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08020074 CITY OF CUPERTINO '` - BL'ILDINCDIVISION PERMIT C.`C11tiI$TKAi. lt�X ''(1TIa�'�;:; BUILDING ADDRESS: PERMIT NO. 7503 KINGSBURY CT PERFORMANCE AIR SERVICE 08020074 NER'S NAME: FERMrr ISSUE DATE MENEZES EUSEBIO AND EUNICE 1805 LITTLE ORCHARD ST 02/12/2008 PHONE: SANITARY NO. CONTROL NO. (408) 920-6170 ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG EO PLUMB MECH O 3o6 LICENSED CONTRACTOR'S DECLARATION Job Description F 1 Intercity affirm that 1 am licensed under provisions of Chapter 9(commencing p with Section 7000)of Division 3 of the Business ad Professions Code.ad my license is REPLC FURNACE h in full fora and affect. 2'R z License Class Lk.0 Dam Convstor ` ARCHITECrS DECLARATION 1 undemo nd my plans ohm W mud u public moths DWU 5 C Licensed Professional - OW NER-BUILDER DECLARATION <f I herehy aRn Nat 1 am exempt from the ConlncmYs License Law for Ne C❑O following mason.(Section 703 1.5,Business and Prefessiom Code:Any city or county . 12� which Oximms a permit to construct.alcor,improve,dcmoltsh,or repair any structure Z t„n prior m its issuance,also requires tW applicant for such permit to file a signed suenum that he is Hamed Porseant to the provisions of the Convector'sLlame Lav; Chamf9 Sq.Ft.Floor Area Valuation $ (commencing with Section 71)p0))m Division 3 of the Business and Professions Code)ver $1669 Nat M is exempt therefrom ad de bale for the alleged exemption.Any violation of Q,pt� Occupancy Semon 7031.5 by any applicre rn for a permit subjects the applicant to a civil penalty of .3 6 2 2 9 O 2 5 ;,717' Number O not mothen five hundred deltas($508). P y T'pe ❑I,as owner of the property,army employees with wage u Nov Bole eampewtia, willda Ne wok,and Nesncmre I,notinrended moneorA funk(Sec.7044,Business ad Professions Code:The Conuacmrs Liave Law does not apply to an own.of Required Inspections property who builds m improves thereon.end who does such work himself or through his own employe.,provided thet such improvements art not intended aro@ad for We.If, - however.Me building or Improvemat is old within ore year of completion,the own.- builder will have Ne burden of proving that he did not build or improve for purpose of sate.). ❑1,as owner of the property,am exclusively contracting with licensed anvacmrs to =$net the project(Sec.7W.Business and Pmfesrions Code:)The Coneators U. - ceme law coast not apply to an ownar of propeny who Wilds or improves Mason,ad who contracts for such projects with acontramo(s)licensed pursuant in the Contractors License law. 01 as comm tun der Bee ,B d P>C I.this mann40 J n. Dai n WORKSIR COMPENSATION DE RATION - I hereby Anne under Penalty of perjury one of Ne following declum ans ❑1 hove mm will mainuio a Ccnifiats ofcaae.t to self-iaum forWmkeJs Compcn- anon,a provided fur by Section 3700 of the Labor Code,fm the pa fonaa of the work for which this permit is issued. ❑1 have ad will maintain Workers Compensation Iaunnce,as required by Section 3700 of the Labor Code,for Nm pod'armace of Ne wart forwhich this Pont,is hand. ' My Wmkmh Compensation lnsurgna caries ad Policy number tie: Carrier: Policy No.: _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thtssemon need not M completed if tW permit is fo0ne hundred dollar($109) or las) I axon.Ng in Ne perfy�ta.a a(Ne wm"for 'ch this rel,V issucd,l shall no, - emptoyanypcnonjp.rfF/dt�ncrma bac Wadcen'C mpet�adon laws of rypers is F' Applies, :� n ) NOTICE TO APPLICANT:If.aM ing this CoM t m of Exemption.you should become subject to the Woders Compassion provisions of Ne labor Code,you