08020053 (2) CITY OF CUPERTINO f4`: .. 'w""A: l g
SUIWINGDIVISION PERMIT �UNTRAC' OR�IN�'OItMA'TTON�,
IUFr `p,S x7.a'(•y�NF,pit¢u^efi4. to
BUILDING ADDRESS: PERMIT NO.
10400 MANN DR ATLAS-TRILLO HVAC 08020053
ER'S NAME: - PERMIT SUE DATE
LAI JACK K AND GLORIA H 1965 KYLE PARK CT 02/08/2008
PHONE: SANITARY NO. CONTROL NO,
ARCHITECTIENGINEER: BURRING PERMIT INFO
REPLACE FURNACE ATLAS- BLDG ELECT PLUMB MECH
30o
LICENSED CONTRACTOR'S DECLARATION -O
1 hereby M.Wt 1 son Iianwd under provision of Chapmr 9 wannow nems; O Description
^zjan wiltIXN))of DiNdon7.f Nc Business and Prafcadov Crde.W mylianau
m fulll ram and e
j = Liuvc 1 Con r .
�S- Dau I'S DE
actor . FH1
ARCHffECTS DECLARATION
I encomiums my plan Shall bo used as
public rtcoNo
D6yU.
Is trd y Licensed PNTCifimml
5 OWNER-BUILDER DECLARATION
M 1 hemhy oRirm Not I am contain from we Contractor.Licenu Ww for
me
a O fallowing ranan.(Section 7031.5.Business and Profession Cudc:Any city or county
$ whish wool.a Permit m cnntrum,Blur,improve,demolish,or mad,my net.
prior In its issuance,alas requires the applicant for such permit to rile a signed suumem
�< IML he is licensed pursuant to the provisions of the Contractor's License Law(Chapmr 9 Sq.Ft.Floor Area Valuation
$ (commencing with Section 7000)or Division 3 of the Business and Profewaimm Code)or
2 that he exempt exempt therefrom and the basis for the alleged exemption.Any vloladon of
Section 7031L5 by any applicant for a permit ubjects ow Applicant 0 a civil Penalty Of APN Number Occupancy Type
not mom man five hundred dollars(55110).
❑I,asownerofthepnnpmy,amyemployu4withwarnume mldeompemwadon,
will do the work,and the structure is not Intended or offered fnwale(Sec.7044,Business
and Propmed.nt Code:Toe Contractors License Law don Out apply In an owner of Required Inspections
pmpenywbo Wildsorimpmw Nmeon.aM whodmasuch work himself.,dough his
own employers.pmWded that such improvements we not intended moRemd far sale If,
hove..,we building or improvement is to wimin an yeu of comPli o.n,me owner-
builder will have the burden of proving that be did non Who or improve far purpose of
tole.).
❑I,as mmer of the properly.am erclesively contracting with licensed contractors u
construct the prejm(Sec.7044,Business and PrefeWan Code:)TW Comi actors U.
cents,Law does not apply to in owner of property who Wilds or improve thereon.and,
.1W contracts far such projects with•conons ar(s)Maned parmmat tome Ciumauors
Lumen Law.
❑lamaemplundugec. .BRPCfmmismem.
Date
WORKERS COMP ?,SZnONDECI RATION
1 hereby urban under Mostly of loader,once of Ne folluwong declawtions:
❑Inas and will for by
a Cutifnate ofComem r ode,far w Warkeh ce of the '
worn,r pmviMi far mi 5a110n 7700 of the Whar Code,fu W Performance a(the
wank far which this permit is load.
❑I have and will maintain Warkera Compenwtion Insurance,u mulmd by Seniors
37M of me Labor Code,(or me performance arms,work for which mix permit is bound
My Work aCum it loanrane amuand Policy umbor.rt:
r
Cassie
CERTIF CATS OF XETIONNI FRR
OM W ERS'
COMPENSATION ION INSURANCE
(lbw mom need mtbocomphied If the permit Isforone hundred doom($100)
or kw)
1 anify mol in the performance of mw work far which this permit is Intend,I shill nm
employ any person in my manner an as u become Subject to me Workers'Compensation .�
Laws of California.Data
Applicant
NOTICE TO APPLICANT.If,afar making this Certificate of Exemption,you should
baome subjm to Ne Worker's Guatemalan provisions of the Labor Code,you most
.J� faMwilb comply with such provision Or this permit Shall he dammed revoked.
