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03110096CITY OF CUPERTINO BUILDING DIVISION PERMIT eCONTRACTOR�INFQRMATI0N Itu'DING ADDRESS: ALLEN SIGNS INC PERMIT NO03110096 'PER'S NAME: PERMTT LS9UE DATE ICE WIRELESS 11/19/2003 ONE: SANITARY N0, CONTROL NO. (408)280-6500 ARCHITECTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH LICENSED CONTRACTORS DECLARATION I her fir, tFet 1 am liccrocd under ons of Chapter 9 (commencing Job Description P with Seeli )of Divi ion 3ofthe Buai a Profcuiuu Code, and my license is fort Llfull cff SIGN Llccnx est Lie Is DOIC CVnlleL- ARCHITECTS DECUIRATION I undcrJ my plans shall M used as public records/^ Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm that 11. exempt from Ne Contractors Low for the Any V maso ]In oli Cade: Any can or county following,coma Business and : c which requires a Pmmi' Lemmata ahcG improa, repair any atucmm Permit t str improve, de h Permit t file prior to its anted pursuant, also to tenhev icons o for such astor'to Gla a signed Ca'emam re that he licensed the of the Contractor'susiromLiccnulaw (Chaptcr9 Sq. Ft. Floor Area Valuation Sectio7 of Divine (commas or (commencingwithhere Section nl Division3 nf Business and Professions Nat he is exempt therefrom and dm buffs for du alleged exemption. Any violation of and the al Any 3 AP)�I�ID�)8t100 Occupancy Type P Y YP Section ]831.5 by any applicant for a permit subjects Ne applicant o a civil Penalty of not mom than love hundred della,, ($50K). ❑ 1, as owner of the Property, or my employees with wages as their sole compensation, Required Inspections will do she work, and the swctum is not intended or offered (or sale (Sec. 7844, Business and Professions Code: The Connector's License Law does not apply to an owner of property who build, or improves thereon, and who docs such work himselfor through his own employees, provided that such improvements are not intended or offered for sale. If. however. Ne building or improvement is sold within one year of completion, the owmn- builder will have the burden of proving that he did not Wild or improve for purpose of sale.). ❑ 1. as owner of the property, am exclusively contracting with licensed commences to construct the project (Sec. 7844. Business and profession COde:)The Contractors U. cense Law dela not apply to an owner of property who Wilds or improves'hexon, and who contracts for such projects with a eonuanor(s) licensed pursuant to the Comrec'ara License Law. ❑ I am exempt under Sec. . B 6 P C for this meson Dau WORKER'S COMPENSATION DECLARATION I hereby aflinm under penalty of perjury one of the following declarations: bans and will maintain a Certificate of Consent to selbinsure for Worker's Cemer. , u provided for by Section 3?M of the labor Cade. far the Performance of the 1,r for which this pe.if is issued. El have and will maintain Worker's Compensation Iuurance, u required by Section or Ne labor Code, rot the permrmaee a( work ter which this permit is issued. nrksrk Compensation lnaunnec Polity number ax. Polity No:7 ��d��S2 lJ CERTIFIC TEOFE% PTION FROM WORKERS' �J COMPENSATION INSURANCE (This section need not W completed Ifft permit is foram hundred delta. (glelB Ica.) 1 certify out in the performance of the work for which this Permit is isaw d, 1 shall net employ any person in any manner so as at Weome subject o the Worceri Compen,atlen Laws of Califerom. Dam Applicant NOTICE TO APPLICANT: IL after making this Certificate of Exemption, you Mould become subject to the Worker's Compensation provisions or the labor Code, ynu must fonhwi'h comply with such provisions or this Permit ,at] W deemed mvnked. CONSTRUCTION LENDING AGENCY 1 hereby Afnrm that them its construction lending agency for the Performance of the ..,it for which this permit is issued (Sec. 3077, Civ. C.) Lender's Name Lender', Address I certify Na' 1 Ma read this application and suss that Ne above information it cortcn. I agree to comply with all city and county ordinances and stats laws misting to building construction, and hereby authorise representatives of this city to enter upon the above-mentioned property for imPecuon purposes. (We) agree to save, indemnity and keep harmless the City of Cupertino against liabilities, judgments, costs and expenses which may in any way accede against aid City in consequence of the goon ng of this tJ parmil. APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NONppDINT Issued by: Date SOURnCERE 0 . / � 1 r/� / Re -roofs Type of Roof to pplica Co ram r t0 at. S 6y - Z RDOUS MATERIALS DISC' OSURE Will the applies rfuum bulking Occupant stem or handle hanrdou material loned by the Cupertino MunicipalCodc. Chapter 9.17, and the Health and Salcty , sc❑ciles zss3z(anAll roofs shall be inspected prior to any roofing material being installed. Yon NuWill If a roof is installed without first obtaining an inspection, I agree to remove the applicant m tut m buildingoccupanl use equipment or devices which hazardous air contaminants u dcfned by the Bay Area Air Quality Management all new materials for inspection. ID'icl? ❑YesI have mad the hanolnus mmauruls requirements underChapter6.95 orthe Califo . ealth Sa Safely Code, Sections 25505,25533 and 25534.1 understand that if tno Wilding l cumen11 baaatenantthatitismyresponsihili'yunoulythececupmtofthc awn ps'WMet poor wissuance nr.caNRLIleeraup Signature of Applicant Date �' All roof coverings to be Class "B" or better Owncr ser um ed agent Om {4{0z [D 0 ' X03 �00 S$F$� �5 Z) Z U CITY OF CUPERTINO 0 $ .. 0 y QLendcr'S z Q Fcorrect. U [li raq 7 -7 ^'�"�'�a,`<`wr.�. `'� uulLnwc mvlslaN PE RM CONT.RAC F R INFORM N BUILDING ADDRESS: ALLEN SIGNS INC P�tA9T N003110096 OWNER'S NAME: PERMIT ISSUE DATE VOICE WIRELESS 2003 PHONE: SANITARY NO. CONTROL NO. (408 280-6500 HITER/ENGINEE0.: BUILDING PERMIT INFO ' BLDG ELECT PLUME MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job DOSClIpIIOn I hcrcb affirm that I am littnsed under v ¢ions of Chapter 9 (commencing with Sccli n )of Divixion3of NC Busing. Processions Code, and my license is mmnmr Bert SIGN FINALIED - s Lircnu ms Llc. p Dale Cunmcm ARCHITECTS DEC ATION I undcrldpny WmeJupuhlic records DECO O 9003 EC UL plansm.11 _ ' Licensed Professional OWNER -BUILDER DECLARATIONdo,Connemara 1 hereby Low for the 11. exempt from IW Conlnnpo BUILDING Code: Any tiny nrroomy e. e: Any a . (Smile. ire euson. Permian TI13L5,Business and dcruns sudemOBih, nre&sigedummar any cm Whlrlt improve. which nee mnn¢INe ahef,nt its occ3apCmdl also rs ror Cl11 the lhuvisionmror r nahpmmll lama Sq. F[. Floor Area Valuation Law (Chapter nhethei¢lieenxdpuuuanUnlM1epmviainnsnfiheCanowauriLimnxLaw(Cheper9 that heslcensdr to i:ommencing with Section 7000) of Division 3 or the Business and Professions Code)or Nen he 4 exempt therefrom mtl Ne basis for be alleged exemption. Any vlolo0on of 3APkINJ3Mer00 Occupancy Type Section 7031.5 by any applicant fora permit subjects Ne applicant m a civil penalty of .at more than five hundred delta. (SSW). ED I, as owner or the propmty, or my empluycu with wage.; u their ale compensation, Required Inspections will an the work, and Restructure is not Intended or orrerad fp... le(sec. 704, Business and Profe ssm. Code: The Contractors License Taw