03110147 CITY OR CUPERTINO - 4qA ��
BUILDING DIVISION PERMIT G0NRyCT0RjINF0RMATI0N t
.
BUILDING ADDRESS: PERMIT NCO 3110147
20690 STEVENS rRRRK RMIT-)
NER'S NAME: PERMIT ISSUE DATE
E UPS STORE 11/25/2003
ONE: SANITARY NO. CONTROL NO.
ARCHITECDENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
3Op LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under pmviaions of Chapter 9(commencing Job Description
with Section 7(KKp of Div Won 3 of tW Basin.and Proposal...Code.end my license is
0i in full farecind pritm e✓ c
License Cruex/ sJ Lk.M'6 7��jy& SIGN
o Dam c.m, tar t- qwt =U CONTRACTOR: CALIFORNIA NEON
3 ITECTS DE RATION
he tried ei puhBc rocaw
,d
9 mcnuJ Proffiffamud v .
S - ICD DECLARATION
OO 1 hereby affirm em exempt from W Contractor',Liccnu Lew for ft
COO o following reason.p5a0un Bonstr Business and improve,
dcoom Code:Any city or county
e
$� which requires a PCrmil m mnswn,alcor.imprnw,demolish,or repairany structure
MCpriorIn its ias.ame,also require,the applicant forsuch permit to plc a signed statement
that Im is licensed pursuant In the previsions ef the Contraciar's Liecoac Law(Chapter 9 Sq.Ft. Floor Area Valua"500
(commencing with Section 7")of Division 3 of the B usmess and Professions Code)Or
y�.. Nat M is exempt therefrom and the basis for Na alleged exemption.Any violation.f
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of APN Number Occupancy Type
not more than five hundred dollars($500).
❑ I,uawnerefthepmpeny,ormycmployeuwithwaguulhcirsolecompenudon, 35908018 . 00
will do the work,and the structure is not intended or offered fouale(Sec.70,4,Business
and Profeasions Cade:The Connor's License law dms not apply to in Owner of Required Inspections
property who builds or improves thereon,and who ones such work himself or through his
owncmployeas,provided dust such improvements Ant not intended oroRercA for late.If.
however.the Wilding or improvement is sold within one year of compledon,the awm>
builder will haw:the burden of proving that he did at Wild or improve fur par.of
-le).
O h as owner of the property,am exclusively contracting with licensed contractors to
construct Ne pmject(Sec.7044,Business and PmGuians Code)The COnu,cmr's U.
Genu Law docs not apply m an owner of property who Wilds or improves Ummon,and
who contracts for such projects with a contractor(t)licensed pursuant o the Contractors
t m Law.
I aexempt unmon
der See. ,B A,P C for Nis as
Owner Due
WORKER'S COMPENSATION DECLARATION
I herm eby affirtrMcr penally of perjury oro of Ne fallowing declarations:
I haw and will maintain a Certificate of Consent to self-imum for Workers Commit.-tion.u provided for by Section 7700 of the IaWr,Code.far the per(.nnmee of the
work for which this permit is issued.
❑1 have and will maintain Wmkers Compensation Insurance,u regviind by Section
3700 of Ne labor Code,fa the Performance of the work for which this pcsmlt is issued.
My Worker',Compensation Interstate Gamier And Policy number art:
Cartier Policy N., .
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This action mad And W completed if Ilr Permit is from hundred dollars(SI[l
or kis)
1 certify Nal in the r(ormoncc.f Inc work for which thio Permit k loved.l shall raw
employ any perso ray Anne psph"gaa u1q.ItotWWO1kar{Compens.dm
laws of Cali
ADD leant
ICE TO CC NPni0cate of Exemption,you should
orae ubjcct to Ne Work Cam n Provisions of the Labor Code,you mmol
J� forthwith comply with each Protons or this permit shall be deemed invoked.
