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05080211
CITY OF CUPERTINO x C�jej R CTOR`INpo n BION BUILDING DIVISION PER - w,xv'E T I CTOR- , e R' BUILDING ADDRESS: CPS SIGNS PERMIT No.OSOS 0211 20735 STEVENS CREEK BIND WNER'S NAME: PERMIT ISSUC GATE ' H. K. INVESTMENTS 7730 ENTERPRISE 08/23/2005 HONE: SANITARY NO. CONTROL NO. (510) 793-2471 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 30o LICENSED CONTRACTOR'S DECLARATION IOb Descriptionsed I hereby af0u im NI am licensed under previsions of Chapter 9(commencing with Scmian]asap of Divixion 3 ar Nc Business end Profca��ode,end my license is ihrullfnrceesdeffemC�; Lie. a gip SIGN--ELECT. /FRONT & REAR ELECATION jqz ueemmclava c�> �7t.9A7� Da¢ u�3 ARCHITECTS rECL ARCHITECTS DECLARATION � I undcramnJ my glare shell he aad a public records SyU sa(n Licensed Professional , g OWNER-BUIIJ]ER DECLARATION g I hereby affirm Ihal I am acmpl fru.the Cnnuacmrs Licenm Law For IM 2 o c fallowing o esnn.(Smile.7031.5,Business end Professions Code:Any city or county 5$� which mquira a permit m enatmct,alter,Improve,demolish,or repair any structure $2500 -ZiPrior lniaiStuesm,alsu sequirtsthe applicant for such Permit m6leasigned sutmcm xx< IhetheislicensedpurnunttothepovisionsOfMeComruteesUm. aw(Chapter9 Sq.FL Floor Area Valuation FS (commencing with Section 7")of Division 3 of He B usiness and Professions Code)or Nat he Is exempt therefrom and the bob for Ne alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of err a Occupancy Type not mom Nan five hundred dollars(5500). ❑I,as owner of the property,or my employees with wages u their sole compensation, will do Ne work,and theammurc Istat intended Oroffered(or sold(So,.7W,Business Required Inspections and Professions Cade:The Contractor's License Law does not apply t an owner of q p Property who bui Ids or impmva,Hereon,a nd who d oes such work himself or through his spun employees,provided that such improvements see not imended oroRercd forests.If. however,Ne building or improvement is sold within one yxu of completion,Ne owner- ]v[' huildcr will have the border;of proving Net he did not Wild or improve for purpose of 9l� build, 0 1,as owner of Jt pmpany,am exclusively commuting with licensed comments a matmet the project(Sec.7044.Business and Professions Code:)The Committee Li- cense Law docs not apply in an owner of property who builds or improves thereon,and who contracts for such projects with a conuactr(s)licensed pursuant in Ne Convamor's License Law. ❑I am exempt under Sm. ,B k P C(Of this toren wncr Data WORKER'S COMPENSATION DECLARATION I hereby affim under penalty of perjury one of the fallowing decimations: ❑I have and will maintain a certificate of consent to mlr-Inum for Worker's Compcn- sation,a provided for by Section 3700 of the labor Code,for the performance of the work far which this parmitis issued. - ❑I have and will mainain Worker's Compensation Imuance,as;required by Section 37W Of the Labor Code,rue Ne performance of Ne work for which this permit is Issued. My Worker's Cnmpensallan Insure n artierend Policy number art: Cartier: Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE ' Obis section wed Out hemmplatd If the permit Is forum hundred dollars(SIM) or less.) I candy that In the performance of tite work for which this permit is issued.I shall not employ any person in any manger m as to become subject o the Workers'Compensation Laws of Celi(amia.Det Applicant NOTICE TO APPLICANT:If.after making this Certifier,of