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05080155 CITY OF CUPERTINO °+ rta3a> p:riY " BUILDING DIVISION PERNO C, ,, N�1ttt1--TO 1``^_QMM�Q BUILDING ADDRESS: ILLUMINART SIGNS PERMIT NO.05 O 80155 20750 STEVENS CR E.E K RT,VD OWNER'S NAME: PERMIT LSSUB DATE MARIE CALLENDERS RESTAURAN 1012 MORSE AVE. 49 08/18/2005 HONE: SANITARY NO. CONTROL NO. (408) 289-1883 A0.CHITECnFNGINEER: - BUILDING PERMIT INFO BLDG EO PLO MEOCH 30o LICENSED CONTRACTORS DECLARATION Job Description 1 thereby affirm that I am licensed under previsions of Chapter 9(commencing e with5ection7001))af Division Sof Ne Business and Pro(eaiwu Code,and my license io in lot i rad t Lieg �2SIGN-CHANNEL LETTERS & MONUMENT 7tu( Data fr-t YDS Cart t.4✓� 77W ARCHITECTS DECLARATION < 1 understand my plana shell he used u public records U 50 Licensed Professional OWNER-BUILDER DECLARATION . 0 I hereby a(frm on 1 am exempt from the Cmbor, o License Law for the O O following reason.e mit 1 103 IA, t,Business and Profeaium Code:Any oily or county - $2300 $ which requires n permit re eared fie aiter.Imprr such deermitt or repair any tatuewm Z rpt poor to its issuance,alsorequlmn lW Applicant Of for Conionrmr's Limle a Law(ed shaptert C Thal he is licensed punuanur the provisions Of the Canmcwr'&Lkcuc law(Chapter Sq.Ft.Floor Area Valuation 5 $ (commencing with Section?000)nf Division 3 of the Business and Professieas Coca)or g .. that he is exempt themfrom and Ne buts far the alleged exemption.Any violation of Section 7031.5 by any applicant far a pe.11.0jecu Be applicant to a civil penalty of WP9r U U Occupancy'Iype not mom then fiw hundred dellen(SSM. ❑Luowner cribs property,earmyemployees withwagesu uncomic cnmissex , will do the wars.and thesurmu ,ianat(nmiled reoffered formic(Sec.]011,Business Required Inspections tend prepan fessiobu Cade:The ws Lherwr'a License law doeuch not apply lf an owner of q p Own enywho loyees bsorimprovch Impr,andwho Are hended work crest ed through lab own employees the w,provided the such Improvement tie not tootled moQeosd far owrerL however,He building b r improvement is sold within one veer of completion,the owner- builder will haw she burden of proving that W did not Wild or improve for purpose of ❑i,as owner of the prapeny,am excluiwly contracting with licenced convectors to construct He project(Sm.7044,Business and Professions Cade:)The Comrutor's Li- acme law does not apply m an owner of property who Wilds or improv dmmon,and, , who contract for such pmjeets with a eontncwr(s)licensed pursuant to On Contnctol[ License Law. -- ❑tem aempr under Sec. .B A P C fm this mason Owner Data WORKER'S COMPENSATION DECLARATION_ - I hereby affmn under penalty of perjury one of He(allowing declarations: ❑I haw and will maintain a Certificate of Consent to self-Wore fm WorkcYeCampen- atian,u provided far by Section 3100 of the Labor Code.for the performance of the work for which this permit is issued. W haw end will maintain Workers Compensation Insurance,As required by Section 3100 of the Labor Cade.for He performance of the work for which this permit is ismint My Worker's Compensation Insurance carrier and Policy number art: Cartier: Adb6Qygs14' Policy No.: CERTIFICATE OF EXFMPr10N FROM WORKERS' COMPENSATION INSURANCE rlhtseetien reed not becompleted i(He permit Is form hundred dollars($100) or lass) 1 cenify Hat in the performance of the