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04040136 CITY OF CUPERTINO BUILDING DIVISION PICA Rwr T➢tACTOR�][NFORI IQN:F•�. BUILDING ADDRESS: ULTRASIGNS PERMIT N0.V 4040136 STEVENS1000 OWNER'S NAME, PERMIT ISSUE DATE PANDA EXPRESS 5458 COMPLEX ST, SANITARY NO. 200 CONTROL ROL NO. (858) 569-6716 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLOC ELECT PLUMB MECH 0 0 0 0 u 00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm that 1 am licensed under provisions of Chapter 9(commencing Job Description u p �i with Sectio. 5tfofDivision3 of the Bu s tlProfcssinns Codc.end mylicenscis F11MA t tI�1lTi� IM a mrmlmr INTERIOR SIGN �® R4rf�gL r J rj? License Clues e-1 Convador Dm +f�Lj -B �-f QQ ARCHITECTED ATION APR IW 2004 �a I understand my plans shall he used as public records JaU Licensed Professional _ 1, ggrrffka��,,}/k-y�� as OWNER-BUILDER DECLARATION BUILE {VVI aS 1 hcrchy affirm that I am exempt from the Commear's License Low for the i o 2reliawing rc.snn.(Section 7031.5,Business and Professions Cnde:Any oty or county which requires a permit to construct,alter,improve,demolish.or repairanystructure 81000 tai prior o its issuance,also requires the applicant for such Permit o file a signed Statement < that he is lice mord pursuant n the previsions of the Contractor's Lice mr,Law(Chapter 9 Sq,Ft.Floor Area Valuation (cam mend ng with Section 7")of Division 3 of the Business and Professions Code)or NE that he is exempt therefrom and Ne basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a From it subjects the applicant to a civil penalty of 35fPX1 AG PrO0 Occupancy Type not more than five hundred dollars(5500). - ❑1,ss owner Of the property,or my employees with wages m their sole compensation, will do the work,end the structure is not intended or offered far sale(Sec.7044,Business and Professions Code:The Conuacmr's License Law does nal apply to an owner of Required Inspections property who builds or improves thereon,and who does such work himself or through his own employees,provided that such improvements 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 We burden of praying that he did not build or improve for purpose of sale.). [73 1,as owner of the property,am exclusively contracting with licensed conuacmrs to construct the pmject(Sec.7044,Business and Professions Code:)To,Conlracwr's Li. corse law docs not apply to an owner or property who builds or improves Ommon,and who contracts for such pmjeets with a em uamor(s)Iimaxed pursuant o the Contractors License Law. -E3 1 am exempt under Sec. .B&P C for this motion Owner Data WORKER'S COMPENSATION DECLARATION 1 hereby air,.under penalty of perjury one Of the following declarations: ' [40 I ham and will maintain Cerificam or Consent o self-fnaure for Warmest compcn- eation,as provided for by Section 3700 of the Labor Code,for the performance of the work for which this Permit is issued. ❑I have and will maintain Workers Compensation Insurance,ss required by Section 3700 of the Labor Code,for to,for.on...Of No work for which this permit is issuN, My Workee Crimper sq}tion lnsumnee carrier and Policy her art: mer: J 11 �Lan� Policcyy ryryua O -P CERTIFICATEOFEXEMPTIONYhOM WORKERS' COMPENSATION