01020075 CITY OF CUPERTINO"
nI1tLDING DIVISION CONTRACTOR INFORMATION:
. .,PERMIT -
NUIIDINGADDRESS: �. i '` 'r �� PERMIT NO.10159 q RI ANFY •n •a
WALDRON COIVSTRIJCTI NCOMPANY01.0210075 '
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OWNER S'NAME: ' r f. - APPLICATIONSUE DATE
'�_,>r • .7 ERBERT LANE : 02/1.4/2001
LONE: _ - - , _ SANITARY NO. .CON ROLNO,.
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'•L1"�Z ARCHIT[,CT/ENGINI'CR - BUILDING PERMIT INFO _r
X900 +, ..
w , - • RLDC e+CLEC'r PLUMB' MECII
CIL.I = 1=1 I
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LICENSED C(1NTRAU OIt S DI CI ARAI'ION • f `
0�4o II Iy n that r d d p rchpt 9r a J0' escr tion .
F Cw itS 70(0 fD ,.3e1 he Bia ❑ f.: .0 I_itnyl
a ': nI1 a rr I + - ''•
Lc,, Ur" r x .INTE RIOR•.REMO L
k3 t Da - L - -.,
at iE a.a. ARCIHTLU S UI t 1 ARAI ION
atfill
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t N I I ypl I l 1 p fiJ
X O O I e 11 : a OWNER 6111LDCR OLLLARAI'ION ; + o V
W I facility 11 - I I an,excialat fine do Contractor's License Law d thet , r -
f=S<
hninmll ne I, Sc,lrlia 70315 a . f Probe Code A y it,,,aaany _t+ d '
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which re,riar,ir pentell I,,consiod,iller. 1nclic.(knolish.or cp4iry Inialue
W Plian I '1 PC'r If lathi I flics si d I I I
3^ thatr dp . II the p r
. ,: 0 C I I L f' (CnIt ) S Ft 00 a Valuation
(to 6 IIS Ief70(0) ID' l(it in,H It 6-rear,Cd) 'r ! 9" + ' a YJ4'�J
or thatI pnl dIh h thea116e1 ,o An, I = ?50 r
.x nr5 t cthan I 1 y ',,
Y Y IPI' t r a p I nl 'r t appl I 1 ll r
n1 I m� 1 1 d d it.]].,(gsom >h AP Number Occupancy.Type
❑1 fd 1 aY Y 11 } In & d p t - ,
a wild II k 1 1h I 't t I J - ff J f (Sec.8014
Requred InspeciBn ,and D Rs, 1 cC Incl r:L w ee Lu does a,,l:PPIy I a ons,• ',• ,
owner pJy WI h' Id ' l th I h' d h' -1, If
on sLou, y .p Ilthat n p d 10i FOUNDATION
-
FOUNDATION
ffimd hn,lcIf,H 1 hnhfi y - p IW ln ) nr o
n,Pleln, mea crhld dha.ed ndlolita n,dethtdtdnorhdwer 102 S
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PIERS
1'03 - 'LIFER
I fin-p p ty I i ly 1 t y will,1 I I' lorito - i -
Ie dl n,e pruieet is 7ad,:Ee:ne dPeaese„s code.> n,e eo,Irnemra - '-1 Q14 REE4ARh• e• - s
tic 1 d 1 nor y l r,'1 ny 1 1"Id , :1l ereen_ -
lad t n Pr)u�with e nI adat(e)r 'a plr,Coni to d,d ].OSS °a ANCHOR BOLTS ” ;
` Co I t L serl.lw r t . ,
❑I pl e Sec. R&re nisI ::/ r •1.06 'SEhIER -8. 'WATER''
a oweA',. lcJ�Dat o% rel? UNDERFLOOR PLUMBING
ER ATION DECLARATION
�I /"� 2413 ,UNDERFLOOR.'. MECHANICAL
' I-hemby.ifl rat node p naily of perjury of d;c follow ng federations -r. ' - _
2204•:= UNDERFLOORI' FRAME-.'..
111 ' d 'II' t ' C IIcI fC 11 Io , IIl :erf Wer: s
C,
p ,araa a, pr e d 1 by Section 3700 r the Lan - Code Far Ing 205 UNDERFLOOR' INSULATION ,
' „n,a,..:,...earl ,rwllnl,m',p n',iliac1 301 ROUGH -PLUMBING
olnot. . d is R learoarn WrkCoPersalilary ' s]by Sotli,1 '302 — TUB & °OR SHOWER
3700 eLlhe Lalai,Gaic.fin t PT if tire kr 19d1 t'. -
s: IMyWorkees,,C p :t'anli+t carrier and Policy rainierale303 ' � ROUGH_..MECHANICAL%'.:' '
Poll,,No.: . • ` "' 304' — :ROUGH ELECTRICAL• ..
