00070125 -CITY OF.CUPERTINO .
nmi.mnc nivtstoN , pERMIT''_: ^ ' C_ ONTRACTOR INFORMATION
n�"'• BUILDING ADDRESS c �°, t rU' .'.,y •. IERMITNO.
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OWNER S NAtc�f to " •, . APPLICA'T'ION SIIB ON L -
010$. ;RODIGUES, # 9C WALDRON CONSTRUCTION COMPANY00070125 PHONE .
3 - _ SANITARY NO ' ' CONTROL NO.
LANE HILTMORE APARTMENTS t.• ' 73 HERHER'f LANE',, 0ll,cll2000
.: z' 111JUJINO PURMI'I'INFO
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Qae� (400) 37-7-8186: ' - -i _E
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LICENSED CONTRACTORS DECLARATION:,ARATION 'JoDBSCllptlon '
Ihearn,affr: hat 1' d p ICh, Il nig - f
mF✓e, with Sccl ot7O a[D ' 3lfineR itdPufe,, 'Ctfe rclny l' — -
z— •' ',, f II f - I (feel License Clore 1 N
.�Oa. D.I Contractor t
a O 6 t ARCHITECT S DLCI ARAE ION - - J. "'
I t 1 vpl n nn d P nl 1 t1 KITCHEN REMODEL • �""7
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OWNER BUILDER DI Cf ARATION I . { '5
oI nerehy affal that I,n emP1 front the Contractor,License -r rnr the
7j�' I dl 8 o (Section 7031,5,N .' I l r f. .(Talo,An, 't, roam, .. '.• -
f'e foh h y r:ape"" tt 't II P 'I lretaliation,.«aeire
p I I I I Yn Ipl II hp II fly�{ 1hrea t -
d L tela P?�a $q, Ft. Floor'Area Valuaho_n'
m s 'n S 7nB01 rD I3 I n B Sand9 l L 1 a
orfall l renPlrh f It l 'I o IIgJ It' n y I��
oI Section 7031 5 by y a PPI t f Tl hJ,auhc ppl nt to t lty a
APNNu`m_ber Occu ane T e.
',rce ltnndrnl dmlar, xsoB i - P .Y YP
nn,m t»na tmtt
t 1, ?15-R
Cy
a1Y' J
F]1, oak,
p P tY r PI > 'd .1. Ile t Qf i:f� - :' Yr...
w 11 l thek' I th 1 t t e l l a d YYYcccccckkkkkk (s .'704 r
B d Prof e Code The c t t r e l d I Iply t :S �'' Required lnspectiont « 2 '
owa rP p pwl n II n a I n 1 ll n m1" Ir ' �Ey903008. 00 `t
i n�Ih ubl h'. 11) P ,ad,JIIIt 1 ' P ta ill- n l nt e l r ( '
c. tH IIsale,- III theb 'oil d,b p'overcall Id 'tl y of 1'
w d PII 0 nlld xll have lh h J Ilro, bth the did nnnr ld or - ;
1 r .
101 ..— FOUNDRT I ON"
ii(IF�/, rrfheP P toy' i, I, ` I th& tl licensed t-el '102!'— PIERS',,
ct t t theproject(S ]flMt B P f : C J J TheContract',-. t x" '
Ii Lia—loo, tlllyt rNotion, n n m v , a, 1.03 - 'UFER'.
at I I I "Is r r. 1 P peva,wlh (nal a ed'Ptort m to the _
ElIalltal eimis n�&PC�rinf, . .104 RERAR":: r
�17R 105 — ANCHOR BOLTS ,
tiwn` w RS OMIENSnnoIA1:cIAI":di'10N .. .µ. _ 1.06 — SEWER R WATER. b ,
t
I nanny alma ander pen,Ity rP ary are ormel II' ynb leclamtb . c02+�- UNDERFLOOR PLUMBING -
203'._- UNDERFLOOR MECHAhIICAL; • ;
'7 1 1 I w l l t c a r l 3 1 L r ib e r '
P t P d d l by Section , c r m Lan c e I In . 04 �— UNDERFLOOR. FRAME ,.
0
.o 11 a.ettd w ll Haman Workers Cr ari,tttn l,vrau, ey dI,Section
. �05 — .UNDERFLOOR,.IhISIILATION'+ " wi
3700 f 11 L n Code,f a I f nv ore of the work) 1 h d', p 'r. , P'
„ted Mr Work er,c l,natinla,araace carrcra,dPfcr.norol nice, 301 — '.ROUGH -PLUMBING .. .
