08070049CITY OF CUPERTINO �t,�
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CO1�iTRACT(iR'�INk'ORMATION
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BUILDING DIVISION PERMIT
.-
BUILDING ADDRESS:
PERMIT NO.
7449 TIPTOE LN
AIR QUALITY HEATING & AIR
08070049
OWNER'S NAME:
PERSffr ISSUE DATE
SORICH ROBERT M AND VIRGINIA A
720 NORTHRUP ST
07/08/2008
NE:
SANTEARY NO. CONfROL NO.
ARCHITECTIENGINEER:
BUILDING PERMIT INFO
ADD A/C TO EXTNG SYS
aLoc ELECT PLUMB MECH
LICENSED CONIRACIDR'S DECLARATION
Job Description
1 bemby a1Bm that I am licensed under provisions of Chapter 9 (mmmeacing
with Section 7") of Divi im 3 afte Becomes and Professiow Code, and my Ike=u
In full few C end e--
Li••^a•Ca
Dam Contra
CT
ARCHRECPS DELL
lir foo
I wtlersunJ my places shall W ua4 v public records
Licensed Professional
OWNER -BUILDER DECLARATION
I Wmhy alum Nal I am mompt Isom Alm COntractoes License law far me
following moon. (Section 1031.3. Business and Professions Code: Any city Or county
which minima a Ismail m cmmm s. alcor, hnprove, demo) W, m mpoir any strunum
prior b its issuance. also metuima Nr applicant rot such permit w file a signed so==,
man heia licensed punwnuothe Provisions ofineContranwr'$U.I rlawtChapmr9
Sq. Ft. Floor Area
Valuation
(canW 00) oft he Buorcv and Professions Cade) of
exe
ptlauntims
andrfDivision sa3
Nel he u exempt therefrom and the bats for the alleged eamptim. Any violation of
is
APN Number
Occupancy e
P Y�YP
Section 7031.5 by arty applicant fee a permil subjects the applicant w a civil penalty or
ons mom Nora Ave hundred doll,n(i5(q}
0 1, v owner of the Pm enty, or my employes wit wago s teir sale compensation,
Required Inspections
wipdo the work. amd to smcwre u m Oinunds, m offered forsale(Sec.70N, Busiaes
and Profession, Cade: 71te Conm,nars Liens, Law dao and appy w an mass, of
Property who builds m improves the mon, and who docs such work himml f or limugh his
owns sm doycs. Provided out such improromants art not hummed! wOffamd fm sale, If.
however, she Wilding or improvement, i, said within arc year mcomplcan. the awms,
builder will love tiro burden of proving Nn Im did not Wild w impmro for prime of
sale.).
❑ 1, v awno Of Ne property am exclusively cnomctir, with licesed mnoaeu rs us
C 1.1 the project (sec 7014. Business and Professions Cede:) rhe ComracwYa U.
.
«se law dma am apply te an owmer of property who builds o, improves ft.. cod.
who contacts for such pmjects with a emoactor(s) Iicnad purmanl w me Canuaomrs
License law.
❑ IanexemptunderSec ,BBPCIerNismsson
Dwm am
—Date—
.. WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury arc of Ne following declarations:
1hawandwill maintaina Cetir3mwof Conantwalf-iwumfar Wm iC=n -
ion, a provided for by Section 3700 of the labor Code, for to performance of dte
work four which mis permit u word.
1 hero and will ro nlaN WarkeYs Compensation Insurance, s myvired by Scetion
of me labor Cade. forme p.to.. of me were for which mu permit u issued.
My Wofkefs Compensaimn Inmsarms carrier W Policy numbs ve:
Cotrim. L CAA(`i `,{�a�V[ a11ry Nm,: � I �I CI I"S I— )
CERTIflGTE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
mus maim need Out hecompmmd if the permit Is former hundred t uars(S10D)
v
m 1.)
