00060107 +-CITY Y OF CUPERTINO
nwc invasion 'r PERMIT-' CONTRACTOR INFORMATION
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BULDIN61%766RESSI PERM1I NO.
6wNFR'saM20' ROD RIQUFS.sA, 138, . "-WAI DRON CONSTRUCT . ,ir .
ryoNE:, LAKE BILTMORE ;AP,ARTMENTS. 73= HERBERT.',.LANE - SANITARNo,
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+ G ef Z ARCHITECTIENGINEER:�- (408)377-8186 _
BUILDING PERMIT'INIF0
Q`�,F ... I - BLDG 1:1.1CI? 'PLUMB' MECH
LICENSED CONTRAC OR s.rn c1 ARAI ION. - Job Description
Oy II rthy Ir oto I lice ..d J p fO PI 90 6 Nor full firr,c and effe'r.
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Fw wilhse un lflBdl orD ,nJ�nh�Bt td rn rc,s' ,rCndea:an I n
< he U s U g .. •. ''
Ei°aEy "." 4 c ' "°r ' 1:IN 'REMODE OF B HS R KITCHEN NEW
�ARCHITLC'rS DI LI ARATION p.a , • , ,
F•L`c,ei - understand inI pl' :.h'II h need :public rads -
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STACKI a WASHER y
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°'°KI OWNFIt RIM DPIt Uf CI AItAT1ON 1 ° f
m 1h M1y'Ir mt1 - plf Ili C I''t f L' f ll ' _1
-1-,Z 4 roll n8 n IS a 103L5 B IP 1:'' C d A Y ''ly ty -
5�5�0 whl I p u I -t Wt p d Ln Pr' Y.t a .,r . •At r
i t I. d 1 If a 11 a d.rrcmean, u
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mean l :ap LI n p illi e muct r I e 1 lo'plrao Sq. Pt P7� rea , .Valuation _
(cn acnyalh Sem un]I010)nl6v'e ml,tali¢Buv'rn .mdlr fe-n toe Code)
' or that he is exempt therefrom anJ ihebaxls foi the alleged Lxmrgvinn.Anv violation
nfS l' 1ouJ15hy ny appl'eemf rap l' bj L'lhoal pl' a it penalty -
„o tdare nun rv�na,ama deuan fssuol 'R- APN Num c - ' Occupancy Type." -'
❑1 anheprdpa�ly;or,uyua,apmf e wtnwab�k.ax Hers ler nrenxalla, n $31504=
will I tl k I tl I t l i e d fr d r -I (S 7044
T r5. Hu I P'1 C . Ili C t t W l I ax d a t pply l _{+ `T,' b "� 'Required InspectlODs' a- ,
fp p t,WI hands nt,r a th 1 1 kh II
nr lhr �h his plf p •Id thin. hlaprsen en1 re 'I l filar 3,903008. 00,
off¢ 11 sailer If,h th h Win6 P t':: Id 11 cyear of F -! C -
oi pl I a m w avr nu'I 1 'll have ll b Mvn of pmv tp Ili t h J'J sol he'Id #.�
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up f n n-aenf.11 1. +�4
FOUNDATION
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nW"���"In`pr:lertlseo 1033 B,-�iea wlmre„�na,e InlTnecraatnntnre 7,0e FIERS ^
J11111, 1 1 Illy t - I p'p ny 'h n Id: p e.II
:md 'I d t:r l Projects win a -nlmetnrcgi l I lursa'ml to
he
10� —', LIFER
'Co t amcrBL' seL q 1„ - ♦ ••
04 _ REBAR'. ,
❑Icmc mlorsec &P .1.r this'reasno .. •� 8F '
Ow •r - ([N 1p'6„te - ':� 1p� . , 1_ 1l0TL5`v ANCHOR,jBOLTS`' , ' •�` -
WORKERSCOMPENSATIONDECLA ATI „' iols t— _S'EWER. & WATER. _
In2ny affray under penally of peri f eof [in m� ya ra .,. - 20^ — UNDERFLOOR PLUMBING
100,
.° I h r id t C �l 'at f c. m to a in' r Worker', '. 203 —” UNDERFLOORr MECHANICAL'. '•a
'Cot I vs pro d d I -by Section 3701 f the.Lan r Code ai' the -
�H flhc.,okf - hichnrnpe or....d "'^c04 — UNDERFLOOR FRAME '
ori d ih gat W"E"',cope .; I canines! y5 r a '.205 ,UNDERFLOOR., INSULATION
3100 nr he Labor CN f ll pet fm kf 1'1 d'. Ir l - ..
