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B-2016-2279CITY OF CUPERTINO BUILDING PERMIT BUIL ADDRES�&NCUPERTRNO, CONTRACTOR: 2016-2279 20995 PEPPER TREE CA 95014-2919 (359 12 019) TITAN GENERAL CONSTRUCTION INC FREMONT, CA 94539 Z OWNER'S NAME: PARTHASARATHYANURADHA 09/20/2016 OWNER'S PHONE: 408-309-1550 883-8668 LICENSED CONTRACTOR'S DECLARATION ATION BUILDING PERMIT INFO: License Class B Lic. #948867 Contractor TITAN GENERAL CONSTRUCTION INC Date 06/30/2018 X BLDG _ELECT _PLUMB X MECH X RESIDENTIAL _COMMERCIAL 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 JOB DESCRIPTION: license is in full force and effect. REMODEL (2,599 S.F.); ADD (558 S.F.); (1) PORCH (341 S.F.); (N) I hereby affirm under penalty of perjury one of the following two declarations: BALCONIES (153 S.F.) r. 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 REV41 - 2ND FLOOR WINDOW ADDITION (1) MASTER performance ofthe work for which this permit is issued. BEDROOM/SKYLIGHT MASTER BATH - ISSUED 03-16-2017 12. I have and will maintain Worker's Compensation Insurance, as provided for by f L Section 3700 of the Labor Code; for the performance of the work for which this permit is issued. Sq. Ft Floor Area: 558 Valuation: $0.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances 359 12 019 Deferred Submittal (R -3),R-3 (Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all non -point 9.18. 180 DAYS FROM LAST CALLED INSPECTION. source regulation the -Cupertino Municipal Code, Section — -� Date 03-16-2017 Signature Issued by: MELISSA NAMES _ Date: 09/20/2016 OWNER -RTJE DER DECLARATION I hereby affirm that I am exempt from the C'ontractor's License Law for one of the RF. -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: I, of the or my mployees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for inspection. s. as owner property, 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 Signature of Applicant: 2. to the (Sec.7044, Business & Professions Code). Date: 03-16-2017 contractors construct project I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Health & Safety Code, Sections 25505, 25533, and 25534. 1 will California Section 3700 of the Labor Code, for the performance of the work for which this maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous a. 1 certify that in the performance of the work for which this permit is issued, I material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Quality Management District I the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of to the Worker's Compensation provisions of the will maintain compliance with the Health & Safety Code, Sections 25505, 25533, and 25534. exemption, I become subject Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: t) APPLICANT CERTIFICATION Date: 03-16-2017 nONSTgUCT ON LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance correct. I agree to comply with all city and county ordinances and state laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands ARC'IHTECT'S DECLARATION and will comply with all non -point source regulations per the Cupertino Municipal I understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 03-16-2017 Professional CONSTRUCTION PERMIT APPLICATION ������� COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISI 10300 TORRE AVENUE? CUPERTINO, CA 95014-3255 1--_ � '(408) 777-3228 • FAX (408) 777-3333 • build inaCc17cugertino;ora g] r CUPERTINO i�2vo_"'�`�� l ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION 1 TI 9 REVISION DEFERRED ORIGINAL PERMIT # .t-�- PROJECT ADDRESS 2 f`IGl L �I-�jq"'}q ✓lJ !� j/ APN # PHONE �PEt(") t/®(� f „J"7BwMA OWNERNAME '' } '"1` �j �+( STRE13r ADDRESS e , � CITY STATE' ZIPL , fivo FAX CONTACT NAME PHONE E-MAIL STREET ADDRESS CITY, STATE, 'ZIP FAX U OWNER © OWNER -BUILDER OWNER AGENT CONTRACTOR ❑ CONTRACTOR AGENT. ❑ ARCHITECT © ENGINEER 11 DEVELOPER ❑ TENANT CONTRACTORNAME •�yy 1 ry jj� J LICENSENUMDER FEN -913 TYPE BUS. LIC# COMPANY NAMEM•�1•y71h 1 E-MAILyap' 4 A e ` ey^ { FAX STREET ADORESS 3 2 5 PK e L ' V We CITY, STATE, ZIP _';AQ 'Y0 RS 'C-\ CIS/f2_ UU PHONE (j�. 09) 3_2 2 9._ 7i ; I ARCHITECTISNOINEEERNAME� l LICENSENUMBER , BUS. LIC# COMPANY NAME t y ? .gn71 s� 1 E-MAILL^ j 1� FAX.