Eaeapion,you should become subject to the Worker's Compensation previsions of Ne Labor Code.you most forthwith comply with such provisions or this permit shall W deemed invoked. z O CONSTRUCTION LENDING AGENCY (-i I hereby affirm that More is a construction lending gency for NC Performance of lx the work fur which this permit is issued(Sm.3W7,Civ.C.) {7]Q Lenders Name ' kL ders Address V Q Len1 senify Nu I have read Nis application and sou that Ne above information is lI.F corom I agree to comply with all city and county ominmas and sate laws relating to ams y to r upon C.) building ce)agree toand m.indemwthand epresenreeast th(Nis ofCupmm�o ago the W ahovc-mentioned progeny rot inspection purposes. (We)ogres.cove,indemnify esti tech harmless the City of Cupertino id City y incoisequenc ofMecosuang expenses which may in any way acrncagaiw said City V'�, A APPLICANT of Me granting of this permit. t-' APPLICANT UNDERSTANDS NO WI COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REG L TIONS. _ W rj,���y CAo O- Re-roofs Signowrcpf Applicacm Date - HAZARDO 5 ATERI LS DISCLOSURE Type of Roof _ Will theapplicantm(serum building..Pont store or handle Nuusm aaml y a defined by IM Cupertino Municipal Cade,Chapter 9.12,and HHe e Health and Safely Chic,Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed. ❑Yea Will the applicant orumm building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove emit ha,.mmus air mntaminana a defeml by the Bay Arca Air Qwlhy Management all new materials for inspection. District? u ❑Ya 1 have matt the haamtus materials rtquisements sea&,chapter 6.95 or Me Califmr Otis Hcai &Safety Cade,Sections 25503,25533 and 25534.1 undersand Nu it the Wilding Joey not currently hex a u y4 Nat it is my reepamlhil,ty m notify d acupm,of thc mqulremena rI It fire to ccofaCeNfcawaroccupamcy. Signature of Applicant .Date All roof coverings to be Class"B"or better Owner ser authorisdagens Date � � F C 1 � 1 ti N C � C ^ H \\ p n D m � cno a - f ` z r3� cn co • § f z N 3 =fir. !tf „ (� 4' Cn 3,i z W � V�',�• � r � a , o OCO 00 d m Z � T c� W z \ � § ) § \ � & \ © R , / k 2 Jm ) \ § \ m � o . ) i ° E § 2 ƒ 22 � m z � f ;2 § k $ ° e - - \ / m cn z 2 ƒ @ _ a ( cn \ } \ § ) / � m > ® 2 � s> @ )k 4En z . z { \ § z M / § k $ § q § § ` 2 � ( « § / § 2 ! N 2 2 § @ 2 ! § r } z M § § m § § § ! z k § / m � 2 \ $ � - § � R ) k § § § / 2 § §_ § § § ) 22 § ) B ( § § ( 2 ' / \ ( 2 k ig ( � ( (n 0 \ 9 � Q om ` � 2� @o - a ; � ■ o -0 • 2 / § . d0 § k cn { kk � > ) § ( % / ) � k / � � � m m � � E � � § § � \ � � � X § r � » 2m § k A k = § r Mm ° o # E & q � � § b ( § ■ z ( % z & 5 Q o \ \ k § 0 PLOT PLAN N.T.S. 1 N ciJ BANDLEY DR. m Y W W U SIGN BACK ELEVATION Lu Lu WISE GAMSTOP VERIZON SCUTS D NTAL gp�P co SIGN k- 1}I ' FRONT ELEVATION 7730 ENTERPRISE ORIVE NEWARK, CA. 94560 CA. LIC. * 838038 (510]793-2471 CITY OF CUPERTINO Oem 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # 3 Sec : Twp: Rng: Sub: Blk: Lot : APN . . . . . . . . : 32632054 . 00 DATE ISSUED. . . . . . . : 08/23/2005 RECEIPT # . . . . . . . . . : 30881 REFERENCE ID # . . . : 05080211 SITE ADDRESS . . . . . : 20735 STEVENS CREEK BLVD SUBDIVISION . . . . . . . CITY . . . . . . . . . . . . . : CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : H. K. INVESTMENTS ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , I RECEIVED FROM . . . . : CPS SIGNS CONTRACTOR . . . . . . . : BILL GIFFORD LIC # 23228 COMPANY . . . . . . . . . . : CPS SIGNS ADDRESS . . . . . . . . . . : 7730 ENTERPRISE DR. CITY/STATE/ZIP . . . : NEWARK, CA 94560 TELEPHONE . . . . . . . . : (510) 793-2471 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 2 , 500 . 