not intended or offeree far NEW RESIDENTIAL EITCTR ,alto.If,hnwever.the hadda,ei,mpmvement issold within one yearofeonnplwieu,the SQ,FT.FLOOR AREA $/SQ.Ff p rcesbulWer will have the burden of proving that he did not build m improve for pus- �� —7 Q c"f solder 1,an owe"of the Property,am exchneively entertain,with lustreed commmors to TOTAL: nmwetthe project(See-9044,Business and Profession,Codd:)no Contrarnr's Ll- - c rte Law does nm upply to Ire owner of pmnimtComment's who builds or improves themo",and QTY. UM GPERMIT, PEE / / who contracts for such projsu with a coor(s)licensed pursuant to the Coneast's 'moi/ License Lew. PtlRMI .S A CP, ❑ lamexemp mbeltrSec ,B&P C for this rsson Game, Date ALTER-DRAIN F -WATER(EA) /, Ir VALVA N WORKERS COMPENSATION DECLARA'T'ION HACK PLOWP fGCT I.r�T ' ' Ih by ff underpity fpel Y Ith followingdd afmc: ❑1have d 'll maintains Certificate of Consentt Ifineu f W kis Compen- DRAINS-FLOOR,RU RDA,Cl ST LIES PE CONS'fROCT'ION sato Provided is by S i 3700 of Labor Code,flame rebounded cc of the �� 01hwhichth;p as , d. d FIXTORES-PER'1'RAP 1 have and will ode,fmaintain he dor louse of ev Insurance,as required by Section 3Mnnt the Lahr Code,for the pedinmmnce nllhe work lbs which th spermit is issued. CAS-GA.SYSTEM-I INC,40UTLE'1'S. - Occ.GROUP APN My it lFal, Center e, F.�RTIFI O F.MPr 10N FROM WORKERS'. CAS-EA.SYSTEM-OVERA(EA) TF{f�{{°WW�t" 3 COMPF:NSAHON INSURANCE ORF.ASFAINDUSTRL WASTE INTF;RCEP'i'Uk A' eBUIL (Thr i std tlsa i ,yl�� jn{n d W ISslh Jl t �IT/�cJ$. , wo GREASETRAP T or le ) P.A C CK PEC I rtfyd t'nd pert nth f t SEWER-SANITARY-STORM EA.200 FT. a.,employ y p don' any so as I b me sabjecno the Worker,Compen- - E Y FEE /l y J2,0 7. soden Laws of califnmis.Date 7�7 WATER HHA'fEk WNENT/ELPATR Appiiemt ) GING FEE r7 h NOTICE TO APPLICAN'1.IC after making ihic Cer ificae ol'Exemption,you should WATER SYST'EM/fRFATING F^ become subject to the Worker's Compensation provision,of the Labor Castle,you must SO S PEE tiforthwith comply with such pmvisiom or this permit shall be deemed revoked.' WATER SERVICE CONSTRUC iso ITONnclima NGAGPNCV NEW R[iSIUENTiAI.PLMB. SQ,Ff. PAID U 0 I herebywhich spine them is. ad len ding ngen yfor the performance of - Date RscipiW L>J the work for which this permit is isxued(Sea J09],Cie CJ - 0 Leaders Name - TOTAL: cerhy Lender's Address - TOTAL. d - I NfYthat I have loadllc pan f estatethat the b - 1 l -, . .. FrV rn care lcii , ply re II D e ,y a' a Ft law,ache gar QTV. MEGHANICAlIPERMIT - FeE• q Uzs building' salt nmuy f ehpoetenprepresentatives of nymenmropen the SEISMIC PEE f7, ,�- ahnvo-mc e)a area to save findemecnlon keep ha PERMIT ISSUANCE �l (We)agree to save,ineenmify and keep hannles.the City of Cu against ELECT d liabilities,judgments,costs and expenses which may in any way Name against said City gLTGR OR AUD TO MGCH. crmw aeons of the granting of this permit. PLUM IN P -APPLII4 T UNDERSTANDS AND WILL COMPLY WITH ALL ON-P INT AIR HANDLING UNIT(TO 10,000CPM) SO C EGULAT Nsi - - MECHA ALFGP. AIR I IAN DLING UNIT(OVER 10,0do CFM) CONT Of ION Milton modufApplicall Dole EXHAUST HOOD(WTUCT) HOUSI MI'fIGAT10N FEE s HAZARDOUS MATERIALS DISCLOSURE Wdldw...]an..,or Lorre Neldiu,se,ipumslore or handle hazardous mWen.l HEATING UNI T'(TO 100,000 BTU) as defined by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety Code,Speller 25532(.)