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08020166 (2) CITY OF CUPERTINO PERMIT thr ON� r ' '"a'°' k' BUILDING DIVISION bCT�RAGTOR, , RJNFORNIAT70N °u :tins„ x;3p ' n�m azS-t:xGE BUILDING ADDRESS: PERMIT NO. 10672 CULBERTSON AAA FURNACE & AIR 08020166 OWNER'S NAME: v PERMIT ISSUE DATE AMITRA FREEMAN 1712 STONE AVE 02/26/2008 ONE: SANITARY NO. CONTROL NO. (408) 293-4717 ARCH=i ENGINEER: BUILDING PERMIT INFO BLDG ELECT t� 0 MECH n I� Sop LICENSED CONBACOR'S DECLARATION Ib Description ver 1 knotty afOrm w Nat I limnO05Cr1p ed under provisions of Chapter 9(commencing i� with Section 7011 of Division 3 of the Business sed Profession,Code,and my license is RPLC 2 WL FURNACES 25R BTU EA. ^ PPnnn in full forte ahW< r njz [leen Ciss !_ �— TO IJc.• k. Dam Gmreclw AR HTECTS DECLARATION jl� e 1 uMersunJ n my plans shall k useu Public Blic cords /�JV Licensed Professional hD OWNER-BUILDER DECLARATION An C a. I hereby.(Swoon that 1 1. exempt from oro Can rias Co License city o for the C O o which no damn.(Section 7e en Business and Pmfndnn Code:Any dry ar many pr which requmes a e,Also re mnRrocL alcor.impraw,h Permit 1 n e a sig ed wemud ZL^ Primmiaammwe,amudge ft theisior of for snhpermi'sLica aaiLaw(Cha mem Fe5p< Ow mcnatwitpSecwntlatheOfDivisnaftheConuochorYLimrselsw(Godter9 Sq.Ft.Floor Area 2 Valuation 3$ (comm I.cingwith Section 7000)MDhassfr ofd Alleged euand Professions latM)or 025 3 met io u exempt Nedfmm and or bum far Na Alleged exemption..Any violation of Semon 7811.3 by Arty applicant for a permit mbjeca the Applicant m a civil penity ofNumber Occu ane e nam mod Nan fw headed dollars(ML 37534026, p yTyp ❑1,As owcrs of the Property,or my wplayees with wages as Nem sod cooperations, will do the work,and oro nrvchum is Out Intended or offemd for stile(Sec.]ON.Business And Profession Cade The Con iscoart,Liceue law doss mit apply in an caner of Required Inspections property who builds or impraves thraen,and whodessuchworkhimselfor Waugh his owe employees.provided Nat such impmvemena see not intanded oro0'emd fmad.If. however.the building or improvement Is sold within aro year of eompddan,Ne owner. builder will have the burden of proving that k did Out Wild or Improve for purpose of ale.). ❑1.As awner of the property,am exclusively mnuw.ning whh Boned contractan m canuuct Ne project(Sec.7014.Business am Prollow n Code:)The Comrachoes Li, cameLaw does not apply man owner of property who Wilds or improves thhemon,and. who contracts for such prokea MN acontrumc(s)licensed p rmaint in the Conirmtor's License Law. ❑lam eaempt undesSm. .B l P C fear Nis mason wm Dam WORKERS COMPENSATION DECLARATION 1 hereby afBmh under Penley of perjury can of do following declmhion: ❑1 haw and will maintain aCer9Ocam ofCommnt m self-insum for Work e,ComMn- ssoon,As provided for by Eaton 3700 of the Labor Code,for W perfomance of Ne work for which this Permit a issued. ❑1 have and will maintain Worker's Compensation Inannnm,As required by Sermon 3700 of the labor Code.for the pinformation of the words farwhlch this permit is issued. MGyeWiemr.�IMe,C.myP"n{�uQonbuu r/ matl Paliynumk PoINo.: C R IFl�CA E�Pf1NFRO RrK mEeR: S'COMPENSATION INSURANCE b •L� mus section came notkcomplemd if the March is(want hundred donad([100) or roan) 1 emir Nm in Nam M,fomanee of the work for which thm permit is burned.l shall nut employ any Pearson in any summer an u in bmome subject in the Workers'Compenados Isws of Ctlifombti.pram ApPliant = A A M�.a/ NGnCE TO AP L t�l:I. tai ti,1, Ws GniEaor of ExLimear A.oro you sham bmwne subject y it Woakcr'o Compensation provision of the lahw Code,you muss DO foMwiN<omP1Y with such provisioner this Permit Oat]kdmmW mated. q.