01080075 CITY OF CUPERTINO
BUILDING DIVISION PERMIT - CONTRACTOR INFORMATION:
PERMT ND,OL �DRIGUES # 12J WALDRON CONSTRUCTION COM ANY01
080075
`fA'k A tLTMORE APARTMENTS 73 HERBERT LANE O�i/,l9jyM
,• PHONE: (408) 377-8186 SANITARY NO. CONTROL NO.
O O ARCHITECT/ENGINEER: BUILDING PERMIT INFO
3° BLDG ELECT PLUMB MUCH
QU
fan f_J I ... LJ L_I
o5 h i LICENSED CONTRACTOR'S DECLARATION 10b Description
z 1 hereby affirm that 1 am licensed under provisions of Chapmr 9(commencing P
P_FO' wnnsatian]otwlnroix;.mn3afn,<emme..aanePmrexxmn.code,ammyupena INTERIOR RENOVATION.
3:., is in ionto¢eaNefra"' (REMODELED KITCHEN & BATH, NEW WASHER/DRY
s z a Liceme Class Lip.p
doau Data
commcaor WALL A/C, FLOOR COVERING. )
ARCHITECT'S DECLARATION
LL O I anderaland ml
y' y p ares sM1^II be used as puMlc recoNs
nce
a c L,cenmd Profcssowl
OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from he Ciampi License Law for the
h Z a following rause..sectme 7031.5.Business and Protexsions Code:Any city or county
F❑ wM1ich requires a permit m cnnxvuct,ulrer,improve,Demolish,nr repair any structure
i3= ..pr rt a _ eul eq ' In ppl'cem for suchpermu II 'g dvement
Inane sl . Jp'n rain-p mannecommmar c m� (chaptm9 S - t. Floor-Area $346g'0luation
1io men g-int.s«t ]tkxB f D' is un 3 of the eucinc a P,or as Ceiba) ` 9 .
m talk he is exempt thcmfrom anJ the bai s for the allege)ewmpmn.Any violation � � ' '
-of Section]OJ 5 by any applican(for a permit>ubjects the appliamm m a civil penalty
r not marc Inamfve mll,arpn eonm,ls5na'' 3 6 9 OLN5 Occupancy Type
owner or the pmpeny,nr my employees with wages as their sole compensation,
II'Jo'tne'xrork:anJ thCmrucmre'isnot inronJcd orbfiertd for sale-ISec.9DI4, 101 — FOUNDATI
Buiinws and'Profcssions Code The Commnor's Licenu law d«s rot apply manMlilulred Inspections •-
a
wn<r at vropeny was bmla,or imp,ov<s mercnn,and who a«x xnpn won himself 102 — PIERS
tin gnn. ply< p ,amt n p I. ,
.-m❑p,I,ae r r wrrtoll
Y .f . 103 _.._
UFER._
court et l pginot build or104 — REBAR..
. .... . .__.. . . . . ... .. -. ._.
builder will
/
red g ithle 'e ont'et 105 ANCHOR BOLTS - D
1 as fth p pertY xcl IYc t
,rot t a, p i t(s nNJ B s d P r eros Cone:)Tonc nQaalnr 10 6 — SEWER & WATER
License W d nm pply a s caner f p peny h bu Id. "
and, h c nu t fo-such Fjmm with co a qs)licensed.p pursuant m NeUNDERFLOOR- PLUMBING-
Coal
L 202
�1 ^ mp B&P I rea n 203 - UNDERFLOOR'`MECHANICAL
ow r" iw /7 ( 2 04 - UNDERFLOOR FRAME 0
'WORKER'S MPENSATIONDECLARATION 205 - UNDERFLOOR INSULATION
c• Ithereby area nNqppqaltyofperjnry,oneofthe bellowing evelavites. 301 _ ROUGH PLUMBING
wil
❑ 1 hide a^d l morin a Cenifcaie of Comm"th-If imine for walker, 3 02 TUB & OR SHOWER
-- eampenmron:^s provided fo, by Section retro or he Inbar CNet far Ire
rfo mance or he woc,fit .1 ich this .it is i...ad 303 - ROUGH MECHANICAL
❑I have and will nmintai' `workan Cgmpensaaon m,veaeec.as iequived by Section 3 04 - ROUGH ELECTRICAL
3700 of the Labor CNe,for the performance of the work for which this pan,,is 305 — FRAME
nciatian
r are
issued,MY Worker's
CERTiFlCAT1ON OFIF.Pull,NON FROM a Y be
n Pr dP
" 306' ; HOEDOWNS - -
nICYN .. . -..
c e t � -WORKERS 307'"- INSULATION .
