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13050154 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19191 VALLCO PKWY CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13050154 OWNER'S NAME: APPLE INC 1460 01ARIEN DR DATE ISSUED:05/21/2013 OWNER'S PHONE: 6505205483 MENLO PARK CA 94025 PHONE NO:(650)701-1500 LD LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT r— PLUMB License Class__ Lic.# 7—/ /U 22 MECH I RESIDENTIAL r COMMERCIAL Contractor Date 2� g I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:T.I.(2,601 S.F.)TO CREATE(N)SECURITY DOOR AT (commencing with Section 7000)of Division 3 of the Business&Professions SOUTH MAIN LOBBY ENTRANCE,CREATE(N)WALL WINDOWS Code and that my license is in full force and effect. (2ND FLR),FULL HEIGHT @ 8 OFFICE SPACES& 1 1/27/13 REVISION#I ACOUSTICAL UPGRADES TO ROOM 0218 1 hereby affirm under penalty of perjury one of the following tw..9 declarations: ISSUED 11/26/13 1 have and will maintain a certificate of consent to self-insure for Wor-keg's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. � —` q.Ft Floor Area: Valuation:$200000 I have and will maintain Worker's Compensation Ins � ided for by-' Section 3700 of the Labor Code,for the performance to work for whx4ors APN Number:31620074.00 Occupancy Type: permit is issued.AJI 00"Ve APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and county ordinances and state Taws relating PERMIT EXPIRES IF WORK IS NOT STARTED to building construction,and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, 180 DAYSg LAST CALLED INSPECTION. 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 Issued�y: Date: 9.18. Signawm Date RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is ❑ OWNER-BUILDER DECLARATION installed without first obtaining an inspection,I agree to remove all new materials for I hereby affirm that I am exempt from the Contractor's License Law for one of inspection. the following two reasons: 1,as owner of the property,or my employees with wages as their sole compensation, Signature of Applicant: Date: wilt do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). HAZARDOUS MATERIALS DISCLOSURE 1 hereby affirm under penalty of perjury one of the following three I have read the hazardous materials requirements under Chapter 6.95 of the declarations: California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain a Certificate of Consent to self-insure for Worker's compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Compensation,as provided for by Section 3700 of the Labor Code,for the Safety Code,Section 25532(a)should I store or handle hazardous material. performance of the work for which this permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air 1 have and will maintain Worker's Compensation Insurance,as provided for by contaminants as defined by the Bay Area Air Quality Management District I will Section 3700 of the Labor Code,for the performance of the work for which this maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the permit is issued. Health&Safety Code,Sections 25505,25533,and 25534. 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 Owner a;thoriz age I s Date: 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 mus[ forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's APPLICANT CERTIFICATION for which this permit is issued(Sec.3097,Civ C.) Lender's Name 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 Lender's Address 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 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19191 Vallco Parkway DATE: 11/26/2013 REVIEWED BY: Sean APN: BP#: 130515 VALUATION: 1$50,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration /Addition / Repair PRIMARY Commercial Building PENTAMATION USE: PERMIT TYPE: A WORK Revision #1: Acoustical upgrades to room C218. SCOPE t'M4 k fired, iJc>c.Plan Check Nfcech. Perini! Phrmb. Permit I•ie: Elec. Permit r .; Other hfech.Insp. E:F�_ Other Plumb Insp. Other Ekc,Insp. Mech. Insp. Fee: Plumb. hrsp.Fec Elec.Insp.Fee: NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc.). Thesefees are based on the prelimina information available and are only an estimate Contact the Dept./or addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: C) Reg. () OT 0.0 T-hr S_ $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. Q OT FO.OThrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Construction Tax.