08070050 CITY OF CUPERTINO
Bmg.mnc mvlslor. PEI2IVIIT CONTRACT,(3RINEORMATIUN':
��rn IT' " -=,
BUILDING ADDRESS: PERMIT NO.
21090 RAINBOW DR AIR QUALITY HEATING & AIR 08070050
OWNER'S NAME: PERMIT L95UE DATE
JATIN PATEL 720 NORTHRUP ST 07/08/2008
ONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
REPLC FURNC & ADD A/C 'BLDG ELECT PLUMB MECH
0 0 0 0
moo LICENSED CONTRACTORSDECWIATION IobDescription
1 herehy eeses that 1 are limosed under pmvitimu of chapter 9(commencing
, y iiN Section 70 MI)of Division 3 ofdue B sinus and Profetiou Code,and my license u
ts on fa co W CRa
H DeteP�P Commcmr LAI A
' A CHTTEC SDECLARATION
I understand my plans Mail W posed as Public in
SAV
g G� Licensed Pmfestional
K3 OWNER-BUILDER DECLARATION
<M 1 Wmby aPrm Nn I am exempt from the Commctara License,Law far the
p O following moon.(Section 7(n 1.5,Business and Professions Code:Any city or county
$ which sommm a permit to conwnm,aitor,impose,demolish,tor repair my structure
priorb its iuumyc.alsu usquim she applicant for such permit to file a siSwd sutemcnt
C Nat he lalice«edpunuwtmm
the provisions Law(chapte,9 Sq.Ft.Floor Area Valuation
y�$ (cmnmcncing with Sced.7(0o)of Division 3nf she Business and Profesumu Code)or
r3— dust W is caempt therefrom ave she basis fur IW ailegnd esemptiae My violation of
Section 7031.5 by any applicant Tora permit subjects Ne applicant N a civil penalty of APN Number Occupancy Type
not mom Nan five hundred dollars(SSW).
I,uownerof the pmpny,«my wplowns with wegmus their uric compwdon,
will do 0.wark.send Ncawctme Is not intended"offered[braids(Sce.A ,Business Required Inspections
Nd Plofel{ION Cade:The ConlracNYa L16RQ Law dons net apply N an awlKr M 9 P
property who WBa«improvesthmeau.,w who doesauchw« luimxelrorthroagh his
own employces,provided that such improvements she not intended or offered for said,If.
hmvever.Ne building or Anprowment Is mid within one year of completion.the owner-
Wilder will haw the burden of paving Nat W did out Wild!or improve for purpura of
sskJ.
1.u owner of she Property.arts useluaively eonuuvng wish licensed comrxmss to
conum n the project(Sec.7014,Business and Professions Code:)The Camruturs U.
conK law does not apply to an owner of property who Guilds or improve t thamdn,and
who contracts for such projects wish a mnvaemr(s)licensed Pursuant he the Contractors
Lt..law.
0 l urn eacmpt under See .B d P C for Nu mamn
Owner Data
WORKERS COMPENSATION DECLARATION
I hereby a(Brm under perulty of Perjury one of the folluwing declarations:
1 haw and will nommain•Certificate of Commul to self-iuum for W.ri Compen-
'an,as providnd for by Section 37W of dee Labor Code.for Ne per(orruuv of the
wart for which this permit is issued. '
have and will muntun Workers Campemetion I...as ropuired by Section
of the Labor Code.for the prfemst.of tW work for which this permit u Impose.
My Workers Compensation huuranco carrier and Policy number am:
C,rrier,. Na,ALI' )Oq\-JL"') _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Tri'scctim need not W completed if thc permit is foram,hundred douan(SI W)
or kss.)
I certify that in the performance of IW work for which this permit is bound.l"I not
employ any peraon in any mamnerm as N become mb*i w the Worker'Compemwco
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If.aAct making this Cc.lfmcate of Exemption.you.should
become subject N the Workers Compensition provisdons of the labor Code.you must
.J O forthwith comply with such pmviaiam or Nu permit chap W memnd
deemed tk .
z CONSTRUCTION LENDING AGENCY
(-m 1 hereby dram Nu there is.commuNnn lending agency for dte perf«man¢of
(Yi i Ne work for which this Permit is issued(Sec 3097,Civ,C.)
Q Lenders Name .
lenders Address
U O I certify Nat 1 have sew Nu applicants.and sum Nat da,above informatiuo Is
ly F camel I agree m comply with ail city and county most.am'taus lam tenting N
pWilding conametion,and sentry wthonee repmsenutiwa of this city inenter upon the
V above-mentioned property for impection por,mes.
