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10100109 ' ' CITY OF CUPERTI140 BUILDING PERMIT BUILDING ADDRESS: NILE DR BLDG L CONTRACTOR:AXIS CONSTRUCTION,INC PERMIT NO: 10100109 OWNER'S NAME: CUPERTINO WATERFALL HOA 2566 BARRINGTON CT DATE ISSUED: 10/19/2010 .'NER'S PHONE: 4084483080 HAYWARD,CA 94545 PHONE NO:(510)732-6111 ❑ LICENSED CONTRACTOR'S DECLARATION r BUILDING PERMIT INFO: BLDG F_ ELECT F PLUMB F License Class Lie.# < r" MECH F RESIDENTIAL I— COMMERCIAL Contractor AXI 5 c Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:CUPERTINO WATERFALL-NILE DR BLDG L REPLACE (commencing with Section 7000)of Division 3 of the Business&Professions DECAYED Code and that my license is in full force and effect. STAIR STRINGERS. I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's Compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Sq.Ft Floor Area: Valuation:$2633 permit is issued. APPLICANT CERTIFICATION APN Number:36950000.L Occupancy Type: I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building constriction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harniless the City of Cupertino against liabilities,judgments, costs,and expenses which may accnie against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source re lations per the Cupertino Municipal Code,Section 9.18. Signaturea Date Issued b� � y' Date: i ❑ OWNER-BUILDE ECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(See.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined b the Ba Area Air y y Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code ections 25505,25533,and 2553 Compensation laws of California. If,after making this certificate of exemption,I become subject to the Worker's Compensation provisions of the Labor Code,I must Owner�r authorize Writ: forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONS R CTION LENDING AGENCY I certify that I have read this application and state that the above information is (hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating `or which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name —on the above mentioned property for inspection purposes.(We)agree to save •mnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address .,its,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. understand my plans shall be used as public records. Signature Date .icensed Professional Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CU PERTI NO Fax: 408-777-3333 CONTRACTOR/ SUBCONTRACTOR LIST JOB ADDRESS: Q , PERMIT# OWNER'S NAME: PHONE# ! -- V—.,— GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: , CITY/ZIPCODE: *Our municipal code requires all businesses working it the city to have a City of Cupertino busin ss license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTF.ACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Si;nature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum/Wood Glass /Glazing Heating Insulation Landscaping Lathing Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date CITY OF CUPERTINO 3 ITEMS OF 24 PERMI" RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Blk: Lot: APN . . . . . . . . : 36950000 .1, DATE ISSUED. . . . . . . : 10,119/2010 RECEIPT #. . . . . . . . . BS,)00011783 REFERENCE ID # . . . : 10L00109 SITE ADDRESS . . . . . : NINE DR BLDG L SUBDIVISION . . . . . . CITY CU?ERTINO IMPACT AREA . . . . . . OWNER CU?ERTINO WATERFALL HOA ADDRESS C/,D CORNERSTONE COMMUNITY MGMT CITY/STATE/ZIP . . . : SAJ JOSE, CA 95125-5635 RECEIVED FROM . . . . : AXIS CONSTRUCTION CONTRACTOR CHRISTOPHER DURKIN LIC # 32093 COMPANY AXIS CONSTRUCTION, INC ADDRESS . . . . . . . . . . : 2556 BARRINGTON CT CITY/STATE/ZIP . . . : HAYWARD, CA 94545 TELEPHONE (510) 732-6111 FEE ID UNIT QUANTITY kMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- 1BCBSC VALUATION 2, 633 . 