00100173 CITY OF CUPERTINO ' . ,, ';',:h ..r --y;„ >•:.
BUILDING DIVISION ;` pERMIT L' CONTRACTOR INFORMATION
'L B - - PERMIT NO, i
' EUILUINC ADDRESS: � � " � - - '% • . f e
oRnnRTBUJES 1 4D WALDRON 'CONSTRUCTION COMPANY00100173
OWNER'S NAMF iAPPLICATION SUIT DNU7 -
`
-RT LANE�r -6/2000 ,3 , R
'PHONI.: -' Y y . SANITARY NO. t •CONUROLNO. - -
r_ Z377-8186o
K RCHITCC'TIENOINF.F.R .. BUILDING PERMIT'INFO '
O O ' ay • '' ..
BLDG : 'ELECTPLUMB MECH -
- ��F . . - I S � . ' a"' Imo•. .I=1 Je �7 'I�
'
LICENSED D CONTRACTOR S DFCI ARAI ION Job Description,,,- t -
.Z� t'' Ihereby'fhrm lull :ce )in P r Charter 9(eom c, 'ag y ,1 ,. .
ithS
p 7000) fD .'ol3 of Nr JPoll .Cd a,Jnyli
IJu ..RENNQNATION, ,REMODEL-KITCHEN •AND"B'F
i„ `c " T.NT,c,1au,r ♦
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ARCHITECTS DECLARATION -•ADD WALL O/C, ADD WASHER/DRYER,
3m„
1 e I 1 rpEnn. ben nn,Fee p nrereet nl. ''' '
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ti p0 ' Cc IPI . 'I
J o e - OWNI R RUII IIFR DECLARATION s
I�. ag ny ( that E I m C ,' 1 L Lose r dor'
F+ 6 I,I 6 .(S , ]U31'S It 11 f : Code Any tl ly ti 5 .. -
IF❑ - whh t P II , I h P J I'h P Y:I I / " 1
C,3np 'll r 6 Iml I
In,tn E Epry t1 t p EIn c I I L 1 (Cnp,er9 Sq.'Ft lu
Floor-Area _ 0� _ at)on -
- lu, b TIS I 711110) tD 3 EJ B ' IP f ' :CJ)
' or that he +'cion,lherefNnl and the hiss It the alleged e u,pbon.Any volition 4, _ 'F _
.. ofSection 7031.5h y ,,f Ifb,ap I,Ihjc,E,the ii,lb IIca ci,,l Penally
If I ,a2 than filo e Ibolt...($500), =-APN.,Number ' Occu„p�ncg pek
❑I,ar,I.......afire rao,i Y on,plosir,with......a,hi ronapla.lation, - I I.
s,' - 9•h M p. . to
will do N U'riad dat,wortnarcri,not febilM ,,ohcodjIe(Sec.7044 nlred Inspect'10DS '
Bn d E r.: c d . l>, c I I L L J t pl lr l 690��008 1$tr1q #. - -
rolprrprtyWhobtles r nPtve Ihnen and whodos,,inch .,khn
a »,
n�ihroogh his own employes,.previded that_men Inlprovemmals are not I.to led
el red for sale.Ern the haildiag or topcocalinat-. : Id within one year d
nl,pEr n b le ul n J IP vngnatE rd In EI "101 FOUNDATION
P9 101 -PIERS '
I - f(h p pay I ci ly l i g th l J tat I t
m
rrl t1lnPllrse �ruaeatle ePl. cE �Tncm9t ` .- 1(d - •.UFER .
-Lac L 1 I pply nor tp I Iy Ith II p e:Ih a - 'J
f and 1 n1 I r hn ) I µIn e at O1 t II o 104 RFDAR
I' n.. B&ICI o . , n ' '105 AIJCHOR' BOLTS
❑I der
ow •r �l 106 SEWER x, (WATER'
T WORKLRSCOMPENSATION DFCLARAI]ON _ •"W2_ -:.""hIIyDERFLOOR, F?LUMI3ING'
I hi B 11 a v 6y rp Pery _
(it It,,r EE gJ t c0 , UNDERFLOOR MECH41ICAC
1 an and u I l c e'I l r 3 I I L for"'cater
- 204 — UNDERFLOOR 'FRAITIE
,I hI I Pr IJ d 1' by l' I Conn or tl Loan C 1 II ,
'0`r• vlce ,nhewtkr nchhis rr tss4ced, 505 _`I-IhIDERFI_OOR- INSULATION
, , »ciao»Inmrnnce o+ uireJ S
_tla;,
s.
