08080141 CITY OF CUPERTINO
BUILDING DIVISION PERMIT COF .C12AC�TOR�TNk'DR1Vxx7ON , '
BUILDING ADDRESS: PERMIT NO.
11.58'7 COPPER SPRING CT CASTILLO' S ROOFING 08080141
OWNER'S NAME: PERMIT ISSUE DATE
JENN:I:FER FAN 1703 CATHAY DR 08/19/2008
ONE: SANITARY N0, CONTROL NO.
(408) 251-3565
ARCHlTECT/FNGINEER: BUILDING PERMIT INFO
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LICENSED CONTRACTOR'S DECuf ON - lob Description
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5 OWNER-BUILDER DECLARATION
F I hereby affirm Not I am recoup,fmm Ne Contractors License Law rat the
i.O O following reason.(Section 703 LS,Business Ind Professions Cade:Any city at county
$ which"at.a permit to convect,slur,hnpmve,demolish,or mpoim any stmaurs
Our to its issuance,also requires dte appliant for such permit in file asignedsuumcm ,
thus is nemmd pursuant to use provision of the Contractors La=Law(Cluptm9 Sq.Ft. Floor AreaValuation
I (commencing with Section 7000)or Division 3 of th �Business and Professions code)or 8000
.- Nath Is exempt lienal.and the huts far the am
alleged eption.My vshni,do of
Section 7031.5 by as0'applicant far a permit subjects the applicant to a civil penalty of ppm Number Occupancy
ml mare tun five haltered dollars(SM 36654052 .`tl'U' P Y Type
❑I,Is wmer of the property,or my employees with wagrs u dater sok compevation,
will do the work and the swctum isnot intended or offeree forsale(Sec.71344.Buslrass
sand Pmfmoou Cade:The Ccummues Liaise Law don ret apply to an owras or Required Inspections
property who builds as imprsves thereon,add who does such work himself or through his
own employees,provided that such improvements we an,intended cooffcrsA for sale If.
however.the building or impasetn of is mid within ane Kar of completion.the ower,
builder will have the burden of proving that he did ret build or improve for purpose of
sale.).
❑1.as awrar of the maperY,and eaclusivelY cantacting with licensed contrsetoas of
construct the project(Sec.7044,Buinus atd Pmreulou Cade:)The Comaemrs U
cares,Law does not apply to an owner of property who builds at improves darned,red.
who contracts for such projects with a contractor(s)licensed pursuant in the Con recmrs
License law.
❑lameaemptunder See. ,B&PCfmtuu; ore
Owtar Dana—
WORKER'S
auWORKER'S COMPENSATION DECLARATION
I barely affirm under Faulty of perjury one of the following declamuou:
1 cave and will maintain a Certifixam oreomo eto alf-insure Imwarkels Compen-
.tan.u pmocled fm by Section Tl'M of the Labor Code,for use pemfmmance of use,
work for which this permit is named.
❑I have and will maintain Workers Compensation Insurance,Is required by Section
3700af the Lobar Code,for the performanceof era work far which this permit is Issued. .
MY Wafkce$Compensated htsunnce estrus and Policy number am:
Cartier. .S�^tT9' IQ4 All Po11cy No.: 23-0 nn"9¢9
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(]his cellon rand mm uncompleted lithe p,tob ts foenehunmed do0ats(SIM)
or kat)
I mrufy that in the perfomame a the.,it far which Nis permit is issued.I shall not
employ any person in any matter se u to become subject to 0a Workcn'Compensation
Laws of Califomia.Dau
Applicant
NOTICE TO APPLICANT:IL after making this Cmdricate of Exemption,you should
become subject to the Workers Compensation provisions of the Labor Code,you msec
.J z forthwith comply with such previsions Or Nu permit shall h dcefrad rewked.
zOCONSTRUCTION LENDING AGENCY
F= Ixonty affirm that users iso mrutmctied lendinga for the once of
ai the work for which this Fray
1 0
Leader',Name
Permit ts iurad(Sec.709],Cir.CJ
D z Lenders Address
U Of..� 1 anffY east I have real this application and sou that the.bow information is
(L V comma I agree to comply with all city and county aNiNmes and stale laws refining to
ng
O building construction,and hereby authorise mprssem sore of this city to cnur upon era
above-mcmintnad property for inspection pugmset
(We)agree 1.e.ave.indemnify Ind keep anis an tic City of nuCupenim agunst
Z hictsitieq,tem curds. osuul'eapemcswhich may in any way tiro agaiutuid City
U z APPLIrt CANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date r�'-c ZS
SOUR E REG S. of
8 q Re-roofs 'J
ign roof Appican✓Conuacmr u Da
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or future building o:apant atom or handle hnarEou material
at defined by the Cupertino Municipal Code,Chapter 9.13.and the Health and Safety
Code.section 25532(,)]
pro Q*11� All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without first obtaining an inspection,I
Will caw applicant or future Wild."occupant use equipment or devices which g Pe agree to remove
iv"uNu
nua air conmitanu u cd by the Bay Area Air Quality Management all new materials for inspection.