Z
CONSTRUCTION LENDING AGENCY
�—t I hereby affirm that there i,a co unitlim lending agent,for the perfamammnr
D: Ne work fur which this pen th is issued(Sec.3091,Civ.C.1
Q Lender's Name
CL
z lender's Address
O Q 1 certify that 1 haw read this application and sum that the above information Is
4,P Gomco.I agree to comply with ell city and county ordinances nd state law&relating to
O U Wilding convection,and hereby sullied Or mpreuntatiws of this city or enter upon the I
LS) ahovomentimed!Property for inspection PUTOWL
(We)agree 1.save,indemnify and keep hsrmlc-the City Of Copied..against
V) liabilities.judgments,cast ad..Not.,which may In any way emue against sold City
U in r CANT Uf Ne granlrng oS this
AP LI WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURC ON
Re-roofs
igna oaf AP he p tractor Dam
HAtARDOU ERIALS DISCLOSURE Type of Roof
Will the applican'r
ser m sere Wilding occupant ata.or handle haraNuus material
As defined by the Cupertino Municipal Code,Chapter 9.12,and the Hcalth and Safely
Cods,Section 23532(x)7
❑Yex } No All roofs shall be inspected prior to any roofing material being installed.
' �
Will the applicant or ffu``ture building Occupant use equipment ordc.icet which If a roof is installed without first obtaining an inspection,I agree to remove
emit h-annus air contaminants As Jcencd by the Bay Arca Air Quality Management all new materials for inspection.
District?
Cl Ya. No
1 hove mad the W saNlms mekriab rcyvi.ments under ChePkrd.95 of the Califon
nix HealNk Suety Code, )5,25533 mJ 25534.1 undcrsund this if the ludding
Jou not cunemly,tp non this my repo..ibelly m notify the occupant of the
mquimmcn 6 ' rwiumrenof.Ccrtan"caofOccupmty. g/ Signature of Applicant Date
��u- ) All roof coverings to be Class "B" or better
r amlhoriud agcm Date '
CITY ON CUPER'1'INO •,3'>' .•:ii' a4 . �'�
BUILDING DIVISION PERMIT l"coNTIU1 T kiss RMA�TION
BUILDING ADDRESS: PERMIT N"03 110 14 7
2o66n STEVENS CREEK RT,Vn
OWNER'S NAME: PERMIT ISSUE DATE
E UPS STORE 11/25/2003
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
30, LICENSED CONTRACTOR'S
under
DECLARATION
mF I ion 7 )).f that 1 am utteBi .Baer proviaian Of misCoca=r 9 mammeneing Job Description
£2`uf with Senion]IXk))Of DivisionJof me Ousinus and Profession Code,and my
liccnsim
r C'NALRQ
in full forte rad ffect.
I�: License Class U sae,x' 7�JS/d1(n SIGN
DateContra tarc F-0qw1rd ^Jti CONTRACTOR: CALIFORNIA NEON
II Thew DE RATION MAR - 8'2003
f < W used n public records
JyU
cO 1conded PmflelZiune', .1 GG haw
DECLARATION _RUI DING
0 0 1 hereby.(firm that I 1 exempt from di ConirouCo License Lew co IW �V ` �.V
O O following mason.(Sadao 7031S.Business and Pmfcssiun demolish,m Any oily m county
5$tai which mquimsnpermit remnswn,ales impmsPerliafierepair gAny
ned tatement
_Zt that he incensed e.also mquims the pMVi$iapplicant for suchpnmit micense Law(Chapter
p < thmheislteenwithSrction7 the)ofDiviomnfthe rimBusiness ndProclAwlChapmr9 Sq. Ft. Floor Area Valua�1500
(cat he
xempthhereon]BBB)of basisafr ofsheeged ep.Mon.Anyvi Calc)or
i $ natio is eaempt mem from and me basin far be alleged exemption.Any violation of
Sectour ni W.five031.5 by anyapplicantdomfonpermhmbjecumeepplicanuo acivll penaltyof APN Number Occupancy Type
not more Nen five hundred dollars($500), P Y YP
0 h As owner orona property,or my employcu with wages as their sole coromna.Bon, 35908018 . 00
will do the work,and the structure is not immnded.,offemd forsale(Sec.706,1,Business
and Profession Coo:The Contractor's License Law dos not apply to an owner of Required Inspections
pmpeny who builds or impraves Nercon,end who docuuch wort himself or mmugh bis
mwn emplayeu.provided that such impresmments are not immande l oroffertA forsale.If.
however.me building or improvement is sold within am year of completion,the owner
Wilder will ban the burden of proving that W did not Wild Or improve for purpose of
plc)
❑1,as owner of the pmpeny,am exclusively contracting with licensed contractors to
construct the project(Sec.7049,Business and Professions Code)The Convector',Li. .
cense Law dos not apply to an owner of property who Wilds or imprmrs thereon,and
who contracts for such pmjcets with a emoraclor(s)licensed pursuant to the Commetoe.
