01030106 -if—TIN OF CUPERTINO s' '
- -
BUILDING.DrvtSION PERMIT ' CONTRACTOR INFORMATION:
BUILDING ADD TONS -
PERMIT NO. '•lr
2009Q. RODRIGUEB AV # 8 WALDRON CONSTRUCT ON. COMPANY01030106
.OWNER'S NAMfi:.• w . APPLICATION SUB IN'I'l i .
LAKE .BILTMORE APARTMEN S 73 HERBERT LANE 03/20/2001.
PHONE: SANI'T'ARY NO. CONTROL NO,
(408) 377=8186
O 7O ARCH ITECOENCINEt?R', IIUILDING P[RMIT.INFO
W F .ItLIIG' ' IiLEC'I' `PLU MII MECH
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Z�yBCENSLDCONrRACTOR S DECARA1Rnry -1 lf.�I tl ,r ' Job Description -
O Z C 11 by a 11 II d I ' f CI Ci dF 11yr��Il�F�r VL ® � . • ,
ithS Sit 7mHp rll ntof the Ru d Prafic,,iml,Code,ami license .
1 9 c JOB c ` tenet nrr o 1'20p INTERIOR REVOVATION INCLUDING:
e. Dal- ` emr 2 REMODELED KITCHEN & EIATH (S) ,•:
F O a ARCIi I'I f:CT'S DI CLARA DUN
1understandmy pilots hall be riot a,Pbl fnNc
a
°�w'•H3c, OGa wPILnrihacitn f::'Dua'lI.n : - I II 'y I; I-mcu 1
D ' '• - NE, W WA.SHER/DReY-ER.;. . NEW' WALL
L,L•.
i -
ne
A/C, '
OWNER-BUILDER RATION I G
< 1hereby arrnn that em exempt man the Contractor's 1' La (of the
-zhdhmmg reason.(hvon 703 1.5.Business J P f. n C d A Y ly or couny
, all F J f:h ou y.It cmrc '
n q Ih �p1' II . 1p I
Ima
'
t
fd c Imeme,1 L, (Chapter 9 5 Ft. Floor Area Valuation
len me Icing x'nh Section Tight of Division J of the Rusin and Process ons Code) 9'
nr that he is exempt n:erchout and the basis for the alleged exelnpnnn.Any violation
or Smllnn 7031.5 by unY lHilcanl I'or.,.null sn19enx ILD oppficant it,a civil,reall, -
ofrolmoreIran five namheddtlm,s(S500), - APNNumber - Occupancy Type ' .
°L as %n r of the property,or employees with wages as their sole conmematioq, _ J
x111 do,In ,Ok.mid Inc......role is nal immtJed or offered fur sale(Sec.7044.
Im,iti and Pmfersiinis Cl..N.'Fill Gmrnmtor s License Law tows nor apply In an 'Re(ltl ll'ed Inspections- _ .
'Inner of property Who build,m improves mcreon,and who does such sod himself '
tr through his own employees.provided that such Impmsenecms am not intended or 36903008. 00
offered for sale:It,however.the bullring or iln,ftvemcat is sold within one year of -
nmpleton,the nwnct-minder will have tiro nmden nrlaoiiog Ram he did no bind or
imp elle purpose
sixcaner'Irmeli�prprnY S sir ted' 9W 101.' —. 170UNDATION
1 Ra IS 70A1 Il :a IP f.'s,..Cr Jc] IneCnal, lo's - -
a."'he 1.02 — PIERS
.ice 1 J s nm upuc t toname, 1'p pony Int y lice se mp rs n lInvolve
the _
and who Cnnlfcls fur such Projects with a enn,mebh(s)licensed punuam ,o the —
.'Comrnetur's 4..i sc Laos. - 103 LIFERr ..
- rsllamu pl ler se. hI rch tMsreap,m Y 104 — REBAR'
�y y�
oxner�'Ll re ��
1.05 — ANCHOR BOLTS '
A�iwo�;�s'co NSM9M D[CLARAT ON - -106 SEWER' & WATER -
IhelrehrnnirlllamterpesumymperiuryOneeol me olio i-vlbrakn.: �. _ 2 �. ' UNDERFLOOR. PLUMBING-• _
c0 =
C I have and w01 maimein a a,Secti tr3700 it m selr-insure for winkere 203 UNDERFLOOR' MECHANICAL
Cnmpensmlon, as Provided Gtr by Section 3701f1 of ,he Lunar.C. red the
pemnlahana nr me walk llhr wniclh.i,is penlnr,iaanea. _ .
