00120098 CITY OF CUPERTINO
MELDING DIVISIONPERMIT "� CONTRACTOR INFORMATION
,. RDILDINCI ADcD& ,t] RlCIO RhI' NArY¢vi�;_�u27�0 RODRIGUE4G WALDRON CONSU ;.'
OWNER' NL ' APPLICA'rl0 S(I13 D
HBLRN7 "` _'ANE AT` 020 t
IIONF,: � ; SANITARY NO ! CONTROL NO.
(408)37T 8186'
' BUILDING PERMIT INFO
p K GARCHITLCI/ENCIYI'I'R: '
W O❑O❑ - � " � r' ~ +✓ 7, '4 � - RLOG f.ELPCT PLUMB" MF,CH
LICENSED CONI RACIOR s DECLARATION `+. ` . ' u 'Job,DeScnption
cZ mmallard
o p Ine Iy n n tl - r I 1 n rGh'ge )( g
- wq1 S ti 7000, tD +,9oflheRl ,dlr re'ci :C,dea,J nl)I e , .. ' +'
<y ,.al Eur ,melml.5 °`° INTERIOR ,REMODEL} ' .KITCHEN ATHS, RE:NOVi1
License CI ': c ,"„ MEW WAI_ A%C, ' . WASHER/DRY-F LIMITS NEW 17
w 3¢•y - ARCHI'I F.CT'S DFCLARATION J'
radleotband iny plans.i'IIh d p tl'a record,
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COQ .Eye II r:' 'I
,r, OWNER❑UILDI R DECLARATIONCContractor's
I n I) Il II 1 pl f d C I' I L ly for the i
��G M 8' (S 1 7Rn5R .' dl ballotsCal AY IY l.re
S G 'wn 1 p I I ,,,thee rlle 1 f I p ' Y:I clam _
pnoi 1.it, L the aplidiantfor h Dernatl I signed -
. main . ep tl In p : r c "I , L (Charter9 : c Sq: At:'Floor'Are / u t 'n
(mmne,I,I,dIh, I lanai rD". 1 lit the R .' dP r.:, :ande) A -
or.Ihalnno703 .5bya fonatal my Ire's R'Ihacts11he exenlu„a ri3O hlo, e ` _ _
M can an 703 .5 by wry ded,adl for a permll subjects dhe i,pplic,nl In o civil pev,ully
nrnnl tnnt<mon roe m,ndrod dmlprn(ssnol. APN Nu 'Occupan Ty,p'e
+' ,.., _
rk.and
t IY Y, PI 1 II ab. ar 1 .70 —
will I thek I Ih a a is , I 1 1 Ir e r : (S 7o i> v .1.rj u - - "
Rus 1 P :(.ae a C I t I I 7 pl II d r , -� Required dllSpeChonS
nw Ip IMIYWI h ee. r' :mreand h le, .uh n if
orll g1bfor
sale'
ply :.provided lh I ' r p- I' Iboarded
nRe er I .In aera,ena'wl,g Iroaenenli„olewnnnone year el - 101 — FOUNDATION
T on pl Ion a r ow uclaidder will have[tie burn,I proving that head not nl- az
Id r
ve Gr,.....of,rte].; '-,„ ” . 1.02' r-- PIERS �-
„I - e nl the p pe It I :iv ly t b m Pleased Iraetoa, '1 0' —, LIFER i.
'I Ih p Je'I(S 7011 Ru:' e I l C J ) fie C Irawrs
Lio 1 1 I pnbl o Ip p Ir hnnald imp Correa, , F04. RESARr=-% -p A h I
Cu I -
m ' feh,price,Jean with I m,rts) I an me
- .I JD5 ANGF�I�R BOLTS," '
nnl t 'I ase 1.
❑IeSee� x&1 11m� i21F - SFIJER - E 1JA'fERa .