Z,n O CONSTRUCTION LENDING AGENCY
F^ IWrtby.mrm then mem lama comi leading agency ser the perfmm.ae of
[Si > the work for which this amia Is woad(Sec.3097,Ch.C.)
I17 0 bonders Name
.7. Z Wndeh Addrev
U O 1 certify that I hw read his application W sum was the above information is
u,F cartm.l agree to comply with all city and county ordinances and suss Was misting in
0U Wilding constuction,and hereby antboriw repr4enutiw of Nu city in mom upon the
Ixl above-mentioned property for inspection purposes.
0. (We)agree to wave.indemnify and kap hmmlew IW City of Cupertino sorest
ren lUtolitim Judgments,casts and expenses which may In any hay amue arum Said Cly
U z in coME
alloww perm" @)�
^� APPND WILL COMPLY WI LL NON-POINT Issued by: Date
SOU .l
v/ L Re-roofs
lZo Data --
HAZARDOu ISCLOSURE Type of Roof
leWill du applicant Or future Wilding mmpantmom ar handle hana d.n maw"
de0and by the CapeNno Muni 1 Code.Chapter 9.12-W oto HmIN and Safety
.
Simon 15532(11)?C]You All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding mtrpant use equipment or devices which If a roof is installed without first obtaining an inspection,.1 agree to remove
emiL hawrdnus air emtand nu as Mined by the Bay Area Air Quality Management all new materials for inspection.
Diable,?
❑Ya Nu
I have read the h eadmis m serialsmquiremcnu undcrC7rsmr6.95 of the Califor.
out afcly Cade,Section 2570.5,75537 andx5534.1 understand wallow Wilding
dcn currt ly haw a tenan4 mat it is my rntpomibillty in notify't nem`ousee,of/Nc
nod m h hmnstW 'to issuance of.eenr o�J Signature of Applicant Date
owns r auNa cacti agcn Dam All roof coverings to be Class"B" or better
• CITY OF CUPERTINO
7 ITEMS OF 7 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 32645010. 00
DATE ISSUED. . . . . . . : 02/08/2008
RECEIPT #. . . . . . . . . : BS000003898
REFERENCE ID # . . . : 08020053
SITE ADDRESS . . . . . : 10400 MANN DR
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : LAI JACK K AND GLORIA H
ADDRESS . . . . . . . . . . : 10400, MANN DR
CITY/STATE/ZIP . . . : CUPERTINO, CA 95014-1141
RECEIVED FROM . . . . : ATLAS TRILLO
CONTRACTOR . . . . : TRILLO, STEVE LIC # 4269
COMPANY ATLAS-TRILLO HVAC
ADDRESS . . . . . . . . . . : 1965 KYLE PARK CT
CITY/STATE/ZIP . . . : SAN JOSE, CA 95125
• TELEPHONE (408)286-8931
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BSEISMICR VALUATION 2, 800. 00 0.50 0. 00 0 .50 0. 00
1BUSLIC FLAT RATE 1. 00 110 . 00 0. 00 110 . 00 0. 00
lEPERMITFE 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 334 .85 0. 00 334 . 85 0. 00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
-------------- --------------- --------------------
CHECK 334 . 85, 9287,
---------------
TOTAL RECEIPT 334 . 85
VOICE ID DESCRIPTION VOICE ID - DESCRIPTION
-------- ---------------------------- -------- ----------------------------
505 FINAL ELECTRICAL 507 FINAL PLUMBING
508 FINAL MECHANICAL
•
CITY OF CUPERTINO
111 POF
FURNACE/AC
CUPERTINO PERMIT APPLICATION FORM
�1�53
APN# ui 6 , ,O( J_\ Date:
Building Address: 5
ffifbb
V2
Owner's Name: Pho A
/moi` (� r!OYI GQ 005) �5-c
Contractor: P
Contractor License#: .. Cupertino Business License#:
U-6 C &? I ——
Contact: Phone #:
Fax#:
Building Permit Info:
Elect ❑ Plumb ❑ Mech ❑
Residential Commercial
Job Desc ption:
Pik,
For Residential Installations:
Attic ❑ 151 floor ❑ 2"d floor ❑
Adhere to minimum setback re uiremen
For Commercial Installations:
Replacement same weight ❑ Additional weight (structural calcs) ❑
Structural Calculations required for new installation ❑
New installation Planning A roval Required ❑
Cost of Pro' ct: Type of Construction(Usage Class):
4�n d
Strapped El On Platform Bonded Ej New Location ❑ Replacement
Valuation:
Green Building: Must attach Green Building Check list to this application
CITY OF CUPERTINO
alo FURNACE/ACCUPE( tINO 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
-install ation_o£controls-regulated-by-this
code.