mug .J O 10"Witb comply with such ptoviaioa o Nis Permit shall W deemed mvnked. ,zn CONSTRUCTION LENDING AOENCY 4 F 1hcmb alErm that Nem is a contraction lending a Y { gamyl'ar Ne performance of as7 the wart for which this permit is bound(Sec.3097,Civ.C.) a . Lander's Nam = z Lenders Address U Q 1«mfy the,I have sad this application ad ststo that the above irfanadon is M F ammL 1 agree to comply with all city ad county embrace,and sou lave misting to C)V Wilding construction,ad hereby authorise representatives of this city to enter upon the above-mentioned property for inspemian purposes. �y"y (We)agree to ave,indemnify ad keep hermka Ne City of Cupaim again, cq liabilifia,judgments,costs ad expcaa which may in my my account against sold City V Z A APPLICANT of the UNDERSTANDS Swung of this permit. y Date 2 (1 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued b t SOURC EGULATION , ' �✓ Sig.st.7cen Applies onuacmr Re-roofs HAZARDOUS MATERIALS DISCLOS RE Type of Roof Will Nc applicant or roan building acapal sage or handle hazardous material defined by tie Cupertino Municipal Cade,Chapter 9.12,ad the Hcgth ad Safety Semon 25532(a)? ❑Ya V Na All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future Wilding occupant use equipment or devices which If a roof is installed without first obtaining an inspection,.I agree to remove emit haardna air caumineny ude0ned by the Bay Area Air Quality Management all new materials for inspection. District? .✓�N Oyu I have ma t the hwrdaamamrialamquircmew under Chapter6.95of to Califte, nu HcalthhSdUYCade.Sccdou23505,25533ad25534.1urdcmund NgifNc building doss sol cunra y haw:a ena4 thio i,is my mspmuibility m notify de meupm,of Ne mqul env which mum be to's tram of a Ceruficam of Oceu . Signature of Applicant Date Own r atrtha ved agem Dam All roof coverings to be Class"B"or better CITY OF CUPERTINO � 0 FURNACE/AC CUP ERTINO PERMIT APPLICATION FORM APN#j�aa Date: Building Address: 7663 3 CA 9,So / Owner's Name: Phone #: 7a'1 En C/a ?— 99 72, Contractor: Phon #: P0Y Y . Ap_ �R Vlc ° 6, 920 — i7 Fax#: pg- 9 LO. -=4/ 71 Contractor License#: Cupertino Business License#: g6 / 33 / -- Contact: Phone#: 2ijG ig2M15 Pb _ (./0r' `- 2-0 � 6 ��O Fax#: Building Permit Info: Elect n__� Plumb Mech Residential Commercial ❑. Job Description: 6— �S�/rf p 2N4-t_ For Residential Installations: Attic ❑ I" floor ® 2"d 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): /669 ' Strapped On Platform Bonded New Location ❑ Replacement 19' Valuation: Green Building: Must attach Green Building Check list to this application CITY OF CUPERTINO FURNACE/AC CUPERTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE FURN/AC 1MCRAA Coinmercial-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_b_y_this code. 1MCREPALT Commercial for the repair of alt/add to M ea heating appliance,refrigeration unit,cooling unit,VAV boxes, absorption unit or ea heathing, cooling absorption,or evaporative cooling sys, incl install of controls regulated by this code: 1MCSUSHTR 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 &riot incl in an appliance ermit. 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. 