05010037 CITY OF CUPEMINO
BUILDING DIVISION PER 1 CONTRy QT-0R INFOR 10N:"i
cap ;�, ; �.
BUILDING ADDRESS: ALLEN SIGNS INC PERMIT No05010037
OWNER'S NAME: PERMITISSUEDATE
Alk CCIC 1982 S 2005
14 ONE: SANITARY NO. CONTROL NO.
408) 280-6500
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLOCELECT PLUMB MECH
0 0 0 0
100 LICENSED CONTRACTOR'S DECLARATION lob Description
m❑ 1 hereby affirm Ihm 1 on licensed under provisions or Chapter 9(commencing P
f W with Section
HIGH of Division 3 of the Business and Professions Codc.and my license is
meeandcr" 5 ,� CHANNEL LETTER SIGN
License Cls LLic.p
=1,w Dam Comment, .0—lgr
�y ARCHITECTS DECLARATION
fa 1 understbe and my plans shall used as public records
U
saw Licensed Pndessio ed
g OWNER-BUILDER DECLARATION
<5 1 hereby alarm Nat 1 am exempt from one Contractors License Law for the
Q O following reason.(Section 71131.5,Business and Pmfexsions Code:Any city or county
Sp which requites a permit to construct,alter,improv,demolish,or repair any structure
as poor to its wounce.also requires the applicant rorsuch Permit o rile a signed.nacourn
smo that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq. Ft. Floor Area Valuation
u~0 (commencing with Section 70)0)OF Division 3 nfthc 9 usiness and Professions CMc)or
°3— that be is exempt thearrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a Permit subjects the applicant to a civil penalty of 3 2k�I3I3aIItI3�l�er O O Occupancy T
nor more man ave hundred dollars(s500). P Y YPC
0 1,as owner or the prepmy,or my employco with wages as their tole compensation,
will do the work,and the aemmum is not intended or offered for sale(Sec.7044.Business
and Professions code:The Conmet is License Law docs he,apply to no he,or Required Inspections
property who bunds or improves thcrcon,and who does such work himself or hrough his
own employee,provided that such improvements are not intended or offered for sale.If,
however,me building or improvement is sold within one year of completion.the owner-
builder will have the burden of proving mal he did not Ni If or improve for purpose or
sale.).
❑I,as owner of the property,am exclusively contracting with licensed contractors to tr'�
continued the project(Sec.]044.Burin.and Prefichiora Code:)The Conmetter's Li + �� I i�
cenlaw docs not apply to an owner of property who builds ori arrows demon,and u
who counties for such projects with a contraction(a)licensed pursuant a the Contractors
Licenx Law.
0 I on exempt rude See. .B&PC for this mason FEB of 2005
Owner Date
WORKER'S COMPENSATION DECLARATION
r��\t1 It 1t
❑ have
and
firmmai under Penalty of perjmyone orthe following r declarations: Pen BUT ®IC'�" ; ,`��
In,as and will mamba SetioCertificate7M mfO Labor ind Code.for
Worker's Com III�,Y\ IL'b lul NW �
notion,as hick this
for mi Section 3]00 of the Labor Codc,far me pcdotmancc of the
work for which alis Pcrtnit is issued. '
❑1 have and will maintain Workers Compensation Insurance,as squired by Section
37M of the labor Cale,for the pcdurmancc of the work for which this formatio is issued.
My Work�er''s�s,'Compensation insurance carrier and Policy number am-
Carrier:
rt:
Carrier.y_Y/l�11I(lSi7.��1trlPolicy No.:
%RTIFICATEOFE%EM ION FROM WORKERS'
COMPENSATION INSURANCE
mol scorn reed nosbecanplemd if the permit is(urine hundred dollars(SI00)
or less.)
I cerci ry mat in the performance of the work for which this Permit is issued,l shall not
employ any Person in any m manner so as to become subject to the Worlecrs'Compensation
Laws f Catli
ofondiaDate
Applicant a
NOTICE TO APPLICANT:IL after making this CeniOcme of Exemption.you should
become subject to the Workers Compensation provisions of the labor Code,you must
z forthwith comply with such provisions or this Permit shall lee deemed revoked.
z' O CONSTRUC11ON LENDING AGENCY
1 hereby affirm that there is a construction lending agency for the pedurmanm of
X die work for which this permit is issued(See.30`)7.Civ.C.)
}] Q I<rdcr's Name `
1 Lender's Addrea
� z
J O 1 certify Nat 1 have read this application and sum that the above information is
y correct,1 agree to comply with all city and county o fflo noes and state laws relating th
U building construction,and hereby authorize reproentatives of his city to enter upon the
4 above-(Wei ned agreepropertysaw,for inspectionkeeppurposes.