1 MCREPALT 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 InstalI/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 & riot 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 InstalI/Relocate ea M
suspended heater,recessed wall htr, or
floor mounted unit heater.
1MRAPPVNT Residential for the instalUrelocate/or M
replacement of ea appliance vent
install ¬ incl in an appl permit.
CITY OF CUPERTINO
• FURNACE/AC
CUPI�TF
EINO 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
113PGAS 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
relocate ea forced-air/gravity type
furnace/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
fainace/bumer, incl ducts/vents
attached to such appliance over
100,000 Btu/h
IEPERMITFEE Electric Permit Fee . E
1MPERMITFEE Mechanical Permit Fee M
1PPERMITFEE Plumbing Permit P
1TRAVDOC Travel Documentation B
+ 1BUSLIC Business License B
CITY OF CUPERTINO
40F FURNACE/AC
CUPEkTINO FEE SCHEDULE
Quantity Fee ID Fee Description Fee Permit Type
Group
AIR FURN/AC
CONDITIONING
1BCAIRHAN Commercial A/C Units <= l Ok CFM B
1MCRAA Commercial Mech Repair/alt/add M
1BSEISMICO Seismic Commercial B
1PGASCOM Commerical for ea gas piping System P
1-4 outlets
-1PG7ASRES 72esidentHiFfor ea gas piping system—P—
of 1-4 Outlets
IBPGAS For each gas piping system of 5 or P
more per outlet. Comm/Resid
1BRENIAIRHAN Residential A/C units <= l0k CFM B
MUZAA Residential Mech Repair/alt/add M
1BSEISMICR Seismic Residential B
IEPERMITFEE Electric Permit E
1MPERMITFEE Mechanical Permit M
1PPERMITFEE Plumbing Permit P
ITRAVDOC Travel Documentation B
1BUSLIC Business License B
•
Single Family GreenPoint Checklist � Build It Gree
f7
The GreanPolm Checklist Is based on the various green features incorporated Into the home and is the Smart Solutions from The Ground Up
• heals for the GreenPoint Rated program.A home can be considered green 0 it fulfills the prerequisites,
Hams at lease SD points,and meets the minimum comms per category.Energy Indoor Air Quality/
Health(E),Resources(6),and Water(B).Please contact Build It Green for a listst of a qualified GreenPcim
Raters If you are Interested in pursuing third-party verification.
The green building practices Med below are descrbed in the Now Home Construction Green Building
Guidelines,available at www.buildtloreenom.,
to
ENTER PROJECT NAME
U Q Q
I I -.. Pains Available Per Measure
1.Protect Topsoil and Minimize Disruption of Existing Plants a Treee
❑ a.Protecl Topsoil from Erosion and Reuse after Construction - 0 _ 1 1 i i 1
❑ to Unfit and Defrosts Constriction Foo0rinl for Maximum Protection 0_77—
2 Decontrol Instead of Demolishing Existing Buildings On Site 0 3
3.Rery(re Job Site Construction Waste(Including Green Waste)
❑ aMinimum 50%waste Diversion by Weigh(Racycbng or Reuse-Required 0 1 R
❑
to.Minimum 65%Diversion by Weight(Recycling or Reuse) p 2 1
❑ c.Minimum Bo%Diversion by Weight(Rocycling or Rause)
a Use Recycled Content Aggregate(Minimum 25%)
❑ a.Walkway and Dirl 0
❑ b.Roadway Base 0 1
Total Points Available in She=12 0
B.FOUNDATION. -Pants Available Per Measure
1.Replace Portland Cement in Compote with Recycled Fly ish or Slog
_O A.Mlnlmum20%FVn—hor Step 0
❑ b.Minimum 25%Mynah or Slag D 1
2.Use Frost-Protected Shallow Founder in Cold Aran(C.E,C.Climate Zone 16) 0 l 3
a Use Radon Resistant Construction On At-Risk Locations Only) 0 ( 1
1.Design and Build Structural Pest Controls
❑ a.Install Tormse Sirloin 5 Separate All Exterior WDD640-00nmem Connections by Metal or Plastic FastenorslD'Niders 0 1
to.All New Plants Have Think Base,or Stem Located At Least 36 Inches from Foundation 0 i �—
Total Points Available inFoundation=8 0
C.LANDSCAPING -" Points Available Per Measure
• 1,Conswet Reseurce-Efficierd Landscapes