INSURANCE (This section need noUrecomplemd If the permit is for one hundred dnllars(9100) or less.) I certify that in the performance of the work for which this permit is issued,I shall not employ any to Toon in any manner so as to become subject o the Workers'Compensation Laws of California.Dale Applicant °. NOTICE TO APPLICANT:IL after making this Cenllicam or Exemption,you should become subject to the Worker's Compensation provisions of the Labor Code,yen must .JO forthwith comply with such provisions or this permit shall he deemed revoked. �07) CONSTRUCTION LENDING AGENCY 'rr Iherehy affirm that there is a construction lending agency l nr the performance of R't> to work for which this permit is issued(Sec.3097,Civ.Q QLender's Name Q z Lender's Address C.)Q 1 certify that 1 have read this application sod state that the.hove inrom,ation is g4 correct.I agree to comply with all city and county ordinaries and slate laws relating to QU building construction,and hereby authorise representatives of alis city to enter upon the W above-mentioned property for inspection purposes. Oa (We)agree to save,indemnify and keep harmless the City of Cuperlino against o-H•tfn liabilities,judgments,costs and expenses which may in any way meme against said City 1 V z in consequence of the granting of this permit. eAPPLICANT DERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date SOURCE ULATIONS. Re-roofs S' em of Applicom1C mmcmr ante HAZARDOUS MATERIALS DISCLOSURE Type of Roof Will the applicant tar future building occupant slot,or handle harmJous material as defined by the Cupertino Municipal Code.Chapter 9.12,and the Health and Safety Cnde,Section 25532(0? All roofs shall be inspected prior to an roofing material beim ❑Yes P P Y g g installed. Will the appheam or future building occupant Usk equipment Or devices which If a roof is installed without first obtaining an inspection,I agree to remove Tit hu,dru s air conmmirents as dcOncd by the Bay Amo Air Quality Management all new materials for inspection. ishlct? ❑Yes I have mad the havardous materials requimmenm under Chapmr 6.95 of Ne Ce irm. ria Hcalt, Safety Code,Sedans 755115,25533 and 25534,1 understand Natifthe building - dnes not randy haw a tenant that it is my responsibility m nnory the oce.'anl of the m'nor e nt�wmehanStbemm_ p. tyisuareeoraCerdnea .rampancy. Signature of Applicant Date ,�—�-�• "t-� All roof coverings to be Class "B" or better Owner or norma ised,gem Dam ° CITY OF CUPERTINO r3 CUP kT CITY OF oF O PERMIT APPLICATION FORMIN � b 6 N# Date: Building Address: Mailing Address (if different from building address): 02. 1 p o D S+:e✓ar,S GY-t c k , Owner's Name: Phone #: 4 u k TygWoJ)e SJe 1}r - 'sY3l Contractor: License#:�� re-lit l rk s � Contact: Phone: Cupertino Business License#: r K . Fax. Building Permit Info: Bldg ❑ Elect L Plumb ❑ Mech ❑ Job Description: ResidenV -�� Commercial Sq.Ft.Floor Area: $/Sq.Ft.: "Cost of Project p p, o o Occupancy Group: Type of Construction: Please check this box if the project is a second-story addition: ❑ • Quantity Fee ID Fee Description Fee Group BAPPLOTHER Other Appliances MECHANICAL BBLDGFEE Bldg Permits . foot BUILDING BBOILERI Boiler<= 100,000 Btu