Estate, Fork,N.:, ;,302 TUR R' OR SHOWER .
clRflrlcnTlovoFPxEMITIONreomwoR FRS 303 , `ROUGH MECHANICAL I,
COMPENSATION INSURANCE'
" s `<304 —,. ROUGH ELECTRICAL M
(Th election mcd tot hec mPlet d f❑ P t t 1 r_ handled d II :
SfSIW sJ —
305 :_FRAME „
I enlynet n p r fa ,,,k for n hth'. P 't a l' 306 HOLDOWNS `
hall T e o r 1 Y ler,. w m neco t bloct to the W kcN
•c P afnl lcEr DI - '307 r INSULATION, -
ANI t
`NOTICE TOAPPIICANT 11 ift k stn C If I IEa -p( Y h Il ,, 308 — 'SHEETROCK
he I I b n theW A C r t p Ell Lab Code,1 Tt,t I i t x t
'•', O z o-nnwmromPlywm np , d t,naup 1 w cokce 309 EXTERIOR -LATH.
�CONSIRUCIION IFNDINCACLNC 3110 —',INTERIOR LATH
'H'rr Ih rhyff" thin 11 .t t d'ngab yFri prdrtn,
C erll err hthd P I...ed(Sc3n97,cro.c), "P 31. 1 SCRATCH COAT
ric
� z is v neer„1 c , 313 — ROOF NAIL '
U O Ten I,Oat lh adani.appy r and state ln;I me ana,einfiNaat;n i. a . 501' - FINAL ELECTRICAL ENERGY
W 1. correct 1'brc t I ly with II city' d totally ordinances d state : 'cial g "
-.O v :ant wasmn,trtef and rath c,e e,c� I Ill,en>I.caseroPaa 'y: . . 5102" . FINAL PLUMBING' ENERG,Y.'
meanaba nnarot=<Ila eP orf - ,r f fav: 503 .—' FINAL -MECHRNICgL ENERGY
i t'�y-Qct
(We)agree 1 'fYldk Pl 1 . 1he C'IY rC P¢n bmf _
it t4 fi halt c dg I, I d expenses h ➢in al tiny a8: I t 'd
v,z c1> d b' b 'rt p t,l 504 ;FThIAh. $UII_DTNG ;ENERGY"`
APP AN �tlERSTA SANG WILL COMPLYW TH ALL NON.POINT Issued -5A�i FTt,:1 ELEC.�R ICFIL"Date "
SOU CER / ONg// J— y .50216 GAS TEST
t, s g,a r nppra6mlu m /TF b'. I�� Dttte. Re roofs- ��i
HAZARDOUS MAI TRIALS DISCLOSURE
' " `507 FINAL fGLUMB ING '.
wua plr t rI haws P t, h .m I,a 1 . ' I al " 'Type of Roof
v.'d l 1 hY II C I i M tniCPul C d ChuPte�9 1,., M1 H alar sae Safety
Code,Section 25532(1 508 ;-. FINAL MECHANICAL :. t , :•.R
' All roofs shal!b&i n a V r t firi material bem Ynstalled
71 We ❑N - SN q,,�,:,411pR'� �FP�IDN S. S
b I y.
W II th applicant f t e banking l P t : -q v, m d : h I If a roof is itit5 Ind witlP TINWt O�ttLrl0P�: �peetlon,J agree;,to.remove
e tl d c I t ,dela dhyth BYAry n Coal ty'Manub t.
D t t , y,; all new.matem �sjor_jn. lyQ�. Pj�� Ln�Lunct `and will comply with,.
R ❑Y, F oNt� all non,point.sourcereg I t n..'
Ela read the I : 't Na ul nlrclart fi.JS. fah ' L '( :_- " - N
Cahforn a Health Safety& Code,Seeho 25505 25533 and 25534.1 crolo eard the - - -
ifthl g 1 IYh' •alert lthmti .Yresponsibilityt If,the _r
_� P t q ' tWhichyn�tl he I"air mq c 1` Cetif t f -
_a ire I AA7J"r'-",� .% �� �V SignnfureofApphLant''' 1 zl .w b 'Datb'
own - a aor.edtbem , Datc A11 roof coverings to be Class B" or better: '