---- — STREE"CADDRESS t` CITY SI iVtiJ j-- PHO'N___P093��j`[ (���� DESCRIPTION .OF WORK { I x' 3I W I N �� -z Xz 5th ��•-cT- rr� r����n.. �a�rt EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION ($) EXISTO NEW FLOOR DEMO TOTAL —� AREA AREA AREA NETAREA' BATHROOM KITCHEN OTHER e REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECKARRA TOTAL DECK/PORCH AREA GARAGE AREA. DETACH 0 ATTACH I # DWELLING UNITS: - ISASECOND UNIT []YES SECOND STORY []YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ©YES 1F YES, PROVIDE COPY OF IS TSEIILDG AN ElyEs ��jjgC $, ,�'�,';;;: =. �:;; :',;_:;;;: _`. ';:.::.::: TOTAL VALUATION: PLANNINGAFPL# ONO PLANNING APPROVALM'rER EICHLERHOME? []NO "" By Iny 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 haveLv-idediscorrect, I ve read the Description ofWork and verify it is accurate, I agree to comply with all applicable local ordinances and state laws relating to bnstruction. lhorize. representatives of Cupert no to enter the above -identified property for inspection purposes. SignatureofApplicantlAgent:., Date: .2. SUPPLEMENTAL INFORMATION REQUIRED - ` `:. PLAIN CHECK TyrE' ° ?':°":. `: - = iiouTlivc'siTP` ::: : ': _.:::.. _:...:..::... .:.__......::::... ,:::_ •...-.. •..: •.:,. _.-.....: New SFD or multifamily weppdemolition permdwellings: Apply for it for ...—. existing bulldmg(s). Demolition permit Is required prior to issuance of building permit for new building._ ... ... , ..,_:.. ❑ PLAIVNI7�G_PL 1N REVIE}i'.., : ,, '. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure.] s ra Ntiaav::.: <:::::':':.:' :.'.`.'... .... pirBLla_i oreKS ,,, farm if any Hazardous Materials are being used as part of this project. . .:...:.....:.:.. FIRE DEPT_ = C0PY of Planning Approval Letter or Meeting with Planning Prior t0 `[.❑�-.1-'.[AJ-OR-::-:---j EIi- 'ER -D [5 -T- R3CT.:•5.- �:•;. submittal ofBuilding Permit application. r.'; ...... -::-;-ENVIRONh7ENTAti-HEALTH`..-:` BldgApp_201 L doe revised 06121111 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 20995 PEPPER TREE LN CUPERTINO, CA 95014-2919 (359 12 019) CONTRACTOR: TITAN GENERAL, PERMIT NO: B-2016-2279 CONSTRUCTION INC FREMONT, CA 94539 OWNER'S NAME: PARTIIASARATHYANURADHA DATE ISSUED; 09/20/2016 OWNER'S PHONE: 408-806-1318 PHONE NO: (408) 883-8668 LICENSED CONTRACTOR'S DFTT ARA ION BUILDING PERMIT INFO: License Class j} Lia #948867 Contractor TITAN GENERAL CONSTRUCTION INCDate 06/30/2018 X BLDG —ELECT _PLUMB I hereby affirm that I am licensed under the provisions of Chapter (commencing X MECH X RESIDENTIAL _ COMMERCIAL with Section; 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: REMODEL (2,599 S.F.); ADD (558 S.F.); (N) PORCH (341 S.F.); (I) BALCONIES (153 S.F.) 1. 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 -performance of the work for which this permit is issued. j _ 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 permit is issued. Sq. Ft Floor Area: 558 Valuation: $0.00 APPLICANT CERTIFICATION certify that I have read this application and state that the above APN Number: - Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 359 12 019 Deferred Submittal (R -3),R-3 (Custom) 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 PERMIT EXPIRES IF WORK IS NOT STARTED this permit. may accrue against said City in consequence of the granting all Additionally, the applicant understands and will comply with all non -point WITHIN 180 DAYS OF PERMIT ISSUANCE OR source regulations per the Cu ertino Municipal Code, Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature'% Date 0912012016Issued by: MELD ' S---�-- �� OWNER -B 3LJ •R DECLARATION Date: 09/20/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the RE -ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. i, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection.. sale (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 09/20/2016 I hereby affirm under penalty of perjury one of the following three declarations: 1. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will permit is issued. ` maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous Worker's Compensation laws of California. If, after making this certificate of • 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 exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sections 25505 533, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent APPLICANT CERTIFICATION Date: 09/20/2016 I certify that'l have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purposes. (We) agree Lender°s Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in Lenders Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. I understand my plans shall be used as public records. Signature Date 09/20/2016 Licensed Professional CONSTRUCTION PERMIT APPLIC 'ON 9COMMUNITY DEVELOPMENT DEPARTMENT • BUII : ' - ! FY'13 , ""ION 10300 TQRRE AVENUE • CUf'ERTINO, CA 95014-3255 w '1-1 C1,il�:El�'t'tA1t� (408) 777-3228 • FAX (408) 777-3333 buiiding0cupertino.org 1 e2 11 I I WPFW CnMq-FT? T TCTTnlT .I r`I Annr'Prn'M . V AT man AMY -1 r— M PROJECT ADDRESS SolS t%rk1L"-,-Wr74\ OWNER NAME AN P/- "-1 ` PHONE ,T3 �v`fit JI I E-MAIL tw STREET ADDRES� r p A 7 'aZIP C FAX Gam[ CONTACT NAME t PHONE y3 Li E-MAIL STREETADDRESS CITY, GJo ti FAX ❑ OWNER ❑ OWNER -BUILDER '❑ OWNERAGENT ❑ CONTRACTOR 0 CONTRACTOR AGENT ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRALTORNAME LICENSENUMBER LICENSETYPE BUS.. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITFCTIENGINEERNAME y �} f�_ L�•`-'t''% LICENSENUMBER 1 , • [� BUS.LIC# COMPANY NAME , fire �.�� �'�"1 l E-MAIL' ��„ r� • 1 ' STREET.ADDRESSP/ _ SV—AADESCRIPTION'OF CITY, STATE, ZIP PHONE WORK SI i M) -To ©. -b I' r`It 1'6tb s Z "oVAs f - tat k-!192-1s3Ac- EXISTING USE F- 3 U-� 1 PROPOSED SH ^C� .-3 SE - ! - NSTR. TYPE —N #-STORIES. 7 USE TYPE OCC. SQ.FT. _ VALUATION {$j EXISTO AREA 00 NEW FLOOR 'AREA C"., CSC} DEMO AREA TOTAL NET AREA BATHROOM KITCHEN OTHER - - REMOD% AREA REMODBLAREA REMODEL AREA y t PORCHARRA I DECK AREA TOTA�LDECKIPORCHAILFA GARAGEAREA: El DETACH ❑ ATTACH - # DWELLING UNITS. ISASECONDuNrr ❑YES SECONDSTORYYES - - - - HEINGADDED? NO ADDITION? Q O PRE -APPLICATION i�gS IF YES, PROVIDE COPY OF PLANNING ADPL# []NO PLANNING APPROVAL LEITER ISTHnBLDGAN- []YES EICHLRR }TOMB? .'NO RE -EIVI;D $'Y'' .-..... AL VALUATION: A �"5�'�'j L. tea] Vl.f�/ By my signature below, I certify to each of the following: I am the property owner or authorized agent to art 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 building construction. I ire resentatives of Cupertino to enterthe above -identified property for inspection purposes. eauthorize Signature ApplicautlAgent: � of _ .c 4—d -r f' C,t' Date: SUPPLEMENTAL INFORMATION REQUIRED :_.:.:.:.. _:PLAI<CHECKTYPE''="`-�` _ ---:_._._ROUTIhGSLIr-':_ •:•. �=`O':- U=IL-7 �. New — FD or Multifamily dwellings: A� 1fordemolition �eniit foria=iTCR<7"I7G=CO.D existing building(s). Demolition permit is required prior to issuance of building .IZ_E ..D-IGAP.L.AN- ermit for new buildin P g ©:.:ExrREss Ys .PLAA\IAGYL._ AhREFIkl4. Commercial Bldgs: Provide a completed Hazardous Materials Disclosure -•.- ©rositcrrotuzs . form if any Hazardous Materials are being used as part of this project. - LARGE i� FIRE DEPT--- Copy of Planning Approval Letter or Meeting with Planning prior to -. �+r�JaR_. I] sAnilAltxsiii xIII sTxtcT.. subnlittalofBuildingPerniitapplication. ......... i=•`i>EIV3'iR01lA4IiNTALHEA4TH:::-::_�:;,,. Bldgrlpp_.2011.doe revised 06121111 triNv s 11 Rahmani & Associates Inc. Design & Structural City of Cupertino Building Department Cupertino, 'CA Subject: Field Observation of Foundation Reinforcing Addition/Alteration Home for the Partha Resid 20995 Pepper Tree Lane, Cupertino, CA Dear Building Official: In regard to the above referenced project, we made an foundation reinforcing for the above referenced project. Our scope of services was limited to general observation of have achieved the following conclusion after the completion c The foundation reinforcing is in general conformance with re plans approval by the City of Cupertino, Building Department If we can further assist you, please do not hesitate to call. Very truly yours, Mohammad H. Rahmani, P.E. cc: Project file QF1,w..