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03030155 (2) CITY OF CUPERTINO '' BUILDING DIVISION PERMIT CONTRACTORINRMAT70N BUILDING ADDRESS: MARVIN DAVIS CONSTRUCTION PERMIT NO, ERSNAME: CZTJX PERMIT ISS A ' 1450KOLLCIRCLE . .d; - - SANITARY 0 OLNO. (408) 975-0200, ARCHITECT/ENGINEER: - - BUILDING PERMIT INFO -; BLDG ELECT PLUMB MECH �oo LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm lost I em licensed under provlslons of Chapter 9(commencing Job Description 2 with Section 7000)of on 3 ofthe BusinGsyld Pfareasma dk.'.andIBy I1G'geC is .. << to full force rad dl ✓ 1 'LI �V\ LlteveCIW x.g I WATER DAMAGE REPAIRS FUNA OED_ De¢ '1 . RCHRECrS DEC 1 untlemend my plan shell he used u pul{lic rtcnNa JUN ^' 2003 OJ4 _ - 5O Licensed Imicnional Oat lam exILDERempt DECLARATION , Eaf I maxo .filo Ion I L eBusin from Na Gmntsnel9!'a e:A License Law for the _ BUILDING yp O following moss.(Section RBCS,Business and are,do nns Code:Any city of county e _ w$in which requires a Permit m rnvwct,elmA Improve,do permit t or repair any structure - to 21= prior m its Issuance,rm requires rhe spions Or rousuchthe COn pe lmel Lidc uLaw(chapter t-0 that wit pursuant m Om Provisions M the Contrumra Ltcevclaw(Chade)m Sq.F[. FloorArea $1 f,V�1F��.lOn th(commencingumpt cmfm 7")of bags f r the the Fluflegad exem pt Proon.n y vi Cade)of that io LL 31.5 b Ianrtfmm and the per for be ns the exemption.to Any violation of sGOrn7ml.sbyarryappnwnars(SM abkeuthe.ppnunTto.nmlpeanty°f 30]YtA6T�F00 Occupancy Type ' not more Nan Ties hundred tlol4n(g500k ❑I,as own.of the property,Or my employes with wages as their,ale camanatis. will Clothe work and theswcture is an,intended or offered for uto(Sm.7W.BuaiTax 101 - FOUND! p and Professisa Code:The Contractor's Liam Law does not apply m an owner of _ Old Inspections promaywho bulldsmimprovestherean,and who dauuch work himselforNmugh his _ 102 — PIERS own employees,provided thnsech improvements arc not intended oraRered foraele.If. lO3 — UFER however,the building or ImprovemenNaold within one year of completion,the owner. builder will Mw the burden of Proving that he did not build or improve for purpose of 1 O 4 . - REBAR micl. , [3 1,as owner of the property,am exclusively..reacting with licensed cmnlncton to 105 — ANCHOR BOLTS construct the pmjut(Sec.7 W,Business and Profession Code:)The Comm ants Lb 106 '— ' SEWER & 'WATER cense Law does not apply to an awnar of property who builds or improves Nereon,atl, 2O2 UNDERFLOOR, PLUMBING, who contracts for such projects went a eontracmr(s)licensed pununtto the Contactors L ❑Ison exempt under Be, B6:PCfor this 203' - UNDERFLOOR MECHANICAL m n . 204 - UNDERFLOOR FRAME er WORKER'S COMPENSATION DECLARATION - 205 — UNDERFLOOR INSULATION Ibemby afRnn under Mostly of Perjury am of the farming declarathow 301 ROUGH PLUMBING J have and will matatin a Cenificam of Camem to dr-Insure forWorkers COmpem 302 — TUB & OR SHOWER anion,as provided for by Section 3700 of the Labor Code.for the performance of the 3 0 3 ROUGH MECHANICAL work for which thio permit is issued. ❑1 have and will maintain Worker's Compensation Insurance,as mqulred by Section _ 304 -- ROUGH ELECTRICAL ' 3700ofthe Labor Code.for the performance of the work fes which this permit is issued. 