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08070233 CITY OF CUPERTINO Bu3LpINc o3v3s1oN PERMIT 'r. CO1, TRt�CT�aRINI'ORMATIOa. BmLgjrbcgBD�cESSHELLY DR C & C ROOFING 08070233 OWNEWSS NAME: PERMIT ISSUE DATE ANNY CHIU 89 S 21 ST 07/31/2008 (408) 298-1868 SANITARY NO. CONTROL NO. ARCHITEC'TIENGINEER: BUILDING PERMIT INFO BLDGELER PLUMB MECH 0 0 0 0 :Op LICENSED CONTRACTOR'S DECLARATION w F 1 thereby affirm than 1 and Job Description licensed under provisions of Chapter 9(commencing p �Z with Section 70M)of Division 3 oftW Businevr and Professions Cade,and my liccoa4 RE-RF RMV SHK& ADD CDX PLYWD PRES CMP CLSA 28SQ in full foe:e wan effecs� P Z j License Class Lk g t- Dom Contractor G ARCHITECTS DECLARATION ll 1 understand my plans®ill W mood a Public record JyU gal; Licensed Professional y3 OWNER-BUILDER DECLARATION i�E I Wreby aMo. that 1 am eacmpt from the Comrecmh License law far dle OO following meson.(Section 1031.5.Business and Pmfessiots Cad:Any city or county K S V which requires a Permit b commucL alter,improse,demo ide.or mesh any structure �zi prior to its tssuamec.shot requires the applicant for such Permit to Bk a signed su¢mal < that Ise is licensed punster,On the provisions oftW Conuacbrs laeense Law(chapter 9 Sq.Ft. Floor AreaValuation x40 (commencing with Section]000)of Division 3 of don 8usinao and Pvfcssions Cod $)or 13775 y 5$ that W u exempt tWmfroso and the brats for the alleged aempuon Any violation of Section 1031.5 by any applicant for permit subjects the applicant to.civil'rothy of Number Occupancy not moa than five hundred dollars(1500). 3 5915010 .)W P Y Type will Lot owner of the P e strum un my enshrouded with wager u tho(Sec.compenssdon, will dothewor4.ands: he Comma's Lt.. Lowmdfmaie(Sec.7044,Business of Nd Profwho lou Code:The f. the.... and law uch or apply if an rWOU is Required Inspections .. property who b.pro or improv demon,and who das.meh wort himtaelf ed Waugh his awnemployes,provided prsuchimProold wit erenot intendedaraRead for tile.R, Wilder the Wilding or len Of pmat is held within arc year of unpro euan,the owner- Wilder wi0 haw de tarda of proving Nat he did net build Or improve for purpose of nm .) . ❑1.u owner of Ole MKoly.am aelnstvcly co omw3ing with licensed cenr.sebn In cmasouct the project(See.7044.Business add Professons Cade:)The ConuxbYs Li- mve Law does not apply b an owner of ProPerry who dull or impbvv Nerean.and . . who comment for such pmjecu with aanuxmr(s)licensed pursuant at the Conuacbfs Lirsna Law. I sum exempt under See ,B&P C far this mason Owner Date WORKERS COMPENSATION DECLARATION 1 bereby affirm under penalty of perjury arc of the fallowing deelaradons: I lureand will maintain a Carl of Covent to self-inure fm Worlds Compcn- urion,u provided for by SccYon 3100 of dee labor Code,for the performance of the, wort for which this permit is Boned. ❑1 have and will mumain Worker.Compensation Insurance,ar mt,mied by Section 3700 of the Labor Code,for the performance of tho work for which this permit is issued. ' My Workers Cam.p��neism-ian .On.carrier and Policy number ve: nn Carlicr.S/�/C (/vV n Policy No.Z�7 Z X CERTIFlCATEOFE—' MPf10N FROM WORKERS' COMPENSATION INSURANCE (IhuxNa nemd not Wcompleldd tide pennitu future hundred claims(SIM) or less) I comfy that In the p olmousrce a tW wart for which Nis permit in traded-I shall nm employ any person in any mummer an as On become subject on the Wmrt Comiumamon Laws of CilifamiL Dale Applicant NOTICE TO APPLICANT:If,after making Nis Cenificale of Eampuan,you should Weome.ubjw b the Worker"Cnmpcvaua provisions of t e Labor Cad,you mud .J O faMwith comply with such Proviriov do this Permit shall Wx dmed ranked, z" CONSTRUCTION LENDING AGENCY h F Ibotchy affirm does ft.i.sued(Secu30 len ding agenry for the perfurmuax of Qi the work for which this permit d issued(Sec.309'1.Civ.C.) Q ndos Name U �z Undoes Add. U 0 1 crstify that I base mad this application and mute that the allowinformation u IL ^. Comm 1 agree b comply with all city and county ordinances and sure laws