tap Yes ONo
1 have mad the haaaNmamauriats mquirsments under Clupuf&95 of do Califor.
as fkalth&SafclYCode.Sections 255(15,M533 and 25534.1 understand thetifrhe Wilding
does mat ctumndY love a anana this it u mY fmyansibitiry of ratify the acupant of the
mquimme wh' mu aunetprior in.me,=ofacenifkauyf apancyy v Signature of Applicant Date
/9 0
owner'ar. oivndsent
Data All roof coverings to be Class'%T'or better
CITY OF CUPERTINO
2 ITEMS OF 2 PERMIT RECEIPT OPERATOR: patg
• COPY # 1
Sec : Twp: Rng: Sub: Blk: Lot:
APN 36654052 . 00
DATE ISSUED. . . . . . . : 08/19/2008
RECEIPT # . . . . . . . . . : BS000005828
REFERENCE ID # . . . : 08080141
SITE ADDRESS . . . . . : 11587 COPPER SPRING CT
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : JENNIFER FAN
ADDRESS . . . . . . . . . . : 11587 COPPER SPRING CT
CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5101
RECEIVED FROM . . . . : CASTILLO' S ROOFING
CONTRACTOR . . . . . . . : JOSE CASTILLO LIC # 25850
COMPANY . . . . . . . . . . : CASTILLO' S ROOFING
ADDRESS . . . . . . . . . . : 1703 CATHAY DR
CITY/STATE/ZIP . . . : SAN JOSE, CA 95122
TELEPHONE . . . . . . . . : (408) 251-3565
• FEES ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------ ----- -------- --- --------- ----------
I.13SEISMICR VALUATION 8, 000 . 00 0 . 80 0 . 00 0 . 80 0 . 00
1REROOFRES SQ FEET 17 . 00 221 . 00 0 . 00 221 . 00 0 . 00
-------- ------- ---------- ----------
TOTAL PERMIT 221 . 80 0 . 00 221 . 80 0 . 00
METHOD OF' PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------- --------------
CHECK 221. 80 #15278
---------------
'DOTAL RECEIPT 221 . 80
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- - --------------------- --- ----------------------------
601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL
604 ROOF IN-PROGRESS 605 FINAL REROOF
•
anllm
CITY OF CUPERTINO
REROOF
• CUPEkTINO PERMIT APPLICATION
APN # Date:
Building Address:
5-�? 7 C._O CST
Owner's Name: Phone #:
Contractor: Phone #: 2 51,3 5'7,Sf
(} � S7 Fax #:
Cupertino Business License #: Contractor License #:
Type of Roof Covering:
Existing: Proposed:
❑ Built-Up Roof ❑ ilt-Up roof
❑ Asphalt Shingles sr'Asphalt Shingles
Wood Shakes ❑ Wood Shakes
do ❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Number of existing coverings ❑ Provide I.C.B.O. Report#
❑ To be Removed u Provide Mfgr. Installation Specs.
Job Description: --rear U -r--12 �K'iS fj n j WDOCI Sh 2 k-eS A -2)6)b
Fe t N)-ew c r-aO Canton Comp.
'I SCS.
Residential-7Commercial ❑
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:
Ob
I Have Read, Understand and Will Comply with Cupertino's Tear-Off Policy:
S a re
Revised 6/16/08
1
CITY OF CUPERTINO
' d�- REROOF
r,T OF
CUPEkTINO FEE SCHEDULE
Number of Fee ID Fee Description Fee Permit Type
Squares Group
1RER00FC0M Re-roof Commercial B 1COMMLROOF
1BSEISMICO Seismic Commercial B
/ 1RER00FRES Re-roof Residential B 1SFDWLR00F
/ 113SEISMICRE Seismic Residential B
1RER00FMRES Re-roof Multi-Family B 1MFDWLROOF
113SEISMICRE 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/a "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 com,VY with the above stated policy on re-roofing.
