0607001704
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`CLINTRACTOR INF.,aRMAtTI _
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cbPERoNNO
PERMIT
. , StdSG"n., s%t S 'ti _; ° 9 .. 'y
ALL SIGNS INC
BUILDING ADDRESS: _
PEIxMIT NoD6070017
19740 STEVENS CREEK BLVD
OWNER'S NAME:
PERMIT ISSUE DATE
STAR BOOKSTORE
1982 STONE AVE
2006
SANITARY NO. CONTROL NO.
(408)280-6500
ARCHMICT/ENGINEER
BUILDING PERMIT INFO
BLDG ELECT PLUMB hl C
0 0 0 0
LICENSED CONTRACTOR'S DECLARATION
Job D05Ci7pI1On
as 1 am licensed under provisions of pter 9 (commencing
1 hereby al WClu
wish Section 700M of Division 3 of the Business and Professional Code, and my licence is
in full femeamdeffett
INDIVIDUAL CHANNEL LETTER SIGN
License CI Lk. N
Da¢ - Courauar
ARCHITECTS DECLARATION
I undersunJ my plans shall be used as puM1lic menNx
Licensed Prolcssiuwl
OWNER -BUILDER DECLARATION
I berehy .I(rm Wal I am exempt from We Contractor's License Law for she
following usai (Section 7(131.5. Business and Pmfecsions Code: My city or county
which requires a Permit to cnnsuvm, slmq improve, demolish. or repair any sticture
$3000
Prior m its issuance, 2130 Inquiries We applimsel for such permit to file a signed summem
that Ins, is licensed pursuant to the provisions of the Contractors License Law (Chapter 9
Sq. Ft. Floor Area
Valuation
(commencing with Suwon 7000) W Division 3 of the Business and Professions Codi or
this k is exempt Wuefsom and he basis for du alleged exemption Any violation of
er
Occupancy Type
Semon 7031.5 by any applicant for a permit sobjecu the applicant to a civil penalty of
not more Wan fns boosted dollars (SM.
'
❑ I.as owner of t e property, or my employee with maga u the'v alemmpewdon,
Required Inspections
will tipthewant and We nitinmmussm awd (orale(Sec. 7044, Business
eContra
and `bu Code The Contraction law deer ms apply lf rt owner
and who daisstintwmk himselforthmugb Ink
arty wh is
property who
ownemployee, Provided Nat such improvements not imeosedaraBurd(male
pro idreprovesthesmrove
r.
h`ucer. she Wilding imp rovement usoldwithinore year of completion,the owner -
Wilder will Miss Use WNcn of proving dist On did not dtiW or improve for Puspxse of
u
...
aler
J
1, of the am mrt
❑ u owner e property. exclusively contracting with licensed oems to
ut ad Code) The Contractors Li
c`m project (Sec. in
a it property whowu
an owner of PmPeny who Wilds or improves shmma, and .
come Law don not apply sm owner of
who. for such pmjcets wish a contramorts) licensed pummnt m than Convactoh
a
Lace
License law.
[] 1 am exempt undo Sec. . B k P C for Nis mazon
j
Owner Data
0
/
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of tk following dechranom:
O/
ave and will maintain a Certificate of Cmrsent to self -insure for Wui compcn-
(/
sown, u provided for by Section 3700 of We labor Code, for d¢ performance of the
work for which this permit is issued
❑ 1 have and will maintain worker's Compematien Insurance, az required by scale.
37000( We labor Coos, for We perfonnmec of rhe work for which this permit is Wood
My Work'ss Compassio onslnaanm mortise an
rd Policy number are/:
artier, F1U MCil-,' Poliry No.: A t `7 I L V / I
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
lThu smite neos trot be compleo,0 if tk permit ts (mane h`Mmd dotlars (31007
.r less.)
