03020053CITY OF CUPERTINO
•ire ;a <.« y>,ya �«. •p( :-
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION .
3
BUILDING ADDRESS:
20672 HOMR2TRAP PQ
CALNOVA — PROMOTION PLUS
PERMIT NO.
—K-S NAME:
j9420
RESEDA BLVD, #250
APPLICATIONA
ONE:
(818)993-5406
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INFO
-
BLDG ELECT PLUMB MECH
0 0 0 0
j SDECons of CON
LICENSEDCONTRd under
I hereby affirm that 1 am licensed under provisions of Chapter 9 (commencing
Job Description
i wiN$cetlon]lNq)of Division3of tAc guypcsaana Profession Code, arta my license is
u«Ir cl a"d r t LleeB,IqRO 6
SIGN---QUIZNOS SUB
R ARCHITTA717 CLA ATION
I understand my plansshall he used as public records
2 4 2003
q [C LicensedPrnfcssiunil OWNER-BUIIDERDECLARATION r L
S
I hereby affirm that I am exempt from the COmorcmr's Liecnse Law for the
following reason. (Section 7031.5, Business and Nitrations Code: Any city or coumy
which requircs a permit m Construct. .]we improve, demolish, or repair any 5"m®
] prior to its issuance, also requires the applicant far such permit to file a signed ataNnittl�
I Nat he is licensed pursuantmNeprevisions Ofthe Contractor's LicenxLaw (Chapter 9
Sq. Ft. Floor Area Valt�fion
3 (commencing with Sectio 9000) M Division 3 of the Business and Profeaioaa Code)or
that he is exempt therefrom 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 ofp
3 A;hl dT' 104 0
Occur ,type
.or roam than five hundred dollars 8500.
0
ane y
D 1, as owner of the property, or my employees with wages as their sole compensation,
will Eo the work, and the stractum is not unwanted .1 ffe.d Waae(Sec. 704,1. Baainea304
- ROUGH PWfjA
and Professions Code: The Contncmrs License Law docs not apply W an owner of
s
property who builds orimprovcs themon, and who doessuch work himselfor through his
505 - FINAL ELECTRICAL
own employees, provided that such improvements tae not intended or offered for sale. if.
however. the building or improvement is sold within one year of completion, the do mo
builder will have the burden of proving that he did not build or improve for purywx of
ale.).
D I, as owner of the, property am exclusively contracting with licensed conuaaors to
othoom ct the project (Sec. ]Baa, Business and Professions Cade:) The Contractors Li-
cense Law does not apply to an owner of property who builds or improves thereon, and
who contracts for such projects with a emoractor(s) Burned pursuant to the Contractors
License Law.
-
❑ I sec exempt under Sec. , B & P C for this reason
Date
WORKERS COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury our of the following declarations:
D I hats and will maintain a Certificate of Consent W self-insure for Worker'sCompen-
alion, as provided for by Section 3700 of the labor Code, for B e perfo-rom. of the
work for which this permit is issued.
-
D 1 have and will maintain Worker's Comprrwdon Insurance, as required by Section
37W of the labor Code, for the performance of the work for which this permit is issued.
My WnrkcrY Compens.a11tion lnsunnce artier and Policy nu rem:
CarrierMtr N�. pal Policy No.: _
CERTIFICATE OF EMPTION FR ORKERS'
COMPENSATION INSU ANCE
(This section need not b, completed if the permit Is for one hundred dollars (S IQ])
,it less.)
1 certify Nut in the perfmmance of the work for which this permit is issued, 1 shall Out-
employ any person in any manner an as W become subjecuo the Workers' Compensation
Laws of California. Data
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compenation provisions of the Labor Code, you must
forthwith comply with such provisions as this Permit hst) b, deemed ¢caked.
-
CONSTRUCTION LENDING AGENCY
I hereby affron that there 1s a construction ]ending agency for the perloman c of
the work for which this permit is issued (Sec. 3097. CO, C.)
lender's Name
Leader's Address
I certify that 1 have read this application and sura that the show information is
moat 1 agree W comply with all city and county ordinances and state laws relating to
building eonsOunion, and hereby authome representatives of this city to enter upon the
abovnme property for i purposes.