I citify mat N Ne pmromance, of Ne work for which Nis permit u issued. I shall am
employe any person ire any maocr so s w become subject w the Workers' Compensation
Laws of California. Dam
Applicant
NOTICE TO APPLICANT: If, after mating Nu CeNAcam of Exemption, you Nauld
become subject w the Workeh Campansation previsions of tc labor Cade. you must
camplY wit such pmv . m Ni, parmit shall W desmed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby affirm dw Nem sea emtuvuctiun lending agency for the perfomarc Of
NC wort for which Nis Permit u issued (Sec. 3097, Civ. C)
L<ndce, Name
Lender', Address
1 cenify Na 1 Mae rod Nis application ertd sum and tic above cromNm i,
concct. l agree w campy wits all city and county aNinenca and some laws misting to
momuction, and hereby an tunnue representatives Of Nu city w an=upon tiro
ahme-mentioned Property for inspection
(We) agree to an, indemnify and keep Mmlra to City of CupertlnO,gainst
which ms
IiaNlitio,Jndgmm�ts,emssand upenans whim may in anY waY,emm aguml asid Cry
in coneegwmee of dm granting Of oris pemil.
A P (CANT UNDERSTA S AND WILL COMPLY WITH ON -POINT
Issued by: Date
S R ULATIONS.
JLL
1
Re -roofs
Type of Roof
Sigwurt HAZARDOUS am
US MATERIALS DISCLOSURE
WillOctant m forum Wilding accupant alma or Mndlc hasaNaw material
U defined by upenim Mmiripal Code. CMpmr 9.13. and the Head, and Safety
cads.Sectia 25532(.)+
❑ Yw <- rr�� ��
All roofs shall be inspected prior to any roofing material being installed.
to applicant or future building Occupant use equipment m devices which
If a roof is installed without firs[ obtaining an inspection, I agree to remove
LLWill
iter? all contaminants s de0ncd by the Bay A. Air Qadity Maagcmcm
all new materials for inspection.
sWerO
P
OYC3 •CJ10u
I ban mal Ne hvudasanadmrislamquimmcros under Chaptc 6,95 oftM Califor-
nuHcal"SafclyCade,Sccti.. NM5,25533aW 334.IundcrwnddmifNr Wilding
dens cot emne-dY lem a 'Wal mai 11, my nappwinility b n0ttuddfY dm RYupanl ler me
Mettsw ehm henmlp' wissaancear,cemf_mytpd�
Signature of Applicant Date
All roof coverings to be Class 'W or better
ownmm ar,mm d,genl
6 ITEMS OF 13
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Blk: Lot:
APN ........: 35928004.00
DATE ISSUED.......: 07/08/2008
RECEIPT #.........: BS000005365
REFERENCE ID # ...: 08070049
SITE ADDRESS .....: 7449 TIPTOE LN
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OPERATOR: patg
COPY # : 1
VOICE ID DESCRIPTION
------------------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
VOICE ID DESCRIPTION
--- ----------------------------
507 FINAL PLUMBING
OWNER ............:
SORICH ROBERT M
AND VIRGINIA A
ADDRESS ..........:
7449 TIPTOE IN
CITY/STATE/ZIP
...:
CUPERTINO CA,
95014-5818
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
1BSEISMICR
VALUATION 5,700.00
----
---------- ----------
0.60
0.00
----------
0.60
----------
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
ZMRRAA
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
--------------------
224.95
0.00
----------
224.95
----------
0.00
VOICE ID DESCRIPTION
------------------------------------
505 FINAL ELECTRICAL
508 FINAL MECHANICAL
•
VOICE ID DESCRIPTION
--- ----------------------------
507 FINAL PLUMBING
o�o�o o'f
CITY OF CUPERTINO
oF FURNACE/AC
•CUPEkTINO PERMIT APPLICATION FORM
APN#
Date: 7 b
Building Address:
Owner's Name: �p }��Y�Cci' j 1 t2k--j 1}-j 1,&T rJL)ak&4
Phone #(40qA_'11
Phone 4�
Contractort l
_ ontractor License #:-.-:.Log 4c __ _
Fax #:
_u ertko Business License #
Contact:
`1
Fax #:
Building Permit Info:
Elect 121 Plumb F5--� Mech
Residential Commercial
Job Description: ADD A)c,—M exibm01 5� yyj
For Residential Installations:
Attic ❑ 15` floor ❑ 2nd 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 ofProje Type of Construction (Usage Class):
Strapped On Platform Bonded New Location Replacement
Valuation:
Green Building: Must attach Green Building Check list to this application
•
•
CI
CUPERTINO
CITY OF CUPERTINO
FURNACE/AC
FEESCHEDULE
Quantity
Fee ID
Fee Description
Fee
Permit Tj
e
Group
FURNACE
FURN/Aff
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.regulatedby_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.
1MCSUSHTR
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
Cormnercial 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,
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 beater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT
Residential for the install/relocatc/ or
M
replacement of ea appliance vent
install & not incl in an appl permit.
