01030100 C
ITYPERTINO? - e
ly
DIVISION'.'. PERMIT
- CONTRACTOR INFORMATION i
i ' : YERMITNo0169 S. BLRNEY"# '4H . WALDRON^CONS'fRUCTI �N COMPRNY01030100'" APPLICATIONSUB DA'I F:. -AVE RILTMORE 'APARTMEIV S, 73 ,HERBERT�LAl\ OV20'2 001 -
[ONE: SANITARY NO. CONTROL NO: `
+ (408) 377
G K Z ,ARCH I'rHC DENGINEER ( ` P BUILDING PERMIT INFO
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ELECT 'PLUMB". SUCH
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S'�ovo 'ICI NSI Il CON'TRACPOR S DCCT ARATIO" r'.IOb,DOSCrI tlDn .
CS ' I I by It Intl' 1' J d P f(Triple,91' .'r- ' i.p
w,nS Poil WEE ofD " n30tire l lard Probes 5 Cd anlmyl'
qq 55 , n
f r add df c,. � -° ,., RENOVATION,,
INTERIOR RENOVATION, �INCLUDING.::
3�G 'D„e catnn,e, 41 REMODELED KITCHEN. & BATH (S)
AIICHIECf S DEC'ARAHGN . l -
iddl,asedrdfypr ..INlbeeie nrrecord, ; NEW .WF1ISHER/DRYERS„,NEW WALL. A/C�''
C OWNPRBUIIDER DECLARATION
follo.id,rozoare.
o p(sort '7o3150 . IProf..or,Code:AY o,n I Peu ., , I, p I I'n I r y., ,
pr , , I 1 i 'h PPI ,r I pe a II I b t,e nen
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a ,h In iccd-Cdp to the poltiLsidas orJhe CdatlaCrd,,I.......e ladiv(Cl v,cr9K Sq.' _ o real -. `- Valuation
(r: b withSection 7000)ofra 1 1,Fth H idw,modP '
or that has esern,tOcalfieson sail he broo,for the.11,,00 tocne,atva.Any v'ob,
ofSectorn 7031.5 hY Y applicant f -i R , bitals me applicant to a c v l penally
'er , ram file IrLiareddebo,ts5lm3 P Dumber t Occupancy Type'
-39
Sand Pn h.a r ded or o Law Jf,dile( I:., •r q i .eti
711,it, f,h Irepnry,or toy Imply th 6 Ih I e p , t
13 d ,h k e i the stn inure C, , , d I ff ,I r j 7044 ,y -
Bt :C m Th C a,�, rk b _ Required Inspections -
fp 1 aiKl n II' p :m a d - m kn If` ?,6903008.,00•
twitteror 0fee l PI Y P d d that sh I , , ( I d r .. f
or If the
If m h'av b P t II 'll cl f • ,., C.
II , tl hII Ilh � ,hh I fp g❑ il J'J th 11
I�Oleiov p p ' 3 `. 101 . — .FOUNDATION.
art,If hpI ,y I : ly bIll I , , ti,n •1
reba, 1Qa 'PIERS ,,.
Ire, n7r
'
I.Iune Law does all(apply,.a:eviler I property who builds or reproves lhemo, 1.70.7 UFER '' al
'rd track f h ,,haco,w,h' t wdUl :dI 'int ,I �t� .
Ce, Ir. ] 04'- REBAR
❑I' ,nand tBoc 'x' B&PCf ,bis
bwne D:.' a 105 ANCHOR=BOLTS
j'/46EAlT R�Cp 'n 'ENSATIo DEanRAHON , 1.06 _-SEWER 9, WATER-
Inerenya arrm rpehm'y:ir�I > ;r,iir,fE s� i:nnrle2.: - 20-. ..UN7)ERFLOOR PLUMBING .:.
1h- will ien,ca, fC I1,,elreatmmrw kr 203 — UNDERFLOOR MECHANICAL.'
