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8667 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BU LDI NG PROJECT IDENTIFICATION PERMIT NUMBER ,BUILDING APPLICATION & PERMIT 'AUO.Ess (}�y BUILDING -ELECTRICAL-PLUMBING-MECHANICAL 8667 0 'S YYYIIV// PLAN CHECK VALIDATION NAME / CITY. ELECTRIC PERMIT FEE V ONI CONTRACTORS ' NAME G f� OUTLETS-SWITCHES-RECEP 10.00/1.00 "tLlc.No. z LIGHTING FIXTURES 10.00/1.00 r.ONrRA OR's �y"�� PPLIANCES-RESIDENTIAL 4.00 ADDRESS y{(J(�Cy,YIl1L'LiI(tE ;1LIP ^ /�1((iY` PHONE PANELS 10.00 DATE OF APPLICATION ARCHITECT VuIF,W PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.C.,NO. OR ENGINEER Llc.No, ISIGNS TRANS. 3.00 ADDRESS ENGSPECIAL CIRCUIT 5.00 PERMIT VALIDATION zu, TEMP. METER OR POLE INS. 20.00 APPLICANT s ADDRESS MOTORS SEE FEE SCH. SERVICE CHANGE 20.00 ° Q TEMP,POLE 30.00 r 00 LICENSED CONT RA(TOR$DECLARATION ¢ v u ` I hereby affirm that 1 um licensed under provisions of Chapter 9 I65UAry GE GATE m < H (cnmmennng with Section 7000)of Division 3 of the Business and BLDG. ELECT. PLG, MECH. H w z Professions Code,and my license is in full force and effect, z i w o License lass /"-^ Lie.Number/ Uatc� Contractor.•11KK -� a x BUILDING E MIT ¢ o a U OWNER-BUILDER DECLARATION INFOR TION w3 u N 1 hereby'affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD u_ °¢. Law for rhe lollowing«ason.lSec.703L5,Business and Professions PERMIT ISSUANCE 10.00 VALUATION g/FT. � - Code:Any city orcounty which requires a permit to construct,alter, ar ¢ Q p improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. o ¢ requires the applicant for such permit to file a signed statement that TOTAL w m m he.is licensed pursuant to the provisions of the Contractor's License _ PERMIT TO HZ > Law(Chapter 9(commencing with Section 7000)of Division 3 of the ¢ Business and PuRvoions Code)or that he is exempt therefrom and QTY. PLUMBING PERMIT FEE.. ¢ r$ the basis for the alleged exmnption.Any violation of Section 7031.5 'STORIES TYPE CONSTR. A � by any applicant fore permit dollars life 0).): ammacivil penalty ALTER-DRAIN -WATER (EA.) 5.00 I n / of not more than five hundred dollars(my employees ❑ I,as owner at the property,or my employees with wages as BACK FLOW PROTECT.DEVICE 4.00 0 q-r7 their sole compensation,will do the work,and the structure is mol OCC.GROUP R 5.UNITS) intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who docs such work FIXTURES-PER TRAP 5.00 SD.FT.FLOOR AREA TOTAL ACREAGE • mentsl are not intended ownemployees,for sale. 11,ed however, th improve- GAS-EA.SYSTEM-1 INC.4 OUTLETS 6.00 moats ore not in is sold of thin on for sole.If,completion the building or improvement is is b within one year of lie didtion, the owner- GAS'-EA.SYSTEM-OVER 4(EA.) 2.00 builder will how the burden of proving that he did not build or on- BUILDING USE prove or purpose of sa led. INDUSTRIAL WASTE INTER. 30.00 RES IND CON PB Drier, 1,as owner of the property,am exclusively contracting with ❑ ❑ ❑ lice d contractors to construct the project(Sec.7044,Business LAWN SPRINKLERS-1 INC 5 V.6. 6.00 ASSESSOR RCEL NO. an Professions Code:The Contractor's License Law docs not apply I an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5 IEA.1 1.00 c nem for such projects with a contractors)licensed pursuant to SEWER-SANITARY-STORM EA.200ft/10.00 the Contractor's License Law. TRACT NO. PARCEL NO. l am eo rrq under See ,B.&P.C.for this ,yeas WATER HEATER W/VENT 6.00 n Own A Dat WATER SYSTEM 5.00 ACC.DATE ACC.FILE N0, WORKEI MPIiN'SA N DIiCl.nl WATER TREATING EQUIP. 