4.
►A
0
CRY OF
CUPERTINO
CITY OF CUPERTINO
FURNACE/AC
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Ty
FURNACE
FURN/A
1PGASRES
Residential for ea gas piping system of
1-4 Outlets
P
1BPGAS
For each gas piping system of 5 or
more per outlet.
P
1BSEISMICR
Residential Seismic
B
1MECPLNCK
Mechanical Plan Check
M
1MFR=<100
Furnace Syst <=100k BTU install or
relocate ea forced-air/gravity type
fumace/bumer, incl. ducts/vents
attached to such appliance up to and
include 100,000 Btu/h
M
INT F>100
Furnace Syst > 100k BTU install or
relocate ea forced-air/gravity type
furnace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
-M
---
IEPERMITFEE
Electric Permit Fee
E
IMPERMITFEE
Mechanical Permit Fee
M
IPPER 41TFEE
Plumbing Permit
P
1TRAVD0C
Travel Documentation
B
113USLIC
Business License
B
0
r 1
U
010F
CUPEkTINO
CITY OF CUPERTINO
FURNACE/AC
FEE SCHEDULE
Quantity
Fee ID
Fee Description
Fee
Group
Permit Ty
AIR
CONDITIONING
FURN/A
1BCAIR LkN
Commercial A/C Units <= lOk CFM
B
1MCRAA
Commercial Mech Repair/alt/add
M
113SEISMICO
Seismic Commercial
B
1PGASCOM
Commerical for ea gas piping System
1-4 outlets
-P-
1PGASRES`Resideritial'foi
ea gas piping stem
of 1-4 Outlets
1BPGAS
For each gas piping system of 5 or
more per outlet. Comm/Resid
P
1BREMAIR14AN
Residential A/C units <= l Ok CFM
B
/
Residential Mech Repair/alt/add
M
1BSEISMICR
Seismic Residential
B
I
IEPERMITFEE
Electric Permit
E
F
1MPERMITFEE
Mechanical Permit
M
I
1PPERMITFEE
Plumbing Permit
P
1TRAVDOC
Travel Documentation
B
1BUSLIC
Business License
B
Single Family GreenPoint Checklist date
The GreenPoint Cheddist is based on the various green features Incorporated into the hone and is the
basis for the GreenPoint Rated Plogrdln A home can be considered green II it fulfils the prarequisfes,
Oil at leas) 50 points, and meets the minimum points par category: Energy (30), Indoor Air Quality/
•Heaah (5), Resources (6), and Water (g). Please contact Build It Green for a list of qualified GreenPoira
Rales If you are Interested In pursuing third-pany verification.
The green building practices listed below are described in the Now Home- Consiruc ion Green Building
Guidelines, available at www 1builditoreen ora.
•
Build 111 ireeri
Sman Solurions In M be Ground Up
Ed F-1 F-1
9 Fill gr, 7-1 i
U
a Protect TDpem him Erosion and Reuse after Construction
ll 0
I
❑
b. Limit and Defnaate Comtruction Foo�rint la Maximum Protection
0 1
—0- - -------- ---) -
Points Available Per 1 nu7a---7
x. Deeonatrua Nstead of DemoOtlring Existing Buildin a On Site
a No Irwmty. species Ustad by Ca14PG Are Planed
aNo Plantpeclei Will Require HeOping
x)5% 01 Plants Am Drought -tolerant California Natives, Mediterranean. or Other Appropriate Species
2 Use Firs -Safe Landscaping Tachnium
a. Minimus Tud Mem in Landscape Use ! by Builder
a At Tud Will Have a Water Ri qusamenl Less than or Equal to Tall Fescue (50.8 plant facia)
b. Turf Shall Not Be InapBed on Slopes Exceedmg ID% a in Amm Less man 8 Feet Wide
C. Tud is 53% a 3landscaped Area (total2 points)
0
---0
I Recycle Job She Construction Wasp (Including Green Waste)
0
0
0 .
❑
aMiin'man 5011 Waste Diversion sion by We(Racciup m Reuse). Required
0
Z -
❑
b. Mnmmm 65% DNersion by Weight (Recycling or Reuse)
❑ d. Turfis 510% of Lenoscaped Are, (total4 points)
.0
---------- ------ -.... .
El
C. Minimum BOX Diversion by Weight (R (Recyctlng or Reuse)
0
-- - —
❑
❑
11e.
