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05030195 CITY OF CUPERTINO z '*'�' °'°"` 'z• "' BUILDING DIVISION PERMIT a -0N ItACTOR INFO"SAW, ON ., BUILDING ADDRESS: PERMIT NO. MID WAY SIGNS 05030195 WNER'S NAME: PERMIT ISSUE DATE NE: SANITARY OL NO. ARCHITECT/ENGINEER: BUILDING PERMTTINFO BLDG ELECT' PLUMB MECH 0 0 0 0 u00 LICENSED CONTRACIOWSDECLARATION Job Description Z C IDfgB 1 thereby affirm Nn I am limed under provisions or Chapter 9(exmmcncing <b with Section af Division S of the Bushes and professions Code,and my license is .�m in full force and efre p �qi IL Cl lie.9 SIGN--ILLUMINATED SIGNS (2) ,90 D, Cunlrammr pp ACTS DEC LARA 1 1 Understand my plans shall he used as public records JyU G to Licensed Professorial 3 OWNER-BUILDER DECLARATION <f I hereby affirm Nat I am exempt from the Commcmrs License Law for the a o following reason.(Seetkm 7031.5.Business and Professions Code:Any city of county ,.-8! which.quire a permit m convect,ellen improve,demolish,Or repair any most. prior in its 6some..a1tO ne,orea Oic applicant for such permit to Blettugmedusumem that he is licensed pursuant o the provisions of the Cmntracmr's License Law(Chapter 9 Sq.Ft. Floor Area Valuat on m (commencing with Section 7")of Division 3 of the Business and Nofeasimer Chat)or Nat he is exempt Nemfmm and the basis for Use alleged exemption.Any vialauon of Section 7031.5 by any applicant for a permil subjects the applicam to a civil penalty of 3 help 0 Occupancy Type not more Nan five hundred dollars(55001. []L Us owner or the pmpeny,or my employees with wages ns their sole compensation. will do the work•and Ne sou tame is not intended or offered for sat(See.706,4,Business and Promm.ns Comi Coe:The Committees Li.law does mat apply ut son owner or Required Inspections property who builds or improve thereon.and who docs such work himself or through his own employees,provided OR such improvements are not intended oroffered forsale.If. /t however.the building or improvement is sold within one year of completion,she owner. ' builder will have she burden of proving out he did not build mr improve for purpose of dez sale.). / ❑1,as owner of the Set.7 •am exclusivelyacontracting with licensed contractors m /�, J�\ 5` tonus a the proton(Sec.]116,4,weer of and property wh ions Cade)Tho Contrarcon. who contracts law docs not ahpIro m to owner of pfopenY who builds or ant tovths Cotton,and, whoseLa for such projects with a cmnlnemt(s)licensed pursuant m Nt Cmntnetor's License Law. ❑I am exempt undo Sec. .B&P C for this reason 1,, Data WORKERS COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following decimations: V have and will maintain aCertifcamofComcntaulf-insum forWorlursCompen- n,u provided for by Section 3700 of Nc labor Code,for the o fmantace of the for which Nis permit is issued. have and will maintain Worker's Compensation Insunna,as required by Section of thc labor Cade.for tepp{eefi mance of the work for which Nis permit is issued. MyW and Policy ber are eorkett�� 1nY-VJrl e�erPolisy No.:nu a CERTIFICATTEE/-OOFF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Dissection need not becomplemd if the permit ts format hundred dollars($100) or Icss.) I cenifv that in the performance of Ne work for which this Permit is issuc 1.I shall not caploy any person in any manner an as be become subject o CO Workers'Compeeation Law s of California.Dale Applicanl NOTICE TO APPLICANT:If,after making Nis Cenifcele of Exemption,you should become mhject to the Worker's Compensation provisions of Ne tabour Code,you must �Z foMwith comply with aueh pmvism.or this permit shall be domed revoked. z CONSTRUCTION LENDING AGENCY [r .