01070140 CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:.
BUILDING ADDRESS: PERMIT NO.
20040 RODRIGUES # 11E WALDRON CONSTRUCTION COM ANY01070140
OWNER'S NAME: APPLICATION SUB DATE
LAKE BILTMORE APARTMENTS. 73 HERBERT LANE 07/27/2001
PHONE: ... _ _.._ SANITARY NO. CONTROL NO.
(408) 377-8186
pQ ARCHITECTBNGINEER: - BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
I _7J I� LJ
2 LICENSED CONTRACTOR'S DECLARATION -
z rJ y - -I hemb f(sm,Mt l am licensed under p g Job Description
�i_� - y o provisions Professions
Cha art and mmencin
a,se tui,nfin ll force effect.DivisionJnf,hc business and Pmresaions Cme,and my license INTERIOR RENOVATION:
�ex6 License Class and erten LIC.g (REMODELED .KITCHEN & BATH, NEW WASHER/DRY
n°a°y °ate °'""'°'°' WALL A/C, FLOOR COVERING. )
ARCHITECT'S DECLARATION
IJ 1 understand my plans shall W used as public records
be
p'O Licensed Profes,mal
- _ - -
OWNER-BUILDER DECLARATION
N��—'o, 1 hereby affirm tan,1 in esempt farm the Contractor's License Low for the
following reosoa(Section 70315,Business and Professions Cade:Any city or county.
Z D which requires it permit to consouct,alter,improve,demolish,or repair any stricture
63 _prim to itsalso araires the applicant fsuch Permit o file a signed statement. - - -
m to I Ip ,t m pna,ofu c t t L Law Charter 9 r S,y. Ft. F1oorArea ( [� y.�JDation
(commencing 0S i 7000)of Division 3 fthe Bush and Pwfiess'oa Code) J ) :, , , oA. ,, '_, -,, . fA`. $346ed
o mut he v enip(mercfr m,and the nark far the al legea exemption.Any violation '
-ofon more
th n iv anydreddollar,
ollfornpeon rmlecs,rre opPlicvm,oacivil penin,
Y 368 � P Y YP
1°fnm.more man rive hundred dnl�un'15.500L m I;r?�[:�. �` Occupancy Type
01 of the properly.OF my empty 'th w ages as their sale compensation,
will do the work,and the e:Tstructure a t ,eLaw r e sale(Sec. to at,' 101 - FOUNDAT IlDAuired Inspections
Business n0 Profess Code:The Cot , r.intended const t do nm apply t '
own f property Who holds or improve,.
h a -d_h J h
' nnIor
orthrough hiownempl employee,p dedm, himprovements not week
- 102 - _PIERS.orr lei I If. o n avng p i la min no yearf 103 _- UFER.
F ^
jtx
�
- f�
'coinpletion.the er huIJ ll haveth burden f prewingthat hdid notbuild
!roputwef pP .=orxmel 104 - REBAR ! 7'
I s rre nh p perry m<xdx ly w Ing ml sed n .t t-- . 1.05., .- ..AN�'HOR BOLTS'
co t the j t(S 7BW B License Lodoes o,apply to ano Business
non Cwud PG=s th � : 106 - SEWER & WATER (` `' ' - t
o
- : .-.aha who.tom a .f such Pro,e t .Ulm a c t t rtsl 1 m.p rk°ant m the _._._ .. 2.02.___._ UNDERFLOOR-PLUMBING -'
C ntracml seta
El]am t �. ; . . ' B�Pcr�mis _ 203 - UNDERFLOOR"MECHANICAL f�
.. 7-v?D'—OC.
204 - UNDERFLOOR FRAME
,ATION DECLARATIONG;AtiJ _ 205 - UNDERFLOOR INSULATION
hereby aly. d x Ity fpe, rr6ripLm followingdedam,mn:.- 301 - ROUGH PLUMBING
.� o'1 have m wul mdiinnfin
a eerlihroexa of Canwrit t' kelr nxurc for workers 3 02 - TUB & OR SHOWER
Continental-u-provided fair by'S , 3700-of the 9abor Cods, for the
_ - p f Whewk far whitenaffs chml 303 - ROUGH MECHANICAL
' r ❑Inn: ugwill tilainianiwniker,congWimaioalndruneEaseeqpiiredby,Se<rion 304 - 'ROUGH ELECTRICAL
c c 37W of 4he Lahr Code,for the,performance or the wofk'for which this permit is 3 O S - FRAME
Carter, .0 Compensation Insurancee ndPl,ynumM ro
is e Y
Ph =rN - 3061....;'HOLDOWNS
1 ' -CERTIIICATIONOFEXEMMONFROMWORKERS-i, -' r '- 3O7 +' INSULATIONt- +
«I no tie c,NSAcuJNf mcVRnN,tsfrane hundrcdd -308�-=n-SHEETROCK_._.. _t -_. ,..
