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B-2016-1750 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1750 10382 MENHART LN CUPERTINO,CA 95014-3631(375 16 010) PAB CONSTRUCTION INC CUPERTINO,CA 95014 • OWNER'S NAME: MUSUGU MANJUSHA AND YANAMALA RAMA DATE ISSUED:09/23/2016 OWNER'S PHONE:408-250-9781 PHONE NO:(408)499-6595 LICENSED,CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic.#980537 •Contractor PAB CONSTRUCTION INC Date 01/31/2017 11/2/2017 BLDG _ELECT _PLUMB MECH X RESIDENTIAL_COMMERCIAL 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 force and effect. JOB DESCRIPTION: CONSTRUCT(N)TWO STORY RESIDENCE(1831 SQ FT); I hereby affirm under penalty of perjury one of the following two declarations: ATTACHED GARAGE(418 SQ FT);FRONT PORCH(44 SQ FT);REAR 1. I have and will maintain a certificate of consent to self-insure for Worker's PATIO(491 SQ FT);SECOND STORY DECK(45 SQ FT). Compensation,as provided for by Section 3700 of the Labor Code,for the REV#1 -REVISED LANDSCAPE PLANS-ISSUED 11/2/2017 performance of the work for which this permit is issued. Myx I have and will maintain Worker's Compensation Insurance,as provided for by /1 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Sq.Ft Floor Area:2830 Valuation:$340000.00 APPLICANT CERTIFICATION I 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 375 16 010 Deferred Submittal(R-3),R-3(Custom) 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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulatioper h- Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature 41 % Date Issued by:MELISSA NAMES "7/-4 Date:09/23/2016 II . 1. t-: illti : t.4 0\ I hereby affir Ilr.at I ant exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is t. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date: I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1. 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 performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the .upertino Municipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Cod Sec,ons 2:.05,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall +J be deemed revoked. Owner or authorized agent: / Y AO APPLICANT CERTIFICATION Date: 1 ' ' I I certify that I have read this application and state that the above information is i` t "' 1\ 1.I ` • W. correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a c IFstruction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shall be used as public records. Signature Date Licensed Professional wgimummmmmgmmmm"-- CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT •• BUILDING DIVISION v 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 4.41.tas ZOl(� 11 jZi f (408) 777-3228 • building@cupertino.org PEMIT#B- - CUPERTINO REV# E j.DEF# •❑ NEW CONSTRUCTION E ADDITION Q ALTERA "ION-❑T.:❑ MEP ❑RE-ROOF ❑SWIMMING POOL/SPA .. PROJECT ADDRESS eePN I %IS- �� ' (0 - MCNHPc�C LA -0 to OWNER NAME PHONE E-MAIL MPv.I,-dsi•tPP MuSUw, p i-t,A `I/tniftlAi-4 (-ft 8 Z'S D—1181 ewerwl.+l)use-„P 1 mei I ,Co STREET ADDRESS CITY, STATE,ZIP El CONTRACTOR NAME 0 OWNER-BUILDER COMPANY NAME LICENSE NUMBER LICENSE TYPE Mb '3Pt-0t.p r6, CIIQ__MUCPL") STREET ADDRESS CITY,STATE, ZIP E-MAIL PHONE I BUS.LIC X 0 ARCHITECT 0 OWNER ❑OWNER AGENT 0 CONTRACTOR AGENT 0 ENGINEER 0 DEVELOPER ❑TENANT CONTACT NAME E-MAIL STREET ADDRESS CITY,STATE,ZIP PHONE DECRIPTON A back eve 1 04•'1ek FonklAr.1 rar Seibmisj CYtiI eY (' f)e. 1 , c V1ove a t �,,,re.�.,,,e�l_ i`r.L 5 ley a„rci tear, t (4.0~<( ,Olkik0V3 CU.