5.00 1 hereby affirm tint I have a certificate of consent to self-insure, or a Certificate of Workers'Compensation Insurance,or a certified ZONING ENG.SITE N0, copy thereof(Sec.3800,LaTC.). Policy No. Company Q ❑ Certified copy is hereby furnished. FIRE SPRINK ENERGY T14 'F z0 ^O`Certified copy is fi •d with�fhe 'ty iroction division. MISC.- REFER TO ORD. Applicam%" "�__. V CN�. Y CND IiRT1I'ICA'I'li Op IiXCh1 Pl'ION PROM W'OkKlikS PERMIT ISSUANCE 10.00 FLOOD ZONE A.L u.c. LL > COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. V N Y N� CL Z (This section need not be completed if the permit is for one TOTAL hundred dollars($100)or less.) L) O 1 certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL H mit is issued,I shall not employ any person in any manner so as to Ow become subject to the Workers'Compensation Laws of California. Dare Applicant BUILDING } rail NOTICE TO APPLICANT: If,after making this Certificate of Ex- ALTER OR ADD TO MECH. 5.00 h Z etnption,you Should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must lorthwith comply with FEE U such provisions or this permit shall be decried revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is a construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097.Civ.CJ. HEATING UNIT IT 100,000 B.T.U.) 8.00 Lender's Name Address AddHEATING UNIT(OVER 100,000 B.T.U.)9.50 Lender's ess ELECTRIC I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 �^ • mfonnmion is correct I agree to comply with all city and county BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 PLUMBING ' finances and state laws slating to building construction, and hoereby authorize representatives of this city to enter upon life above-nRm ionod property for inspection purposes. BOILER-COMP )Over 100,000 BTU)SEE FEE SCH. MECHANICAL (We) agree to vev. indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and expenses which CONST.TAX May in any way accrue against said City in consequence of the PERMIT ISSUANCE 10.00 grSoones Peron MECH.CONT, LIG NO. MECH. TDTAL TOTAL ore of p a r e t INSPECTOR COPY 1 APPLICANT TO FILL IN INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY BUILDING PROJECT IDENTIFICATION PERMIT NUMBER BUILDING APPLICATION & PERMIT ADDRESS ZiJ1 ��L /L BUILDING - ELECTRICAL-PLUMBING-MECHANICAL 866 OWNER I "J PLAN CHECK VALIDATION NAME, DTV. ELECTRIC PERMIT FEE Vv R1 lili�-/�� PHONE CONTRACTOR AcroRs �� 00UTLETS-SWITCHES-RECEP 10.00/1.00 uc.No. LIGHTING FIXTURES 10.00/1.00 CONTRACTOR'S APPLIANCES-RESIDENTIAL 4.00 ,af ADDRESS t� err I1RI�V/(IC F0, vRONE 11�j1 PANELS 10.00 DATE OF APPLICATION ARCRITECT PANELS (OVER 200 AMP) 20.00 PLAN CHECK FEE P.O.NO. OR ENGINEER LIC.NO. SIGNS TRANS. 3.00 nooeesR ENG. SPECIAL CIRCUIT 5,00 PERMIT VALIDATION ZIP rrEMP.METER OR POLE INS. 20.00 APPLICANT s MOTORS SEE FEE SCH. + / ' ADDRESSDDRESS I(� ' SERVICE CHANGE 20.00 woo LICENSED CON'I'RAC'fORS DECLARATION TEMP.POLE 30.00 U U I hereby affirm that I am licensed under provisions of Chapter 9 ISSUANCE GATE v,<w (commencing with Section 7000)of Division 3 of the Business and 8t. ELECT. PLG MECH. F o¢ ASKA16 V, P fcssions Cod and y license is in full fo ce a b q a $rt ❑ E]Z: o u"'i - Liccns- la Lia Nwn e O u F IN Dale Conlmclor_ ` s J BUILDINGPERMIT a w u OWNER-BUILDER DECLARATION INFOR ATION R o a 1- 1 hemb affirm that I am exempt from the Contractor's License MISC.- REFER TO ORD 3 u y p VALUATION $/FT. H LL o J Law for the following reason.