CE
R't
•• allan l+1'
4 ITfi-s t
Ic Yf'm, theIi', c Ith w kfr hthth 't TH I
Islwl 1 I 309 EXTERIOR LA
h ,
Y
�- 310,-'•-"�I'NTERIOR�-LA
TH r
ih II s npWy'uny M n Y a to come b ct t the W kere I
311 SCRATCH BOAT
rp
tom onsnhnn Iyws, fC red U!ie
- :__:. _ :_- .:.. ..._.._. __...3.13....- -ROOF -NAIL.-.-.-. ------
NOIICE TOAPPIICANIII Ifr,rktgth Cn'fica (Exempt y s
Z be deep [lie W k c p p nl un cda y should 501 - FINAL ELECTRICAL's ENERGY
O )annw,d,=on,plywith sa=hpmvknnIo deemed -._.. 502...----F.I NAL....,PLUMBING._ENERGY ,._..__..
vi
"CONSTRUCTION LENDING AGENCY
503 - FINAL MECHANICAL
r- t - ' -
ENERGY"
union that them is a onwt tdg Y rthPeroince
ewIkn nhis a issued Set.3o97csc)
Lender's Nam _ 504 FINAL BUILDING ENERGY
LendersNess505_'__- FINAL ELECTRICAL
O506 - GAS TEST1ccntf thmlheve reed Niroppl a and d,the bo information i
fy"E. Io t I grc to comply with II c,Yed county ordinances d statelung 507 - FINAL PLUMBING
QeO
1.building emstruelon oral herchy amn rie rcpmse,na(ve f this any to enter upon
W thenp . tynedp penyr speer prpnke 508 - FINAL MECHANICAL
F+ p. (W)iijan,m a d nfy and keepnrilesNe City of Cupertino against ��
h Iiab t }, dgrnems cost J expense h ch may ny y g in.'said 509 - FINAL GRADE
v z C,ty nagnmgneneeorthe j ri"g'rin perms, 510 - NA ING
APPLICA2ITUNDERSTANDSAND WILL COMPLY WITHALLhON�POINT t
SOURCEREGULATIONS!, f'' ., -. . , Issued�35�: Date
$igwwrt of AppllcanVConuacmr ar .'a'. 'Y, v; ' Dam : Re-roofs
HAZARDOUS MATERIALS DISCLOSURE '-
I
will me apPl cat future Wlldng pain.taearrnamli hazvdo mat »t Typeof Roof ... - _
as d ImeJ by the C pemno Nam,p,71 Code.Chapter 9.12 J me Halm ad Safety
Cede Section 25532ho
1.1 - _-.A1Lroofs shall be.inspected.prior to.any_roofing.material being-instal led.
"tat Will th .pplicantn futurebuilding occupant . equipment rde is which If a roof Is mstalle'd'viithout first obtaining an mspectlon- I agree:to''remove
em t h nl oat ta n t t J b theB A Ali alt Manageme t
District?1 h ve'rcaJ me h" nano,mita-, require em,anaer°cna ar 69s all new materials for inspection. Applicant understands and w111 tom I with
r
,,. i all non poifitsourceregula[ions.,'1j"
Cu'fo his HeLhh'&Safetyy CCadi.SSeelliions 2555.25533 and 25534...1 andermandf thatVVa6WR� bcI Luys p e I .-_. .___. _ .- -.. _
�cthe .. .. ..
O t e a , a n t rre nl h m m th t 1 b i t t "t fy
occ p t n n h h p f<m
_ ° g I / _.-,Signature-., cant Date
t .,. ofAPPlI . ... _ __... ._
�� All roof coverings to be Class B" or better -
w thorlted 11 Da¢
t I '�. , 1 ._... . OFFICE ...... ._. ....