00 83 . 16 0 . 00 83 . 16 0 . 00 BENERGY PERMIT FEE 1 . 00 34 . 86 0 . 00 34 . 86. 0 . 00 BPLANCHK PERMIT FEE 83 . 16 110 . 98 0 . 00 110 . 98 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BREMSIGNS NO SIGNS/MARQ 1 . 00 23 . 98 0 . 00 23 . 98 0 . 00 BUSLIC FLAT RATE 1 . 00 102 . 00 0 . 00 102 . 00 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 393 . 35 0 . 00 393 . 35 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 393 . 35 9391 TOTAL RECEIPT 393 . 35 VOICE ID DESCRIPTION VOICE ID DESCRIPTION -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- -------- ---------------------------- 101 FOUNDATION 103 UFER 104 REBAR 105 ANCHOR BOLTS 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL 514 FINAL PUBLIC WORKS CITY OF COUIPERTINO ` CUPEkTINO PERMIT APPLICATION FORM APN# 3 2G o _ Date: ZS / Building Address: J-0 M7re-6/15 Owne 's Name: Phone #: if/L l�clt��STl�t��S 0&1`1 Z Contractor: License #: (:—,�S Sly vs &Y03 � - Contact: (LLL 6`� Phone #: Applicant/Contractor: tiG Building Permit Info: &f QCT, 5�C,N5 , f2o�T�2o}2LLev/�T�v Bldg X Elect >< Plumb Mech Job Description: Residential: Commercial: Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Cost of Project: J Type of Construction: Occ pancy Group: Qty. if Applicable Fee ID Fee Description Fee Group BENERGY Energy BUILIDNG BPERMFEE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Rmdl Signs,Marquee ELECTRICAL BUSLIC Business License BUILIDNG CITY OF CUPERTINO InSm auaolNc DrvtsloN PERMIT ,CONTRACTOR INFURMATIOIV BUILDING ADDRESS: CPS SIGNS FERMrr NO.05080211 73S STEVENS rRT?.TP.K, RT,VD OWNER'S NAME: PERMIT ISSUE DATE H.K. INVESTMENTS 7730 ENTERPRISE E:• SANITARY NO. CONTROL NO. (510) 793-2471 ARCHMICTIENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 3oz LICENSED CONTRACTOR'S DECLARATION ee I hereby affirm Na 1 am licensed under provisions of Chapter 9(commencing Job Description Oh Section 701X1)of Division J of the Business and Prorwiuns and my]lev�is mmnmreamdeR«�5, « ( �03�`d`' SIGN--ELECT. /FRONT & RE ELATION gZ Ucenso Clw Co. i, � D.m e'g AR suit M 7rSuse DECLARATION a 2 I understood my phea alull he used u public mcnNa t y (/ '!(l4fJ(Q\—•TI/ // ate Licensed Profcaioml OWNER-BUILDER DECLARATION AUG <f I hereby 4E3ran that I am"empl from the Comractofs License Law for the 2 C O o following remain.(Section 7071.5,Business and Professions Cade:Any city or county n/g S$ which requires a penal,b construct,alter,improve,demolish,or repair any structureA _ �`+f15 �fj Q 0 Zto Pior to its showed,also requires lire applicant for such Permit to Ble asigmdRichmond fumy FFF� that W is licensed Pualla.t b the provisions of the Contractor's License Law(Chapter 9 Sq. Ft. Floor Area �gq qy1 r;( . Valuation p$ (commencing with Section 7000)of Division J of the Business and Pretentious Code)or figyRr. 3 that he is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by airy applicant fora permit subjects the applicant to a civil penally of cr U U Occupa5iby Type not mom than Eve hundred doll.