MECHANICAL BBOILER2 Boiler> I OOK to 500K Btu MECHANICAL BBOILER3 Boiler> 500K to 1M Btu MECHANICAL BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL BBOILERS Boiler> 1.75M Btu MECHANICAL BCONSTAX Construction Tax BUILDING BCONSTAX Ind/Off/Comm/Quasi BUILDING BCONSTAXBQ Con. Tax for BQ Zone BUILDING BCONSTAXH Hotel and Motel BUILDING BCONSTAXR Constax-Resi/Mobile BUILDING BELEC1000 Elec 600V <= IOOOA ELECTRICAL BELEC1001 Elec 600V > 1000A ELECTRICAL BELEC200 Elec Svcs 600V<= 200A ELECTRICAL BENERGY Energy BUILDING BENERGYADD Energy Add Multi BUILDING BINVESTIGA Investigation fee BUILDING BMITIGsing Mit. Fee BUILDING 1 of 3 �� CITY OF CUPERTINO c T P PERMIT APPLICATION FORM CUPEkTINO Quantity Fee ID Fee Description Fee Group BNUCOMME New Comm Electric ELECTRICAL BNUCOMMM New Comm Mechanical MECHANICAL BNUCOMMP New Comm Plumb PLUMBING BOVERTIME Inspection Overtime BUILDING BPBACKFLOW Atmospheric Vacuum PLUMBING BPCESSPOOL Cesspool PLUMBING BPERMFEE Bldg Permit Fees BUILDING BPFIXTURE Pblg Fixture PLUMBING BPGAS Gas Piping System Fee PLUMBING BPINTERCEP Ind Waste Interceptor PLUMBING BPLANCHK Plan Check Fee BUILDING BPLANCKADD Plan Check Add Multi BUILDING BPLANCKREP Plan Check Repeat Fee BUILDING BPREPIPE Re i e Of Fixtures PLUMBING BPSEWAGE Sewage Disposal PLUMBING BPSEWER Sewers PLUMBING BPSPRINK Lawn S rinkler/Backflo PLUMBING BPSTORM Stonn/Rain Water PLUMBING BPTRAP Kitchen Trap PLUMBING BPVENT Alt of Drain &Vent PLUMBING BPWATER Install/Alter Water Pie PLUMBING BPWHEATER Water Heater/Vent PLUMBING BPWSVCS Main Water Service PLUMBING BREINSPECT Reinspection Fee BUILDING BREMACOVER A/C Unit > 10,000 cfln MECHANICAL BREMAIRHAN A/C Units <= 10,000 din MECHANICAL BREMAPPLI Appliance Install MECHANICAL BREMBUSWAY Remodel Busways ELECTRICAL BREMFIXT Lighting Fixtures ELECTRICAL BREMFURN Relocation of Furnace MECHANICAL BREMFURNOV Relo Furnace> l OK btu MECHANICAL BREMHEAT Heater Installation MECHANICAL BREMINHOOD Installation of Hood MECHANICAL BREMMISC Misc Apparatus ELECTRICAL BREMNRAPP Rem Non-Res Appliance ELECTRICAL BREMPOLE Pole/Platform Fixture ELECTRICAL BREMPOWER Power Device/Apparatus ELECTRICAL BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL BREMRELOCA Relocation of Hood MECHANICAL BREMREPALT Repair/Alter Heating MECHANICAL BREMRESAPP Remodel Res Appliance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Remodel Signs, Marquee ELECTRICAL 2of3 (PITY OF CUPERTINO CUP TYOF O PERMIT APPLICATION FORM QuantityFee ID Fee Description Fee Group BREMTHEATR Theatrical Lighting Fix ELECTRICAL BREMVENFAN Vent Fan Single Duct MECHANICAL BREMVENSYS Ventilation Systems MECHANICAL BSCBLVD Scb Specific Plan BUILDING BSEISMICOM Seismic Commercial BUILDING BSEISMICRE Seismic Fee Res BUILDING BSPECIAL Special Inspection BUILDING BSWIM Swimming Pool BUILDING BTEMP Temporary Power ELECTRICAL BTEMPPERM Temporary Bldg Permit BUILDING BTEMPSVCS Temp Dist Svcs ELECTRICAL BUSLIC Business License BUILDING ELECTRIC Electrical sq foot ELECTRICAL EPERMITFEE Elec Permit Issuance ELECTRICAL MPERMFEE Mechanicals . foot MECHANICAL MPERMITFEE Mech Permit Issuance MECHANICAL PPERMITFEE Plumbing Permit Issue PLUMBING PPLBG Plumbing Fee sq foot PLUMBING ------------- ZADDCHG