CW., (We)agree to Lw,indemnify and loop harmless;BC City of Caprnna,gan-'
Z Iiaconsexjwg,ofthecrun and oapmm which mayNany way acctue vgunslsud City
U 'z in coLICANtee of the grunting of A permit
LICANE UNDERSTANDS AND WILL COMPLY WITH ALL NPN-POINT Issued by: Date
EGULA 1) , o
ReproofsSiLtuarc
A A«ncaZARDO MATERIALS DISCLOSUR o Type of Roof
Pull vpplimntar forum Wal ing CueChAptstomor handle andituallousmateriu
u de0nnd by Ila Cupniw Muniripal Cade.Chapter 9.1;and dte FIa1N aid Safety
code. Dy.255324)± )No All roofs shall be inspected prior to any roofing material being installed.
❑Yus
ilkWill the applicant«future Wilding cccap not use equipment or devim which If a roof is installed without first obtaining an inspection,I agree to remove
herawnm air conumimnu u defined by the Bay Area Air Quality Management all new materials for inspection.
ctt_
❑Yo )&
I have row the hccur, mateladnequimrcnts toderchapur6.95ofNeCalifur-
nulNaishkSafeaYCade,S,ctiesta Ti 5.15533and Z53d.lundvwrd dmif Ne ilding
d corm dy haw a come that
it ii my Rrpomiolily as or,thel tsf Ne
nu hi mm,W piseloissuwce.f.Cwfice f a Signature of Applicant Date
Own erurw a cdagcm Date All roof coverings to be Class'W'or better
CITY OF CUPERTINO
• 7 ITEMS OF 13 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36626025 . 00
DATE ISSUED. . . . . . . : 07/08/2008
RECEIPT #. . . . . . . . . : BS000005365
REFERENCE ID # . . . : 08070050
SITE ADDRESS . . . . . : 21040 RAINBOW DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JATIN PATEL
ADDRESS . . . . . . . . . . : 21040 RAINBOW DR
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5210
RECEIVED FROM . . . . : MATTHEW T FARBER
CONTRACTOR . . . . . . . : MATTHEW FARBER LIC # 22791
COMPANY . . . . . . . . . . : AIR QUALITY HEATING & AIR
ADDRESS . . . . . . . . . . : 720 NORTHRUP ST
CITY/STATE/ZIP . . . : SAN JOSE, CA 95126
TELEPHONE . . . . . . . . : (408) 293-7138
• FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- -------- ------
1BREMAIRHA NO.UNITS 1 . 00 61 . 19 0 . 00 61 . 19 0 . 00
1BSEISMICR VALUATION 13 , 780 . 00 1 . 40 0 . 00 1 . 40 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
1TRAVDOC FLAT RATE 1 . 00 40 . 79 0 : 00 40 .79 0 . 00
---------- -------- ------- ----------
TOTAL PERMIT 286 . 94 0 . 00 286 . 94 0 . 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
-------- --------------- --------------
CREDIT CARD 511 . 89 MC
---------------
TOTAL RECEIPT 511 . 89
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-- --- ------ -------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
OkO7 o .
CITY OF CUPERTINO
FURNACE/AC
CUPEkTINO PERMIT APPLICATION FORM
APN# Date:
Building Address: a /,b eAI�,J OdO CkC USI KJO C4, , q5Q)
Owner's Name: \A-TI),J P4-F�-) Phone #: (9 to
Contractor: A I e Ciu aL I NI pl Al(Z CC�ij1�7pIJ 1 bJl� Phone#: . / �
1 Fax #:`A gq(D'09 q
ertino B
"7`Yly --- --- - -- -- -- ..P-- -- usiness License#
Contact: 11-T1N 'P1{-rL Phone #: plolCp_�9
�J
Building Permit Info:
Elect Plumb Mech
Residential Commercial
Job Description: �C� F-U2t�ac E
/t) C,
For Residential Installations:
Attic ❑ 151 floor ❑ 2"a floor ❑
Adhere to minimum setback requirement
For ommercial Installatio
Cns:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planninr,Approval Required ❑
Cost of Project: 1 I3 6D Type of Construction (Usage Class):
Strapped On Platform ❑ Bonded New Location Replacement I
Valuation: )71
Teen Building: Must attach Green Building Check list to this application l
CITY OF CUPERTINO
FURNACE/AC
CUPEkTiNO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit T e
Group
FURNACE FURN/A
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
ea 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.