Yccnm Law. -
IamepmpsunderSec. ,B&PC to,this mason
Owner Data
111.' WORKER'S COMPENSATION DECLARATION
I hereby affirm under Murry of perjury one of am following declan ions:
r.
have and will maintain a CeniOum ofComcat m sal(-insure for WorkersCompen-
,p pr.vidcd for by Section J]00 of me(sWr Code,for me performantt of tW
for which Nis permit is issued.
have and will maintain Worker's Compensation insurance,as required by Section
of the Labor Code.for has performance of the work for which this permit is issued.
My Worker's Compensation Insurance carrier and Policy number am:
Cartier: - Polity No.: _
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
O'hisaenion nerd not W completed Utbe permit is(bran,hundred dollars($100)
nr less.)
I cenify that in the rfnrmence of dac work for which mia permit is issued,1 shall not
cmPloyanyperso eY sone aflP4ueo�yl ubjectmtWWarkcri Compensation
Laws of Cali 1
App icant
ICE TO (CANT:I on
. this Cenircate of Exemption,you should
nme subject to the Work Cana Am provision of the Labor Code,you muq
�Z forthwi th comply with such pmvtunn or this perm it hall W deemed revoked.
OCONSTRUCTION LENDING AGENCY
I hereby affirm that there I.a convection lending agency for the performance of
x que work for which dais permit is issued(Sec.7097.Civ.C.)
y 0 Lcurces Name
= Z Leader's Address
J O 1 cenify that 1 have read this application and sure that the above information is '
W r correct,I agree t.comply withall city and county ominanees and auk laws retailing to
Q U building construction,and hereby authorise rcpduentxtives of this city to enter upon the '
Uahovwmentioned property(or inspection purposes.
fy,
(We)egrce 10 save,indemnify and keep hmmleM the City of Cupertino against
Hrq liabilities,judgmenu,costs and expenses which may in any way accmc against said City
U in consequence of the granting of this permit.
APPLICANT U S AND WILL COMPLY WITH ALL NON.POINT Issued by: Date
SOURCFyR�'4 TION 3 � a —
Re-roofs
,,n a.fAp he veno, Data H ARDOR ERIALa DISCLOSUREhandle
Type of Roof
Wilb the Caption.
building i ase.Chapter 9.re 12.
handle Health material
As dented by the Cupertino Municipal,Cade,LTapter 9.13,arta he Health pJ Safety
Code.Section 25572(a)1
❑Yu All roofs shall be inspected prior to any roofing material being installed.
' �I
Will the applicant or futureNo building Occupant use equipment or devices whichIf a roof is installed without first obtaining an inspection,I agree to remove
haeamous air contaminants as darned by the Bay Area Air Quality Management all new materials for inspection.
District?
0Yes No
1 have mad the ha.romis materials mquircmcnu under Chapter 6.95 Of the Cali(or.
am Health&SafnyCodc, 5,25577aa1]SSJa.lundcrsmnd thmifthe Willing
dors not cmrci tl Ban tit is my mepomihiliry m notify tbe Occupant of be
mquimmcn a Plia,issuance ofaCertificate ofOccupancy. Signature of Applicant Date
(/?$:al All roof coverings to be Class"B"or better
neo tar authorizN spent Date
CITY OF CUPERTINO �4..yt "• 'Y= ° ('T'r T
BUILDING DIVISION PERMIT R11.Jct OTT(7R > MS'�'�d
j ON,
BUILDING ADDRESS: PERMIT NeD 3 110 14 7
NER'S NAME: PERMIT ISSUE DATE
E UPS STORE 11/25/2003
PHONE:
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
�Oo LICENSED CONTRACTOR'S DECLARATION lob Description
1 hereby at as
that I am licensed under provisions of Charier 9(commencing
With Sermon 7IXg1)nf that
3 of the Businexaand Professions Code,entl mylicense is
i N full fortcynJ prfea Division � '19;5-/4/(1 SIGN
��• lima,Clxaa Lic.M
❑ DOW Contractor C trL,t-Or•ar =2iC CONTRACTOR: CALIFORNIA NEON
7W ITECTS DE RATIOS ds
Wused eE. RATION
4M; <
c s ,sensed P smnel
yang - - tL DECLARATION
i<N 1 hereby affirm that I am exempt from the Contractor's License Law for the
p 0 fallowing mason.(Section 103 IS.Business and Professions Code:Any city or county �)
