27257 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
CITY OF CUPERTINO -BING-ELEC MECHANICAL MIMI, PERMITNO.
BUILDING DIVISION APPLICATION/PERMIT PING PRNJECFID IANIFIC
BUILDING 1'aO.IH/:'1'IUENTIt'ICA'I'[ON 27257
BUILDING ADDRESS: �(�f� [��J SANITARY NO. APPLICATION
�SUBMITTAL DATE
jo—IgS - 1ll�f'r�u-1 RWO UNIT# LOT al ��l—�6
OW'I:RSNAuM':I I PHONE: CONTRACTOR'S NAME: LIC NO: N/C COCNTROLp
J•- +TKG i'E(�NC�'L 87.383 —r je Q -� 3
�ARGIRTEGI'BiNGINEIIR: LIC NO'. ADDRESS:
1ST7 �'SsZS ❑
�he✓+fl2r� SS
CONTACT: PHONE:
QTY. ELECTRIC PERMIT FEE BUILDING PERMIT INFO
BLDGPLUMB MECH
ELE
PERMIT ISSUANCE 11 0 D
LICENSED CONTRACTOR'S DCCLARATION APPLIANCES-RESIDENTIAL
M=Z I hereby affirm that l am licensed underpmvisions of Chapter9(commencingwith IOBD DESCRIPTION
POO Section J000)of Division 3 off.Business and Professions Code,and my license is in PANELS MOnIVro �,�
1.11 force an effect,
¢ZW License Class `' Lic.# CA 3a'1s�r� UP T0200 AMPS
rFiaQy Date Conuacmr_f d4�NEOR1 cl/.121 201-IOIIpAMPS
ZO,Z ARCHITECTS DECLARATION OVER 1000 AMPS SQ.Pi'.FLOOR AREA E/SQ.FT.
O Z—❑ 1 understand my plans shall Na used as public records.
r En( C SIGNS ELECTRICAL
Licensed Profexsinna
—, l
W6 OWNER-BUILDER DECLARATION SPECIAL CIRCUIT/MISC.
°�OaF I hereby affirm thin 1 am exempt from the Connector'.License law for the
nl3n-tan fallowing reamn.(Section]031.5,Business and Professions Code:Any city or county TEAM.METER OR POLE INST.
F"� J which mgairea a nnit to cmixoni t,dram improve,demolish,or repair any structure
prior to its Issuance,also requires the applicant for such permit to file a signed statement POWER DEVICES
QOa that he is licensed pursuant to the provisions of the Contractees License law(Chapter
dc. 9(commencing with Section]0011)of Division 3 of the Business and Profasiaas Code) SWIMMRIGPOOLELECTRIC j,I, VALUATION
or that he is exempt herefmm and Ne basis for the alleged exemption.Any violationmf
L->a Section]U3L3 by any applicant for a permit subjwu the applicant m a civil pentlry of OUTLETS-SWITCHES-FIXTURES K IY_J L a L
J'3y0 am more than five hundred dollum(E5W)
.NNEW RESIDENTIAL ELECfIt S .PP.
0 ❑ I,usowneroftheprapcny,ormyemployttswiN wagesu Neimolewmpensation, Q STORIES TYPE CONSTRUCTION
will do thework,and the suuctamis not intended oroffered mrsale(Be..70,14,Business
and professions Code:The Commcmis License Law does not apply to an owner of
propenywhobuildsorimprover thereagand whodoessoch work himselfor lhroughhis OCC GROUP RES.UNITS
ownemployceaprmvidedthat such improvements arcnot intcndedoraffened forsale.if,
however,the building or improvomenr is sold within one year of completion,the owner xsx
-
builder will have the burden of proving that he did not hudd or improve fur purpose of
le.).