305. — FRAME My Worked �tPynsatio Insu artier d Policy nu s� er'pt o 3 0 6 - HOEDOWNS . C r CERTIFICATE OFEKI�OMWOAKERS' 307 - INSULATION COMPENSATIONINSURANCE 308 - SHEETROCK orl.s,Mix section need not he completed E the permit Is fre one hundred dollars(SIM) '309 — EXTERIOR LATH 1 certify that in the'p.fnrmance of the work for which thin permit LL issued,l shall not 310 - INTERIOR LATH employ any arson in any maoerm as m become abject to Theworken•Compensdon 311 — SCRATCH, GOAT Laws of California.Data Appllcanl 313 - ROOF NAIL NOTICE TO APPLICANT:If.after making this CcnlOcam of Exemption,you should became subject to The Worker's Compensation provisions of the Labor Code,you must 501 — FINAL ELECTRICAL ENERGY x, forthwith comply with such pmvlsinns per this permit shall be dcemetl mwked. po 502 .= FINAL PLUMBING.. ENERGY CONSTRUCTION LENDING AGENCY 503 - FINAL' 'MECHANI CAL ENERGY 1 lucchyaRs that them is a Constantino lending agency for the perf.mamx of a > the work for which this permit LLissued(sec.3097,CIv.C.) 504 - FINAL BUILDING ENERGY il6 Lentler'sName 505 FINAL ELECTRICAL _ U Z UndoesAddmss 506 - GAS TEST (J Q 1 ttAfy o c I paw recd this city and application and dina that the stow information Is lyFcormaiamelacomplywith yautyadcaumynMnamenndatsRtswarup.te 507 - FINAL PLUMBING building construction,pro and hereby authorize p mpmaenmiw of this city to rnmr ups the �U abuve-memioned property for inspection purpnea FI&&NW(G CAL ' y (We)agree to an,indemnify utl keep harmless the City of Cuanina agabul 0 9 FI in IlabilitiG,judgmcnTs,canaand expenas hichmay inanyway accmcagainalsaid Cily 5 U 7 In consequence of the granting of shit arm444APPLICAN UNDERSTANOs AN L COMPLY WITH Ai N N-yO1NT Issued by 5 ORKS Date SOU ULATIONS. �j1 ' Signwm ppl 'ENL V=s.. Dne Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupant nom or handle hvallous matodn as defined by the CuaNno Municipal Code,Cltspter 9.12.and the Health and Safety ode.Section 255724)? ❑Yes All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building Occupant am equipment or devl=which If a roof is installed without first obtaining an inspection,I agree to remove v IT hevaNnn air contaminants a dcrined by the Bay Area Air Quality Management all new materials for inspection. .isuid7 ❑Yes . I have mad the hvardss materials requirements under Chapter 6.95 of the Califor. nix Health&SefctyCWe.Sections 253!1 37 and 25534.1 a ucanard that if the oulldmg { d.a mol cumcmiy haw s mnam,th it responsibility to amity tie oc upant of the myul swhichmustbem. a6.anccofecertificate oroccupy 5ignatureofApplicant Date wnerunw omaJsgcm um2 - ' All roof coverings to be Class mBm Or better CITY OF CUPERTINO BUILDING vtsloN PERMIT6 3 ' TOO R INX O ATIO BUILDING ADDRESS: MARVIN DAVIS CONSTRUCTION " PERMITNO. 13 WESTSHORE GT OWNER'S NAME: 1450 KOLL CIRCLE PERMIT LlfttAP SANITARY 0 GL NO. (408) 975-0200 ARCHITECLyENGINEER: BUMDINO PERMIT INFO BLDG ELECT PLUMB 'MECH �Oa LICENSED CONTRACTOR'S DECLARATION O O O ffc Ihereby affirmNallsmllmmet!under provisions ofChapter 9(commencing Job Description Y wilh Secd.O701fi cif ylon 7o(Na Busincu ofe'Ins otic,and iBy llcpotc la a in full farce n ettec 'L(.1 'z uanwcw cab.« WATER DAMAG REPAIRS D.m rbn 9 RCHr1EC1'S DEC 1 esstsnd my plans shall he used u Pu Ic rtcords J i$ LicensedProfessionaf JUN 2 3 2003 OWNER-BUILDER DECLARATION L nate .Rion Inn 1 1. exempt from thC Ceolon;r'a License Law for the m o which re rens a mit t 7031.5,Business and PwRssimm Code:Any city or county ante B ' $ Whkn wyYlfG.e.als reesthe construct.eller,klpwsu hKnol t or repair ed struummunt pdorml4iensedp pursuant wqo the thovigo so for each Knoll Rka dgnedsukmcnt ti<< them Hees licenced PSationlolhe Pf DWisof the Comrwmr'a Limme Law(s Capmr9 Sq.Ft.Floor Area ��•• a1y'q'�(ion (commencing with Satiram and of bowls n r the thC Business and on.Any brdim or Y l s�'a`v`v .. that he 4 exempt tannfrom and the