- Administrative ax:Administrative Fee: Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non-Residential Truvel Documentation Fees: Building or Structure A Strony,Motion Fee: IBSEISMICO $10.50 F 1 # Revisions Bldg Stds Commission Fee: IBCBSC $2.00 $834.00 IREVCOMTI Tenant Improvement SUBTOTALS: $12.50 $834.00 TOTAL FEE.-T— $846-50 Revised: 10/01/2013 CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTINO (408)777-3228• FAX(408)777-3333• building(a�cupertino.org ❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/TI Z REVISION/DEFERRED ORIGINAL PEPA41T# ':�)C 50 1 Sy PROJECT ADDRESS 1/ APN# OWNER NAME PHONE E-MAIL pGIE WC. 660 70 /QIaO STREET ADDRESS CITY, STATE,ZIP FAX 1.JFiNir �� C. f rr.VcA 50/Y CONTACT NAMEPHONE j MAIL (�� Ca a LO Cv .5/ ucl5ekh STREET ADDRESS )y6n O UI ,,J CITY,STATE, 1P �� K b FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGEN'T Ar CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME I y LICENSE NUMBER 74t 10 LICENSE TYPE BUS.LIC# COMPANY NAME NE-MAIL FAX CJ O S tl 0 STREET ADDRESS CITY,STATE,ZIP PHONE DSS zl,, rarx, ril 2,yo--s ARCH TECTIENGLNEERNAME LICENSE NUMBER BUS.LIC# wl COMPANY NAME E-MAIL FAX d �aAA,�Mkt(12 — STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK _ T S L vpis T 2 EXISTING USEPROPOSED USE CONSTR.TYPE gSTORIES e:��Ct USE TYPE OCC. SQ.FT. 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 DECK/PORCH AREA GARAGE AREA: DETACH []ATTACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN DYES RECEIVED BY: TOTAL VALUATION: PLANNIIJG ADPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO 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 ordinances and state laws relating to building cons cti/ I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: sP� t Date: �O 3 SUPPLEMENTAL INFORMATION REQUIRED PLAN_CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit forOVER-THE-COUNTER BUILDING PLAN REVIEW existing building(s). Demolition pen-nit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. ❑ LARGE � FIRE DEPT _Copy of PIanning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ A'IA.IOR SANITARY sEti��RntsTi�cT ❑ EN1'IRONA•IENTALHEALIH BldgApp_201 Ldoc revised 06121111 ------------- IIIA"1It v i J L U, t►. 1 l,ti I Irk 4 '1\ I IT- 1 til .t t ala ICI1] (fitk4� t1%ItL, q►k t1it t.ttA ri i IV,rl I iit1'2 W1,IIi III .4 '014 %1 a Lty l itRil ION N V,1t 1.6 k '+.1 JU +t'a 1 H"ti 1+f i lc I I v'. J i ill k h.i a t it 1:4b1LONM WIN KII6ACS4flUNKeHI*t. .-*r "4A�Adwyi51i1�, e.A t+(k� Ad I. rlMi�+ti -. +IdibALArlIM`i{"AL�p? .. :, 1,,a rYla'l•..n ` '; „,C t.t i t r ' ) 1ti i F-s 4 ttnf I itn CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19191 VALLCO PKWY CONTRACTOR:NOVO CONSTRUCTION PERMIT NO: 13050154 OWNER'S NAME: APPLE INC 1460 O'BRIEN DR DATE ISSUED:05/21/2013 OWNER'S PHONE: 6505205483 MENLO PARK,CA 94025 PHONE NO:(650)701-1500 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL License Class__ Lie.# -7 f OZL T.I.(2,601 S.F.)TO CREATE(N)SECURITY DOOR AT �f SOUTH MAIN LOBBY ENTRANCE,CREATE(N)WALL Contractor No%Ca.l -c.rt-J Date zZ /B WINDOWS I hereby affirm that I aro licensed under the provisions of Chapter 9 (2ND FLR),FULL HEIGHT @ 8 OFFICE SPACES& (commencing with Section 7000)of Division 3 of the Business&Professions Code 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 performance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$200000 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 APN Number:31620074.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES!E-INORK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 RMIT 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 D A CALLED 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 �� granting of this permit. Additionally,the applicant understands and will comply Date: with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection,1 agree to remove all new materials for inspection. ❑ OVITIER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: 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) I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.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 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 1 have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25 , nd 25534. Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Owner or authorized agent: Date: 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 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(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that 1 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, 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 a CONSTRUCTION PERMIT APPLICATION I LIA. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408).777-3228• FAX(408)777-3333•building(okupertino.org CUP.ERTINa \ NEW CONSTRUCTION ❑ ADDITION ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PE�R7MIT k PROJECT ADDRESS /q I O / APN k R L �f OWNER NAMEPHONE E-MAIL A���� ,,,rte 50-1- 15�-54&30 STREET ADDRESS. CITY, STATE,ZIP FAX ! infFieJ'cr>< �Z' CONTACT NAME PHONE/ E-MAIL IG SeS• 'l N1 driaor,) STREET ADDRESS CITY,STATE,ZIP FAX 03Z,61 CA ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME N„on U V,\ D 1 e LICENSE NUMBER -1910;).a LICENSE TYPE BUS.LIC# -�3 B9 I COMPANY NAME N o V t C Q V,Sty ty U C,F,0 n MAIL FAX NDvci)e ovocuri STREET ADDRESS ;u O CITY,STATE,Zl,Aevi l O PHONE DY IN 2 -1 `�J.�P v'1 PaY (P, �1y �,S loSo-bgo.-.t(olo0 ARCHITECT/ENGINEER NAME �/N Rye LICENSE NUMBER BUS.LIC ti COMPANY NAME E-MAIL FAX 1-i4 14 Sv Gaw, STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK T Z• dP � Gr O w EXISTING USE PROPOSED USE CONSTR TYPE k STORIES 6r��` Qv -�� USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG ' ' NEW FLOOR DEMO TOTAL AREA Z626 I. AREA AREA NET AREA BATHROOM KITCHEN OTHER r REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKNORCH AREA � GARAGEAREA: DETACH ❑ATTACH #DWELLINGUNITS: ISASECONDUNIT ❑YES SECOND STORY OYES BEING ADDED? E]NO ADDITION? E]NO . .PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES TOTAL VALUATION: PLANNING APPL 9 ONO PLANNING APPROVAL LEITER EICHLER HOME.' ❑NO By my signature below,I certify to each of the following: I am the property o r or authorzed agent a ro owner's behalf. I have read this application and the information I have provided is correcL 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 cons n I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED • ” ,,;.:W. Q PLAN CHECK TYPE ROUTING SLIP ji New$FD or Multifamily dwellings: Apply for demolition permit for ov Ex-THE couxTER Sall DING PLATY REVIEW' existing building(s)...Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ 'PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure El STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. LAJ ❑ LARGE i Z%RE DEPT - _Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ v1AroR El sAyITARY SEWER DISTRICT . _0-ENVIRONMENTAL HEALTH: ;{ i. BldgApp_201 1.doc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 19191 VALLCO PKWY DATE: 05/21/2013 REVIEWED BY: MELISSA APN: 316 20 074 BP#: 3 03 `VALUATION: $200,000 ;'PRMIT TYPE: Building Permit PLAN CHECK TYPE: Tenant Improvement PRIMARY Commercial Building PENTAMATION 1 B TI USE: PERMIT TYPE: WORK T.I. 2 601 S.F. TO CREATE N SECURITY DOOR AT SOUTH MAIN LOBBY ENTRANCE CREATE SCOPE (N)WALL WINDOWS (2ND FLR), FULL HEIGHT @ 8 OFFICE SPACES & CONSOLIDATE 4 LABS 0 OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. sJ. B (Tenant Improvements) II-B,III-B,Ivy-B 2,601 $2,170.40 IBTIPLNCK $2,206.16 IBTIINSP TOTALS: 2,601 $2,170.40 $2,206.16 MECH,HOURLY 0 Yes (j) No PLUMB,HOURLY Q Yes Q No ELEC,HOURLY Q Yes Q No Plan Checx Plumb, Plan ChecF lilac:. Piwl t;{z«ck Afech. Permit Fee: PZumh. Permit Fee. Elec. Perrnil Fee: Other A1ech. Imp- Other Plumb Insp, Lj Other Elco.Insp. ,Ucch.Insp.Fee- Plermb. 111sp. Fee: Elec.Insp.Fee NOTE: This estimate does not include fees due to other Departments(Le.Planning,Public Works, Fire,Sanitary Sewer District,School District,etC). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 11-053 E(1' 7/1/12) FEE QTY/FEE MISC ITEMS Plan Check Fee: $2,170.40 Select a Misc Bldg/Structure Suppl. PC Fee: (F) Reg. 0 OT 0.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $2,206.16 Suppl. Insp. Fee,0 Reg. Q OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Consiruction Tax. ,Administrative Fee: 0 Work Without Permit? © Yes Q No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential 0 Trm>el Documentation Fees: Building or Structure 0 i Strong Motion Fee: IBSEISMICO $42.00 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $8.00 SUBTOTALS: $4,426.56 $0.00 TOTAL FEE: 1 $4,426.56 Revised: 04/29/2013 Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 D U P E RT I N O Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: PERMIT# l 3a 5-0I OWNER'S NAME: L PHONE # 'fo •6270- GENERAL CONTRACTOR: o,/o BUSINESS LICENSE # 74 0 ZZ- ADDRESS: ZADDRESS: / CITY/ZIPCODE: `�YaZS *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: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum/Wood Glass / Glazing Keating Insulation Landscaping Lathing Masonry Painting/Waller Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Jol S�zi/l3 Owner/ ntractor Signature Date