CERTIFICATION OP EXEMPTION FROM WORKERS V - • '
COMPENSATION INSURANCE a y• `• '.305 FRAM
E• _ ...
(TI'. station dont not lie con,pler d f II p t is 1 d do1P , �.
smn> I v). " ., 30Ft HOEDOWNS
Irlrlylnat In let pevmrtnalce of the walk for which..,,cram , rtatl 307 �— INSULATION ..
,eau ,ate a,k,any n v a,In nema nlecua me Wallxrry - `.308 SHEETRCIGK, .7.. . -
Co P r I Laws of C ld Date ' - - SYS -
NOTIc11Tf1nPPI.icnvl,Ir ft k'ngl Cori I 'I fL pr Y :1 IJcon
'y 309:'- E-XTERIOR'�LATH ."
Z nee hI a mew r.e- r 1 I pincisions 61 let Labor Code.yen aa,,r •_3'1:0, —r, -INTERIOR LATH - -
O
tort his incnaplywith sach Pro,' l2 or I his w-alshall llie dc ared liked
F CONSTRUCTION LENDI NO AGE NCV 311,.•=' SCRATCH; COAT loll r '
I by rr d td I r ,I iadngage yf the,perforn e ,. 313',—' ROOF NAIL
a ,fin kr - inch 11 Prnls lanlcl(See 3097,C'y.C.) _ ai '
Led N ne ' 501. — FINAL ELECTRICAL •ENERGY.
7 z 'e'd Add 502' '— FINAL_ ,NL'I.It+IBfNG ENERGY
In'fyI halt cad11 : PII' I and:PI to tire 1 f 't -
w
"a"O.1 y e y t1 all t> I 1y a' e 1 fl laws rclating 503 7 F,'INAL MECHANICAL_ ENERGY;
O
'I;�haldir,tor,mr1i.ii,land Intichy In P I It 'I)I 1 l `
p w men n r tp ,ey,f for Pet , 1 504 .— FINAL B1111_DIIVG ENERGY
(W)ag I d II y' dfeet,l I .'ll Cty fCriteria. y .t " r �-
.. m liabilities,) t1 t. I 1 , which ay't.tr r eneaga ,l 'd 90.1 FINAL ELECTRICAL
U Z Cry : larreeaftlrantin,nrml perm fdAS -TEST' , ".. 1
Issued b 50ERT ate ` ,
SAPPLICANT OURCE.REGUI,ATIONSNDS AND WILL COMPLY WITH AILNON-POINT Y; �yj6
gnalurn orAppliwnUcnnlraelnrn1,m Re-roofs "508 - FIt51Ah: iylEGt IAIVICAL ,
HAZARDOUS MATERIALS DISCLOSURE
Will'he issill.1111(lerrt 1 n '
r,1 P' I,oc nr handle hill.Vn
anel ia1- Type of Roof' '509 — FINAL .GRADE .
, Ir IIyth CI to M p'ILd Chpl >1 1t H III lSafy
cal S r 25532(a), 51.0 FINAL hL NMIblta,
°Y °" All roofs shall be irLspegted pro 1py gg fatea �i installed.
'- will' d ppr 11 t n'1 f s 1 : n P r 1 " siblit If a roof is iIII llec-9i"t tout fi s oi)taming,an inspection, agree to'refnove
/ n,tn rde¢nre I owl. :drored by the E'yA'caA Q I'ty Manage nen - ,
••t kni" • all new.materials for inspection. Applicant understands and will comply with _
,.❑vr, 73 Nogip; ;'r-I _ '-all non-point source regulations.,.
I havc rend the naeardone lnutenals regainclecon,toilet ChupmFb95 of the +. ,. f - ,• ...t '
Calif one kaLh&Svleft are,Section.25505,25533 and 25534,1 uallcesland Ihal -
';: i1he o'doc'nol"anco'll'thaverten if,that it y :p 'n iyt readily the
c1 41hacnelllr Is wlich ninh ct prior.. s. aG.n't Late of
cc .y v _
tee/6Signature of Applicant -'Date
ownarnrautn„� 1 - , me - '. •All roof coverings to be Class "B oi'better -
`*' OFFICE e