e S�which requires a Permit to construct,alter,improve,demolish,or repair any structure
azi prior in is issuance,also requires the applicant for such permit o ftlea signed sommcnt
a that he is liccusad...tanuolim,owisionsof the Conoselte'sLicense Law(Chapter 9 Sq.Ft.Floor Area Valuat0500
l--a p, announcing with Section 7008)or Division 3 n(the Business and Professions Code)or
i
Use he is exempt therefrom and Ne basis for the alleged exemptlBn.Any violation of
Section 7031.5 by any applicant farapemdt subjects the applicant m a civil pcnaltyof APN Number Occupancy Type
not more Nan five hundred delta.($500). 35908018 . 00
❑1,u owner of Me pmpeny,or my employes with wages m N1.(See
compensation,
will dothework,ands: he Contractors
License
do Ta male(Sec.7044,Business
and Professions COM:The improves
themon.and
Law docs not apply lf an owner of Required Inspections
property who b,provi impmvcsch Improvements
does such wahhimxlror edthrough his
Own however.thees,ping or i that
vementps said nsamnot year f completion.
for owner.'
however,the building nrimprovementi taldedidnone Wild
or completion,Ne Owen
builder will have the burden of proving that he did not Wild or Improve for purpose of
salad,
❑1.as owner of the property,am exclusively contracting with licensed emo mom to
construct he project(Sec.7044.Business and Professions Cade:)The Contractor's Li.
cense law does not apply to an owner of property who builds or improves thereon,and
who comics for such projects with a etntractor(s)Became pursuant to be Contractor's
manse Law.
I am exempt under See. ,B k P C for this mason
nes Dam
WORKER'S COMPENSATION DECLARATION
1 hereby effort under Penalty or perjury one of the following declarations:
❑1 hese and will maintain a Certificate of Consenu0 self-insure for Worker's Coupon.
sation,u provided for by Section 7700 of the Ube,Code,for Ne per(ormenro of the
work for which this permit is issued.
❑I loan and will maintain Worker's Compensation Insurance,as required by Section
3700 of the labor Code,for the performance or the work for which this Permit is issued.
My Worker's Compensation Insurance carrier and Policy number ate:
Carrier. Policy N..:--
CERTIFICATE
o.:CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
Crib section need not becompleted If the permit is forenc hundred dathus(1100)
or less.) _
1 certify Net in Ne erformance of the work for which this permit is issued.I shall not .
coployinyperso ry�same,M,as�mSMrnEtesubject to the Workets'Comprammin
Laws of Cali ,,jj - —A
Art I
ICE TO the
imam this provisions
nno of Exemption,de,you
omit subject to the Wmkcpi soCompenanbn pmvisiona of the onadLabor Code,you must
.J z forthwith comply with such prnvtsmm or this permiuhall W deemed revoked.
OCONSTRUCTION LENDING AGENCY
jr r-r I hereby affirm that there is a construction lending agency for Performance of
Y.7 the work fur which this permit is issued(Sec.3097.Civ.C.)
f[1 A Lender's Name
0az IanderSAddress
U 0 I certify that 1 have mad this application and Wool that the above information is
W F correct 1 agree to comply with all city and county ordinances and stale laws relating to
C V building construction.and hereby mahonne representatives or Nis city banter upon the
W above-memaroul property for inspection purposes A�
f4/ (Wc)agree to save,indemnify and keep harmless the City or Cupertino against
W liabilides,judgmcou.Goss and expenses which may in any way accme against said City
V 7 iAnPPLCANcUfthe gmntin6°SThis Permit.AND WILL COMPLY WITH ALL NON-POINT Issued by: Dale
F7 SOURC TION
112c' -1 . Re-roofs
lane cofAp Ice HA ARDOUS ERIALS DISCLOSURE Data Type Of ROOF
Will Bre applicant ur u um building occupant atom or handle haarduus material
as de0nctl by the Cu auni no Municipal.Code.Chapter 9.12,and the Health and Safely
GodC, Elves NO 25532(a)? �j All roofs shall be inspected prior to any roofing material being installed.