relming m 0 SV^ building construction,and hereby auhorim repreanmim of this city to enter upon Nc tEl aWve-menuonedpmperty for inapecUmn Purpose: ow (We)agree to ave.Indemnify and knep harmless W City of Cupertino against rte incoidquenc Of%heostaand efPcnsealoil. may in any way scale ag.Ivl.ilO City '. U z, inconsequence of the[canting of this permit '-' APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b SOURQbpEGULATfO .lG Y Date Uf// -3/-Q F Re-roofs Sigstuurt of ApplianVCo pale HAZARDOUS S MATERIAUpl DISCLOSURE Type of Roof Willy ftC pertnofMuni Wilding oavpanlsbre a handle Nestles maleriil a defined io the 32(s)? o Municipal Cade.Chapter 9.1;W the Health and Safety Code,section zss3zP1? �_ All roofs shall be inspected prior to any roofing material being installed. ❑Ya isWill the,applicant or future building occupant era equipmat or devlas which If a roof is installed without first obtaining an inspection,I agree to remove .mit humloa air contaminated,as defined by the Bay Amo Air Quality Management all new materials for inspection. Gimlet? ❑Yen I have mad Ne huardses materials mquiremcmta under Chapter 6.95 of the Odifor- nialhilth&safety Code.Secuov 25505.25533 and 25534.1 undersand this if W Wilding ddra not currently hem a lenane that it u my onspansibility,to notify the occupant of the mquim hicIt In Met Poor to uancoaf.cedfiemeofOccupancy Signature of Applicant Date LIP owner m mahorimad.gat prem All roof coverings to be Class'xf a'or better CITY OF CUPERTINO • 2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec : Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 35915010 . 00 DATE ISSUED. . . . . . . : 07/31/2008 RECEIPT # . . . . . . . . . : BS000005645 REFERENCE ID # . . . : 08070233 SITE ADDRESS . . . . . : 20608 SHELLY DR SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : ANNY CHIU ADDRESS . . . . . . . . . . : 20608 SHELLY DR CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-2924 RECEIVED FROM . . . . : C AND C ROOFING CONTRACTOR . . . . . . . : OSVALDO CAMARA LIC # 22982 COMPANY . . . . . . . . . . : C L C ROOFING ADDRESS . . . . . . . . . . : 89 S 21 ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95116 TELEPHONE . . . . . . . . : (408) 298-1868 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL -------- ------------- ---------- ---------- ---------- ---------- ---------- IBSEISMICR VALUATION 13 , 775 . 00 1 . 40 0 . 00 1 . 40 0 . 00 1REROOFRES SQ FEET 28 . 00 364 . 00 0 . 00 364 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 365 . 40 0 . 00 365 . 40 0 . 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 365 . 40 VISA --------------- TOTAL RECEIPT 365 . 40 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ----------------------------- -------- ---------------------------- 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 604 ROOF IN-PROGRESS 605 FINAL REROOF • 0 07 0,-),-3 �fl CITY OF CUPERTINO REROOF I OF UPERT1No PERMIT APPLICATION APN # D/ 0 , CTZ) Date: Building Address: Z®6 0 S>7 ELLrz Owner's Name: Phone #: �aF'-390�'ys�y Contractor: Phone #:G�dg_Z 4� - /E 6 / v Fax #: 0 -29,f— G Cupertino usiness License.#: Contractor License #: Z Type of Roof Covering: Existing: Proposed: ❑ Built-Up Roof ❑ Built-Up roof ❑ Asphalt Shingles "< Asphalt Shingles Wood Shakes a Wood Shakes ❑ Wood Shingles a Wood Shingles ❑ Other (Specify) ❑ Other(Specify) Number of existing coverings ❑ Provide I.C.B.O. Report # ❑ To be Removed ❑ Provide Mfgr. Installation Specs. Job Description: G.o k" .o" A KE L w t�E�a� F r�,CEsi _ ,v iii Residential Commercial Lj Green Building: Please complete relevant portion of the Confirmed with Planning Dept. if Green Building Checklist & attach it to the application or if there are any restrictions: applicable, include'in plan set & the sheet index. Valuation: • I Have Read, Understand and Will Comply with Cupeitino's Tear-Off Policy: Signature Revised 6/16/08 CITY OF CUPERTINO �© REROOF CUPERTINO FEE SCHEDULE Number of Fee ID Fee Description Fee Permit Type Squares Group 1REROOFCOM Re-roof Commercial