Homeowner's Name: I n ; &r .n
Job Site Address:
Roofing Company Name: 57
771
Applicant's Sign' 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
pull
a.
B. Site 9. Install H.E. Irrigation, (details/spec)' L-1 7points
11. Permeable Paving, Note L-1 C. Foundation 1. Use 15 % Flyash Concrete, (note) S-1 D. Structural 3. Uses Wood I-Joist, (See Spec.) S-2 5. Use Truss with heels, (detail) S-2 6. B. OSB Sheathin detail S-2
E. Ext. Finish 1. Composite Decking, (Note/Spec.) A-3 2 points
4. B. Fiber Cement Siding, (Note/Spec. A4 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. A3 1p
int
P. Other 1. List Green Features on Plans A-1 1 point
TOTAL POINTS1 40 points
•
•
Plan Review Process Work Book Page-12-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.
INPUT Resources Energy A0111ealth
to
Irl.Recycle Job Site Construction&Demol-it-ion—Wast-e-
165%
tionWaste165%=1 point;75%= 2 points;80%=4 points up to 4 Resource pts 0
12.Salvage Reusable Building Materials — _ 4 Resource pts y=yes 0
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 Stonnwater Practices 2 Resource pts y=yes 0
7.Protect Water Quality with Landscape Design _ 2 Resource pts y=yes 0
B.Design Resource-Efficient Landscapes and Gardens J 4 Resource pts y=yes 0
9.Reuse Materials/Use Recycled Content Materials
for Landscape Areas 2 Resource pts y=yes 0
10.Install High-Efficiency Irrigation Systems 2 Resource pts y=yes 0
11.Provide for On-Site Water Catchment/Retention 2 Resource pts y=yes 0
1 1 1
B.Foundation
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 FI 0
3.Insulate Foundation/Slab before backfill 3 Energy pts y=yes 0
1 1 1
C.Structural Frame -
Substitute Solid Sewn Lumber with Engineered Lumber _ _j 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 Heels 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=ye's 0
S.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
b.Wall 3 Energy pts y=yes 0
c.Roof 3 Energy pts y=yes 0
10.Apply Advanced Framing Techniques 4 Resource pts y=yes 0
11.Use Reclaimed Lumber for Non Structural Applications 3 Resource pts y=yes 0
92.UseO8B - -- - - -- ---- - - --- -1
a.Subfloors 1 Resource pt y=yes 0
i b.Sheathing 1 Resource pt y=yes p
INPUT Resources Energy 14'QlHeafth
. ztenor Fmsh
1.Use Sustainable Decking Materials
a.Recycled content 3 Resource pts y=yesF 0
b.FSC Certified Wood 3 Resource pts y=yes 0 •
2.Use Treated Wood That Does Not Contain Chromium/Arsenic 1 IAO/Health pt y=yes 0
3.Install House Wrap under Siding 1 IAO/Health pt y=yes 0
I4.Use Fiber-Cement Siding Materials 1 Resource pt y=yes 0
E.Plumbing
1.Install Water Heater Jacket 1 Energy of y=yes 0
2.Insulate Hot and Cold Water Plpes J 2 Energy pts y=yes 0
3.Retrofit all Faucets and Showerheads with Flow Reduce s
a.Faucets(1 point each,up to 2 points) Up to 2 Resource pts. 0
b.Showerheads(1 point each,up to 2 points) Up to 2 Resource pts. 0
4.Replace Toilest with Ultra-Low Flush Toilets
(1 point each,up to 3 points) Up to 3 Resource pts. 0
5.Install Chlorine Filter on Showerhead 1 AQ/Health pt y=yes 0
6.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 41AQ/Health pts. 0
6.Install On-Demand Hol Water Circulation Pump 4 Resource pts y=yes 0
1 1 1
r-.ciecmcai
1.Install Compact Fluorescent Light Bulbs(CFLs)
(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 1 I
G.Appliances
1.Install Energy Star Dishwasher 1 Energy pt y=yes 0
2.Install Washing Machine with Water and Energy
Conservation Features 1 Energy pt y=yes 0
3.lnstall Energy Star Refrigerator 1 Energy pt y=yes 0
4.Install Built-In Recycling Center 3 Resource pts y=yes 0
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