+,.x.. eering Consultants December 15, 2016 Project No. 2016-23 Lee on-site observation; of the foundation reinforcing. We f our field observation: quirements of our structural 1870 Hamilton Avenue, San Jose, CA 9 125 Tel: 408 377-4000, Fax: 408 377-4001 Email: mrahmani@rahmanidesim.com www.rahmanidesi n�com :2 22_7 91 Rahmani & Associaws Inc, Design & Structural Engineering Consultants LFILE r-,- -7=; 0 a30:51-r June 3, 2017 Project No. 2016-23 ) City of( Cupertino Building Department C I upertino, CA Subject: Shear nailing & General Framing field observation .'Addition/Alteration Home for the Partha Residence 20995 ;pepper Tree Lane, Cupertino, CA Dear Building Official: In regard to the above referenced project. our office representative made an on-site observation of the general framing & shear nailing in accordance to information shown on the approved plans by the building department at City of Cupertino, This observation was general in nature and kvas performed in selected areas considered to represent workmanship of overall construction. Our scope of" services has been limited to visually observe the general framing and shear wall nailing spacing, and to provide additional details andi"or recommendations deemed necessary to correct and have the framing, and the shear nailing meets the general requirements of uniform building code. 'This report does not relive the Contractor from his liabilities and responsibilities of conformance of construction with structural drawings, construction standards and governing construction codes, After completion of our field observation, it is our opinion that the overall framing and shear walls for the above referenced project is constructed in general conformance with requirements of the structural drawings and details approved by the City of Cupertino. Building Department. Excluded from our field observation were roof and floor plywood shear nailing. Please contact our office should you have any questions regarding this report. Regards. Mohammad H. Rahmani, cc: Project file 1870 Harnihon Avenue. San Jose, CA 95125 Tel: 408 37-4000, Fax: 408 377-4001 Ernail: inrahinani'�i/,.rahmaindes'W_ncQM a,Nw rLhmqrudqtj�.!of f3 .-2 () `G --'?-'L-7 ', Rahmani & Associates Inc. Design & Structural Engineering Consultants FILE EWA 6 jr3c)_-� s May 31, 2017 Project No. 2016-23 City of Cupertino Building Department Cupertino, CA Subject: Installation of New Hold-down at Existing Foundation Addition/Alteration Home for the Partha Residence 20995 Pepper Tree Lane, Cupertino, CA Dear Building Official: In regard to the above referenced project, our office representative made an on-site observation of installation of new hold-downs at existing foundation per locations shown on the approved plans. Our scope of services was limited to verify the depth of hole and to observe placement of new epoxy at existing foundation. The following conclusions are achieved after completion of our field observation: The size of the holes, locations, depth and epoxy used for all hold-downs as mentioned above are in general conformance with requirements of the approved plans by the City of Cupertino, Building Department. If we can further assist you, please do not hesitate to call. Very truly yours, Mohammad H. Rahmani, P.E. cc: Project file 1870 Hamilton Avenue, San Jose, CA 95125 Tel: 408 377-4000, Fax: 408 377-4001 Email: mrahmani@rahmaindesign.com www.rahmanidesi Building Department 1® City Of Cupertino 1® 10300 Torre Avenue SS,,,94. , Cupertino, CA 95014-3255 � sP Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: g&-'771c /7L/ler '�re2 /N . PERMIT# 6_20/6 �• 2-191 OWNER'S NAME: P4. p,/}.eA-T{-f 4,,,u,_}Q4-PHONE# GENERAL CONTRACTOR: 1 f"i" _ Cze„.crrr( c •,,, ,.,,_BUSINESS LICENSE# 401"1—I 2-- ADDRESS:3 (144/4, z )17v )£_ a-7%f(Z CITY/ZIPCODE: P -av 5ez„ 75-l i7 *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 applicable subcontractors and complete the following information: 6/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE# Cabinets &Millwork -7 QN qLQ I-9-EL Cement Finishing b L v& C tt l ,. 4°2-92:22 Electrical 174w. 4 - _- Ile ti--(2--- A 41L eehAettell ,,,.,-4-t,, 4 o - 2-5 Fencing 4..-•111-- � Flooring/Carpeting 1(�4(tAk e4,441(�' — 49l f'- Linoleum/Wood l(-��' e .edw,r-C. Glass/Glazing e y 4 (dei O I- -- - / `Z -" Heating 77 4-4A O.e4vi -n-C 40 1 q r2 r Insulation PO A/ i 64tek-, st 4.av S 3 ri Landscaping Lathing /11-3/T813871 Masonry b(84/1-• ( (6,41,4,-1-7,Gu,- LFz.2-, OZq Painting/Wallpaper 174-et....- (ry 0-1_ 4Ld-f-/Z / Paving yr Plastering «_ Plumbing , 17-, 6:24‘",r-4,L I/019-n _ Roofing M 4 ,R It® 3 5 -3 1. Septic Tank Sheet Metal • 441,74.12_04: 111_f_/ 4133 c 49 Sheet Rock 174/A/ 4c,� 40 ( N Z Tile e -eat, 4- iL1-013--(2_ /7 //— q--- Owner/Con ractor Signature Date