burs for bj cts the cxcmptioa Any it Knron of Beton titan n any Applicant dant fon pelt subjects the applicant m a NWI pemlly of ' not mom than nw nnndrea ammo(soo), 3 0 0 Occupancy Type ❑1.u owns ar Ne propmy,or my employees with wage u their wk rompenladon, will A.NewodS and NeaWCI°m Is net LlkndederoRLmd forsale(Sec.7 M,Bushmen 101 — FOUND p Nd PwfeWnla Code:The CorwacwrY Limn%Law data not apply to an Owren of Ord Inspections propertywho builds arlmprawa therbnn,and whodoessuch workhimselfor lluoughhla 102 - PIERS own employees,provided that uch improvements arCnot Intended aroeered forsale.It, 103 — UFER however,Ne building or improvement(aaold within one year of completion,the owner. WNu will have the harms or proving that he did not Wild a Improve for purpose of 104 - — REBAR ❑t�as mama of tie property.am exelMively mnuwdng with licensed mnusclon he 105 - ANCHOR BOLTS tonswn the project film 7044,Business and Professions;Calle;)The Cmuacmh U. 106 — SEWER & WATER mnla Law does not apply to in manor of prepeny who Wilds or Improves thereon.rod, who contracts for such pmjem with aeongutm(s)Iicermed pursuant to the Conuanoe. 202 - UNDERFLOOR PLUMBING License Law. 203 - UNDERFLOOR MECHANICAL ❑Lam exempt under Sec, ,B kPCfm this moon Owner Dale 204 - UNDERFLOOR FRAME WORKERS COMPENSATIONDECLARATIDN 205 - UNDERFLOOR INSULATION Ihereby allow underpenalty ofKduryamofthe following denantl°ts 301 - ROUGH PLUMBING aeand will mnmwnacrone;morconsent towwasu forwarkeezCamnm 302 - TUB & OR SHOWER un hemisiluucdeLaWrcm,rm the pe mmonmmrdmio ,amitIsiel. 303 - ROUGH MECHANICAL ❑I haw and will maintain Worker's ComieuaJon Insurance,as required by Seton 304 - ROUGH ELECTRICAL 7700 arlhe Labar Codb.rar me l:errammmmrme work rarwnl<n mi.pewtit Blaavea 305 — FRAME My Worker's oIt Ido Int Homer d Policy nu ' a 9 5 306 - HOLDOWNS ceRTIPICA7R OP PxPdd PRom woaKERs - 307 — INSULATION co noNINsuR,wcs 308 — SHEETROCK mlest(ITlssmlm reed nmlMcamplOmpoemed if thepall4raonChundred dollen(SIM) 309 - EXTERIOR LATH I'M*hast in thPperfannanm or the work for which this pall Is Issued.I shall am 310 INTERIOR LATH pmpl°y any person In any manger an u te bmmme subject he theworken'Cowpmuaon 311 — SCRATCH COAT Laws of California.Date Applicant 313 - ROOF NAIL NOTICE TO APPLICANT.If,after making this Cenincate of Exemption,you should yccome subject to the Worker's Compensation pcovlgom of the Labor Code.you must 501 — FINAL ELECTRICAL ENERGY .J"a eSnhwith comply with such provisions or this permit shall m deemed revalued. 502 — FINAL PLUMBING ENERGY n CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY akforwh.mtmthuemmisammSm.3Mniv,C.)eoymrtirtpnfnm.meor 504 - FINAL BUILDING ENERGY > caicesNownknw,pelmhi.inmd(sm.w97.cn.c.) W^q Lender'sNamc 505 - FINAL ELECTRICAL Dender'aAddees 506 - GAS TEST U0 1 cetfy that 1 haw read this application and eon that the above information Is ty F correct.l agree m comply with all city and county ordinances and rete laws retailer,In 507 - FINAL PLUMBING p V building construction.and hereby authorize nCPmsentniwa°f this city to Cuba upon the FIN - MEC CAL W eWw-mendoned property for insiecdon purposes. py (We)agree m saw.Indemnify and kap harmless the City of Cupertino against 0 9 F I mi Uin Ilabilides,judgmen,costs and Cxpemes which may in anyway accrue against laid City Z Incansequenceorthegnrmngmfihispermt 5 NG APPLICA UNDERSTANDS AN COMPLY WITH ALL NON"pppppplN7 issued by:5 C WORKS Date SOU UI.AnONS. �r / Sgnnurt pphcanUConlnnm V;—?