_ .oR C( P ` ARwS�oIJ�-{f'"` L-0;f. LINDERFLOORyF'LUMBING' -
Ile rlynn,,,,neer ve,aly ervenrynty ,me mo ,y decWnn,. 1T 1INDFRFI:.QOR- IYIFCI-IAhdICAL
•1 1 u d Certificate l a l lr -r Warc " ,'.=204. ,UNDERFLOOR FRAME_
c., lw l m Labi, core. II the o ��I')' 'LIIVDERFLOOR ':11 ISLII_ATSON.
pert.........of the wad:rnr which lhi,p min usual. - — -
301. ' -ROUGH FLUMB'ING
❑Ihve'„dwill ni I W k sC p y ' IhyS t - „" '
3700 nr the Lnhar Code,for Or mer rhe workr l hIF., anand e 1�2," —'-1418 ,R OR SHOE=,IFR rs .
u d My Worker,C F -,1 on Eu and Po ) nkerare. - ✓ '
carts nryN . �:, 30 ,- ROUGH MECHANICAL11
rT„
;CERTIFICATION OF EXEMP'HON FROM,WORKERS', "' � '•3111,4 .r ROQGFI FLECIRI'C(11-,. —
COMPI NSATION INSDRANCI 4p
' tits tn„ d In c+nplate dals,permit krrone handled dallatx -�-305 — ,F;RAME
c .
.Islas ,'Ied,J - - 30E1 " HOIeDOIAINS
317I an{fy mel in III,durnmr,se or Ise work rnr Rh ch Ih "crust"n uk I
INSULA TION
n,plntt Low,ofCll i , Workers308 .-. SHEFTROI K
eh II d ply a,)I r n
NOTICE TOAPPLICANI R t .w gm Crtl t lc II y .I m �,V]9. E'XTER LOB'+L.RTI-L.
1 zsubjectt,mnw k Coniperain left prov isions ofll Labor Code yon tainst 10 INTERIOR I.ATId r
�Q 0 tonal,d eywit h h0 v,on.iortl p „'I,halI bed , drevoked �j
r^�, p~� CONSTRUCfION1FNDINGAGENCY e.Ji i — SG BATCH ('OAT✓ `
II my rr that m 7 I di,g.ge far'Ih "Ifoc ,RDOF' NAII
I,nn xr n thisp ,,lel tree call.ave c)' "'ii " .
C., Lend "ea mi - FINAL ELECTRICAL ENERGY
O - E n'ryR III Im, 'pIr a aid ,are Incl n advani Gr1711 �,hFIMIaI_ h1_LII+IBTNG EItiIEFtG4
w F edlater.1 be I IIy t II city a ty n d state l I b 50..,• — FINAL MECHANIC ENERGY
O V loh II g .I I d1 ly d tt ft ryl t p
yw menre u} g ,Iapni tyr� ry�nk �Iv i .R et iCvn .babla r,;• 'S0'+ - FIh1Al.- BIITII7IP E. tE.RG`( , P'y
I I J Ib I: I 1 p ,: n ,'Y.Ili r„y y b ofd 1, - "-5215 . - F I PIAL ELECT - r
'U City ,acre t nI b and,y nr m pens I 1. s, / �^[ /''J �(ry�lY`••
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NONPOINr .,Issued by: c` � r �L./�,JStk..C.Gc� Date
SOURCE REGULATIONS. 'a
Re-roo
.Slgumrc of Applaant/Cmranor Date- - ..
HAZARDODSMATERIAISDISCIOSURE Re-roofs 50Bi FIN ME`I...HANICAL '
- -
Will m ,ppiiea t rr l hu Id ny p :I hh dI I' m . R I �,I 'type of Roof
el mythCpn Marra,]cd Chter vI ad ],a Warn' dSarely 521`x. — FINAL GRpA�DE,7
icoe s t 25512(a) '— I P Tprl�� I-'� rd�Kj gf g
°Y' �” ' Allroots Shull` � ns ecled rI 'to a y I rilaterial bem Installed.
Will the Ili I faire Td g I v 1 I e :wnen ` If a rootTs,installell tvithFiu����obEatiANgWiddpalon:I agree to'remove
in,ll d ,.,coal cons a,dernelh the Ray Ar,aA Q Ely,Manag
,i,t-t -„ all new materials for inspection. 'Applicant understands and�willecomply with. .'
Oyes -,; ❑Nn 'F °-all''non-point`source regulations. y,.,, , "
cis
11' ad the hr,ardl Icb,retrariawyl,toth,Clri,ar,695 of de
Calif inH lth&Sudety Core,S Iaa,25505,25533 a6d 25534.1 iond,,,trandlhat +
it de hild' bd IIy M1l - I I Ial t 1 b'I ly Ilyme - 1 '
cc 'a le�Ihe Iy,'r Icwhe nelh Iprior m, n, coda md,mnor . 'r
�.n % _Signature ofltipplical `Date'-
, All+roof coverings to be Class,"B' or better,
e ;''
OFFICE7n