08020029 CITY
iJF CUPERTINO
BUILDING DIkrIS10N PERMIT C�1VTRAGTQR INFORM TION
PERMIT N0.
emLD�r �DR IN WAY AAA FURNACE a AIR 08020029
BR's NAME: PERWUE DATE
DAVMIT IS BARBARA J 1712 STONE AVE 02/05/2008
PHONE: SANITARY NO. CONTROL NO.
(408),293-4717
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG
f� I� MUMS
MECH
t�
�oa LICENSED CONTRACTOR'S DECLARATION Job Descriptionrd I Mreby afi rm Nn 1 am licensed under pmvigona of Chapter 9(commencing
zl with Section 7")cu'Diviuo,3oftheBugwsand NofeviomCode.and mylicense is REPLC FURNACE 100, OOOBTU & ADD A/C 3 1/2 TON
in rmlt router and a �� e
�5= acen60.r Lk.g26
Comrutor
'l L�
A CHRHCTS OEC A N G
IunderLanJ my place submit Mused upublic records
ynor Licensed Pmresurnel
7 OWNER-BUII.OBfr DECLARATION
S<9 1 hereby alllm that 11. exempt from the Cssion a License Law for the
p O following mason.(Section]construct,
taiws and wet,de nor Cade:Any city or rouure
i$ which requires;•permit re requires
dac gest improve,d Permit. rile
repair ed awetum
z S^ prig m its issuance,alw requites um applicant the
he Con permit m Blr a signedstatement
< that heislk,wit pwwtsmmum m(Diuons of thea Buxcas lumtt�Law osimusupmr9 Sq.Ft.Floor Area Valuation
(commencing with Maredomn and the
later
r o(the a ed!ex m t on.My d Cndc)of $7011
3 that io 7 exempt N applicator
and or..perm fa the cts Me exemption.Any it penalty
of
noNomWLSby airyreddonam(S5 permit subjects the applkanuoadvilpwlty of Number Occupancy e
nm mom than Bw hundred dellen({3001. 35921020 .E p YTYP
❑1,u owner of the property,or my employes with wage u utero sok canpewtion,
willdo the work.and the a"or..Is not Intended or offered fmfam(Sec.70N,Bssuwe Required Inspections
and Psofnaiaa Cade:The Conuecmfs License Law des not apply m an owner of q p
Property,who builds urimprom Nemon,sed whodoessuch work himselfor through his .
own employes,prom ed Nal such improwmants see not intended oroffereC forale.If.
lamewd,Ne building ortmpmsemmt is sold within on your of completion,the owner. ,
builder will baw the Movies of proving that he did tet bum or impmwr for Purpose of -
amJ.
❑I.as owner of the property am achniwly contracting with BCeaW contractors to
coamem the projem(Sec.70m,Business and Prefaxuoa Cade:)The CauacmYs W-
eeae law des not apply to m owner of property who Milds sur improve thereon,and
who concocts for such projects with a conwcmr(s)licensed Pursuant he the Contractors
Lkmue Law.
❑lamaemplunder Sea ,B&PCfor Nismawn
wDate
WORKERS COMPENSATION DECORATION
1 hereby air=under penalty of perjury aro of No following deewaduns:
0 IhawaMwillmaintainaCr flmeufCowntmself-iwmfaworkce,Compete
aurora,as provided for by section 37M of the lata Code,for the performance of the
work for which this permit is issued.
I hove and will maimgn Wortrs's Compevation Insurance,u required by Section
ll00 of Ne lata Code,for the performance of use weft for which Nu permit is Woad. '
My Workee,Compensation lnsurw carrier and Policy number am: ,-
Carrier. `fn Yr n.A O/ Policy No.: I'd_0
C TF I G ON FRA ERS
COMPENSATION
INSURANCE
(This section need not M completed if the permit Isferone hundred doers($1011)
or leu.)
