00100176 CITY OF CUPERTINO a
nmu)iNcnrvtswN PERMIT'' CONTRACTOR INFORMATION:
'BUBDING ADDRESS: '" " - - PERMIT NO.
01:29 G BLANEY '16K , - ;;'WALDRON CONSTRUCTION ' :;OMPANY001001_76
OWNCR'S NAMIi: APPLICATION SUBDATE
r. 73 HERBERT LANE, 1.P1/26/2000,, -
LAKE� B'II_TMORE APARTMENTS ,
'HONE: . _ SANI'PARY�NO. ' CONTROL NO. ,
(408) 377-'81.-86 '
rM S4 Z AkCHU` CIIENGINRER - -r., BUILDING PBRMI'r INFO '
y ac O FOF - 'B['JXJ ' ELECT PLUMB MUCH +
F Z%Uit - "IJ. J - 1� IJ , - f
LICENSHD CONI RAC IORSDI CI AHAIION
o In . lo rr- II'l1 1 i,ri I p fCharter)ae.....o s > - 1ob'Description
C w o c I Loom D' 3 nhe hl r n r : c Ill fly barn "; e - - -
�4E� a in f°cLls d11L t .L .a INTERIOR RENOVATION/RF_MO ' EL ,K'fCHN MID,BR
oat s Ir�el�>r ADD: WALL' A/1_ ADD L.J�1 hIE .D-RYFR -
O to ARCHITECT S DECLAR MON -
'��1y 1 der,nandny lans,1611 be l,,oil I,, abr.rtnod,so
'w$00 Lce 1( I. al
c,°J o oa OWNI R HUIl UI R DECLARATION
ARArION
1n lb,af a"ll in,
e.enpllinthe c 1 h, 1 : Liovir th1 - I.
Zr�t Q :fell .ng or...t (Sec 7031.5 Hui nc e l n l�sol. C Ic A,iy any or cri n y e
F p wlf'1 p I d n after. p I r n I' ' y a uuo rc
I H
In I I ' y n ,l tl hl. II fl y ll I
d , I• '.
n alp : tt the p I n C I I L L (CI pl 9 Sq. Pt. Floor Aie 1 Y8lndtlOn -
c y 'IS I 7BIro) 1D '. 3(if the B : dr r '.i cd) .. _ --
than h Pl In I d In b I In a II y 1 I I Anyviolation .. '
.-
Seaton 70315bY elly apillitart1 flurrit:Iblu'ls licaliplicant it,,c,il fanalty c o
I,r 'l n ,R IMI,rise (ff600) ,. • ' APN Number . • - OccUp�ti - pe
❑Lonsur,offleproyerly,or{6y amployec,wild waee,ae lhelr,ole inn di,ation.'
will 1(,the vv.rk. dIn structure" lintended fr d 1 - IS' 7004 .
'Ba It r '' Cod sIh c I- I . r La 1 I ,ply can - '369031008. C ggired Inspections
fp P I>Wn h Id' ,a' 11 d' h a h kIt 'ell _
Oren' l,h l', PIY , ' kill l 1 ' 1 I. tJu dd r '. '
I if d 1 th Ir n 11 building e . p ,a m '1 Ic y ld f. „•1 01 ,FOUNDAT I - • �'
n roll al c h Iderw llhmul t tl ennot lglhol head nm bl ld or' ON-
it -
)
. e. ,d, > 7 02 —" P I E P.S. 4 ;r.
' f the property, n exclusively I I g a sed ct mart rs to - T..;i�'? wUF R, ,- _
'
:Kre.I ll p-1 a.(S .7044 H .' " 11 f C I )Th Convertor's' — E h u : • .