00 1.00 0 . 00 1. 00 0 . 00 1BSEISMICR VALUATION 2, 633 . 00 0 .50 0 .00 0.50 0 .00 1SUPINSFEE HOURS 1. 00 126 . 00 0 . 00 126 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 127 .50 0 .00 127 .50 0 .00 CITY OF (:UPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: NILE DR-BLDG L DATE: 10/14/2010 REVIEWED BY: APN: BP#: "VALUATION: 1$2,633 R-PERMITTYPE: Building Per PLAN CHECK TYPE: Addition PRIMARY PENTAMATION 1 GENRES USE: SFD or Duplex PERMIT TYPE: WORK SCOPE NOTE: Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn'l info. FEE ITEMS(Fee Resolution 09-051 Elf. 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0 00 0 # Stairs Suppl. PC Fee: (E) Reg. o OTF-761 hrs $000 $0.00 (Specify#of Flights of Stairs) PME Plan Check: $000 Permit Fee: ISUPINSFEE $0.00 Suppl. Insp. Feer Reg. 0 OT 1.0 1 hrs $12600 PME Unit Fee: $000 PME Permit Fee: $000 C��tstt`1tc'ti«�? 7zrxF-1 Acoustical Fee: 0 Yes (F) No $000 Work Without Permit? Q Yes 0 No $000 E) Planning Fee $000 Select a Non-Residential E) Building or Structure 0 iYc/ '1 Strong,Motion Fee: IBSEISMICR $0,50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $127.50 $0.00 TOTAL FEE: $127.50 Revised: 9/29/2010 CUPERTINO WATERFALL HOMEOWNERS ,A,SSOCIATION c/o Cornerstone'CommunityM..anagement 18(0 Hamilton Avenue,'Suite 4210 San Jose, CA 95125-5635 (408)449-3080,x 218 Fax(408)448-3084 Roechelle Ayers,Association Managcr r0u@corncrstancm ct_hiz October 14,2010 City of Cupertino Building Department Fax: (403) 777-3333 Re: Stair Stringer Projcct/Axis Construction To Wb.om It May Concern; This letter confirms that Cupertino Waterfall. Romcowners Association. has contracted and gives permission to Axis Construction, .Inc to work on the stair stringer repair project. Sincerely, Roec elle Ayers Association Manager On behalf of the Board of Directors C=C: Board of Ainxtors/CQMTBCt Fi1C a as a a a `10272 O N a `10270 * 10268 m p O �O1 ONt O O N A O N N N O O O ONN m 10266 A �O m w O w G m a t0284 a 10282 NILE DRIVE 10280 10258 ca m it O N tJ \�� ►� m\m 10223 1� v ,�q �`��•0 10330 r ♦O1� ♦��?� 10218 rn 0 ♦01� ♦ 10210 T \Otis ♦/ � m ♦rill, / 10214 s ,QIP '-o t0212 10210 .00� N 10208 CD N � ♦ > o IR r �> O w w s ,� ` ,�� -p,� ♦��♦fid► � V V CD 01 GFS \ O N m m � '9L � •� NCf) n � F�G� � ♦o\ o I to Q1 < ♦ 141- 1- N r a m v uei u O O i V� O po � m �� 1011 � c 10191 3 IC 2 0 1o1ee 07 O > O 10t 88 Z N O S S N S QN .n 10182 A Cto OL D 10180 rn 70 V W Q D N A p 1D m I . JPERTLNO CITY OF C PES Cu jNO GENERAL BIUILDLNG PERNUT APPLICATION FORM Ava- APN # 36q Date: Building Address: Mailing Address (if different from building address): Are Hazardous Materials being used as part of this F roject? Yes No ,W HOA: (Exterior work only) Yes No ❑ If yes, provide letter from HOA Owner's Name- CEIfttC Phone#: A,y 40y 441-,Mb ContractorAX15 Phone: 5-10- F3Z-IPI1I Fax: <5-jV t3,Z,-6 Z,Z L Contractor License#: (p 17-(p Cupertino Business License#: Contact: _ 9'4aIEY Phone: 400 -(o -Fax: Q _,esidential JK Commercial ❑ Job Description: LPLA C Building Permit Info: Bldg 2" Elect ❑ Pl=b ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, 'V-B d` Valuation: Square Footage: Project Size: Express ET---Standard ❑ Lazge ❑ Major ❑ Green Building: Please complete relevant portion of he Green E3Uding/LEED Checklist & attach it to the application or if applicable, viclude in plan set & the sheet index. ►ints Achieved: r or help, contact Build it Green at www.builditgreen.o Revised 07/14/09