The URL can be used to link to this page

03060025TY OF CUPERTINO .. Z Q i zQ 0 F' U 111 C y n,1'S32:tiaffi��'" BUILDING DIVISION PENT CUIVTRACTOItINFURMATIQN . DING ADDRESS: E', PERMITNO03060025 930 STEVENS CREEK BLVD R'S NAME: �}m FEEMTII��03 2003 B CRIB (RICH'HUBER, THRC) E: F SANITARY NO. CONTROL NO. ARCHITSCr/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTOR'S DECLARATION 'aiom Job Description p I kreby affirm that 1 am licensed un& Pm of Chapmr 9 (mmmenct., with section? fDlvidan3of the Buslnus rofeamns Code,md my Became is I, full roomarkq�«t. cpp�a SIGN --RIB CRIB RESTAURANT �' �S L. Lk u lav Lk.N W CONTRACTOR: CORPORATE SIGN SYSTEMS D,` So � Gns"sa' F(�0 ARCHnECrs DafPonbaAa Ns 5�'' 1 he used f S FINALE® un&rsland mY Plans shall DEC 0 120A3 Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following mason. (section 70313, Swims and Professions Code: Any city or county which ".I. • permit to rnwruct, shot, improve, demUl6h, or mp.h any Met.. prior to its issuance. also mquima me.pptieanl for such permit w file a signed summent that he is licensed pursuant to Ne provisions of the Contractor's Littman Law (Chapter 9 Sq. Ft. Floor Area on (commencing with section BOW) of Division 3 of Ne Businusand Profusions Code) or dot he Is ewmpt therefrom and the basis for the alleged erempdrn. My violation of ApN [.Iu�II(3er0 Occupancy Type Section 7031.5 by arty applicant for a permit subjects the mpleant M a civil penally of not roam than five hundred dollen ($500). 3 6 9 0 5 0 u y 0 I, u mnu ordie pmpeny, m my emplOYw wlN wagu a dmlr wle compemdan, I q&Mjpd Inspections 10 1 - FOUNDAT7'171V- p and dodmwons Cdc, The ComominOrm^dwarawdenmwe(sm.]Oa owderOf and Code: The Uwty Law dam not apply to an rwwr ves Maemra big property who whr daesmch wink himOUof duough hf. employ Wll&toed 103 - UFER mementsartne or Offered for Ola If. thaleslhempicive own thvauch own rat is ver. Mtuiprovided however, the building or improvement ts year c one year ormpro a I. due Owner.of 104 - REBAR that he id builder will Mame the burden of proving dot he did not build m Improve fm purpose of 105 ANCHOR aam.>. - BOLTS ❑ I. u axma, of The property. am "elusively, eonhacting with Seemed mnhacton to 304 - ROUGH ELECTRICAL construct Me project (Sec. 70.a. Business and Profmsiam Cede:) This Cmafacm'a U arae Law da" not apply to an ownm of property who buil& or improv themes, and, 505 — FINAL ELECTRICAL who contracts for such pmjem with a mnvactoga)Ilansed pursuant to the Contractors 514 - FINAL PUBLIC WORKS License Law. ❑Iam exempt Un&f See Bk P C fm this ream" er Data WORKERS COMPENSATION DECLARATION B hereby afMn under penalty of perjury arc of the following declarations: ❑thew and will orCementr for Woheh Compere for by eCWOOm Code, worn, for Section 3700 oTdm Labor Code, for Ne perfonmence or than providedhthis work for which Nis permit is issued. r mi ❑ L haw and will maintain Worker's Compensation Insurance, u requined by Schon 3700 of the lather Cade, far the performarme of the work for which this permit is Issued. M� y Wray lace. Camperseum Insurance "mer and Polity number am: W CERTIFICATE OF EKEMPI] OM WORKERS' COMPENSATIO INSURANCE CTMs action wed not W complemd if the permit Is forarc hundred dollars ($100) or lass.) I Certify that in the pcdonsomme of the work for which this permit is Issued, 1 sM1B not employ any person in any manner an u in become subject to the Workers! Compensation Laws of Cdifomin Data Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject m the Worker's Campensadon provisions of the Labor Coda you most forthwith comply with such provisions or this permit ahall he deemed reveled. CONSTRUCTION LENDING AGENCY 1 hereby aRirm that then u • lending agcnry for Nan performance of ed (Sa. 0 dmdohfor which this permit4iumd(SCe. ]077. Civ. C.) Namc Lender's Address 1 modify that L have mad this applirnion and sero: that the above information is mrtm11 agreeonstr ct comply with all city and county ordinances and sum laws COmmCL of Upon t e Wilding conatructiamand her OthonOrtPrtxnutiv of this city mentor upon the ahovc (We) sled property for impaction purposes impaction (We)agmento caw, indemnify and keep hay the City acne Saint City judgments, craming expenses which mayinany wry attmc against and City in an in A PLICANT of the grunting of Nis PC it. