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CITY OF CUPERTINO-
BUILD:NG D'.VlS:. N PERMIT
CONTRACT R II�FUT.tMATiU
w
BUI 1 G RESS:
{36��� STARRETT CT
-
KEVIN SULLIVAN ROOFING
PERMIT NO.
08080051
OWNER'S NAME: .
PERMIT ISSUE DATE
R.l'.CHARD & TERESA GOODMAN
1696 VALLEY OAKS DR
08/06/2008
NE:
SANITARY N0, CONTROL NO.
(408)842-1057
ARCHI'IECf/ENGINEE:
BUILDING PERMrT INFO -
BLDG BLECT PLUMB MECH
O O O O
LICENSED CONTRACTOR'S DECLARATION
I hereby &(flan that I em licensee under of Chapter 9 (commencing
Description
provisions
with Section 7010) of Imes fthe Business and Professions Code.,W my license is
.Job
RE—RF T/O TR&GRVL& INSTL 2LYR 15#FLT& 40YR SHNGLS
full tome tie eft c a"„9
LW^^ Lm.+
,LSA 22SQ (2/12SLOP)&MDFD BITUMN SYS ON LOW—SLP
Dau Con"w
ARCHITECTS DECLARA
AREA
I understand my plans And he used an public mcordis
Licensed PmfcrWnal
OWNER -BUILDER DECLARATION
1 hominy alEam that Ism attempt from the Conlracmfs License Law for the
following roman. (Section 703 L3, Business and Prefessium Cade: Any city ar county
-
which sequins a permit ro construct, slur, improve, demolish, or repair any simclum
prior to its issuance. alto requires the applicant for such periuo file asignedsmunent
Nal he is licensed punual to the provision of the Contractor's Uccm^ law (Chaps" 9
.Sq. Ft. Floor Area Valuation
(commencing with Sudan 7000) of Division 3 of the Business and Pmfmsions Cane) or
$6000
that he is eampl Mumufrom and the basis for the alleged Cmmp0on. Any violation of
Section 7031.3 by airy, applicant fora peril mbjecs the applicant m a civil Penalty of
cal mase man five huMmd dollars (SM.
�p�NTimber
3752601�7.17V'..Type
Occupancy
0 1, as awn. of du Property, a my enplayw with wages u theirsolo compos adoo,
will do the wart, and theawerum WWI immnded oronemd farm]. (SCC. 7044, Budnas
and Pnfaaiam Cade: The Conumme'! License Law dean not apply W an awMr of
.. \..,. i
Required Inspections -�:-
property who builds orlmprowsm"&nand whodmasuch conk hinaelforthrough his
/
own empioyces, provided that such impro\amens ase ^m insndee araReaed for We. if,
-
howevir, the building orb^pmwmenl issold within ane year of eemplotion, the awner-
builder will have me burden of proving Wt he did amt build our improve for purpose of
sak.).
0 1, as owner N the property, am meladvely contracting with Retired convectors to
construct the pmlea (Sec. Toad, Bmin^u and Professions Code:) The Crtracmes U.
Come Law eau oat apply to an owns of property who builds ne inpmwf Nana^, and
who contracts for such projects win a eonoectoKs) licenced pursuant to me Commutes
Llceme Law.
0 l ver memptonda SM ,B&P C far thio Roan
Own" Dam
WORKER'S COMPENSATION DECLARATION
I hereby affect under Penalty of perjury ane of du fallowing deduntian:
I have and will nalntaln a CamOceu of Cameral to self -Wort fa Worker'sComp,n-
aHr, u provided far by Section 3700.1' the Labor Cade, for the performance of the
work for which this perit is Issued.
0 I have and will maintain Worker Compensation Imuame" u required by Sudan
37W of me Labor Code, for the perforate ofthe work farwhich this peril is Wrong
'
My Workees Conpenation Imunnce ani ad PulirERTry
Cartier. Iiry Na.:
I PITON EOM ERS'
COMPENSATION INSURANCE
E
(Thu semen need at Wecompleted Ifft perk Is foram, thadandandus($IOU)
or Wass)
1 certify that in the performance of the work for which this peril is issued. Ise! not
employ any person in my saner se as a became abject to the Workers' Compensation
Laws of California. Data
Applicant
NOTICE TO APPLICANP. If, after making this Cer ificaut of Exemption, you should
become subject to the workces compensation Provision of me tabor Code, you mus
"
forthwith comply with such provisions or this Peril shall be dcemcd revoked.
