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01070139
CITY OF CUPERTINO BWLDINI:DIVISION PERMIT ,CONTRACTOR-INFORMATION:. BUILDING ADDRESS: PERMIT NO. 20010 RODRIGUES # 9J WALDRON CONSTRUCTION COM ANY01070139 OWNER'S NAME: APPLICATION UB DATE LAKE BILTMORE APARTMENTS 73 HERBERT LANE 07/272001 PHONE: (408) 377-8186 SANITARY NO. CONTROL NO. nm e z° ARCHITECT/ENGINEER: BUILDING PERMIT INFO O BLDG ELECT PLUMB MECH so< LLA L7 1-� u S LICENSED CONTRACTOR'S DECLARATION I hetes arum,hm I am Bcensed widw s ons of Chapter9(commends Job Description 1—to with Section]OBOI of Division of the Business and ne�Pmfessions ole,andm license INTERIOR RENOVATION. a=ge ismmn l...andeBert. y (REMODELED KITCHEN & BATH, NEW WASHER/DRY z s¢ License Class Lic.N w3LLy Date Contractor WALL A/C, FLOOR COVERING. ) ARCHITECT'S DECLARATION a O 1 understand my plans shill be used as public records �r w co O Licensee Professional n a OWNE&BUILDER m the Contractor's u���—' 1 hereby affirm that I airs exempt from the eo,...Ca License Law for the t?< following mason.(Sermon]1131.5,Business and Professions Code:Any aq.,county. E x❑ which requires n permit to construct.alar,improve,eemolish,or reproany structure as �miwba its 1x5ounce.also se requires mexppl If npennu fl -_ (cm licensedp n the provisions f the t ContractorsLicenseLa (Chapter 5 Ft Floor Area , uation (commencing, with impt nfrawnand he " arm Bin eimmAn violade)tion '.i. F,? "q't .L.. r. ..,I A-� I1-�i $346(' or Wut M1c d ek6mpi thercfrnmand the basis fir the allege)enemplion.Any vinlmmn - -nf Section 7031:5 by any applicar fora permit subjects the applicant to a civil penalty, of not more than five hundred dollars 15500). 3696�I(7j818m�r ) ..p,It ' Occupancy Type 111,as owner of the property,or my employees with wages us meir sale compan in i.s. will-doth o k,'a ,nd,he st e I,not intendedoroffered for'sale'(Sec:7043;- --- tkd'Proress n:Code The Contractor's License Law does nm apply In an 101 - FOUNDATI04uired Inspections rowner of property Who builds impru es thereon,and is has does such work himself othrough h' n ply provided tht h p t t' t etl 102 PIERS '.oR df mi ITh theb IdnBor p t Id are, ye ! '- -- ------ __ _ - ._. eo pit pa n II will em nrd of proving that gneea Ib le 103 UFER improve for panTate f 1 ) 104 REBAR / I s a o f th in t el t t with sass t t t ..... --' .._- annise Law clA- t.nndbrF1�apply to Business roFPdPPnY nn B&'PcrC�nt� 'stag __.... - 203 UNDERFLOORTMECMBING ----------- " / p -- ----- m (See 7044. n b le r pr m 106 SEWER & WATER on ..'a wh 205 - UNDERFLOOR INSULATION_anIll, b" t rts) J p ua 202 C t .b 204 — UNDERFLOOR FRAME j S COMPENSATION DECLARATION IT I brobbyrrtm under penalty of perlwy one the following ddamtionr 301 ROUGH PLUMBING ❑ l have war it m m c'niecam d cin t'ja. Ir for workers 302 TUB & OR SHOWER Compensation.tp dee l le Section is