00110025 is CITY OF CUPRRTINO
HUILDINGUIVISI°N' PERMIT CONTRACTOR'INFORMATION: •. . '
y' ' .N
lilll WING ADDRESS S �. .. PCRMITNO,[Y OO OO .
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'. OWNIiIPS -
9''lX"'IG9 S" LaLANEY. #k' 40 " 'rWALDRON 'CONSTRUCT ION 3fAffAqbW.4jVM% J 00el-)
101 731 P'[I TMQRE AGARThIFhI"LS. 7.1 HE'RHF_RTo-LANE SANITAId N i; ','t NO
t0_CO ARCHIPECT/ENGINEER: :(408'Y377-8'I BFr�' � BUILDINGI'r:RMITINhO ^'
.�w— ' y' .BLDG S. _ELECr PLUMII MF.CH '
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LICENSED C noned TOIL S DECLARATION - , n lob D05Cilptl0n
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Fei wS ( ]IIINp fninflhe Ru to aurlr fe"'. Coale anJ mYl'' r
4 -,I i r' J
in rcu1
0a
m aLL11111a Class Lie.
p .
Dw Cnnwnor .
ARCHITFCTSDrcIARnnoN IIWTERIOR,<RENOVRTIONJRFMODEL KITCHEN' - M `BAl
I s mull M tred bi' e" .^
yp P - :. AL)D WA!_I_ f1IQ 'ADD -IJASIlER/DRYER- � a
d = OWNER BUILDER DECLARATION
I by fr Ih I I PI f tl C I I L 1 f he
foil , (S 'I 7031.5,It IProfession,C Any (, ly ° e,
f O nbM1infinite'" P I ......."II p 1 I'.h P yorientate
IRtn I e I. yl Ihe'ppl' Ir nP n I k dearru I
Chan I i II II p flI'c I I (Chapter 9 S Ft F1oor:Area Valuation_
(co y 'llS t 70om fUs 7 of the B . IP reo C I) 't r', �' Y - -
ordhatnavy exemptlh f tlared the basis for the alleged e p mAny siohron y [ - 't
nf hect nn 7Ull5h ean inr. 1 M1�is@ea I Ila tev'I h � � � `� � ' .� '
yelr`PP r Imo, pr . I=n'+ y'
APNNumber Occupancy e
-nrnnl ���<tpaa r,e hltnerae doll trs Isom. ' .� p Y EYP
DI s r of thepu,su,urny mnrlo Milt revll ' .-I nrpro,alion, C°6
+
ill do k and In, I ': 1 I 11offered1 IS ]1144 -.,'- n- ' - ...` — _
Bts d1 l C 'I TheC I 1 :1' 1 d I rFy1 if + Required IOspeCClOnB I
I p1"Party W b I I. p Ih I k I If -
owr o yl [It,n,va air,Ioyre,:,ro,idrd bar IF p" L rue ,intended 3�„�t-�3Gm8 '- %
1i offead In, If unave,er,dial o ldny or top ,is sold ilhin ore yen, if
o pll tl I IIoff
) ill ' II b ip ylt did n b- Ido
ove A �7.
REf I FOUNDAT I0V
npr1G�sow
n project ts 7044 businessIPI c>a )TI Contractor's ETERS bE-C,2 :8'
c I dcIl pI III (if who builds pov�c lnc nLE
and. t acts for rush"roue is Ina eontat n7 braised p Dona I1 the °�; 13• --"LIFER , •''Con to I 1 'oL - , -
'ol t eters B,Src ;rI '` OA r. - REBAR
Ow, D�1+ .. . .+ ��/�j�II riI SDS =ANCHOR' 801 TS :BU�I:D�dVG 4 ...
W IFNSAIION DE LA 1IION -
10 SEWER & WATER
11 nitrify - I IIY fl J Y fih f II g 1 't ✓o
i20 UNDERFLOOR PLUMBING-
7-1 W + 1 'llnatation C ltl at f C LIn 01-in...... f Worker's
— hII 'iEChlAhl'ICAL
Janpness t. its provided f by Set 3700 of the L b r Crane fu the .203 UNDE;RFI_DORr
perrr�r np,eeoflhe .,k to reh aaa return, . la+reed. - 'r:¢�y ,UNDERFLOOR ,I-RAMF—
❑Ihe- a I '11 f' w ti c p -I i s a ' Ibys iron. 505 —. 'UNDERFLOOR, INSOLATION
3700 r 1 the Lnbn,Codi r d e urfor e aree f the wl rk for wb cb this perail Is
ewul.Myworkerse��penseJrnt]a...area earr er and Poly nbararc: ',-� ,7aG1 -_, ROUGH_ PLUMBING ' .