-•
CONSTRUCTION LENDING AGENCY
I hembyaDir Wl them eracomtructia lending agenry, rar the performance of
Me work for which this Peril is issued (Sec. 3097, Civ. C.)
Lundees Name
Lundeen Add.
1 certify mal I hire Red this application and sum that the above infanudu r is
corer 1 agree in comply with all city ad county aNin on m and some laws painting to
building concoction, and hereby athomae RpnR•uta ive, or this city to enter upon the
show-mendred property for impaction purposes.
(We) ague to saw, i and kap harlea me City of Cupertino ag&in.
liabilities, judgncnY,cnts ex ich a n anywayaccnm lgalntuid City
APP^agaaeafmERST ez n f AND, I COM Y WITHALL N N- OINT
Issued by; Date
SODa R
Re -roofs
SigmaurN CIA ICTU A++trael
p D�
NAZIlRDOUS MATERIALS DISCLOSURE �
Type of Roof
Will tiara icor bpal rial
'Municipal
a Mfined by 0e Cu a Municipal Cane, Chapter 9.11, roti the Health ad Safety
Coecoupatrtorcorhemle Healthad Safety
Cade, samara 135310)7
0y.
All roofs shall be inspected prior to any roofing material being installed.
WIII the applaud, or (slum building occupant use equipment. devices whim
an P
If a roof is installed without first obtaininginspection, I agree to remove
it haard^n air cauminu , a defined by me Bay Area Air Quality ManilmorL
all new materials for inspection.
DlWictT
O Yes 1)4o
odu
Thaw road the haanamsma bR ice cntsun Cbvpurd.93 of mo Glifor-
'
norFiWis.7S aml .I un ether lfthc 'ller.
Jun
Dara L u po tiny in na'fy tiw pal r
mgdTal of GC
Signature of Applicant Date
All roof coverings to be Class 'W' or better
owner. authodecd agent Dato
• 2 ITEMS OF 2
•
0
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: B1k:.Lot:
APN ........: 37526017.00
DATE ISSUED.......: 08/06/2008
RECEIPT #.........: BS000005714
REFERENCE ID # ...: 08080051
SITE ADDRESS .....: 18611 STARRETT CT
SUBDIVISION .......
CITY CUPERTINO
IMPACT AREA .......
OWNER RICHARD & TERESA GOODMAN
ADDRESS 18611 STARRETT CT
CITY/STATE/ZIP ...: CUPERTINO, CA 95014
OPERATOR: pdtg
COPY # : 1
RECEIVED FROM ....: ROOFSERV ROOFING SV
CONTRACTOR .......: KEVIN E. SULLIVAN LIC # 23810
COMPANY KEVIN SULLIVAN ROOFING
ADDRESS 1696 VALLEY OAKS DR
CITY/STATE/ZIP .: GILROY, CA 95020
TELEPHONE (408)842-1057
FEE ID UNIT
-----------------------
QUANTITY
AMOUNT
PD -TO -DT
THIS REC
NEW BAL
1BSEISMICR VALUATION
----------
6,000.00
----------
0.60
----------
0.00
----------
0.60
----------
0.00
1REROOFRES SQ FEET
22.00
286.00
0.00.
286.00
0.00
TOTAL PERMIT
----------
286.60
----------
0.00
----------
286.60
----------
0.00
METHOD OF PAYMENT
-----------------
CHECK
TOTAL RECEIPT :
AMOUNT
---------------
286.60
---------------
286.60
VOICE ID DESCRIPTION
--------- ----------------------------
601 ROOF TEAR OFF
604 ROOF IN -PROGRESS
REFERENCE NUMBER
--------------------
#4649
VOICE IO DESCRIPTION
-------- ----------------------------
602 ROOF PLYWOOD NAIL
605 FINAL REROOF
�UPEIYTIN0
CITY OF CUPERTINO
REROOF
PERMIT APPLICATION
APN #
Date: )
Building Address: � � �
Owner's Name:Phone #:
CA +.�Pp� `����A ��.� Com) (607 1034
Contractor: 1��v��( ���
Phone #:
Fax#:
Cupertino Business License #:
Contractor License #:
03 t_5
Type of Roof Covering:
Existing: Proposed:
Built -Up Roof Built -Up roof
❑ Asphalt Shingles >�k Asphalt Shingles
❑ Wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify) .