B 1COMMLROOF 1BSEISMICO Seismic Commercial B Z� 1RER00FRES Re-roof Residential B 1SFDWLR00F 1BSEISMICRE Seismic Residential B 1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF 1BSEISMICRE Seismic Residential B 1BUSLIC Business License B Revised 6/16/08 • Community Development Department Building Division City of Cupertino 10300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 Building Department Subject: Re-roofing policy for the City of Cupertino 1. Prior to permit issuance,you must agree to comply with 2007 IBC Standards and manufacturers specifications on re-roofing. All roofs are Class "A"per Cupertino municipal code 16.04.080. 2. New roof coverings shall not be applied without first obtaining all inspection and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. 3. All roofs shall be inspected prior to any roofing installation. 4. To receive a final sign off from the City, the following steps are required: 1) Pre-inspection and/or tear off approval. 2) In-progress inspection approval. 3) Final inspection approval. . a) Spark arrester installation. 5. If plywood is installed, a plywood nail inspection is required,- 6. Any roofing which'is applied without first obtaining an inspection, will require the removal of all new material down to the sheathing, so a proper City inspection can be performed. 7. NOTE: If you call for a plywood nail inspection and the job is not ready, you will be charged a re-inspection fee of$176.18. The re-inspection fee must be paid before another inspection can be scheduled IMPORTANT: 1. Flat roofs must have a minimum of 1/4 " per foot slope and demonstrate that there is no ponding. 2. An I.C.B.O. report is required to be on the job site at the time on inspection. I understand and will comply with the above stated policy on re-roofing. Homeowner's Name: Job Site Address: Roofing Company Name: Applicant's Signature: Date: • Greg Casteel Building Official Revised 07/30/08 Green Building Plan Check Index of Green Building Points/Categories A. Category Example of an Index or Table of Green Plan Sheet or Page Points Building Points Categories that must be shown and referenced on the Project Plans See below a B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 2 points 11. Permeable Paving, Note L-1 2 points C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 5 points D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 2 points 5. Use Truss with heels, (detail) S-2 2 points 6. B. OSB Sheathing, detail S-2 2 DOints E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points 4. B. Fiber Cement Siding, (Note/Spec. A-4 2 points F. Plumbing 1. Insulate all H.W. pipes, (Note/Spec.) P-1 2 points 5. Tankless W.H., (Note/Spec.) A-2 2 points 11. A 2500 Gal. Tank, (Note/Spec L-1 10 points G. Electrical 4. E. Ceiling Fans, (Note/Spec.) A-3 4 points H. Appliances 1. Energy Star Dishwasher, (Note/Spec.) A-3 1 point 3. Energy Star Refrigerator, (Note/Spec. A-3 1 point P. Other 1. List Green Features on Plans A-1 1 point TOTAL POINTS 40 points Plan Review Process Work Book Page-l2-Revised 3/25/08 Green Points Rating System for Remodeling Projects Due to the diversity of remodeling project types,assigning a'total points'value to a project to be considered environmentally friendly is not feasible. However,25 measures have been highlighted to signify that every effort should be made to incorporate them into your projects. These items have been chosen based upon their impact on the environment and the health of the home in coordination with ease of implementation and relative low cost. These measures can be used as a starting point for'greening'your project. A.Site i.Recycle Job Site Construction&Demolition Waste 65%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0 L2.Salvage Reusable Building Materials _ I 4 Resource pts y--yes D 3.Remodel for Mixed Use,Adaptive Reuse,and Historic Preservation 4 Resource pts y=yes 0 4.Protect Native Soil 2 Resource pts y=yes 0 5.Minimize Disruption of Existing Plants&Trees 1 Resource pt y=yes 0 6.Implement Construction