SR 05:320 - Laserfiche WebLink

. . BIDLDlNG PERMIT QUESTIONNAIRE This questionnaire is being sent to you to be completed and returned to !he Plannin2 DeDartment 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 lhe approved plans. We appreciate your cooperation. If you have any questions, please caU !he Planning Department. 1. Applicanr's Name, and Address: Terry Townsend 147 Old Bernal A venue, Suite #6, Pleasanton, yA 94566 2. Project AddressILocation: 5210 Clubhouse Drive, Pleasanton, CA 94566 3. Description of project for which a pennit is being requested: to constrUct an approximately 6,754-square-foot two-story cl!stom home with an attached I,623-square-foot garage 4, The building project for which this permit is being requested bas been approved by the: 2L Planning Department _ Planning Conumssion _ City Council 5, Planning Department Project Numbers PDR-482 6. Do you certify that the plans beiDg submitted for issuance of building permits conform in every respect to the approved plans aDd to aU cODditions of approval required by the Ilbove bodies? _Yes _No 7. If !he answer to Question No.6 is "No", please list every item on the submined building permit plans which differs from the approved plans or conditions of approval. Use the reverse side or attach additional sheets if necessary. AU changes to the approved plans should be clouded with delta numbersO. I hereby anest that !he above is true and correct, I understand that failure to correctly answer these questions may result in a delay of issuance of building pennits and !hat 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 conumssions. Date Signature and Title Phone Number