work for which this permit is Wood.I[hall not employ any person In any manner so AS to become subject to the Workers'Compensation Lads of Califarnis Data Applicant NOTICE TO APPLICANT.IL after making this Certificate of Exemption,you should become subject m He Werser's Campenadon previsions of He tabor Code.you most QQ fordwith comply with such previsions or this Permit&hat]W deemed mwkcd. C/) v CONSTRUCTION LENDING AGENCY ret Ihereby Allam Ha Here is a construction lending agency for the perfromi of ai the work for which this permit is issued(Sm.3091,Civ.C.) WQ Lender's Name llZ Lender's Address U Q 1 comfy Nat I haw mad this application and sum Ha the.how irroor titin is U,F contact.I agree to comply with all city and county ordimncm and state laws relating to DU building comroction,and hereby authority repmacntadws of this City to enter upon the W aWw-ammienW property for inspection Purposes. (We)Agree to save,indcmni fy end keep harmless the City of Cupertino Against P. liabilities.judgments,cost and expenses which may in my way accrue against mid City U 7 in consequence of the graining of this permit. r1• APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE REGULATIONS. _/ L/ Date Re-roofs Sigmw vconVeamr Da— 'Type of Roof I HAZARDOUS MATERIALS DISCLOSURE Will the applicant or future building occupant more or handle haardrus mamdal As defied by the Capetian Municipal Code,Chapter 9.11.and the Health end Safety Code,Section 15531(1)? All roofs shall be inspected prior to any roofing material being installed. ❑Yes Na Will the applicant or future building occupant use equipment or devices which If a roof is installed without firs[obtaining an inspection,I agree to remove emit hsrardaus air castuarr rat a defaced by the Bay Area Air Quality Management all new materials for inspection. District? 1. ❑Yet KN. I have mad the hanrdnusmamrials mquircmcn r under Chapter 6.95 of the Califor- niaHeal"SeftyCr ,Sccdom15505.15533And15534.1undcrsund Ha0f0a:Wilding does not currently haw a tenant.Hat It IS my meponsibiliry in m notify Ibe eupani of the requirements which mu a mm3,pderw umem.ef.cemfiamofamparcy. Signature of Applicant � Date rl"V(5 Owner dr=e flfcd Agent Data All roof coverings to be Class"B" or better CITY OF CUPERTINO Vem 1 of 1 PERMIT RECEIPT OPERATOR: conniew COPY # : 2 Sec : Twp: Rng: Sub: Blk: Lot : APN 35908013 . 00 DATE ISSUED. . . . . . . : 08/18/2005 RECEIPT # . . . . . . . . . : 30820 REFERENCE ID # . . . : 05080155 SITE ADDRESS . . . . . : 20750 STEVENS CREEK BLVD SUBDIVISION . . . . . . . CITY CUPERTINO IMPACT AREA . . . . . . . OWNER . . . . . . . . . . . . : MARIE CALLENDERS RESTAURANT ADDRESS . . . . . . . . . . : CITY/STATE/ZIP . . . : , RECEIVED FROM . . . . : CAL-NEON SIGNS CONTRACTOR . . . . . . . : DAVID GALE LIC # 27086 COMPANY . . . . . . . . . . : ILLUMINART SIGNS ADDRESS . . . . . . . . . . : 1012 MORSE AVE. #9 CITY/STATE/ZIP . . . : SUNNYVALE, CA 94089 • TELEPHONE . . . . . . . . : (408) 289-1883 FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- ---------- ---------- BPERMFEE VALUATION 2, 300 . 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 1 . 00 83 . 16 0 . 00 83 . 16 0 . 00 EPERMITFEE FLAT RATE 1 . 00 38 . 37 0 . 00 38 . 37 0 . 00 BREMSIGNS NO SIGNS/MARQ 2 . 00 47 . 96 0 . 00 47 . 96 0 . 00 BSEISMICOM VALUATION 2, 300 . 00 0 . 63 0 . 00 0 . 63 0 . 