C: p , p J d.I - by S , 1700 f tho labor Com bar nthe k
'Pert ,eeor'hew kf wlrcb,tixpern, : rds 4204; — ',UNDERFLOOR,.FRAME,'
ond willn W Let's C(...ipco,aillor bsotadaL, r.luimdhySrn ' 205 — UNDERFLOOR INSUI_AI ION " �e
3700'If,h lailbor.Cade.bar the pefloeal.mI,at,h - k to,whill,,h:p Ix,
Ferrell
c. JMyw kr,C p :aide men r„dPolicy ,aabe,two. ` _ , 3_01+=,,—, +'ROUGH-:ePLUMB`INGs;.',.,t .
c:,rtee +• policy IN 302 TUB & •OR SHOWER z '
CERTIFICATION ION OP EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE le” 30.5 ,ROUGHMECHANICAL "
(Thk stlo...i heard ,1-eb.ple, ETthepenmtsit,,a,hefddeddolls z04,'— ROUGH 'ELECTRICAL -" -
SIM)
I nI 305—' FRAME ,
I coolly'n, a the r e old dark for%their this reatar,'is issued,I ?0F, — Ho -DOWNS
hall , ply y.l n e : ,m "eadd objec,to he Workers • -
307 — ;INSULATION'
G I lin Lines ii R rn a Data .
AIN ,.t. _
NOIICE TO AI 'CANT If,after 'k this C ff , f E pY y :I uld n - ,08 SHEETROCK: - 1
-be bl ll theW ALC pn.a, softhe 1'I Code,Y firs, el
Qz Ifdal ,h cn.ply with h p t,ve., r ll,Penn,Ilmll l J ed revekul -
z'o e.09 EXTERSOR.`I_RTH
F ( o CONSTRUCIONLENDINI ACCNCv • gl'0. — INTERIOR, LATH
I
Ih bl frr„hh n -, f I Ing'be ,y for the PAba the '
.1d kf nehilniri. s„ I(Sie.3097,CmC) 7- 3Id a— .SCRATCH .COAT.�.-
[� Lc d Kate
z'
[xidia AMee,, 313 `,— ROOF
UaO
lecitlythal[n in'. prl ,' d.ri o-„n n f , 501"'--...FINAL.-ELECTRICAL ENERGY„
W [�.i co - tIg ,y 'm'u 3 J N l id or,lwsr l,'ag .
O u tohidd sea adl by o 1 ,,, ill :',>, the Ion : 502 —I FINAL PLUMBING ENERGY • ,..
the ahoo-raterharIll properN bilooliatfied l
F'a g I ry Iwloop ll ,l it ane'y repo' g .H � f503 I FINAL MECHANICAL-,.ENERGY
.w Cl) liabilitiestNJb t' , p which ) , toy "y' .Gagainst slid
U'� City 'ANITort,ocEincoatUNDERSTANDS
NDSAellh WILL COMPLY
- X04 - FIhIRI_ BUILDING ENERGY3—o�.a � '
APPLICANT UNDERSTANDSAND WILLCOMPLY WITHAL'NON-POINT Issued b .t 5 CTNIlAI p r—p.To ate
SO URCEREGULATIONSr Y'' S$y IC&a
sisnat col Anpl nn,fC .nae„' Dam Re-roofs 506 —' GAS TEST
HAZARDOUS MAIERIAI S DISCLOSURE
_
WdE ile, PPre ft ,en l s p ,st TI dl h' I 't .L . •Type4Roof " ;507,1 FINAL PLUMBING �.
:s dei nod b Jt,Cup araan Nba a pal Cede CLp,c'riz,and lire Hi, ltn„d S fety
Cedes e 25532(a "508' — FINAL MECHANICAL
.
0 Ye, E-1 No All roofs shall be_*pycted prMjWLan T'A material being installed
W'II0 I' t i t - h l! , ,ill d.......' 1' 1 P
nn b P W pIf a roof Is instalit173ut�i .�(Itaiy�Iprlstliin;I agreetoremove
.i ,la heralded, n„ n.ns os def Jny,M1 BYArcuA QaI IY M.nob n,�
• , t t°v '. Cl all new materials nsppe�c{{ NA� I n st will eom I with
`all non, point sou46cuTah6�. p .p y
1 have read'h 1)a;ardouv n aerial y:'mf efts or Ch ,or fi 95 of the 'T
California Health.,Safety Code,$eclinne^550.5,25533 end 25534.I undo¢,an I iha,- • -
Ifth h 'IQ g t mndYnavea, t,fl 1', y p t 11yi ratify _
epi ! ell,wheh ,m lox.' 'p 'r In , :I nfa rtf LCf u _
p � y
Signature of Applicant Date.
D„aer ,r /Dire All roof coverings to`be'Class "B” or better
k t 'OFFICE
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