08050109 CITY OF CUPERTINO »a Aa°5 -
BUILDIIJCDIVISION PERMITCONTRtW-TORANFOItMt�TIQN�,,
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BuaDjytoIalu3T:STELLING RD WINTER ROOFING INC p08050109
ER'SS NAME: PERMIT ISSUE DATE
TEDDY SU 151 WAYANDOTTE DR 05/13/2008
PHONE: SANITARY NO. CONTROL NO.
4083638052
ARCHI?ER/FNGINEER: BUILDING PERMIT INFO
BLDG EIPC7 PLUMB MECH
O
p LICENSED CONIRACIDR'S DECLARATION O O O
m 1 hereby M.that 1 am IIamM under provisions of Chapter 9(man.to, Job Description
�uu with secem 70M)ofDiviuot J oftho Business and PromssiortsCole.and my lleesem is T/O RF CVRNG INSTL 1/2 CDX PLYWD& ADD PRESDNTL
<^ m full force and coeur
�q_ ueemeaur_ _ Lie.g SHNGLS CLS A 27SQ
-Fo Dau Conlrxlor,
ARCHrrECTS DECLARATION
W 1 undersand my piano Nall be used as public rtcmda
yob Licensed Pmrevimnal
3 OWNER-BUILDER DECLARATION
'i f 1 hereby anion Not I em exempt from the Contractors Lieenm Law for the
h O rollowing mason.(Section 7031.3.Business and Professiom Code:Any City of County
COC
S K which requires a remit m Cnnawct.aloes.Improve,dcmnlim.or repair my swclme ,
O=� Prior 0 its issuance,also rtquims flue applicant for such permit in file a signed suumcnt
Nn
C he is licensed ursuanttome rovisionsofdue Conlnq' Area Contractor's 5 Ft. Floor AValuation
yF� (commencing with Section 7000)of Division 3 of dre Business and Proresinns Cede)at $10320
y`<$ Nat he is exempt therefrom and the basis for the Alleged exemption.Any violation of
Section 7031.3 by any applicant for a permit subjects the appivanl m a Civil penally of AppI Number Occupancy
rot more than five hundred dollars(SSML 3622200517 U' T'Pe
❑1,v tyxncr of the gopcny,a my wpleycer with wages v thou role compenvtion,
will do the work,and Ne suuaure is=I or offered for sale(Sec.70M,Bush...
and Profesdoru Cram:The Contracmrs License law does not appy to an owner or Required Inspections
property who bunds m ion proves theronn,and who dons such work Mntxelf or dvough his
own employees,provided that such improvements ere not intended wofrerM forsah:If,
hmwewr.Ne building or improvement is mid within am year orcompletien.the ownu-
Wilder ,will haw the burden of proving that im did net build or improve for purpose of
vu.).
❑1.as owner of the property.am exclusively Contraming with licensed mnvaaon m
coomOst the projttn(Sec.7014.Business and F9fetsimts Code:)M Contractors Li,
come Law does Out appy m an owner of property who builds or improves themon,and.
who cancer for sock pmj sts with acenuanmr(t)Bamred pmmam to do Convectors
License law. .
❑Iamexemptunder See ,B&PCformuammma
Ikka Dau
WORKERS COMPENSATION DECLARATION
I hereby affirm under perWty of perjury one of the following decla menu
❑IM+ aMventmaintaina Cemir=mofcovenmself-iommren Wo sComm-
cation,as moulded for by Semen 7700 of the labor Code.for the penfomance of the
work to
which Nis Permit u issued.
25 1 have and will maintain Workers Compensation Insurance,a required by Satins
3700 of Ne Labor Code,for the performance of Ne work for which Nis Permit is issued. '
My Workers Carp ma'enW xcanier and Policy number tic: -
Cartier: Polley No.:_D 000 Lf�
ERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Tbm realm need Out bucompmed if the permit is Intone hundred dollars(SIM) .._
1 certify that in to Performance of the work for which this permit is issued,1 shall net
employ any person in any murmur an as to become subject to the Workers'Compensation
Laws of California.Dam
Applicant
NOTICE TO APPLICANT:IL after making this Certificate of Exemption,you should
become subject to the Wager's Compensation provisions of tiro lager Code,you must
.J z Forthwith comply with such provisions or this Permit Nall W duemed revokM, _
zq CONSrRUCr10N LENDING AGENCY
[-t 1 herohy affirm that there W.construction lending agmcy for um Ferfomanm of
a
the work ren which Nis Permit u Wood(Sec.3097,Civ.C)
It]Q Lenders Name
z Lenders Ado.
