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070600750 z W tar .'7 U f -t U CITY OF CUPERTINO 777 BUILDING DIVISION PERMIT��R�iT�Q BUILDIJV�j gD FERNGROVE DR `j (J 0 C MC DONALD CO INC PERMIT NO. 07060075 OWNER'S NAME: TORREY LEON 1150 W SAN CARLOS PERMIT ISSUE DATE 06/11/2007 )NE: (408)295-2182 SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 70(10) of Division 3 of the Business and Professions Codc, and my license is REPLACE WATER LINE. in full force and effect. License Class _ Lle- S Date Contractor ARCHITECT'S DECLARATION I understand my plans shall be used as public records Licensed Professional OWNER-BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure Sq. Ft. Floor Area Valuation prior to its issuance, also requires the applicant for such permit to frac a signed statement License Law 9 that he is licensed pursuant to the provisions of the Contractor's (Chapter Code) $2205 (commencing with Section 7000) of Division 3 of the Business and Professions or that he is exempt therefrom and the basis for the alleged exemption. Any violation of p ��j Number 37539053 : i� Occupancy Type Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). V ❑ I, as owner of the property, or my employees with wages as their sole compensation, Required Inspections will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). owner of the property. am exclusively contracting with licensed contractors to nstroct the project (Sec. 7044, Business and Professions Code:) The Contractors Li- TARY cense Law does not apply to an owner of property who builds or improves thereon, and. AN who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law ❑ 1 am pt under Sec. B & P C for this reason Owner Date 1�'S d [ON DECL.ARATION��'-`T I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of Consent to self-insum for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Worker's Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number are: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Chis section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any ef so as to btx:omt;subject to the Worked Compensation Laws of califo Date y4 ~ s! Applicant NOTICE TO : If. a m rtificatc of Exemption, you should become sub t to c o er's C on p visions of the Labor Code, you mast forthwith comply with such provisions or this it shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for whmh this permit is issued (Sec. 3097, Civ. C.) Lender's Name. Lenders Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against n liabilities, judgments, costs and expenses which may in any way accrue against said City in co sequence of the granting of this permit. -• APP ICANT lJ TANDS AND WILL COMPLY WITH ALL NON-POINT Issued b) Date S R REG L ONS. —1 r Re-roofs Type of Roof s a pplitart on or Dare OUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑ Yes DAG— aroof .s installed without first obtaining an inspection, I agree to remove ill the applicant or future building occupant use equipment or devices which Will emit hazardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? ❑ Yes u 1 have mad the hazardous materials requirements under Chapter 6.95 of the Califor- nia Hca & Sal cty Code, Sections 25505.25533 and 25534. I understand that if the building docs currently c a t nant, that it is my responsibility to notify the occupant of the re which mu a met prior to issuance of a Certifies afOepaner. Signature. of Applicant Date (' All roof coverings to be Class "B" or better c authonzc gent Dat CITY OF CUPERTINO 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # : 1 Sec: Twp: Rng: Sub: Bl.c: Lot: APN ......... 37539053.00 DATE ISSUED.......: 06/11/2007 RECEIPT #.......... BS)00001605 REFERENCE ID # ...: 07)60075 SITE ADDRESS .....: 901 FERNGROVE DR SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER TO ZREY LEON ADDRESS .......... CITY/STATE/ZIP ...: CUPERTINO CA, 95014-4664 RECEIVED FROM ....: LE)N TORREY CONTRACTOR .......: MCDONALD, JAMES V LIC # 268 COMPANY 0 1 MC DONALD CO INC ADDRESS 1130 W SAN CARLOS CITY/STATE/ZIP ...: SAv JOSE, CA 95126 TELEPHONE ........: (4)8)295-2182 FEE ID UNIT QUANTITY kMOUNT PD -TO -DT THIS REC ---------- NEW BAL ----------------------- BPWSVCS WATER SERVICE -------------------- 1.00 9.00 -------------------- 0.00 9.00 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 ---------- 0.00 TOTAL PERMIT ---------- 47.37 ---------- ---------- 0.00 47.37 0.00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- CREDIT CARD --------------- 47.37 -------------------- VISA TOTAL RECEIPT --------------- 47.37 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- 106 SEWER & WATER -------- 202 ---------------------------- UNDERFLOOR PLUMBING 301 ROUGH PLUMBING 302 TUB & OR SHOWER 502 FINAL PLUMBING ENERGY 506 GAS TEST 507 FINAL PLUMBING ZYF CUPEkTINO CITY OF C'UPERTINO 0�o� (D -7 REPIPE/ E � '•'4 S/MAIN SERVICE