�,e T‘Ckil-- - ZSINGLE-FAMILY/DUPLEX 0 MULTI-FAMILY 0 INDUSTRIAL ❑COMMERCIAL EXISTING USE EXISTING SF NEW FLOOR SF PORCH SF DECK SF DEMO SF STORIES I TOTAL NET SF USE TYPE OCC SQ.FT. VALUATION($) REMODEL REMODEL KITCHEN REMODEL OTHR GARAGE ❑ATTACHED BATHROOM SF SF SF SF 0 DETACHED FREEXISTS RINKLERS 0 NO NG 0 YES EICHLER O NYES SECOND STORY ADDITION 0 NO DWELLING SECOND DWELLING ❑YES ❑ATTACHED❑DETACHED OTHER UNITS A UNIT ADDITON: ❑NO S F POOLS' ❑FIBERGLASS ❑VINYL-LINED 0 GUNITE 0 PREFABRICATED POOL-SF SPA-SF f SPA ATTACHED El YES 1:3 NO TOTAL-SF _ ARE VED{BY: / TOTAL VALUATION: Commercial or Multi-Family Buildings with Public Swintminq Pools requires Department of Environmental Heath approval C✓w'v� ( ..u4> .e (-0--04a-- - RE-ROOF)EXISTING ROOF TYPE: 0 BUILT-UP ROOF❑ASPHALT SHINGLESE WOOD SHAKES❑WOOD SHINGLES❑TILE OTHER(SPECIFY) REMOVE/REPLACE❑NO IF NO PLYWOOD ❑1 ' ❑3/8" PLYWOOD TYPE: PITCH: 0 YES IROOF A OF LAYERS THICKNESS❑5/8" OTHER 0OSB ❑CDX OTHER 12 A CLASS PROPOSED ROOF TYPE:OBUILT-UP ROOF ❑ASPHALT SHINGLES ❑WOOD SHAKES❑WOOD SHINGLES 0 OTHER "Provide a signed copy of the Cupertino's Tear-Off Policy SF Ad SQUARES By my signature below I certify to each of the following: I am the property owner or authorized agent to act on the 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 verify it is accurate. I agree to comply with all applicable local ord ances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified prope or Ispection purposes. I acknowledge and authorize all information contained on this application form to be made available for public re t Signature of Applicant/Agent: Date: td 1 -y I' SUPPLEMENTAL INFORMATION EQUIRED "New SFD/Second Dwelling Units/Multifamily Dwellings:A Demolition permit is required prior to issuance of a building permit for all new construction. "Commercial Buildings: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project. *Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. "HOA-Provide a letter of approval from the Home Owner's Association BldgApp_2017.doc revised 08/01/17 CITY OF CUPERTINO BUILDING PERMIT I BUILDINGADDRESS: CONTRACTOR: PERMIT,NO: B-2016-1750 10382 MENHART LN CUPERTINO, CA 95014-3631 (375 16 010) PAB CONSTRUCTION INC CUPERTINO, CA 95014 OWNER'S NAME: MUSUGU MANJUSHA AND YANAMALA RAMA OWNER'S PHONE: 408-250-9781 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #980537_ Contractor PAB CONSTRUCTION INC Date 01/31/2017 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 infullforce and effect. I hereby affirm under penalty of perjury one of the following two declarations: 1. I have and will maintain a certificate of consent to self -insure for Worker's DATE ISSUED: 09/23/2016 PHONE NO: (408) 499-6595 BUILDING PERMIT INFO: X BLDG —ELECT _ PLUMB _ MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: CONSTRUCT (N) TWO STORY RESIDENCE (1831 SQ FT); ATTACHED GARAGE (418 SQ FT); FRONT PORCH (44 SQ FT); REAR PATIO (491 SQ FT); SECOND STORY DECK (45 SQ FT). Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2. I have and will maintain Worker's Compensation Insurance, as provided for by I'M Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.. Sq. Ft Floor Area: 2830 1 Valuation: $340000.00 APPLICANT CERTIFICATION I 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulationAper #iq Cupertino Municipal Code, Section 9.18. Date 09/23/2016 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. I, 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 2. 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 performance of the work for which this permit is issued. 2. 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 permit is issued. 3. 