� -
car RrcyNo,: '" ' 3. .1 1. & OR '5fIOt•IEP,
• % CERTIFICATION OF EXIiMPI ION FROM WORKERS -
',' COMPLNSAIioN INSURANCE -
303 RGUGFh,MECHANICtIL : ,
u �latna�rnplelwlmepern'rve,ronchnwmddoRur. 304 ROUGH . ELEGTW.LCAI
c n'fl 11 I d p f f 1n L f I' M1 II pc t'. J,1. 3215 `•FRAME..`: n M F
'hall I ply yr v n I n subject ale wok '306 HOLDOWNS
1 .Corp L : Iclr D_l
Appl t 307 . L INSULATION
N(YrICCTOAIILICANr if fir 'k'ny lh Clr 'I fFx ntpl y Imld yor
ben . bt tl In w n c i :I p of the Inn Code y Ana .. 30C. 'SHEET-ROCK `
Q 0 nonl 'll 'and,w"h hP :Duro Ih P I:hall bed al -
m . - Conti nrucTlDN LENDINGAGENCY -Z 3F EXTER-IOR LATH
F" In -hr rc n 11h t r,n',ktse >f (hpar form e 31171, '- INTERIOR LATH
.'k
krlrwnenm p if s issued(See.NAA Cie C)
W q
L1111 Maine 31. 1 — SCRATCH CORT:
LcnJ .AIJ s - +"
•v p `s1 2 — ROOF' MAIL
f
I n'fYln 11 h' - IlIn, ppr' t Lta 1h 1ae M f 'I n'.
"w r.1 enrr t.l s I d II ty I ly r l ,i Itng dlhl — FINAL;,EL_ECTRbCAL". ENERGY
Q V h+b Id 6' .t 'I Ih by p tl : fll . lyl tr pnn -
W ma .. II reor l r F r S21'c• FINIAL PLUMBING ENERGY , ,
Fy y (W) g' t c 1 'fl dseen l 1..1fie Cay fC pre ag.mt
. m binlf . jdp day,so.es Ia
arty y rtensagel said 5211 - FINAL MF_CHRN3CAL. ENERGY.
f..l CII, t'uryvue f do,Srml t,of 1h:1 l i. r
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT - '504 FINAL BLIILDING Ehh''E RGY
SOURCE REGULATIONS - Issued by: _ llu[e
- SL t fA,p ta. I I Data Re roofs. SME .---'GAS TEST.- '' a
IIAZARDOUS'MNIERIAI S DISCLOSURE -
a.defodnyhhe eluper .Mt;aealCood-Cnp¢ralz,odtheHe.dhi,dsfn, �'peofRoof.507,:_- FINAL_ PLLIMBTNG
Code,S f 25532(a)? 4�H — F T hlAl'. Ih1Ef HN 1'GA� `
a' ❑r' °N All roofs shall` 1❑]sped dr"��(1 to (��7� mg ma erlal-'being installed.
W'llth ppr I f1 h 'I1' S c p t 'ury pl deserts- w1 I ('a roof is lniIi5e, Wtlh u[ll�l'obA]❑� nmC,pechon agree to'relTlove
emlln -ret I r JnymaBay n Air Quality Myemmu' �jj. r inseltl��1�I--Ah '{l��i�i§tandsand well comply with
�,-DI all new materna .. "
°Y °Na sall non-point s6drderegul'a(idlAsL:,PUBL-IC WORKS"
Ih &tire S'i N I ' I I:under12Ch p1 C95infthe '
..,
041 H illsuet IyCtly Su.lo1M nt.th its 125534.1 d 'I Id I L J t K
'1 li n I 1 t ❑ylr c 1 et pr!o > p 'b I'lyt IfYtl
Up I y rn eb daF1 n t p t+ t eo tom f'
°e a a� Signature of Applicant, - ' Due
�«YYAll roof coverings to be Class `B' of better
.'Ownero nI 9am +. . _
.OFFIC E t
CITY of cuel eTINo CQNTRACTOR INFORM JON
BUILDING DIVISION PER? .T
BUILDING ADDRESS: PERN11'1No
:. owneRvwvN�u y 1 .�rp 1-If-tLDl=;I,'tif I_Iif°Kk t'I'lil.,'( i1JI•I r^?v;4pRPT!°4€4RA^TR IlI!iW
glom '/- i �'-r? - t. LII.L?1.1 Ii"I I5' l- snNITARv�q. . tSly^�9h'Pp. NO
ARCHITEC'P/ENGINEER: PHONED BALDING PERMIT INFO
BLDG ELECT PLUMB AIECII
I
n ee o o sINSPECTIONS* x 'S :-DATE INSPEC' TO ARRANGE INSPECTION ,JOB IIESCRIP'I'ION
r y CALL TT/-3228 MONDAY-FRIDAY 24 HOURS RESIDENTIAL:
S y z FOUNDATION/PIERS/ILD.S BEFORE REQUIRED INSPECTION.JOB ADDRESS ❑ SFDWL ❑ KFfCHEN REMODEL
z_❑ AND PERMIT#ARE NEEDED WHEN PHONING. ❑ ADDITION El PLUMBING RE-PIPE.