(We)agree to save indemnify and kith harmlessthew City o CuPanst against
Z Liabilities, of
costsandea penseswhich may in any way accme against said City
j z A APPLICANT
of DERST ng omnisDWI ? —
.-t APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date /
SOUR REG LATIO - � •
<' Re-roofs
Signamrcof Applic U door
Date
IIAZARDOUS MATERIALS DISCLOSURE Type of Roof .
Will the cep seam or future building occupant store or handle hazardous material '
as defined by be
Cupertino Municipal Code.Chapter 9.11,and the Health and Safely
Coale.stolon 15531(a)T All roofs shall be inspected prior to an roofing material beim
❑Yes ,�Nt P P Y g being installed.
Will the aPPTicant or future building occupant use equipment or devices whim If a roof is installed without first obtaining an inspection,I agree to remove
mit hazardous air contaminants as defined by the Bay Arca Air Quality Management
DisuicR all new materials for inspection.
❑YesNo
/"�
Ihave mad theCode,Soct.materials58.2 533and255underChapterdSoftheCalifor- 1 ,
.is HcaW&rently Code,Whom.s autism responsibility
underst0houa,de exectipnt or bg `•/I/' /�/o(_
Jos nor currently hale a mnank mat it is DIY resPoniiM1ililY m notify the occupant mf the
recti o L,wn mZ met poor toisxnnaoraClut ofcli cySignatureof'Applcant Date
DwnOwnerramhorirsacol Date
t - — v All roof coverings to be Class "B" or better
JOYFUL,MELODIES MUSIC BUILDING SIGN ELEVATION: 10455 BANDLEY DR. Suite#300 CITY OF CUPERTINO
50'-0"BUILDING FRONTAGE
NEW SIGN LOCATION
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3/4"BLACKCOLORTRIMCAP,RETURN PAINTED BLACK COLOR. _ - - _ - `� = -- — - - ->•: .� - ..
LETTER5 WILL BE YELLOW COLORAi
SCALE:1/4"=1'-d' DATE:DEC-17-2004 ---- -'- - - -- --— ����in Q y BUILDING ELEVATION: $L�
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� rE�408/280-6500
1408/280-8700
APPROVAL: DATE: PROJECT: All designs&art works belong to Allen Signs, Inc. Any duplication i5 prohibited. COPY RIGHT 2004 1982 STONE AVE.
SANJOS$ CA. 95125
dp s ate Lit-#834580
JOYFUL MELODIES MUSIC BUILDING SIGN ELEVATION: 10455 BANDLEY DR. Suite#300 CITY OF CUPERTINO
5d-O-BUILDING FRONTAGE IIII
NEW SIGN LOCATION
I
77=0 k
5"THICK INDIVIDUAL CHANNEL LETTERS,NEON POR INTERNALLY ILLUMINATION.
3/4"6LALKCOLORTRIM-LAP,RETURN PAINTED BLACK COLOR.
LETTERS WILL BE YELLOW COLOR
SCALE:1/4"=1'-d' DATE:DEC-17-2004 - - - - - - - ----
BUILDING ELEVATION'
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� rEi408/Y80-OaaO
1#408/280-8700
APPROVAL: DATE: PROJECT: All deoigne &art works belong to Allen Signe, Inc. Any duplication 15 prohibited. GOFY RIGHT 2004 1982 STONE AVE.
SANJOSE, CA. 95125
stave Lic#834580
1
x Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone(408)777-3228
CITY OF Fax(408)777-3333
$UPERTINO
Building De artment
JOB ADDRESS: -4 -300 PERMIT#
10 's f er&a
OWNER'S NAME: PHONE #
GENERAL CONTRACTOR FAX #
I am not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information
SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE #
Cabinets &Millwork
Cement Finis
Electrical
Excavatio
Fencing
Flooring: Carpeting
Linoleum/ Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting/ Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
JTile
(� bs
�ne� ontractor Signature Date
• CITY OF CUPERTINR
SIGN aS l jOl��3
CITY
PERMIT APPLICATION FORM
APN# Date:
326- 33- (()Zi/��o
z ( S
Building Address:
to SS le.4 pir # 3ov
Owner's Name: Phone#:
cc Ic
Contractor: License #:
1. / � i n
Contact: Phone #:
tl a� s
Applicant/Contractor:
Building Permit Info:
Bldg Elect Plumb Mech
Job Description:
Residential: IG/ n S
mmercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Cost of rojt: I
�'2Sz�
Type of Construction: Occupancy roup:
Qty. if
A i able Fee ID Fee Description Fee Group
ENERGY 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