(We) agree In saw. indemnify and keep harmless the City of Cupertino against
judgrd expenses
incomas a ade of thegnats roti of this pe which may in any way accuse against aid City
m conseyuenec o! the granting of this permit
APPLICANT AND WILL COMPLY WITH ALL NON-POINT
Issued by: Date
-Re-roofs
Sig at tar t/Cantaact tc
IIAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the applicant or future building Occupant store or handle haysrdous material
as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
Mc. Section 25532(.)?
. OYcs
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant orFbuilding Occupant uac equipment at devices which
If a roof is installed without first obtaining an inspection, I agree to remove
emit haraNnus air conusm omits us defined by the Bay Area Air Quality Management
Dirinet?
all new materials for inspection.
Dyes YNo
1 hast mad the haardnus mamrials rc9uimments under Chapter 6.95 of the Califnr-
nia Health & SafctyCW , Swdons 259)5,25533 and 25534, I understand that ifthe building
dree not Currently haw • tenant dust it is my rcxponsihit ly to notify cecupant of the
rcyulrtmcn ich muv be mm ts of upancy.
Signature of Applicant Date
r'G
or emhorirad agent Date
All roof coverings to be Class "B" or better
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CITY OF CUPERTINO
BUILDING DIVISION PERIM110
WON4IN ORM.AT
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BUP.DINGADDRFSs:
206:72 ROD422:12RAn RD
CALNOVA - PROMOTION PLUS
PERMIT NO.
0
NER'S NAME:
TONY VTOT.A
9420 RESEDA BLVD,#250
APPLICATIO A
HONE:
(818)993-5406
SANITARY NO. CONTROL NO.
ARCHITECTrENGINEER:
BUILDING PERMIT INFO
BLDG ELELT PLUMB MECH
0 0 0 0
LICENSED CONTRAQner p DECLARATION
I hereby.70 affirm 1 am theAd underprovisionsofC 9(commencing
Job Description
wit
with Scni°n ]IXp) of Division 3.f d¢gl4ipeu and Profcuiau Codc, end my license is
ocka
In fullfo
anel •/\r
Licenw CI Lk. g
_
SIGN SUB FRNA ,E®
m t -
ARCHITECT EC"IftLA ATIDTt N ,
I understand my plana shell be used as Public records
1
FEB 2 42003
LiccnA Pnsfeumnal
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from thc Comremor's Liecnu Lew for the
,1 p,
G
following reason. (Section 70313ta
, Business d Pmm ressloCode: Any city or county
��iI/"
1v
�Dl1v
which requires • Permit 10 consumer. eller, improve, demolish, or repair any structure
priorm its issuance. also inquires the applicant for such Permit to file a signed summer
that he is licensed pursuant to the Provisions of the Contractor's License Law (Chapter 9
Sq. Ft. Floor Area
ValiRaion
(commencing with Section 90f)D) of Division 3 of the Business and Professions Calc) or
CI
that he Is exempt thmefmm and the basis for the alleged exempfimt Any violation of
nodi...0nf^w hundred Aol,no`�rmit subjects We appruntmaova penny or
3 I ftlobef 00 Occupancy Type
❑ I.uOwner of Ne pmpeny, or my employ«a with wagesu their sole edmpenution,
will Pr fewnns ed meheCmdus ba's {causencled Law edi desror Wepply ?ore Owner of
will do On work and O The Co structure Is nuts License raw redo not apply m as Owner or
3 04 — ROUGH P"d'�M6ns
Property who bulldsdr improves themon, andwho doessuch work himselforthrough his
505 - FINAL E ECTRICAL
Own employees, provided that such improvements art not intended or offered for tile. If.
however, the building or improvement is sold within one year of completion, the Owmo
builder will have the burden of Moving that he did not build or improve for purpose of
ask.).
❑ 1, as Owner Of Ne property, am exclusively contracting with licensed convectors to
construct the pmject (Sec. 7004, Buiness and Professions Coce:) The COnwcmh U.
cease Use does not apply no In Own« Of property who builds m improves themon, and
'
who commutes for such projects with a tomato r(s) licensed pursuant to the Comosc ofs
License Law.