�.. I hemby affirm that Ncre is a convection lending agency rnr @e performance of LYi> 00 work for which Nu permit is issued(Six,3097,Civ.C.) W A Lenders Name 0. Z Lenders Address a V 1 ccnee Nn 1 ply red this city and court and dtau Net and about information is W U builder I agree ct comply with all city and county omlmntts and sou laws relating m Q U rf^/gdyl noswmiemend hembyauNon rese nuuves of Nis city 10 enter upon a above marooned for inspection (We)agree tocave indemnify ad keep harmless the y Pe of Cupertino against to liabilities,judgments,psoned Of ecoeuand Of Oltewhichmgin any way acemc against said City tharling V z t permit. APPLICANT UNDERSTANDS AIND WILL COMPLY WITH ALL N-P INT Issued by: Date REGULATI N . c^ Re-roofs Sig u Ikon Convector Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant ser future building occupant store or handle havardous mistrial m defined by the Cupenino Municipal Code.Chapter 9.13,and Cu Heath and Safety .Sather zss3z(a17 �`]'�u�� All roofs shall be inspected prior to any roofing material being installed. ❑Ye Will the applient or mum building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit hazardous air contaminants m defined by the Bay Area Air Quality Management all new materials for inspection. DisuicO ❑yea 1 have mad the M1mardoO materials mquimmenu under Chapter 6.95 of do Califof- nia Ho1N&Safety Code,Se Tom 25505.25533 and 25534.1 understanNali d the bis'ding it.nrot cuts ndy have a u Naz il'u my respo ori h tube g <v hich uuM ejL�t�F,._„ rtiBeta or tan Signature ofApplicant Date Owncr or aur' xe agent D All roof coverings to be Class"B"or better 7,Y-OF CIJ_ERI'INO BUILDING DIVISION PER1VO C®NTI2ACTnR INF®RM? N BUILDING ADDRESS: PERMIT NO. MID WAY SIGNS 05030195 ER'S NAME: PERMIT ISSUE DATE PHONE: SANITARY ROL NO. ARCHITECDENGINEER: BUILDING PERMIT INFO BLDG ELECt PLUMB MECH �Op LICENSED CONTRACTOR'S DECLARATION Job Description C 1 hereby affirm that I sin licensed under pound.of Chapter 9(commencing U with Section 7")of Division 3 of the Business and Professions Code,and my limns is ^Otoin full force and c .f 5qz License Cl < Lie.« SIGN--ILLUMINATED SIGNS (2) n F W Da Conduct., ' - RCHIECTSDECLARAI I understand my plans shall he used as public records DaU ;0t; Licensed Professional 3 OWNER-BUILDER DECLARATION .�<y I hereby affirm thin 1 am Catnip,from Ne Contractors License Law for the ❑O following mason.(Section 7031.5,Business and Professions Code:Any city Or county K m which requires a permit to construct,aper,improve,demolish.or repair any structure u�'^ prior to its issuance,also mrmrms the applicant for such permit 10 Glc a signed statement that he is licensed pursuant 10 do prots visimof the Conuacwr's UCense Law(airier 9 Sq.Ft. Floor Area Valuat on QFC (commencing with Section 700Q of Division 3 of the Business and Professions Codc)or i Nat he is exempt thcmrrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of 3 5*V7I*91�gr)0 Occupancy Type no,mart Nan fm hundred dollars 0 I,as owner of the property or my employers with wages a their sole Compensation. will do the work,and the sommum is not intended or offered for sale(Sec.7044,Business and Profossions Code:The Conmmm'a License law doe,not apply m an owner of Required Inspections property who builds or improve thence.and who does such work himself or through his Own cmr.the uiprovided thpta er improvementsid witarenot ear ofC or offered for maner- Ownmorthebuildingde thalsomcmis soldwithin one Karcicompletion,the awmc builder will have the burden of proving that he did not build or improve for purpose of sale.). / 0 I,a mvtmr of ct See 7 ,am a Business contracting with:)nolicensed Conmmas m construct the project(See.Tka,Business and property who Cade:)The Co themons cid cense law docs not apply m an owner of propsny who builds or impr0 to themo6 and V who contracts for such projects with a conuanor(s)licenced pursuant m the Conuacters License Law. ❑lam eacmpt under Sec .B&PCfor this mason net Date WORKER'S COMPENSATION DECLARATION 1 hereby of and under penalty of perjury aro of the following d claratiorde 0 I bare and will maintain a Conifcam of Consent m selbinsum for Wrolon S Compen- sation,a provided for by S[CIIOm 37W of the Labor Cade,for the performance of the W ork for which this permit is issued. 0 I have and will maintain Workers Compensation Insurance,a required by Schon . 3100 of the Labor Code.for on,perfarmance of the work for which this Permit is issued. My Worker's Com ,maatoft note came,and Policy numb: �• Cartier. 