~ CONSTRUCTION LENDING AGENCY N., 'ram Ihedhyallhm Nu tom is a connnhconn lending Agency for the Performance of CG? the weak far which this permit is mood(Sec.3097,Civ.C.) [L7 Q lender's Name Z lender's Address V 0 I cmtify that 1 have read Nis Application and sum ant the Above mfomaoun is u, ^'. corms 1 agree in comply with all city and county mdinanm and sum laws relating to 0 rV^ building construction,and hereby audhorim representatives ofthis city to enter upon the W above-mentioned properly for inspection purP=L a (We)aids m um.indemnify and kap harmless Om City of Ceperthsa Against ,•w N 11-biliou.Indigenous,cmu And expanse which may In any way Account again,said City r („)Z in consequence of the granting of this remelt. ^e APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:3 Date SOURcc�REGULATONS. _ 1f,7ftppLi m�-yLa 17Z- 7,6 ` Re-roofs Signors. fApplicanVCantrxhor Data xA2Afirma MATERIALS DISCLOSURE Type Of Roof Will the Applicant w future WilMunicipal Cg occupe,Chapter mora nr handle Ha ch nd 19my u deOned by Ne Cupertino MuninpAl Cade.Chapter 9.13,and Um HNN and SAfehy coal,. 25s32(.)7 [2y" o All roofs shall be inspected prior to any roofing material being installed. ❑Yes Will Nam.'Pkant or CIZ building occupant use equipment of devices which If a roof is installed without first obtaining an inspection,.l agree to remove mah haeumus air comaminana u defend by the Bay AMA Air Quality Management all new materials for inspection. Ghana? ❑Tau I haw mail the huscdam mamrlau requirementsumlerchapter6.95 of ten Glifor, nu fth hkSafchy Cadc,Sections 15505,25533 aml25.531.l understand thatifthe building dams an,carmndy,hew•mnanl and it OR my mi ponsibiNy m redly W omupan,of dram nopti5morm which roam be met prior m Women of a Certificateof�apanry. Signature Of Applicant Date A 011 ty '°•"' ��•� All roof coverings to be Class"B"or better Owner Or authorbcda catData • CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 37534026 . 00 DATE ISSUED. . . . . . . : 02/26/2008 RECEIPT # . . . . . . . . . : BS000004032 REFERENCE ID # . . . : 08020166 - SITE ADDRESS . . . . . : 10672 CULBERTSON SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : AMITRA FREEMAN ADDRESS . . . . . . . . . . : 10672 CULBERTSON CITY/STATE/ZIP . . . : CUPERTINO, CA 95014 RECEIVED FROM . . . . : JIM RANDO CONTRACTOR . . . . . . . : RANDO, JIM LIC # 8050 COMPANY . . . . . . . . . . : AAA FURNACE & AIR CONDITIONING ADDRESS . . . . . . . . . . : 1712 STONE AVE CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 TELEPHONE . . . . . . . . : (408) 293-4717 • FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BSEISMICR VALUATION 2, 025 . 00 0. 50 0. 00 0 .50 0. 00 IEPERMITFE FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 1MPERMITFE FLAT RATE 1. 00 40 .79 0. 00 40.79 0. 00 114RRAA UNITS 1. 00 61 .19 0. 00 61 .19 0. 00 1PPERMITFE FLAT RATE 1. 00 40.79 0. 00 40.79 0. 00 ITRAVDOC FLAT RATE 1. 00 40.79 0. 00 40 .79 0. 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 224 .85 0. 00 224 . 85 0. 00 METHOD OF PAYMENT AMOUNT REFERENCE NUMBER ----------------- --------------- -------------------- CREDIT CARD 224 . 85 VISA --------------- TOTAL RECEIPT 224 . 85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL o � u � CITY OF CUPERTINO arto FURNACE/AC • CUPERTINO PERMIT APPLICATION FORM APN# -7 :5 O Date: ep� ' D` Building Address: Owner's Name: Phone #: 2A �2c�rhAN yob and - soya Contractor: Phone#: � 4-,{ yV . y71,) Fax 4: Contractor License#: -. Cupertino Business License#: f 7/ Po,ry Contact: — Phone &,O y� /ya4 w 2 E/— Fax #: Building Permit Info: Elect Plumb Mech Residential Comme cial ❑: Job Description: For Residential Installations: Attic ❑ lst floor 2nd floor ❑ Adhere to minimum setback requirement ❑ For Commercial Installations: Replacement same weight ❑ Additional weight (structural calcs) ❑ Structural Calculations required for new installation ❑ New installation Planning Approval Required ❑ Cost of Project: Type of Construction (Usage Class): ozaas;� �3 Strapped ❑ On Platform ❑ Bonded ❑ New Location Replacement Valuation: o2do2 SIQo Green Building: Must attach Green Building Check list to this application 1 CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Commercial-Repair/Alteration/Addto M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl -install ation_o£controls regulated by_this _ code. 1 MCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absoiption,or evaporative cooling sys, incl install of controls regulated by this code. IMCSUSHTR Commercial Install/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. 1PGASCOM Commerical for ea gas piping System P 1-4 outlets 1BPGAS For each gas piping system of 5 or P more per outlet. 1MCAPPVNT Commercial for the install/relocate/ or M replacement of ea appliance vent installed &not incl in an appliance permit. 1BSEISMICO Commercial Seismic B 1MRRAA Residential Repair/Alteration/Add to M ea heating appliance,refrigeration unit, cooling unit,absorption unit,or ea heating,cooling,absorption or evaporative cooling system,incl installation of controls regulated by this code. IMRSUSHTR Residential InstalI/Relocate ea M suspended heater,recessed wall htr, or floor mounted unit heater. 1MRAPPVNT Residential for the install/relocate/ or M replacement of ea appliance vent install &not incl in an appl permit. CITY OF CUPERTINO r � FURNACE/AC C OF • CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FU-RN/AC 1PGASRES Residential for ea gas piping system of P 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more er outlet. 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M IMFR=<100 Furnace Syst<=100k BTU install or M relocate ea forced-air/gravity type • furnace/bumer, incl.ducts/vents attached to such appliance up to and include 100,000 Btu/h 1MFRN>100 Furnace Syst> 100k BTU install or M relocate ea forced-air/gravity type furnace/burner, incl ducts/vents attached to such appliance over 100,000 Btu/h IEPERMITFEE Electric Permit Fee E 1MPERMITFEE Mechanical Permit Fee M 1PPERMITFEE Plumbing Permit P / 1TRAVDOC Travel Documentation B 1BUSLIC Business License B CITY OF CUPERTINO FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ED Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCAIRHAN Commercial A/C Units <= l0k CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Conunercial B 1PGASCOM Commerical for ea gas piping System P 1-4 outlets -1PG7ASRES -Residential-for ea gas piping em—P— of 1-4 Outlets 1BPGAS For each gas piping system of 5 or P more per outlet. Conun/Resid 1BREMAIRHAN Residential A/C units <= l0k CFM B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B IEPERMITFEE Electric Permit E 1MPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B Sin IeFamil GreenPoint Checklist date: � Build ltCsreeri The GreenPoint Checklist Is based on the various green features Incorporated into the home and is the SmanSWmiom From The Ground Up basis lot the GreenPoint Rated program.A hone can be considered green If it fulfills the prerequishas, • Hams at least 50 points,and meats the minimum points per category.Energy IndIndoorO AIG Ouary/ I I Health(5),Resources(6),and Water(B).Please contact Build It Giem for a listst 0 of qualified GreenPoint I JI Ratans d you are interested in pursuing third-parry verification. L The groan building practices listed below are described in the New Home Construdion Green Building Guidelines,available at www.bu.1gjgreen.om. 5 ENTER PROJECT NAME A BITB. 641 - - . PoirM1s Availaffe Per Measure 1.Proldii1l Topsoil entl Minimize Disruption or Existing Plants&Tram ❑ a.Protect Topsoil from Erosion and Reuse after Construction 0 1_ 1 i1 ❑ b.Unit and Delineate Construction Footprint