04060048 (4)CITY OF CUPERTINO
BUILDING DIVISION PERMC®N7�I2.A'CJR
BUILDING ADDRESS:
PERMIT "0 4.0 6 0 0 4 8
OWNER'S NAME:
PERMIT ISSUE DATE
mik TORRE AVENUE PROPERTIES
NE:
SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER:
BUILDING PERMIT INF )
BLDGELECT PLOMB MECH
0 E 1� 0
LICENSED CONTRACTOR'S DECLARATION
lob Description
1 hereby affirm that l am licensed under provisions of Chapter 9 (commencing
with Sectioq ]O:IjI)(Division 3 ofthe Business an Professions Code. and my license is
in fol fkct
An .` S
Liccnx Class Lia k
Chun.
sea Contraaw
22" NON ILLUMIATED SIGN
CONTRACTOR: ILLUMINATED CREATIONS
ARCHITECTS DEC N S(bIf,IC,•
underatanJ my plans shall he uamt as rohlic records
DBA/ELLIS & ELLIS SIGN SYSTEMS
Licensed Pnlfeasla..I
OWNER -BUILDER DECLARATION
I hereby a1'Brtn that I am exempt from the Conlracmea License Law for the
following reason. (Secdon 703 1.5, Business and Professions Code: Any any Hr county
which acquires a permit to construct, altar, improve, demolish, or repair any slructum
prior m its issuance, else inquires the applicant for such permit to file a signed statement
Sq. Ft. Floor Area
Valuation
that he is licensed pursuant a be provisions of the Conneaut' License Law (Chapter 9
(commencing with Section 70301 of Division 3 a(the Business and Pmfcssinm Code) or
1 6 0 0
Nat he is exempt mmefum and be basis for He alleged exemption. Any violation of
APN Number
Occupancy Type
Section 7031.5 by any applicant for a permit subjects the applicant m a civil penalty of
not more than tone hundred dollars ($500).
wi L as owner of the pupeny, ompteycu wish wages ss ale (Sec. compensation,
Required Inspections
will is not intended ora Tussle (Sec. 7044, Business
Newark, and the a rn is
w do an
and Professions ldsdc: The Connector's License Law does not apply lf an owner of
A e Con
who builds arimputeathereon,andwhodoesouchwork himselfar his
ownemployees,provided but suchimprovementsin ne
am foreadebe
your fcsmeared
owner, however, be building
improvement is hat within one year or
for me owner-
1
omm a
improve
uuilder will have the burden of proving the he did not build or improve for puryme of
u
Sala).
❑ 1,oa owner of be am exclusively confessions with licensed conuanom
^n
�3
Sec. property,
Li-
Li-
came La the project (Sec. 704q Business and Professions Code:) TheContractor'sEames,
cense taw docs not apply loan owner of property who builds or improves thereon, and
I 1 . •J
U
Whoafor such proJeCL9 with OCoalraelor(E) licensed pursuant la NC CanContractor'sLice
nnLw.
License
C11 em exempt under Sec. . B & P C for this recon
Owner Date
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury ane or Ne (allowing declaratlma:
1 have and will maintain a Ceni@are of Consent o self -insure for Worker'sCompen-
sation, as provided far by Section 39110 of be labor Code, far the performance of the
work for which this permit is issued.
"
❑ 1 have and will maintain Worker's Compensation Insurance, x required by Section
3000 of the labor Code. for be performance at be work for which this permit is issued.
My Worker's`Ca-mJLR.a�sal((lo--n;; Insurance carton and Polity number ah9y,�s 'I
S'`�'t-C/Nl7 PolicyN �`Vvz`D
CERTIFIGMT FEKEMPTION FR WORKERS'
.
COMPENSATION INSUKANCE
Glussection Head not becomplemd true, permit Is foronehundmd dollars (SIM)
at hiss.)
1 cer iry that in the performance of the work for which this permit is issued, I seal] not
employ any roman in any manner so as In become subject to dm Workeri Compansa lon
`Laws of California. Dald
Applicant
NOTICE TO APPLICANT: IL alter making this Cendiicam of Exemption, you should
became subject to the Worker's Compensation provisions of the Labor Code, you mot
' fonbwiN comply with such provisions or Ihia permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
1 hereby Oat mere u a con(See. nn lending agency for be performawe of
do
' me work for which Nu permit is issued (Sec. 3097. Co. C.)
which
Lender's Name
Lender's Address
j I certify Out l have read this application end sok but the be. information is
' cortecL I agree to comply with all city and county ordinances and stale laws mlaling to
building construction, and hereby authorise mpreacr unives o(dds city to enter upon be
ahove-mem(oned property (or inspection purposes.
(we) agree to save, indemnify and keep harmless the City of Cupertino against
j liabilities,judgments, costs and expenses which may in any way same against said City
in consequence sputa granting of thi
A WI COMPLY WITH ALL NON -POINT
' APPLICANT UNRHAZARD
Issued by: D e ry
SOU L
Re -roofs
Typeof Roof
a
late A LDale
S ATERI S 01 LOSURE
Will the Applicant air future bun ding oc ants re or handle he�ous material
as defined by be Cupertino Municipal, Code, Chap r 9.12. and the Health and Safety
Code. sOvenxss3z(a)9 5
❑Y yNs
All roofs shall be inspected prior to any roofing material being installed.
