13080063-PUB10431 FINCH AVE
F/P
PARKER DAVID J TRUSTEE & ET AL
SCANNED BOX #585
I
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10431 FINCH AVE
CONTRACTOR: PARKER DAVID J
PERMIT NO: 13080063
TRUSTEE & ET AL
OWNER'S NAME: PARKER DAVID J TRUSTEE & ET AL
10431 FINCH AVE
DATE ISSUED: 08/08/2013
OWNER'S PHONE: 4085056404
CUPERTINO, CA 95014
PHONE NO:
❑
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL 0
LICENSED CONTRACTOR'S DECLARATION
License Class Lic. #
REMODEL KITCHEN 180 SQ FT, INTERIOR WALL
REMOVE
Contractor Date
CHIMNEY, REMOVE AND REPLACE 7 WINDOWS TO
I hereby affirm that I am licensed under the provisions of Chapter 9
MEET
(commencing with Section 7000) of Division 3 of the Business & Professions
EGRESS IN BEDROOMS, RESIZE 2 WINDOWS, FURNACE
Code and that my license is in full force and effect.
II 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, as provided for by Section 3700 of the Labor Code, for the
Sq. Ft Floor Area:
Valuation: $15000
performance of the work for which this permit 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
APN Number: 37505022.00
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
to building construction, and hereby authorize representatives of this city to enter
WITHIN 0 AYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
180 DAY OM LAST CALLED IN SPE TON.
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
Issued by: 71 Date:
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date
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
he following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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)
1, 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 1 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 Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Se ions 25M5,25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
is issued.
Owner or authorized agent: Date:
'permit
ertify that in the performance of the work for which this permit is issued, I shall
Enotemploy any person in any manner so as to become subject to the Worker's
mpensation laws of California. If, after making this certificate of exemption, 1
CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code, 1 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
1 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,
ARCHITECT'S DECLARATION
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.
f �A
Signature Date
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10431 FINCH AVE
CONTRACTOR: PARKER DAVID J
PERMIT NO: 13080063
TRUSTEE & ET AL
OWNER'S NAME: PARKER DAVID J TRUSTEE & ET AL
10431 FINCH AVE
DATE ISSUED: 08/08/2013
OWNER'S PHONE: 4085056404
CUPERTINO, CA 95014
PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class Lic. #
REMODEL KITCHEN 180 SQ FT, INTERIOR WALL REMOVE CHIMNEY,
Contractor Date
REMOVE AND REPLACE 7 WINDOWS TO MEET EGRESS IN BEDROOMS,
I hereby affirm that 1 am licensed under the provisions of Chapter 9
RESIZE 2 WINDOWS, FURNACE REPLACEMENT
(commencing with Section 7000) of Division 3 of the Business & Professions
REVISION #I -REVISE KITCHEN LAYOUT, REMODEL BATHROOM,
Code and that my license is in full force and effect.
PANEL UPGRADE 200 AMP- ISSD OTC 9/296/2014
1 hereby affirm under penalty of perjury one of the following two declarations:
1 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:
Valuation: $15000
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: 37505022.00
Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
1 certify that I have read this application and state that the above information is
PERMIT E ORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating
WITHIN DAYS OF P IT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enterupon
Z
the above mentioned property for inspection purposes. (We) agree to save
180 DAYSOM LAST C LLED 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
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date: •Z9/l-F
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
RE -ROOFS:
Signature Date
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
(rbyaffirm
Signature of Applicant: Date:
that 1 am exempt from the Contractor's License Law for one of
the following two reasons:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
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,
'ms & Professions Code)
BF,wner
of. the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
uct 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 1 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 1
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
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
the Health & Safety Code, Se ;�n//s��25��5 5533, and 25534.
5
per t is issued.
Owner or authorized agent: Dater
fi
1 c ", that in the performance of the work for which this permit is issued, I shall
employ any person in any manner so as to become subject to the Worker's
pensation laws of California. If, after making this certificate of exemption, I
CONSTRUCTION LENDING AGENCY
ecome 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 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,
ARCHITECT'S DECLARATION
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 no - int source re ulations per the Cupertino Municipal Code, Section
Licensed Professional
9.18.
Signatur Date
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT o BUILDING DIVISION
10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 • build ing(�i_)cupertino.orq
❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS 804 -/ 1 T , �N C3 b I ' v t :::A
PN # J15- D� O 2-
OWNER NAME• rp
E-MAIL
STREET ADDRE 044 ) � �- p ^1 �
CITY, STATE, ZIP
FAX
CONTACT NAME �M
E-•iNAIL�
A�
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'
STREET ADDRESS _7CITY,
STATE, ZIP
FAX
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❑ OWNER O -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
�/
LICENSE NUMBER
LICENSE TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK
O1(/1J�1,*>c ��
Cl,/L,C_A-_ J
EXISTING USE
PRO US CONSTR.
