00120099 ` CITY DIVSINO
ILDINGION
PERMIT - CONTRACTOR INFORMATION:
BUILDING AODRESS�• PERAtrl'NO.
11�f].'c9 S BLANEY 16A WALDRON CORISTRUCTION COMPANY 001.20099
OWNER'S NAME: APPLICATION SUN DATE
LAKE BILTMORE. APARTMERI.TS 73 HERBERT LANE 1211':5/2000
HONE:- SANT ARYlNO. CON IRun.NO
406) 377-81186
- OO ARCHI'I'BCIEINGINE,R: - BUILDING i;ERmir INTO
w ' BLDG ELECT' PLUMB MECH
C V F
z ISS L=1 O I_'I
I-IC17NS12D COMItACfOICS DECLARATION ' Job DBSCPIpt10I1
O a 1 h by R ,that 1 h I sd 1 g f CIII9(n nancacing
F, C itlS t 7041 fD .1 hl ftheBu dPrt Profession, lylicense -
I:i, all e it t a INTERIOR. REMODEL'' Kj TCHEN/BATHS RENOVII
p. Dal' c,htrnm„ NEW WALL A/C !n)AI-IER/D lER I_IIHTTS NEW FLiI
u.
O ARLI II'1'I CI"S DI CI AR n'ION ,
¢� I I tad , l.1 a II he used a,loblo,I,,ods , t
a K L c J I f .',Iml OW NI It BUILDI R DECLARATION t
1 hereby affirm that I am exempt from the Coriolis Liculse Law for the
C a III mg IwmI(Seen n 7031.5.[111 and Profession,Code:A )cit,oremany
IFGhch relishesape tt t t hinfuser,d Ish b y:t pure ' _
tv 3 prior in ts issuance,alsoy the.prlt f h pc a file .g ed statement
lhmn liIr tt d n p nn e t t I I (CI tern Sq. Ft. Floor e• nation
(ui nmanoing x m SlC1 un 7SIXI),f Dwimmi 3 0f the 13 slum and Prohss nn,Coale)
,
it III 1 pub 1 11h h ,f the alleged u I Any vio hlom
v 0rol ,c 11 to fel t' luIld011Ix(S.(5l:"rand.abjection,h .y Pl 11 civilp by a AFN,
❑Los owner lihhrn "t I ) .
p1'ope ynrc nryaniploycwith wages ax l helrsole cui,mri"Lnor:'
N will do the work,and the sm..lam is no1ln
I ended or ofil I'or sulc( lw.7044, �.[Ll
Business and Pinfcomm Gale:The Cormarinr's License Law does not apply w Ke
an t,. quired.Inspo tions
rot'prnpany Who bulla,,),impmvesthcreon,slid who does such work noticed - ." - '
or through Itis own employees.provided Ihm such impn,reari arc not intended or
ofrered as sale.If,however, he tai is,impmvemcat I,sold wimly one year or 101 — FOUNDATION
icompletion,the owner-builder will hoe file burden of proving that he did not build or '-
nhp vnbnparpnacorxale.l. . . .1.02- — PTERS ,
' rrinr pmpeny,ant e.ahlai�ely conlrcArog with i'a'�nea n,mraco i m �,03_ — •IJFEP,. .
„1 ,th p jet(S 71N4 It d P I: . L t 1'11 Contractors
'• 4• '
h'c s III1 f prop,by whit III p loco, -1.04 --' RE,BAR..