/ Ca /�/C'Dow Re-roofs HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the appncanl a future building amupanl mare.,handle havedous material as dcaned by the Cupertino Municipal Code,Chapter 9.12,and the Hca th and Safety Code,Section 25532(a)? ❑Yes All roofs shall be inspected prior to any roofing material being installed. I{Il1u Will the applinntor fu7wre\building Wcurynl uoequipment ordavlma which If a roof is installed without first obtaining an inspection,I agree to remove c'rardous air ronlaminsnts u defined by the Bay Arta Air Quality Management all new materials for inspection. 0Yes P%-- I haw read the hazardous material.nfoiwmenu under Chapter 6.95 of the Califor. nit Hcelthlk SalctyCode,Sadom 25X1 77 and 25534.1 undmann l thatif the Wilding daa not eternally have a mnam th t t maponshdily m ant ry the occupant Of Ne re I lwhichmug bemet Is3u.m.faceeincakofOccup. Signature of Applicant Date weer or authorizella em Dow. All roof coverings to be Class°B°Or better ;r agm, •CITY OF CUPERTINO p 5'S CUPEI�TINO PERMIT APPLICATION FORM 3o APN# � �j Date: Building Address: \k b Cl V✓ • Sko re -� . Owner's Name: P one#: O 3 O �¢ Contractor: �n ar License#:ajV0 t q CO Contact: ' Cupertino Business License#: Building Permit Info: -Bldg Elect Plumb. Mech Job Description: Residential Commercial ❑ Sq.Ft. Floor Area: $/Sq-Ft.: Cost ofProjeen3, Q O Occupancy oup: Type of Construction: r s Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILER1 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—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 BMITIGATC Comm. Housing Mit:Fee BUILDING 1of3 /Yd 70 /J it CMY OF CUPERTIN0 CUPEI�TINO PERMIT APPLICATION.FORM . uantity Fee ID Fee Description Fee Grou BMITIGATR Res. Housin Mit Fee BUILDING BMNEWMULTI New Multi-Famil Res MECHANICAL BMNEWSF&2F New Sf&2F Res Bld s MECHANICAL BNEWMULTI MultifamilyRes ELECTRICAL BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BNUMULTI New Multifamil Res PLUMBING BNUSFD New Single Famil Res BUILDING BOVERTIME Ins ection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cess ool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pbl Fixture PLUMBING BPGAS Gas Pi in S stem Fee PLUMBING BPINTERCEP Ind Waste Interc for PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Re eat Fee BUILDING BPREPIPE Renine Of Fixtures PLUMBING BPSEWAGE Sewa a Dis osal PLUMBING BPSEWER Sewers PLUMBING BPSPRIN{ Lawn S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Tra PLUMBING BP NT Alt of Drain&Vent PLUMBING BPWATER Install/Alter Water Pi e PLUMBING BPWHEATER Water HeaterNent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinsvection Fee BUILDING BREMACOVER A/C Unit> 10,000 cfrn MECHANICAL BREMAIRHAN A/C Units<= 10,000 cfm MECHANICAL BREMAPPLI AvvIiance Install MECHANICAL BREMBUSWAY Remodel Buswa s . ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMF URN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMN9 P Rem Non-Res Appliance ELECTRICAL BREN20LE Pole/Platform Fixtiire ELECTRICAL 2of3 I e • CITY OF CUPERTA CUP TYOFFiNo . PERMIT APPLICATION FORM uant' Fee ID Fee Description Fee Group BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch& Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res A liance ELECTRICAL 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 1 BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM 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 Pec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Numbing Permit Issuance PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ZADDCHG I Address Chane BUILDING i I j 3 of 3 .r� 03/26/2003 08:58 4083651.280 ALLSTATE C IVEpV PAGE 03 ALLSTATE INSURANCE C01, ANY q NORTMRN CALIFORNIA CLAIMS OFF1t 1025 RIDGE ROSEVILLE,VILLE,CAA 95678 -17 ' !'bone: Fax: �sm Number. 