for Maximum Protection p j 1 2.Deconstruct Instead of Demolishing Existing Buildings On Site 0 I 3 3.Recycle Job Site Construction Waste(Including Green Warm) ❑ &Minimum 50%Waste Dimnslan by Weight(Recycling,a Rouse)-Requiretl 0 R ❑ b.Minimum 65%Diversion by Weight(Recycling or Reuse) 0 _— ❑ c.Minimum aD%Diversion by Weight(Recycling or Reuse) p ! .T 4.Use Recycled Content Aggregate timlmum 25%) ❑ a.Walkway and Driveway 0 ❑ to.Roadway Base 0 1 Total Points Available in Site 12 0 B.FOUNDATION - - - - Points Available Per Measure 1.Replace Portand Cement in Concrete with Re clod Ftymh or Slag —[:]—a,Minimum 20%Fyash or Slag - 0 '�-- ___ ❑ It.Minimum 25%Flesh or Slag 2 Use Fros4Promcmtl Shallow Foundation in Cold Areas(GEC.Climate Zone 16) 0 3 i dUn Radon Resistant Construction on At-Risk Locations Only) 0 1 I 4.Design and Build Structural Pest Controls ❑ a.Install Terms,Shields 6 Separate All&tetla Wood-to-Concrete Connection by More or Plastic Fastener,UDlviders 0 b.All New Plants Have Trunk,Base,a Stem Located AI Least 36 Inches from Foundation 0 j Tocol Points Avallable in Foundation 11 0 C.LANDSCAPING - - - points Avaliable Per Measure 1.Construct Resounx-Efficient Landscape; • ❑ a.No hweslve Species Listed by Ca14PC Are Planted 0 __ 1 ❑ b.No Plant Species Will Require Hedging ❑ c.75%of Plants Are Drougmdomram California Natives,Mediterranean,or Other Appropriate Species 0 t 3_ 71 2.Use Fire-Sete Landscaping Techniques 0 1 ! 3.Minimize Turf Areas in Landscape Installed by Buiider ❑ a.All Tud 911 Have a Water Requirement Less than a Equal to Tall Fescue(S)a plant facm0 0 2 ❑ b.Tud Shall Not Be Installed on Slopes Evcmding 1D%or in Areas Less than B Feet Wide 0 I 2 ❑ c.Turf is 533%of Landscaped Area(need 2 points) o ! 2 ❑ d.Tud Is 510%of Landscaped Area(mtal4 points) 0 2 ❑ 4.Plant Shade Those - 0 ! 3 EI S.Group Plants by Water Needs Hydnzonin ) 0 ! 1 2 S.Install High-Effidoncy Irrigation Systeme ❑ e.System Uses Only Low-Flow Drip,Bubblers,or Low4ow Smolders 0 I 2 ❑ b.System Has Smarr Commotion; '0 3 7.Incorporate Two Inches of Compost in the Top 6 to 12 inches of Soil 0 ! 3 ❑ &Mulch All Ptanfiog Berm to the Greater of 2Inchm or Local Water Ordinance Requirement 0 2 9,Use 50%Salvaged or P cted-Comets Materials for 50%of Non-Plant Landscape Elements 0 1 Lj 10.Reduce Light Pollution by Shielding Fixtures and/or Directing Light Downward 0 1 ! Total Poinfs Available In Landscaping=31 0 D.STRUCTURAL;FRAME&BUILDING ENVELOPE - Points Available Per Measure 1.Apply Optimal Value Engineering ❑ a Place Rafters and Studs at 24-inch On Center Framing 0 1 1 ❑ to.Size Door and Window Headers for Load 0 1 ❑ c.Use Only Jack and Cripple Studs Required for Load 0 7-1 —T-1 1— 2.Use Engineered Lumber ❑ a.Beams and Headers 01 E] b.Insulated Engineered Headers 0 _—L ❑ C.Wood l4oists or WebTrusses for Floors 0 ❑ J.Wood l-Joists for Root Rogers 0 i I - 1 ❑ e.Engineered or Finger-Jointed Studs for Venial Applications p ❑ I.Oriented Strand Board for Subnoor 0 I I 1 ❑ g.Oriented Strand Board for Weil and Real Sheathing 0 3.Use FSC-CediOed Wood ❑ e.Dimensional Lumber,Studs and Timber.Minimum 40% 0 1 1 ❑ to.Dimensional Lumber,Studs and Timber.Minimum 70% p —? 1 2 ❑ c.Panel Products:Minimum 4D% ❑ 0 d.Panel Products:Minimum 70% 0 1 02007 Build It Green Single Family Greenloolm Checklist 2007 Version Page 1 of 4 ENTER 4.Use Solid Well Systems encludes SIPS,ICF&,5 Any Non-Stick Frame Anwidly) ❑ e.Floor 0 2 1 2 ❑ b.Walla D 2 2 ❑ C.RD* D 2 ; 2 , 5.Reduce Pollution fearing the Home from the Gmege ❑ a Tightly Seel the Air Bemm between Garage and Living Are 0 I 1 I ❑ In.install Gare Exhaust Fen OR Build a Daleched Gare 0 1 a Dai n Energy Heala on Trustees(75%of Attic Insulation Height at Oulsltle Ede of Exterior Wel 0 1 I 7.Design Roof Trustee W Accommoda a Ductwork 0 