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 09/23/2016 APN Number: Occupancy Type: 375 16 010 1 Deferred Submittal (R -3),R-3 (Custom) PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued Date: I RE -ROOFS: 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. Signature of Applicant: Date: 09/23/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sbctio 15505, 25533, and 25534. Owner or authorized agent: Date: 09/23/2016 CONSTRUC LENDINGAGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION understand my plans shall be used as public records. Licensed Professional Iy CONSTRUCTION PERMIT APPLICA"k e tome + COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building cDcupertino.ora CUPERTiN.0 ❑ NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT # PROTECT ADDRESS t A+ G� +ISI C �P� APN 1! `4 `% 5 �— C . _ �/ ( O J� OWNER NAME M N��� PHONE CSU$, �7 1 AAA.. [ `V5ft � V L,1gF E-MAIL/V 1I1 NV l +• 1 r � ►'�1u �t t,�. `l 25 r�j4A STREET ADDRESS r C yip � 0 Ej i D j�6 C3 J f h I r`- 1 CTfY, STATE, ZIP (' Sf�nfr� ° &I ��or9 FAX CONTACT NAME 5 n ,� � /H A 9 �� 1 ''f 7 PHONE E-MAIL STREET ADDRESS? CITY, STATE, ZIP FAX OWNER D OWNEIL43UILDER D OWNER AGENT D CONTRACTOR D CONTRACTORAGENI D ARCHITECT D ENGINEER 11 DEVELOPER D TENANT CONTRACTORNAME LIC=R jJ,[3Y R I.ICENS B BUS. LIC # 1 COMPA11TY NAME Qani S IfU C'� I C h jl I EMAIL Q 5 m ,) FAX STREET ADDRESS 2`G+ 6e NA n,r Y 5 rt'c_cl r A It 2 16 CITY, STATE ZIP U op �, I/V �' Q 50 (:30 PHONE u of _,4 4 q-- 6 5 q,3 ARCHITECT/RNG�r E R A�7� r j� LICENSE NUMBER fy r� C` �Q Gl 7 BUS. LIC H COMPANY NAME 13-MAILj^n dyl- `,'G- 1CC,j ryrl � (,("jJt� I V t!' v FAX STREET ADDRESS �, + ``� <`/1» y1- / �'1_ gl• v� �i0 CJY r r c i T C3 r r ' C3TY TAf TEa, ZLif PrIIV So"r7© HONE n �q z X020 DESCRIPTION OF WORK l� � STdR G -S _ i- wSE To TA -t-.- !I (�lz/�o,�2.v't � c5- ✓ /��?, _ Iwf ceuC= v l�C.�J�'/QVs /'T�/c.' t l i r EXISTING USE 51--r-7CONS•rR PROPOSED USE �F2 TYPE %/& k STORIES '� USE TYPE OCC, SQ.FT. VALUATION (S) Ex3STG AREA IZq NEW FLOOR AREA -2 DEMO AREA I�� 1 – `OTHER �T�OTAJ, NETARBA 0 ZfILIi G- '� r ��� t7 99 p� • BATAkOOM REMODEL AREA KITCHEN REMODEL AREA REMODEL AREA Lei' V PORCCH)ARF.A 77'5 OECK AREA TOTAL DECIUPORCHARRA 6 58 0 GAItAJGI!A1Ui : DF.TAQ 4i L� ATTACH 17 I� '%.•? , a f ff v / 0 -DWELLING UNITS: ISASECONDUNIT �VPS BEING ADDED? SRCONDSTORY YRS ADDITION? NO 1 o -'O PRE -APPLICATION KYRS IF YES, PROVIDE COPY OF IS THE BLDC AN D YES - (r^ �'..D:B'Y ; _ ;�'`..,:';', ::' -.' q;;;i=�';�:: TE Yj�ALUATION: PLANNINGAPPLk NO PLANNING APPROVAL LETTER EICHLERHOME? KNO tOr�1f\ By my signature below, I certify to each of the following: I am the property owner or authorized agentlo act on the property owner's behalf. I havllle read this application and the information 1 have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent Date: SUPPLEMENTAL INFORMATION REQUIRED :'',..:.RIsfC{�E�CkCTYRE';:_:r'f,.'._`y';:,;c:..'•..-.r:.ROUTI`TC'S>aIR.':'"_�ir__�= ".:: 'V;('+33 =— -"h :-O6.B.H7'GOUNTER:r'. °i' LlUI..•': New SFD or Muttitamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building ,. .`'f permit for new building. .: : FiCl!li);55=:`'�" :., - - - � `'YLeUYNIC2G,E6'rGY�REyILW''i� _Commercial BldgsProvide a completed Hazardous Materials Disclosure �-�'n�-" d... Puslorcw.oivas:. •:.,::::•:•:_..- ; form if any Hazardous Materials are being used as part of this project.- i.