° HEATING UNIT(OVER 100,000 BTU) - oYcx PAID VENTILATION FAN(SINGLE RP.SID) Dan, - ReceiptIf Will the ali-oaam orur building mcuptnay Anvo use Air Sit cnament BOILER-COME ODE OR 100,000 RTU) emit huwrdous air cnntnminanls as defined by,hc Bay Area Air Quality Mnnagemem _ DisOict f Z_FlbL: COBOILER-COMP(OVER 1110,0011 BTU) t LJ Yes �No I have read the hawrdoue n totals re Is under Ch.ror fi.95 of the CnlL AIR CONDITIONER. y""I a p ISSUANCE DAT E,dd Safey C"Ae,Ssdom 25505,25533 and 25534.1 and Is I that ifthe NEW RESIDENTIAI.SUCH. SQ,UP � 7not come lybavea s I a.t it is my rceonsibibtyt nifythe mcupvm h� use priers issuance ,,Face nuc Ow r amhoneed aril 6�)ate TOTAL'. ISSUED BY: OFFICE RUG. 5.1959 6;5Erl`I FiR?RIV I:RrIGtiS FOULM; N0.093 P.2/2 Brian KwWa Fook Enalneere • Surveyors • Planners • August 9, 1999 960069.50 Chuck Schoenberger O'Brien Group 2001 W!ndward Way,Suite 200 San Mateo,CA 94404 Sebjeett Oak Valley-Poondatiun Verification Dear Chuck, On August 5, 1999 we performed a field survey,of the l=tltt of the foundation forms for th3 buildings being constructed on Lora 5.21,5.21 Samgo,5.22,and 5.23 of the Oak Valley project in Cupertino. The results of that survey clearly show that the location of the foundation forms are consistent end in confaenance with the design location of the buildings,as said locations are shown on the plans prepared by OUT firm. This letter is intended to provide you with the verification of those units per our survey. If there are any other questions concerning that location,please do not hesitate to call. Sincerely, t0 GAND SU Age!50 BRADLEYIL BIL60 MAN KANOAS FOULK * EXP.MIN 4 Bradley A. Bilbo P.L.S.6141 A No,6141 ProjectMenasor 9lFOPCAL�E�Q� Survey Department 640 Price Avenue • RoUtrod City,CA 84063 • (6501462-6300 . FAX(6631482.6399 • i ENGINEERING WEST INC. OBSERVATION CHART OAK VALLEY DEVELOPMENT CUPERTINO.CA, 000E 2 OF 4 4-211-2000oof I n 061c of a I N dn. 04 14 09 I /99 5 � 3 3.7.2000 5 2 BM 0921199 NIA 2.8-2000 2-18.2000 •7- 0921199 N/A 2 -2 2.18- 1010199 5 3 BM 04-29.99 07101199 082499 10101199 1011198 5 4 4C 2 _ 5 5 BA 21BONU5 04-29-89 06117199 0822/99 08122189 10/0 5 6 2A 3 1 04-2 /t 41 08/1 5 7 5C 21BONUS 2 0429.99 08/11199 09115199 599 1!99 09/24109 5 8 28 3 04119!88 0811198 09/09199 09/09189 3=1!99 5 3D 9 06 7199 09!03199 09%3199 09/20/99 5 10 BB 2/BONUS 0411999 0527189 0982999 082999 09 5 11 4C 3 - 0911599 5 12 8D 31BONUS 0401199 052199 082399 08/2399 0 399 5 13 3C 3IBDNUB 0410199 Ob12799 0SMS 9 00/8199 082999 5 14 2lBON 4 07102/99 08/2399 • 5 15 3A 318 )NUS 049199 05117/99 024.20 0811299 , 2 $ 16 2C 11 1 •23.99 3.2420 0 3.24.2 ,4 5 17 4A 11/0299 12.23.99 122-2000 ]-22-2000 4.1Z-2000 5 18 5D 11102199 12.15-99 3.8-2000 3.10.2000 5 19 BC 1110299 t -13.99 2.23-2000 2.25.2000 1-21-2000 4.8•2000 5 2D 3C 1110299 1210299 2-18.2000 2-182000 i- 02000 324200000 14. 