1MRSUSHTR Residential Install/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 Ss FURNACE/AC • CUPEI�TINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group FURNACE . FURN/AC 1PGASRES Residential for ea gas piping system of P 1-4 Outlets IBPGAS For each gas piping system of 5 or P more per outlet. / 1BSEISMICR Residential Seismic B 1MECPLNCK Mechanical Plan Check M 1MFR=<100 Furnace SY st<=100k BTU install or M relocate ea forced-air/gravity type • furnace/burner, 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 fumace/bumer, 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 l 1BUSLIC Business License B • CITY OF CUPERTINO OF FURNACE/AC CUPEkTINO FEE SCHEDULE Quantity Fee ID Fee Description Fee Permit Type Group AIR FURN/AC CONDITIONING 1BCA.IRHAN Commercial A/C Units <= l0k CFM B 1MCRAA Commercial Mech Repair/alt/add M 1BSEISMICO Seismic Commercial B 1PGASCOM Commerical for ea gas piping System P . 1-4 outlets -1PGAS RES--Wesid-ehlial-for ea-gaspipings ysten—P— of 1-4 Outlets IBPGAS For each gas piping system of 5 or P more per outlet. Coram/Resid 1BRENIAIR1fAN Residential A/C units <= l0k CFM B 1MRRAA Residential Mech Repair/alt/add M 1BSEISMICR Seismic Residential B IEPERMITFEE Electric Permit E IMPERMITFEE Mechanical Permit M 1PPERMITFEE Plumbing Permit P 1TRAVDOC Travel Documentation B 1BUSLIC Business License B • CITY OF CUPERTINO 6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36229025 :00 DATE ISSUED. . . . . . . : 02/12/2008 RECEIPT #. . . . . . . . . : BS000003922 REFERENCE ID # . . . : 08020074 SITE ADDRESS . . . . . : 7503 KINGSBURY CT SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MENEZES EUSEBIO AND EUNICE ADDRESS . . . . . . . . . . : 7503 KINGSBURY CT CITY/STATE/ZIP . . . : CUPERTINO CA, 95014-5043 RECEIVED FROM . . . . : EUSEBIO MENEZES CONTRACTOR . . . . . . . : TIM STANFORD LIC # 27768 COMPANY . . . . . . . . . . : PERFORMANCE AIR SERVICE ADDRESS . . . . . . . . . . : 1805 LITTLE ORCHARD ST CITY/STATE/ZIP . . . : SAN JOSE, CA 95125 • TELEPHONE . . . . . . . . : (408) 920-6170 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ------ ---------- ---------- ---------- 1BSEISMICR VALUATION 1, 669 . 00 0.50 0 . 00 0. 50 0. 00 1EPERMITFE 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 1MRRAA UNITS 1. 00 61.19 0. 00 61.19 0. 00 1PPERMITFE FLAT RATE 1 . 00 40.79 0. 00 40.79 0. 00 1TRAVDOC 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 MC --------------- TOTAL RECEIPT 224 . 85 VOICE ID DESCRIPTION VOICE ID DESCRIPTION ------- --------------------------= -------- ---------------------------- 505 FINAL ELECTRICAL 507 FINAL PLUMBING 508 FINAL MECHANICAL Single Family GreenPoint Checklist date: 2- Build It Careen The Gr aanPoinl Chacklisl is band on the various green features Inogryoratad Imo the home and is the SmanSoludam from The Gmund Up • peals for the GreenPoinl Rated program.A home can be considered green Il 1 fulIDls the prerequisffes, cat Sams at least 5D points,and meets the minimum points par category:Energy(30),indoor Alt Oualityl Health(5),Resources(6),and Water(9).Please comas Build It Green for a list of qualified GreenPoinl Raters 0 you are interested s l pursuing w are veed In t n. The groan building practices listed below arz described in the New Home Construction Green Building J It J Guidelines,available at www."diggrae",or • PROJECT 4 Q U Q Q A..SITE, _ - Poirds Available Per Measure t.Protect Topsoil and Minimize Disruption ofsong Pia 6 Trees ❑ a.Protect Topsoil from Erosion and Reuse after Conarruaion 0 1 ❑ A.Limit and Delineate Construction Footprint for Maximum Protection 0 j 1 2 Deconstruct Insteatl of Demolishing Existing Buildings On site D 3 3.Recycle Job Site eon$tr CIIDn Waste pncluding Green blasts) ❑ aMnimum 5o%Waste Dlvarsion by Weight(R%yding or Reuse) Required 0 ! R ❑ b.Minimum 6M Diversion by Weigm(Recycling or Rause) p— ❑ c.Minimum B0%Marston by Weight(Recycling or Reuse) 0 2 r 4.Use Recycled Comets Aggregate(Minimum 25%) ❑ a.Walkway and Driveway 0 ❑ b.Roadway Bess 0 —— i 1 I Total