Number of existing coverings ❑ Provide I.C.B.O. Report #
XTo be Removed ❑ Provide Mfgr. Installation Specs.
Job Description:
t01�-St i 1r l ,S wIzs' ers) � so,��e
Gn o1fc�z,- C 1 ar/�
Residential Commercial
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the application or if there are any restrictions: ❑
applicable, include in plan set & the sheet index.
Valuation:
I Have Read,
• T�1.1
Signature
Comply with Cupertino's Tear -Off Policy:
Revised 6/16/08
0
CUPEII;TINO
CITY OF CUPERTINO
REROOF
FEE SCHEDULE i
Number of
Squares
Fee ID
Fee Description
Fee
Group
Permit Type
1REROOFCOM
Re -roof Commercial
B
1COMMLROOF
IBSEISMICO
Seismic Commercial
B
1RER00FRES
Re -roof Residential
B
ISFDWLROOF
/
1BSEISMICRE
Seismic Residential
B
1REROOFMRES
Re -roof Multi -Family
B
1MFDWLROOF
1BSEISMICRE
Seismic Residential
B
1BUSLIC
Business License
B
Revised 6/16/08
J
Community Development Department
Building Division
City of Cupertino
• 10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
Building Department
Subject: Re -roofing policy for the City of Cupertino
1. Prior to permit issuance, you must agree to comply with 2007 IBC Standards
and manufacturers specifications on re -roofing. All roofs are Class "A" per Cupertino
municipal code 16.04.080.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the re -roofing
is completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City, the following steps are
required:
1) Pre -inspection and/or tear off approval.
2) In -progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
• 5. If plywood is installed, a plywood nail inspection is required.
6. Any roofing which is applied without first obtaining an inspection,
will require the removal of all new material down to the sheathing,
so a proper City inspection can be performed.
7. NOTE: If you call for a plywood nail inspection and the job is not ready,
you will be charged a re -inspection fee of $176.18. The re -inspection fee must
be Raid before another inspection can be scheduled
IMPORTANT:
1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate
that there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time on inspection.
I understand and will comply with the above stated policy on re -roofing.
Homeowner's Name: P-1 C p �TGc?a� C�R=M_1k1
Job Site Address:
Roofing Company
Applicant's Signat
• Greg Casteel
Building Official
Revised 07/30/08
•
•
Plan Review Process Work Book Page -12-Revised 3/25/08
Green Building Plan Check
Index of Green Building
Points/Categories
A.
Category
Example of an Index or Table of Green
Plan Sheet or Page
Points
Building Points Categories that must be
shown and referenced on the Project
Plans See below
B.
Site
9.
Install H.E. Irrigation, (details/spec)'
L-1
2 points
11. Permeable Paving, Note
L-1
2 points
C.
Foundation
1.
Use 15 % Flyash Concrete, (note)
S-1
5 points
D.
Structural
3.
Uses Wood kJoist, (See Spec.)
S-2
2 points
5.
Use Truss with heels, (detail)
S-2
2 points
6.
B. OSB Sheathing, detail
S-2
2 points
E.
Ext. Finish
1.
Composite Decking, (Note/Spec.)
A-3
2 points
4.
B. Fiber Cement Siding, (Note/Spec.
A.1
2 points
F.
Plumbing
1.
Insulate all H.W. pipes, (Note/Spec.)
P-1
2 points
5.
Tankless W.H., (Note/Spec.)
A-2
2 points
11. A 2500 Gal. Tank, (Note/Spec
L-1
10 points
G.
Electrical
4.
E. Ceiling Fans, (Note/Spec.)
A-3
4 points
H.
Appliances
1.
Energy Star Dishwasher, (Note/Spec.)
A-3
1 point
3.
Energy Star Refrigerator, (Note/Spec.
A-3
1 point
P.
Other
1.