000 S 21 fiB 08118/99 DET, GAR 0511899 092799 1-21-2000 1-221 d.11.0, 1' � 5 22 7C9 000 20 0 014, 5 23 1C 06/18 0901-14799 1?b-2000 117.2000 d.n.a. 1 21 000 24 A 2 5 25 5 28 - 1011199 27 1B 2 0510799 0812999 1010499 1010499 1011499 5 28 7B 2 05/0798 0812999 109799 10/1498 1011899 5 29 ID 2 05.10.99 0710999 1011899 101'1899 5 30 BM 5 31 BMR 10.27.99 ! 0512899 072899 10.22.99 10.22.99 11-0-99 H-540 A 3 059798 0711299 11102/98 10.29_98 A 3 7 0712399 119899 12. .99 12-1.99 2 12 -99 B 3/BONUS 052699 0712599 11.10.99 11-10.89 12.9.99 C 2 0812399 0712699 11.12.99 11-22-99 12.1499 E 2 082399 08112199 11-22-99 12.2.99 12.18 99 A 3 012 0811899 2.6-99 126.99 12•x1.96 C 2/BONUS 0710899 0811299 12.13-99 12-1399 p.1 5 41 3A 0710899 082399 1• - 0 0 ] 00 •(1)LOT BPLAN 2A6LOT 7PLAN 5C (4)A.B.'setDO=front DID NOT OBSERVE PIERS. (5)ch mneys • •(2)DBL SIDED SHEAR WALLS '(3)FLR.NAILING 1� V i GATE JOB NO. Consulting Engineers and Scientists o . PROJECT 425 ROLAND WAY OAKLAND, CA 94621 �P_ (510) 566-4001 LOCATION CONTRACT R OWNER r. 1 -rt, L k I 'S WEATHER TEMP. 'at AM Date r a It ',�' 'I(.'_ C:r I Cj I I G�� r1( ,, , „, -, °at PM PRESENT AT SITE Hours Charged To Project 1.( Nuclear Density Tests Field Task Number Concrete Cylinders THE FOLLOWING WAS NOTED: y r •!' `j t ''r I r" 'f' �r IT'r•J _ � r-(.�• ., , r, � , .- ..1., .. Iv -� r, L � LL ' l -1(N rlr r ' 1' 'Yl ` l-1 r . t-rf(' C i Ac I'sC r lfr` '-)c I ( lI —� IUCC. re , r 1- it , c�� � • i - l-1 r' ! 1 , r'�,�!' 1 i I �r-',�r I T l' t , r'1 (" F•r �j -I _ f��r I r I--' r�� ��' C' i' I� ( l//' /` t t i.r , f- I r. ,A% C`,�?• � r' L ,•; - i�lr 1 -r ^\ � I-i fi r `rn ! ivT l-C r' �' �' � , t. i I" I t l`•r)', t?I')r � --.L-'-.=1 -rr r i•-. � 1 (.I 1 i' `'L -, I i 1 n COPIES TO [FOEL�DD 5[DE 6 W�, � SIGNED ✓� AGENCY POST THIS CARD NEAR FRONT OF BUILDING r CITY OF CUPERTINO - - Peyp11T N0. ���� BUILDING DIVISION BUILDING PROJRCTIDt N' IF'ICA'I'10.. S BUILDINGADDRE'S: SANITARY NO ALI'ATIDNS IM�'AL DAH, OWNER'SNANIE. I PHONE: CONTRACTOR'S NAME: LIC NO. w NIC CCOONTROL#( ARCHITECTIENGINEER; LIC NO: ADDRESS: ❑ `/i / �'/ `�! r ..J BUILDING PERMIT INFO _ INSPECTIONS DATE INSPEC. ❑ Consultant fees Paid by Applicant(Initial) ELLE PLunlg M�1 FOUNDATION/PIERS/H.D.S. INSPECTION RECORD JOB DESCRIPTION UFER GROUND Gl, NOTE: ALL GRADING AND DRAINAGE PAD/SETBACK-CERT SHALL BE INSTALLED TO COMPLY WITH SFDWI. ❑KITCHEN REMODEL THE APPROVED PLANS AND CITY OF ❑ADDITION ❑PLUMBINGRE-PIPE YY �IGARAGE SLABS/PREGUNITE . INO STANDARDS. ❑MULTI-UNIT ❑STRUCTURAL MDDIFICIION POUR NO CONCRETE UNTIL ABOVE HAS BEEN.SIGNED TO ARRANGE INSPECTION ❑INTERIOR [I CHIMNEY REPAIR UNDF.RGROUND/SLAB CALL AFTERNOONS (1:00 PM - 4:30 PM) ❑IMPROVEMENT ❑SWIMMING POOLS BAl'H REMODEIJREPAIR (]DEMOLITION PLUMBING 777-3228 MONDAY TO FRIDAY 24 HOURS BE- ❑OTHER ELECTRICAL FORE REQUIRED INSPECTION. JOB ADDRESS AND PERMIT N ARE NEEDED WHEN PHONING. _ — DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED COMMERCIAL: PLUMBING ATTENTION CONTRACTORS: ❑NEW BLDG/ADDITION ❑DENIOLITION MECHANICAL NO PERSON(S)SHALL PERFORM WORK ON ❑TENANT ❑FOOD SERVICE THIS JOB SITE WITHOUT BEING IN COM- []OTHER IMPROVEMENT MRO EMElvr ELECTRICAL