- _ Copy of Planning Appl•oval Letter or Meeting with Planning prior to dOR; '..: _ y SANJT�YRXSEWRR:DI.STFJI P'- Submittal OfBuilding Permit application. .. _ ENYIRONl►IEN.TAIU$EALTH?:• _ BldgApp_2011.doc revised 06/21/11 Green&uEarth, Inc. 117 Bernal Rd. #70-336, San Jose, CA 95119 Ph.: 408.772.4381 Email: osunaengineering@gmail.com Building Department City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Re: 10382 Menhart Ln, Cupertino CA 95014 — New House To Whom It May Concern: 0 -?N-170 October 27, 2016 Job No. 1341 This is to certify that the house foundation for the property mentioned above, was staked according to the approved Plans and that the setbacks are per the approved Plans. The elevations of the forms for the living area are 101.26 (+/-0.05') on target for the calculated FF 102.13 (2.5" mud sill + 7.5" floor Joists + 3/4" plywood). Sincerely, Oscar Osuna, M.S., P.E., P.L.S. President RCE C70829 PLS L8921 117 Bernal Rd. #70-336, San Jose, CA 95119 • 408.772.4381 • Email: osunaengineering@gmail.com FRANK LEE &, ASSOCIATES GEOTECHNICAL.CONSULTANTS 10 KOOTENAI COURT, FREMONT, CALIFORNIA 94539 (510)6716-5859 October 26, 2016 Job No: FR241-S2-L2 Ms. Manjusha Musugu 10382 Menhart Lane Cupertino, California 95014 SUBJECT: FOUNDATION EXCAVATION INSPECIION Proposed Two -Story Residential Building 10382 Menhart Lane Cupertino, California Dear Ms. Manjusha Musugu; 0 ki6-I�s� - This letter is to confirm that we have inspected the foundation -excavation for the proposed two-story residential building of the subject site. Our observation indicated that the condition observed during construction aregenerally in agreement ement with the city of Cupertino approved plans were based and the recommendat ions contained in our Foundation Recommendation report. The soil conditions are adequate f . or the proposed two-story residential building. We appreciate the OPPOrtunity to work with you on this project. if you have, any questions or if we can be of any further service, please dq not hesitate to Cali. Thank you. Very truly yours, FRANK LEE & ASSOCIATES Frank Lee Professional Engineer 34975 FRANK LEE & ASSOCIATES GEOTECHNICAL CONSULTANTS 10 KOOTENAI COURT, FREXONTj CALIFORNIA 94539 (510)676-5859 October 26, 2016 Job No: FR241-S2-L! Ms. Manjusha Musugu 10382 Menhart Lane Cupertino, California 95014 SUBJECT: INSPECTION OF BUILDING PAD COMPACTION Proposed Two -Story Residential Building 10382 Menhart Lane Cupertino, California Dear Ms. 114anjusha Musugu: B'bf/- h5 This letter is to confirm that we Provided inspection and testing during grading operation of the building pad compaction for the proposed two-story residential building at the subject site. The results of the field density testing performed by our firm included that a minimum of 90 percent of relative compaction was achieved on the building pad. We appreciate the opportunity to work with you on this project. if you have any questions or if we can be of any further service, please do not hesitate to call- Thank you. Very truly yours, FF,ANK LEE & ASSOCIATES r nk Lee Professional Engineer 34975 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 j� 'f %17 -! *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 CUPE_R_TINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ✓- SUBCONTRACTOR • _ ,,•� ,, GENERAL CONTRACT BUSINESS ETNSE ADDRESS: =� CITE'/ZIPCODE: j� 'f %17 -! *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 CUPE_R_TINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: ✓- SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation =F j Fencing Flooring / Carpeting Linoleum / Wood Glass / Glazing Heating, Kfo Al Insulation Landscaping Lathing Masonry Painting / Wallpaper Paving Plastering Plumbing Roofing % 3 Septic Tank .---- Sheet Metal Sheet Rock Tile / Contractor Signature 07-Zor i,x Date