Polnb Avertable in SAO 12 0 E.FOUNDATION _ - - "Points Available Per Measure" 1.Replace Portend Cement in Concrete with Recycled Flynn or Slag —❑ e.MIOirmaM 20%Flyssh a Slag o ❑ b.Minimum 25%Fifirish or Slag 0 1 ❑ 3,Use Frost-Protected Shallow Foundation In Cold Areas(C.E.C.Climate Zone 16) 0 3 ❑ 3.Use Radon Resistant Constructlon(In Al-Risk Locations only) 0 1 1 4.Design and Build Structural Pest canticle ❑ a.Install Tennis Shields 6 Separate All EAerior Woo:Ht Concrete Connections by Metal or Plastic FastanerslD'rviders 0 1 It All New Plants Have Trunk,Base,or Stem Located At Least 36 Inches from Foundation 0 Total Pants Avallablein Foundafon=B 0 C.LANDSCAPING. - - -' Points Available Per Measure • 1.Construct Resouroe-EKcient Landscapes — ❑ a.No Iwas"Species Listed by Cal-IPC Are Planted 1 ❑ b.No Plant Species Will Require,Hedging 1 El c.c.75%at Plants Are Drought-taeram California Natives,Meddenanean,or Other Appropriate Spedes i 3 2.Use Fire-Safe Landscaping Techniques 0 3.Minimize Tud Areas in Landscape lnstalied by Bulider ❑ a.All Tud Will Have a Water Requirement Less than or Equal to Tall Fescue(50.8 plant tactor) 0 2 ❑ b.Tud Shall Not Be Installed on Slopes Exceeding 10%or In Areas Less than B Feel Wide 0 2 ❑ c.Tud is 533%of Landscaped Area(total2 points) p 2 ❑ A.Tud is 510%of Landscaped Area petal 4 points) 0 1 2 ❑ 4.Plant Shade Trees 0 ( r 3 El S.Group Plants by Water Needs pfydrozonin 0 2 &Install High-Efficiency irrigation Systems ❑ a System Uses Only Low-Flow Drip,Bubblers;a Low-flow Sprinklers 0 2 ❑ b.System Has Smen Coobdlars 0 I 3 ].Incorporate Two Inch es of Compost in the Top 6 to 12 Inches of Boll 0 (( /✓ 1 3 ❑ 3.Muleh All Planting Bode to the Greater of 2Inches or Local Water Ordinance Requirement 0 +I^".,,�d 1 2 LJ 9.Use 50%Salvaged or Re cied-Contenl Materials for 50%of Non-Plant Landscape Elements 0 `-'j t 1 1 ❑ 10.Reduce Li hl Pollution byStAhelding Fxiires and/or Directing Light Downward 0 1 - Total Points AvanadlelnLandscaping=31 0 G--L� D.STRUCTURAL FRAME A BUILDING ENVELOPE - .- ... "-_ .._'.._.= " - i Points Available Per Measure.' 1.Apply optimal Value Engineering ❑ a.Plaza Rafters and Studs at 244nch On Center Framing 0 1 __ ❑ b.Sze Door and Wndow Heatlars for Load 0 1 ❑ c.Use Only Jack and Cripple Studs Required lir Loatl 0 �- 2 Use Engineered Lumber '❑ a.Beams and Headers 0 —L ❑ b.Insulated Engineered Headers 0 __ 1 ❑ C.Wood I-Joists or Web Trusses lw Floors 0 �__��� 1 E) d.Wood I-Joists fa Rod Rafters 0 —i ) —(1 ❑ e.Engineered or RngerJointetl Studs is Vertical Applicaflons0 i ❑ I.Oriental Strand Board for Subfl00r 0 ❑ g.Onentsd Strand Board for Well no Rod Sheathing 0 --i 1 • 3.Use FSC-Cerffied Wood ❑ a.Dimensional Lumber,Studs and Timber.Minimum 40% 0 2 ❑ b.Dimensional Lumber,Studs and Timber.Minimum 70% 0 —?------�— ❑ c.Panel Pmdwts:Minimum 40% '-�— -- ❑ At Panel Products:Minimum 70% 00 02007 Build It Green Single Family GreenPoinl Checklist 2007 Version Page 1 of 4 A.Us s Solid Wall Systems(includes SIPS,ICFs,A Any Non-Stick Frame Assembly) CC6 ❑ a.Floor 0 2 ' ❑ b.Wells 0 2 1 2 _— ❑ C.RDds 0 2 2 S.Reduce Pollution Entering the Home from the Garage ❑ a.Tlglmy Seal the Ah Bader between Geroge and LMng Area D I 1 1 ❑ b.Install Garage Exhaust Fan OR Build a Daeched George 0 1 1 1 1 e. Design Ene Heels on Trusses(715%of Alto Insulation Height s Outelde Edge of Exterior Wel 0 1 7.Desi n Rool Trunes to Accommodate Ductwork 0 6.Use Re dedComem Steal Studs for 00%of founder Well Framing 0 1 1 S.Themis Man Wells.516-Inch Drywall on All Interior Wallis or Wells Weighing more than 40Ih1cu.tL 0 1 I 10.Install Overhangs