($500). ❑1,a owner ofdle Property,army employe"wed wages u their are compensation, w(llm the work and the awcture tsanlimmnded or offered fonsam(See.7044.Busiws and Pm(eabns Cada:The ConaacmrY License Law da"trot appy ban Moves of Required Inspections propeny who hui Ida or improv thereon,and who does such wart himself air through his own employees,provided than such Improvements.Out intended maReaed formic.V. however.the building"improvement is sold within am year of completim,rte ownes- budder will have the burden of proving Nail M did nq Mid or Improve f"purpose of sale.). ❑1,a Owner of Ne property,.exclusively contraming with licensed conaxcua to construct the pm)m(5".7044.Business and Prorwions Cade:)The Conuacmr's Li. cause law does not apply in an owmr of property who builds or improv thereon,and who contnca for such pmjecu with a contractor(s)licensed pursuant in the Commences License Law. ❑Ione exempt under See. ,BBPCfmthismaon Owner Dam WORKERS COMPENSATION DECLARATION 1 hereby of rte under penally of perjury am of that following declarations: 13011 have and will summit.a Certificate afCWMd to self-Imuze fm WoftesCampen- n.u provided for by S"aan 7700 of the labor Code.for the pedarmanea of the for which this permit u aaued. Mw eM will maintain Worker's Compensation Inwanm,as required by Section ofthc labor Code,for the performance of the work forwhich this perms,u issued. Weisser Compensation Innsuraammrcamer and Policy number.: ier. ����✓J Polity No.: CEfTTIFlCATEOF FMFIGON FROM WORKERS' COMPENSATION INSURANCE (Thai section nmtl notbecoreplem l If The permit Isforomhundred doll.(SIM) or less.) I cenify Met In the performance of the wart for which this permit is Ivum,I shall ria employ any person in any mannerse as in become abject in the Worker'Compensation Laws of CW forola.Data Applies., NOTICE TO APPLICANT:If,after making this CcnIEGm or Exemption,you should become subject in the Worker's Compensation previsions of the labor Cede,you mw ,0 M .O fawath acomply with such provisions this permit W deemed hawked. Z r~N. CONSTRUCTION LENDING AGENCY F Thereby af .that then u a comimcMm lending agency for Jte perfamtuae of C> dm work for which this m.nit is issued(Sec.3097,Co.C.) . Q Lend"'s Name , .`D Z LcndarY Add. V 0 1 certify that 1 have read this application and sum that the above information is W E camel.I agree m comply with al city and county ordinances nd sum laws mg u lmin 0 SV' building construction,and hereby authorize representatives;of this city to enter upon the W above-mentioned properly for inspection Purposes (We)agree to saw.indemnify and keep luxonlw the City of Cupertino agdmt ry iiabilidesjudgmana,con,and expenses which may In any way seem agalnsl said City (,)7 In consequence of be granting of this permit. rte• APPLICANT UNDERSTAND iD WI COMPLY WITH ALL NON-P01 Issued by: Date SOURCE REG L TONS. y Y 8� Re-roofs Signaure;al ApvliGnVCa t Data HA7.ARDO S ATERI DISCLOSURE Type of Roof , Will that applicant or forum building moupantaore or Windle Moscow,material as deErcd by 0c Cupertino Municipal Code.Chapter 9.17.and the Health and Safety Cade.Section 532(.)7 q All roofs shall be inspected prior to any roofing material being installed. ❑Y � Will the applicant or(/aI rumo Wildin{asupem use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove h ha"Tins sir conaminsou u defim l by be Bay Arca Air Quality Management all new materials for inspection. Inla uie7 ❑Yca �iJa 1 haw mad the huardaus materials requirements under Chapter 6.95 of the Califor. Health&SaetyCodc,Secdons75305,75533 and 25534.1 umlcmund uaifNc building a not cuncntly haw a m in4 bail Il is mY zeaponsibillty b notify Oro acupanl of theuirements hi hmust Walk mafaceNncamofOccupan j Signature of Applicant Date Ownarair amthamcda e. Data All roof coverings to be Class"B"or better