00080121 CITY OF CUPERTINO' - -I
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION: - -
BUILDING ADDRESS: PERMIT N(1. .
• ..1
OWNER S NAME-0080 RODRIGUF_5' 10-I WALD RON .CONST Rt.JCTI C N'I'I(i @MFNWNy000801.21.
ON . LAKE BILTMORE "APARTMENT 73 HERBERT- LANE SANI'I'-ARYNa08/'1.fJNE!QNPiIp
°0 6 .ARcnlrEclruaclwaeN: F. (408)377-8186 r-"BUILDING Pff INFO
-❑❑
z U . BLDG FLECI' PLUMII MUCH
a - - s'
LICENSED D CONTRACTOR S OTCI ARATION -
O z`—' Ih chy fl .Inn zoo licensed orderPfCh pl J1 . s Job Description
w ll S cro hoth.1'Dl'...3nf hell ul l rdernn 'C-I-. nd aly 'cenw
y^m
is in bill fnco and effect.a. _
rc u 6 Liconse Class - Lir.M
3 LL naw h - Cn "I'l„r A
ARcxrrrcrs Dl:c nxnnoN
I understand mTNT. RMDL,•' NEW`VTTCH. NMEW BATH (S)' NEW
!� 4 y PI shall he used as public means
at g a^< - NEW WAIL. A/C, NEW. FLOOR COVER.. ..INT.';DO
o
aaoLw :JI :umwl - .. ,
OWNER—BUILDER IIFCL ARAnON
In M1y aIr mal' el—Taf ,n C ,' L I' or by
C 2< fnlL g awn.bsa 01131 5,Pu Cnu all P nt'sxi ons Cndc'.Any icily or coony
as F°o which requires a pchol to nmswa,alter,improve,demolish,dr repair.,gN¢me, -
i
Iof h p '
ncl el I n P f c II' n h Chafe, r St. FL Floor Area ,.
or I m6 w'tb lea t III enol a but S of,he lchell s: a ion.fAny i C.Nel 1 ' Valuation
or S, he s cscmn,Iberelnun and the buns for the..tepee exemption.Any I ecmil”
tr5c tion illi LS , nny hundred
ilaal Ln n lmnnll athlete.Ihoyiplicunl to n civil Prnally
at m:I mom man rape ba,mma eollare lssa')' - 'APN Number Occupancy Type.
'DL" flhc pn:pery ynpby -0 b. IImr' I :. - +. .. -
will 1 ,I k :ted the1 ,u a tended or offere 1 for lade(Sol.91144, - k
.Business nd Prf, o CMI:The Counioncom I Licarla Law does net apply, n - - � ,-Regtllred Inspections '
c�I owner ofp p y Who buillf, Inoon,anal h 1link l - . II'
,it 11 bhh. n ply a Idthnl, hem ant o.on dee 369103008. 00' F-9NALED
implofifilaree f r ale.If,w howu'u,ane build ng pn of rot ng that w thin one year of r '
tmpla,inry the owner-builder will hove the harden of Proving Ihnl he diol not suite or r
P f 111. NOV 1`5 A40-'od
I lir 1 m p perry - lily meet g m t , ', 11.01 - —, FOUNDATION
,III nj uB nu4 B : -: IP f.s',n.Cecil) n cIl r 102 -"PIERS a .
m
LlCa sa Law dads nal appy to an owner of pmpeny who buLld it improves hereon,
, BUILDING '
and hm h-for such projects with a contrac,m(s) II c. e pursuant to the 103 — UFER
Con I I.0 '. , ) '
❑la dkSe 1 /B•&ICr miema.nn ' 104 REBAR -
Own (yJ '105, - 'ANCHOR BOLTS
WORT :1rev r�rloN
1.06 - SEWER R' WATER `=
I hereby aff rin under penally of perjury one,nl',he following dualnnnions:
I nave and will maintain cat„LB¢a,e of ctns¢n, ,dunned for Wmkors' ' 202 ;— UNDERFLOOR. PLUMBING -
AmlWemminn,.as provmed for m' Section 3]1x1 of the Lahgr code. file he 203, UNDERFLOOR MECHANICAL.
pa'rtnanen nnba w.rkl n11 :p , I',', - 204 — 'UNDERFLOOR FRAME '
❑u.a rtheLa Bre: de w k Compensation I : q ' ebyS¢„ 205 ' —. UNDERFLOOR. INSULATION-
3]Iq nl the 1,nor Code,f '11 M f of IL. work ru wh�h In'.Iw-n,�s
slued My Workers Cumry•rvmlon Insurance carrier ane Policy number a re: 301 ROUGH 'PLUMBING--
cnnire: • PEMEITI .: : 302 — 'f LIB. &• OR SHOlstR.