and Outlets, ❑ e.Minimum 1&Inch Overhangs and Sutlers- 0 ❑ b.Minimum 244nch Overmrrfix and Gutter, D 1 1 I Total Points Avallabls In Slrumuial BuIlding Frame and Envelope=38 0 E.EXTEBgpB FINISH Pointe Available Per Measure 1.Use ReryeledContant No Virgin Plwtic or FSCCerObed Wood Decking D 2 2lnste1l a Rein Sawn Wall System D 1 2 I S.Use Durable and Noncombustible Siding Materiels 0 1 I 1.Ssled Dureble and Noncombustible Roofing Meadow a 2 Total Points Available in Exterior Finish=7 0 F.INSULATION Points Available Per Measure 1,Install Insulation with 75%Recycled Content ❑ a Wags sending Floors 0 1 —B—b-CallIntis 0 - --I--- —i—I-- 2.Install Insulation Net is Low-Emitting(CamOed Seaton 01350) ❑ e.Walls and'or Floors 0 I 1 ❑ b.Calonp 0 1 3.lngp&M 0111111ty of Insuia0on Installation befon Applying Drywall 0 1 I 1 Total Pointe Avalleble In Insulation=5 0 O.PLUMBING Pointe Available Per Measure 1.Distribute Domestic Hot Water Efficlwtry(Maimum 7 Points). ❑ a.Insulate Hot Water Pipes from Water Heater to lol 0 ❑ b.Insulate All Hs Water Pipes _ 0 i �— ❑ c.Use Engineered Perells Piping ❑ d.Use Engineered Perells Nping with Demand Controlled Circulation Loop 0 1 1 _ 1 El 9.Use Structured Plumbing with Demand Controlled Circulator Loop 0 __, 1 F I : 2 ❑ I.Use Central Core Plumbing 0 1 1 1 1 2 ❑ t insell Only High Ef cloncy Toilets(Duel-Flush or 51.26 UPI 0 1 4 Total Points Avapable In Plumbing=Tots 12 0 TING VENTB.A ON k ATR CONDITIONING Points Available Per Measure 1.Design no headed HVAC System to ACCA Manual J,0,and S Recommendations 0 ' 4 I I 2.Install Sexed Combustion Unite ❑ L Furi D _ 2 ❑ b.Water Healers 0 2 1 77 3.Inelell Zoned,Hydronic Radiant Heading;with Slab Edge Insulation 0 I 1 1 L Insall High Efficiency Air Conditioning with Enviromnntely Responsible RaMgennts 0 5.Design and foal EN>Nvs Ductwork ❑ a Install HVAC Unit and Ductworxwithin Conditioned Space 0 3 _ ❑ to.Use Dud Mastic on A5 Dud Joints and Seams 0 1 ❑ c.Install DucMVA under Alto Insulation(Boded Duch) 0 1.. ❑ d.Pressure Balance the Ductwork System 0 ❑ e.Protect Ducts during CDmstructlon and Clean All Duda betore Occupancy 0 1 _ B.Install High Ef Clancy HVAC Filter(MERV 6.) 0 1 ❑ 7.Dont Install Fireplace or Indeed Styled Gas Fireplaces with Efficiency Rating Not Lan Than 60% 0 1 using CSA Standards 5,Insall Effective Exhaust Systeme in Bathrooms and Kitchens ❑ L Install ENERGY STAR Seldom Fen.Vented to the Outside 0 — I 1 ❑ b.All Bathroom Fens Are on Timer or Humidsta 0 T 1 ❑ c.Install Klhhen Range Hood Vented to the Outside 0 1 ' e.Install Mechanlcol Ventilation System for Cooling(Maximum 4 Points) ❑ a Install ENERGY STAR Gelling Fns 6 UgM qts In Living ken a Bedrooms ❑ b,Install Whole House Fan SAN Vadabla Speeds 0 1 ❑ c.Automatically Controlled Integrated System 0 _ _ j 2 ❑ d.Automatically Controlled Integral System with Variable Speed Control D 3 10.Install Mechanical Fresh Air Vwblation System(Maximum 3 Points) ❑ e.Any Whole House Ventilation System That Meets ASHRAE B22 0 ❑ to.install Air-lo-Air Heat Exchanger that mesa ASHRAE 62.2 0 1 2 11.Install Carbon Monoxide Alarm(s) D 1 Talar Points Avegable In Henri,Verdi and Air Constlmin =30 0 0 2D07 Build It Green Since Fam11y GreenPblm Checldist 2007 Version Pace 2 of 4 Community Development 10300 Torre Avenue y. Cupertino CA 95014 Telephone(408)777-3228 CITY OF Fax(408)777-3333 LUPERTINO Building Department JOB ADDRES PERMIT#�3 O � D �fsS �t/ C l Qpa OWNER'S NAME: PHONE # 6 - GENERAL CONTRACTOR FAX# I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the followinginformation: 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