6592%2838 kv Number, Insured: POA YIUCOA PROP MGMT D I� '' (V/ Address: P,O.BOX 3865 LOS ALTOS,CA944402224 Phone � � T Pena W � B aercoe{aia �Jt �OPD 2003 Loss Date: 02/27/03 Insoect Date: 01/27/03 Adiuster, CYNTHIA !VERY Phone Number: 18003264143 Price Area/Database: 94024 / Marshall&Swifl ......... ......... ......... . .......I ........................ .............. ............ ...................... . ................ . .......... . .......... Building Repair Estimate Claim Number: 65 %2838 e m Mm. Charms Insured: PC A YIUCOA PROP MGMT ^=Exemot from Overhead.Profit,or Taxes # Overrides WasteAvolied Parte I ......... ..... tdts�' OR ��yq�RD,. Operation Descrt0tion l rQualjfkv/U" `A Cost a, ReoUC st Dery ACV/Loss ............. {AF11�iur.f�.,� :� lakrkr BEDROOM ll1 lase X{'at a +- o� all X M4,��2_.�M�-1JLJ 5FW-4atj9 SPtr�los,00 WATER• sPSW�'faJd. S . J ♦ ^�ra�Iti,S't,OPadnar 9.53 FLOORING AGE TO DRYWALL AND,' � -p.)�y--and sp cdlcau0ne >sh s� t all htnes and it e o e Ravleca (HD)DRYWALL WALL, 1/2".TA�'P�EdD �Pt192:98 SFWaO$es Or lap., ln 108.79 0.00 108.79 Soecfel (HD)TEXTURE WALI.(S) �'ewc�t t';4 185.96'SFWtell pettn0:38R t� 104.14 0.00 104.14 Specid PAINT TEXTUREDWALIS ye'!�Le,�µ405y19SSFW,y 01 CUVOWP' 251.22 0.00 251.22 Sandal MASK TRIM pg pii i ( 78.521 Ian and` ( f�� 60.46 0.00 60.46 • Paint DOOR FRAME,INT•HARDWOO,I?IOtpf 36.92 LFd t0 permit 0'.§90 a0 36.55 0.00 36.53 includes closet and entry door frame e tyy`c' Replace DOOR FRAME,HJT,NARDW00Q�a{prdV31 01992. ��t8o0r 5ta11y67330.47 0.00 230.47 Rern/R6set DOOR ONLY.TNT,<PANEL Jr _ (`,Itypf}"� 74.51 37,26 0.00 37.26 allowance for resetting only Rem/Rost DOOR BIPASS,MIRROR 6% 1.00 EA 116.89 114.89 0.00 114.89 allowance for resetting 2 bipass closet doors Replace (HD)INSULATION,WALL.BATT.6" 33.24 SFW 0.62 20.61 0,00 20.61 Repinre (HD)BASE,HARDWOOD.GENERAL 45.84 LFW 2.67 122.39 0.00 122.39 Smciel STAIN&VARNISH TRIM 45.84 LFW 1.08 49.51 0.00 49.51 Rdn/Rcset BLINDS.MINI 1,00 EA 39.03 39.03 0.00 39.03 Smial CARPENTERS WORK 100 HR 54.15 54,15 0.00 54.15 allowance for installing closet organizers Interior BEDROOM N2 u,06 X lass X 1.00 + oJja 7,06 X L50 SPC=127.3 SFW=JJJ.76 SF/,W-*XOP SPSWw84.6I SFR-51LIJ Pw*w -said opwokas- FASS WATER DAMAGE TO DRYWALL AND FLOORING Reolacc (HD)DRYWALL WALL. 1/2"•TAPED 108.32 SFW 1.17 126.73 0.00 126.73 Spacial (HD)TEXTURE WALLIS) 216.64 SFW 0.56 121.32 0.00 121.32 993 ADP-CSG Unit Cost Estimate 03/23/03 11:22:34 PM 03/26/2003 08:58 4083611;1280 ALLSTATE C IVEPY PAGE 04 ........................................................ ........................... .....,... ...... Building Repair Estimate Claim Number: 65 2962838 •-Min. Charge Snared: PC A YTUCOA PROP MGMT ^=Exempt from Overhead,Profit,or Taxes k=Overrides Page 2 Wast.Applied Operation Description Ouantity/Unit Unit/Cost Reol/C st Door ACVloss ................................................................... ..................... ... . ............... ............ .. . ....... . ........... ..... .......... Soecial PAINT TEXTURED WALLS 450.17 SFW 0.62 279.11 0.00 279.11 Special MASK TRIM 101.68 LFW 0.77 78.29 0.00 78.29 Paint DOOR FRAME,INT.HARDWOOD 36.92 LF 0.99 36.55 0.00 36.55 includes closet and entry door frame R.Dlaeo DOOR FRAME.INT.HARDWOOD 19.92 LF 11.57 230.47 0.00 230,47 Raw'Reset DOOR ONLY,TNT,4 PANEL 1.00 EA 74.51 74.51 0.00 74.51 allowance includes unwrapping and resetting door Rcm/Rwcset DOOR BIPASS.MIRROR.6' 2.00 EA 114.89 229.78 0.00 229.78 allowance for unwrapping and resetting 2 bipass closet doors Reolate (HD)INSULATION.WALL,BATT,6" 50.73 SFW 0.62 31.45 0,00 31.45 Replete (HD)BASE,HARDWOOD,GENERAL 45.16 LFW 2.67 120.58 0.00 120.58 Special STAIN&VARNISH TRIM 45.16 LFW 1,08 48.77 0.00 48.77 Rem/Reset BLINDS,MIM 1.00 EA 39.03 39.03 0.00 39.03 Special CARPEMER'S WORK 1.00 HR 54.15 54.15 _0.00 54.15 allowance for installing closet organizers (� Interior HALLWAY BATHROOM 9.00 X a00 X 8.00 SFV-41.06 L�sPW-224.00 SPL 72.00 SF3"40.