U O
[...cry Nat 1 have and this application andsuer our the above attenuation is .
Iy ^ mmxL 1 agree ct mmp1Y wood all city and c
tr„lgmnswction,and hembYprom
onNuuinvansaosf Ncityto
lacwnus mr upon me,
UJ
thorm-mm�tiaad propane for bulked.Inupans.
(We)agree to von,indemnity and keep Ilemkss
the City of agmets id City
nst
try liabiliva,)Mgments,cosu and expenses which may In any way suave yalnstsaid City
U zIL
AYFLI�CA UNDEISTANrumm"Dterice or thef AND WILL COMPLY WITH ALL NON-POINT Issued by: Date`
SOUR GUTATIO
Date
Reproofs
IA t H DOUS MATERIALS DISCLOSURE Dau Type of Roof
III the applicant or future building occupant store m handle hanmlo s,material
coed by the Cupertino Municipal Code.Chapter 9.12.and the Heald and Safety
Suction 23532(a)?
oY All roofs shall be inspected prior to any roofing material being installed.
�
Will Ne applicam or future building occupant use cquiPmanl or devices which If a roof is installed without first obtaining an inspection,I agree to remove
Distri mannm air comamirunts U defined by the Bay Arta Air Quality Management all new m rials for ins p ction.
❑Yn Nu
I have revel the hvvdonam dale mquimments under Chepurd.93ofNeGlifor-
niaHcalth& ctyCode.Smti SU3,]5377 end 23574.imacmundtMtifho Wilding
Jeeu ontMy ham a m that It u my responsibility at notify de,hoccupant of the
myui c which m t
ounce ofacaurcamora perry. Si a re of p ant Date �--
m amthnrioe agent / D m All roof coverings to be Class'%{"or better
CITY OF 'CUPERTINO
• 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: pdtg
COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36222005 . 00
DATE ISSUED. . . . . . . : 05/13/2008
RECEIPT # . . . . . . . . . : BS000004757
REFERENCE ID # . . . : 08050109
SITE ADDRESS . . . . . : 1099 S STELLING RD
SUBDIVISION . . . . . . .
CITY CUPERTINO
IMPACT AREA . . . .. . . .
OWNER TEDDY SU
ADDRESS 1099 S STELLING RD
CITY/STATE/ZIP, . . . : CUPERTINO, CA 95014
RECEIVED FROM . . . . : JAVIER MARTINEZ
CONTRACTOR . . . . . . . : MARTTINEZ; 'JAVIER LIC # 21207
COMPANY . . . . . . . . . . : WINTER ROOFING INC
ADDRESS . . . . . . . . . . : 151 WAYANDOTTE DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95123
• TELEPHONE . . . . . . . . : 4083638052
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 10, 320 . 00 1 . 10 0 . 00 1 . 10 0 . 00
1REROOFRES SQ FEET 27 . 00 351. 00 0 .00 351. 00 0 . 00
---------- ---------- ---------- ----------
TOTAL PERMIT 352 . 10 0 . 00 352 . 10 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CREDIT CARD 352 . 10 MC
---------------
TOTAL RECEIPT 352 . 10
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
------ ----------------------------
--- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS . 605 FINAL, REROOF
•
CITY OF CUPERTINO
REROOF
OCUPEkTINO PERMIT APPLICATION
APN # Date:
o U�, v 0 J.1-T
Building Address:
o S °
74 740
Owner's Name: Phone #:
SO
o -
Contrac or: Phone#: ygy3�cts�
Fax #: I
Cupertino Business License #: Contractor License #:
D
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ Built-Up roof
(Asphalt Shingles A--�Asphalt Shingles
❑ food Shakes ❑ Wood Shakes
Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings .91 ❑ Provide I.C.B.O. Report #
&'To be Removed o Provide Mfgr. Installation Specs.
