02070156 -- . CITY',OKCUPERTINO. .. . .
tntlafl DIVISION-`•_ - PERMIT ' CONTRACTOR INFORMATION: -
BUILDING ADDRESS ' - - PERMIT NO.
-'10119,',-SBLANEY # 15A WALDRON CONSTRUCTION COMPANY .02070156
W NER'S'NAME:, APPLICATION SUB DATE
LAKE, BILTMORE APARTMENTS : 1P 0 BOX 598 • 07/25/2002
SANITARY NO. CONTROL NO.
(408) 377-8186
O O ARCHITECDENGINEER: , _ - BUILDING PERMIT FIFO
BLDG ELECT PLUMB MECH
in
y E ,t•::LICENSED CONTRACTORS DECLARATION --' Job DescriptlOn
FZC� " Ihen by 7000)of ihinlvm ofta,dsinerpndPofssi Chapter 9 CWc.and
d my license REMODEL-KITCHEN BATHS, WALL A/C UNIT, FLOOR
m
with in full Section7000)add effect.Division Ne Business and Professions Cale,endm license'
is m fall(lase arta etfea.
90 u License Class Lice AND WASHER/DRYER.
Dote' Contractor — -
C p'tn ARCHITECT'S DECLARATION
g '',' •',1
and eisland,my pions shall be used as public rtcords i
O O Licensed Professional
gf - , OWNER-BUILDERDECLARATION -
t�a 1 hereby affirm that 1 am exempt from the Co Imet s License Law for the.
� Q
ficillawingri n.saltien9construct,
n S Buil dP Professions Cod 'Any acy or eoaure .Sq Ft Floor Area
O
Which seta met i' t ni s,.,liimprove:der oho a ea wcwm ]..t'!r
a 3
;,nor in its
Not he n exem also
and rt¢pbasu for the all W exem ton Andon� \ > , f '�1 \ I ._ .,_. ...._.
N tpgB I anud pun wt m Nc pro s tons f m C [roto( L ttnu V (Cheger 9 '
that
he I,a :mSecu ]000)ptheb is a he li,edi and Prole ternam a Uat100
y victim
'of Sect lee than iv any applicant forepermiuubjecu Ne pplmam toacivil
pennlry,
of no' me men Eva nanaaa amlins(s5W). � Number„ ' rte>n" • Occupancy Type
OI as rierofinepropedy.or my empl yeas with wages as their sole compensation.
will do aid Profesu'the oce:ramTh I,adsded Li en a I.A.doe s]a(See......ly in an - Required'Inspections S::'C -
'owmerosender,Wionscode:The.scaberes,License lawdasnmapplyto,n 102 - PIERS.
owner of h his ow Who builds or improves such,and h.das such work himself
orthrough gh h own employees.provided that nmensasimprovements are naY intended or 10_3 OFER -_
'efferclio I Ifs- He lhave go ren imam, :old- Ihm not of 104 - REBAR "^' 1 0',
" i,,,� •: ^r'
completion.Ih2owner huJJer will have the burden of proving that he did not buJd or � '
' improva Jar parpos<ofsala.). 105_ - ANCHOR BOLTS __ ___
_. -- _
1 f[ecpSeerty me das rye v��t gwthl' _ d- r toisto 'I06 - SEWER- WATER
o win the project(S ]BSc B mess M Profen mss Cede;)The Contractor's 1
of who Id 202 - UNDERFLOOR PLUMBING
f License Law_does not apply t an improver th rt n,
:._and who'co vacts.fo suchpmp,,,.whhla contreemns)i censed.parsuam tothe.. ..._..._ .......:.2 -
03"" '"'UNDERFLOOR"`MECHA'NICAL _._ .... _._ _ ...........
'Commmols License' Ia .
❑1"in
pi PC for this mason
204 - UNDERFLOOR'F'FRAME'^"
c D re
205 - UNDERFLOOR INSULATION
Q(V (d Qam SCOMPENSATIONDECLARATION 301 - ROUGH PLUMBING
r, d
I thereby affirm unde,p<nvlry'ofppryrte of the f 11 'ng declarations:'
302 - TUB' & OR SHOWER
1 i �O I ha a and will mammin a'Certificate of consent io sel6lname for Worker's 303 - ROUGH MECHANICAL
v Compeveton.-was-provded-far-by-Semm. 37W id-the Labor-Cords. for the
- prtomanaatme'work kffor which this permit isisland.
