03060073 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT• CONTRACKT?OIt INF'(fRMAT].7 .
BUILDINGADDRESS: ALLEN SIGNS INC ""'N'03060073
OWNER'S NAME: 1982 STONE AVE PBRhDT156}tED "10/2003
PHONE: (408) 280-6500 SANITARYNUOb/ l CONTROL NO.
RCHITECf/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
'S'oo
LICENSED CONTRACTORS DECLARATION Job Description
1 hereby affirm rival l 1 am Ilaad under provisions of Chapter 9(commencing
With Section 70110)of Division 3 of thc Business and Professium Code,and my license es
Mz- mfunmmeanaerrm� u. fiD5�S5 SIGN- -VOICE WIRELESS
;a: Loan Gla
.FgCM Date Contractor
7W ARCHITECTS DECLARATION FINALED
ee C 1 understand my plena shall M laud u public records]yU
Lie.nsed Professional JUL 2 8 2003
3 OWNER-BUILDER DECLARATION
I i herchy affirm that I am exempt(mm the Contractors License Law for the
❑o following mason.(Section 7031.5.Business and Pro2ssium Cade:Any city or county
C
$� which requires•permit to construct,slur,improve,demolish,or repair any structure
°iy prior m its issuance,also requims the applicant for such Permit in rile a signed statement RUILDING
£ < met Lc is licensed pursuant to The previsions of Ne Contractor.Licevc Law(Chapter 9 Sq.Ft. Floor Area $11�ib70tion
y,x❑$ (commencing with Section 7000)of Division 3 of Oc Business and Pmrcuions Code)or
3
that he is exempt therefrom 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 Mllg3jMerO O Occupancy Type
not moo Than Ove hundred dollars($500).
❑I.umneroflhepmpeny,ormycmploycuwiNw gnu Neirmlecompnsadon,
w0ldothe,wodaend The.wcmrel.n.titundedmort.mfo,uk(Sm.7Df4,Bwiass iui — dInspections
and Pmfessiona Code:The C...,tors License Law does not apply m an owner of 10 3 - UFER
Property who bell&.,impmse t Iherean,and who doamch work himself or through his
own employces,provided Thnt such improvements are not inunded martucd fgrsalc If. 104 — REBAR
however,The building or improvement Is sold within ore,year of completion,
Ne owner.
Wilaar will have don m
e loa .of proving That Or he did Mt wild improve fm purpose or 105 ANCHOR BOLTS
.are.). 304 - ROUGH ELECTRICAL
❑1,as owner of the property,am exclusively contracting with licensed contractors to 505 - FINAL ELECTRICAL
construct me pmjm(Sec.7044,Business and Professions Code:)The Conmctors Li-
camelawdonnolapplytaanownerorproperty who builds or improves themon,and, 514 — FINAL PUBLIC WORKS
who contracts for such projects with a contwoKs)licensed Fondant u se,Contractor's
License law.
lamnwroplunder See. ,B&PCfarrhesmason
Owner DATA
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oro of the fallowing declarations:
1 have and will m" na Ceniftaste ofConsem 1.aelydnsurefuWorker'sComian-
ion,u pmvidcd for by Smion 3]00 of The labor Code.for me perlormance of The
h for which this permit u issued,
I love and will maintain Workers Compensation Insunna,u required by Section
3 of The labor Code,for the performance of the work for which This pemtin is issued.
My WerkerseCyyycopeary�e,tionvin�surena�ylartitrend Polity mord
s.,
Carrier, lJl Llys-C� M1A�VWI. PoI1ry No.: _: "5Z' .
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
(Thia section tuna not h.completed i(rha peourt isfnranc hundred dollen(SI00)
lass.
It anify than in The performance of The.,it for which this permit is issued.I shell nm
employ any peon in any manner An As to beame mbjauo the Workers'Compensation
Law.of C.11forms.Disc
Applicant
NOTICE TO APPLICANT:If,after making this Cenificau of Exemption•you should
Z' become sub*,to the Wohees Compensation provisions of the labor Code,you must
j O forthwith comply with such provisions or This permit h deterred revoked.
Z'► CONSR Cf10NLENDINGAGENCY
1 hereby aR,m met Ibere is a couwctinn knJing agency forme per(ormeme or
x 7 The work for which Thu permit Is issued(See.3097,Civ,C.)
:q Q Lenders Name
=z Lenin's Address
U Q I anify that I have rad this application and sou that the about heformadun I. '
D. F conal.I agree To comply with all city and county ordinances and rota laws mladagin
0U building construction,and hereby authodre,mimsentarives of This city to enter upon The %
G above-mentioned properly for impaction purposes.