CERTII9CATION OFIi%Eh11'TION PROM WONKL'HS' '
COMPENSATION INSURANCE 303 '- ROUGH MECHANICAL
rrnr..eeti�.n mea m:I la cmhpm,m it plat pnn,.it is but
6ne hundred dollars; 304 — ROUGH ELECTRICAL _
certify Thal i11 me perlmman¢e apse wire rnF wldell this pe on 1.ixenea. 305:.—-FRAME
.bull not employ any peourn In any number so as to become subject to the waken' - 306 'HOLDOWNS .
Cmnpansadan Laws of California.Dana —
NGTI 307 — ' INSULATION
NOTILL TORI.the Worker,
II fl making Ceio , hm limp,' yushous, 's
Z he ,m n,lccn with
W A C -n n', p _ : r n I n cad no nous, ” 0B — SHEETROCK .
z � I abw'11 ........ly wlh.0 1 , .'n . .ram 111.111 bill hate J kA. �
E CONSIHUCr10NLENDING AGENCY 309 :'' 'EXTERIOR 'LATH
C yr rcnyanlr.ama,n g ,nye II pe rr.anm 310 INTERIOR 17:ATH r
of the k(r which this permit is issued(See:31yd] Civ C.) y
rd,e: Name3111 — SCRATCH COAT
�' z Ic tee-IAll ss - - _ 1" s
u!O 313. ROOF NAIL
I r,'Iy II ,Ih cm.ul lhis application d.r, In.,thehn f
Ow.F "' ywth;ill ct,aadr ly dd.1. b „g 501' — F,INAL ELECTRICAL" ENERGY.
V m ail ag'It.strum...haul harebr annum) pu smoke,oltl'serylo enmrup.n -
} W ,he same mentioned p pent'f 'flee,' P rpo. . - - -' 502 — ,
FINAL FI_UMBIMG EhIEP,GY
'r. LL
(V vz )ab , - e indemnity dkeep i IIti C'ty fC 1 n' y
r,; lus,'"Itiell may ntiny war term, s ,d " 503
FINAL MECHANICAL ENERGYCityin conseiqueca
of the Sendingd
,hiu permit. -
r .SOURCE REGULATIONS.UNDERSTANDS AND WILL COMPLY WITH ALL NOWPOINT_ Issued by: 5041- FINRp n T.I—DIhIG ..ate 'i-I--?J
CA
.. sisml,nre arnppla¢a1.Vctn,ranmr - ,, Date - Re-roofs •.506 GAS TEST
ImzARDOUS MATERIAI S DISCI OSURI - ` '
N'111h ppl mo 1, rehu'IJ Bacup ,sire handleb aN u. mal I, T 0 Of Roof
a�aeraed nynec p,;l,oM pdemf co-p, �,Izndth xeen .Sant' yP 507 — FINAL PLUMBING -
Code,S"'in,25532(li)?S"''
13 ye, 0 N508 --' FINIAL MECHANICAL.
All roofs shall 3ecte Q[�o u n matenal being installed.
' WdI n.¢apnfc'nm flna hllJng ',a"In"a cio'dev-,'hi'o '••� `+1`t'1t���
nitbin,araaa.aly¢mlammamsaadmil.ebyB.emlyAreanirQnmi,ynlanasr,nent ILa roof Is insta�lcfl0vitho I. 1 tE a ss�,rcl,gn, I agree to remove
ntriee' ,e'lorvn all new material`�.for mspe• I r�AApPT'^�tU'1dctP�'
Cyr. p� I a t tands and will comply with
�. all non-point soot?c�e�4egglp t1Y.RL. P�HLIC 'WORKS'
I hmc mads haz o1 am I rcl ra , ler Chapter h95'of,ha • r
Cnl h.mia Health ureyC t S c, :55115 25 d 8514 1 d ,onA that
'l lhr ln.'I •a ..I•ur It' I 'n111 '1511I, y 5pnrdiolil,l nlfyL, •J � ' '
upas fllc rmrtnemaw ' mm,Mmet Pr orti. 'l f Crefa,e of '
_iM' ilia): .�
Signature ofAppllcant
—Date ,
owner or authorized agent., - , ole All roof coverings to be Class •`B' or better ,
CITY OF CUPERTINO -
au1LDlNc DIVISION PERP"'T 'CONTRACTOR INFORMA7,ION y;
BUILDING ADPRLSS: PERSIII NU,
OWNER'S NAND!,) A J ( PI fA (NSP AT- „
lh%;St. IIi7--I R7j=iL.iilYl;ill CI)RI'sI'f 1IccI't, � >,LT�;�),•r��'�;'1�1trkYf-1417 }'1
HONE "hh"i!?!�: ill�iaRTIdI�Pi I'T .J.:i Fik."1'ti4f; F'1' L.i11IF SANIrARYNO. CONTROLNO
0'.10 il
! I";.r'2004.,
ARCHHH-Cl/ENGINEER'. I•I IONE k BUILDING PERM11INTO
A /I 11174} 1,1";' ' 3166- BLD(' (iLE(`I' PLU%IB M1ILCII
I
O2
'INSPECI'IONS'; 'DATE ,d1NSPEC,, TO ARRANGE INSPECTION , 3G8 DESCRIPTIONY.y. < tp to ,,_f b {y, " �' a CALL 777.3228 MONDAY-FRIDAY 24 HOURS RESIDENTIAL
y i FOUNDATION/PIERS/H.U.S. BEFORE REQUIRED INSPECTION.JOB ADDRESS ❑ SFUWL ❑ KITCHEN REMODEI
zy= AND PERMIT N ARE NEEDED WHEN PHONING. C ADDITION El PLUMBING RE PIPE
UFER GROUND C MULTI-UNIT' ❑STRUCTURAL.