5.Use Recycled-Content SIW Stade for 00%of Interior Wall Framing 0 I 1 LJ B.Thmal Mus Wells:Minch Drywall on All Interior Wella or Walls Weighing mor than 40 Ib/cu.h. 0 1 10.Install Overhangs and Outten ❑ a Minimum 1Flnch Overhangs and Green ❑ b.Mumum 244sh Overhangs and Gunn 0 1 I Toil Pain Available In Ssuctdral Building Frame and Ental .36 0 B.EXTMOH FINISS Points Aveilable Per Measu re LJ 1,Use R cletl-0ontant No Virgin Plastic)or FSC-BeNfied Wood Deckles 0 2 Lj 2.Install a Rein Screen Well System 0 1 2 1 ].Use Durable and Noncombustible Siding Materials 0 1 1 Lj A.Select Durable and Noncombushi Roofing Materials 0 I 2 1 Total Points Available In Exterior Finish 1— F.TNSUTAT10N Points Available Per Measure 1.Install Insulation with 75%Recycled Content ❑ a Walla andla Floor 0 1 2.Install Insulation that It Low-Emming(Cmtlfied Section 01]50) ❑ a Walls uNar Floors 0 ❑ b.Cellin D 1 I ] s em Duality of Insulation Installation before Applying Drywall 0 1 I Toil Prints Available in Insulation.5 D 0.PLUMBING Points Available Pm Measure 1.Distribute Domestic Hot Walet Effidutly(Maximud 7 Points). ❑ a.Insulate Hot Water Pipes from Water Heater to Kitchen 0 1 _ t I 1 ❑ b.Insulate All Hot Water Pipes _ 0 1 l 1 ❑ c.Use Engineered Parallel Piping 0 ❑ d.Use Engineered Pmellel Piping with Demand Conbolied Cimularion Loop 0 ❑ e.Use SbucWntl Plumbing with Demand Caballed Cimuletion Loop 0 _ 1 2 ❑ I.Use Central Con Plumbing 0 1 —fi 12 21n11a11 Only High Efficiency TDliets Dual-Flush or S1.2e RPQ 0 4 Total Prints Available In Plumhin =TOW 12 0 H.HFATINO VEINTHATION R AIH CONDI 103ill Points Available Par Measure Lj 1.Design and Inatell HVAC System he ACCA Manuel J,D.and S Recommendations - 0 4 I 2.Install Sealed Combustion Unite ❑ e.Furnaces I 2 ❑ b.Water Hearin ].Instals Zoned,Hydronic Radiant Hurting with Slab Edge Insulation 0 I 1 1 Lj I.meets High Efficiency Air Conditioning with Environmentally Responsible Refrigerants 1 r S.Design and Install Effective Ductwork ❑ e.Install HVAC Unit and Dumworkwithin Conceived Space 3+ ❑ b.Use Dud Mastic on AN Duct Joints and Seems 0 1 il-- ❑ c.Insult Duchwrk under Alto Insulation(Buried Duds) ❑ d.Pressure Balance the DeCTWDrk System ❑ e.Protect Ducts during Construction and Clean All Ducts before Occupancy D' _ 1 J - _ S Install High Efficiency HVAC Filter(MERV 6+) i 1 j j ❑ 7.Don't Install Rreplace or Install Sealed Gas Flimplaces with Efficiency Rating Not Less Than 50% !a I 1 using CSA Standards B.Install Bill Exhaust System in Bathrooms and Motion ❑ a.install ENERGY STAR Bathroom Fens Vented to the Outside j 1 ❑ In.All Bathroom Fans M on Timer a Hasidism ❑ c.Install Khchan Range Hood Vented to the Outside 1 j s.Install Mechanical VanNletlon System for Cooling(Maximum 4 Points) ❑ a Install ENERGY STAR CatOng Foe S Light Kin In LNing Amex S Bedrooms ❑ b.Install Whole House Fan with Variable Speeds ❑ c.Auumakany Connected Integrated System ❑ d.Automatically Consotim Integrated System with Variable Speed Confrot 0 — 1 3 I 10,Install Mechanical Fresh Air Vantlletion System(Maximum 3 Points) ❑ a.Any Whole House Vontllaten System That Moate ASHRAE 8220 _ 2 _ El b.Install AD-to-Ar Heel Exchanger that meats ASHRAE 822 O 1 i 2 11.11111211Carbon Monoxide Aiami 1 j Total Points Anine In Hestin,Ventilation and Air Conditioning.30 r0 02007 Build It Green Still Family GraenPolm ChlscMiat 2007 Version Pana 2 of 4 E Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone(408) 777-3228 CITY OF Fax(408) 777-3333 0UPEkTINO Building Department JOB ADDRESS: PERMIT # le 6 7 01 eyispl / C x225 OWNER'S NAME: 4 E PHONE # D6-.2 02 - GENERAL CONTRACTOR FAX # I am not using any subcontractors: ,�. /2 Z -2(0-gr- 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 o C-tct �O J` Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date