00120094CITY OF CUPERTINO
nim:nlNdIt)th?Is , DRIGUEPETIIT,,,,
CONTRINQ1TOWINFOR11t ATI€1N2Ni
-
( OMF!ANY001c'0094'
BUILDINGADDRESS:e.• `., -
LOKE B'IL_TMORE, APARTMENTS
73 HERBERT LANE
P13RMI'1'NO: ,-
l�/1S1'0t_4:1 .
t)N NhI1 S NAM1Iti:' -
( 41718) 377-8 i 86
APPLICATION SUR DAT Ce
Is
HONE: _
SANITARY NO., - CONTROL NO'
O ARCHITECTIENCINEER:
.l _ BUILDING PERMIT INFO `
HI.DC h1.EC'1'-. PLUMIIMECHe
LICENSED CONTRACTORS DECLARATION a
n -u
INT
- Y bDL/DRYER I NEW FL
-FyII:A/9 1 i 'aI}
hflat aerated d p rcn pt ,
-,3
__
with Section 7000) ofDi,
of he Ii offd Profiessiorr, Code,und.inly liceirseais
icll cifct.
ti vum - L v,elor -
-
,
ARCO T1 CI S DI CI ARAI'ION '+ `-
_ ' o is
jI cralerhati pine Aroll ne and as. haec mde,
e
•
p Lie 1I -t., I
OPNLR BUR.Il DFCI ARAIION
/ -
Ih I) affiric draln� pll theC 1 1 L L listr
-
tog [S li 7031 5 H I I'' 'Cod A y city county
l
O wh 1 p ll1 1 h p 1 I.1 p' y.l 1
trl
it t 1 scarcer, also reyu'reslhe apyl tlrr voer'card It' file ucyned slatene l
- that he is liecircedp II the Provisions f the Coolicarlors Il loov, feo-mer9'
-
Sq. Ft to r
°a
strati-qn
(co ..ung with Seel 70n(I)Divisionfl or the Fr dPrr:' �CnIl
,
- "
' he is pun r J h' h' f II II tiJ pt Ary : WI m
t' `
-' a„ ,
of $ 7031 5 Y)'PPI If p t. hal I:theapid uo anvil pwally
oro re than risen Bred dollar. ($500)-
sr
A r ".
.
. Occupancy Type
❑lac tovaer "I the pmpcily o'n) c"I with wairitheir le«npelctron
bill do da, work.ad he shoelace 1 ratended's, offered f :1 (See 7194.
To d IiCode I b C t L I I 1 aptly all
t'"
nspect-'io. ns
w 't
p t, Who hard, to d h doe. h work himself
If
-
-m-
10 PIEIp
1. . t
offered bIL however,o Nordic, pnvemen\ sold obb art,Y' f
" -r
1. tTT3, OCER -
- '• '
'
,ver,itewar the h ld ill In h l t1' ,Intl J'J Ih II
", i r
P I I )�
104 — PLRAR_
w nn P p tri l.' ly I t b With I l t t l
•' '],05 ANCHOR. BOI'TS �
�'
111 I J IS 7194 B '' I : Code ) TI C t" t
L d t pplyt ofp p ly 1 n Il p J
-1
M Iw
:117Jf.) SEWER 2.-InIATER'-
l
' ,d n t f 'h pr gen[ still Ill,l r(y)' liveried nl l m ..
Cort cs11Lican.,Lw. sa,
c(Z1,-�...- UNDERFLOOR'-FLUMHINd..••
❑ Ivo exempt order Seo. `St kCreasons,'
:LNDEFF.00RI �ECIAhICAI.El'
Ower ° Daae +
WORKIRS COMPENSATION DI CIAItAI'ION
�T 4 t-•'.
~04'' .UNDERFLOOR FRAM: '
Oren) pe
1 ; UND RFLOOR' IMSLIL�ITI CI 1
t to ler am ed peT . ,a,rmcr of w t, awlamfo
eltlt .
I have a wit, L n r cernteate .r conFe�t'l u ror r�rke:a�
301 J—'�'.ROIJrH
.
Chop t 'J der - by S t 3700 I Ih, Labor Code for the
_FLUMBIPdG
�. S
=,a02 ;` TULR.'$ OR SHOWER
•iserfo rB kr :I'hth l r I.