1 certify that in the performance of de work for which this Permit W lased.I shall not
employ anypetan in any mannerse as to become subject o the Workers'Compewtion
Laws of csiromia.Dam
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject to tie workers Compensation provisions of Ne labor Code,you most
wJ 0 foldwith comply with ash pmviuoa or Nu Permit ba M"conedrewked.
z M CONSTRUCTION LENDING ACENCY
[ti I hereby sfOm that Nem is a construction lending agency for the Performance of
I: the wart for which Ws Permit is Wood(Sec. Civ.Q
W Lenders Name
az Lenders Address -
U O 1 Certify Nu I have rad this applieurion and thus thur the allow isuormadun W
L.E comm I•art to comply with all city and county oNmes inuand awe laws moving m '
C) Wilding construction,and herebyanth011M mpfasentstiws of Nis City m enter upon the
fi7 ahow-Wouaad property,for inspection purposes
li (We)agree m sew,indemnify and keep hamlets the City of Cupertino against
liabilities,judgments,case and eapeaa which may In any'w'ay accrual suggest said City
t.) in consequence of the granting of this lcmiL /+^
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date J
SOU CEREGULATIONS.
7K
-D3 Re-roofs
ur
Signum of AppianVC.. r Dam
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will ate applicant or forum Milting occupant mm or handle lus ardous material '
defined by the Cupertino Municipal Code.Chapter 9.11.and the Health and Safety
ScerieV55324)?[3 YG All roofs shall be inspected prior to any roofing material being installed.
a
If a roof is installed without first obtaining an inspection,I agree to remove
Will the applicant or(lure Wilding occupari on equipment or dcictes which
emit h letdnus air contaminants as unlined by the Bay Area Air Quality Management all new materials for inspection.
District?
0Yes TO
I hive mad Ne huamousconcert als requirements under Chapter 6.95 ofthe Califor.
ma HealthA Safety Code.Seeuan 155M,25533 and 2553/,l understand Nn if the building
des not commly,haw a rerun,vies it is my responsibility an setify the occupant of de
regal mentawhick blood mMet prior mWamaef.Certificate ofOceupce Signature of Applicant Date
L;wo-r or auNm7dAgent DateAll roof coverings to be Class"B"or better
ego, o
CITY OF CUPERTINO
, FURNACE/AC
CUPEki INO PERMIT APPLICATION FORM
"359
5 l � l �� � Date:
Building Address:
'2,(o D if Z--X
Owner's Name: Phone#:
no a Cr
Contractor: Phone#:
yob-oL 9J - y 71)
fl 1�0 AA yC�D9G N� Fax#:
_ Contractor License#: ..96F,f" Cupertino Business License#: Yo So
Contact: Phone #:
5/00p- .7 5?3 x/712
C, E a� Eye Fax #:
Building Permit Info:
Elect Plumb ❑ Mech
Residenhal,�A Commercial
Job Description: /
jPlkte 44(t /mooec 4TPa ,101WXle
For Resi ential Installations:
Attic 1" floor ❑ 2°d floor ❑
Adhere to minimum setback requirement
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning Approval Required ❑
Cost of Project: Type of Construction (Usage Class):
qD /l, D-P
Strapped On Platform ❑ Bonded New Location Replacement
® Valuation:
� DII,eP
Green Building: Must attach Green Building Check list to this application
CITY OF CUPERTINO
FURNACE/AC A
CUPER iNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1MCRAA Commercial-Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
—_ _installation_of_controls.regulated_by_this
code.
1MCREPALT Commercial for the repair of alt/add to M
ca heating appliance,refrigeration
unit,cooling unit,VAV boxes,
absorption unit or ea heathing, cooling
absorption,or evaporative cooling sys,
incl install of controls regulated by
this code.
1MCSUSHTR Commercial InstalI/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ca gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the instalUrelocate/ or M
replacement of ea appliance vent
installed & riot incl in an appliance
pen-nit,
IBSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
IMRSUSHTR Residential InstalI/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
IMRAPPVNT Residential for the install/relocate/ or M
replacement of ea appliance vent
install ¬ incl in an applpen-nit.
