13010018CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19503 STEVENS CREEK BLVD UNIT 102 CONTRACTOR: AMERICAN I PERMIT NO: 13010018
TECHNOLOGIES, INC
OWNER'S NAME: KUVADIA KANTI AND URMI 30911 WIEGMAN RD DATE ISSUED: 01/02/2013
OWNER'S PHONE: 4082467866 I HAYWARD, CA 94544 I PHONE NO: (510)x29-5000
❑ LICENSED CONT'RACTOR'S DECLARATION
License Class - Lia 4
Contractor Date
-
I hereby affirm that I am licensed under the provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
I have and will maintain a certificate of consent to self -insure for Worker's
Compensation, w provided for by Section 3700 of the Labor Code, for the
performance of the work for whichthispermit is issued..
1 have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. -
APPLICANT CERTIFICATION
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 accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point sour regulations per the Cupertino Municipal Code, Section
9.18. �l i d
❑ - OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
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 & Professions Code)
I, as owner of the property,'am exclusively contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code).
1 hereby affirm under penalty of perjury one of the following three
declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's
Compensation, 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. willmaintainWorker's Compensation Insurance, as provided for by
Section 3700 of,the Labor Code, for the performance of the work for which this
permit is issued.
I certify that lathe 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 Worker's
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
forthwith comply with such provisions or this permit shall be deemed revoked.
APPLICANT CERTIFICATION
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 accme against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
MECH r RESIDENTIAL r COMMERCIAL r
JOB DESCRIPTION: UNIT 102- REMOVE/REPLACE EXISTING CEILING
INSULATION & DRYWALL (2 LAYERS, RATED)
Sq. Ft Floor Area: I Valuation: $4200
APN Number: 31649012.00 1 Occupancy Type:
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: / ` Date: /•a 'i3
RE -ROOFS:
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection. _ Y
Signature of Applicant:y Date:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain
compliance with the Cupertino Municipal Code; Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or handle hazardous material. I.
Additionally, should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Saf ty ode, Sections 25505, 25533, and 25534.
O mer a e gent: 1
Date.. -L-2 " 20 3
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of work's
for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Revised: 10/01/2012
CUPERTINO
Il '
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildino(cDcupertino.oro
❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION/T1 ❑ REVISION /DEFERRED ORIGINAL PERMIT N
PROJECT ADDRESS1 �! c o S �i�5
APN N r/ Q
V I
z- v
J
OWNER NAME /ClA'lN/ Z ✓� ' PHONE , E-MAIL
40q
1
L CITY, S�( ^ FAX
STREET ADDRESS I•� S03
"l G�
& S
CO TACT NAME
PHONE
O -b — 66.5
E-MAIL
I Lvil I'S •2ab1e5 AKA0_--Tzecft_
STREET ADDRESS � �1
TY, STATE, _ FAX
l -x 2i VG•
1A14r
11 OWNER ❑ OWNER -BUDDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE
NUMBER
LICENSETYPE
BUS. LIC#
fK-ic,4r— — bl Olo t� ✓lG
COMPANYNAME
s
E-MAIL
FAX
S70 • �FzR-sem
STREET ADDRESS
I
C TY, STATE, ZPHONE
l 01-4,974,S__
Ig
ZSd� I n w�
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5 - ZA . Sono
ARCHITECTIENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANYNAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIP'AON OF WORY c
n SLA I I0^ LLj WALl I
14'
?A,
EXISTING USE
PROPOSED USE
CONSTR. TYPE
#STORIES
n
�l
USE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISIG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NETAREA
BATHROOM
KITCHEN OTHER
REMODEL AREA
REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA
TOTAL DECKNORCH ARFA GARAGE AREA: DETACH
❑ ATTACH
#DWELLINGUNITS:
Is A SECONDDNCC ❑YES
SECONDSTORY [I YES
BEING ADDED?
ADDITION? BNo
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑YESRECEIVEDB
TOTAL VALUATION:
PLANNING ADPL# []NO PLANNING APPROVAL LETTER
EICHLERBOIAE? EINO
,, 14(Ut]
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to buil 'n congtru a orize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEIvIENT,6E INFORMATION REQUIREDrtAN`cHEcK
vPE
ROUTING SLIP„
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
oven=TB&couNTER
r)WRESS
tnLDiNc PLAN REVIEW
PLANNING
permit for new building.
PLAN REVIEW'
_ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
11 STANDARD..
El PUBLICWORKS
forn if any Hazardous Materials are being used as part of this project.
❑LARee,.
❑ FIRE DEPT.-
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ hL1JOR
s
O�sANITARY SEWER DISTRICT,;_.
submittal Of Building Permit application.