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT pj Issued by:9 Da ////�j// REGULATIO •'� • 04 Re -roofs Type of Roof sit. Of l.lvDem HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future Wilding occupant om or handle haru&us material as defined by the Cupertino Municipal Code. Chapmr 9.13, and the Health and safety da. Secde.25533(.) y^ ❑ Yet INU All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant m future building occupant we equipment or dcvicm which emit harardnus air conuminanv as &0ncd by the Bay Area Air Quality Management all new materials for inspection. DisuictT -/ ❑Yes 1 have rted the MOrdnusmatodnlsmyuimmcnD under Chrpmr 6.95of the Califon• ria Hul"SaelyCadc,S.cd=25505,35533uu12553d.lun&mmndthuif Nan Wilding J� �,�j, C= dues not eurcndy have a mnanl. that it h my responsihill to notify dam: occUPant of the mm�u whicnm mm prior win"' of a cem`"ie'yr Oc N"Y. Signature of Applicant Date J/ Gam, -ass All roof coverings to be Class "B" or better weer mautherirndagent Dam LOO yW F QUz nQz 5 Z=0 �yV 3 u, t— �0a n.�tN-o zp0 ym� t,Za fro a�= rY OF CUPERTINO BUILDING DIVISION PERMIT BUILDING ADDRESS: 19930 STEVENS CREEK BLVD OWNER'S NAME: RIB CRIB (RICH HUBER, THRC) PHONE: ARCHITECT/ENGINEER: LICENSED CONTRACTOR'S DECLARATION I hereby affirm that 1 am licensed undo pro ,,mons of Chapter 9 (commencing with Section 70Q )� (Division 3 of the Businoas rofcssiom Codc, and my license is in full force agt7..2Tfcct.�� O�`V Lice sc lass Lic. N Date Contra to • ��Q . 1CS�7 ARCHITECTS DF�'ARATION ��..��e t understand my plans shall he used as public records Licensed Professional OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by arry applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law docs not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvcmenu are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the burden of proving that he did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li- cense Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contactor(s) licensed pursuant to the Contractors License Law. ❑ I am exempt under Sec. , B At P C for this reason Owner Date WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a Certificate of Consent to self -insure for Worker's Compen- sation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Wo kers Compensadon Insurance carrier and Policy number are; CERTIFICATE OF EXEMPT QN FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workers' Compensalion Laws of California. Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address 1 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 rclating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accrue against said City in consequence of the granling of this permit. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT / t �.s, ,�IEGULATIO Applicant/Contractor Date f HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant store or handle hazardous material as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Code, Section 25532(a).) //ll ❑Yes No Will Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ❑Yes I�Nu I have read the hararduus materials requirements under Chapter 6.95 of the Califor- nia Health & Safety Code, Sections 25505.25533 and 25534.1 understand that if the building does not currently have a tenant that it is my respontihility to notify the occupant of the cmcnts which in be met prior to issuance of a Ccruf1ccatcA Occupancy. or authorized accnt Date PERMIT NOO 3060025 PERMIT L -T6 R" 3/ 2 0 0 3 SANITARY NO. BLDG Job Description CONTROL NO. BUILDING PERMIT INFO ELECT PLUMB MECH SIGN --RIB CRIB RESTAURANT CONTRACTOR: CORPORATE SIGN SYSTEMS . .5 Sq. Ft. Floor Area Valuation $15000 3630500':-o0 101 - FOUNDA�fd Inspections 103 - UFER 104 - REBAR 105 - ANCHOR BOLTS 304 - ROUGH ELECTRICAL 505 - FINAL ELECTRICAL 514 - FINAL PUBLIC WORKS Issued by: Re -roofs Type of Roof Type All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class "B" or better P�ffl CITY OF CUPERTINO CUPERTINO PERMIT APPLICATION FORM APN # Energy BUILDING 03 g2- YL Building Address: f 6--, BPLANCHK Owner's Name:I.CA �— BUILDING Phone ¢2 Contractor: BUILDING EPERMITFEE License 6 �d ' )S Contact: kJ v ,409 4 k14 BREMSIGNAD Rmdl Signs Add Branch Cupertino Business License #i r -- Building Permit Info: N� e Rmdl Sings, Marqu c ELECTRICAL Bldg � Elect Z Business License BUILDING Job Description: 5/ Residential: ❑ Commercial: 12r Cost of Project: Monument: Mounted on Building: 12r Qty. if Ar)nt�able Fee ID Fee Description Fee Group BENERGY Energy BUILDING BPERMFEE Bldg Pen -nit Fees BUILDING BPLANCHK Plan Check Fee BUILDING BSEISMICOM Seismic Commercial BUILDING EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS e Rmdl Sings, Marqu c ELECTRICAL BUSLIC Business License BUILDING 1 2,