Site Stormwater Practices 2 Resource pts y=yes D 7.Protect Water Quality with Landscape Design 2 Resource pts y=yes 0 LDesign Resource-Efficient Landscapes and Gardens __ _, 4 Resource pts y=yes D 9.Reuse Matedals/Use Recycled Content Materials for Landscape Areas 2 Resource pts y—yges 0 10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes D 11.Provide for On-Site Water Catchment/Retention 2 Resource pts as 0 1 1 B.Foundation 1 - 1.Incorporate Recycled Flyash in Concrete • 25%Recycled Flyash=2 points;Add 1 point for every 10% increase of flyash,up to 5 points up to 5 Resource pts 0 2.Use Recycled Content Aggregate 2 Resource pts y=yes 0 3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0 1 1 1 C.Structural Frame F1 ubstitute Solid Sawn Lumber with Engineered Lumber 3 Resource pts y=yes 0 2.Use FSC Certified Wood for framing (For every 10%of FSC lumber used=2 points,up to 10) up to 10 Resource pts. 0 3.Use Wood I-Joists for Floors and Ceilings 2 Resource pts y=yes 0 4.Use Web Floor Trusses 2 Resource pts y=yes 0 5.Design Energy Heals on Trusses 6'or more 2 Energy pts y=yes 0 6.Use Finger-Jointed Studs for Vertical Applications 2 Resource pts y=yes 0 7.Use Engineered Studs for Vertical Applications 2 Resource pts y=yes 0 B.Use Recycled Content Steel Studs for Interior Framing 2 Resource pts y=yes 0 9.Use Structural Insulated Panels(SIPS) a.Floors 3 Energy pts Y=Yes 0 3 Energy pts y=yes p c.Roof 3 Energy pts y=yes p 10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0 11. Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes p I12.Use OSB - - -- - -- ---- - — - -__ I a.Subfloors t 1 Resource pt y=yes 0 • b.Sheathing 1 Resource pt y=yes 0 1 1 1 INPUT Resources Energy .Exterl r Finish 1.Use Sustainable Decking Materials a.Recycled content $Resource pts y=yes 0 b.FSC Certified Wood 3 Resource pts y=yes 0 i2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAQ/Health pt y=yes 0 13,Install House Wrap under Siding 1 IAQ/Health pt y=yes 0 14.Use Fiber-Cement Siding Materials 1 Resource pt Y--yes 0 1 1 1 E.Plumbing 1.Install Wiler Heater Jacket 1 Energy pt y=yes 0 2.Insulate Hot and Cold Water Pipes 2 Energy pts Y--yes 0 3.Retrofit all Faucets and Showerheads with Flow Reducers a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0 b.Showerheads(1 point each,up to 2 points) i Up to 2 Resource pts. 0 r4.Replace Toilest with Ultra-Low Flush Toilets point each,up to 3 points) _f Up to 3 Resource pts. 0 5.Install Chlorine Filler on Showee ead 1 IAO/Heaith pt y=yes 0 S.Convert Gas to Tankless Water Heater 4 Energy pts y=yes 0 7.Install Water Filtration Units at Faucets (2 points each,up to 4 points) Up to 4 IAQ/Hsalth pts. 0 6.Install On-Demand Hot Water Circulation Pump 4 Resource pts y=yes 0 1 1 1 r-.tiecuncar 1.Install Compact Fluorescent Light Bulbs(CFCs) (6 bulbs=2 points,10 bulbs=3 points,12 bulbs=4 points) Up to 4 Energy pts. 0 2.Install IC-AT Recessed Fixtures with CFLs(1 point each,up to • 5 points) Up to 5 Energy pts. 0 3.Install Lighting Controls(1 point per fixture,up to 4 points) Up to 4 Energy pts. 0 4.Install High Efficiency Ceiling Fans with CFLs (1 point each,up to 4 points) Up to 4 Energy pts. 0 1 i 1 G.Appliances 11.Insta l Energy StarDishwasher 1 Energy pt y=yes 0 .Install Washing Machine with Water and Energy I Conservation Features 1 Energy pt y=yes 0 3.lnstall Energy Star Refrigerator 1 Energy of y-yYes 0 4Install Built-In Recycling Center 3 Resource pts y=yes F 0 L- —---- — -- -- -- - 1 1 1 H.Insulation 1.Upgrade Insulation to Exceed Title 24 Requirements a.Walls 2 Energy pts y=yes 0 b.Ceilings 2 Energy pts y=yes 0 2.install Floor Insulation over Crawl Space 4 Energy pts y=yes 0 I3.Install Rwycled-Content;Fiberglass Insulation with No Added Formaldehyde 3 IAQfHealth pts y=yes 0 4.Use Advanced Infiltration Reduction Practices 2 Energy pts y=yes 0 5,Use Cellulose Insulation a.Walls 4 Resource pts y=yes 0 b.Ceilings 4 Resource pts y--yes C • 6.Altemative Insulation Products(Cotton,spray-foam) a.Walls 4 Resource pts y--yes 0 I).uewngs 4 Resource pts y=yes 0 