00 ---------- ---------- ---------- ---------- TOTAL PERMIT 288 . 14 0 . 00 288 . 14 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ----------------- ------------ ------------------ CHECK 288 . 14 3256 TOTAL RECEIPT 288 . 14 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 CUPERTI• SIGNCSS • CUPEI,TINO PERMIT APPLICATION FORM Date: Building Address;,,1 O 2-o� s �evev, Cee v Owner's Name: Phone#: Nlavt' C lleKle�'S Contractor: License #: —� aA S ' c l-�I G 7s Contact: Phone M �p83 Applicant/Contractor: Building Permit Info: Bldg ✓ Elect t/ Plumb Mech .Job Description: C-lnc nv\e e ys �vgovqum-ei4-4 I eS Residential: WaU, m ClaCommercial: Sq.Ft. Floor Area: $/Sq.Ft.: Architect/Engineer: Cost of Pr 'ect: 340(D Type of Construction: Occupant 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 3 a �� • � Y�z � o e e e e ���„ � ( E�"� o �=g 131 E gHill, " w.o.ANuBLVD s.osArunBLVD i h I — 9680 '/ Hab �� v IT 777 S,� 4 • J 1 l W � W r H 6 g R�III IIIiI _ N 4" O' WLUIN �, a e o � 6NCHI WAY ORNEWAY • � a WAN 4� N IWC ° 10 3 �� aa oa aQQQ � gal IM M I v u 11 ELE • ".y W � � c, �a33ada a . a a d 4 © •m 3 4 11 q, b .0-.S Ja .o-e �...e:a.u.6 1 a g V1 P V � ��g•3 IMS .60 fill Q o i IW; ll €a as Ie 9 • � E s rq Rill II 61, ISMr.^nxgi,.`?a'+:'"•�c7 � ter. ` •, o � s T 5 CITY OF CUPERTINO r t�K- x .' � '- ' '•"= '-' BUILDING DIVISION PERMIT CONMTTRACTOR AW0_ RMATION :g �trsv5e BUILDING ADDRESS: ILLUMINART SIGNS PERMIT N0.05080155 7130 STEVENS CREEK I;T.VD ER'S NAME: PERMIT ISSUE DATE MARIE CALLENDERS RESTAURAN 1012 MORSE AVE 08/18/2005 NE: SANITARY NO. CONTROL NO. (408) 289-1883 ARCH=AENGINEER: BURRING PERMIT INFO BLDG ELECT' PLUMB MECH 0 0 0 0 30o LICENSED CONTRA TOWSunder DECLARATION hap Job Description rd 1 ion 7 arm Net 1 am licensedBu under provisions of Chapter 9(rommense Is P with Section 700U)of Division 3 of Oc Business and Professiana Code,and my license Is + in fullramIndeR GZ Lkenex Clan Lic.a SIGN-CHANNEL LETTERS & MONUMENT Pi Z L� a S :i I.A. -I Conlracbr lJs+++- 3 ARCHITEC'S DECLARATION IuMcnund my plan WllIse uvedu public records Licensed Professional y OWNER-BUILDER mDECLARATION ff,; r� I hereby Af0nn that 1 am exempt from lite Contractors License Law far IW - + r, i* ;�\ p O following moon.(Section 703 I.S.Business and Professimis Cade:Any city at county ' y' -+jsj ffj COO $E which segolres m construct,A peons coct,alter,improve,demolish.or repair any structure (,rn.. 1' 2 3 0 O _ w prior to its issuance,also requires the applicant for such Permit o rile A signed statement g< thmhe4licensedpursuantmNepmvialomoftheConuacwr'tlxcnsoLew(Chaplv9 Sq.Ft.Floor Area ✓ Valuation (commencing with Section 7000)of Division 3 of the Businens and Professions Cade)or t7 .. that heis exempt themfmm and the hub for the alleged exemption.Any violation of b17 tfg� Section 7031.5 by any applicant for a permit subjects the applicant o a civil penalty ofP Y EYP Act man dun five hundred dollars($500). f r) s OCCU Occupancy e ❑6.On Owner ofOb property, remyemnot ntendea with oroffe"SUN their sole ComBusmen, will da Oawort ands: awmmebom's LidWe LAw dosnd Ads ApSec.7044.mmof Required Ins ections and Prtywh ou Code:TM Camuxmrs and oes does set apply lf an owns of 9 P p ropenY w ho builds or ire proves thermn,and who doer sac h work himself err through his own employees,provided that such Improvements art notimended oreRaed for sale.If, however.the building or Impmvement