01070142 CITY OF CUPERTINO -
BUILDING DIVISION PERMIT CONTRACTOR'
INFORMATION-.'
g
BUILDING ADDRESS: PERMIT NO.
20070 RODRIGUES # 13A WALDRON CONSTRUCTION COM ANY01070142
OWNER'S NAME: APPLICATION SUB DATE
LAKE BILTMORE APARTMENTS 73 HERBERT LANE 07/27/2001 '
PHONE: : - SANITARY NO. CONTROL NO.
(408) 377-8186 "' '
M O p ARCHITECT/ENGINEER: BUILDING PERMIT INFO
w- BLDG ELECT PLUMB MECH
vFi abe
..
LICENSED CONTRACTOR'S DECLARATION enc ng Job Description
p 1 h by afB m that I a licensed under provisions f Chapter 9( - p -
1-W
with 7000)ofDiisi 3oftheBusnessandProfesi Professions INTERIOR RENOVATION.
be W a ,L in f°cls and d `rif`t cc « (REMODELED "KITCHEN & BATH, NEW WASHER/DRY
X o i�' Date Contractor -
tuloo, WALL A/C, FLOOR COVERING. )ARCHITECTS DECLARATION
N
loo, ; I understand my plans shall be used as public records
w O O Licensed Professional-
cw c. - OWNER-BUILDER DECLARATION _. ... ,
I hereby affnn that 1 um exempt from the Contractor's License Law for the _
F:Z a '.fallowing reason,(Section 7031.5,Business and Professions Cade:Any city or county" '
Exp which requires a permit to construct,alter,improve,demolish,or repmr any structure' -
63_. p t its issuance. 1. q ' the rppl rpt for suchb arilsignedtt nt. N_ y` r .
nth ap tlthP foContractorsc L (Chapter 9 Sq.Ft .FloorACea: luation
(recommencing with5 i 7000) fDivision 3 of the B dProfession,Code) „ 'fI ) jt I, y .,,bsy.,.. ,t $3466�y®
comet he is'exemp; fielfrom and the n is for the alleged x empt ori Any violation -
nr Section 7031;5 byany applicant fora permit subjects the applicant to a civil penalty
•of..,brirethna rise bandreddoRms(S500). 369dYbNmbt rs>n: ,n Occupancy Type
Dl.as owner of the property,or my employees with wages as their sale compensation, - 1
-'toll do'the work,-and thv t is-not intended'or offered for-.ale(Sea.'7044,-
'Business
044,"'B ss and Profession,Code The Chroniclers License Law does not apply to an 101 - FOUNDATIWuired Inspections i,'- -
owner orproperty Who builds or improvesthereon,and whod h workh Ir4
or through hs own emply pimvidedthin suchimproverrocas am romineralad or _ 102 PIERS_'_ t _
offered for sale:if,howeveir-ric building p - t is sold within one y f 103 UFER
c pit II b Id ill have theh 1 fp gIM1 Ih tld Ibu ld
- '
han
f p m e r l.)
i
— 202 SEWERF BOATS
105_ ANCHOR "
a n of the property,a exclusively c ri g with d contractors t l 4
Licenset d not apply tl dP !.' n Codd:)ThC t t d ,-v
d sowner of " n n In, P m 106 SEWER & WATER
dtxh0` n n 'L h i= .with a t ctorlr)1 a p es . .__ _ LOOR--PLUMBING---.--.
r t et Ih p J t(B a 7MJ
P _
mi
plant%% e " B&Pc far r son 203 — UNDERFLOOR`"MECHANICAL / l�
r '30� 204 — UNDERFLOOR FRAME �
WORKER'S OMPENSATIONDECLARATION, 205 - UNDERFLOOR INSULATION
l 1 h by ff r ppn Ity, 1 M1 1 O o f Ih f II g er I atians'
301 — ROUGH PLUMBING
�I •0 1 have and WiRrannimmoh,ot Cottimehem,Consent t If'n.me for Workers 302 _ TUB & OR SHOWER
C pe at e p I f -ny s 37Mofth the
Lab Code, for
p ri Inneonnew;rkfprwhenmis, rmysiyaeell,,. 303 ROUGH MECHANICAL
❑Ih e'a idw ill"mai niint.WorkeCs�Co pe t nlrembce,rokoh,mmed bys roh 304' ROUGH ELECTRICAL
37w of the Cabot Cod< for the,oerm e r din'work'For which this permit is 305 - FRAME
_._
CERTIFICATION OPEXEMPTION
ce dPl y her ro.
voiced,MyWorker's cn ce.. . .Ip yN 30t6�;` f,HOLDOWNS.