List Green Features on Plans
A-1
1 point
TOTAL POINTS1
40 points
•
•
Plan Review Process Work Book Page -12-Revised 3/25/08
Green Points Rating System for Remodeling Projects.
Due to the diversity of remodeling project types, assigning a "total points" value to a project to be considered environmentally friendly is
not feasible. However, 25 measures have been highlighted to signify that every effort should be made to incorporate them into your
projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with
ease of implementation and relative low cost. These measures can be used as a starting point for "greening" your project.
1. Recycle Job Site Const action &Demolition Waste
t
3. Use Wood I -Joists for Floors and Ceilings
65%= 1 point; 75%= 2 points; 80%= 4 points
I up to 4 Resource pts
2. Salvage Reusable Building Matedals
J 4 Resource pts
y=yes
3. Remodel for Mixed Use, Adaptive Reuse, and
2 Energy pts
y=yes
Historic Preservation
4 Resource pts
y=yes
4. Protect Native Soil
2 Resource pts
y=yes
5. Minimize Disruption of Existing Plants & Trees
1 Resource of
y=yes
6. Implement Construction Site Slormwater Practices
2 Resource pts
y=yes
7. Protect Water Quality with Landscape Design
2 Resource pts
y=yes
8. Design Resource -Efficient Landscapes and Gardens
A� 4 Resource pts
y=yes
9. Reuse Materials/Use Recycled Content Materials
for Landscape Areas
2 Resource pts
y=yes
10. Install High -Efficiency Irrigation Systems
2 Resource pts
y=yes
11. Provide for On -Site Water Catchment / Retention
2 Resource pts
y=yes
B. Foundation
1. Incorporate Recycled Flyash in Concrete
. 25% Recycled Flyash = 2 points; Add 1 point for every 10%
increase of flyash, up to 5 points up to 5 Resource
2. Use Recycled Content Aggregate 2 Resource pts y=
3. Insulate Foundation/Slab before backfill 3 Energy pts y_
C. Structural Frame
1. Substitute Solid Sawn Lumber with. Engineered Lumber _� 3 Resource pts y=yes
2. Use FSC Certified Wood for framing
(For every 10% of FSC lumber used = 2 points, up to 10)
up to 10 Resource pts.
3. Use Wood I -Joists for Floors and Ceilings
2 Resource pts
y=yes
4. Use Web Floor Trusses
2 Resource pts
y=yes
5. Design Energy Heels on Trusses 6" or more
2 Energy pts
y=yes
6. Use Finger -Jointed Studs for Vertical Applications
2 Resource pts
y=yes
7. Use Engineered Studs for Vertical Applications
2 Resource pts
y=yes
B. Use Recycled Content Steel Studs for Interior Framing
2 Resource pts
y=yes
9. Use Structural Insulated Panels (SIPS)
• _ ^_
+ 1 Resource pl
a. Floors
3 Ener is
Energy
y=yes
b. Wall
3 Energy pts
y=yes
c. Roof
3 Energy pts
y=yes
10. Apply Advanced Framing Techniques
4 Resource pts
y=yes
11. Use Reclaimed Lumber for Non Structural Applications
3 Resource pts
y=yes
12. Use OSB
a. Subfloors
b. Sheathing
1 Resource pt
y=yes
• _ ^_
+ 1 Resource pl
y=yes
E. Plumbing
1. Install Water Heater Jacket
1 Energy pt Y_—yes
2. Insulate Hot and Cold Water Pipes
2 Energy pis y=yes
3. Retrofit all Faucets and Showerheads with Flow Reducers
xtenor msri
Up to 2 Resource pts.
b. Showerheads (1 point each, up to 2 points)
1, Use Sustainable Decking Materials
4. Replace Toilest with Ultra -Low Flush Toilets
y=yes
0
Up to 3 Resource pts.