is gold within one yea of completion.the owner builder will have the Wrden of proving that Ae did set build Ar improve for purpose of talc.). ❑1,As owner of the property,am exclusively contracting with licensed Conugomla m Construct the project(Sec.7044.Business and Profession Code:)The Conuaaor'a U. ose Law dons not apply m an owner of property who Wilds or Improve,thenen,and who contracts for such projects with a comocur(s)licensed pursuant to the Conmectoes .. ❑I am exempt under Sec. .B k P C for this noon Ic!OY1.1" DamWORKER'S COMPENSATION DECLARATION1 hereby aHimm under penalty of perjury arc of Ne following declarations:Mve and will maintain aCeNOcete of Cenunl m salGluum fa WwkeM1Campcn- n.u Provided for by Section 3700 of the fiber Code,far the pemmnamm of tW for which Nit permil it issued. have and will maintain Workers CompensNon Insurance.u required by Section of Ne labor Code,far Ne performance of the work far which Nis permit is loed. orker•s1 C1.om,pensation Imrance Cartier and Policy number art: er. ddoll'((f�Rdf Polity No.: _ CERTIFICATE OF EXEMMON FROM WORKERS' COMPENSATION INSURANCE Mitis Accllon need not W completed If Ibe permit Is forms hundred dollars($1011) or leas.) 1 certify that in the performance of the work for which this permit is booed.I shall not employ any person in any member an As N become subject o the Worker'Compensation - Law,of California.Dae Applicant NOTICE TO APPLICANT`,If.after making this Cenifnae of Exemption,you should become subject m the Worker's Compensation provisions of Na Labor Code,you must .J O forthwith Comply with such provision or Ni,permit shall W deemed revalued. V;"" CONSTRUCTION LENDING AGENCY I-a Ibenby affirm Net them iisCo (S.C.3nl,Ch.agency for the performance of Ci the work for which Nb permit b laced(Sec.3097,Civ.CJ aQ finders Name D Z finder's Address V Q I cerify Na I hats mad this application and mm that the aWve information It contact.i agree to comply with all city and county mdNances and state laws milting to Q building commotion,and Mmby wit representatives of this city to enter upon the LSj ahow-mentioned property for inspection purposes. gy (We)agree in revs.Indemnify and keep homeless,the City of Cupertino against rn liabllitins,judgments.coca tad expenses which may in any way acsme against said City U 7 in consequence of the Slanting of this permit. F7 APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:9 Date SOURCE REGULATIONS. / Re-roofs Signuu onmcmr Date y— HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will she applicant or future Wilding occupant marc mhandle hazardous material L"dented bytiro Cupertino Municipal Code,Chapter 9.13,and to Health and Safety Section 35s31(a)7 oYns No All roofs shall be inspected prior to any roofing material being installed. Will the applicant or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove 7dt hawdous err conumbn,nu u dclIncd by IW Bay Ana Air Quality Management all new materials for inspection. icl7 ❑Yes KN. I have read the haardous mucmalsemIumenena under Chapmr6.95 of he Califon ealth S,SafctyCnde.SACu. 55U3,35533 And MIA,I understand Ostrom Wilding not currently have a anent,Net It b my responsibility m notify the occupant of the ireme�nts-w7hichmusbem dorwIssuance Ora Certin.Ncofoccupancy. Signature of Applicant Date Date to owner ofied agent All roof coverings to be Class"B"or better