r. 204' UNDERFLOOR-:FRAME
°IM1a ftheabelCnminc, actheeComannw'of
neworkInsurance.for
uch mibysmit is 20-9 UNDERFLOOR INSULATION _
l7t➢J of the Libor Cade,fur the performance or the work fur which Ibis permit is: "
a se:nfMyWaisCulpenaulinnln.IlalnecanierHadVolicyninnbernre: 301' ;—' ROUGH PLUMBING a
Carrie Policy No.: ' -302 — TUB d OR SHOWER
. CERTIFICATION OF FXEMPI'[ON FROM WORKERS' . . n
COMPENSATION INSURANCE .303 _ ROUGH-MECHANICAL -
Cnhi,,,cli iused cut lie ta,letedifthe pe,,fir.for one OutlinedddmR 304- — ROUGH . ELECTRICAL ._
IS10q)nr less.) ,
305 FRAME
1 Octal,Flat it tire pc In c of tile work lot whim his permit is issued.I p•
shall emptily any Fast :t become Meet 1 the worker., 3 —06 HOLDOWNS `^ -
Compensation L I California.Ila, '
Applicant 307 — INSULATION
N(fll(I lflAlll l(ANI II II 'k' yll CtI fHsa hptnh ,tushoulJ -
zbecame subjectI the Workers C p provisions ifhelannorCurl ynamesl 308 SHEETROCN.
O O forth th comply ii all such F vn nm th
or this %hall be devilled revoke)
t ' 309 — 'EXTERIOR LATH
4.7 CONS'I'ItUCT10N1.1?NUING AGENCY
y > lhfrebyOR...ilhatRon,isaeon.Imfllnnlendin,agei for lheFelt!rmmove. 31.0. — 'INTERIOR LATH
nrlhe work for which this pe.,it is issued Nov.1007,Civ.C.) - .
y.p 1<ndersNa,ne 311 '— •SC,
PATCH _COAT
D z Lellder Adds.,,. :31.3 — ROOF' NAIL
law C I nfy mer 11 III' application t I state that the I f , i
e [= eta g pn n u ly 1 ty oh der 1 lI 6 501- — FINAL ELECTRICAL ENERGY
O U het n e' t t dI ny d h Irl t p n 502 FINAL PLUMBING ENERGY
loam i II P Irl F i P 1 " ' -
F � liabilities j.d,menl t dJ ptureswhpnam,in
nn,way lttpr almost said 503 — FINAL MECHANICAL'- ENERGY
v
City in Consequence Of gran,ngnfthispr t 504 , FINAL BUILDING ENERGY3
APPEICAMf UNDERSTANDS AND WILL l COMPLY WITH AL1 NON•INIINT
TR
SOURCE REGULATIONS. - Issued by: Pit Pf •rte,
slgnamremnFFUnamtCn,nmemr Dale - Re-roofs 50,6 — GAS TEST
IIALAROOUS MATITRIALS DISCLOSURE
will one appliall I or battle bmlho,ocapi.....o or handle h:amdou.maledal Type of Roof ' :507" — FINAL PLUMBING. .
ns defined by the CuFanino Municipal Cede,chapter 9.12,and the Heal,lt and Safety :
cede,Se yes. 2553xn,^ $08 — FZNAI_ ME11CANds
ANICALI
°Y" °N" All roofs shall be, cted �r'l �i am,Oro materrt being installed.
Will theapplicant f huddiag accurate use equp I d ,ccs which - • w
emit n J -roma nt: :dfinedbytheBayArmA Quality Management IParootisinstall d"-`thou[ t'i s 4ai g g
t F4�f ��}tl ion', I a ree to remove
nialr I Yall new materials YoP�s eelf[ifl. hE' n and will comply with
°v es °" all non-poirn sour®�Ir lguPati&INA 'p 'PUBLI'C WORKS,
1 hove read the Imzvdoas material,mquireme title,Chapter 6.95 tI the
Cnlifomia l Icahn&Safety Cale.Section,25505.255)3 and 25574.1 ande:ntmoloon
f1bobnlldingd6csall cta,rcntly lcrvoPlamui,thal Ili, it,re,pnnOtali,y In Illi..fy the
&Zi
IIIc[Cgll rflnfnlA wlhifh lutist C anCt prior In Issuu 0' f' CO[lif'Yle illSignatUrC of Applicant' - Date
gc ])all r .ATI roof coverings to be Class t`B" or better -
n .OFFICE a