Loading...
13070014CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 N DE ANZA BLVD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 13070014 OWNER'S NAME: NMSBPCSLDHB 415 CLYDE AVE STE 105 DATE ISSUED: 1220(2013 WNER'S PHONr: 4089961010 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CON'TRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL E] NEW CMU COMPRESSOR ENCLOSURE (216 S.F.) License ClassLie. tl ` k.3k4- 112814- ' SI.ON�#1 T+rX`T=EI�IOOR• '- LINK —issd Contractor s rd�3 �`(�ea s Date �' 7—N ' 4 � 21211� Wr =.•.• 0 1 hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Codc 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, as provided for by Section 3700 of the Labor Code, for the Sq. Ft Floor Area: Valuation: $200000 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: 32634070.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that 1 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 hereby WITHIN 180 AY OF PERMIT ISSUANCE OR to building construction, and authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F LAST CALLED INSP CTION. 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: �/ with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. n4_1�.Z,_ 1� RE -ROOFS: �_ sig attire.Date All roofs shall be inspected prior to any roofing material being installed. if a roof is installed without first obtaining an inspection, l 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 is not intended or offered for sale (See.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project (See.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 tilt 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 rise equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air conlaminants 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 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Cade, for the performance of the work for which,this th c, Ith afety Cade, Sc tin 25 5,25533 and 25534. riJ, Owner or authorized agent: Date: permit is issued. 1 certify 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, 1 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 (See. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 J06 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 hannlcss the City of Cupertino against liabilities, judgments, ARCfiITECT'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. Signature Date CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 N DE ANZA BLVD CONTRACTOR: BARRON BUILDERS INC PERMIT NO: 13070014 O'VVNER'S NAME: NMSBPCSLDHB 415 CLYDE AVE STE 105 DATE ISSUED: 12/2012013 ONVNER'S PHONE: 4089961010 MOUNTAIN VIEW, CA 94043 PHONE NO: (650) 269-7061 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class— NEW CMU COMPRESSOR ENCLOSURE (216 S.F.) 1� �'` � w'Q— 201 Contractor 64-0.'l t mo, to @ i` 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 forte and effect. I 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: $200000 erformance of the work for which this permit is issued. ve and will maintain Worker's Compensation Insurance, as provided for by ection 3700 of the Labor Code, for the performance of the work for which this APN Number: 32634070.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION 1 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 DAYS OF PERMIT 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 DAYS F LED 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 2— 44 granting of this permit. Additionally, the applicant understands and will comply ued by: ate: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS - Signature Date 1* ,�7 �� 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 DE LARATION 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 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 Gave read (he hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. [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 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, Sections 25505, 25533, and 25534. Owner Date: permit is issued. or authorized agent: I certify 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 LENQING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, l 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 corieet. 