Job Description:
%fes.,/ o`er / C�v�J't 7q ��T4/� y� G.c,✓,.Y �/yuio✓
C4ad� �I�S/d �jti� S\�JtnY��� c lc Ss A
Residential �J Commercial El
Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if
Green Building Checklist & attach it to the there are any restrictions: ❑
application or if applicable, include in plan
set & the sheet index.
Valuation:
D `
•;Havead, Un standand Will Comply with Cupertino's Tear-Off Policy:
av
CITY OF CUPERTINO
REROOF
OCUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
1REROOFRES Re-roof Residential B 1SFDWLROOF
1BSEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
1BSEISMICRE Seismic Residential B
1BUSLIC Business License B
•
Community Development Department
Building Division
City of Cupertino
• 10300 Tone 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 1997 UBC Standards
and manufacturers specifications on re-roofing.
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 paid 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: /fE
Job Site Address:
Roofing Company Name:
IVY
Applicant's Signature: Date:
•
Greg Casteel
Building Official
Revised 11/2/04
Green Building Plan Check
i 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
a 7points B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 11. Permeable Pavin Note L-1C. Foundation 1. Use 15% Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 6. B. OSB Sheathin detail S-2
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A-4 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 oints
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 oint
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
CD
-min]
41Ay• �3'�5a
a .
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 fof'greening'your project.
A.Site INPUT RVS0UTCe1 Energy lAQ1HEatV,_
�1.Recycle Job Site Construction&Demolition Waste
I65%=1 point;75%= 2 points;80%=4 points i up to 4 Resource pts 0
2.Salvage Reusable Building Materials
_ _ 4 Resource pts y--yes 0
3.Remodel for Mixed Use,Adaptive Reuse,and
Historic Preservation 4 Resource pts y=yes 0
4.Protect Native Soil 2 Resource pts y=yes 0
5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0
6.Implement Construction Site Stormwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0
K-6.Designsource-E
Refficient Landscapes and Gardens ` 4 Resource is
P Y=Yes 0
9.Reuse Materials/ se Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes , 0
10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes p
B.Foundation
1 1 1
• 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 pts 0
2.Use Recycled Content Aggregate 2 Resource pts y=yes 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y--yes
l;; 0
1 1 1
C.Structural Frame ..�,.
1.Subsiaute Solid Sawn Lumber with Engineered Lumber _� 3 Resource pts y=yes p
2.Use FSC Certified Wood for framing
(For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0
3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes 0
4.Use Web Floor Trusses 2 Resource pts y=yes 0
5.Design Energy Heels on Trusses 6'or more 2 Energy pts y=yes
S.Use Finger-Jointed Studs for Vertical A Applications 0
PP 2 Resource pts y=yes 0
7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes p
S.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes p
9.Use Structural Insulated Panels(SIPs)
a.Floors 3 Energy pts y=yes 0
3 Energy pts y=yes 0
c.Roof 3 Eneroy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
�f2.UsebSB - - -- - '—" " - � -
• a.Subfloors 1 Resource pt y=yes b. 0
Sheathing " — __— _ __- t 1 Resource pt y=yes 0
0 0 0
INPUT Resources Energy iAO/Heafth
D. error Frnrs
It.Use Sustainable Decking Materials
a.Recycled content 3,Resource pts yryes 0
b.FSC Certified Wood 3 Resource pts y--yes 0
112.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes D
3.Install House Wrap under Siding 1 IAQ/Health pt y=yes 0 .
!4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
I 1 1
E.Plumbing
Install Water Heater. _� 1 Energy pt y--yes 0
2.Insulate Hot and Cold Water Pipes 2 Energy pts y=yes 0
r3.Retrofit all Faucets and Showerheadswth Flow Reducers
I a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(i point each,up to 3 points) _ Up to 3 Resource pts. 0
5;Install Chlorine Filter on Showerhead 1 IAQ/Health pt y=yes 0
6.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0
7,Install Water Filtration Units at Faucets
(2 points each,up to 4 points) Up to 4 IAQ/Health pts. 0
S.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0
1 1 I
r,tiecricai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) _ Up to 4 Energy pts.
