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EFFECTIVE DATE: June 12,2017 BUILDING PERMIT QUESTIONNAIRE This questionnaire is being sent to you to be completed and returned to the Planning Division when you file for a building permit for your recently approved project Its purpose is to ensure that your plans are checked in a timely manner and that the project Is built according to the approved plans. We appreciate your cooperation. If you have any questions,please call the Planning Division. 1. Applicant's Name,and Address: Joe Cravotta,H.I.P. Renovations 1059 Lambaren Avenue, Livermore, CA 94551 2. Project Address/Location: 3552 Yellowstone Court, Pleasanton,CA 94566 3. Description of project for which a permit is being requested: To convert an existing unconditioned loft into an approximately 740-square-foot second-story and to extend the existing roof height from 20 feet to 25 feet at the existing residence located at 3552 Yellowstone Court. 4. The building project for which this permit is being requested has been approved by the: Planning Division Planning Commission _City Council 5. Planning Division Project Number P17-0372 8. Do you certify that the plans being submitted for issuance of building permits conform in every respect to the approved plans and to all conditions of approval required by the above bodies? Yes No 7. If the answer to Question No. 6 is "No", please list every item on the submitted building permit plans which differs from the approved plans or conditions of approval. Use the reverse side or attach additional sheets if necessary. All changes to the approved plans should be douded with delta numbers(A). I hereby attest that the above is true and correct. I understand that failure to correctly answer these questions may result in a delay of issuance of building permits and that if changes are discovered after the permit is issued, I am responsible for revising the project to conform to the plans approved by the City boards and/or commissions. Date Signature and Title Phone Number