1
t18� ,:ROUGH MECHANICAL
0 11 l W L C l l 1 q dhys lin
.:
37X1 nn 1 �eJ t tl pHrtt fm kl I has cr TA
''0h ROUGH, EI kl'TR`ICf}I ,
t 1 rkttk'e C :'l�1; . td POI y her
%_
- q�l
.05 - FRAME-••
pyl�p(l �/�%�
UWN W RKFRS
CE
r?t71F —. �,I'IOI_DSUINSJ.1A
_ ..1: -
'INSULAT.ION
"`SHEETROGK-
UI'. i niJ Iis
n �npletal tine Peorif-s Ga one lu,dool dollars'
." •"'t�7
•� " °�t
_ ,
,.. r.-•_"
'trythat ltl iverforrolance ofthe work for wllihthis puraillis":ted,1
•
`309 — EXTERI_OR"-LATH, .., "
"
talk t' ply tiny p y t%t t r t heco b, subject to the Workers
coop 'r Law..yrclr Late ^�-G10•—
"
INTF,;RI'gR I-ATH-
31.1 SICRAICH'-COAT ,
'Apdarrat
NO' ICETOAIf IICANI If, ft k len C t'I t fir pi ) bald
Nectar, nJ 11 I N k ( p 't p : 1tn Lather Code ror met
'th
?1 -' ROOF' NAIL t
3
.torn co nply win uehP J'i o,.o tl t nivhall ne Jec d nkel-'
r
coNsnulcnoNnNOINGAGENCYT'
4
501 -' FINAL. ELECTRI,CnL ENERGY. -
II ny n mon a r d'gase )t mpermn tee..
-onI
- r — F7hIAL f- I_I-IMB'LhIG EhIERG
kf Fel In p it . ened(s e 3097 Or. C.)
Lente sNune xr
Leader, Address
a.t�:'
..�.
503 , - • F jNAL. MECHANICAL ENERGY
`J.d1
564 -- FI151AI_ HU ILDING' ENERGY ' •
I. Jrun h la w1 �
I' Ile that hall t add
t .e�rte,,I, t pI> 'In II city I ty d' l laws firs
't
�. - ,
FI)VAL� FLECTRICRI
I ,don IJ a' t r II n> u p tt uI I)I p
'the
- ..•105
`
l above ocalitaordIira,varryr sp t p s
506 GAS TEST • .
(We) rAbre to save, irritability'pe Ik y J cty Ic p r , d
t Cahlte ] t: t I p :. eI Y r Y b'rtl uJ
_
717 FINAL F LUMBJ t• ..
T t
City f tl g t, RI'. p t .
"i
AND WILL COMPLY WITH ALL NON POINT
SOURCE
�y,I T
' Issued b — f-vb/"�'� C, {-�"-d [,Hl ��G •
Y' Dale. �' �2• I 4—U
SOURCE REGULATIONS. �
REGULATIONS
'yhbgoaftiac of Appfcar Co traetar . Dale
- HAZARDOUS MATERIALS DISCLOSURE -
'Will
'Re-r6ofsr- `
510'— � ' F I INIAI_ F1LAl+l L,•l 1�+ qG
flat a m va futilb, hl1', oeclpaneora or tllscooka,har.... IeofRoof
.astir dnrtneprle,Mad�paCedeCnryar9.I2,vdtoHealthradSafer
r .
Typ-5.1"4-= FINAL PUBLIC,WQRF<S
Cod Sgt n255i2(n). •+
°Vn`
_ - _ r- .
'
All roofs shall be inspected poor to any roofing ta[enal being installed. _
Will rI ' t 1 .
If'a roof is installed without first obtaining an inspection, I agree to remove
p g
Whitt 1auv n
r„t n'vd Ityj1 BayAreaA Q Ity Mer,imnl
t
all new materials fgrlinspectlon.y' Applicant understands and will court"
El Yes
El No*
- ;;
: all non -point source'regulations.. .. ..
I I ad theh al m
1. baRocetlr, orderCI pi r 695, f he
Cdtf Health k Sl ty Code Srlit 25505.25533 ,,to 25.534. 1 orderh llau
fined II'toce, not cumerit,lo t t th I o is aty p bar, lityt ffytire
o"n",1 c natioarctoci s which rust be I pnor Certificate f
-
Ott
���
-
Signature of Applicant � Date
- roof coverings to be Class `B" or better
u
' own r a m ,,d s t - f aty,e
less
- ,AIL
OFFICE'