4. Usa Recycled Conf.nt Agg.g.. (Minimum 25%)
0
❑
a Walkway and Ddvewary
___--1 2_
0
0
0
o
❑
dvay
b. RoaBme
0 .
_.❑.__e. Minimum ell%Hlyashu Seip _...__-_.__... .__
fx
C LANDSCAPING
I Dial Points Available in Foundation a
ll 0
1. Construct Rnour�Etfident Landscapes
Points Available Per 1 nu7a---7
❑
El
❑
El
❑
❑
❑
a No Irwmty. species Ustad by Ca14PG Are Planed
aNo Plantpeclei Will Require HeOping
x)5% 01 Plants Am Drought -tolerant California Natives, Mediterranean. or Other Appropriate Species
2 Use Firs -Safe Landscaping Tachnium
a. Minimus Tud Mem in Landscape Use ! by Builder
a At Tud Will Have a Water Ri qusamenl Less than or Equal to Tall Fescue (50.8 plant facia)
b. Turf Shall Not Be InapBed on Slopes Exceedmg ID% a in Amm Less man 8 Feet Wide
C. Tud is 53% a 3landscaped Area (total2 points)
0
---0
----..=---_-__. '
0
0
-_..
I
3
1
0
2
0
Z -
0
-- _- -- 2
—-
❑ d. Turfis 510% of Lenoscaped Are, (total4 points)
❑
4. PShad.Troea
lantrou
0
--2 -
❑
❑
11e.
e. GPlana Water Needs ydrozoning)
alncpa High-Elficl.nry lrtigeden Systems
a SysUm uses Only Low+low Dnp, Bubblers, aLox-Omv Sprinklers
D. Syslam Has Smeq Canlmeers
T.Ineorpocate Two Inches of Com osi in the Top 6 to 1x Inches of Soil
Mulch All Plestin Beds; to the Greater of x Inches or Local Wall Ordinann Requirement
& Um 5p%Saln e0 a ReryclerlConpnt Meprinb for So%ol Nan Landscape
0
30
I
2
- 0
___--1 2_
0
0
0
o
__ _
3
3
2
1
-Pent Elements
❑ 1 a Reduq Light Pollution by Shielding Fixtures andtor Directing Light Dowmvard
U a Place RafteS and Surds at 24 -Inch On Center Framing
❑ b. Sue Dox and Wmdox Hmtlen, for Load
❑ C. Use Drily Jack and Cdpple Studs Required for Load
2 Use Engineered Lumbo
❑ a. Beams and Holders
❑ to. Inauptad Engineered Headers
❑ c. Wood IJdsp a Web Trusses fa Floors
❑ D. WOOD IJoida, fa Roo[ Railer,
❑ a. Engineered or Finger -Jointed Studs Ir, Venice] Applicalione
❑ f. Onemsd Stand Board for SubOoor
❑ g. Orrin Strand Board for Wall and Roof Sheathing
a. Um FSCCaefied Www
❑ a Dimensional Lumber, Studs and Timber; Minimum 40%
❑ b. Dimensional Lumbar, Studs and Timber, Minimum 70%
❑ c. Pane] Products: Minimum 40%
02007 Build It Green Sin01e Familv G,AA,Poim Chaclrlin PM7 V-6-
•
•
mora than 10
L Mdsnom 164nch Ommengs and Guiders
2lnelall a
1, ImLg Ireulation MM 75% Recycled Content
e Wage anNot Floors
L Install Insulation Met Is lar-Emding (Cerafii
a Wags anifor Floor
n'Q
0
O. PLUMBING
VENTTLA710M B AIR CONDITIONING
Polnts Avallab
er Measure
❑
❑
❑
❑'
❑
❑
1. Distribute Domestic Not WSW Effidently (Maximum I Points) ,
a lasWats Hot WSW Pipe from Water Heater to Kithan
b. Insulate M Hot WSW Pipes
a Ike Engm and Parallel Piping
Q Use Engineered Partial Paring with Demand Controlled Circulation Loop
e. Use Seuchred Plumbsg Mm Demand Controlled! Circulation Loop
I. Use Central Core Plumbingi
p
ENTER
PROJECT
0
e. Use Sofid Wag Systems (Indutln SIPS, ICES, It Any Non -$t
1
❑
e.