Address Chane BUILDING 7 r 3 of 3 JOB INFORMATION --BA a'X 2•X L INSTALLALUMWWTION FLAT PANDA EDIEf9 BAR FOR SHELF FOR WALL S<E�R CNEEX 1i R1EILIN� I' � ;� (NOTREWWEDFO?WALL 11000SIE1fENSC�9pD. I = -- MOUl�-�INSTALLATIONS� CUPENTDIQ CA SIGN NEW SINGLE FACED SELF CONTAINED ILLUMINATED WALL OR SHELF TYPE DISPLAY PROJECT 033.04.41 SCALE 1/2'=1'-0' a t2 USE STANDARD ALUMINUM CONSTRUCTION WITH SEMI GLOSS ENAMEL FINISH, SALESPERSON --- r•z DRINKS'USE 4'DEEP REVERSE PAN CHANNELS WITH DOUBLE TUBE VOLTARC JOHN HADAYA 5. PURPLE NEON OVERLAYS, PAINT FACES AND RETURNS TEAL PMS#320, DESIGNER MOUNT ON 5'DEEP WIREWAY PAINTED YELLOW PMS#123,USE SINGLE TUBE CLEAR R GEANUR _ GOLD II NEON ACCENT ON WIREWAY, SKETCH NO SYMBOL BACKGROUND CABINET USE 5" DEEP ALUMINUM CONSTRUCTION WITH PANDA120 !—TOP of . ALUMINUM FACE AND BACK, DATE W� to 1 WIRE BRUSH AND SEAL WITH CLEAR COAT BURNISH FACE AND RETURNS WITH , DATE 2003 (AS APPLIES) e e USE SINGLE TUBE RUBY RED NEON CONTOUR, 2 at ----- --- ' i 1• PANDA AND CUP USE RAT CUT OUT 1/4"CLEAR PLEX PEG MOUNTED 2-1/2"OFF REVISION OATES h BACKGROUND,USE WHITE AND BLACK VINYL FOR PANDA, © 1231.03 RLG rhe I EXISTING USE YELLOW#1170 AND BLACK VINYL FOR CUP ILLUMINATE PANDA m 01-08-04 RLG WA L AND TRA OR SHELF II CONTOUR WITH #4500 WHITE NEON HALO, `- © 01-19-04 RLG LacanoN 1101-28-04 RLG NOTE:RIGHT HAND OF PANDA AND LOWER PORTION OF STRAW TO BE ON SECOND ® 02-05-04 RLG NOTE SURFACE OF YELLOW#1170 OVERLAYS.LOGO MULE fi TO BE OD CONSTlIUCTION,D �WIREWAY NOTE: PRIMARY ELECTRICAL TO BE SUPPLIED BY OTHERS (NOT INCLUDED) 120 VOLTS ONE 20 AMP DEDICATED SIGN CIRCUIT WITH J" BOX LOCATED AT SIGN IS REQUIRED a ® _-'Pei_;RC>: SIGNAPPROXIMATELY 265-FEET 0 "=•'c;c STM;=s SINGLE TUBE CLEAR RED NE NCE!WIT11 i1HEt4Y'I'1f 108 AQR z a 4,� MID' RDI@IA FACIA _— ' �'pt® SOFFIT(FIELD VERIFY FORE y��y/ CUP E��11 DIMENSIONS) • s.., iy F f r T CI gU� U ry{�qq 1/8"A3"SCREWS r� ` �1"G 1/8"PLEX FACE 0��4Q 6ta3fl a i qvAcoofts MlIS+ ;•:� z eAroRFOA.M be k4j>t job at a mea d itis or �n---- IaWfRI to make eny shangaa elteretlona on alma � r!Dkn 4ermieBlon frog l a EXPANSION SHIELDS - - the b 1169 Dept.;-MY Of CUPartlno' The 6lamoink of this plan and -fac 'Ittfo a- ink - 6o Nald.te Parmlt j0pild! of the Vlalatlon of 41 - { 5ape of sUt Lei-, tf ut7 - - -- DETERMINED Page 8 of 8 ; i c _I I. • I I f F �T PLA-NS i I q � I DAA y CLIENT APPROVAL DElrr O SIGN 0 NUTH Of @NQ I OR MOATION DATE i16aa 58-599-1400 FAR'858-689.1453 5450 COMPLEX SL, STEW, SAN OItiO,•CA 92123 JOB INFORMATION PANDA EVUSS ,,..a L. STEYEIIS CAEEI(i STE1lINQ 21 OOO SIEMENS CIEENN SLYD. SIGN OAPPRO)OMATELY 26'5'FEETOF CUPERTINO,CA SINGLE TUBE CLEAR RED NEON IN — PROJECT 03-04-41 SOFFIT(FIELD VERIFYFOR EYACT DIMENSIONS � `+ �—� SALESPERSON (% JOHN HADAYA 2"X 6" 3/8"x 3"bags f DESIGNER R.GERNIAR SKETCH NO PANDA120 DATE jr 12-08-2003 1/4"Steel plate —` � REVISION DATES Welded in Shop P` Ekjo .e- 012-01-03 RLG �� ��``\ I ❑ ... '; ryl; I, m01-08-04 RLG © 01-19-04 RLG U © 01=28-04 RLG ® 02-05-04 RLG ` oo° If , 41 er crllNes I I . 120 VOLTS SIGN c xlt' I: I I (E) ELEC. ROOSL j 1 _ r Ll I J i. 1, I Page 3 of 8 i SIGN I. NORTH CLIENT APPROVA_ "= " O 858-88Y-1400 FAN:858-5894453 5450 COMPLSII SC,STE307, £; SAN M U.82123 :.