1 i INPUT ReSDurces Energy MUfflealth mdows 1.Install Energy-EffcientWindows a.Double-Paned 1 Ener t es p 9Y P Y=Y ! b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0 c.Low.Conductivity Frames 2 Energy pts y yes 0 2.Install Low Heat Transmission Giazing 1 Energy pt y=yes 0 1 1 t J.Heating Ventilation and Air Conditioning !1.Use Sucl Mastic on ASDuaJoints — 2 Ener is Energy P Y--yes p 2.Install Ductwork within Conditioned Space 3 Energy pts y=yes D 3.Vent Range Hood to the Outside 1 IAO/Health pt y=yes 0 4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y----yes 0 5.Install Solar Attic Fan 2 Energy pts Y--yes 0 6.Install Attic Ventilation Systems 1 Energy pt y=yes p 7.Install Whole House Fan 4 Energy pts y=yas p S.Install Sealed Combustion Units - a.Furnaces 31AQ/Health pts y=yes p It.Water Heaters 3 IAQ/Health pts y=yes p 9.Replace Wall-Mounted Electric and Gas Heaters with Through-the-Wall Heat Pumps 3 Energy pts Y--yes p 10.Install 13 SEER/11 EER or higher AC with a TXV 3 Energy pts y=yes 0 11.Install AC with Non-HCFC Refrigerants 2 Resource pts y=yas 0 12.Install 90%Annual Fuel Utilization Effciancy(AFUE)Furnace 2 Energy pts y=yes 0 13.Retrofit Wood Burning Fireplaces • a.Install EPA certified woodstoveslnserts 1IAQ/Health pt y--yes 0 b. Install/ReplaceDampers IEnergy pt Y--yes p c.Install Airtight Doors 1 Energy pt y=yes 0 14.Install Zoned,Hydronic Radiant Heating 3 Energy pts y--yes p 15.Install High Efficiency Filter 41AQ/Hsalth pts y--yes p 16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes p 17.Install Separate Garage Exhaust Fan 3 IAQ/Health pts y=yes p . 1 1 1 K.Renewable Energy and Roofing 1.Pre-Plumb for Solar Water Heating 4 Energy pts y=yes p 2.Install Solar Water Heating System 10 Energy pis y=yes p 3.Pre-Wire for Future Photovoltaic(PV)Installation 4 Energy pts y=yes 0 4,Install Photovoltaic(PV)System (1.2 kw=6 points,2.4 kw=12 points,3.6 kw=18 points)_ _ __ Up to 18 Energy pis p !6.Select Safe andburable Roofing Malenals_ _ __ 1 Resource pt y=yes 0 7.Install-Radiant Barrier - 3 Energy pts y=yes p 1 L.Natural Heating and Cooling 1 1 1.Incorporate Passive Solar Heating 5 Energy pis y=yes p 2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts y=yes p 3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p 1 i 1 • M.Indoor Air Quality andFinishes INPUT Resources Energy 1.Use L&FNa-VOC Paint -- _ _ 1 IAQ/Health pts y=yes 0 2.Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes D 3.Use Low%No VOC Adhesives _ 3 IAQ/Health pts y=yes D 4.Use Salvaged Materials for Interior Finishes 3 Resource pts y=yes 0 5.Use Engineered Sheet Goods with no added Urea Formaldehyde 61AQ/Health pts y=yes 0 6.Use Exterior Grade Plywood for Interior Uses 1 IAQ/Health pts y=yas D ;7.Seal all Ezposed.Particleboard or MDF 4 IAQ/Health pts y=yes 0 B.Use FSC Certified Materials for Interior Finish 4 Resource pts y=yes 0 9.Use Finger-Jointed or Recycled-Content Trim 1 Resource pts y=yes 0 10.Install Whole House Vacuum System 3 IAQ/Health pts y=yes 0 1 1 1 N.Flooring 1.Select FSC Certified Wood Flooring 6 Resource pts y=yes 0 �2.Use Rapidly Renewable Flooring Materials _ _ _ 4 Resource pts y=yes 0 3.Use Recycled Content Ceramic Tiles 4 Resource pts y=yas 0 4.Install Natural Linoleum in Place of Vinyl 51AQ/Health pts y=yes 0 5.Use Exposed Concrete as Finished Floor 4 Resource pts y=yes 0 .6.Install Recycled Content Carpet with Low VOCs 4 Resource pts y=yes 0 I 1 1 Total Points A 1 1401 130 57 Total Points Project R 1 0 0 0 • C:data/p,ogsrgreenb•-jildmgguidelineshemodelersrgreenpdMsfina121204proleMedxis • Community Development e 10300 Torre Avenue Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 WUPEkTINO Building Department JOB ADDRESS: PERMIT#U (�,�� Z 2 J 2 Sh c5-z 6 OWNER'S NAME: t tJ PHONE O -�'C�slj GENERAL CONTRACTOR: FAX # I am not using any subcontractors: �irir/s�el0 (:-Z� F `j -d Signature Date Please check applicable subcontractors and complete the following information: 60 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 Tile Owner/Contractor Signature Date