nl who t is T' hrl le"'w ll a Lonfilrfs3 I tied ph n:,, or-fin,
comrae Law.. j:05 '— ANCHOR BOLTS
,Clan exec J,Seek _ If I'CI phis reason
da. Q � q - Ir Iroe — SEWER R. WATER -
0 1 E�LAU,(�'« 202 UNDERFLOOR PLUIhBING
1 herehy affirm ander pervidperjury one or the following declarations:
203 — UNDERFLOOR -MECHANICAL_
e. ,
Of III and'»;R n ilm:mf a Crifireme of Crown, ,,"elf-mxnre'h,r WLer's 224 — UNDERFLOOR FRAME
C,ndaana,'Penxas pn,vided for by section 3700 mf the I.uhor Code, ],It the
rm
Perfoance of me work lo,whirl,this permit is issued: 209 LINDERFLOOR INSULATION'
I • ❑II I 'll h' W k - ( f 1 . ' - I '. IbySa .....1, ,tZt1 ROUGH PLUMBING
It 97011 f(lieLabor Code,f t 'I'rn of the work I, b Ih wbLfiction,is
); '!'.,, ,i"Itee.My Worker s ebmprns:nlo th,aunlwc carrier Sol Pobcynll III are:
. . �0t.-.'. -- lUI) ' Z. OR SHOWER `-
Carrier: 'I'olicyNo.:. 303. — ROUGH MECHANICAL '
CERTIFICATION 01;EXEMIMON FROM WORKERS' 304 ROUGH ELECTRICAL '
COMPFLNSATION INSURANC17
(This section need not be eonhplmeJ if the pc,mit is for one hundred dollars
305 — FRAME
(SBI(Inr less.) ' - 3015 — HOLDOWRIS
I LL that in is,peHommnce of I,,k to,wort this permit is issued.1 307 INSULATION'
shall net"I any pco.on Ii....Y III so as b,become xani,et to the Willer,
Coy....,...abonLaw.orCnhromin.Tan, 'x308, — 9HEE'TROCK' .�Applicant , i` •,
NOncr TOAPPLICANT f.cre, ankfulififfsCetr of n ,[,n yru111 309 — EXTERIOR' LATH .
Iwc1c. hm
j t,lheW A [ 'Io I fmc pLahuraemCde,yommust
O O Ilnhwm comply with sell ns or II,pmmil shall be declined revoked - 310 INTERIOR LATH•. .
F
ail CONSTRUCI ION LENDING AGENCY 31"1 — SCRATCH COAT
I hereby affirm that there is a construction lending agency for the performance
� ? if he work for x hirh his pert,i,issued(Sec.301 Cie.C.) - 313 ROOF NAIL., -
o .o LendersLendAddress 501 — FINAL ELECTRICAL ENERGY r
•v c 502 — FINAL PLUMB TNG ENERGY
I,y 1 fico to coh l Ill,III d e.,, ,I t11 I f '1'
GL toy ,n' 1 b- , only n lh '1t' I ty d I ' h . bell r, • -•
O v building r dI It' t P t1 Irl t'1 t p •503 '- F''T.NAL MECHANICAL ENERGY
► 96
he (Wb s band° pada �dyior p dk imn pIpI ,,do,cty f Cuiconal pro, 504' -• FINAL_ BUILDT IERGY- •
rn Iablt )ego t. t mops . . nl ,a5 i,any ay crime agtnstsaid 5.' — FTMAL- ELECT
City omeyucncc of the kranuni In., cin t . /�S'I VIAL�,-...
"•
APPLICANT UNDERSTANUSAND WILL COMPLY WITHALLNON-POINT IssueLlby' s -/�/CY/IURl�C' Date
v SOURCE REGULATIONS.
Si nuamenfA IicamlCombecmr Date — FiN ` t O
s pp Re-roofs -
HAZARDOUS MATERIALS Itan DISCLOSURE 508 — F'INAL MECHANICAL
N II th ppl'd t f t ball t st r Iliadic r s ma�enalType Of Roof "
- sal Iby(h Capes M plCn hpt 912:3110 I lL;,Itlb znISafetr
Code.Seen 25532 •509 - FINAL GRADE . : .
101 '
0YrI ° All roofs shall`b6FhspeclEd[ISirol--toPh�-dHMfihWhnaterial being installed
Will It,applicant 'f W b ildingwenP'mta,eequ 1! 1 III d"ice,wnch 1 f a roof is insFalled with0-ttf 17CHLobraldlllg lvrin4Ni!il 6fit I agree tti remove•
-aft lLou, ohm u r ,de inW g the HaY Area A Q IIY Alatupe nem
1nh t°YL, L�kT/ all new materials,for inspection.-Applicant understands'and will comply with
all non-point source regulations., -
1 marc read the nm.a] us nationals requirements under Chapter 695 of the ,
California Heahh& mix,Code,Sections 25505.25533 and 25534.1 undmmnddot ,
iIlhc hail ' Jae of cement y have a emmn,that it is my rexgmsihility to rally the
soup R m a hh nlxt M1e met p' t,Ixs I 1 •n Prot of
( Most
Signature of Applicant Date
-
0"'1cut Date- All robtwverings to be Class "B'•_or better
OFFICE