CITY OF CUPERTINO
• I w FURNACE/AC
CITY OF
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
FURNACE FURN/AC
1PGASRES Residential for ea gas piping system of P
1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1BSEISMICR Residential Seismic B
1MECPLNCK Mechanical Plan Check M
1MFR=<100 Furnace Syst r100k BTU install or M
relocate ea forced-air/gravity type
farnace/burner, incl.ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>100 Furnace Syst> 100k BTU install or M
relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee . E
I 1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= lOk CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Connnerical for ea gas piping System P
1-4 outlets
-IPGASRES -Residi;�ia1-for ea gas piping sys.em P— -
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BREMAIRHAN Residential A/C units <= l Ok CFM B
1MRRAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
1EPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Single Family GreenPoint Checklist date: _S rt,d Build It Gree'ri
The GreenPoinl Checklist is based on the various green features inDDrpommd into the home and is the Smart Solutions From The Ground Up
• basis for the GreenPoinl Rated program A home can be considered green ff it lu fills the prerequisites,
Hams ar lease 50 points,and masts the minimum conte per Build
It Green
Energy 31 d Indoor Air reerPyT I I
Health(�,Resources(6),and Water(g).PlHase contact Build It Green for a Ilst of qualified GmanPoinl
Raises P you are Interested In pursuing third-party verification.
The green bullding practices listed below are described In the New Home Construction Green Building
Guidelines,available at www.bulldrimean om.
ENTER PROJECT
• ! 4
MR a
Ad SIT&..
Points Available Per Measure
1.
P
roram I opsou and Minimize demotion of Existing Plank 6 T
❑ a Protect Topsoll from Emalon and Reuse after Construction 0 1 1
❑
b.Limit and Delineate Construction Footprint for Maximum Protenton 0 I 1
2 Deconstruct Induced of Demolishing Existing Buildings On Slk 0 3
3.Recycle Job Site Construction Wesk(Inducting Green West)
❑ a~Urn 50%Waste Dimincon by WaigM fRacyclmg or Reuse)-Required 0 R
❑ b.Minimum 55%Diversion by Weight(Recycling or Reuse) 0 — 2
❑ C.Minimum 30%Diversion by Weight(Recycling or Reuse) 0 �2 --'
4.Use Recycled Content Aggregate(Minimum 25%)
❑ a War"and Driveway 0
❑ b.Roadway Bess 0 1
Total Points Avaikbk in Site a 12 0
)B:FOUNDATION - - - - - Points Available Per Measure
1.Replace Portland Cement in Concrete with Recycled Flyash or Slog -
a.M-1i 20Y.Fryuh m Seg p
------
El b.Minimum ti%Flyash or See 0 1 I
2 Use Frost-Protected Shallow Foundation in Cold Areas(C.EC.Climate Zone 16) 0 3
❑ 3.Use Radon Reiddlim Construction on At-Risk Locations Only) 0 1
4.Design and Build Stmcturel Pest Controls
❑ a.Insist Termle Shields d Separate At Exferis Wood-lo-Concmk Connections by Meal or Plastic Fastanersamders 0
Id.All New Plank Have Tmnk,Base,or Stem Located At Least 36 Inches mom Foundation 0 0. 1
Total Points Available In Foundation=8 C
C.LANDSCAPING ' - `Po Available Per Measure
• 1.Construct Resource-Efficient Landsoepas
❑ a.No Invasive Spaces Listed by Ca 4PC Are pleased 0 1
❑ to.No Plerd Species Will Require Hedging 0 ---
1
❑ c.75%ol Plank Are Drought-tolamm California Natives,Mediterranean,or Other Appropriate Spades p �. � 'I
2 Use Rre-Sate Landscaping Techniques p
Ai U
S.Minimise Turf Arens in Landscape enrolled fry Bundler
❑ e.At Tud WO Have a Water Requirement Less than or Equal to Tet Fescue(SO.fi Plant faces) 0 / 2
❑ b.Tutl Shall Not Be Installed on Slopes Exceeding 10%or in Ames Less than 6 Feet Wide 0 2