(Sec.7031.5,Business and Professions PERMIT ISSUANCE 10.00 Code:Any city or county which requires permit to construct,alter, a ¢ o improve,demolish,or repair any structure,prior to its issuance,also ELEC.CONTR. LIC.NO. ELEC. O u requires the applicant for such permit to file a signed statement that TOTAL PERMIT TO w$ he is licensed pursuant to the provisions of the Contractor's License Fzs- Law(Chapter 9(commencing with Section 7000)of Division 3 of the LM a Itusiness and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE DJ ¢ r m the basis for the alleged exemption.Any violation of Section 703 L5 S DRI^ES TYPE CONSTR. i; - by any applicant for a permit subjects the applicant toa civil penalty ALTER-DRAIN&VENT-WATER (EA,) 5.00 /x((I O of not more than five hundred dollars($500).): JJI���fff""itt��` ❑ 1,as owner of the property,or my employees with wages as BACK FLOW PROTECT. DEVICE 4.00 their sole compensation,will do the work,and the structure is not OCC.GROUP RES.UNIT intended or offered for sale (Sec. 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who does such work FIXTURES-PER TRAP 5.00 SO.FT.FLOOR AREA TOTAL ACREAGE • himself re through his own employees,provided that such improve- meals are throuot gh his or offered employees, sale.Tided that such he budding GAS-EA.SYSTEM-1 INCA OUTLETS 6.00 or improvement is sold within one year of completion,the owner- GAS-EA.SYSTEM-OVER 4(EA.) 2.00 BUILDING USE build• will have[he burden of proving that he did not build or ire- RES IND CO Pe Other pr v", s .her of sale J. INDUSTRIAL WASTE INTER. 30.00 ❑ ❑ ❑ ❑ I as owner off f the property,am cxdusively contracting with In -d contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B. 6.00 ASSESSO RCEL NO. an Professions Code:The Contmcmr's License Low does not apply v an owner of property who builds or improves thereon,and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 c retracts for such projects with a contructons)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200tt/10.00 TRACT NO. PARCEL NO. lam • m under Sec. .B.&P.C.tof this WATER HEATER W/VENT 6.00 L`JSl4z I Own Da WATER SYSTEM - 5.00 ACC.DATE ACC.FILE NO. WORKER OMPENSA ION DE LA 14,,/r WATER TREATING EQUIP. 5.00 I hereby affirm that I have a certificate ofconsent to self-insure, ZONING ENG.SITE N0. or a certificate of Workers'Compensation Insurance,or a certifieJ copy thercof(Sce.3800,Lab.C.). Policy Nn. Company 0 Cerlillcd coy y is hereby furnished. 7- FIRE SPRINK ENERGY T 24 Z Z ❑ ' rt ifie ?op is wiit coon division. MISC.- REFER TO RD! O APP ica Y ❑ N❑ Y ❑ N❑ = :RT'1 FICATE OP li XliMl''1'[ON PROM WORKERS' PERMIT ISSUANCE 10.00 q FLOOD ZONE A.L.U.D. LU > COMPENSATION INSURANCE PLG.CONTR. LIC.No. PLG. CL Cl This section need not be completed if the permit is for one TOTAL Y❑ N❑ Y ❑ N❑ :D Z hundred dollars IS 100)or less.) 0 O 1 certify that In the performance of the work for which this per, DTV. MECHANICAL PERMIT FEE FEE SUMMARY LL F mit is issued.I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. 0 Ed Date Applicant ALTER OR ADD TO MECH. 5.00 BUILDING } Do NOTICE TO APPLICANT: If,alter making this Certificate of Ex- 2 emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK provisions of the Labor Code, you must forthwith comply with FEE U such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10=C.F.M.) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10=C.F.M.) 6.00 SEISMIC FEE I hereby affirm that there is u construction lending agency for EXHAUST HOOD (WITH DUCT) 5.00 the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC Lender's Address I certify that I have read this application and state that the above VENTILATION FAN (SINGLE) 4.00 • information is correct.1 agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.Or 100,000 B.T.U.) 6.00 hereby authoriLe representatives of this city to enter upon the BOILER-COMP(Over 100,000BTUI SEE FEE SCH. MECHANICAL above mentioned property for inspection purposes. (We) agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cupertino against liabilities,judgments, costs and ex4tel enses which PERMIT ISSUANCE 10.00 CONST.TAX may in a y way accrue against said City innce Of the gmrUi (this per it MECH.CONT. LIC.NO. MECH. TOTAL TOTAL f� Signature of Applica Contractor /JU OFFICE COPY I �1i 1211 t-I�-'f-rr<t?