IMCSUSHTR Commercial Install/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1BPGAS For each gas piping system of 5 or P
more per outlet.
1MCAPPVNT Commercial for the install/relocate/ or M
replacement of ea appliance vent
installed & not incl in an appliance
permit,
1BSEISMICO Commercial Seismic B
1MRRAA Residential Repair/Alteration/Add to M
ea heating appliance,refrigeration unit,
I cooling unit,absorption unit,or ea
heating,cooling,absorption or
evaporative cooling system,incl
installation of controls regulated by
this code.
1MRSUSHTR Residential Install/Relocate ea M
• suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the install/relocaorM
replacement of ea appliance vent
install & not incl in an appl permit.
J
CITY OF CUPERTINO
SCITYOF FURNACE/AC
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Ty
Group
FURNACE —f U—RN/A
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 <=100k BTU install or M
r relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
1MFRN>I00 Furnace Syst > 100k BTU install or M
relocate ea forced-air/gravity type
famace/bumer, incl ducts/vents
attached to such appliance over
1007Travel
000 Btu/h
IEPERMITFEE ermit Fee E
IMPERMITFEE al Permit Fee M
' 1PPERMITFEE Permit P
' ITRAVDOC cumentation B1BUSLIC icense B
•
}
CITY OF CUPERTINO
OF FURNACE/AC
CUPERTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit T
Group
AIR FURN/A
CONDITIONING
1BCAIRHAN Commercial A/C Units <= IOk CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
1PGASRES ----- `ResidEr–tial for ea gas piping stem--" --_P—
of 1-4 Outlets
1BPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
IBRENIAIRI-IAN Residential A/C units <= l0k CFM B
1� Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
+ IEPERMITFEE Electric Permit E
b 1MPERMITFEE Mechanical Permit M
* 1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Single Family GreenPoint Checklist date:
The GreenPoint Chack ist Is based on the varBuild Ireen
S
ious green features Incorporated into the home and is Ne Smart531ld I Ground Up
basis for the Gressel Rated program A home can be Considered green II it fulfills the prerequistes,
Hems at least
Resources,
poems,and meats r(minimum points per category:Energy l st of Indoor Air OonPoi
•
Health(5),Resourcesste and Water(9).Please contact Build It Green for alistNquallfetl GreenPoint
Raters It you are Interested in pursuing third-pony verification.
The green building praction listed below are described in the New Home Construction Grean Building
ENTER
Guidelines,alallable at wWw.bUIIdaoreenera.
PROJECT
. , a > B C
E w i
u
d iSIT&e: -. -:a '4- .I.✓. T 77'....u.a: ti':^^ .:.,..4.f.t:::. fi_f
t.Protea Topaas mtl Minimoa Dismpgon of F_risdng Plenh-&Trots PdrAs Avertable P r8
❑ &Protect Topics boas Erosion and Rause altar Consbuction
° Ib. 1
Limit end Desnmh Caatues Footprint Navmum ProtectionEl —_ 7—
(isting
Lee NMmtl of Demolishing Fiistin Buildin s On Sile ° I
3.Recycle Job Site Comtructlon Wash(Including Green Waste) 0 3
❑ &Meumum 50%Waste DAersho by Weigh(Recycling or Reuse-Required . 0
❑ b Minimum&B%Dhereion by Weight(Recycling or Reuse) o____..__.____
❑
C.Mh=m BO%Diversion by Weight(Recycfmg or Reuse( 0 - -.-.—___
4.Um Recycled Content Aggregate(Minimum 2S%)
❑ LWa&wey,and Driveway
❑ b.Roadway Base ° _
0
B.FOUNDATION,0N.
Total Pointe Available in See 12 0
.
1.Replace Portland Cement in Concrete wfm R Prints Available Pe asure
eryeled Fiy-- or Slag
❑ e.Minimum 20%-Flyasfia Slap------ I"—' _ __
0 _._ _— _"
b.Minimum tiX 0
❑ 2 Um Finat-Pmhclad Shallow Foundation in Cold Arent(O.E.C.Climate Zone 16)
3.Use Radon Redchnl Comtructlon n At-Risk Locations Only) 0
4.Design and BuOd Strudaal Pett Controls ° 1
❑ a Install Termite Shields 6 Se arab All Ettetla Wood-toConcreta Cmnections Meal a Phstk FeshnersPJivitlare °
b.M New Plano Nava Tmn&Base,a Stem Lpaand AI Least 381ncAes
C LANDSCAPING Total Painh AvNlable in Foundation e B 0
L Dani"Becource-ENsient Landscepes Pointe Available Per T, urs
❑ &No Wnfve Species Listed by U4PC Are Planted I
• ❑ b.No Plant Species Ws Require Hedging
❑
c.75 mia Nadves,Meddemnean,or Otherate R 0
Appropri paries 0 3 .