l3.Install Recycled-Content,Fiberglass Insulation with
No Added Formaldehyde _ 3 IAQ/Health 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 0
6,Alternative Insulation Products(Cotton,spray-foam) •
a.Walls 4 Resource pts y=yes 0
o.Uewngs 4 Resource pts y=yes 0
INPUT Resources Energy IAO/Health
. endows
1.Install Energy-Efficient Windows
a.Doubie-Paned 1 Energy of y=yes 0
• 1 b.Low-Emissivity(Low-E) 2 Energy pts y=yes 0
L c.Low.Conductivity Frames 2 Energy pts y=yes 0
2.Install Low Heat Transmission Glazing 1 Energy pt y=yes 0
1 1 f
J.Heating Ventilation and Air Conditioning
t.Use Duct Mastic on All Duct Joints 2 Energy pts y=yes 0
2.Install Ductwork within Conditioned Space 3 Energy pts y=yes 0
3.Vent Range Hood to the Outside 1 IAQ/Health pt y=yes 0
4.Clean all Ducts Before Occupancy 2 IAQ/Health pts y=yes 7 0
5.Install Solar Attic Fan 2 Energy pts y=yes 0
6.Install Attic Ventilation Systems 1 Energy pt y=yes 0
7.Install Whole House Fan 4 Energy pts y=yes 0
8.Install Sealed Combustion Units
a.Furnaces 31AQ/Health pts y=yes 0
b.Water Heaters 3 IAQ/Health pts y=yes 0
9.Replace Wall-Mounted Electric and Gas Heaters with
Through-the-Wall Heat Pumps 3 Energy pts y=yes 0
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=yes 0
12.Install 90%Annual Fuel Utilization Efficiency(AFUE)Furnace 2 Energy pts y=yes 0
13.Retrofit Wood Burning Fireplaces
a.Install EPA certified wood stoveslnserts 1 IAQ/Health pt y=yes +
• 0
Energy y=yes 0 b. Install/Replace Dampers 1 Ener t
c.Install Airtight Doors 1 Energy pt y=yes 0
14,install Zoned,Hydronic Radiant Heating 3 Energy pts y=yes 0
15.Install High Efficiency Filter 4 IAQ/Health pts y=yes 0
16.Install Heat Recovery Ventilation Unit(HRV) 5 IAQ/Health pts y=yes 0
17.Install Separate Garage Exhaust Fan 3 IAO/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 0
2.Install Solar Water Heating System 10 Energy pts y=yes 0
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 pts 0
16.Select Safe and Durable Roofing Materials —, 1 Resource of y=yes
7 0
Install Radiant Barrier 3 Energy pts y=yes 0
1 1 1
L.Natural Heating and Cooling
1.Incorporate Passive Solar Heating 5 Energy pts y=yes p
2.Install Overhangs or Awnings over South Facing Windows 3 Energy pts . y=yes 0
3.Plant Deciduous Trees on the West and South Sides 3 Energy pts y=yes p
1 1
•
. ndoor Air Quality an rmshes '
L Use Low/No•VOC Paint - 1 IAQ/Health pts y=yes 0
2,Use Low VOC,Water-Based Wood Finishes 2 IAQ/Health pts y=yes 0
3.Use Low/No VOC Adhesives — - - —_ __ is p y=yes 0_ _ 3 IAQ/Health •
- - --- -
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=yes 0
7.Seal all Exposed Particleboard or MDF _ _ 4 IAQ/Health pts y=yes 0
8.Use FSC Certified Materials for Inte - 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 1 0
1 1 1
N.Flooring
1.Select FSC Certified Wood Flooring 8 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=yes 0
4.Install Natural Linoleum In Place of Vinyl 5 IAQ/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 !
Total Points Available: 1401 1301 57
Total Points Project Received: 1 01 01 0 •
G:datatprogsigreenbuildingguidelineslremodelem/greenpointsfmal2.12.04proteded.nis
•
,M, _ Community Development
10300 Torre Avenue
,'-� Cupertino CA 95014
' Telephone(408)777-3228
'EITY OF Fax(408) 777-3333
CUPEkTINO
Building Department
JOB ADDRESS: PERMIT #
1 15 & 0 0 12e C S pt i rLA S C Dib?
OWNER'S NAME: n, r a PHONE # 2 S - 3 s� r
GENERAL CONTRACTOR: CA 5 c �Lo's 2ooc; FAX #
I am not using any subcontraP-/%
Signature Date
Please check applicable subcontractors and complete the following ' ormation:
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
-�w
Oner/Contractor Signature Date