5. Install Chlorine Filter on Showerhead
a. Recycled content
3 Resource pts
y=yes
7. Install Water Filtration Units at Faucets
0
0
(2 points each, up to 4 points)
Up to 4 IAQ/Health pts.
b. FSC Certified Wood
3 Resource pts
y=yes
0
0
0
'2. Use Treated Wood That Does Not Contain Chromium/Arsenic
1 IAO/Health pt
y=yes
P
0
13. Install House Wrap under Siding
1 IAQ/Health pt
y=yes
0
4. Use Fiber -Cement Siding Materials
1 Resource pt
y=yes
0
E. Plumbing
1. Install Water Heater Jacket
1 Energy pt Y_—yes
2. Insulate Hot and Cold Water Pipes
2 Energy pis y=yes
3. Retrofit all Faucets and Showerheads with Flow Reducers
a. Faucets (i point each, up to 2 points)
Up to 2 Resource pts.
b. Showerheads (1 point each, up to 2 points)
Up to 2 Resource pts.
4. Replace Toilest with Ultra -Low Flush Toilets
y=yes
(1 point each, up to 3 points)
Up to 3 Resource pts.
5. Install Chlorine Filter on Showerhead
1 IAO/Health pt Y --yes
6. Coned Gas to Tankless Water Heater
4 Energy pts y=yes
7. Install Water Filtration Units at Faucets
0
0
(2 points each, up to 4 points)
Up to 4 IAQ/Health pts.
6. Install On -Demand Hot Water Circulation Pump
4 Resource pts y --yes
r.. erecrricar
1. Install Compact Fluorescent Light Bulbs (CFLs) 0
IS bulbs=2 points, to bulbs =3 points, 12 bulbs = 4 points) Up to 4 Energy pts. •
2. Install IC -AT Recessed Fixtures with CFLs (1 point each, up to 0
5 points) Up to 5 Energy pts.
0
3. Install Lighting Controls (1 point per fixture, up to 4 points) Up to 4 Energy pts.
4. Install High Efficiency Ceiling Fans with CFLs 0
(1 point each, up to 4 points) Up to 4 Energy pts.
G. Appliances
1. Install Energy Star Dishwasher
1 Energy pt
y=yes
2. Install Washing Machine with Water and Energy
Conservation Features
1 Energy pt
y=yes
3.Install Energy Star Refrigerator
1 Energy pt
y=yes
4. Install Built -In Recycling Center
3 Resource pts
yryes
H. Insulation
1. Upgrade Insulation to Exceed Title 24 Requirements
a. Walls 2 Energy pts y=yes
b. Ceilings 2 Energy pts y=yss
2. Install Floor Insulation over Crawl Space 4 Energy pts y=yes
0
0
0
3, Install Recycled -Content, Fiberglass Insulation with
No Added Formaldehyde 3 IAQ/Health pts y=yes
4. Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes
0
0
5. Use Cellulose Insulation
a. Walls 4 Resource pts y=yes
b. Ceilings 4 Resource pts y=yes
0
0
•
6. Alternative Insulation Products (Cotton, spray -foam)
a. Walls 4 Resource pts y=yes
b. oenings 4 Resource pts y=yes
0
0
c
1. Install Energy -Efficient Windows i
a. Double -Paned 1 Energy pt
b. Low -Emissivity (Low -E) j 2 Energy pts
c, Low. Conductivity Frames 2 Energy pts
2. Install Low Heat Transmission Glazing 1 Enerov of
J. Heating Ventilation and Air Conditioning
fit. Use Duct Mastic on All Duct Joints
2 Energy pts
y=yes
2. Install Ductwork within Conditioned Space
3 Energy pts
y=ye=,
3. Vent Range Hood to the Outside
1 IAQ/Health pt
y=yes
4. Clean all Ducts Before Occupancy
2 IAQ/Health pts
y=yes
5. Install SDlar Attic Fan
2 Energy pts
y=yes
6. Install Attic Ventilation Systems
1 Energy pt
y=yes
7. Install Whole House Fan
4 Energy pts
y=yes
B. Install Sealed Combustion Units
5 IAQ/Health pts
y=yes
a. Furnaces
3 IAQ/Health pts
y=yes
b. Water Heaters
3 IAO/Health pts
y=yes
9. Replace Wall -Mounted Electric and Gas Heaters with
Through -the -Wall Heat Pumps
3 Energy pts
y=yes
10. Install 13 SEER/11 EER or higher AC with a TXV
