00120100 CITY OF CUPERTINO
nun.jlrfRt�lstJ"BLANEVPffRMIT CONTR�, T�gr]NQR:M'AT.[O:Nbv COIHPANY00121bi00• .
HUII-DINGAUDRHSS: ` - PIiRMI'I'NO a
LAKE BILTMORE APARTMENTS 73 HERBERT, LANE i. /],5/22100
OWNER'S NAM17.
- APPLICA'I'1(lN SUIT DA'!B
(A.08) 377'-;8186
HONE: , SANITARY NO. COST ROL NO
,00 ARCHITECIYI?NGINIBR:1�. 'BUILDINGPERMI'IINFO
ca - ` BLDG ' I.LECr' PLUMB MECH
U
Z S = LICI NSI if CONTRAC 1 ORS Ill CLARAI'ION - -
oz—Ho - Ibatch,dif,mthtl an,haeasee muda,pinsist n,afCbnpm„9(caninamin, NEW WALL A/ bad 9plt°NYDRYER. UNITS NEW' Fl
PvJCw with Section TlXlolafD - 3oftha Bu - dl reown,Craeaadmy license - ,
's._, is to sed force unit effect. _ -
Co w
P_1- nemLacn Con¢acnn
w 3 w�, ARCHITECT”S DECLARATION
4or4 - I maderabrad rnyp;ans.M1II be used aspublic mid. '
Y
UcebsedP I .:' 'I -
°,lo OWNIR Rllllpt RDC CT ARAIION
ul 1 ni aso ( that 1 a pl1 the prContractor's 1¢ 1 f nlie
C z<
which
B lS I son S their d P f a Cal a Y ry nonny t
F m wh 1 c9 e, o t I n import, t .. , y.a cttn i `
h t t L b 'III tt d1 O II g Ltl let .,'3 cry
hal he l dpi i he p :' nn c t t I 1,.m.Car9 S . F to _ 4 Valuation
Ivo is
'tog t afXMln fhe 3 rthu9ged Iio f: one Crdcj ,
m that h pI h rel J the b.,for the alleged a pt ♦y violation
n15 I ]TUI.3 by way applicantlrmisunjeuv thaapple n _- it pendty t burfac her live It fi,d dollars ' ' 'Occupancy,Type,-
APN
o l m ow
net nr the Narrate.or my employeas with wages as their sole cmnlvevaion,
will do the work.and he structure is not intended or offered for sale(see.anal, _
aasinass and Pmfe..mmpnlc:The Commcmr'a License Law does not apply to an o tr uspections
' r of pr....city W e)build, ,,memove.,tham..n,nod who'Jac,.¢rch work M1lin,ell' J R
in luough by own employem.nro�i led that sacra Impmvemema ore not ietanded or 1,4? — PTERS.
oabree r r sale.if,however,the building or,impnvemeat is sola within one yea:of 103 — UFE R -
omple ion.the o%ner-budder will have the burden of pinning that he did not boil)or •. ,
mpave for purpose of sale')' 1.04 REBAR
asm •r or me pa,party:aore,do'i'al,camncting widt Becmed"menabvn m -105• -- ANCHOR BOLTS ..
.t¢I_ the..inject ISw.T6fa,Bminee.rota Professions CWa:I'rne Come mors,
n Law'does t applyt nerotproperty who builds mp ve%thereon. - ,106 — SEVIER &, NATER'
N, n;'n rat
MAW
1 ; ) wan t ora 1 a p .oath tt meErb^ _ .UNDERFLOOR^PLUMPING_I? —� rV_., - UINDF_RFLOOR NIF_CIIAIIICALe'cogco+�� .i— nr nrcl.ARN LnR,{ lo 2Q_4� — UNDERFLOOR, FRAME
f.Inemby anon nt'fenalrym pera�nry,one tinne row;wing neemyaBlms: � 20.`.'1 — UI11DERl=1_UOR IhIShII_.ATIOM -
j 1 nage and wan nlwnlnin a canXivate of Cometh to ,It ins..m bar workers i 34-11 — ROUGH PLUMBING
Gnnpenudion, a, provided for by Scedoa 37I0 of the labor Cale. for he.