PAIL/SET RACK-CERT RESIDENTIAL_COMMERCIAL_(]]HER MODIFICATION
3 GARAGE SLABS/PRECLNI'PE ❑ INTERIOR ❑CHIMNEY REPAIR
S`POURNO`CONCRETE UNTII'AROVE TIAS BEEN SIGNED.x, :`:7# HAZARDOUS FIRE.AREA IMPROVEMENT ❑ SWIMMING POOLS
W g171BATH REMODEL/REPAIR❑ DEMOLITION
zam,p UNDERGROUND/SCAR El If yes unJenwnd ihelnCloneA r;:of oe.omhlynroyulnd. _
w 3 N ❑ OTHER
PLUMBING
❑ NO Initial LC.BA.N
��a ELECTRICAL
i
- - - CUbIN RUXL 3= iCDOR-NOT;POUFLOOR'UNTII:ABOVE HAS'BEEN SICNED;4n.+'> EXISTING ROOF COVERING
❑ NEW BLDG/AUDITION C DEMOLITION
PLUMBING - C TENANT ❑ FOODSERVICE
MECHANICAL Number of existing coverings
IMPROVEMENT
ELECTRICAL To he removed To he retained ❑ OTHER
FRAMING VENTS
INSULATION
'TYPE OF ROOF COVERING
`PLACE NO SUBFLOOR'UNTIIe'ABOVF.'HASBCEN SIGNED„ t'._;..
ROOF SHEATHIDIAPHRAM EXISTING: PROPOSES
PLUMBING — pj ❑ Built-Up Roof ❑ Built-Up Rnof
TUBS&SHOWER PAN ❑ Asphalt Shingles ❑ Aephnit Shingles
MECHANICAL. 43 ❑ Wnnd Shakes ❑ Wood Shakes
tFRANIING/STAIRS/E
ECTRICAL/POOL BOND 0 ❑ Weod Shingles ❑ Wood Shingles
.EGRESS ❑ Other(Specil'y) C Other tSp,efy)
SULATION/VENTILATION Provide LCB.O.Report NoOVER'NO,WORKUNTIL ABOVE HAS BEEN SIGNED 7F, - Prnvldc Mlgr lnsnllminn Spec.
TERIAL SHEAR/HOLD DOWN
TERIOR SIIEAR/HOLD DOWNEETROCK/SHEETROCK SHEAR INSPECTION SPECIAL.INSPECTION REQLURI, ❑ DATE INSP
'TERIOR LATH/W-SCREED
SHOWER LATH
31NO,TAPE OR FEASTERIUNtUEABOVE HAS'BFEN SIGNED""' ti
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
,Z PLANNING 777-7308
' Z C GAS TEST -
a� GRADE F.W.777-1153)
FIRE
0. HANDICAP
;-.;, z
U C ELECTRICAL
0 F PLUMBING '
�, rsUj MECHANICAL
� rn
ENERGY
U VISUAL FINAL ONLY
BUILDING
OCCUPANCY'OF BUIL DINC'IS N'Or PERMIT TCDUN THE BUILDING FINAL IS SI('NF D BY,BUIL
DING. C-; -
'^."'' i*11 'xt ', t si +""`" CERTIFICATE OF OCCUPANCY❑ '
IN.PECTOR. '?,«_, - --.X.�_vx'...
RE-INSPECTION: PLYWOOD: IN-PROGRESS
INSP. D;\I'E INSP DATE INSP. DATE_
TEAR OFF INSPECTION: BATTENS: FINAL:
INSP. DA fE__ INSP. DA'TF. __ INSP.' DATE _
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
APPLICANT'S POSTING COPY -