15 /YR= {gnpjl� Policy NO.: CERTIFICATE OF EXEM MON FROM WORKERS COMPENSATION INSURANCE ffhic section need not be compleed d the permit is frome hundred dollars(SRW) or lest) 1 certify that in the performance of the work for which Nis Permit is issued,l shall not employ any person in any manner ad at in become subject o the Worker?Compemation Laws of California.Date Applicant NOTICE TO APPLICANT:If,after making Nu Ccnificate of Exemption,you should become subject to did Worker's Compensation pmvwons or the labor Code,you must ,..,Z fonhwith Comply with such provisions or this permit shall be deemed revoked. Z O CONSTRUCTION LENDING AGENCY (-. 1 hemhy alarm that there iv cmtsu amino lending agency for the perfmmanm of ai 7 the work for which Nis permit is issued(See.3091,Civ,C.) hW A Lender's Namc ,_ Lender's Address U O 1 certify that 1 ham mad this application end sum that the abort information is LL H COmi 1 agree to comply with all city and county onlimnces and mute laws relming to O V building construction,and hereby authorise mpromenmives Of Nis city to crier upon the move-mentu ned property for inspection purposes e)agree to=ad,indemnify add knoop ty of Cupertino (~I, liabilitieWjudg cons,costs and expenses which may in my way tsecrve againumid City U in COMMPMncc of the rimming of this permit. ^+ APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL N-P INT Issued by: Date REGULATI NS. J C^ Re-roofs Sig w r lican Cmonscm,r Date HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant or future building occupantsu a or handle hacardous material as defined by the Cupertino Municipal Code,Chapter 9.13.and the Hcalth and Safety code,Schen 25532(yl All roofs shall be inspected prior to any roofing material being installed. ❑Ye Nu Will the epplicam or uwre building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit haaardous air contaminants as defined by the Bay Area Air Quality Management all new materials for inspection. District? O Ycs /,y-/�'�It I ban read the luvardou'sura trials mquirttrcnu under Chapter 6.95 of Ne Calif r. nia Hcahh&Safety Code Can 25505.25533 and 25534.l unhrnm id that ifft ben drug does not currently have a m nk that it a my mmponsihilpy to notify the xupant f Ne oNm; mm a„hien matbc f E+:»msu m <nifeamorae`y ey. Signature of Applicant Date (1 Owner or autotArA agent We All roof coverings to be Class"B” or better C" C% 11' PLAT PLAAS 36" - - _ CHECKED BY KsOEY INT PI -, - QA'�rFi SA -A 1!O CREDIT UNION r = PhAWiLNG DE Letters to be eliminated . . . _—_ K�a1DTh L. DATE ff with NEON, Halo light ' ALL LETTERS AND LOGO BRONZEL WSW, op: - K POINT - _ - - -a - -� p Nu /mage HALO LIT LETTER _ - - �� - = 00THOME AND OFFICE FURNISHL'IGS 3"DEEP '- 3„ -- KLYPUINT CRANNEL Lam e 1/Y CONWIT �7� �l ♦ —{ - = —3_ clear Lexen DarAr ° C�.I V tom' A 11�� ■ ' q p qq A /1 ■ �� CREDIT UNION —�_— TUBE STAN ° UL LISTED GTO. MAR 2 2 E�� 41 )L_I�U■ 0 o SECONDARY WIRING — - - - _ - -- ---- nv NEON white _ 1 _ _ BONDING JUMPSColor b be BRONZE ' -- CONNECTION OR FITTING - n AS REQ.ON FLEXIBLEELECTRODE INSULATING METAL CONDUIT BOOTANDGTO TRANSFORMER BUSHING RETAINER,1/2' o ° / 30MA EMT CONNECTOR,1/2"EMT /A/CONNECTOR BODY, COMPRESSION NUT, ° 1/4'X 1:S STAR NYLON .°" � 3290 BASSETT STREET SANTA CLARA CALIF.(408)982-9696 FAX: 408 982-9370 ANCHOR 250M TENSILE '• 01-7_05 STRENGTH PER ANCHOR -°, v r[O77WNERAPPROVAL JOB NAME ke}'I)oint DATE:MIN.(4)PER LETTER. LISTED DISCONNECT SWITCH LOCATION 10495 DeA = SCALE: NONEIN PRIMARY ___ ONE• CITY/ DRAWN BY: G1/4"MIN DRAIN HOLES(2)TWOTO PRIMARY ELECTRICAL TE: _ MIN.PER LETTER SOURCE WITH 1/2"CONDUIT ° BY OTHERS S CITY OF CUPERTINO ® fid SIGN OCUPEf�T�NO PERMIT APPLICATION FORM APN # S ' 7 0 Z� Dat Building Address: /U! 5" Auv' B 100 Ow}r e 's Name: Pho C� Contractor: License --76Z - 6 Contact. c ' 00inl f CJy{(� Pholtulv � 0 70 Applicant/Contractor: ding Permit Info: d Elect Plumb ti Mech k) Jo cription;_ Residential: J CA�o j ��lJj 1' Commercial: �,�/ qxjs Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Cost of Project: Type of Construction: Occupancy Group: Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILIDNG BPERMFEE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Rmdl Signs, Marquee ELECTRICAL BUSLIC Business License BUILIDNG