❑ I am exempt under Sec. ,B&PC for Nis mason
« Dam
WORKERS COMPENSATION DECLARATION
1 hereby affirm under penally of perjury one of the following hclantions:
❑ 1 have and will maintain aCeoifosm Of Comear t m air -impure fm WoM1efaCompen-
snion, u provided for by Seaiom 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
E3 1 have and will mdinuin Worker's Compensation I . . . . u.quimd by Seeton
37W of the tabor Cade. for the perfomnance of the work for which this permit is fssucd
My Workefs Compensation lnwnrmc carie and Polity nu ram:
Caricr M�Ftr ��. {)il%g✓ Policy No.:
CERTIFICATE OFA%EMPTION ORKERS'
COMPENSATION INSU ANCE
sectile need not he Completed if the permit Is for ea bundmd dollars 1$100)
nr Iloss)(Ihs
1 certify Nal in the ponfor nonce of the work for which this permit u issued, 1 shall not
emptily any person In any mantur w as m baftne wbjeel l° tY Worker{ CompeNatOn
Laws of California. Dam
Applicant
NOTICE TO APPLICANT: IL after making this Ccnificam of Exemption. you should
became Subject on tin Worker's Compcuetma provisions Of the labor Code. you most
foMwith comply with such Provision m this lanoth Mail be dcemcd revoked.
CONSTRUCTION LENDING AGENCY
I hereby anon that there is a -retraction lending agency for the performance of
the work for which this prem{, is issued (Sec. 3099, Civ, C.)
Lander{ Name
L<nder's Address
a 1 certify Nu I have mad Nis application and sum this Ne above information is
correct. I Agra 10 comply with all city and county ordinances and sure laws mlalieg m
building construction, and hereby autho im mpmsenutim of this city m emmr upon the
ami°neo property for inspection purposes.
ree m
(We) agsave, indemnify and keep hermit. he City of Cupcnimd eg.inl
liabilities, judgmmns, toss and as,. which may in any way accrue against said City
in cww
in cauequctmc or the granting or this Permit.
APPLI AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date
. Re -roofs /
sig u OfVCenuan to
HAZARDOUS MATERIALS DISCLOSURE
Type of Roof
Will the appliram Or future building uttuPanl slam m handl. huudoua makrial
Municipal Cade, Chapter 9.12, and the Heahh and Safety
Jt(a)?All
ffmCupertino
roofs shall be inspected prior to any roofing material being installed.
plicam or slum bulking oceupanluw.quipmenl ordcvicca which
If a roof is installed without first obtaining an inspection, I agree to remove
conuminanes u defined by the Bay Ana Air Quality Management
District?
all new materials for inspection.
❑ Yes No
I ham= med the hvartnusm strixls requirement solar Chapter 6.9$ of the Glifor-
nia Health & Safny Cash, Satan 35505.3SSJ3and 15334.1 unhesaM that if Ila building
odea not currently haw a Itlhanl Nar it is my map9mtibi'ry m °otify t pUupam
^f the
reyuimmc tela run lamerce mof upuhcy.
Signature of Applicant
Date
°"°'n°"'°d°g ^' Date
All roof coverings to be Class "B" or better
•
Quizno's, Cupertino
20672 Homestead Dr.
Cupertino, CA
FRONT RENDERING
IN ACCORDANCE WITH THE CITY OF
CUpERTINO .CODA'S AVI)ZIRMNAnfrr,
SIGNED_(
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51GN COMPANY: PROMOTION PLUS 9420 KESEDA BLVD. #250 - NORTHRI E, CA 91324
PLEASEAUTHORIZE HERE X
WRHOUTAUMORIZATION PROMOTION PLUS IS UNABLE TO PROCESS YOUR ORDER.
DATE: PILE NAMEXUSTOMER LOCATION: PROMOTION PL US
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20672 Homestead Dr
Cupertino, CA
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PETUKN5:5" DEEP PRE -COAT BLACK ALUMINUM RETURN5
TRIM CAP: -" WHITE JEWELITE TFIMCAP PAINTED PM5 #575C GREEN
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KETuKN5: 5" DEEP PRE -COAT BLACK ALUMINUM KETURN5
TRIM CAP: 3/4" RED JEWELITE TPIMCAP FAINTED PM5 #1797C RED
PLEASEAUTHORIZE HERE X
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