❑ I,usownerofthepropeny.amexclusivelycontractingwithlicensedwnwctomm QTY. PLUMBINGPERMIT FEE FLOOD ZONE APN
construct the project(Sec.7044,Business and Professions Code:)The Contractor's PERMIT ISSUANCE
License Law does not a pply m an owner of property who builds m improves thereon,and
whacmmtmt9s forsuch projects with acommetor(s)licensed pursuant it)the Convectors
License Law. ALTER-DRAIN&VENT-WATER(FA) PEIi SUMMARY
❑ 1 am exempt under Sec. ,B&P C fm this ma on OUTSIDE FEES
BACK FLOW PROTECT.DEVICE SANITARY Y N
Owner Data DRAINS-FLOOR,ROOF,AREA,COND. RI3CEIPT#
WORKMAN COMPENSATION DECLARATION SCHOOLTAX Y N
ErIherchy affirm lhvtl have acenificute of consent to sal Ginaum,on cenificate of FIXTURES-PER TRAP RECBIPT#
Workers Compcwtivnlnsuaanceoraccnifird wpy thcreef(Sec.3g00,lab C.)which PARK FEE YN
Policyers#all employees gnSer lz na;ta 3 GAS.EA.SYSTEM-I INC.40UTLETS BUILDING DIVISION FEES
Company W2L1K C((OLL rNS Mew GAS-EA.SYSTEM-OVER 4IRA) PLANCHECK FEE
❑ Caddied copy is hereby famished.
❑ Cerifled copy is filed with the city inspection division. GREASFgNDUSTRL WASTE INTERCEPTOR GRADING FEE
CERTIFICATE OF EXEMPTION FROM WORKERS' GRFASETRAP SOILS FEF.
COMPENSATION INSURANCE
(]Lis section need not be complete ifthepctmit is for one hundred dollars(5100) SEWER-SANITARY-STORM EA.201 ENERGY TWE
or less.)
I certify that in the performance of the work for which this permit is Issued,l shall WATER HEATER W/VENT/ELECTR
an employ any penton in any er eco m to becomeG Jp��iit to the Widgets' PAID
Compensation Law fca Ori 1e - f--S6YVeb WATER SYSTEM/IREATING Date Receipt#
O z Applicant P� n
O NOTICE TO APPLICANT:If.after making this Cmifiute of Exemption,you should NEW RESIDENTIAL PLMB. SQ.Ff. TOTAL:
+; become subject to Ne Wohers Compensation provisions ofshe labor Code,you must
fortho
with comply with such provisions or this permit shall he domed revoked. BUILDING PEC
w [�
CONSTRUCTION LENDING AGENCY SEISMIC FEE
z Ihereby affirm Chet there is a construction leading agency for the performance of TOTAL: ELECTRIC FEE
the work for which this permit is issue(Sec.31197,Civ.C.)
Lender's Name
�' E^ 4narex Address QTY. MECHANICAL PERMIT FEE PLUMBING FEE
O CWJ I cenify that I have mad this application and state that Ne above information is MECHANICAL FEE
Q.
correct.l agree in comply with dl city and county ordinances and state lows relating to PERMIT ISSUANCE
_ buildingwnstruniom,and herchyouflonieempotminativeaofthiscity to wta,upon the
V CONSTRUCTION TAX
Z above-mentioned bove- enned property for inspection purposes. ALTERORADDTOMECTL
(We)agree to save,indemnify and keep harmless the City of Cupertino against
liabilities,judgments.casts and expenses which may in any way accrue against said City AIR HANDLING UNIT(TO 10,00sh CFM)
in consequence of the gmotin,of this permit.
AIR HANDLING UNIT(OVER 10,000 CEM)
Signature of ApplicanVCmntmctor Date EXHAUST HOOD(W/DUCT) PAID
I IAZARDOUS MATERIALS DISCLOSURE HEATING UNIT(TO 100,000BTU) Date Receipt#
Will the applicant or future building occupant store or handle haasrdous material
as defines by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety HEATING UNIT(OVER 101000 BTU) TOTAL:
Code,Section 25532(x)] VENTILATION FAN(SINGLE RFSID)
❑Yes 'y;VNO
BOILER-COMP(31 IF OR 100,000 BTU) JUN ISSUANCE DATE
Wiil the applicantnam,a building by the Bay Area flirt Quality Management u O �r�a�aa
havrdous dr contaminants ss defined by the Bay Arcu Air Quality Management BOILER-COMP(OVER 100,000 BTU) l� lI96
isuieY yb VV
❑Yes -Q'No NEW RESIDENTIAL MECH. SQ,IT. U�I I Ur* L'u"VI I INU
1 have rtad the haamdom mmarids mgairemcnm under Chapter 6.95 of Ne
California Health&Safety Code.Sections 25505,25533 and 25534.1 understand that
if the building dues not cumarly have a retain,that it is my responsibility to notify the
ocOccupancy. Q cupant"'Bac
requiremeir hich m t prior m smcmc of a•Ceri/fi�ceIn of
I
Owner or omhorized agentna �- UU�-T� Dote TOTAL: ISSUED BY: 1
OFFICE
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s; -11 �tH+p.C•-.�A� P �7`I�.tarC} 0Lt;E iQ/L.l .