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. Signature Date CUPERTINO ❑ NEW CONSTRUCTION CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TOR RE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildina0ZDerfino,org ❑ ADDITION ❑ ALTERATION l 1T REVISION I DEFERRED /10 0 100 1� �RIGINAL PERMIT # PRO—W-89=15' APN 9 .OWNERNAME PHONE EMAIL STREET ADDRESS CITY, STATE, ZIP PAX ' C -L' Nal fi , P'i4N7 EMAIL , STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARt7MCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME - LICENSENUMBER LICENSETYPE BUS. LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CM, STATE, ZIP PHONE ARCHITEGTIENGINEER NAME LICENSE NUMBER BUS. LIC d COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE RIPTI %VQQR dl.� ®\*%- UwI'A lot EXISTING USE PROPOSEDCONSTR. TYPE tl STORIES USE TYPE OCC. SQ.F"I'. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA:DETACH ❑ ATTACH N DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY IJ YES BEING ADDED? []NO ADDITION? []NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF PLANNING APPL 0 ❑NO PLANNING APPROVAL LETTER ISTHEBLDGAN ❑YES EICHLERHORIE? ❑NO RECEI SY: By my signature below, I certify to each of the following: I am the property owner or authorized ag to act on tfkproperty owner's ehal . I have read this application and the information I have Prov - d is correct. I have read the Description of Work and verify I ' e. I agree to comply with all applicable local ordinances and state laws relatine to bU ldI g c nstruct' au o resentatives of Cupertino to enter the above -identified property for inspection purposes. ignatule lrcail Agent: • +a '- Z — 1 SUPPLEMENTAL INFORMATION RE REI) PLAN CnECK T1TE__ -y - µ ROUTING SLIP �•[]' OVER-TIIE: OUNTER ; ❑ ,iiUmBrM;G PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. T P E S& ! ❑f ihL N DING LAN R EVIEW : , Commercial Bldgs: Provide a completed Hazardous Materials Disclosure } sTANDAHII ❑ +PUBLIC WORKS form if any Hazardous Materials 'are being used as part Of this project. - - • ❑ LARGE. 12 , FIRE DEPT _ Copy of Planning Approval'Letter or Meeting with Planning prior tol--I ,0, MAJOR, �I ySANiTARY...$E1YERr]15TRIGI' submittal of Building Permit application. ' F • r .. - ,: i.❑i�ENVIIiQiV14ENTALJIEAI.THL., BldgApp 2011.doc revised 06121111 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildingecupertino.org ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTER-ATION 1 TI ❑ REVISION / DEFERRED ORIGINAL PERMIT 4 PROTECT ADDRESS l 0 2 e) I 0 2TH n e APN O r OWNER NAME �4� G PHONE ,. �i' f E] — I ZI I U� E✓MAILI STREET ADDRESS �. � �aFt rat,ZE LdD P CITY, STATE, ZIP FAX coNracr NAME PHONE we -b � PCv5o - 2(��I--7b6 ( E-MAIL STREET ADDRESS CITY, STATE, ZIP PAX Il OWNER 11 ORWM-9UIIAER ❑ OWNER AGENT' ON TR crOR ❑ coNTRACTOR AGENT ❑ ARCHITECT ❑ £NGIUEEt ❑ DEVELOPER ❑ TENANT CONTRACTORN. ME `� �" 1 L�/^L� �'` LICENS LICENSETYPE EUS. LIC 9 Y [ j�--�� COMPANY NAME E$� E-MAIL ERN M 0 TA���� Z� S 'FAX G STREET ADDRESS A �5 rL (O `I AVE:VEii CITY, TATE, ZIP ^A �J 4K013 PHONE -o— ONAP—Att� IBJ i 4S 944-44q 3 ARCHITECT GINFEj AME n_rYA LICENSE NUMBER BUS. LIG 0 COWANY NAME p E 516 N E-MAIL FAX STR.EET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WO EX -m I'� MrMVF cNTs -M TNF srrF TRAT A040S Aol 601 L tide. Si' G lkleLuVES 11lE 6aPJM0A OFA MEW EkMZ(df- CIA 0 ENCLO UCf 'to aUSE CD (i!ESSbf -C-QUleJAeaT - A75TING USE PROPOSEDUSE CONSIR TYPE R STORIES MA � oh r� -I—USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NETAREA BATHRODM KITCHEN OTHER , REMODEL AREA RDHODEL AREA REMODEL AREA , PORCH AREA DECK AREA TOTAL DECKIPORCH AREA GARAGE AREA: AETACH ATTACH "DWELLINGUNITS; ISAS£CONDUNIT EYES SECOND STORY ❑YES BEING ADDED? E]NO ADDITION'. []No PRE -APPLICATION [']YES IF YES. PROVIDE COPY OF IS THE BLDG AN ❑IFS TOTAL VALUATION: PLANNINGAPPI.iH ❑NO PLSNNI•IGAPPROVALIETTER EICHHLERHOME? []NO By my signature below, I eertify to each of the following: I am the property owner o autho age e 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 I is accurate. I agree to comply with all applicable local ordinances and state laws relating to building co traction. I authorize representatives of Cupertino to enter the abovc-i enlied property for inspection purposes, SipatureofApplieant/Agent: �� Date; —7 1� SUPPLEMENTAL INFORMATION REQUIRED P%A[V CH1eCK ITE ti ae ` ROTTli}� GSLIP j ew_ j i `❑ ';, _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building OVER TI�COi3hTEA f BUILDIR6PLAEViF.SY s = s 4 permit for new building. le LN II C� EarHiEss `��; < r F,t 1t�� 3 K 3- ' I q �Nl�'INGYLAh Bld Provide ]eted Hazardous Materials DisclosuresT YY r 3 d�l'Ptiljil f "�,,,'i+ y _Commercial s: a coin g P©'ARDS n ;:.� w° rt c� -- '' 1 1 woRxsk }i . Ix r4t1, �-�. ..r i1E ti form if any Hazardous Materials are being used as part of this project. m� '''"` ,�.