COMPENSATION INSURANCE` �1 309 EXTETROCK -
„ SHE _.. _.. _
(Tn. dn , d otha:s6nplated fine pwat is foam nandnddolhrs
W001 ,.11 - - ERIOR LATH 1
310 ---INTERIOR LATH
Ittn fY tnamtha pef of the oAT hch ahsPermit is iliard,1. t ; -- - _
shell-of employ any'pc n 11 y man« . m become bled m the w«k v 311 - SCRATCH COAT' '- . -`
compehip".� . ticlrom D. 313 7....ROOF. NAIL
AApplicant .. ._. "_.. . _.. .
Z 'bebp'mhw TOAPI w T.mour after k' gtn cnr t rE_pdon, should, 501 — FINAL ELECTRICAL' ENERGY ` -
d n hj tiu lheW tike C roper t Pro of th Inho Cod you .t
z O forthwithe mFl with n hp mnx«,h Permit
t nanbede din ked. 502, = FINAL. PLUMBING ENERGY
E'0 -='.'. ":CONSTRUCTION LENDmOAGgaSSCVYr mewrf;,hmpe �I, 503 — FINAL MECHANICAL ENERGY'
of bework tin, n Tiro ilia[ here permit st construction lend
iviced(S .'419] c .cl 504 - FINAL BUILDING ENERGY 1
y `Z Lena um' 505 FINAL"ELECTRICALTZD�
0 506 - GAS TEST
1 army thio tally read al s ily ands county and.uae Ina th h,taa inaws a
pea t"hpat.1 ogr=e m comply-wan all autnN repernrmnanees tai gale rows enter
upon 507 - FINAL PLUMBING
+r,r 'mnuldial bove-memimad n,pert;emnyamction urposemnd:pa nrmi<dtymenmrnpon 508 - FINAL MECHANICAL
.Ihe abnvcme Iioned
,7a.W P IKnY for ipecti p purposes
E.I
A. 1`41 per I.,val inaa Lnifyara pn I sthe Cily of c.f;,miceagainst 509 - FINAL GRADE
V Z lu it n l ea,cahts J e.penses h h y in any Y c against sad
s alga tMs a t. 510 - F AL LING
!Cit lin new
6) 'fc D5 ingot
WILL COMPLY WITj}��A I T'
-- S :c RF;m aT �'S ! �' lssuek]E yY Date
frown of Ppecaufo tar r -'
Date
hATERIALSDURF
Re-roofs
Will
the c t futurebuilding«<up l area ejn 11 earma fType Of R
oof...as defied by the c pen Municipal CN Chapter 9,1 and tl Health and Safety Section 25532o) ..
.. - �...,.•., :, . . .,_._.:., .. _ „
. ❑Y<s 0
All roofs shall be inspected priorto any roofing material being installed,
• W Ilthit contaminants
applicant ants is efired occupant e Area Air
-e which If a roof is installed without firs[obtaining an inspec[Ioli, I agree to.remove
e h N it re t re t defired mea 65 theBay A n A me I ay ev ices m
DSf toy all new materials for inspection..Applicant understands and will comply with
°No all non-point source'regulations
1 c rtad.the ha d mmenala q vao net una<r Chat[ 695 or the
Calf n, cahh&SahJ C-JeSections 25505,L1533 and 25534 Iunderaverat eu
irthch II ' gd •v hmc tier,have amnun re tt is mY iq
llitY toIioait y ticoc p ret f th rcgm ea t. uch mail b n I p n to isLa Ce'idea,refP l � _ Signature_of Applicant Date _
1P o.an_ nmor.en:igen - Dam , All roof coverings to be Class "B" or better
. _ _ . _._.. ,_... . .. - OFFICE
T, t