❑ a.No ill Species Listed by Cil Are Planted _ 0 1
El b.No Plant Species Will Require Hedging 0 - ! I T- -11---
❑ c.75%of Plans Are Dmugla-tosrsm California Nor Mediterranean,or Other Appr000me,Speiss 0 l 3
2.Use Fire-Safe Landscaping Techniques 0 1
3.Minimize Tud Arm In Landscape installed by Builder
❑ a Ah Tud W0 Have a Water Requirement Less than w Equal to Tell FoRba 150.8 poem factor) 0 l 2
❑ d.Tud Shall Not Be Installed on Slopes Exceeding 10%or In Areas Less than 6 Feet W de _ 0 2_
E] c.Tud Is 533%of Landicapod Area(for 2 polite) 2
❑ d.Tud to S10%a Landscaped Area(total 4 points) 0 ( 2
❑ 4.Plant Shade Trees 0 l 3
S.Group Plants by Water Needs(Hydmzonin 0 ! 2
6.Install High-Efficiency Irrigation Systems
❑ - a.System Uses Only Low-Flcw Drip,Bubblers,or Low flow Sprinklers 0 2
❑ b.System Has Smart Controllers 0 --712—3
7.Incorporate Two Inches of Compost in the Top 6 to 12 Inches of Soil 0 ! (�\\ t 3
e.Mulch All Planting
Is to the Greater of 2 Inches or Local Water Ordinance Requirement 0 2
B.Use 50%Salva ad or RecycledContent Moderiate for 50%of Non-Plant Landscape Elements 0
❑ 10.floduca Light Poilu0on by Shielding Fixtures andlor Directing Light Downward 0 1 U1 U I
Total Points Available In Landscaping=31 0 -
D. SMILICTURAL FP—UM R EUILDINU ENVE[APE Points Av bIB . assure"
1.Appy Optimal Value Engineering
❑ a.Place Rafters and Studs at 24-Inch On Center Framing 0 ) 1
❑ to Size Door and Window Headers for Load 0
❑ c.Use Only Jack and Cripple Studs Required for Load 0 1
2 Use Engineered Lumbar .
❑ a.Seams and Heatlers
❑
to Insulated Engineered Heatlers
❑
C.Wood lJolsis or Web Trusses for Floors
❑ d.Wood Wool for Roof Rafters
❑ e.Engineered or Flngeo-Joinod Studs for Vertical Applications 0 I 1
❑ L Oriented Stand Board for Subfioor
❑ g.Oriented Strand Board for Wall and Roof Sheathing 0 --T'—
• d.Use FSC-Cerfified Wood —
❑ e.Dimensional Lumber,Studs and Taber.Minimum 40% 0 I 1 2
E] b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 —1— '—
❑ c.Panal Protlucts:Minimum 40%
❑ d.Panel Produce:Minimum 70% 0 __ 1
02007 Build It Green Single Family GreenPolnt Checklist 2007 Version Page 1 of 4
PROJECT NAMEMU=1i
4.Use Solid Wall Systema[Includes Sips,ICFs,a Any Non-Stick Frame Aaeanby)
❑ e.Floors 0 ! 2 7 _
❑ b.Walla 0 2 I 2
❑ c.Roots 0 Z 2
5.Reduce Pollution Entering the Home from the Garage
❑ s Tigoly Seal the Ah Border between Gmage and Lilting Area o I 1 I I
❑ .b.Ideas Gentle FxhausI Fan OR Build a Detached Gorge 0 1
Lj 5.Design Energy Henle on Trusty(75%of Ads Insulation Height M Outside Ede of Brander Wall) 0 1 I 1
❑ 7.Design Rool Trusses to Accommodate Ductwork 0
e.Use Re cled-Conttnt Steel Surds for 00%of Intedet Well Franding 0 I 1
Lj S.Thermal Mus Wella:Which Drywall on All Interior Wells or Wells Weighing more then 4016/cu.11. 0 1
10.Install Overhangs end Guttme
❑ a.Minimum 16-Inch Overhangs and Gutters 0 ! 1
❑ b.Minimum 24-Inch Overhangs and Gutters 0
Tote)Points AvaOehle in SlmcWial BuIcling Fant and Ernoldide=36 0
E.EXTERIOR FINISH Pointe Available Par Measure
1.Uae Recycled-Content No Virgin Pulses)or FSC-GrgOed Wood Docking 0 1 2
—17 2lnsWl a Rain Screen Wag System 0 i 2 1
El S.Use Durable and Noncombustible Siding Materiels 0 r 1 I
El 1,Select Durable and Noncombustible Roofing Materials 0 2 1
Tote)Points Available in Expeller Finish=7 0
F.INSULATION Pointe Available Par Measure
1,Install Insulation with 75%Recycled Content
❑ a Wells andlor Floor
—G—b.-CeOin 0 — —-I——— —i—I——
2lnatall Insulation that is Low-Emitting(Certified Secden 01350)
❑ a We11a antherFloor 0 _ 1 I I
El b.Collin 0 I T 1
Stns ed Quality of Insulation Installation balers Applying Drywall 0 1
Told!Pointe Available In Insulation=5 0
G. 11AISING Points Available Per Measure
1.Distribute Oomeses Hol Water Efficiently(Maximum 7 Points).
