Loading...
10100111 CITY OF CUPERTIN O BUILDING PERMIT BUILDING ADDRESS: NILE DR BLDG N CONTRACTOR:AXIS CONSTRUCTION,INC PERMIT NO: 10100111 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 BUILDING PERMIT INFO: BLDG ELECT F PLUMB r License Class Lic.it _ MECH r RESIDENTIAL F COMMERCIAL F , ContractorX �V �� �i�1U.�-( . Date V I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:CUPERTINO WATERFALL-NILE DR BLDG N REPLACE (commencing with Section 7000)of Division 3 of the Business&Professions DECAYED STAIR STRINGERS. Code and that my license is in full force and effect. 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.N 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 construction,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 harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue 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 sourcere lations per the Cupertino Municipal Code,Section Issued Date:. 9.18. A� Signature Date -A�/Iq U b ❑ OWN -BUIL 0 ER DECLARATION 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(Sec.7044, Signature of Applicant: Date: Business&Professions Code) I,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: HAZARDOUS MATERIALS DISCLOSURE 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 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. 1 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& Safety Code,Section 25532(a)should I store or handle hazardous material. Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air 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 Cod Sections 25505,25533,and 25534. 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 O r author' age; forthwith comply with such provisions or this permit shall be deemed revoked. Date: F CO TRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is I hereby affirm that there is a constriction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name is ^ the above mentioned property for inspection purposes.(We)agree to save nify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address c.,..,a,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. I understand my plans shall be used as public records. Signature Date Licensed Professional • ' � ~ m"a - --dam ar w 10272 N x10-- Z s pp pp Q 10258 O �O1 Ot O O O C N N N N N O O O11 m rn ' ,0284 m ------------- i 10282 NILE DRIVE u a 10280 r a 10258 7K r O O N m O O O W Nrn1� Z O \p16% 021G 10 t 10218 << 10214 50212 10210 Im706 o r O W ili at G• ` ,�0 � G��O'Qj ,p1�,� 6O `0 0 O O � 'pDO�iC 1 ` ,p Cl) w� In gig e o N -+ m m , N en o "0 JOiS4 Q V 101922 aZ 10,90 r0 2 O 101" °1 C' c m A o 0 � C $ 1Q 0 > WIN Z ♦ N o � � g � w 10184 c r a ,a,eo m < 0r m � .. C > o mCA CUPERTINO WATERFALL HOMEOWNERS ,ASSOCIATION c/o Cornerstone'Community Management 1800 Hamilton Avenue,,Suite 4210 San Jose, CA 95125-5635 (409)449-3080 x 218 Fux(408)448-3084 Roechelte Ayers.Association Managcr roc(lcorncratoncm et.hiz October 14,2010 City of Cupertino Building Department Fax: (408) 777-3333 Re: Stair Stringer Project/Axis Construction To Whom It May Concern; This letter confirms that Cupertino Waterfall. homeowners 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 CC: 8f)ard of Dircctorq/Contract Filc CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: NILE DR-BLDG N DATE: 10/14/2010 REVIEWED BY: APN: BP#: *VALUATION: 1$2,633 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex J` PENTAMATION 1 GENRES USE: �'1- �- ' ` ; PERMIT TYPE: WORK SCOPE F-1 I L_j E3 i NOTE: Theseees are based on the preliminaryinformation a Bailable and are onlyan estimate. Contact the Det or addn'1 info. FEE ITEMS (Fee Resolution 09-05I Ef. 7/1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.000 # Stairs Suppl. PC Fee: Reg. OT 0.0 firs $0.00 $0.00 (Specify#of Flights of Stairs) PME Plan Check: $0.00 Permit Fee: ISUPINSFEE $0.00 Suppl. Insp. Fee.e Reg. 0 OT 1 1.0 1 hrs $126.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 tF)1ti17`1fC'i�tJti J17 Acoustical Fee: 0 Yes 0 No $0.00 0 Work Without Permit? 0 Yes 0 No $0.00 L 0 Planning Fee: $0.00 Select a Non-Residential E) Building or Structure 0 Strong Motion Fee: IBSEISMICR $C.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 _F SUBTOTALS: $127.50 $0.00 TOTAL FEE: $127.50 Revised: 9/29/2010 Building Department City Of Cupertino Is 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/ SL;BCONTRACTOR LIST JOB ADDRESS: PERMIT# OWNER'S NAME: PHONE# I — �' GENERAL CONTRACTOR: BUSINESS LICEN E # ADDRESS: Z CITY/ZIPCODE: "Our municipal code requires all businesses working in the city to have a City of Cupertino busine s license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: f - Sil;nature ate Please check applicable subcontractors and complete the following information: t/ 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 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: Bl}:: Lot: APN 36S,50000 .N DATE ISSUED. . . . . . . : 10/ 19/2010 RECEIPT #. . . . . . . . . BS000011783 REFERENCE ID # . . . : 10:.00111 SITE ADDRESS . . . . . : NIDE DR BLDG N SUBDIVISION . . . . . . CITY . . . . . . . . . . . . . . CUPERTINO IMPACT AREA . . . . . . OWNER CUPERTINO WATERFALL HOA ADDRESS C/() CORNERSTONE COMMUNITY MGMT CITY/STATE/ZIP . . . : SAN JOSE, CA 95125-5635 RECEIVED FROM AX.CS CONSTRUCTION CONTRACTOR CH:ZISTOPHER DURKIN LIC # 32093 COMPANY . . . . . . . . . . : AXIS CONSTRUCTION, INC ADDRESS 2556 BARRINGTON CT CITY/STATE/ZIP . . . : HA'fWARD, CA 94545 TELEPHONE (510) 732-6111 FEE ID UNIT QUANTITY AMOUNT 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 CUPERTLNO CUPEKINO GENERAL BUILDLNG PERNUT APPLICATION FORM APN# 3&qSo joo, /V Date: 1© �+1 Building Address: ; >> _ 1 Z� 'big Q�Im Lf Mailing Address (if different from building address): Are Hazardous Materials being used as part of this project? Yes No HOA: (Exterior work only) YesNo ❑ If as, rovide letter from HOA Owner's Name- �GqMt; Phone#:4Dy-,',t 7-3080 . Contractor: Phone: _S-10-73Z-&M Fax: 6'1v-f3,Z-07-92 Contractor License#:- Cupertino :ertino Business License Contact: �" Phone: 40�-(o. c�GoAe Fax: 70..7 3Z-&Z,Z L7 �.esidential Commercial ❑ Job Description: Building Permit Info: Bldg � Elect ❑ P lumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: R 1-A, 1-B ❑ II/III/V-A ❑ II/III B, IV-HT, V-B Valuation: Square Footage: 2_&'3ZIs Project Size: Express [Standard Major ❑ Green Building: Please complete relevant portion of the Green Building/LEED Checklist& attach it to the application or if applicable, :hclude in plan set& the sheet index. ints Achieved: for help, contact Build it Green at www.builditgreen.or Revised 07/14/09 s