2UseFlo-Seh amoscaping Tsehniquea
J.Mininew Tun"an In Landasa0pe brown tlby Builder
❑ a As Tun WO Have a Water Requirement Less than or Equal h TNI Fescue(50.8 plant faa3r)
Elb.Tun Shall NG Be Installed on Slopes Exceeding 10%or in Arms Len than B Feet Wide 0 — 2
❑
C.Tun h 533%of Landscaped Area(tottal2 points) 0 _ 2
❑ d.Turf is 510%of Landscaped Area(total4 points) 0 _. 2
4.Phnt Shed;Tram 0
&Grou Phnor WeterNmtla Hytlmzoning) 0 3
6.Metall High-Elfidenry Irdge6on Byshma ° 2
❑ &System Uses 0*Low-Flow Only,Bubblers,or Low-flow Sprinklers
❑ b.Sychm Has Smart conwin 0 __ 2
7.Incorporate Two Inches of Com ott in the Top 6 to 121nchm of Soil 0 3
Μc All Phntln Bede b Ne Groner of 2lnchea or Local Water Ordinance Re uiremmt 0 3
9.Use 50%SNva sOaR 0 2
eryeled-Content Materials for 60%01 Non-Plant Landempe Elements❑ 0 10.Peduce Li ht Polhdon by Shieidin Flzturm enmUor Dirxdn ❑ghl Dowmvmd I
D I
D.STRUDTDRAL PRAIKL @ BUILDING ENVEIAPI3 Total Points Available in Landscapin =31 0
1.Apply Optimal Value Feglnmring - Points AvaflaN-Per i,runs I
❑ &Place Rafters and Studs N 24-Inch On Center Framing
❑ b.Side Dow and Window Headers fa Load 0
❑ c.Use Only Jazk end Crpple Studs Required for Load _ 0_
2 Use EnglnmrM Lumber -
❑ e.Beams and Headers
❑ b.Insulated Engineered Heeden 0
❑ c.Wood Woish by Web Trusses for Fbws
❑ tl.Wood I-Joists for Root Rollers
❑ e.Engineered aFuge-Jomtetl Studs fa Vertical Applications
❑ i.OnenisO Strand Board la SubOoa
❑ g.Odmhd Strand Board for Way and Foot Sheathing 0 -- -- -
,
3.Lee Wood 0
❑ &Dimensional Lumber,Studs and Timber.Minimum 40%
❑ b.Der ersi Lumber,Studs and Timber.Minimum 70% °
• ------ '----
❑ c.Panel Products:MNmum 40% � 0
❑ d.Pam[Produch:Minimum 70% 0
02007 Build It Green
Mel
ENTER PROJECT
t � 3
1.Use Solid wag Systems pndudea SIP%,ICFs,a Any Non-Stick Frame Assembly)
• ❑ a Flaws D 2 ' 2
El -b.Waft o z� z
❑ c.Hook o 2 2
0.Reduce Pollution Entering the Home from the Garage
❑ a Tightly Seal the Air Better betsean Garage entl Thing Area 0
❑
to.Install Garage Edlautl Fm OR Build a Dekched Garage D !
6 Desi Heels on Trusses(75%of Attic Insulation Height st Outside Edge of Exterior Wal 0 - 1
7.Gest n Roof T" to Accommodate DDchanrk D 1
0.Un dad-0oment Seel Studs tot 90%N Intention Well Framirg 0 I �,
LJ 0.Thema)Map Wage:504mh Drywall on All Interior Walt,or Walk Weighing more then to IWN.IL 0 1 .
