01070141 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:,-
a
BUILDINGADDRF.SS: PERMIT NO.
20060 RODRIGUES' # 12A WALDRON CONSTRUCTION COMIIANY01070141
OWNER'S NAME: - APPLIC TION UB DATE
LAKE BILTMORE APARTMENTS 73 HERBERT LANE 07 27 2001
• PHONE:. SANITARY NO. CONTROL NO.
(408) 377-8186
O ecZ ARCHITECTIENGINEER: BUILDING PERMIT INFO
'vF O O BLDG. -ELECT PLUMB „ MECH
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Z 8v=Ni Z LICENSED CONTRACTOR S DECLARATION
Job Description
oz—o IA by R�r Intl r .m anger provfsfons of chapter 9lcommeicmg INTERIOR RENOVATION.
I:,yl_u wins i ,]oo0)oro nJofrM1e Bu.messane Proressionscodc andmy Genu
< sis in fallt eandeffect. (REMODELED KITCHEN & BATH, NEW. WASHER/DRY
p z z G L serve Class L c.#
w3,J Date Contractor WALL A/C, FLOOR COVERING. )
ad u.c.0 a - ARCHITECT'S DECLARATION -
,� 1 understand my plans shall be used as public records .
an
O .Licensed Professional ' - - -
e'xoprc, - OWNER-BUILDER DECLARATION
m_n 1 h reby:affra that I not exempt from the Contractor's License Law for the, '
F'Z'Q follova.,neason.(Senior 70315,Booness vad Professions Code.Any city or county.
I x which requires a permit to construct.alter,improve,demolish,or repair any straarc
a
to itmance.also texture,the l,n fruition drioI Men si,red,netwom, -- - -
thth 'slicensed pa.ounam,he provisions aftheC t to License Lwchapter9 Tt S Ft Floor"Area .,, uahon
m n g,pn,sel n,700hu rniv on3oltheBusi lProfessions Codej r," a..a . _k zq`- r',Ie. or t..{?e,' e� _ $346Y
or that he is exempt lhercfrorn-nod the basis for the alleged exemption.Any violation
-•.of Section 7031L5 by any uphicar,for a Permit subjects the applicant ro a civil petmlly
or nularom than five hundred dollars 155001' 3 6 9®§fit(�8m1P�Pl s--sr;>•:: `:_. Occupancy Type
❑I,m,owner.fthe forfeit,or my employees with wages as their wIn compens mitt,
will❑ the' work.—and the structure t manded or (fired for sale(See 70447
48uuarcss dp Pm e rCode:T"he, Cot License
c . Law eo. I applym ,.. 101 .—. . .FOUNDATIRAuired Insp3r1
e,ctions 1
owner Artty bonds or improves tM1e d h d M1 work himself
or through crl provided mt n Improvements t ee 102 PIERS
of d forsI"IThwire Ih building p mount Ie to f F-
t .•.
- _-_'--
pt m nrn Ide In vetnt nm rp ngthth did
not b m r 103 ___
r -
104 — REBAR
—
1 fine Prof<IY n exclusively contracting with1 n J contractors to .105._•— .ANCHOR BOLTS r
construct La Project
sod. ni CMe)Th so,believe.
ei r. 106 — SEWER & WATER t-, Jt'
1: d [ 7.an owner 71.4 Business fp pidP ty r.n b'Id p to , ✓
_a d no,contm ,r .aeh projects w - mem s1 r <a.par,aant m e ., 2 02 _ -UNDERFLOOR—PLUMBING _ . _ .. __._--. ----
c: C I trsl,i seLw _
❑I m undersec ""'" B&PCfrthlsfpaspn 203 — UNDERFLOOR"MECHANICAL
204 UNDERFLOOR FRAME
•"woBKLR's OM xsAT1oN15ECLARAI[ON ,. 205 — -UNDERFLOOR 'INSULATION
h Ithereby affloor u a
dcr penult or gcrjy one orth Rdowingd 1mfn.: 301 — ROUGH PLUMBING . .