(Wet)agree to save,indemnify and keep humicu me City of Cupertino against
.F.r V3 liabilities.judgments,costs And expenses which may in any way aamc against said City
U inconsequence of me grand ng of this Permit,
ti APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL ON-POINT Issued by: 62� Date
SOUR GU Apo J
6 °/D-� Re-roofs
Signature ofAppli nV on"cmrau
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will The applicant or future building Occupant store or handle hazardous material
As dented by The Cupertino Municipal Code.Chapter 9.12.and the Hasilh and Safety
Cade,0y.25532(a)7 )No All roofs shall be inspected prior to any roofing material being installed.
wire the appn.anl or conte building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emir bv'rerJnm sir comeminanu As defined by the Bay Area Air Quality Management all new materials for Inspection.
u"icfl
❑Yes floes
I have mad The baraNnus materials requimmenu under Chapter 6.95 of the Caiirm.
nla Health&Safety Cock,Sections 25505,25533 and x5534.1 undcrund Thu ifine building
docs nal cunenit hew a tenan4 That In is my responsibility To notify se,mupam of The
rcqui sew IT Arm men poor IT ism cc or.CantiOc.teo11 r. cu ca Signature of Applicant Date
ow cr or au hon a egenl Dal. All roof coverings to be Class"B" or better
If 4 mewem creak
l
VOICE MRELE55 BUILDING SIGN ELEVATION: l6ER-RD. CIN OF CUPERTINO
SUBMITTAL
- If BUILDING WALL BACKGROUND
•-- T
G 3"LONG#10 ROD SCREW,
®�p�7L� g+ /�qg MIN 3 PER LETTERS
authe �,�reY INTO BUILDING � �
0.08"ALUMINUM R 0 2003
INSTALL 1"AWAY FROM BUILDING ,NN
0.08"THICK ALUMINUM INDIVIDUAL CUTOUT LETTERS
NON ILLUMINATED,INSTALLED 1"AWAY FROM BACKGROUND WALL
SCALE:IW=I*-0° DATE:APR-08-2003 INSTALLATION DETAIL g}(• -
L
W-O"STORE FRONTAGE
NEW SIGN LOCATION
APPROVED
"&�C9l✓�lbud@�61'�fl117W5llftWl�e,'�> w=T
`i iH ACCODPNGEfflTH TTHEIM 9@
77,
=1N�
F 1� ) I ao iso —
BUILDING ELEVATION:
Fi$ :oi ' c ":S ditn� Yf 4S�t1 �11tYT�.7
F.d .-Jit Is Un Im
m alterations
_ . . �:�-�jssian from (o /
. ._..,. LG/ -f Cupertino.
VOICE WIRELESS :tL st:Imp.np of ihn, plan and specifications —
1999913OLLINGERRD. iHALL f10T h8 h0d t0 permit or to be an ! '
CITY OFcuPERnNo1pprorsl of thr vinlotion of any prcvisM- l G!�
if any City Ordinance or State L.:4.
ui
a N G, DEPT.
g W E
m ^^
to S l�
-5+eVeAJS Ctetk OFFEE Curl
SITE PLAN c oO NOT SCALE)
i
YEL408/280-8
All deli n5&art works belon to Allen 5i n5, Inc. An du Ilcation is rohibited. COPY RIGHT 2002 fK44081289-s11
APPROVAL: DATE: PROJECT: 9 9 g Y p p if 1982 STONE AVE.
SANJOSE, CA. 95125
State License#505655
CITY OF CUPERTINO
G SIGN
IT
• CUPEVINO PERMIT APPLICATION FORM
[Building
PN# Date: /
31 21 -02 G
Address:
61-601k Blvd
Owner's Name: Phone#:
obi l
Contra tor: License#:
Contact: v Phone#:
Leh
Applicant/Contractor:
/ A1222S /mac .
Buildin ermit Info:
Bld Elect Plumb Mech
ob Description:
Residential: �J Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Valuation:
Type of Construction: panc Group:
i
l
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
Z -z/ o-3
CITY OF CUPERTINO
BUILDING DIVISION PERMIT aCONTRAGTO47
RI,N 'UR�MATFION
auILDINc.kooRPss: ALLEN SIGNS INC ....No03060073
ER'S NAME: 1982 STONE AVE "EE'''R`S`ffy10/2003
NE' (408) 280-6500 SANITARY NO, CONTROL NO.
ARCHITECT/ENGINEER: - BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
306 LICENSED CONTRACTOR'S DECLARATION JobDescription
I mreby".But I am de
licensed unr provisions of Chapter 9(cemc
macingr� r�� /� p pa��5�
4 with Sessum70(t0)ofOlvision3afthe Business and Profculons Cade.and mylicenseis If—aBC'L L'Wl\? �170l1
m in full force and Coffee II— n Q!I J-r 93
�'�z uanu Clan �:�Jri Lm.g �5,5 SIGN--VOICE WIRELESS
Dau Conmuror
ARCHITECTS DECLARATION JUL 2 g 2003
I I understand my plans Cohan he mud u public records
Da
Licensed Professional BUILDINGOWNER-BUILDER DECLARATION
iI 1 berchy effimn Nat I am exempt from the ContncmYs License Law for the
r O O fallowing reason.(Section 71131.5,Business and Ro@ssions Cale:Any city or county
1§6!