does not apply no an owner of q P property who Wilds or impmms obereon, and who does suchwck himulf or through his own employers, provided that uch improvements ace not intended proffered forn4. If. however, Ne building or improvement is old within one year of completion. the owner - builder will have tie burden of proving Nal he did not Wild or Improve for pun. of talc.), 1, as owner of Ne property, am exclusively contracting with licensed contractors to construct the project (Sec. 704, Business and Professions CodI The Contractor's Lt. cone, Law dors net apply to an owner or property who Wilds or improves Ncreon, and. who contracts for such projects; with a eanmeur(m) licensed pursuant N¢ Comncloel License La - 0 I.mcacmpnunder See .B&PCAh Nismxon Owner Data WORKER'S COMPENSATION DECLARATION 1 thereby aalrm under penalty of perjury ane of tins fallowing declarations: have and will mamas. a Cenifr¢m of Consent aelf-inum for Worker.Compen- W1 n, as provided for by Section 3700 of the labor Code, for me performance of the _ for which Nis permit is issued. ❑ I have and will maintain Worker's Compensation lasunnce, u required by Section 3700 of ache laWr Code, for me performstta of lbe work ror which mi. permit I, issued. My Warne. Compensation lnsunnce s Poli, number em: Cam Poli, No.:;�� `��!��Z CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (rbb section need nor W completed lithe permit is furone hundred dollars ($100) . or less.) I comfy Not In the performance of the work for which this permit 4 issued, I shall nut employ any Nown in any manner x ai to become Subject to lhC Workers' Gamponsadon Laws of Cal ifamie. DOx ' Applicant NOTICE TO APPLICANT: If. after making this Confirm, of Exemption, you should become subject a the Worker's Compensation provisions of the Labor Code. you most forthwith comply with such provisions nr Nis peranitahall be deemed uvnked, CONSTRUCTION LENDING AGENCY I hereby affirm that Neff le, construction Icnding epeuy for Nc performance of Nc work for which this Nonni 4 issued (Sec, 3097, Civ. C.) Name Lender's Address I certify that 1 have reed this application end make Net Ne above Information is I agree m comply with all city and county ordinances and sum laws elating m Wilding construction, and hereby authorise eprommutives of this city to enter upon me ahovc-mentimned Propel(Or ialramdon purposes. use city (Wes) agree ao sem, indemnity and kith hay use Clay or and keep s ageimsaid City meyina, ase against liabiliti(We)grenu, costs and expenses in an O in consequence of the granting of his permit. APPLICANT UNDERSTANDS AND WILL COMPLY ALL NON-j'OINT Issued by:9 Date SOURCE RE 0 f Re -roofs Type of Roof reef pplicaco nn r rte RDOUS MATERIALS DISCLOSURE Will No applice rfuwre building occupant some or handle hazardous material or dcMed by the Cupenino Municipal, Cade, Chapter 9. 12. and the Health sad Safety tl Code. Section 25532(a)7 All roofs shall be inspected prior to any roofing material being installed. El Y. — No If a roof is installed without first obtaining an inspection, I agree to remove Will the applicant or rate. building.. Pont sax equipment or devices which eMit h.rsrdnus is unturnmou u dcrincd by the Bay Area Air Quality Management all new materials for inspection. Oiatrict7 ❑Yes LyNu I have mad the Incautious materials rtquiements under Chapter G95.rhe Callas. ma Health & Safmy Code, Sections 25505,15533 and 25534.1 undcmm l usafte Wilding ant, Nm 11 is my resihility to notify the aceup st of he deetnot runcndy have a ¢pppns ,air saw'th Ibe, met poor on Issuance ofaCcnirics¢ar0, Pani SignatureofApplicant Date All roof coverings to be Class "B" or better Owner surnthcd agent Da 0 0 CITY OF CUPERTINO Item 1 of 1 PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........... 