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10100114 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: DANUBE DR BLDG F CONTRACTOR:AXIS CONSTRUCTION,INC PERMIT NO: 10100114 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 F BUILDING PERMIT INFO: BLDG F ELECT F PLUMB License Class Lic.# MECH F RESIDENTIAL r- COMMERCIAL� Contractor���� L,�//y��KM����N Date I hereby affirm that I am licensed under the provisions /1� pter 9 JOB DESCRIPTION:CUPERTINO WATERFALL-DANUBE DR BLDG F 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 declaration:: 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 Sq.Ft Floor Area: Valuation:$2633 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36948000.E Occupancy Type: APPLICANT CERTIFICATION 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 relatii ig to building construction,and hereby authorize representatives of this city to enter PERMIT EXPIRES IF WORK IS NOT STARTED upon the above mentioned property for inspection purposes. (We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR costs,and expenses which may accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. granting of this permit. Additionally,the applicant understands and will comply with all non-point source re lations per the Cupertino Municipal Code,Section 9.18. Issued by: /�_---� Date: Signature c� Date ❑ j OWNB -BUILD DECLARATION RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed.If a roof is I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for the following two reasons: inspection. I,as owner of the property,or my employees with wages as their sole compensa6 m, 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 t ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER construct the project(Sec.7044,Business&Professions Code). I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& I have and will maintain Worker's Compensation Insurance,as provided for by 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 contaminants as defined by the Bay Area Air Quality Management District I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the I certify that in the performance of the work for which this permit is issued,I shal I Health&Safety Code,Sections 25505,25533,and 25534. not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If,after making this certificate of exemption,1 Own-C-64 tho iz become subject to the Worker's Compensation provisions of the Labor Code,I m ust Date: forthwith comply with such provisions or this permit shall be deemed revoked. ��l CONS CTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affirm thatJthere is a c struction lending agency for the performance of work's I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.) correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name to building construction,and hereby authorize representatives of this city to enter unnn the above mentioned property for inspection purposes.(We)agree to save Lender's Address inify and keep harmless the City of Cupertino against liabilities,judgments. and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records. 9.18. Licensed Professional Signature Date CITY CF CUPERTINO 3 ITEMS OF 24 PERMIT RECEIPT OPERATOR: patg COPY # 1 Sec: Twp: Rng: Sub: E,lk: Lot: APN . . . . . . . . : -6948000 .F DATE ISSUED. . . . . . . : 7.0/19/2010 RECEIPT #. . . . . . . . • : J�S000011783 REFERENCE ID # =.0100114 SITE ADDRESS . . . . . : DANUBE DR BLDG F SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER CUPERTINO WATERFALL HOA ADDRESS (:/O CORNERSTONE COMMUNITY MGMT CITY/STATE/ZIP . . . : 3AN JOSE, CA 95125-5635 RECEIVED FROM AXIS CONSTRUCTION CONTRACTOR . . . . . . . : CHRISTOPHER DURKIN LIC # 32093 COMPANY .AXIS CONSTRUCTION, INC ADDRESS 22566 BARRINGTON CT CITY/STATE/ZIP . . . : 4AYWARD, 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 CUPERTINO WATERFi�LL HOMEOWNERS ,ASSOCIATION c/o CornerstonKommunity .Management ''Su 1800 Hamilton Avenue, ite 4210 San Jose, CA 95125-5635 (403)448-3080 x 218 Fax(408)448-3084 Roechelte Ayers,Association Managcr roe(q�wrncratancm ct.hi7 October 14,2010 City of Cupertino Building Department Fax: (403) 777-3333 Re: Stair Stringer Project/Axis Construction To Wb.orn It May Concern; This letter co.n..firms that Cupertino Waterfall. Homeowners Association has contracted and gives permission to Axis Construction, .Inc to work ori the stair stringer repair project. Sincerely, Roec elle Ayers Association Manager On behalf of the Board of Directors C(;: Bond orDinxtor9/C:oMract Pilc 10272 � W U ae 10270 2 x * 10266 + N 0 0 � s "s oN C N IN N N O O O O N x IO v N N V 102!38 A ND w f V W N c w `� O m O m 10264 x N 10262Nll.l:�^ DRIVE a 10280 10258 w 10422 x / 10240 10216 `Ae. j �! ? 10216 1o214 `p,dLep $� � 10212 10210 Iowa OR CA t N N tLJ D a t >�;.. CIWS ,�6 O O ca a F / �m N� , G \\A CO w tea„ �O Ic c m a G n �w � p � 10114 WIN CL to 2 O loin m o IA D 4 10486 Z N o g w m 1016A fn 0 0 "n N -=0182 A c r !oleo m a m m Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: ( — PERMIT# O� l OWNER'S NAME: PHONE # D` GENERAL CONTRACTOR: �� BUSINESS LICENSE# ADDRESS: 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: Signature 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 FEE ESTIMATOR-BUILDING DIVISION ADDRESS: DANUBE DR-BLDG F DATE: 10/14/2010 REVIEWED BY: APN: BP#: `VALUATION: $2,633 R-PERMITTYPE: Building Permit PIAN CHECK TYPE: Addition PENTAMATION 1 GENRES PRIMARY USE: SFD or Duplex „ ,�� PERMIT TYPE: WORK SCOPE NOTE: These fees are based on the preliminary in ormation available and are only an estimate. Contact the Dept for addn'l info. FEE ITEMS (Fee Resolution 09-)51 Ef. 7/f 1/10) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 0 # Stairs Suppl. PC Fee: 0 Reg. 0 OT 0.0 hrs $0.00 $0.00 (Specify#of Flights of Stairs) PME Plan Check: $0.00 Permit Fee: ISUPINSFEE $0.00 Suppl. Insp.Feed Reg. 0 OT 1.0 hrs $126.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 O Acoustical Fee: 0 Yes 0 No $0.00 Work Without Permit? 0 Yes E) No $0.00 • Planning Fee: $0.00 Select a Non-Residential O Building or Structure Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item Bldg Stds Commission Fee: 1BCBSC $1.00 SUBTOTALS: $127.50 $0.001 TOTAL FEE: $127.50 Revised: 9/29/2010 ai- CITY OF •✓IJPERTLNO CM OF CUPEKINO GENERAL BUILDING PERMIT APPLICATION FORNI APN# Date: IC)* //b Building Address: i f J l Mailing Address (if different from buil ' g address): Are Hazardous Materials being used as part of thi3 project? Yes No HOA: (Exterior work only) YesNo ❑ If es, provide letter from HOA Owner's Name- '696.LC Phone#:40e-44 7-2n�� Contractorb15 Phone: 510--�3 Z-&[([ `— Fax: Contractor License#: (P I (p [ Cupertino Business License#: god Contact: ee.._4i 9,4gacPhone: 40f -(o71- Z33B c�GFax: --tsidential Commercial Job Description: kt—?LA — Building Permit Info: Bldg Elect ❑ Plumb ❑ Mech ❑ Type of Construction (Usage Class): Occupancy Type: R ,z 1-A, 1-B ❑ II/III/V-A ❑ II/VI B, IV-HT, V- 3 [-- 4_ s Valuation: Square Footage: Ir ILI Project,Size: Express �t—andard ❑ Large [] Major ❑ Green Building: Please complete relevant portion ,)f the Green Bu2ding/LEED Checklist& attach it to the application or if applicable, include in plan set & the sheet index. nts Achieved: - I or help, contact Build it Green at www.buildit een.or Revised 07/14/09 s