I'll rmm,mcaanlmwork ka w hRM1ods pennir is l Isbell, i31?l2 :• TUB & OR SHOWER
'
El I have and will maintain Workers Creupearation houmme.as required by Section - 363 — ROUGH_ MECHANICAL
a'rat of the Labor,Code,for the pc,mnmmee of n,a work for which this penin,is 301 — . ROUGH ELECTRICAL'
,sued.My Worked,Compcnvation Insurance carrier;nd Policy numM1 r are: -
Carder Policy No 305 — FRAME
CI?RTIFIC CIUINSURANCE ORKIi12S'
OMPENS IIN 2,06 HOLDOWNS -
i rms.waron nod mtl no am.plemd Ir me�Iarndl is r,r....0 nnmo-�n dolioa 307 — . I NSULAT T.ON ,
Isutm or ms..j '- ' 3053..'= SFIEETROCK_ '
I certify rust in he perrarmarace ohne wank for which this pem,il i;issued.l _ 309• -. EY.TER T O P.- LATH
,hull n d employ any person In any manner.m o3 to become subject to Ine.Workeri
compansado..laws al C:dlmrnia.rana < 3]',O —' INTER I OR -LATH' ,•
Applico i
NOI ICE TO APPLICAN1 IL itfilekhol'his col ma of Ewminiort.rnshnd 311 — SCRATCH COAT
becomsubject m the K k 'C ..e ast provisions ofth Lux Crt you nust
O �O e tonnwilneontplywrns rap this Ivent, hrII he dd revoker. 313 — ROOF NATL, - -
F, ti
CONS T
RUCTION ICNDINnAGRNCY' 501 . — FINAL ELECTRICAL 'ENERGY..
�i 7 thereby..Miro,that harc is a vonstrummn lending agency for the perimmmrce
of work un weigh thispermit is issam(seg pan.cin.c.) - 502 — FINAL PLUMBING ENERGY
i p Lender's Name
U z0 ,Le..ser Add.... 503 FINAL MECHANICAL_ .ENERGY'
1 nfythat Ihave dlh'.apllot 1 same flumce above itif -rnis 5011 — `FINAL BI!IL.DING ENERGY. e
0 (., correcor hail
.l agree t amply Thane Y and ry ma ce. Jstatel Ming 't 505 — FINAL ELECT R I C
V t bu lit ng a I nanlh by J mprc' ntsufth: IYI m pan
�t Lz7 d.nM t Is e, ld, y 'n p p . ..
E a se j gra t ,randawev pin :a cry IC t s' 1st Fi06 —' GAS "TEST`. . ,
rn
hate it :judgment,alt d re which .y nany w'avacrmeagtmtsaid X37 — FINAL PLUMBIh(
V � city t«Bu.nce..rine smut ng noon,IK n � ° .
APFLICA!s`I'UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT / /1���c
SOURCE REGULATIONS. Issued by: V. a"' q'^!1 AP1117-70 . [.AIDaIO
Signature..1 Apphamm nnaucmr Date Re-roofs C"j 09 — _ .
HAZAROOUSMod,metLSDISCLOSURB 510 FINAL PLANNING
w11 dm apCupre m formaAE1,11 t*'Chapl store or n,mue nlealths nmmr;m Type of Roof '+ t
oft,Serby Wil32(a)?nn Municip.J ,Chupmt'lJ.,unit thu lluRh ami$..Lary. e ,,. t s
craft, z551 (j .� W` X14 FINAL PI_IBLIC, UIOF21 S
0 Ya, °N All roofs shall be inspected prior to any roofing material being installed.
Willa applicant n n IIn• path lse cyan t e b,'wh ch -
P If a roof is installed without first obtaining an inspection, l 1 reeio remove
Iilla' d om_i nn.W. Ibvlhe tiny Ae.A -QaluvM� art g p Ig
�1,orieoyu '_° oNa all new materials'for inspe8tion. Applicant understands and will comply with
all non-point source regulations.
I It th h J materials 1. tty t. der Chopin,fi 95 of the.
Culili--,Ion re 11ahhk Suldy Ctda Seen t is 25505 5533ud 25514 l utdest tl that
alheb dd gneum. ayhavcaienv I d I t nymsM:t hl't,mom fy the
-cup
cp f it wit in wh ch must be me,pritur In,swan of a C indicate of - •'
f Signature of Applicant Date
nwwrar a Data All roof coverings to be Class"B" or better
OFFICE