PERMIT APPLICATION FORM APN #�-75 c) `� 3 , o BUILDING Date v �f C.A�j% Building Address: Lu ( G of 1--,,V' — 2 L(7 - PPERMITFEE Owner's Name: Owner's --- Phone #: - �-ontractor: E Phone. Pblg. Fixture License h. p 2 I Qo8 `JS� C.: a&&o PLUMBING �2- Contact: Phone: BPSEWAGE Cupertino Business License #: Building Permit Info: Bldg ❑ Elect ❑ Plumb BUSLIC Job Description: BUILDING _ Residential Commercial ❑ Cost of Project: Qty. if Annlicable Fee ID Fee Description---- Fee Group BPERMFEE B ldg. Permit Fees BUILDING BPGAS Gas Piping System Fee PLUMBING PPERMITFEE Plumbing Permit Issuance PLUMBING BPREPIPE R, -pipe of Fixtures PLUMBING BPFIXTURE Pblg. Fixture PLUMBING BPWSVCS . N ain Water Service PLUMBING BPSEWER S(;wers PLUMBING BPSEWAGE S(;wage Disposal PLUMBING BUSLIC B isiness License BUILDING CITY OF CUPERTINO BUILDING DIVISION PERMIT BUILgf bi�L),C7R'St INCH AVE OWNER'S NAME:: STANLEY & RITA LEE NE: ARCHITECTIENGINEER: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect License Class Lic• # Date Contractor ARCHITECTS DECLARATION I understand my plans shall be used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct. alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to nstruct the project (Sec. 7044. Business and Professions Code:) The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors License Law. ❑ lam pt undo ea �� , B & P C for this mason Owner / �7� �-�` Date L 0 WORK C PEN ATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: �z 0 z� r -w Gua ? aQ �z UO I�. H OU Fa � l'!I U ❑ I have and will maintain a Certificate of Consent to self-insum for Workers Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain Workers Compensation Insurance. as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number arc: Carrier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for ooc hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califorrn �tc Applicant NOTICE TO APPLICAWnif, after making this Cenificatc of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that them is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lenders Name Lenders Address I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granting of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT SOUR GLA �j i QLIY�� Signature of ApplicanUConLractor Data HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Code, Section 25532(x)? ❑ Yes (3At6 Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑ Yes CtNe 1 have read the hazardous materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505, 25533 and 25534.1 understand that if the building does not c oily have a tenant. that it is my responsibility to notify the occupant of the require nus hich met to ss cc 'fa Certificate of Occupancy. Owner or authorized agent Date PERMIT NO. TBD - To BE DETERMINED 07060084 PERMIT ISSUE DATE 06/12/2007 SANITARY NO. CONTROL NO. BUILDING PERMIT INFO ELECT PLUMB MECH Job Description REPLACE FURNACE AND WATER HEATER Sq. Ft. Floor Area 37505023.-V64 Issued by Re -roofs valuation $2000 Occupancy Type Required Inspections Type of F.00f All roofs shall be inspected prior to any roofing material being installed. If a roof : s installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class "B" or better 7 ITEMS OF 7 CITY OF CUPERTINO PERMIT RECEIPT Sec: Twp: Rng: Sub: Bl.c: Lot: APN 3705023.00 DATE ISSUED.......: 06/12/2007 RECEIPT #.......... BS)00001620 REFERENCE ID # ...: 07)60084 SITE ADDRESS .....: 10141 FINCH AVE SUBDIVISION ...... CITY CU ?ERTINO IMPACT AREA ...... OWNER ST.WLEY & RITA LEE ADDRESS ..........: 10141 FINCH AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 OPERATOR: christya COPY # : 3 RECEIVED FROM ....: RIPA LEE, TRUSTEE CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ........... CITY/STATE/ZIP ...: TELEPHONE ........ FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ---------- NEW BAL ---------- ---------- BENERGY ------------- PERMIT FEE -------------------- 1.00 34.86 ---------- 0.00 34.86 0.00 BPWHEATER PER HEATER 1.00 10.79 0.00 10.79 0.00 BRE4HEAT NO OF HEATERS 1.00 7.02 0.00 7.02 0.00 BSEISMICRE VALUATION 2,000.00 0.50 0.00 0.50 0.00 EPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 MPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 0.00 PPERMITFEE FLAT RATE 1.00 38.37 0.00 38.37 ---------- 0.00 ---------- TOTAL PERMIT ---------- 168.28 ---------- 0.00 168.28 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 168.28 --------------- 168.28 VOICE ID DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING 304 ROUGH ELECTRICAL REFERENCE NUMBER -------------------- 5039 VOICE ID DESCRIPTION -------- ---------------------------- 303 ROUGH MECHANICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO PERMI`[' INVOICE OPERATOR: christya Sec: Twp: Rng: Sub: Blk: Lot: APN ......... 