$6! which m,tures a Permit to consumer.altar,improve,demolish:or mpeir any structure
to Prior in its issuance.also raquiresthe applicant foouch Permit to file a signed suument
�<
that he is licensed pursuant to the provisions of the Commetar's Liccnu Law(Chapter 9 Sq. Ft. Floor Area $1N(i( @tion
$ (commencing with Section TOM)of Division of NC Business and Profession Code)or
that be u Commit,Nertfrom and the burs for the alleged eanmptiom.Any violation of
Section 7031.5 by any applicant fon Permit ubjects the applicant to a civil penalty of 3 APNI I uffiber0 0 Occupancy Type
not mace than live hundred dollen(SIM).
❑l,uownaof Nepmpeny,wmyemploymawithwgauBeirwlewmmnudon. "
willdo the work and theawclum is anllnunded moRcrtd forsak(Sa.70W,Buslass —
and ProfeWaw Cade:The Canmacmr's License Law does ma apply o an own,of 103-
0 3 — UFER d Inspections
property who builN orimpmves themon,and who doeatochwork himself orthrough his
awn employees,provided that such improvements art not intended mortared forsam.If. 104 — REBAR
however,the building or Improvement Is sold within ane)eta of completion.the owar-
Wllder will have the burden of proving Nat he did not Wild or improve far Purpose of 105 - ANCHOR BOLTS
.m.l. 304 - ROUGH ELECTRICAL
❑h as Owner of the property.am udusively comm uci ng with licensed cenammus in
cansuv0 the project(Me.7D44,Business and Profe.lons Cade:)The COntruols U. 505 — FINAL ELECTRICAL
came law does not pply to an awmr of property who Wilds or improves them",and, 514 — FINAL PUBLIC WORKS
who ronuacts for such projects with a conmacorfs)licensed purnwm to the Conttac7afa '
License law.
m -
❑1 aco comb,under Sec. .B A P C far Nis rwon -
a Data
WORKER'S COMPENSATION DECORATION
1 hereby affirm under penalty of perjury arc of the fallowing declarations:
1 haw and will malnoin a CeNfkm,of Can at la.If-num for Worker's Compen-
.tion.u pmvidcd far by Section 3700 of Uu labor Code.fa Bu performance of Ne
work for which this permit is imed.
1 have and will maintain Worker's Compensation Insurance,as required by Section
3 of 0.Liber Code,far the imfahronceof the work f.whwh this Permit is lasmed.
My w a CC,y(m_,iteµry-a,dw.,L.uunna�Igmer and Policy number art:
Cartmr. l7IAM� MAM1'W. Policy No,: fid 2-1540 OO sZ'
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(rnm secdan need not m completed lithe Permit Is Intent,hundred dallan(SIM)
or to..)
I anify that in Bu performance of the work for which this Permit is Wood.I Nall not
employ any reason in any mannerse u to become subject to the Workers'Compensation
Laws of Califomie.Dam
Appliont
NOTICE TO APPLICANT:IL afut making Nis Ccnifiam of Eaeminian,you should
become subject in the Worker's Compensation provisions of the labor Code,you must
�Z forthwith comply with such provisions or this permiuhall W deemed revoked.
zO CONSTRUCTION LENDING AGENCY
1 hereby a rrm that them its construction lending agency for Ne performance or
7r', ice„ the work for which this permit is issued(Sec.3097.Civ.C.)
yQ Iendcr's Name
5 Z lender's Add.
U 1 coolly Nu I have mad Nis application and sou that the man information is
,y E" carm0.I agree to comply with all city and county oNinances and sum laws heading to
�U Wilding construction,and hereby auNorin representatives of this city omm.,an the
Na above-mentioned property for inspection purposes.
(we)agree In save,indemnify and Loop harmless the City of Cupcnino against
h liabiliti.,judgments,core and expeneut which may in any way aamc againn said Ctry
U in consequence of Ne granting Of this permit
r APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL IyjON-POINT Issued by: Date
SOUR U ATI01�. • / I�
d b/W/49 Re-roofs
Signuureof Appli m/ amuacmr bush,
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
WIII the applicant or future building occupant mrt or handle ha'rudou material
as defined by the Cupenino Municipal Code.Chapter 9.12.soul the Health and Safety
e.Sec don 255324)? -
❑Yes �Nu All roofs shall be inspected prior to any roofing material being installed.
Will the applicant or future Wilding=open%use equipment or&vim which If a roof is installed without first obtaining an inspection,I agree to remove
It hanteous air contaminants u defined by the Bay Area Air Quality Management all new materials for inspection.
District, y]��
CY. {ITS-
I haw rcaB Ne hmmdms mamriabmquimmenu under Chapwr 6.95 of Ne Califar.
nim Hwlth&Safety Cada Sedans 25505,25533.d25734.1 ummrsmnd Natif Bte building
does not cr.0 haw•mmant that it u my rupmwibiliry o andly the occupant of the
mqui w nmw rwtprurtuiss...of'scenific ver. Signature of Applicant Date
� o
All roof coverings to be Class"B" or better
OwCor or au Gorid agent Data