TYPE
II STORIES
{?wrfclsauy� �-Ydl�
USE
TYPE
OCC.
SQ.FT.
VALUATION ($)
EXISTG
AREA IAREA
NEW FLOOR
+
DEMO
AREA
TOTAL
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODEL AREA
REMODEL AREA A
PORCH AREA
DECK AREA
TOTAL DECK/PORCH AREA
GARAGE AREA: DETACH
p TTACH
m
# DW LING UNTTS..
IS A SECOND UNIT YES
SECOND STORY ❑ YES
BEING ADDED? XNO
ADDITION? ;RLNO
PRE -APPLICATION [:]YES IF YES, PROVIDE COPY OF
IS THE BLDG AN ❑ YES
REC
TOTAL VALUATION:
PLANNING APPL it RNO PLANNING APPROVAL LETTER
EICHLER HOME? WO
00
By my signature below, I certify to each of the following: I am the property owner or authorize gent 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 Wor nd verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating building struction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: c In__- Date:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
SLIP
_��ROUTING
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of buildi
VER-THE-COUNTER
U�B ILDING PLAN REVIEW
permit for new building.
❑ EXPRESS
NING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
B1dgApp_201 Ldoc revised 06121111
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
C1
JPERTIl10 (408) 777-3228 ^ FAX (408) 777-3333 • buil 'n cu ertino.or
❑ NEW CONSTRUCTION ADDITION ❑ ALTERATION / T[ A REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS /
APNM
`. C
OWNER NAME y.
d
P.ONE /
�.�'(C'Lt0
E-MAIL
�J
vaaaKpr
STREET ADDRESS
0431 Fm _ a
ITY, STAT
CA�®�
NJ
FAX
6 %
,� Vvo
CONTACT NAME � _
P 0_NE,
�-MAIL � I
�n
STREET ADDRESS ��' ,.CITY,
STATE, tit
FAX
tA OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
LICENSE NUMBER
LICENSE TYPO
BUS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
k
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK_Pr
u V WV- J
EXISTING USE
PROPOSED USE CONST=TYPE9RIES
O ®;�
0 '-9 �
t�
SE
TYPE
OCC.
SQ.FT.
VALUATION (S)
EXISTGh
NEW FLOOR
DEMO
TOTAL
AREA U ®��
AREA
AREA
NET AREA
BATHROOM
KITCHEN
OTHER
REMODEL AREA
REMODELAREA
REMODEL AREA
PORCH AREA DECK AREA
TOTAL DECK/PORCH ARE
GARAGE AREA: UDETACH
❑ ATTACH
# DWELLING UNITS:
IS A SECOND UNIT []YES
SECOND STORY YES
tBEING
ADDED? X0
ADDITION? 0
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OFFS
IS THE BLDG AN ❑ YES
RECEIVED BY:
TOTAL VALUATION:
PLANNING APPL# []NO PLANNING APPROVAL LETTER
EICHLER HOME? Gr NO
/
By my signature below, I certify to each of the following: I am the property owner or authorized a t to act on the prope wncr's behalf I have read this
application and the information I have provided is correct. I have read the Description of Work and verify I ee to comply with all applicable local
ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agcnt: Date:
SUPPLEMENTAL INFORMATION REQUIRED
PLAN CHECK TYPE
ROUTING SLIP
OVER-THE-COUNTER
ElBUILDING PLAN REVIEW
_ New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition pen -nit is required prior to issuance of building
permit for new building.
❑ EXPRESS
❑ PLANNING PLAN REVIEW
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ STANDARD
❑ PUBLIC WORKS
form if any Hazardous Materials are being used as part of this project.
❑ LARGE
❑ FIRE DEPT
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ MAJOR
❑ SANITARY SEWER DISTRICT
submittal of Building Permit application.