' ❑ ENVIRONMENTAL HEALTk
B1dgApp2011.doc revised 06/21/11
JIM
CITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc) These fees are based on the Prefintina in ormation available and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff 7111121
ADDRESS: 19503 STEVENS CREEK BLVD DATE: 01/02/2013
APN: 31649012 BP#:
REVIEWED BY: NAMES
`VALUATION: $4,200
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY
USE: Multi -Family Dwelling
Buildina is
>3 Stories O Yes O No
PENTAMATION
PERMIT TYPE: 1GENRES
WORK
UNIT #102 REMOVE/REPLACE E CEILING INSULATION & DRYWALL 2 LAYERS RATED
SCOPE
Suppl. PC Fee: Q Reg. Q OT 10.0
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc) These fees are based on the Prefintina in ormation available and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff 7111121
fFy{fy+k,
Plumb. Plan Check Elec. Plan Check
Xlech. Plan Check
;bfech. Perruil Fee: -
Plumb. Pomit Fee: Elec, Permit Fee:
Other Huth. ln.vp.
Other Plumb Insp.Li Other Elec. Insp.
.Idech. Insp. Fite:
Plumb. L+xp. Fee: Elec. Insp. lee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District etc) These fees are based on the Prefintina in ormation available and are only an estimate. Contact the De t or addn'1 info.
FEE ITEMS (Fee Resolution 11-053 Eff 7111121
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? Q Yes Q No
$0.00
0 I hours
$0.00
Plan Check, Hourly
Suppl. PC Fee: Q Reg. Q OT 10.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee: Hourly Only? Q Yes (D No
$0.00
Suppl. Insp. Fee -.0 Reg. Q OT 0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Constuction Tax:
Administrative Fee:
O
Work Without Permit? O Yes O No
$0.00
Advanced Planning Fee.
$0.00
=hours Inspections
$399.00ISTINSP Inspection, Hourly
0
Travel Documentation Fees:
Strong Motion Fee: IBSEISMICR
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
$399.0014tw.
$400.50$1.50
Revised: 10/01/2012
CUPERTINO
CONTRACTOR / SUBCONT, jZACTOR LIST
Building Department
City Of Cupertino
10300 Tone Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
JOB ADDRESS: lal 'O'- , �' EY�lS. o4,
PERMIT # Q�
OWNER'S NAME: oA 1 k*nr
PHONE # 510 -(o l - 6& 5
GENERAL CONTRACTOR'AM elkM GMM -rELWN010iaS v%c.
BUSINESS LICENSE #
ADDRESS: Zoo t 1nplgKc, l '(3k V of .
CITY/ZIPCODE: G1454�
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL';OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.,
I am not using any subcontractors:
Signature Date
Please check applicablesitb'contra ors and complete the following information:
('2 7-<) I'S
Date
SUBCONTRACTOR..:.
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Mtlliuork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting ; , ."
Linoleum / Wood..
Glass / Glazing .:
Heating
X
Insulation
oda
elf
Landscaping
Lathing
Masonry
Painting / Wallpaper;
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
NO`Q 1e$
a Gf
Tile
('2 7-<) I'S
Date
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19503 STEVENS CREEK BLVD UNIT 102
CONTRACTOR: S & B CONSTRUCTION
PERMIT NO: 13010018
OWNER'S NAME: KUVADIA KANTI AND URMI
1294 CALDWELL CT
DATE ISSUED: 01/02/2013
OWNER'S PHONE: 4082467866
SUNNYVALE, CA 94087
PHONE NO: (408) 529-1818
❑ LICENSED CONTRACTOR'S DECLA ION
JOB DESCRIPTION: RESIDENTIAL COMMERCIALE]
//
License Class Lie. # iCl l ,g '
UNIT 102- REMOVE/REPLACE EXISTING CEILING
�^.
��91C/�
INSULATION & DRYWALL (2 LAYERS, RATED)
Contractor Date
3/15/2013 - ADD TO ORGINAL SCOPE OF WORK TO
I hereby affirm that I am licensed under the provisions of Chapter 9
INCLUDE 17 (N) LIGHTING FIXTURES IN KITCHEN &
(commencing with Section 7000) of Division 3 of the Business & Professions
LIVING ROOM AREA
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
li
I have and will maintain a certificate of consent to self -insure for Worker's
/ `
Compensation, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:Vk�rJ i ation: $4200
.
performance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
APN Number: 31649012.0 Occupancy Type: ."
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN 180 D ERMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this, city to enter
upon the above mentioned property for inspection purposes. (We) agree to save
180 D TTr0M L CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
36113
granting of this permit. Additionally, the plii;ant understands and will comply
ssued by: Date:
with all non -point source regulations pe a Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER, DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure isnot intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property; am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
construct the project (Sec.7044, Business & Professions Code).
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's
material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the
air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued.
will maintain compliance with the Cu ertino Munici al Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 505, 25533, d 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
r� r 0
Owner or authorized agentd Date: .
permit is issued.