• , r RG£ rte- ,y _y 3' i 1 FIRE;P] Tyr r . r _ Copy of Planning Approval Letter or Meeting with Planning prior to zl` +' K ' Mks k # ' �SATICARY '1'RICF submittal ofBuildint Permit application. - .❑ r� - :' -.. •'E r l SENER�T { 1.: �' $.L�I- E[�'V ROI�'�a\'TiiHEAUTJi.;.t`r,w�3 BldgApp_2011.doc revised 06121/11 FM--7 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION iaADDRESS: 10201 n de anza blvd DATE: 01/2812014 REVIEWED BY: Mendez itfech. Perwil Fee: APN: BP#: 13070014 'VALUATION: Iso *PERMITTYPE: Building Permit PLAN CHECKTYPE: Tenant Improvement PRIMARY Commercial Building USE: Plumb. 111sp. Fee: PENTAMATION PERMIT TYPE: A WORK 1128114- REVISION #1- EXTERIOR CHAIN LINK FENCE SCOPE NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on lite oreliminary information available and are only an estimate. Contact lire Deaf for addn'l info. FEE ITEMS (Fee Resolution I1-053 Eft:' 7/1/13) hfech, Plan Check Phunb. Plern Cheek Elec. Plan Cheek itfech. Perwil Fee: Plumb. Permil Fera: Flec. Pennif Fee: Other Afech. Inas• Other Plumb lnsp. OrherElec. Insp. lilech. !rash. Fca. Plumb. 111sp. Fee: Efec. lnsp, Fere: NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, eta). These fees are based on lite oreliminary information available and are only an estimate. Contact lire Deaf for addn'l info. FEE ITEMS (Fee Resolution I1-053 Eft:' 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure or Element of a Building Suppl. PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppe Insp. Fee:Q Reg. 0 OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction tin:•T7- Administrative Fee: 0 E) Work Without Permit? Yes Q No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure ID 0 I Travel DOCUMCntafio17 l� ecrS: Strong Motion Fee: $0.00 F-1-7 # $834.00 Revisions IREVCOMTI Tenant Improvement Bldg Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $834.00 TOTAL FEE: $834.00 Revised: 01/15/2014 CITY OF CUPERTINO 0y___ 1p'fil FEE ESTIMATOR - BUILDING DIVISION OCCUPANCY TYPE: ADDRESS: /p oDATE: 07103/2013 REVIEWED BY: A.Salvador PC FEE ID APN: I BM "VALUATION: 1$200,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: New Construction PRIMARYCivil USE: Commercial Building / Religious activities in BQ zone? ® Yes O No PENTAMATION PERMIT TYPE: 1S2 WORK NEW CMU COMPRESSOR ENCLOSURE 216 S.F. . SCOPE OCCUPANCY TYPE: TYPE OF CONSTR. FLR AREA s.f. PC FEES PC FEE ID BP FEES BP FEE 1D S-2 (Low -Hazard) 11-B,111-B,IV,V-B 216 $7,682.00 IS2PLNCK $9,994.00 IS2INSP PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT ro.0 I hrs $0.00 PME Unit Fee: $0,00 PME Permit Fee: $0.00 TOTALS: 216 $0.00 $0.00 $0.00 NOTE: This estimate does riot include fees date to other Departments (Le Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the arefindnary information available and are outs an estimate. Contact the Dent for addn'l into. FEE ITEMS (Fee Resolution 11-053 E . 7/1112) Ifech. Plan Check phon1b. Plan Check Elec. Plan Check rifecl1. Permit Fee: Plumh. Permit Fee: Islet. Perinir Fee: Other dfech. Insp. Ocher Plumb lnsp. Other Elec. Insp. Mech. In.Sp. Fee: Phonb. Insp. Fee: Elec. rasp. Fix: NOTE: This estimate does riot include fees date to other Departments (Le Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the arefindnary information available and are outs an estimate. Contact the Dent for addn'l into. FEE ITEMS (Fee Resolution 11-053 E . 7/1112) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? (F) Yes Q No $0.00 4 hours Plan Check, Hourly $556.00 ISTPLNCK Suppl. PC Fee: Q Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? Q Yes Q No $0.00 Suppl. Insp. Fee:Q Reg. Q OT ro.0 I hrs $0.00 PME Unit Fee: $0,00 PME Permit Fee: $0.00 ConstrUCtion Tax: IBCONSTAXC $0.00 Adin it7iTfi ative Fee: () G Work Without Permit? 0 Yes Q No $0.00 Advanced Planning Fee: 1PLLONGC $60.48 4 hours Inspections $556.00 ISTINSP Inspection, Hourly G o Trervel Documentation Fees: Strong Motion Fee: IBSEISMICO $42.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $8.00 SUBTOTALS: $110.48 $1,112.00 TOTAL FEE: $1,222.48 Revised: 07/01/2013 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95 014-3 25 5 Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: IOM 1 lU , �1= N PERMIT #I 36-o O OWNER'S NAME: — 1A t PHONE # GENERAL CONTRACTOR: gU! LOC93 BUSINESS LICENSE # ADDRESS: -A15 e—L (OE M 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 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: r/ SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping LAA P6 L Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/ Contractor Signature 1:7-'1201[15 Date