ID
L— - •
2.Install IC--AT Recessed Fixtures with CFLs(1 point each,up to
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. 0
4.Install High Efficiency Ceiling Fans with CFLs
(1 point each,up to 4 points) Up to 4 Energy pts. 0
1 I 1
G.Appliances
T.Install Ene gy Star Dishwasher — _ 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.Install Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
H.Insulation
1.Upgrade Insulation to Exceed Title 24 Requirements
a.Walls 2 Energy pts y=yes 0
b.Ceilings 2 Energy pts y=yes 0
2.Install Floor Insulation over Crawl Space 4 Energy pts Y_-Yes 0
(3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde —_ ( 3 IAO/Health pts y--yes 0
4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0
5.Use Cellulose Insulation
a.Walls 4 Resource pts Y=Yes 0 •
b.Ceilings 4 Resource pts y=yes 0
6,Alternative Insulation Products(Cotton,spray-foam)
a.Walls 4 Resource pts y=yes 0
n.uenings 4 Resource pts y=yes 0
1 1
I. rndows INPUT Resources Fnergy IAQIH,,a
t Install Energy-Efficient Windows
I a.Double-Paned 1 Energy pt y=yes D
b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
c.Low.Conductivity Frames __ 2 Energy pts y=yes 0
2.Install Low F ea_Transmission Glazing 1 Energy pt y=yes 0
t 1 1
J.Heating Ventilation and Air Conditioning
(7.Use Duct Mastic on Alt Duct Joints _ J,_ 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAO/Health pt y----yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
8.Install Sealed Combustion Units
a.Furnaces 3 IAQ/Health pts y=yes
b.Water Heaters 0
31AQ/Health pts y--yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 0
11.Install AC with Non-HCFC Refrioarants 2 Resource pts y=yes D
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Fumace 2 Energy pts y--yes 0
�. 13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stovesMswe 1 IAO/Health pt y=yes C
b. Install/Replace Dampers 1 Energy pt y=yes 0
c.Install Airtight Doors 1 Energy pt y=yes 0
14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes p
15.Install High Eff ciency Filter 41AQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes C
17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes C
t 1 1
K.Renewable Energy and Roofing
1.Pre-Plumb for Solar Water Heating 4 Energy pts Y--yes 0
2.Install Solar Water Heating System 10 Energy pts y=yes p
3.Pre-W re for Future Photovoltaic(PV)Installation 4 Energy pts =Yes 0
4.Install Photovoltaic(PV)System
(1.2 kw=6 points,2.4 kw=12 points,3.6 kw=1 B points)_ _ Up to 18 Energy pts C
E'Select Safe and Durable Roofing Materials _ 1 Resource pt y=yes 0
7 Install Radiant Barrier - 3 Energy pts y=yes p
1 1 1
L.Natural Heating and Cooling
1,Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes C
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts yges 0
• 1 1 1
-M—.Fn.T3rMr Qua ityand Frnlshes
11.Use LowMo-VOC Paint - - _ _ - _-1 1 IAQ/Health pts y=yes D
2.Use Low VOC,Water-Based Wood Finishes 2 IAQMealth pts y=yes 0
I3:Use LowMo VOC Adhesives 3 IAQMealth 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 61AQ/Health pts y=yes 0
6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yes 0
'r7_Seal all Exposed Particleboard or MDF'_ _ 1 __ 4 IAQ/H"thpts y=yes D
6.Use FSC Certified Materials for Interior Finish 4 Resource pts y--yes D
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
1 t 1
N.Flooring
1.Select FSC Certified Wood Flooring 6 Resource pts y=yes D
�.Use Rapidly Renewable Floo ng Materials 4 Resource pts y=yes 0
3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yes 0
4.Install Natural Linoleum In Place of Vinyl 5 IAQMealth pts y=yes 0
5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0
6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0
1 1
Total Points Available: 1 1401 1301 57 .
Total Points Project Received: 0 0 0
G:daarprogsrgreenbuildmgguidefinestremodeleNgreenpoinlsf nnI2120M1Proladedads
•
Community Development
e 10300 Torte Avenue
* / Cupertino CA 95014
Telephone(408) 777-3228
qkUPEI,TINO Fax(408)777-3333
Building Department
JOB ADDRESS: PERMIT #
S'O! D
O R'S NAME: PHONE # a
GENERAL CONTRACTOR: FAX # —
I am not using any subcontractors:
ature Date
Please check applicable subcontrac and complete the following information:
60 SUBCONTRACTOW 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/Contractor Signature Date