❑ ENVIRONMENTAL HEALTH
BldgApp_2011.doc revised 06121111
W-W
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
ADDRESS: 10431 FINCH AVE
DATE: 08/08/2013
REVIEWED BY: Mendez
APN:
BP#: oD 00 62 3
*VALUATION: 1$15,000
*]PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
?RIMARY SFD or Duplex
USE:
PENTAMATION 1 R3SFDRE
PERMIT TYPE:
WORK
REMODEL KITCHEN 180 SQ FT INTERIOR WALL REMOVE CHIMNEY REMOVE AND REPLACE
SCOPE
7 WINDOWS TO MEET EGRESS IN BEDROOMS, RESIZE 2 WINDOWS, FURNACE
Mech. Plan Check 0.0 hrs $0.00
Phunb. Plun Check
Elec.Plan Check
Mech. Permit Fee: IMPERMIT
Plumb. Permit Fee:
Elec. Permit Fee:
Other Mech. Insp. =hrs $47.00
Or/ter Plumb Insp,
Other Elec. Insp.
91ech. Insp. Fee:
Plumb. Insp. Fee:
Elec. Insp. Fee:
]VOTE. This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School
District. eta). These fees are based on the nreliminary information available and are only an estimate. Contact the Dent far addn'l info.
]FEE ITEMS (Fee Resolution 11-053 E('. 711112)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
180 s.i
$626.00
Remodel, Kitchen (<=300 sf)
IREMRESKIT
Reg. 0
Suppl. PC Fee: � OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
9 #
$557.00
Window / Sliding Glass Door
1 1 WINREP Replacement
Permit Fee:
$0.00
Suppl. Insp. FeeQ Reg. Q OT
0,0
hrs
$0.00
1= # Mechanical
$139.00 IMFR=<100 Furnace, Forced -Air
PME Unit Fee:
$0.00
PME Permit Fee:
$47.00
Construction .Tar:
Administrative Fee: IADMIN
$44.00
Q
O
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
i
Travel Documentation Fee: ITRAVDOC
$47.00
Strong Motion Fee: IBSEISMICR
$1.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$140.50
$1,322.00
TOTAL FEE:
1 $1,462.50
Revised: 07/01/2013
cCITY OF CUPERTINO
FEE ESTIMATOR — BUILDING DIVISION
..
ADDRESS: 10431 finch ave
DATE: 09/29/2014
REVIEWED BY: Mendez
APN:
BP#:
"VALUATION: 1$25,000
XPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration /Repair
PRIMARY SFD or Duplex
PENTAMATION 1 R3SFDRE
USE:
PERMIT TYPE:
WORK
revision revise kitchen layout, remodel bathroompanel upgrade 200 am
SCOPE
•„ ,,
1 haw', "hoo (hoc". ".
Elec. Plan Check 0.0 hrs $0.00
i -. "• r �u r Fri-
I'lu;; h. Pcon;t Pce.
Elec. Permit Fee: IEPERMIT
l :El
O1l„', 1111"wh lav,Lj
Other Elec. Insp. 0.0 hrs $48.00
LJ
Insp Fce-
NOTE: This estimate does not include fees due to other Departments (i.e. Planning, .Public Works, Fire, Sanitary Sewer District, School
District, etc.). These lees are based on the preliminary information available and are only an estimate. Contact the Dept for addn I info.
FEE ITEMS (Fee Resolution / /-053 a.' 711113)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
45 s.f.
$431.00
Remodel, Other
IREMRES0
Suppl. PC Fee: 0 Reg. 0 OT
0.0
firs
$0.00
PME Plan Check:
$0.00
20 camps
$48.00
Electrical
1 IBELEC200 Services
Permit Fee:
$0.00
Suppl. Insp. Fee:G Reg. 0 OT
Q,Q
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$48.00
f 1"�Y..
El
Administrative Fee: IADMIN
$45.00
0
0
Work Without Permit? 0 Yes E) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
0
0
A
Travel Documentation Fee: ITRAVDOC
$48.00
Stronp, Motion Fee: IBSEISMICR
$3.25
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$145.25
$479.00
TOTAL FEE:
$624.25
Revised: 07/10/2014
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR / SUBCONTRACTOR LET
JOB ADDRESS: ` ?� ( ��
PERMIT # 130S 3
OWNER'S NAME: e
PHONE # 4,DS (OLA
GENERAL CONTRACTOR: ZLA%VZ2- MC..
BUSINESS LICENSE # `357 -74
ADDRESS: 1-74( �,� ,, fib „ fib®
CITY/ZIPCODE:Q-nC�►VeD 913l�j
*Our munMpal code requires all businesses working in the city to have a City of Cupertino lousiness license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUB �ITRACTORS HAVE OBTAINED A CITY OFCUPIEI[ TINO
BUSINESS ESS LICENSE.
I am not using any subcontract . 7310
` Signature Date
Please check applicable subcontractors and complete the following information:
d
SUBCONTRACTOR
BUSaN ESS NAME
B>ZJSI N ESS 1L1«IENS E #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Insulation
'
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
Date