❑ I ha a and will hommid. Cerrf l of Caniiti,' wif-imum,for.Wrker', 3 02 — TUB & OR SHOWER
C ope at a,Provided for by-5 l 3700-uf-th Lab Code:for the
performanceortnew kf hich this pernat,is issued 303 = ROUGH MECHANICAL
Dln 'npwillmiibaanwurkc,.ci Pe m m���' <,a �equiredby.S&iu'n - - 304" -1 ROUGH ELECTRICAL
J7W r.n wba:Csde r thepe;r ,< of kr hich thi,permitks' 305 — FRAME
Cac I" "P Icy No Ply b FRAME
4.. .
issued My W rkel C pe t 1 : m ce � ❑
J t .P° r. _.... -
1 r Is
CERTIFICATION OF EXEMPTION FROM WORKERS L' f S 30.7 t— -INSULATION, %
" COMPENSATION INSURANCE .i ---------308 SHEETROCK -- ___ -- _
rrn tonao<dnoln<complredfinepamtt=fronehtndrcddouatx 309 — EXTERIOR LATH '
1$I�7 I
g.l.p--._ ..:I'NTER-IOR.--LATH
"aY f y - pert 'ace fth ykf ht hthi P t dI ,,
1 of Iht th Ip
xnan t employ'o",pe n ny req .m been bl cl`m req wokkent� 311 — SCRATCH "COAT`
APPbcanb fCalt a Dam I
C p sauon Lu .
_ __.__._._313----_. ROOE_NAIL._.._ _ _... .. __ _.__.__—.
NOTICFTOAPPLICANTIr fm ukuh, his crtf t IE p. you n m 501• — FINAL ELECTRICAL-
0
't
ppbecsubjectil theWrkrsC ono 1 provisions ofth Lb Code,you mast
.-fon- to ply-..an nP _. ._._ ie"_ _. ....... ,. ..__,5.0.2_._.-.._FINAL.,PLUMB_ING_.ENERGY_".._ -
_._
t p t.M1 11 bee ❑ k
Z . ' .:
yx1fiocorvsraoCTloNLCNDINCAGENcr 503 — FINAL MECHANICAL ENERGY ""
a, ^I M1ercby affmt that th - 'n t t ni lend'nB agetay for the Perfamwnce _ :'
W:.rt uRhe okff hichlh pe t _,sud1S 3mrc' c) 504 FINAL BUILDING -ENERGY
L vers Nme - _. -. .�,.;. " . - ._. -
az
Le ❑ sAll
505 - FINAL ELECTRICAli
L Q have am ' 506 — GAS TEST
y l,c t d.t some above mol
W-'pa ctxtlg to: ply maB 'ly lyodnn and toxic law, ratios 507 — FINAL -PLUMBING
0.0 ton Id g t t dh <hyamh p tliv of his t,1 t Pan
y':W m an t_ dproperty l inspection purposes.. 508 — FINAL MECHANICAL
Qs (}y 1 E t e ode pf,.mI l p h rml<s the City of CuP n g'ant
F-V]
liabilities ludgt nil. col a pens nFhmy in any y me agat :t said - 509 — FINAL GRADE
U z AP TUbDe STA'thU t NDvV w t 510 — NA ING
"" APP RCANT ULATIOTANDS AND WILL COMPLY WITH ALL NON:POINT
s'oURCE REcocATlons.,. '.Lf.. _.I ..-,:c,,.� Issued§g: Date
Signorine tApcn.,ruC taelor ;. t:... pme Re-roofs
HIZARDbUSMATCRIALS DISCLOSURE '. 't
!'k WEm ,pi t rat b tai s P t t tall 1 m" I l , T e ofRoof
- ase rn dhythcC pert M aP Cod Ch pt 912 dth Hahn ds Fry yP
Cd Seel 25532(r) k r t t t , ♦ I'
__All roofs shall be inspected prior.to.any roofing.material being installed
will the.npl< l r t b m E pant a eq p t a wn<n If a roof is installed without first obtaining an inspection;'I'agreeitd`r'emove
e th d l t 'tlel dhy lh ByAre A o Ipbt ag' t
D tri<t - all - ._... _:..:.PP..`. , dwell-comply with::._._..
P g a .. ..
new materials for inspection. A llcant understands an
❑Y p ,, ,� � I ' t r , - I alt non- oiDt source re Mations h
1 I have[<ud the limJ tale y o paint, de Chapter 695'of the '
Crilibboric Health'
ltl'&SfetyC 1 Sect n 550525533 and nil and thI
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a 9.
q m n s t Inc met P r t��O t aDC/n f I the __.. __ ._ ._ _..._. -__.. __.. _. ..
'o tltortaed 1� t t Dae of
$ipnature of Applicant Date
g Y Y P Y Y ._a ._,._ __. _..._ _� _ ..-. ... _,__-
t c o t t e t t il t il n t il t t
All roof coverings to be Class B or'b'etter '
. .OFFICE