1 mrtify that in this performance of de work for which this permit is issued, l shall nes
employ any innocent in any manner an as us become subject to the Workers' Cl mperosdon
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If. after making Wu Cenlficate of Exemption, you shouW
become subject an she Workers Compensation provisions of the Labor Codc, you mine
forthwith comply wish such provisions or side permit shall k slummed revoked.
CONSTRUCTION LENDING AGENCY
1 herehy oRrin shat there I,. emname,durs lending agency for We perfursh. of
We work for which this permit Is issued (Sec. 3097, Civ. C.)
Undoes Namc
LcMer's Md.
'
I comfy thus I have read his application and sere that tk movs information is
coned. I agree to comply wish all city and county ordinances and also, laws mbsing to
building constriction, and Inertly authorise mpresenutives of Nix city to enter upon she
attire-mcntiuncd property for imi,stien pugwses.
(We) agree w uvc, indemnify rod kecP harmless the City of Cupcnino against
liabilities, judgments, costs and expenses which may in any way scene against aid City
in comequcnm of We graming of this Permit.
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT
Issued by: Date r7 ljL
SOUR U TIONS,-
*t_'&
Re -roofs -�
C /)�
Stgnuu of Appl' orOsxwr. Date
US MATERIALS DISCLOSURE
Type of Roof
WiB Ue applicant m rmwc building omrpantstme mkosk haoedom material
u defined by the Columns` Municipal Code. Chapter 9.12 and We Heads and Safety
Code. sec ion 25532(a)7
❑Yrs IXNe
All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wading omeop or use equipment or devices which
If a roof is installed without first obtaining an inspection, I agree to remove
hraalmin is comnnina us as defined by We Bay Arta Air Quality Managmemil
allnew materials for inspection.
trio]
❑ Ym No
I have mad he hvandour materials mquilemems under CkPmr6.95 of he alifor,
nix Health k Safety Code, &coca 25505, 25533 and 35534.1 understood Wu if the, Wilding
docs not currently have is o,nmt, dem It is my rea solibility as notify the ceeupat of he
requirec bleb vu k prior m issuance of a Ccnificate of Occup y.
-
Signature of Applicant
nt Dale
� t'
All roof coverings to be Class "B" or better
Own4
r tuition iOlson, DD.w
1L h-
�.
n of
PUPEa"k7lN0
�ITY OF CUPERTINO
SIGN
PERMIT APPLICATION FORM
wol00lj
APN#
Energ
Building Address:
`
974-0 Cr lvell
Owner's Swine: 00k4Ur6
Phone #:
Contractor:
All" St/nc
License #:
&34--W
Contact:
Phone #:
im LO)"?
/
Applicant/Contrac r:
I" s ln�.
Building Permit Inf :
Bldg Elect Plumb Mech
Job Description:
Residential: _ i Commercial:
Sq.Ft. Floor Area:
/Sq.Ft.:
Architect/Engineer:
Cost of Project:
BREMSIGNS
D00 —
ype of construction:
Occupar Group:
�S
Qty. if
Applicable
Fee ID
Fee Description
Fee Grnnn
BENERGY
Energ
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, Mar uee
ELECTRICAL
BUSLIC
Business License
BUILIDNG
• Community Development
/ 10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
CITY OF Fax (408) 777-3333
SUPERTINO
Building Department
I am not using any subcontractors: v c 6
ignature Date
Please check applicable subcontractors and rUnnipte the followine information:
JOB ADDRESS:PERMIT
Creek;)Bl ve(
#
p 6 d 7 OO e7
SUBCONTRACTOR
OWNER'S NAME: Sfzqro
PHONE # ' -ZD -65-00
GENERAL CONTRACTOR: j /n
FAX # - 7 `O- G av
I am not using any subcontractors: v c 6
ignature Date
Please check applicable subcontractors and rUnnipte the followine information:
Oi,%r/ Contractor Signature
--111,106
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Oi,%r/ Contractor Signature
--111,106
Date
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