(V SFR- 269.00 Pdauw-2&00 source room-damage to drywall,flooring s Replace (HD)UNDERLAYMENT,PARTICLE,I/ 31.25 SFF 1.50 46.88 0.00 46.88 Rcplace (HD)VINYL SHT FLOORING..09".E7i 5,00 SYF 29.79 148.95 0 QO 148.95 Replace (HD)BASE,COLONIAL,3 112" 28.00 LFW 3.13 r n 87.64 special STAIN TRIM 28.00 LFW 0,54 � rl2�7 1�. 1.� �0, 15.12 • Replace (HD)DRYWALL ROOM, 1/20,TAPED 134.22 SFR 1.26 169.12 0.00 D 169.12 includes allowance for mortar board behind ceramic the n�I Rauove TEXTURE WALUS) 224.00 SFW 0.78 l�g.7��'R �+ 7 2000 174.72 » Roolaw (HD)CERAMIC WALLS.THIN SET,4' 58.98 SFW 20.00 1 179.60 0.00 79,60 per established local price for labor and material By ___ Special PAINT TEXTURED WALLS 142.16 SFW 0.62 . 4 _ - 0.00 88.14 'Ztwlaro DOOR FRAME,INT,HARDWOOD 1.00 LF 1157 11.57 0.00 11.57 --Paint DOOR FRAME.ENT.HARDWOOD 1,00 LF 0.99 0.99 0.00 0.99 Rem/Reset TOILET.TANK TYPE.FLR MTD 1.00 EA 125.30 125.30 0.00 125.30 Rem/Reaet VANITY,24-30"W,2 DR,NO TOP 1.00 EA 88.86 88.86 0.00 88.86 RenvReset SINK BATHROOM.COUNTERTOP 1.00 EA 111.53 111.53 0.00 111.53 RcwRc3ct DOOR ONLY.INT,4 PANEL 1.00 EA 74.51 74.51 0.00 74.51 RemRteaet SHOWER DOOR,GLASS.SLIDING 1.00 EA 109.04 109,04 0.00 109.04 allowance includes labor to unwrap and reset toilet, countertop,door and shower door R®IReset MIRROR,VANIT'Y,18"X24" 1.00 EA 20.40 20.40 0.00 20.40 Interior UPSTAIRS HALL 10.17 X 3.00 X 8.00 + %Ofil 3.09 X 2,92 SPC=39.50 'VFW=97.48 VFL0,-91J6 SP37W24K SPR-IM911 Ma-aro-32.10 OPAbgs 150.06 WATER DAMAGE TO DRYWALL AND FLOORING Replace (HD)DRYWALL WALL. 1/2".TAPED 21.16 SFW 1.17 24.76 0.00 24.76 Special (HD)TEXTURE WALL(S) 42.32 SFW 0.56 23.70 0.00 23.70 Special PAINT TEXTURED WALLS 97.48 SFW 0.62 60.44 0.00 60,44 SDC601 MASK TRIM 32.18 LFW 0.77 24.78 0.00 24.78 Somal PAINT TEXTURED CEILING 49.41 SFC 0.76 37.55 0.00 37.55 •O 1993 app-CSO Unit Cost Estimate 0323/03 11:22:34 PM 03/26/2003 08:58 40836F1280 ALLSTATE C IVEPV PAGE 05 ............. .. ...........-..................I ............................ ...........-...................... .. ......... .I.......... .......I ....... Building Repair Estimate Claim Number: 6502962838 Min.Charge Insured: PC A YIUCOA PROP MGMT Exempt from Overheatt.Profit,or Taxes Overrides Paste 3 Waste A pvIied Operation Description Quantity/Unit unit/cost Repl/C st Door ACV/Loss ..........I...... ............ ..... ..............I .. .............. . ........... I....... includes labor and material for ball and land' ceiling" Paint DOOR FRAME,INT,HARDWOOD, 1.00 LF 0.99 0.99 0.00 0.99 includes close and entry door Game Replace DOOR FRAME INT.HARDWOOD, 11.57 11.57 0.00 11.57 R=/Reset DOOR ONLY.INT.4 PANEL 1.00 EA 74.51 74.51 0100 74.51 allowance for resetting only Reffl%w DOOR.BiPASS.MIRROR,6' 100 EA 114.99 114.89 0.00 114,89 allowance for resetting 2 bipam closet doors Revisce (MMINSULATION.WALL.BATT.6" 97.48 SFW 0.62 60.44 0.00 60L44 ReDIme (HD)BASE.HARDWOOD,GENERAL 32.18 LFW 2.67 05.92 0.00 95.92 Special STAIN&VARNISH TRIM 32.1$ LFW 1.09 34.75 0.00 34,75 Ron/Reset BLINDS,MINI 1.00 EA 39.03 39.03 0.00 39.03 Special CARPENTER'S WORK 1.00 HR 54.15 34.15 0.00 54.15 allowance for installing closet