❑
El
b.
b. want
p
❑
e. Roots
e. Install High FJ6denry Ab Conditioning with Enybonmenslly Responsible Refrigerants
0
S. Reduce Pollution Entering the Home trom the Gerais
❑
❑
❑
❑
❑
❑
e. Tlghgy Seel the M Banner Isssan Garage and LMng Area
n
b. Irektl Goods Emaust Fan OR Bull a Detached Garage
•
•
mora than 10
L Mdsnom 164nch Ommengs and Guiders
2lnelall a
1, ImLg Ireulation MM 75% Recycled Content
e Wage anNot Floors
L Install Insulation Met Is lar-Emding (Cerafii
a Wags anifor Floor
n'Q
0
O. PLUMBING
VENTTLA710M B AIR CONDITIONING
Polnts Avallab
er Measure
❑
❑
❑
❑'
❑
❑
1. Distribute Domestic Not WSW Effidently (Maximum I Points) ,
a lasWats Hot WSW Pipe from Water Heater to Kithan
b. Insulate M Hot WSW Pipes
a Ike Engm and Parallel Piping
Q Use Engineered Partial Paring with Demand Controlled Circulation Loop
e. Use Seuchred Plumbsg Mm Demand Controlled! Circulation Loop
I. Use Central Core Plumbingi
p
4
❑
❑
0
0 ]
1
_ 0 i
Z
Z
❑
L Install Only Nigh Effic ancy Toilets Dual -Flush or 926 gpq
0
p
1 1 4
HTING
VENTTLA710M B AIR CONDITIONING
Points Avail Measure
1. Design and used HVAC System to ACOA Manuel J, D, and S Recommendations
p
4
❑
❑
2. Instal Settled Combustion Units
aFumacn
b. Water Heals
0
0
_ —
Lj
d.Instal Zoned, Hytlronic Radiad Heading will Slab Edge Insulation
p
e. Install High FJ6denry Ab Conditioning with Enybonmenslly Responsible Refrigerants
0
I
❑
❑
❑
❑
❑
5. Design and Install ENecdvs Duchrurk
a cral HVAC Unit and Duchvh w41hin CcndNoned Space
b. Use Dud Mastic m AI Duo Joints and Seems
c. Imiel Dwtmk under Attic Insulation (Buried Ducts)
d. Pressure Balance the Ductwork System
e. Pmsd Ducts during Construction and Clam An Ducts calor, Occupancy
0
p
_ _ 3
I l
p
—p
0
-- I
6. Install High Eflitimey HVAC Filter ERV 6,
p
❑
i. Dont Install Fireplace or Install Sealed Gas Fireplaces with ERcianry, Rating Not Less Than SM
using CSA Standards
0
❑
❑
❑
S. Imetal E6ectlre Exhaust Systems in Ballrooms and Kllehem
a. Install ENERGY STAR Bathroom Fans Vamed to the Outside
b. AD Bathroom Fans Are on Timer or Humidsted
e.lrsta6 Kitchen Range Hood Varied to me Outside
_ 0
0
-_D---_---
�'----
❑
❑
❑
❑
9. Install Mechanical Ventilation Systern for Cooling (Maximum a Points)
a. ti6t21 ENERGY STAR Calling Fans d UgM IOh In I.Iying Areas 6 Bedroams
It, Instal Whole House Fan wfth Variable Speads
C. Auromafc* Controlled Imegretec System
J. Aulonaficn0y Controlled Integrated System with Variable Speed Coned
0
——
_
— p
_ _ 2
- - -- �' -- -----'
3
❑
❑
10, Install Mechanical Fresh A4 Ventilation System (Maximum J Points)
a. My Whale House Ventilation System That Mees ASHRAE 622
b. Instal Aa-to-Alr Heat Exhan er that maere ASHRAE 622
0
------
----=_.!_.. —
LJ
11. Instal Carbon M.no.Ida Alar.(,)0
tI'
CITY OF
�UPERTINO
L
JOB ADDRESS: -1
Buildi
;P -W Li j .
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax(408)777-3333
artment
PERMIT #
OWNER'S NAME:P-C6'D !2�)D)eIL►t I PHONE #S(A-11(0 4
GENERAL CONTRACTOR:A to wAl.l LU I FAX #nci `;7ilI n- !`Pl�I
I am not using any subcontractors:
Please check applicable subcontractors
the following information:
Owner/Contra o Signa e
b
ae
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/Contra o Signa e
b
ae