PLIANCE WITH WORKERS'COMPENSATION _ FRAMING VENTS INSURANCE REQUIREMENTS. INSULATION INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE INSP. PLACENO SUBFLOOR UNTILABOVE HAS BEEN SIGNED ROOF SHEATH/DIAPHRAM w _ PLUMBING acv TUBS&SHOWER PAN &0 (.I MECHANICAL — ELECTRICAL/POOL BOND _ FRAMING/STAIRS/E.EGRESS SULAT'IONNENTILATION «f 007 OVER NO WORK UNTIL ABOVE HAS BEEN SIGNED: — EXTERIAL SHEARMOLD D f90 _ INTERIOR SHEARMOLD DOWN SHEETWROCK/SHEETROCK SHEA EXTERIOR LATH/W-SCREED — SHOWER LATH NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED,. SCRATCH COAT C% 1? — SEWER/WATER — TEMPORARY APPROVALS `- OCCUPANCY ELECTRICAL GAS r s�t� y+g ,.p 'FINALS «7. E°T,'tr hl S.'taFw^M 7.`x.3�t5*'t7"S�7' 1"�i Gr Tl;jkwl*�� ^ / GAS TEST 1 GRADE FIRE HANDICAP ELECTRICAL PLUMBING — MECHANICAL ENERGY �i ISUAC FINAL ONLY CERTIFICATE OF OCCUPANCY �7 UILDING IMPORTANT: ISSUANCE D)T& '.OCCUPANC,Y"IDFBUIIsDINGISINOT;PERMITTE�D�t£�� PLEASE READ REVERSE SIDE BEFORE UNTILBUILDINGFINAU}ISjSIGB, BUILpING`- CALLING FOR FINAL INSPECTION!! .INSPECTOR:":+ �tir°>t��,�I�iE#4�ec�N stl v�dYt"i`;,�'':�•�?�.'.')(.>.S.S� I APPLICANT'S POSTING COPY 'BRZEN /GROUP Re Jim Riploy(SMTP;riploydg0pacbel6nalJ Monday, March 00, 1999 2;26 AM PATpuRKE OAK VALLEY y , CA Linear parkway planting, I within the Ilnoar park are consistent with the IOndsCapO ' n documents prepared by Ihis ofllce end rovlowod by the city 990 and,conform with the prollminery approval doumonta, ipley In Group, Inc, FINAL PLANNING SIGN OFF DATE SIGNATUREf� a Sl 00.SAN MATan, nALIFOANIA 944044473 TP,LOPIIONN(610)377.0300 FACSIAIILQ(610)3494447 1996 INSTALLATION CERTIFICATE (page 1 of 4) — CF-KR Site Address ermtt um er '•An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required;however,use of this form to provide the information is optional.) After completion of final inspection,a copy must be provided to the building department(upon request)and the building owner at occupancy,per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip. 0 of - Efficiency Duct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name Identical (AFUE,etc.)' Location Piping Load Capacity kcal um and Model umber Systems 2CF-IR value attic etc.) It-value Btuthr Btu/hr Cooling Equipment Equip. CEC Certified Compressor g of Efficiency Duct Cooling - Cooling Type(pkg. Unit Mfr Name and Identical (SEER ete.)t Location Duct Load Capacity •heat pump) C Model er Svstems RCF IR value l (attic etc) - R-value (Btuthr) — (Blu/hr) cI�GOGo �_ _JO SCeR_ 1. >_reads greater than or equal to. 1, the undersigned,verify that equipment listed above is: 1) is the actual equipment installed,2)equivalent to or more efficient than that specified in the certificate of compliance (Form CF-1R) submitted for compliance with the Energy Efficiency Standards for residential buildings,and 3)equipment that meets or exceeds the appropriate requirements for manufactured devices(from the Appliance Efficiency Regulations or Part.6),where applicable. • :3:7 f%/�luru i Jr-X719 'Signature,Date Installing Subcontractor(Co.Name) OR General Contractor(Co.Name)OR Owner WATER HEATING SYSTEMS• Distribution