organizers interior MASTER BED RALL13ATH aOO X 0.00 X AM SM-0.00 S'. IJA-6 00 SFS*�9.90�'J P.,-0-00 WATER DAMAGE TO DRYWALL AND uo L FLOORING,MEASUREMENTS ON ACTUAL SQUARE FOOT OF DAMAGED/EFFECTED WALLS Replace (HD)DRYWALL WALL.It2l.TAPED 19.66 SFW 1.17 23,00 0.00 23.00 • Spacial (HP)TEXTUM WALL(S) 39,32 SFW 0.56 2202 0.00 22.02 Special PAINT TEXTURED WALLS 229.92 SFW 0.62 142.55 0.00 142.55 Special MASK TRIM 74.76 LFW 0.77 --00' 57.57 ReOl"O (HD)BASE.HARDWOOD.GENERAL 20.25 LFW 2.67 06 54,07 Special STAIN&VARNISH TRIM 20.25 LFW �4,67 1.08 2'a7 -(10 21.87 Kemliteset MIRROR VANITY,36*X 48' 1.00 EA 2471 '24,71 2 14.7 1 1 0 24.71 Special CARPENTER'S WORK , ."f allowance for installing closet organizers 1.00 Hit $4"69 �54 69 R 2 7 21ij $4.69 Replace DOOR FRAMF,INT,HARDWOOD 1.00 LF 11.48 BI 1.48--0,90 11.48 Point DOOR FRAME,TNT,HARDWOOD 1.00 LF 1.01 1.01 0.00 1.01 R=/Rad' DOOR ONLY,INT,4 PANEL 1.00 EA 75.01 75.01 0.00 75,01 allowance includes unwrapping and resetting door Interior GARAGE W-91 X U75 X ZA00 Or-411.0V Srw-6i&tv 80tio-219.10 SFYRw18740 spit-1,65764 pobruser-81.34 openhws-'rwis water damage to walls and ceilings- drywall removed during abatement. Replace (HD)DRYWALL ROOM.1/2" 1.057.64 SFR 0.65 687.47 0.00 687.47 Special SKIM COAT.DRYWALL/PLASTER 1 1.057.64 SFR 1.22 1.290.32 0.00 1.290,32 Special PRIME&PAINTROOM 1.057.64 SFR 0.60 634.38 0.00 634.38 Replace DOOR ONLY,EXT.WOOD,FLUSH 1.00 EA 9444 194.44 0.00 194.44 98 Replace (iD)NSULATION.CEA. 411.00 SFC .99 402.78 0.00 402.79 RADIACC (11D)INSULATION.WALL 219.00 SFW 0.67 146.73 0.00 146,73 includes insulation for interior wall only Interior 00 Unit Cost Estimate 1993 ADP-CSG 03/23/03 11:22:34 PM ' 03/26/2003 08:58 4083651-280 ALLSTATE C IVEPY PAGE 06 Building Repair Estimate Claim Number: 6 2962838 '=Min.Charge Insured: A YIUCOA PROP MGMT ^-Exempt from Overhead.Profit,or Taxes #e Overrides Waste Applied Page 4 . . ........................ . ............................................ ....................... . . . ODptation Description Ouentity/Unit ... Unit/Cost ReoYC st Dear ACV/Loss .... LAUNDRY ROOM ............... . ...... !,1! X 4.50.11 X s00 SFC=l7Jd SFWr1S0.71 SFL 16.00 SFSW-5 R00 SFR- WATER DAMAGE TO DRYWALL 1AND arbnxu 14.36'•6S.28 FLOORING Special (HD)TEXTURE CEILING 37.38 SFC 0.89 33.27 0.00 33.27 Replace (HD)DRYWALLCEILING.12",TAPE 37,38 SFC 1.26 47.10 0.00 47,10 Replace MO)DRYWALL WALL 12".TAPED 130.72 SFW 1.17 152,94 0.00 152.94 Special (HD)TEXTURE WALL(S) 130.72 SFW 0.56 7320 0.00 73.20 Special PAINT TEXTURED CEILING 37.38 SFC 0.76 28.41 0.00 28.41 Special PAINT TEXTURED WALLS 130.72 SFW 0.62 81.05 0.00 81.05 Replace DOOR FRAME.INT,HARDWOOD 2.00 LF 11.57 23.14 0.00 23.14 Replace DOOR ONLY,INT,4 PANEL 1.00 EA 148.29 148.29 0.00 148.29 Replace (KD)INSULATION,WALL BATT.6" 130.72 SFW 0.62 81.05 0.00 81.05 Replace (HD)BASE,HARDWOOD.GENERAL 21.50 LFW 2.67 57.41 0.00 57,41 Special STA &VARNISH TRIM 21.50 LPW 1.08 23.22 0.00 23.22 M /<"Ftenlaco B)MD)UNDERLAYMENTYARTICLEJ/ 37.38 SFF 1.50 56.07 0.00 56.07 ' pricelfor labor and material per established market price Rem/Resat WASHER ELECTRIC PF 1.00 EA 48.52 org � p048.52 Ram/Reeet PRYER CLOTHES.ELECTRIC 1.00 EA 65.83 0.10 J 65.83 includes labor to unwrap and reset a liances Replace (HD)CEILING FIXTURE,GOOD 1.00 EA 108,41 108.41 0.00 108.41 Spacial CUT&FIT BIFOLD DOOR 2.00 EA 68.37 136.74 0.00 136.74 Replace DOOR FRAME.INT.HARDWOOD 19.64 LF 11.48 225.47 0.00 225.47 Paint DOOR FRAME.INT,HARDWOOD 19.64 LF 1.01 19.84 0.00 19.84 Oterior 1 1 HALL CLOSET 1 108 X .2.25 X d,00 SFC.693 VFW-"" SFLHP ,64 SFSW-18.00 SFR- 7Lar water damage to wails and ceiling lbiaae -JSL66 opndkg.