❑ a.Insulate Hol Wdw Pipes from Water Healer to Kitchen 0
❑ b.Insulate All Hol Water Pipes D 1
❑ c.Use Engineered Parallel Piping 0
❑ d.Use Engineered Parallel Piping with Demand Condoned Circulated Loop 0
❑ e.Use Smicured Plumbing who Demand Controlled Clmulallon Loop 0
❑ I.Use Cantel Core Plundbling 0 1 1 I 2
❑ 2.Install Only High EfficlenTDtiete DuapFlush or 5128 qpq 0 I 1 4
Total Points Avalleble In Plumbin .Total 12 0
R. TING VENTILATION B AIR CONDITIONING Pointe Avallable Par Measure
t.Design and Install HVAC System m ACOA Manual J,D,and S Recommendations 0 4 i I
Jnetell Settled Combustion Units
rq e.Furnaces 0 j 2
❑ b.Water Healer 0 1 2 1
S.Install Zoned.Hydrenic Radiant Heating with Slab Edge Insulation 0 1 1
4.Install High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 0 1 I
5.Design and Install Effective Ductwork
❑ a.Install HVAC Drill and Ductwork within Conditioned Space 0 3
❑ b.Use Dud Mastic on All Duct Joints and Seams 0 1
❑ c.install Ductwork under Alto Insulation(Buried Ducts) 0
❑
J.Pressure Balance the Ductwork System 0 __ 1
.Prded Ducts during Construction and Clean All Duda before Occupancy 0 1
&Install HI h Efficlancy,HVAC Filter ERV 6v) 0
❑ 7.Dont Install Fireplace or Install Seelad Gas Fireplaces with Efficiency Rating Not Less Than 60% D
using CSA Standards
A.Install Effective Exhaust Systems in Bathrooms and I0lohens
❑ a,Install ENERGY STAR 88mitdm Fane Vented to the Outside 0 __ 1
❑ b.All Bathroom Fens Ate on Timer or Humldistal 0
❑
LI Kitchen Range Hood Vented to the Outside 0 I I
a.Instal Mechanical Vantilaeon System for Cooling(Maximum 4 Points)
❑ a.Install ENERGY STAR Gelling Fans 8 Light KW In Living Areas 6 Bedrooms 0 1 I
❑ b;Instep Male House Fan with Vadabls Speeds _ 0 _ 1
❑ c.Automatically Controlled Integrated System D
❑ d.Aulomari Controlled Integrated System with Variable Speed Control 0 — 3 1 I l
1 D.Install Mechanical Fresh Air Ventilation System(Maximum a Points)
❑ a.Am7 Whole House Ventration System That Meals ASHRAE 62.2 0 _ _ j_
❑ b.Install Air-lo-Air Heat Exchanger that meet ASHRAE 622 0 1 I 22 I
11.Install Carbon Monoxide Alarm(s) 0 1
Total Points Available In Heading,Ventilation and At Condllionin =30 0
02007 Build It Green Sinqle Family GreanPDlnl Chaddist 2D07 Version Poe 2 of 4
Community Development
10300 Torre Avenue
1Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
CUPEI�TIN0
Building Department
JOB ADDRESS: PERMIT # ,Z o0�
bgo0 - 6�
OWNER'S NAME: Ct PHONE # - 2
GENERAL CONTRACTOR: T7 FAX #
I am not using any subcontractors: _.
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
• Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Owner/ Co- actor Signature Date