❑ c.Tutl Is S33%of Landscaped Area(tool 2 points)
E]
E] d.Turf Is 510%of Landscaped Area(total4 points) --fir z
—/
IT 4.Plain shade Thea. 0 7
es o �I =i 3
S.Group Plank by Water Needs ydrozonin ) 0 �( ' 2
S.Install High-Efficiency Irrigation Systema
❑ a.System Uses Only Low-Flow DrID,Bubblers,or Lomfiow Sprinkles 0 2
❑ b.System Has Small Correction 0 3
T.Incorporte Two Inches of Compost In the Top 6 to 12 Inches of Soil 0 ( 3
1 Mulch AIL Planting Bods to the Greeter of 2Inches or Local Wader Ordinance Requirement 0 2
g.Use 50%Selvaged or Recycled-Contain Materials for 50%of Non-Plant Landscape Elements 0 1
LJ ID.Reduce Light Poll ullon by Shielding Flxturos andlor Directing Light Downward 0 S
Total Pointe Avellabls in Lantlsea In =31 0
D. STRUCTURAL FRAME @ 13UILDING ENVELOPE - - - ,- -_ _ . __ Points Available Per Measure
1.Apply Optimal Value Engineering
❑ a.Place Rafters and Studs al 24-Inch On Center Framing 0 S
❑ b.Size Door and Window Haddam for Load 0 1
❑ c.Use Only Jack and Cripple Studs Required for Load WN
Fy('D s 1
2 Use Engineered Lumber - U
❑ a Beams and Headers J<
❑
In,Insulated Engineered Header -p
❑ c.Wood..Disis or Web Trusses for Floors
❑ d.Wood I-Joists;for Rool Rafters p -- 1
❑ e.Engineered or Finger-Joined Studs for Vertical Applications
❑
I.Oriented Shend Board for Sub60or
❑ g.Oriented Stand Board for Wall and ROoI Sheathing 0
• 3.Use FSGCenified Wood
❑ a Dimensional Lumber,Studs and Timber Minimum 40% 0 2
❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% p 7
❑ c.Panel Products:Minimum 40% -
❑
J.Panel Products:Minimum 70% 0 1
02007 Build it Green Singla Family Grearri Checklist 2D07 Version Pace 1 of 4
ENTER
U
Solid Wolf Systeme(Includes SIP&.ICFs,A Any NomStak Forms Assembly)
❑ A.Floors 0 ! 24 2 1
El b.Wells D 2 2 '
❑ c.Rochea 2 1 2 i
S.Reduce Pollution Enal ing the Honor from the Geroge
❑ a.Tightly Seal the Air Bartle between Gmape and Wing Area 0 1
❑ b.Install Game Fxhoud Fen OR Build a Detached Garage 0 1
e.Dad n Energy Heels on Trusses %of Attic InsuhOon Haight at Outside Ede of Eva lar Wadi 0 1 ' 1 1
ff-7.Design Roof Trusses to Axommodde Ducal ' D 1
A Un R tledComent Steel Snide for 60%of Interim Wa0 Frani 0
a.Thermal Men Wells:ill Drywall on All Intend Wells or Wells Weighing more than 4D Iblcu.r. D 1 i
1 D.Install Overhangs and DuNro
❑ a MlnMum 7Flnch Overhangs and GuOaro 0 1 !
❑ b,M:.244:Ovemen and Gul ers 0 1 i
Tafel Point Available M Structural Building Fume and Envelops 3fi 0 .
Z.HICfHl FINISH Poinls.Avallebh Per Manume
1.Use Re tied-Doman) No Virgin Plastic or FSC-CeNfied Wood Decking - 0 2 ;
gloved a Rein Saran Well System 0 1 2
3.Use Durable and Noncombustible Siding Muselas D 1
1.select Fumble end Noncombustible Reding Modulate 0 ( i 2
Total Point Avaaable In Exterior Rnish.7 0
F.INSIILA.TION - - Points Avellable Per Manaum
1.Install Insulation win 75%Rui pled Content
❑ - a Wails India Flow D
—0—bull 0
2.Insall Insulation that is Low•Emlttng(CeNfied Section 01350)
❑ &WellsandlorFloors D 1 1
❑ b.CoRings 0 ! 1
3.in act Duality of Insulation Installation beton Applying Drywall 0 1 I
Total Palm Available In Insulation=5 0
O.PLUMBING - Pointe Avellable Par Measure
1.Distribute Domestic Hot Water Efficiently(Maximum 7 Point&),
❑ a.insulate Ha Wats Pipes from Water Hader to Kill 0
❑ b.insulate All HM Water Pilots 0 1
❑ C.Use Engineered Parallel Piping D __ 1
❑ d.Use Engineered Parallel Piping with Demand Ca,tmned Circulation Loop 01
❑" e.Use SMcared Plumbing with Demand Controlled Circulation Loop 0 _. 1 2
❑
I.Use Central Core Plumbing0 �—
❑ 2.Install OnlyHigh Efficiency Toilet(Dual-Rush or 5121 t) D 4