If Recir- 0 of Rated' Tank Etfi- External He CEC Certified Mfr Type(Std, culation, Identical Input(kW Volume eicncy' Standbys Insulation Type Name&Model Number Point-pr--Use) Control Type Systems or Btu/hr) (gallons) (EF,RE) Lou(a/o) R-value 2 For small gas storage(rated input of less than or equal to 75,000 Btulhr),electric resistance and heat pump water heaters,list Energy Factor. For large gas storage water heaters(rated input of greater than 75,000 Btulhr),list Recovery Efficiency,Standby Lou and Rated Input. For instantaneous gas water heaters,list Recovery Efficiency and Rated loput. - Faucets &Shower Heads: All faucets and showerheads installed are certified to the Commission,pursuant to Title 24,Part 6,Subchapter 2, Section 111. 1,the undersigned, verify that equipment listed above my signature: 1) is the actual equipment installed;2) is equivalent to or more efficient than that specified in the certificate of compliance (Form CF-IR)submitted for compliance with the Energy Efficiency Standards for residential buildings;and 3)the equipment meets or exceeds the appropriate requirements for manufactured devices(from the Appliance Efficiency Regulations or Part 6),where applicable. Signature, Date Installing Subcontractor(Co.Name)OR • General Contractor(Co.Name)OR Owner COPY TO: Building Department e Building Owner at Occupancy RPVIaPr1 March 1. 1996 FWum CW46;J1 I'lu. L'111351dSUV Ilpv,. 11 uWWU UV:1 1V NV Commercial Roof Management San Jose, Inc. . Re.side•ntial RoofSystem Inspection Report Project: Oak Valley Homes Inspection Date: 4/6/00 Address: 11009 Sycamore Dtjy&City. Cupertino_ State: CA Client: The O'Brien Group Contact: Pat Burke/Den Roofing Contractor: Rid-Out Roofing CRM Inspector: Charles Thomas Lot Number: 6-23 Typo of Inepootlon: Folt_ Final X Type of Roof: Shlingle Tile X Other_ Underrayment: OK Sh1 Metal Flashing: OK Gutters: OK Skylights: _Qj� Attachments: QJS Vents & Pipes: OK Valleys: QL( Ridges: OK Eaves: OK Comments/Observations; All flashings are in and are tight. Gutters and downspouts are in and appear acceptable. Overall this roof is a nice, professional tile Installation, no deficiencies were noted at time of this inspection. co; Rid-Out Roofing • COAST Insulation Contractors, Inc. INSULATION CERTIFICATION 1086 N. 11th St. • San Jose, CA 95112 This is to certify that insulation has been installed in conformance with the current energy regulations, California Administrative Code, Title 24, State of"California, the building located at: SITE ADDRESS: LX3+ cwz VCLJ�J.,,r i FLOORS: 11 _ Manufacturer OWENS CORNING/MV Thickness/Type lY I4- R-Value I G EXTERIOR WALLS: Manufacturer OWENS CORNING/MV Thickness/Type '3'k) R-Value CEILINGS: 2 BATTS: Manufacturer OWENS CORNING/MV Thickness/Type CHP, lila R-Value I–(] 1 BLOWN: Manufacturer OWENS CORNING Thickness/Type a R-Value 3D Weight/Bag 35 Sq. Ft. Covered (0o, # Bags Used 2g AIR INFILTRATION SEALANT INSTALLED: STALLED�:� YES NO ❑ tt GENERAL CONTRACTOR O, LJItj19 Q AMAC- LICENSE # • BY: TITLE — DATE COAST INSULATION CONTRACTORS, INC. (� LICENSE # - BY: I� IJ 11 v,n TITLE: _ pp� DATE: 3 O •