36121029.00 DATE ISSUED.......: 11/19/2003 RECEIPT 4.........: 23830 REFERENCE ID # ...: 03110096 SITE ADDRESS .....: 19949 STEVENS CREEK BLVD SUBDIVISION ...... CITY .............: CUPERTINO IMPACT AREA ...... OWNER VOICE WIRELESS ADDRESS ..........: CITY/STATE/ZIP ...: CUPERTINO, CA 95014 RECEIVED FROM ....: K LIN CONTRACTOR .......: ALLEN LIN LIC # 22174 COMPANY ..........: ALLEN SIGNS INC ADDRESS ..........: 1982 STONE AVE CITY/STATE/ZIP ...: SAN JOSE, CA 95129' TELEPHONE ........: (408)280-6500 EE ID UNIT BPLANCHK PERMIT FEE BPERMFEE VALUATION BREMSIGNAD NO. CIRCUITS BSEISMICOM VALUATION BREMSIGNS NO SIGNS/MARQ TOTAL PERMIT QUANTITY AMOUNT ---------- ---------- 77.00 65.45 1,000.00 77.00 1.00 4.44 1,000.00 0.63 1.00 22.20 METHOD OF PAYMENT AMOUNT ----------------- ------------ OTHER 169.72 TOTAL RECEIPT 169.72 VOICE ID DESCRIPTION 101 FOUNDATION 104 REBAR 304 ROUGH ELECTRICAL 514 FINAL PUBLIC WORKS • 169.72 OPERATOR: conniew COPY # : 3 PD -TO -DT THIS REC NEW BAL 0.00 65.45 0.00 0.00 77.00 0.00 0.00 4.44 0.00 0.00 0.63 0.00 0.00 22.20 0.00 ---------- ---------- 0.00 169.72 ---------- 0.00 NUMBER ------------------ AMEX VOICE ID DESCRIPTION 103 UFER 105 ANCHOR BOLTS 505 FINAL ELECTRICAL 010 CUPEkTINO Ak • • CITY OF CUPERTINO SIGN PERMIT APPLICATION FORM ,� / / C) 0 ? A:2Q� t' f 1U]e _ Fee TTS Fan tlncPAnt;nn Fnn frnnn in BENERGY APN #Date: 56t -2t -DO �g/o3 BPERMFEE Building Address: B%uo� BUILIDNG 4 +e0e4,,- Plan Check Fee Owner's Name: ' "1 Phone #: Seismic Commercial BUILIDNG Contractor: License #: f Inc EPERMITFEE Elect Permit Issuance i BREMSIGNAD Rmd] Signs Add Branch Contact: K,'Liv,� Phone #: Rmdl Signs, Marquee r14&4-41 Applicant/Contractor: /m. l Building Permit Info: BUSLIC ]d Elect Plumb Mech BUILIDNG Job Description: Residential: i ommercial: Sq.Ft. Floor Area: Architect/Engineer: Val ' n: lmhL Type of Construction: —dc—cu/ A:2Q� t' f 1U]e _ Fee TTS Fan tlncPAnt;nn Fnn frnnn in BENERGY Energy BUILIDNG BPERMFEE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG SEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmd] Signs Add Branch ELECTRICAL BREMSIGNS Rmdl Signs, Marquee ELECTRICAL BUSLIC Business License BUILIDNG VOICE MRELE55 BUILDING 51GN ELEVATION: 19949 5TEVEN5 CREEK BLVD. CITY OF CUPERTINO in 16'_0" WHITE ALUMINUM INDIVIDUAL CUT OUT LETTERS, NON ILLUMINATED, I1,15TALLED 1" AWAY FROM BACKGROUND WALL SCALE: 1/4"=1'-d' DATE: NOV-12-2003 20'-0" 5TORE FRDNTAGE NEW SIGN LOCATION BUILDING ELEVATION: STEVENS CREEK RD. SITE PLAN c DO Nor SCALE 4( BUILDING WALL BACKGROUND 3" LONG #10 ROD SCREW, _ MIN 3 PER LETTER5 INTO BUILDING i 0.08" ALUMINUM INSTALL 1" AWAY FROM BUILDING INSTALLATION DETAIL e 0, ik APPROVAL: DATE: PROJECT: All de5ign6 & art works belong to Allen 5ign5, Inc. Any duplication i5 prohibited. COPY RIGHT 2002 RECEI=7ED DEC 0 9 2003 PLOT PLANS .1_. IN � rE�408/280-� p X408/280-8700 1982 STONE AVE. SANJOSE CA. 95125 • state License # 505655 VOICE WIRELE55 199495TEVENSCREEKRD. j CITY OF CUPEKTINO ui a N J g W E � S STEVENS CREEK RD. SITE PLAN c DO Nor SCALE 4( BUILDING WALL BACKGROUND 3" LONG #10 ROD SCREW, _ MIN 3 PER LETTER5 INTO BUILDING i 0.08" ALUMINUM INSTALL 1" AWAY FROM BUILDING INSTALLATION DETAIL e 0, ik APPROVAL: DATE: PROJECT: All de5ign6 & art works belong to Allen 5ign5, Inc. Any duplication i5 prohibited. COPY RIGHT 2002 RECEI=7ED DEC 0 9 2003 PLOT PLANS .1_. IN � rE�408/280-� p X408/280-8700 1982 STONE AVE. SANJOSE CA. 95125 • state License # 505655