� '7 'j I n�i IL frtunILuc' I r na 0ri0 �-foYL-ff'F"Nl Ft-eVHTION - gIlAl1-00 7r-2 7/8" RED LAVENDER( APRICOT LAVENDER RED BLUE ORANGE LAVENDER ORANGE ' GREEN RED BLUE ORANGE GREEN R�RICOT GREEN �RICOT I BLUE GREEN APRICOT LAVENDER BLUE I I _ � /12" 2 rr . - —_ — O RED • INDIVIDUALLY BACK-LIT REA PAN-CHANNEL LETTERS COLORS AS INDICATED ABOVE I RED PMS 032C -3M WARM RED 220-253 ORANGE PMS 021C -3M 220-14 APRICOT PMS 137C - 3M 220-64 BLUE PMS 2790 - ENAMEL PAINT GREEN PMS 3405C-GALLON 11 KELLY GREEN 61 LAVENDER PMS 265C-CALLON 1175 3- 1' ANGLE CUPS SEtt1RED - 10 LETTERS Y FASCIA w/SAME FINISH AS LEITERALUMINUM �� PRpVfG NCO PS n sEe o FOR COLORS 4_AMEL P° pFt05�&��c�VOM� TAIL SICTi TRANSFORMER 12 MM DIA WHITE NEON TUBES, TW. AM% KOLISING AS REQUIRE* PER LOCAL CODE NEON TUBE SUPPORT MAPLE VENEER FINISH FRAMING AS REOVIREO 711= I a LE1 g ov't 10 N DATE z, 6 r-q5 JOB/PROJECT: REV DATE DPSCPIPTnON Ry CLIENT: SALES REP T" 01J { (RYM Fio2�E ?-h� SCALE IJgTap VALI..CoA�rHlDy �/���a DRAWN BY L roevo noon Y Y DRAWING NO. 6 PA OA 275 Laurel AVamw ��I�� � AA Tnnusl=Unul t nneffW ,We alw ht&are HayweM,Callbrnb BASAi SHEET (/r/E 6 I E/1"a, Ine cunomer Unul II.wreea Try,w,rn y ua reeaneo erla n ...I m a rowoaucea m eny mennar (510)57]-1900 .ith.Nnnao lrarmMOon from Repo Noon APPROVAL: FAX(510)537-8728 JOB NO C.aI.LI,No.MGM APR-10-95 MON 15:25 TEDRICK HIGBEE FAX NO, 510 523 7449 1 P. 01 7 ED :1r1r:!: Ili:m-r,.T.7, 77!T77-I 7-75 I'll�MTI ISS DATE TE US AG 4/10/1995 IRA N ON �11 1�5,ix:;,�x,:l "Ol � PROD ED AS A MATTER OF INFORMATION ONLY AND 1�� PRODUCER THIS CERTIFICATE IS ISSUED 15 E FP CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ELyRisk Insurance Brokers Inc. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEDBY THE 01BA Tedrick-Higbee insurance POLICIES BELOW. ....... ..............I P.O. Box 567 Alameda, CA 94501 COMPANIES AFFORDING COVERAGE (510) 523-3435 FAX 523-7449 ...... COMPANY A NATIONAL AMERICAN INS - CO- LETTER .............. ......... LETTcOmPANYER B AETNA C S COMPANY ....................................... ............................... INSURED Rago Neon COMPANY C % LETTER Acetone Rago DBA: ... ............ 235 Laurel St . Co"'my D ETI Hayward, California 94541 L, ­­­­.. ..". COMPANY LETTER E J, GE'vol THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FLRIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT 00 OTHER DOCUMENT WITH RESPECT TO WI;ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI, THE TLRMS. EXCLUSIONS AND CONDITIONS OFSUCHPOLICIES.POPPIES, LIMITS SHOWN MAY BEEN REDUCED EY PAIDCLAIM& ..........I ,I.....I.. . ., .. . . . : POLICY EFFECTIVE Pi EXPIRATION LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM)DDiYY) DAI MM)l LTR' ....... Oil. AGGREGATE S 1, 000, 000 B LtOILITY .............. ....... ...... PRODUCr.col A S 0­00*t 000 I X COMMERCIAL GENERAL LIABILITY ACM24520147 19 9 S: Fill$III INJURY 3 566, 000 19/94 ....... i CLAIMS MADE X :OCCUR, ....... .......... EACH OCCURRENCE 6 506 ' ... I qp.p OWNERS&CONTRACTOR'S PROI 4 FIRI, DAMAGE Al Ong Fro) 3 50, 000, . .................. . ............................ 7 MED.EXPENSE IMY One PI S 5, 000 .......... . ... ........ lNED SNCE ToMb51L9 LUPI LTY CO 500, 000 LIMIT ANY AUTO 005FJO024I ALL OWNED Al :12/19/94 12 19 95':BODILY INJURY (For Nrwl X SCHEDU:fO AUTOS ; BODILY INJURY !HIRED AUTOS NON-OWNED AUTOS a I 0I LIABILITY PROPERTY DAMAGE S ....... .. .. ............ ..................... j EACH OCCUl F%CESS LIABILITY AGGREGATE 3 UMBRELLA FORM OTHER THAN UMBRELLA FORM .... . .......... ........... ............. ................. .............. STATUTORY ... LWIFS WORKER'S COMPENSATION EACH ACCIDENT S SIP WCI 0014168 D :10/20/94 10 ........... ........... .......A; /20/ 951 AND DISEASE,POLICY LIMIT 000, 0001 EMPLOYERS'LIMILITY DISEASE-EACH EMPLOYES s 1, 066 doo ..... ................................. .................... .......... ........... ....... ...................................... ................................................ OTHER .............. ................. ......... ... . ...... . .......... ................. ......... ...... DESCRIMION OF OPERA��ON&LOCA7QN,%VEHICLESISPECLkL ITEMS INSURANCE INFORMATION ONLY 777 i i IIKWN 777777 PA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1 EXPIRATION DATE THEREOF, THE ISSI ",4 '01i MAIL 10 DAYS WRITIEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE RTY OF CUPERTINO LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION On BUILDING DEPT, LIABILITY UPON THE COM TS OR REPRESENTATIVES., 1 10300 TORREE hill m„';AUTHOR, //% / G$ l IAU OR CUPERTINO CA 95014 10300 Torre Avenue Cupertino,CA 95014 Building Division (408)777-3228 Fax(408)777-3333 December 4, 1995 Gymboree 10123 Wolfe Road Cupertino, Ca 95014 Subject: 10123 Wolfe Road, Permit#27930 - Sign Dear Resident, According to our records the above mentioned permit has never been finaled by a City Building Inspector. A permit is considered to be valid only six months from its last inspection date. If your permit shows that the final inspection has been completed please send a copy of the permit, along with this letter to 10300 Torre Avenue, Cupertino, CA., 95014, Attention Building Department. If your permit has not been finaled,please contact the Building Department by calling (408) 777-3228, so that we may arrange to extend your permit, and schedule a final inspection. In an effort to control the number of expired permits,the City of Cupertino requires a response in ten working days from your day of receipt of this letter. If we do not hear from you, the City of Cupertino's Building Department will have no alternative but to resolve your permit as expired and discard the records. Thank you for your assistance. Sincerely, City of Cupertino I� I, of, 10300 Tone Avenue &'i1x Cupertino,CA 95014 Cuperthio Building Division (408)777-3228 (408)717-3333 (fax) May 8, 1996 Gl'l lMtE 10123 Nd. Wolfe Road, Sp 2135 Cupertino, CA 95014 Re: Expired Odrinit, (copy attached) Dear Ownet: According to our iecords, the referenced permit has not been fihalfd by a City building inspector. • A permit is consideied to be valid only six months front its ldst ihspectiori date. If your permit sho*s that the final inspection has been completed; piedse 'send a copy of the permit alohg With this letter to: 10300 Torre avenue; Cupertino; CA 95014; attentions Building Deparhneni. If your permit has not been finaled, please contact the buiiding d6iiaruiient(408) 777- 3228, so We may artange to extend your permit and schedule d findi inspection. The City of Cupertino requires a response Within ten(10)working days front the date of receipt of this letter. If we do not hear front you Within this tithe; the building department will have no other tecoutse but to resolve your permit as expired and discard the records. Thank you for your cooperation, Building Department Staff, City of Cupertino • i Printed or,necyoed Peper