XEMPf10N FROM WOR KERS - a - / t 3Q7�� ) "INSULATION' �,
COMPENSATION INSURANCE - ..-. 30a ;,- :SHEETROCK.—_. .__ _ ... .._...._...,..
t (Th ect 'n need not be completed 1 the permit Is for one ht ndred dollars CJI Oct, 1 1 'Y r
6100) I,Vii,... I. -. -. 309 EXTERIOR LATH ;
1� tr ya fcson a _na< ❑n kf h nate .. _5 1ea1 311 SCRATCH COAT
C II es t cion a s i pc n s y m a t become nr ct t the W k Is
Crude t L t -
-APplc - .... .._.. . ._.3-13--- -ROOK. NAIL.._...._ -" __..---
;NOTICETOAPPLICANTIf after. _.. k glp Cnnyo h Id 'ENERG_Y==,C.
C. y rust 501 — FINAL ELECTRICAL
O fon the plywth tip inno this pt shall he deemed resulted.
zO5.0.2__ — _FINAL PLUMBING .ENERGY .._
n
.............
co srauc ioNLEN i cAcENCY 503 — FINAL MECHANICAL ENERGY
Pr�:O br to1 nkfby fun tot therea w i I ono ng erg y r rhe'per'f,on ante which this ` It sed su Ci,
an
504__ FINALBUILDING EN
irnersddmc, r . ' 505 _ FINAL ELECTRICAL. . `(
<p Icer4ha,l havercadlhis uppl aaon eodxtatem nn above tnfarmadon is 506 - GAS TEST t '
t:p gtifyt a ply t ll ty and county and nn, d state laws reining 507 - FINAL PLUMBING
Q'V t b Id g nidi ndl fiyp;h p etiv ItNc'tyt mrupon 508 — FINAL MECHANICAL
{� @ n e e r id p pent n p t p IP e
0, 6V) g its a rid ry d k ep h .Ih C q fC u Wino golaid
y n l judgments,costs a pens n n y n any . a ser .aid 5 0 9 - FINAL GRADE
U'Z 'Cty n qumcc STAN ttNDW p t 10 — NA IMG
APP1ICANT,WDERSTAUDS AND WILL COMPLY Will ALL NON POINTS
+ souacFRrnuLATlolvs I,-n"� t Issued�7l: Date ��o —U/
.S but lAppbca VCnntr t e' 'Dae Re-roofs
"HAZARDOUS'MATERIALS DISCLOSUIII
E 1 r'
c tie Section °" Mtn bPal�cga Chapter 9.12.rM1 al tat d- atom _-Type Type of Roof t -..
and theHealth ndSafety
` -- - s -- --
q
i yes ` - I\ _ All roofs shall be Inspected.prior.toany-roofing-material beinginstalled ......
,
Will theapplicant r t 6 'ld g d t ,ey ,meat fd<ice which If a roof is installed without firs obi to re an i non e toren ve
this hznl s ' c t t et dby thpB yArcaA Quality M1I gm t a Ina nspec 'Iaere ...]O
.tD r'pare - p m. _e, or inspection.tt Applicant understands and will comply with _
all new materials for Inspection` `• all non- omt source re ulations a; - - -
1 have read,the f4 N, i al req re nem der Chapte.695 f the
to 1111moll of',
O pa Ivn�P n n m<t �e��Y f Signature of Applicant _ g - ._t Date
C I f m a H Ih&Sole1 Code.sect on 5505 25533 d2553J lunderstand that
o ho e- t nil y h t t hot t .t y e p n bit t t F the
O t .l P
zed t ; ;..uy..
Data
All roof coverings to be Class B or better
_ .._#. .. . . OFFICE_
f ,
r