3705023.00 INVOICE DATE......: 06/12/2007 REFERENCE ID # ...: 07)60084 SITE ADDRESS .....: 10141 FINCH AVE SUBDIVISION ...... CITY CUPERTINO IMPACT AREA ...... OWNER STANLEY & RITA LEE ADDRESS 10141 FINCH AVE CITY/STATE/ZIP ...: CUPERTINO, CA 95014 CONTRACTOR .......: TBD - TO BE DETERMINED LIC # 00096 COMPANY ..........: TBD - TO BE DETERMINED ADDRESS ........... CITY/STATE/ZIP ...: TELEPHONE ......... FEE DESCRIPTION DUE FOR AMOUNT DUE PAID ---------- BALANCE --------------------------- ENERGY ---------------- APPLICATION ---------- 34.86 ---------- 0.00 34.86 WATER HEATER/VENT PRINTING PERMIT 10.79 0.00 10.79 HEATER INSTALLATION PRINTING PERMIT 7.02 0.00 7.02 SEISMIC FEE RES PRINTING PERMIT 0.50 0.00 0.50 ELEC PERMIT ISSUANCE PRINTING PERMIT 38.37 0.00 38.37 MECH PERMIT ISSUANCE PRINTING PERMIT 38.37 0.00 38.37 PLUMBNG PERMIT ISSUE PRINTING PERMIT 38.37 0.00 ---------- ---------- 38.37 ---------- 168.28 0.00 168.28 VOICE ID DESCRIPTION VOICE ID ---------------------------- DESCRIPTION -------- ---------------------------- 301 ROUGH PLUMBING -------- 303 ROUGH MECHANICAL 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL M x CUPER,TINO CITY OF C'UPERTINO PERMIT APPLICATION FORM 0-7 0 k 0,?, �4 APN #Date: 3 7,5-- ds-- o z 3 (6 -_ / 2_-49? Building Address: Mailing Address (if different from building address): /d U 4 i j Nc�/ �}�� u/�� T��'o ('��`�Sv�c� /��• tri 4o is � S/�v J�� C/I : Phone #: Owner's Name: L� � ( WS) �36_6�z9 - �' d2r�� Contractor: License #: Contact: Phone(4/60 Cupertino Business License#: Fax VC 6S MECHANICAL Building Pei, nit Info: 1,C,_P,( Boil,,r > 1M to 1.75 M Btu Bldg ❑ Elect / g_ ' Plumb Kr_ Mech Job Description: Residential [ Commercial El Sq.Ft. Floor Area: Sq.Ft.: BCONSTAX Construction Tax Cost of Pro ect: Occupancy Grou C; -r C BUILDING Type of Construction: Please check this box if the project is a ❑ BUILDING second -story addition: n_..4-4. C!; -o. Qf�"AarA n T.nrw- n Maior I-1 BUILDING KIVIVV_ Ll7L.G. U Quantity Fee ID BAPPLOTHER Fee Description Other Appliances Fee Group MECHANICAL BBOILERI Bc iler <= 100,000 Btu MECHANICAL BBOILER2 Boiler > 100K to 500K Btu MECHANICAL BBOILER3 Boi.er > 500K to 1M Btu MECHANICAL BBOILER4 Boil,,r > 1M to 1.75 M Btu MECHANICAL BBOILER5 Moiler > 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ir d/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax - Resi/Mobile BUILDING BELEC1000 Elec 600V <= 1000A ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Ele � Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING l 4,9. zs 1 of 3 CITY OF C±UPERTINO PERMIT APPLICATION FORM Quanti Fee ID Fee Description Fee Group BMISCELL Miscellaneous Fee BUILDING BMITIGATC Corr m. Housing Mit. Fee BUILDING BNUCOMME N ,-w Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP 1`'ew Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pb1g Fixture PLUMBING BPGAS Ga; Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Ph n Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lavin S rinklerBackflo PLUMBING BPSTORM Storm/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT A It of Drain & Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Neater Heater/Vent PLUMBING BPWSVCS blain Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/i� Unit> 10,000 cfm MECHANICAL BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Re]o Furnace > I OK btu MECHANICAL a7idll— 11-0 BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Mise Apparatus ELECTRICAL BREMNRAPP Reri Non -Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL - BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc d, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL RRF.MRRgAPP Remodel Res Appliance ELECTRICAL ;! of 3 CITY OF CUPERTINO CITY OF PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BREMSIGNAD Rm31 Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL BREMTHEATR Thoatrical Lighting Fix ELECTRICAL ' BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD !,Cb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Insection BUILDING BSWIM Swimming Pool BUILDING BTEMP 'I emporary Power ELECTRICAL' BTEMPPERM Teirporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC 3usiness License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Eli�c Permit Issuance ELECTRICAL MPERMFEE Mechanical sq. foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plu rnbing Permit Issue PLUMBING PPLBG Pl .imbing Fee sq foot PLUMBING PLLONGRNGC Planning LR Comme/ Multi-Fam PLANNING PLLONGRNGR Planning Long Range Residential PLANNING 3 of 3 2-> CITY OF '-UPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department JOB ADDRESS: PERMIT # SUBCONTRACTOR BUSINESS NAME OWNER'S NAME: PHONE # t} J S :��( 0 f GENERAL CONTRACTOR: Q FAX # I am not using any subcontractors: Signature Date Please check armlicable subcontractors and com ►lete the following information: Owner/, Contractor Signature Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing L 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