10.hWsO Overhangs and Gumra
❑ A Mmtrnum 164W Overhangs Will GUM 0 1 _
❑ It.Whohm 247nch Overhangs and Gullets D -- 1 -- --.—_
Total Points Available in Structural BuIlding Frame and EmvelDpe=35 0
E.RX11MOH FTWH Points Anflab I of Measure
LJ 7.Use R dedComerH No Virgin Plastic)or FSC-CwUfied Wood Docking D 2
LJ 2Insted a Rain Sworn Wall System o r 2
].Use Durable and Noncombustible Siding Maerids 0 1
TT 1.Seed Durable and Nonanmbu%tibe R00%g Mnrariee 0 ! 2
Total Point,Available in F-xtarior Finish=7 0
F.INSULATION � ' .! :. ,� - .. Pbods Avail r Measure
1.Install insinuation with 75%Recycled Contain
❑
a.Wide arWw Flows 0JPints
1
2.Instal Insulation that,Icw-EMIAng(CerUged Section 01]50)
❑ .A Waal ard1lw Flows o1
❑ b.Catlin 0].inspad Ouali of Insulation Installation before Applyin Drywall 0Toll Points Available in lnsuleson=5 0G.PI,OMHING ilab ler Measure
1.Distribute Domestic Hot Walt Efficiently(Maximum 7 Point).
❑ a.Insulate Hot Wrier Pipes from Walt Heater to Kitchen 0 1 1
❑
b.trouble AN Hol Were Pipes 0
❑ c.Use Engineered Parallel Piping 0 1
• ❑ d.Use Engineered Parallel Piping whh Demand Conoosed Circulation Loop - p
❑ e.Use SInxAmed Plumbing with Demand Controlled Circulator,Loop p 1
❑ Like Came!Core Plumbing
__.0 I _ 1 I 2
❑ t install Only High Efficiency Toilet(Dual-Flush or 5128 ppq 0
4
Total Point AvagaMe In Plumbing=TOW 12 D
H.EFATINO VENTTIATIO]Y&AIR CONDITIONING Points Avallab i,or Mowun
f.Design and overall HVAC System to ADCA Manuel J,D.mit S Recommendations p y
z Install Sealed Combustion Unit
❑ a Furnaces 0
❑ b.Water Hee Ws
].IntbA Zoned,Hydropic Radiant Heading with Slab Edge Insulation
I.Insall High Efficianry AH Conditioning with Envircnmentely,Responsible Rehigamnt, 0 1
S.Design and Install Effective Ductwork
❑ a Imba HVAC Unit and Mcheork Mgdn Conditioned Space 0 3 i
El Use Dud Mastic m An Duct Joins,and Seams _.0- -"-" 1 --
❑ c.lnsfaa DudwOrk untlr Agk Insulation(BWetl Duds) 0 1
❑ d.Pressure Salarce the Ductwork System _—
❑ e.Protect Duct during Constriction and Geer,All Duda before Occupancy 0 1
LJ A.IratA High Elfidanry HVAC Filter(Al 6. 0 i I
❑ 7.Don't Insall R Place or Instil Sealed Get Flnpiam with Efficiency Rating Not Less Than So%
uslp CSA Standards 0
0.lnstall Egxtive Exhaust Systems In Bathrooms and Kikhma
❑ e.Install ENERGY STAR Bathmom Fans Yenned 0 the Gubida WO
❑ b.Al Bathroom Fare Art on Timer w Himidstd --❑ o.Install Kitchen Range Hood Ventedb the Dutdtla —_9.biased Madrankna Ventiation Sysu n for CwEng(Minimum a Pointe)
❑ a.Instill ENERGY STAR Calling Fens a Ughl Kit in Living Areas a Bodmomsb,Inset Whole House Fm with Varada Speeds _.__❑ c.Automatically Conbdlad integrated System1❑ d Atoma0ce0y Controlled Intog ted System with Variable Speed Conhd ---310.InsallMechanical Fresh AIr Yenhlatlon System(Muimum]Point)a.Any Whole House VenNation System That Mmb ASHRAE 622
El D.ImtaA Aa-to-A'v Hsal Excha r sal meet,ABHRAE 82.2111.Instill Carbon Monoxide Alarms) Toll Points Avallala In Hea in ,Ventilation and AIr Conditionin -30
Community Development
10300 Torte Avenue
sn --w
Cupertino CA 95014
Telephone(408) 777-3228
CITY OF Fax(408)777-3333
gFUPERTINO
Building Department
JOB ADDRESS: Q 10 b ieAli,. 65W be - PERMIT #
OWNER'S NAME: p PHONE # -
GENERAL CONT CTOR• FAX # —6
I am not using any subcontractors:
Sign a to
Please check applicable subcontractors an m Tete the followinginformation:
60 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
• Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
•
Owner/Contr cto Sign e at