i 304 - ROUGH ELECTRICAL
❑1 ha a and will mat W key's Compensation Insuiance as req rthi by Section
305 - FRAME
B]Wrte code me pito ranr rr Werk ic n do this pa 1 is 306 - HOLDOWNS
'issued My WWorkm f•C panseum
on Insunc rtia<aer end Pol cy number are
30.7 . (INSULATION _,,:Q
-Gema�'♦ ..'r-i 5 , $..�I .._.... 1 1
/i
-'' t j,(;CERTI E%EMP'1'ION FROM WORKERS s, ° ] 3O8 2— ;SHEETROCKif ''
-' COMPEN,eAT10N INSURANCE ' '
--------.'309; EXTERIORLATH .
l fro un an neeJ nn;be compldcd f the peon t is f one nanarca doll. 310 `- INTERIOR LATH .
5hel�not am to w
Compe n law 311- � SCRATCH";COAT - -
I ttnify that n m per(rmince of Ne Work f r whch Nis permu s iso
p y 3yoft m°ny twnner ao become alit t the W rkke rc 313 ROOF NAIIa
=�y
APpl eat bj rt mewrker CclomYpt n°i p �an ---501.-FINAL
- 501_ __FINAL-ELECTRICAL ENERGY.__....RG
Y.-
NOTi h Id 502 - FINAL PLUMBING ENERGY"
becom
OQfonM1 'you must
dhY pIY tin 'M1 pa , non N M ,shoo bee d oked 50.3 ....-._-FINAL._MECHANICAL.._ENERGY_______________
CONSTRUCr[ONLENDINGAGENCI 504 - FINAL BUILDING
, nsprkraiwnienm x 1 sissam(sec 3119] ei,c) ELECTRICAL : '
ENERGYf
f
W ? rmnce
_ 505 — FINAL' ELECTRICAL - -
� Z Lena Aaarca, - 506 - GA$"TEST
U'O I comfy Nm I have mad thrc applmauon aM nam Nvuhe above information is 507 - FINAL PLUMBING
- 4;=F cornea:Pegrte ro comply with all city end cauntR,pNinnnces and sum laws relining
508 - FINAL MECHANICAL
'' D�.V fo building conawciion.and herby fimnorize mp sentaiven hf[his ci[y to enterapnn
-W th blamer[onpdp p ry(rinspcmi np im es 509 — FINAL GRADE
6s{ ' 1W) grte[b emdem fy,anJ kc phamil s'[he Cny ofC periino ugmnst
rAliabddms lutlgmems cost and expenses h ch may_,any y c e against said 510 - FINAL L LNG
U Z c ty o 9 nee nn gram g onnis pemat 5
.' soUece EGULDAETIOpSUDSAND\ltLICONPLr\\'ITH'ALL\0\�POYYI' "
Issued y: (1 NA WORKS Dale i
5 gnat re of Appl cunt/C nt ac[r / 1 'Dat - Re roofs
y,HAZARDOUS MATERIALS DISCLOSURE }
, wit Ne appl cant ar Tulare Wilding orpain store iii handle im, is Type of.Roof .. ... .: - .. ...
Cod tsccnon 2551a{am a M `Cadc Coapt 9.13 anJ me H INan
d Sar tY 1 r i vi.I t' -134;1 \' s 7 ''f
�,i ❑Ys. - - itS' ;vi ft N 1 e�'`t ` ° i ,
r - `
__ All roofs shall be inspected pnorao any,roofing.material being.installed
,.� I Wli lh apPl'at ft b Id g pit[ see4�P etc J<v«a heh 'f
!- If a roof is installed wi[h'out firs[obtaining an inspection 'I'agree to temove
.t a th b iremm et. 'd'fned by rh ByArenArQ alryA1anegement
D l lit ., _ _._all new materials for inspection, Applicant understands and will comply with
❑r< ,,,, � „ I _p'' , , ,,. ,, ., , ';. , all non point source regulanoTis - ,
1 h ve resd,N<hazard inamdali rtqu rcmenu under Chapar estand the
Cal f mu H alth&'S (/��ry�Ceale S tsions 25505,25537 and 255J8 I undeismnd that
g WFit' - y til ly�nat fy the ..... . ... ... ...._.. . . _. . . .. _ ..
ifmcb Ids d not<u nd h aunom lh set sin
'ec pit i of Ne a rcm m M1 M1 mu t be mtt p o t i e f C n,f ale T
Signature of-Applicant._ _ Date
�4� t 7 3 �z
q own l ar lb ed'.gem , :,' �. Doig r, All roof coverings to be Class B" or better -'
- OFFICE
_... _
d.