,,,add My Worker,¢ p Nafnt ltearane nrt•rata Pnrr ' ne-:are
•. 3,@7. — ROUGH+'PLCIMBINGCarter P N 302 TUB�R OR -SHOWER
cl.Rnncnno OF PHNLx,10leI SURAOM NCWORKERS 303 -�` ROUGH MECHANLCAL _
COMPO NS\TIO^INSURANCE - of on, e 1 Ln rA,1Ocd rthepernrsrn launchedd.T , .304 ROUGH ',ELECT.RICAL r
I ifytl l ,aper 6 e fd wrkrr n nm lentil ,Issued,'1 05' — FRAME
hall not np1 r' r p y :Inn n1 I m me wn wcr, .305 — HOLDOWNS
'Gm pe n n I-awe a California.Dam to s • - � q &
Appl :nt: 307 — INSULATION'
NOTICE TOAPPI.ICANT If flmakingth C if l fE la you should 7i�8 —ySHEETROL'aI<„ u
Ween ,nlemt maWorker's compensation n 'ol to Ln ea got .t :�, _ u O
..• O C r,nn 'In IIT m p „ ,hisp 'I bell n di d k a. t. -',^� t• 309 -EXTERIOR-,LATH' tr f
« � CONSTRUCTION LfNDINCAGENCY VI 37P� — INTCRIOR LATH
t Ihenhyafl that there leading agency[ t1pcdern .y. 4 +
aW q I fork r II ,I .le tam c 3091 clv,c> IQ,
Q 31.1
_ SCRATCH COAT'
.p z Imd All ' ;31.3, — ROOF NAIL
v0 - aaln. appru dam n 501FINAL ELECTRICAL ENERGY -
FTw ty coo 11 ail t en nilly t Il' ly J y d' a n fi ,aid I' -I t tg _
O v .toEi Tmm� at adhereby audni -p,eeettr.ne Flhikctytnenle- poo 502 —' FINAL PLUMBING ENERf3VT`r'
�y W the M1' t d property f inspect u pa.,o ,
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frlwil is sl,: ad ;y ak In f.
mycu;y rep"gam.g ,d' f 503 FINRL .MECHAN ICAL,. ENEROY
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v Co' "504" - FII IRL,''BUILDINO ENERGY '
SA1111OURC RE DERSTSNI)S�gNDOWILI COMPLY WITN/�CL'O,'POINT Issued'by can'' ' e'r soot of ,Tiro r i+AL Date.' Y ”
lingJlJl(quu1^NI acllglq((//CC//yy I �_U. - e
¢'soil pill oc nh' ll + n t _ .Re'Jloots „505 --`GAS.-TEST
TEST :.4 _ .
HAZARDOUS MNIER1ALS DISCLOSURE , t '
;,. Will theapplicant r l l ,ding l and t re n, odl baced a seler ul Type oC Roof 507 — FINAL”INRL:PLUMBING
S d r I by O C pen M pal Col Cu,c 9 12 and ll H Ilh and Safety ''
cna s r zssazlm 508. FINAL ,MECHANICAI
` All roofs shall be inspected prior to any roofing.materlal being installed.
Will lh pP1c t f l en'I soccupantusec,up I' I ,,,inch If.n roof is'installed without firstobtaining an inspection, 1 agfee-to remove
mtilh _I earl 4nl Lea,dert ed by the Ray Area A' Q ray Manage Hent t; . . - .
L,l'et r r - all-new matenalSLfor inspection: 'Applicant understands and will:comply.with.;,
°Y' °^ all non point source regulations.'
Ihautend ln n d" I I q t tdnrChpt fi95,fde. .509, . FINAL GRADE ` '
Cn1t 11.1
Ili &s,rtyce s tl1. ssnszss33 d3ssTa1 d t ddt 510 --FINAL PLANNING
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1 h Id pJ - l u dyL ease 11h 11 goal hlnyt I nrym ' t •
rcpah fl T I. h oche Ip' I I IIiWI r `
Sign•tture of Applicant Date -`
All roof coverts s to be'Class B'or better
' ow raam+rzedusnt Dln g
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- ';OFFICE- Y' r