I
El yes '\
Will the applicant or forum building Occupant useequipmentor crevices winch If a roof is installed without first obtaining an inspection,I agree to remove
cont hevardooa air conmmirants m dermad by the Bay Area Air Qumity Management all new materials for inspection.
Disuict7
E]yes b&No
1 have mad the hazardous materials requirements under Chapor 695 of Ne Califor.
nia Health&Safety Calc,Se 5.25533 and 25534.1uMcrstand that if he building
does not curtemly 1p ran t n is my responsibility to notify the ocea,.t of the
requimmcn item nuiamor.cof.cenificate fOccupancg L/ Signature of Applicant - Date
7 , All roof coverings to be Class "B" or better
Oner or authorized agent Dam
16'
• #IOXTSCWA EE=aa •
a�r>rtatcm
IRA►Lgolm CA
--The
8 y, ,x _. Store
NEON
„ I/l EMr"EyR- r -Na. GLQtCASIE1®LSMIfM� 1' .:a _.; � .�: �� �� SlIErRD(fiACE
WAIL PACE
RECEIVED
NOV 2 5 2003 rMW
BY:�_ .
plot JOBSCOPE:
— r 18" LIGHTED
:3-;W x . .erw^ bF-' -'`
CHANNEL LETTERS
r z � y` i 100i
RETURNS: BROWN
F`PROVED TRIM : BROWN
RDANCE SMITH THE CITY (A
aron,Ka cDD Al ,�N S: RED
D ILLUMINATION: Red Neon
.. sm10D
Thb sat of s ns
and specifications MUST
<, Oe Napt o the job at all limes and it is un.
Iavoui make any changes or alteretion�
on same without written permission hon-
the building Dept.. City of Cupertino.
- the stamping of this plan and specifications
'"HALL NOT be held to permit or to be ar.
+pptoval of the violation of any proVlsions
:t ,nvCdy Ordinance or State Law,
Reaft mmol sr date JOB# ®
s DATE
• ADDRESS
GrarAc- REVISION
Landlord AMoval �eeear+es, GA YSMITN `. . 707-544-0140
Date:
FAX 544-2516 LICENSE# 450869
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1. FED EX 6. THE LEARNING GAME 11. PIER ONE IMPORTS 17. TOMORROW'S TREASURES 23. MARIE CALLENDER'S
2. VACANT 7. McWHORTER&YOUNG 12, DRESS BARN 18. MOULIN ROUGE COFFEE 24. PIZZA HUT
3. FAMILY HEALTH CENTER 7, POST OFFICE EXPRESS 13.PENINSULA BEAUTY 19. LORAL WIGS 25. WHOLE FOODS MART
4. STARBUCK'SCOFFEE CO. 8. GOLDEN PRO GOLF 14.VACANT 20. THE HAIRCUT 26. FONTANNA'S ITALIAN
4. NOAH'S BAGELS
5. VACANT 9, HONG FU CHINESE CUISINE 15.THE UPS STORE 21. FOOTWEAR ECT.
10.AARON BROTHERS ART MART 16. LU'S WEDDING PHOTO 22. MERVYN'S
CITY OF CUPERTINO
OSIGN
•CUPEk INO PERMIT APPLICATION FORM
APN# v� o(�3S Date: r .- zs-o3
Building Address:
7-c&&0 4iTeNttJS GR-cC%Z 3L-VP
Owner's Name: rL,, _ Phone#:
�iP*7IE �tl"D C Tri-E J,PS 5'T U/1-t, QUO$ Zl3 Z I Ci 1
Contractor: License :
CA-LiFo¢Nla N�z� 78sIY(o
Contact: Phone#: '
GA,Lq SVItITR 7dl �l $OZ46}
Applicant/Contracto S. E
Building Permit Info:
Bldg Elect Plumb Mech
Job Description:
Residential: Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuation:
Type of Construction: Occupancy roup: l�
Qty. if
ApplicXble Fee ID Fee Description Fee Group
BENERGY Energy BUILD NG
BPERMFEE Bldg Permit Fees BUILIDNG
BPLANCHK Plan Check Fee BUILIDNG
BSEISMICOM Seismic Commercial BUILIDNG
- PERMITFEE Elect Permit Issuance ELECTRICAL
REMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Rmdl Signs, Marquee ELECTRICAL
BUSLIC Business License BUILIDNG