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CC,,,.. t �"--- � � �.l V►..! f�L�'t1
SIGN CRITERN ,
TL-.(P, 1 " 3 t o„
sign, Chad be Charnel iMurninated More with s returns and trim cap
Color Of retum and trim cep per ter>enb choice with landlord approval.
t J,
8. Tonam choice of letter style plastic face and color approval. -T
t 1 C. Si to De U.L v
grit approved with 30 MA noon Illumination.. �
} } 0. latter freight not to exceed 18'; except tenants with over 5000 sq. ti
I are allowed 24• letters in height. Logos w calculated in tenanfs overall
} signage I
E. Tenant allowed one square foot of wgr. area per one foot of lewd store >�
frontage. Sign length not to succeed 70% of frontage. A busirms is - l r r
#! allowed a minimum of 20 sq. R for each sign; but Mss than 200 sq
j
F. Tenant allowed one sign per leased frontage, curse owner space dten Mneru
is allowed up to 2 signs I }
[ ✓ f < . i 1 Q Signs to be centered as closely as possible on tenants leased Wmage.
rj�V 11 I( ;1 { H. Tenants with skewed store frontage to haw sign placed w noted on ! -
approved prints F ..
.� Fj ie is
1. Three Copies of detailed plane to, be submitted to Mrtolord pry to
manufacture and Install for landlord approval. = F+C.[Ft, fez
S 1 r
J. Individual tenants responsible for required sgnage permits. f 1 f Tl
Q PLOT PLANS
y1 _ t4S-- f �' j Z DATE V�«�
tz
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fir. M' .CAt��t f� �
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',/tfG� f`.!.-Kl[- 1¢..16 �C.G, 1f
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- - - - } TlAF�iI•••GiCI`i`T (�{�•:i" is
(k // (: -} � { Y �1 Y V ll UL7'-�t!VWLL\l Y -- krG-R��1� T >�h�}�� -•�t
CHANNEL CLASSIC %/ ,
IEETTEREDGE i o caFYTo f_'1*. �)" t" tF1.
PAN CHANNEL_ _ _ ._ — - --- --- ---. —`—� t F u v tl LJUUL4 -I! ASUV[r-�U11 U mIh1 , Le-riJ� 41 UI�-uo
_ _y.. ._ ._ __. _ _
REV PAN CHANNEL(HALO) I - �` t' F
EXTERIOR NEON
INTERIOR NEON
CABINET t hO12Lni
WOOD SANDBLAST s _ !tC/h1Lrt1 j �r'r tcs�= TN
ILLUMINATED i �/� �iE x1 f~
NON-ILLUMINATED II ____ _ O
PLASTIC 'I. �iL�G�• h►k'tt`3"'. _ r
ALUMINUM
SHEET METAL
- ROUT OUT - - - - - QAL=
THIS IS ANORIGmu UWUOLISNED D - - - - -
FLAT CUT OUT CREATED FOR YOU BY CAL-NEON SIGNS.R IS W8 NAME r-Ott h..t '' tr"C_ l�`rk i L- SCALE ?Gj ►��^ ?✓�i� DESIGN N0. (tpE•?a
BACK DECORATED IKEMNI SIG NS BEING SUBMITTED FOR FOUR PERSONAL USE IN h_ r jt F
- CONNECTION WITH A PROJECT BEING PLANNED A7DRESS t c t 4 5 m { ?moi y/•� eIL-11l. SALES REV. [C.Fk iC),A DATE to -7- !E5 a o
PAINTED - - - - - FOR YOU BY CAL-NEON SIGNS.IT IS NOT TO BE - - - -- z
SHOWN TO ANYONE OUTSIDE YOUR ORGANZA. : - GU t "f�ST i t�iL! �fi.: - - - - - - - - DRAWN BYA r-,"I--G4 - - - - 2
VINYL 1577 ALMADEN ROAD; SAN JOSE 95125 nGN,NORISITTOBEREPRODUGED,COPIED 4
LEXAN -- - - - - - - - - - - - - OR EXHIBITED IN ANY FASHION
MODULE ( 408 ) 289- 1883 fax : 289-8024 SHEET y r >
OTHER CAL. CONTRACTORS Lf NSE 385665 '� OF