3 Energy pts
y=yes
11. Install AC with Non -HCFC Refrigerants
2 Resource pts
y=yes
12. Install 90% Annual Fuel Utilization Efficiency (AFUE) Furnace
2 Energy pts
y=yes
13. Retrofit Wood Burning Fireplaces
• a. Install EPA certified wood stovesfnsens
1 IAQ/Health pt
y=yes
b. Install/Replace Dampers
1 Energy pt
y=yes
c. Install Airtight Doors
1 Energy pt
y=yes
14. Install Zoned, Hydronic Radiant Heating
3 Energy pts
y=yes
15. Install High Efficiency Filter
41AQ/Health pts
y=yes
16. Install Heat Recovery Ventilation Unit (HRV)
5 IAQ/Health pts
y=yes
17. Install Separate Garage Exhaust Fan
3 IAQ/Health pts
y=yes
K. Renewable Energy and Roofing
1. Pre -Plumb for Solar Water Heating
2. Install Solar Water Heating System
3. Pre -Wire for Future Photovoltaic (PV) Installation
4. Install Photovoltaic (PV) System
(12 kw = 6 points, 2.4 kw =12 points, 3.6 kw = 18 points)
6. Select Safe and Durable Roofihg Materials
7. Install Radiant Barrier __,
L. Natural Heating and Cooling
1, Incorporate Passive Solar Heating
2. Install Overhangs or Awnings over South Facing Windows
3. Plant Deciduous Trees on the West and South Sides
0
4 Energy pts
10 Energy pts
4 Energy pts
Up to 18 Energy pts
1 Resource of y=yes
3 Energy pts y=yes
5 Energy pts
3 Energy pts
3 Energy pts
y=yes
N. Flooring
1. Select FSC Certified Wood Flooring
a
y=yes
2. Use Rapidly Renewable Flooring Materials
INPUT
Resources Energy
1ACIffleallh
. n oor r us ty en n s ea
y=yes
4. Install Natural Linoleum in Place of Vinyl
5 IAQ/Health pts
-
1. Use Low/No-VOC Paint
1 IAQ/Health pts
y=yes
6. Install Recycled Content Carpel with Low VOCs
0
0 •
2. Use Low VOC, Water -Based Wood Finishes
2 IAQ/Health pts
y=yes
3. Use Low/No VOC Adhesives
3 IAQ/Health pts
y --yes
0
4. Use Salvaged Materials for Interior Finishes
3 Resource pts
y=yes
0
5. Use Engineered Sheet Goods with no added Urea
Formaldehyde
61AO/Health pts
y=yes
0
6. Use Exterior Grade Plywood for Interior Uses
1 IAQ/Health pts
y=yes
0
7. Seal all Exposed Particleboard or MDF
4 IAQ/Health pts
y=yes
0
B. Use FSC Certified Materials for Interior Finish
4 Resource pts
y=yes
0
9. Use Finger -Jointed or Recycled -Content Trim
1 Resource pts
y=yes
0
10, Install Whole House Vacuum System
3 IAQ/Health pts
y=yes
0
N. Flooring
1. Select FSC Certified Wood Flooring
6 Resource pts
y=yes
2. Use Rapidly Renewable Flooring Materials
4 Resource pts
y=yes
3. Use Recycled Content Ceramic Tiles
4 Resource pts
y=yes
4. Install Natural Linoleum in Place of Vinyl
5 IAQ/Health pts
y=yes
5. Use Exposed Concrete as Finished Floor
4 Resource pts
y=yes
6. Install Recycled Content Carpel with Low VOCs
4 Resource pts
y=yes
To-taTPOInts vat a e: 140F�1301 57
Total Points Pro'ect Received: 0 01 0 •
G:datelprogsrgmenbulldingguidelineslremodelerslgmonpointslinal2.12.04pro1ecled.xls
CITY OF
SCUPEkTINO
•
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
I am not using any subcontractors:
Si tune I Date
Please check applicable subcontractors and co m to the follnwinn infnrmatinn-
SUBCONTRACTOR
BUSINESS NAME
K91fArW1DIR�. k,
_•. ... -SIR
Cabinets & Millwork
n.s �i-..�M
MW
Cement Finishing
I am not using any subcontractors:
Si tune I Date
Please check applicable subcontractors and co m to the follnwinn infnrmatinn-
l�h LL
TING'_I tractor Signature
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
l�h LL
TING'_I tractor Signature