pJIIIB the I bo code.,-for me 303 - ROUGH MECHANICAL M mrmunce wide wkfr is J.d". ❑Ihave Ladwdrma t Wmkvr'x Cswn'�n,aditm rsm;an gdinsibyScbdob 304 - ROUGH ELECTRICAL 1700'.f ila,Laidam Cock for the performance of 11ha work for which this issridi,is 3 O5 - FRAME s ed MY Worker a C mpon t n 1 P Y be 306 - HOLDOWNS . Carrs s CERTIFICATION OF ETIONIPNFRO e' 3071 t 'LNSULATIONI l ' s Insurance aim n Policy EXEMPTION o': FROM WORKERS COMPENSATION CE 308- SHEETROCK -- '�' 'ffh. n n ece not&cnmplu N'f me peon tis forone hunJreJ Jnllun !�-'s � �.-Cls D; I . --- is 100) Is 309 EX Z ' STH �. x a l EXTERIOR I <ti\ Y P< tlrrwrn� Inch t LA .....-- I sof the, inn a nh w kr x 311 - SCRATCH CO AT el3rhrs -1 ca lcammfttion pl Lowe fCif D;_m ' con b ct me�W kra' `i - -313.....-...ROOF-NAIL._ _ -- _ __ ._..___.. ----.. I NOTICE TO APPLICANT If,after k gm,Certificate f L empibn;you should ❑•..; z n n b, tt theWak c p ns t pa as of L bo Code-Yom 501 - FINAL ELECTRICAf,"ENERGY much p..simak or this permit hall he nam work n`hcaNs�R1cl 505 FINAL EL503 - FINAL ECHTRICALNERGY _-.. ' Lender'A W y Yff `hm t m cON LENDINGd g 6 nYy f Wh p r� - - -- _ ERGYICAL GY�r r� .. us vB9] c cA 504 FINAL BUILDING EN L Q -velars Name — — -- -- _.. 506 - GAS TEST ,.,::, .,.� .. Ice tfy mmlh readd appl , and smethanhe abo formutons 507 - FINAL PLUMBING E. ca t 1 owcomply m II itya do ly d d tt Iwo relm ng rob Id g wmi dh by aumo z p tie Ip tyt eamrupon YW m b nrpp pnYr - sped pm .s...,. _ 508 - FINAL MECHANICAL -0. (W) b t J Py Wkeeph sth Cry fC pen no g iw -v� nanit leg tents cos, a pence nn r ,ay y g�int.aia 509 - FINAL GRADE !� U.z cty cq _ nisi. t gafn1,0 - NA ING A7pLICANT UNDtRSTANDS AND W ILL C04IPLY WYTH'ALt,NbN k01NT SoukCE REGULATIC �'s:•! :, Issued X Dace y'J--Q/ sig t rAppban dc,n,m<mr- w. Dine r. Re-roofs .HAZARDOUS MATERIALS DISCLOSURE h - '':;, wume Iphra r, n la'ng« ubt 'a1 ... Type of Roof, - pe dm 41 Ith ndSafe,, - _. ., - .. .•-'. as d f d by ih Cu n M J Ch p, 9 1 God OY 255] (a1 p11 0, I t1 Pu , �I Al + u ..� 1t4 ,, ,• , . - All roofs shall be inspected prior to.any roofing.matenal being installed \V II Ih pPle t Im reb:IJ 6 P nse ey p , d r : _...... a .l all non-point source r tl a o t nam a aero anrm BayAreaA Q I,rhl operator,h all new materials for ins out first obtaining an inspection;hagreeto remove a Too is installed with D ' echos Applicant understands ani will coin 1 with _._.,,_ tr ©Y - P PP _ _ -P.Y ,�, r �f.:�'� of -p� regulations:: - 1 hu c read the ha cent us m,tei 1 regwrememslti d cChapmrsti.95.of the Cabformn Heulm`8 Safety Csalei5edion525505;2553)and 25534.I,nnder'and thin Ifd bJdn e - ,c edyh award,lhtt _. Ify th oce°a i. 'n or _. .. Honer urs mo zeneh P nitq Sig,Dd(nre Of E� heap, Date Pp_ t ., mutts , t issuance �� _ .. -- Al -...�. ... .\._ —. . .-.. ._.._ d agent D t� 1 roof coverings to be Class B oi•better OFFICE