Lt Ii out applyl fp my ho n Id,or turprinvas m - f ,
,w n l r : hp Leek,wllIrclar(.)1 le .Ian. the
. 1.'s, 104s RFDAR" _
call oa " B&PCol 105 -,_ANCHOR BOLTS''
Garner Q ' // / . ' , I06 SEWER - & NATER -
WORKER'S COh1PENSAIIONUECLARAIIO :'; UNDERFLOOR PLUMBING' I ,
din e yolfrinunder p rally if t > rth'roB w lsda,hrad n 203-' LJNDERFI_OOR MECI-I'AnIICAI
I Ease and will ro' le c aitlene of Cnn.enl•n" IFl :a2 lot W.k rs " 204.. --.UNDERFLOOR ,FRAME '
QI , n m. .. 'tried f,q by Sc I 3700 oC.Ih Labor'Code Il the _ -
prf
e - ,mwlekr IdellmisP I ear - , 205 — `UNDERFLOOR INSULAT.tOnt." _
M
- o1have d d]unintain Worker:c p flon lasnorver,aes clinicalbys f 30Y —' ROUGH PLUMBING •- • .. - , , ,
9700 ol the labor Code,lot life Vatifitroari III Ilre voe,k let vsha,lilh p Ili I's I , - -
iseurdMywarker,C open:,l nl„a- did re, he,are: 302P—' TUB- $� ORI'%SHOWER ., . �.+�. - � - -.2
Cal Pol yN ' 303:, ROUGH MECHANICAL - a
r- CERTIIICAI]ON OF h%EhU"I'ION IBOM WORKER$' - ' -
I oCOMPENSATIONINSURANCE `30,�r `ROUGH ELECTRICAI�
(TI r need nalbe.an,pmlari rwnnlr�sr n d:wdl,ua,. 305 —' FRAME
. 30H — F-IOI_nnlmis e ,
Ic..l'fy that in OePt I(he worl, or whichflus l sated,lull -
shall lot e npWy ury pe y , Its t becou subject la me Workers -r ” : 30.7 — I NSLILRT I ON.
Co npun a iOo Law,oI C l lnrv'o.Dam �'"
Applicant - 308 - SHEETROCI,
N"HCI IOAPILICANI"'If r. k' stn c lr'te rF pl 'r :n ad - 's(719 :–" EXTERIOR LATH!
nes -ni u n w k r e p I p . nn L h C I y .
Bnn (h 611,1, uh hp inr6, ;r his 'I sbar beall rwakw. % - l ' 310 — 7 ER.I�OR;-LATI.1-
IN ..
.y n CONSrRUcTGNIINDINCA(FNCY
a 31 SCRATCH.,-CT.nR
5
n ly rr d In , I 1 I slse >r me pe mr, •'
.010 rkr I1 th pr,n, sslelfSc9o97 C'v.C.7 -y 1 —` ,ROOF NAIL Lender'sn. 'r .
U a
Landl, 501 — -F.INAL ELEC'f,RidAL. ENERGYl',
1 certifythtIll trail this fitan a adal tha((he abovei1 I 'S0� —.,"FINAL, P UNB 7-nIG ENERGY
W try car 1 g I I ly d 11 ly' d q d ,t I t g
.lab II y I r In Iy n .............' nn:�ymenlorum,n. - 50.3_'— FINAL MECHANICAL_ ENERGY'+' '
. >i' ,4 the h I IPP Iy f I 'I P '
H w �ws I d , i ty a Ik harmless he City ofcp I gilt 504 FINAL -BUILDING ENERG`
Z? abilitee.noburcull,efIll land esficulalwl n on,inanrynacre.ypn,l ata 50S _ -ELECTRICAL.' >
U SOURCE REGULATIONS.APPLICANT ND5 AND WILL COMPLY WITH ALL NON-POINT.
Issued by: ''CrCr_ '1'FCa"'�- I Date. e�=C�J- .'ta ,
si,ordo,ol'A"InarrycraunaIrte, Data - s Re-roofs.'- •'507 ;—' FINAL PLUMBING - -
HAZARDOUS MATERIALS S DISCLOSURE
Will [,a pros, fourre hoildir, panin'ano,orconfleed I : tiaterial 'Type of Roof 508 .-'• FIhllll_ PIECI-IANICAI _ +. .
Codi dio lhn32(to, N In'prlQl CI pt7Ladtl H Ith nna Yfly a _ id
cad o'Y z55Bzrml Roo 509--' FINAL" GRADE
All roofs shall l� tpllectfdlRRiAIxol�gylgpRf, glp�atenal being installed.
Will therl pl'-aul If a roof Is']ns a with a gCCC(�ob ❑gyp p(��in•�p�ry� [agree`tA remove
cn,l J u. a,der led by the Bay Araa A' Quality Mdlogelnon i ,rjf�jj{L 4? 1G'i�Il. �4 VTLRs
)i5t I❑ I r "nN all new materials-for inspection. App�icant understands and-will comply with
all' b"R,sburce•regulatlons r
I have read the ha,ardrus raterials9 nl on
der Clhapud,h9 f the ,
Caliloure H a Ilh k Sad,,Code.Serious 5505 25533and 255341 urdermand thin " }}}......rrryyy ///jjj :
rlh bond 1' : II dJ i, t l Ie al I y p 'ul I l ily1 '
1 Ine tCll 1 NII un 11 Yb Ip I-In l„ nr.CC fl f - �•� V✓
° �� Signature,oYApph ant` ,r Date
uie s.[o be Class B 'or better
z. ownerararnllr,edaseni� / -x e � All roof covering
I , . ..OFFICE '' "