Total Point Available in Plumbing.Total 12 0
A.BEATING,VENTILNTIOIN'&AIR CONDITIONING Points Available Per Measure
1.Design and Install HVAC System to ACOA Manual J,D,and S Ruarnmendstions 0 q
2.Install Soled Combustion Units
❑ a.Fumaces 0 2 1
❑ b.Wale Hestans 0 r 2
3.Install Zoned,Hydropic Radiant Heating with Slab Edge Insulation 0 1 1
..Insall High Efnalescy Air Conditioning with Environmentelly Responslhle Rebigarente 0 '1 i
S.Design and Install EReNve Ductwork
❑ d Install HVAC Unit and Ductwork within Condnlonad Span 0 3
❑ b.Use Dud Mastic on All Dud Joint and Seams 0 1
❑ c.Install Ductwork under And Insulation(Buried Duct) 0
❑ d.Pressure Balance the Ductwork System 0 1
❑ e.Proud Ducie during Consbuman and Clean Aa Duds before Occupancy D i 1 _
B Install High Effidency HVAC Fill(MERV 5+) 0
❑ 7.Don't Install Rrephce or Install Sealed Gas Fireplaces with Efficiency Rating Nol Less Then 60% 0 I 1
using CSA Standards
A Instah Effective Eduust Systems in Bathroom and IGtchsns
❑ &.Install ENERGY STAR Bathuom Fane Vented to the Outside 0 i 1
❑ b.As Bathroom Fens Are on Timer as Humidistal 0 T� 1
❑ c.Install Klthan Range Hood Vented to the Outside 0 1
B.Install Mechanical Ventilator,System for Cooling(Maximum 4 Points)
❑ a Install ENERGY STAR Calling Fans A Light KU in Wince Ames A Bedrooms D 1
❑ b,Insall Whole House Fen with Variable Speeds 0
❑ c,Automatically Controlled Integrated System 0
❑ d.Automatically Controlled Integrated System Win Variable Speed Control 0 1 3
10,Insall Mechanical Fresh Air Ventilation System(Maximum 3 Points)
❑ a Arty Whole House VentOellon System Thd Meet ASHRAE 622 0 1— 2 ii---;—
❑ b.install Ar.*Ac Heel Fxchan a that meats ASHRAE 622 0 _1_:. L 1
LJ 11.Insall Carbon Monoxide Alarm(s) D 1
Total Pointe Available In Holding,Ventilation and An Conditioning.3D D
L/
® CITY OF CUPERTINO
6 ITEMS OF' 6 PERMIT RECEIPT OPERATOR: patg
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 35921020. 00
DATE ISSUED. . . . . . . : 02/05/2008
RECEIPT #. . . . . . . . . : BS000003857
REFERENCE ID # . . . : 08020029
SITE ADDRESS . . . . . : 7608 ERIN WAY
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : DAVIS BARBARA J
ADDRESS . . . . . . . . . . : 7608 ERIN WY
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-4343
RECEIVED FROM . . . . : JIM RANDO
CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050
COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING
ADDRESS . . . . . . . . . . : 1712 STONE AVE
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
TELEPHONE . . . . . . . . : (408)293-4717
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 7, 011. 00 0. 80 0. 00 0 . 80 0. 00
1EPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
1MPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00
1MRRAA UNITS 1. 00 61 .19 0. 00 61.19 0 . 00
1PPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40 .79 0. 00
ITRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 225 .15 0. 00 225 .15 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 225 .15 VISA
---------------
TOTAL RECEIPT 225.15
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
qUPE(�TINO Fax(408)777-3333
Buii1ding Department
JOB ADDRESS: PERMIT #
6,�P020 0'1
OWNER'S NAME: /f PHONE # 7a
GENERAL CONTRACTOR: FAX #
I am not using any subcontractors: ��f�____.
Signature Date
Please check applicable subcontractors and complete the following information
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
1 Linoleum/ Wood
Glass / Glazing
Heating lelIV,;o *;od
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/Contractor Signature Date