LIFER GROUND' ❑ MULTI-UNIT ❑STRUCTURAL
xw2
PAD/SET BACK-CERT RESIDENTIAL_COMMERCIAL OTHER_ MODIFICATION
3 u y
GARAGE SLABS/PRFC UNITE ❑ INTERIOR ❑CHIMNEY REPAIR
_ HAZARDOUS FIRE AREA IMPROVEMENT El SWIMMING POOLS
o n :^POUR ND CONCRFTE UNTICABOVE HAS BEEN SIGNED`z
o UNDERGROIJNUlSLA6 " ❑ YES Ify I mamm�dr1 aCrus Ao, f bly in myui,cd. ❑ BATH REMODF,WREPAIR❑ DEMOLITION
L7 OTHER
woon
PLUMBING
C z e
ELECTRICAL El NO Initial LC.B.O.#
E
Is6
a 3= .,,Db NOT POUR'FLOORIJNTI4`ABOVE H,ASBEEN SIGNED:: u,":`+ EXISTING ROOF COVERING
COMM
PLUMBING ❑ NEW BLDG/ADDITION El DEMOLITION
MECHANICAL Number ofesiming coverings ❑ TENANT ❑ FOODSERVICE
IMPROVEMENT
ELECTRICAL To he remove,) Ta be retained ❑ OTHER —
FRAMING VEN'f5
INSULATION
aPCACENO.SUBFLOOR'llNTfIiABOVE'HASlBEBN SIGNED'�`F;�9"' !,t TYPE OF ROOF COVERING
ROOF SHEATII/DIAPHRAM EXISTING: PROPOSF'1,D•
PLUMBING _ .-.Q_[ rr'lO ❑ Built-Up Roof ❑ Built-Up Roof
TUBS&SHOWER PAN ❑ Asplwh Shingle, ❑ Asphalt Shingles
MECHANICAL, —O ,r ❑ Wood Shake, ❑ Wood Shakes
ELECTRICAL./POOL BONI) BOJ %-✓� ❑ Wood Shingles ❑ Wood Shingles
FRAMING/S'1'AIRS/,.EGI,F.SS O ❑ Other(Specify) ❑ Other(Specify)
INS ULA'TION/V F.NTILA'TION P Provide LC.H.O.Repan No.
OVERNQWORK IJNTW'ABOVE HAS.BEEN'SIGNED J..,rProvide Mtgr-Installation Specs.
EXTERIAL SHEAR/HOLD DOWN
INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEE[ROCK SHEAR INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATF: INSP
EXTERIOR LASTHAV-SCIt FED
SHOWER LATH
"NO TAPE OR'-PLASTER UNTIL"ABOVE'HAS 9EEN'SIGNEEP'v?"f'(f';
SCRATCH COAT
SEWER/WATER
TEMPORARYAPPROVALS -
OCCUPANCY -
z PLANNING 777-3309 -
Z 0 GAS TEST
GRADE FW.777-3354) -
FIRE
ZHANDICAP
;> Q ELEC'FRICAF �.� Z - 4'D
? F PLUMBING •Z `00 4,0
U
Y MECHANICAI,
fr7
r y ENERGY y
VISUAL FINAL ONLY
13UILDINCP
«OCCUPANCY.OF-BUILDINC.IS,NOTIFRMIIITED ,„_�^,
.vaz r A a t
UNN TIL BUILDING FlM1AL IS SIC NED BY BUILDD ING e
CERTIFICATE OF OCCUPANCY❑
PRE-INSPECTION: PLYWOOD: IN-PKOGRP,SS
INSP. _ DATA. ____ INSP._,_ _ DATE "INSP._ DATE
TEAR OFF INSPECITW BATTENS: FINAL
INSP. _ DA`FF— INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANTS I POSTING COPY