-20.46 Special (HD)TEXTURE CEILING 6,93 SFC 0.89 6.17- � 0'00''� 6.17 Replace (HD)DRYWALL CEILING. 12".TAPE 6.93 SFC 1.26 �A.7?� IS 10 OO�C D 8.73 Replace (HD)DRYWALL WALL, 12",TAPED 64.88 SFW 1,17 73.91 0.00 75.91 Special (HD)TEXTURE WALLS) 64.88 SFW 0.56 �i.33 0 0�0l 36.33 Special PAINT TEXTURED CEILING 6.93 SFC 0.76 527 1 R 2 7 i0 00 5.27 Special PAINT TEXTURED WALLS 64,88 SFW 0.62 40.23 0.00 40.23 6 Replace (HD)UNDERLAYNofENT,PARTICLE,I/ 6.93 SFR 1,50 E19.39_ 0.00--- 10.39 price for labor and material per established market price Rem/RwA BASE.HARDWOOD,GENERAL 7,66 LFW 2.35 18.00 0.00 18.00 Special STAIN&VARNISH TRIM 7.66 LFW 1.08 8.27 0.00 8.27 Interior HALL 3.17 X 1.56 X 800 SFC-11.10 SFW-5.64 SFLt1r I FJ6 SFS14e2a00 SPR= 14.74 Poanew ISN! Opwdnp-163.08 water damage to walls and ceiling and vinyl flooring Special (HD)TEXTURE CEILING 11.10 SFC 0.89 9.88 0,00 9.88 Replace (HD)DRYWALL CEILING, 12",TAPE IL 10 SFC 1,26 13.99 0.00 13.99 Replace (HD)pRYWALL WALL 12",TAPED 3.64 SFW 1.17 4,26 0.00 4.26 Special tHD)TEXTURE WALLS) 3.64 SFW 0.56 2.04 0.00 2.04 Special PAINT TEXTURED CEILING 11.10 SFC 0.76 8.44 0.00 6.44 Special PAINT TEXTURED WALLS 3.64 SFW 0.62 2.26 0.00 2,26 Replace (HD)UNDERLAYMENTYARTICLEI/ 11.09 SPF 1,50 16,64 0.00 16.64 1993 ADP-CSG Unit Cost Estimate 0323/03 11:22:34 PM 03/26/2003 08:58 40836=1280 ALLSTATE C IVEPv PAGE 07 .......... .........I....... ..... .... ..........I........... .....I........-............... I....I . ........... Building Repair Estimate Claim Number: 6502962839 Min.Charge Exempt from Overhead P.roft or Taxes Insured: POA YIUCOA1 PROP MGMT Overrides Waste Applied page . .. ..... ....... ...... .............................. ................. -.......................................... . ... ..... 33 33................................3..33... 3. . .... ......Ov"io.n Description Quantity/Unit Unit/Cost Repl/C st Dcor ACV/Loss . ......... .......-......... .......... ........... Price for labor and material per established market price ..........333............... ........... ROMI(esd BASE.HARDWOOD.GENERAL 2.00 LFW 2.35 4.70 0.00 4.70 Somal STAIN&VARNISH TRIM 2.00 LFW 1.08 2.16 0.00 2.16 Interior BATHROOM 6J3 X A42 X 8.00 + ape 192 X Zj3 SFC=jA 79 S)rw.209.J4 spZW.,ra64 SFWV-JSJ6 SFR-2461! PP*MW-2&17 Any flooring removed during abatement 0 Replace (HD)UNDEPLAYMENT.PAP.TICLE,I/ 34.78 SFF 1.50 52.17 0.00 52.17 price for labor and material per established market price Rem/Reset BASE HARDWOOD,GENERAL 21.23 LFW 2.35 49.94 0.00 49.94 Special STAIN&VARNISH TRIM 21.25 LFW 1.08 22.95 0.00 22.95 RamMeset TOILET.TANK TYPE.FLR MTD 1.00 EA 124.40 124,40 0.00 124.40 Interior KITCHEN/DINETTE 22.75 X re.Jo X 600 VM.2j6" SFW-j32.00 SP 18100 SFSW8400 SFR-77484 Pa*nssar-6ase VINYL FLOORING COVERING CONTINOUS FROM DAMAGED AREA Replace (HD)LINDERLAYMENT.PARTICLE.I/ 238,88 SFF35-8.32 Ron/Itcael REFRIGERATOR, 12 CF.V GOOD 1.00 EA [(0), j63.87 price for labor and material per established market price •LIVIInterior 26,01 X JCX I offm 900 X 9,03 SFC-49734 SFW-814.61 SFLW- NG ROCIMIDINING ROOM �&: 260.80 py.04i!,0 SPR "$1.15 water damage to walls and carpetlpad. IfX perimne,0103.16 0,PMLW-j7,L" Replace (RD)DRYWALL WALL.1/2",TAPED 32.66 SFW 1.17 38,21 0.00 3811 Special (HD)TEXTURE WALL(S) 65.32 SFW 0.56 36.58 000 36.58 Special PAINT TEXTURED WALLS - 1,085.77 SFW 0.62 673.19 0.00 673.18 • Ran/Reser REGISTER.HEAT I.DO EA 26.70 26,70 0.00 26.70 .Special INSTALUDISMAN SCAFFOLDING 1.00 Sc 133.56 153.56 0.00 153.56 IAR 2 7 2003 By_ Unit Cost Estimate 1993 ADP-CSG 03/23/03 11:22:34 PM