❑00of heLablmdm,nwrrtker e,min rhB 30µ1a: —'-ROUGH. PLUMBING
371111 . the Laker C1 d r s theP I f'hene.f 11 this pc,act h ,
' ,i ee My Worker C p a1i,,InsuranceI Pol' Y_ h - J ,
;' , 30L .- TI R•1 OR
S!-IOWER. 4 �,' ,
Ca Policy No 303 `ROUGHMECHANICAL
CERTIFICATION OF EKEMP'1ION FROM WORKERS'"
COMPENSATION INSU 2ANCE - , '- - 304,— _ ROUGH ELECTR I1-.AI-.
(no, r I aced.noin n,Pie,J if he p EiI, n d'wldnh t - ' X05 —�FRAME
(s Elx17 )
1 Iirinl' m p rnn of the kr Mira 11I r. ..1edl .. 306HOLDOWNS r .e..
t
,ball not Lnlphy.,yE no y IEe,or'nemnootomawur, - 307 — . INSULATION•t,t, -
c„ p . I L Cartoon.E nIe30Q SHEET ROCK ti `
A,IPH,nnt .
NOLCFTOAPPLICANI if, h,noting this Ccrofi.acofL -pi y -h Id - -
nde nT n Neta L e p I p i 1 IEE [-.be,C ) and 109 EXTERIOR- LATH" ° 1
•� O fnrthwhh'eon1,with inch pn '.ion.or tti.pernif hall be lenrtdrvoked. - _
z �
31 (1. : 'INTERIOR,• LAT I—I
F '+ CONSTRUCTION)LENDING AGENCY —
nlerehyarlrmt that .I t leading ag yl 1h Perform„ce 311 SCRATCI-1 'COAT
' a.qofflo work for whirl,11 I's tcl(See.3017,Col.C.
Lee Share I _' .1..3 —' ROOF NAIL
U z Lc J Adl 501 —'-FINAh.'ELECTRI'CAL'. ENERGY
4 I irymlln eatn. plti r dl'Imt1n n ' r -I ��T _' FINALS PL.UMBI'hIL, EhIF_P•.Gl'
W E..
correct,I ag tClardy- . Il, II 'Ty J ty andstateI It' s +. t J02 ,1 '. .
O V Inn ll y Y I ue hy' J E II hllie�ly to enle Pn - b
FINAL+'MECHRRIIC9L„ Ef IERGY
q�
m IIanTI' . Ida hen y' ,nywayxuneagaln.l said 504 FINIAL BIJILDLNf :ENERGY
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON'POINT,-f ISSUCdb 505, —.,FI,NAL--ELECTRICAL - ”
nnuhen a of the gran ng oflh perms _
SOURCE REGULATIONS: y,. -Date i
SigalreolAPPlranlrCladaetnr - D,IIe. • . Re-roofs +.50'7 '— �FINAL PL-UMB'I'NG
HAZARDOUS MATLRIAI S IIISCL(ISUSE
'
asJ f wdhborYJ mC p t M - 'E TInC 1 CI pI1;I 912rnt .ne µ Type of Rooflearn anticI y0B
FINAL MECHAN.TCAL,
id,laclealfacallSdon,
r Cor.Section 25532(c)?", - 509 'FINAL GRAD „' r
+- °Y �`' All roofs shall �e Tg(speoteRl.�)�p{!fo y )�� ir�taterial being Installed
j 4 QQQ
�-- µEd PPT I r t n f g p e c p l a ' which If'a roofdTs'insta ! 8'without I 6btamin n I s�p �agree to5remove
e, th b : I I n'J I dhYlh H'YA A Q 'IIyM g I ! f^y p
Di I I " all new tnatetiafCY in'sp�ct� Ap��� t Inde s ti" d'will.comply with"
Fl yes C1" _ all-non-point. urce regulations..
I' ad 11 1 ,. an I yh'rcic s e Chapter 69(if , % tL ,,.
Col H he ai Softy L e S t be ne 25593 1 ance ,ad t del i _9 ,
if11 n'Irt yJ 11 Oy l' I I1h11'' v P til'ry1 try) ..
I (Jere ,I t xn'eh,nw,Ih p'or e ,Ea n'E I f - 'f
I
�� . ; Signature of Applicant ,'Date
,,td agent Date, ''„ ;f,
a All roof cdJerings to'be Class ',`B" or-better P -
,
OFFICE .,