Lcertify 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 Worker's
Compensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, I must
I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked.
work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION
Lender's Address
I certify that I have read this application and state that the above information is
correct. I agree to comply with all city andcounty 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
ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signature Date
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
APPLIANCE / EQUIP TYPE
19503 stevens creek blvd # 102
DATE: 03/15/2013
REVIEWED BY: melissa
JimADDRESS:
APN: 316,49 012 1
BP#:
*VALUATION:
1$2,200
*PERMIT TYPE: Electrical Permit
PLAN CHECK TYPE: Alteration / Addition / Repair
PRIMARY
USE: Multi -Family Dwelling
Buildina is
>3 Stories ® Yes Q No
PENTAMATION
PERMIT TYPE: 1 REAP1 i
WORK
add to or inal scope of work to include 17 n light fixtures to kitchen & living room areas
SCOPE
APPLIANCE / EQUIP TYPE
FEE ID
QTY/FEE
QTY
UNITS
BP FEES
Fixtures, Lighting
1BREMFIXT
17
#
$67
Permit Fee:
Suppl, Insp Fee
PME Unit Fee:
$67.00
PME Permit Fee:
$45.00
Construction Tai:
Administrative Fee: 1ADMIN
$42.00
Work Without Permit? 0 Yes 0 No
$0.00
TOTALS:
Travel Documentation Fee: ITRAVDOC
$67.00
Strong Motion Fee: IBSEISMICR
Mech. Plan Check
blech. Perinit Fee:
Other .,Vech. Raj),
Gtech. Insp. Fee:
Plumb. Plan Check
Plumb. Permit Fite:
Other Plumb Insp.
Plumb. Insp. Fee:
Elec. Plan Check 10.0 1 hrs $0.00
Elec. Permit Fee: IEPERMIT
Other Elec. Insp. Fo.0 hrs $45.00
Elec. Insp. F'ee:
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Fewer District, school
otn 1 Thoao foo. nro hnmd nn. tho nrolimi""m infnrmadnn nvnilnh/o and are anly an vctimam- Cnntaet the Dent for addn 11 info.
FEE ITEMS (Fee Resolution 11-053 E . 711/12)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee.:
Suppl, PC.Fee
PME Plan Check:
$0.00
Permit Fee:
Suppl, Insp Fee
PME Unit Fee:
$67.00
PME Permit Fee:
$45.00
Construction Tai:
Administrative Fee: 1ADMIN
$42.00
Work Without Permit? 0 Yes 0 No
$0.00
Advanced Planning Fees:
Travel Documentation Fee: ITRAVDOC
$45.00
Strong Motion Fee: IBSEISMICR
$0.50
Select an Administrative Itetm,
Bldp- Stds Commission. Fee: IBCBSC
$1.00
N _
$200.50
$0.00 „ -
$200.50
Revised: 01/01/2013
t
��zATI)
ANEBICAN TECNNKMIEX INC.
3/1/2013
To: City of Cupertino Building Department
10300 Torre Ave
Cupertino, CA 95014
Re: Kuvadia Kanti and Urmi Kanti
19503 Stevens Creek Blvd Unit 102A
Cupertino, CA 95014
Reference ID - 13010018
Receipt - BS000018910
To whom it may concern,
RECEIVED
MAR 0 5 2013
Name:
This letter is to terminate the permit that ATI pulled on 1/02/2013 for drywall
repairs in the unit listed above. ATI is no longer the contractor on this project.
For further clarification please contact the legal owner of the home for
declaration of their new contractor.
Thank You
John Davis
Project Manager
Cc: Compass Management, Kuvadia Kanta and Urmi, Tom Byler
SAN JOSE OFFICE
23 Las Colinas, Ste 111
San Jose, CA 95119
408/362-3030 office
408/362-3035 Fax
www.amer-tech.com
CORPORATE
ORANGE, CA
800/400-9353
ALBUQUERQUE, NM
-,01990-%300
cHic.6'G 1, IL
8771400-8088
DALLAS, TX
372/389-1900
LAS VEGAS, NV
702/568-0800
LOS ANGELES, CA
877/400-9353
NEi?Ai ENGLAND
603/890-2085
PHOENIX, AZ
8 7714 00 9390
RHODE ISLAND
40-/8?_8-0050
RIVERSIDE, CA
8881330-9353
SACRAMENTO, CA
9.161388-2440
SAN DIEGO, CA
86b1400-9353
SAN FRANCISCO, CA
888/400-9353
TUCSON, AZ
520/807-9400
IN 71 RAIATIONAL
00,"1714-283-9990
OIC lluadfia 30 Allaix iaNwIffO 401.3VI.LNODgfls ZZV (INV H01W2iIN03 7VUHNAD
dH,L 'II.LMI (19TIQM 3,S •'fig "IrIIAc1 (S)NOIZ3:4dSN1 A3NVdII33O 'IVNId HO 'IVNI3 DKIQ'IIfIg ON
•asuaat ssautsn ou a.dn , 0 ' u :V a" o '130 U1- - -
CUPERTINO
JOB ADDRESS: I q D' j �f j'� 8z8 - 0 � f L 9PERMIT:.# ` 0 rI '0 0 l
OWNER'S NAME: PHONE #''
GENERAL CONTRACTOR: S .` j �2 v C'%/ BUSINESS LICEi�fiSE # c% l �l
ADDRESS: CITY/ZIPCODE`
*Our municipal code requires all businesses working in the city -to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS... OBTAINEb A -CITY OF CUPERTINO
BUSINESS LICENSE.
I am not using any subcontractors:
S gnature Date
Please check applicable subcontractors and complete the following information:
V SUBCONTRACTOR BUSINESS NAME,,BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date