If a roof is installed without firs[ obtaining an inspection, I agree to remove
Will be applicant or future building occupant use equip art or devices which
it harardnus air conmminanm o defined by the Bay Arca Air Quality Management
all new materials for inspection.
na4iC19
❑Yes NINu
I hens read the hmzNnus materials requirements under Chapter 6.95 of the Califon
'
nia HCab&S c He 25505, 25533 And 25534.1 undersand that if de, building
des b carte ly have nano I it is my responsibility to notify dm asupant of be
r "ram more emu At pd In Certificate of Occup ry.
_p
Signature of Applicant Date
All roof coverings to be Class "B" or better
Owner or a harl2ed age Date
0 1 of 1
171
CITY OF CUPERTINO
PERMIT RECEIPT
Sec: Twp: Rng: Sub: Elk: Lot:
APN 36902031.00
DATE ISSUED.......: 06/04/2004
RECEIPT #.........: 25764
REFERENCE ID # ...: 04060048
SITE ADDRESS .....: 20230 STEVENS CREEK BLVD
SUBDIVISION .......
CITY .............: CUPERTINO
IMPACT AREA .......
OWNER ............: TORRE AVENUE PROPERTIES
ADDRESS ..........: 920 W FREMONT AVE
CITY/STATE/ZIP ...: SUNNYVALE CA, CA 94087
RECEIVED FROM ....: ELLIS & ELLIS
CONTRACTOR .......: LIC #
COMPANY ..........:
ADDRESS ..........:.
CITY/STATE/ZIP .... ,
TELEPHONE ........
0
OPERATOR: quem
COPY # : 2
06 ID UNIT QUANTITY AMOUNT PD -TO -DT .THIS REC NEW BAL
BREMSIGNS NO SIGNS/MARQ
11.00
22.20
0.00"
22.20
0.00
BSEISMICOM VALUATION
1,600.00
0.63
0.00
0.63
0.00
EPERMITFEE FLAT RATE
1.00
35.52
0.00
35.52
0.00
BUSLIC FLAT RATE
1.00
100.00
0.00
100.00
0.00
TOTAL PERMIT
----------
158.35
.----------
0.00
__________
158.35
----------
0.00
METHOD OF PAYMENT AMOUNT
_________________ ________-___
CHECK 158.35
TOTAL RECEIPT 158.35
VOICE ID DESCRIPTION
101 FOUNDATION
104 REBAR
304 ROUGH ELECTRICAL
514 FINAL PUBLIC WORKS
0
NUMBER
------------------
1167
VOICE ID DESCRIPTION
103 UFER
105 ANCHOR BOLTS
505 FINAL ELECTRICAL
m
•
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CIN OF
CUPERTINO
zqq 1 a
CITY OF UPERTINO
SIGN
PERMIT APPLICATION FORM
APN # � 6 ` — D Z _ c).3
3 /
Energy
Date: _ -p
Building Address:
0 C k -EVE -41 GZFFK (:SO4D •
QUPEiMI' 10 Ct . snI •
Owner's Name: q20%4 , FQZ-Mt7t4 - AVC- .
'ITIZIT— PRopHtr'P4•
BPLANCHK
Phone #:
404, '13�-raNH
Contractor:
BSEISMICOM
License •
Contact: MIFF To��•
EPERMITFEE
Cupertino Business License #:
Building Permit Info:
F(1�•e, a IJO I 1 1� 1—
Bldg ❑ Elect ❑
Rmdl Signs Add Branch
Job Description:
IN'h e— r
BREMSIGNS
Residential: ❑ Commercia
Cost of Proje �D --
Monument: ❑
Mounted on Buildm .
Qty. if
Aonlicable Fee ID Fee Descrintion Fee Groan
BENERGY
Energy
BUILDING
BPERMFEE
BldgPermit Fees
BUILDING
BPLANCHK
Plan Check Fee
BUILDING ,
BSEISMICOM
Seismic Commercial
BUILDING
EPERMITFEE
Elect Permit Issuance
ELECTRICAL
BREMSIGNAD
Rmdl Signs Add Branch
ELECTRICAL
BREMSIGNS
Rmdl Sings, Marquee
ELECTRICAL
BUSLIC
Business License
BUILDING
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„r Cu ertino Site
Keller Williams
?. CA
228"-19'(+-)
X
��LLER 1?f/IiIiI�AMS
Flat Cut Out Letters
• 1115/16"
2 Scale: 3/8" = 1'
All aluminum 1/4". Flat cut out letters.
Faces to be vertically brushed with returns painted MX15 Silver.
Letters to have 1/2" eitandofP5 & mount to 114" aluminum backer. Backer mounts flush to Concrete wall.
Backer to be painted Red to match pm5 200.
"Realty" to be 1/4" flat cut out with 1/2" 5tan6lofP from backer. Backer to be 114" f.c.o. alum. red backer.
M x A5467
6.4.04 hen„ John R. u„, ea Mike Torrez
Safes Rep. Approval for Production
Ellis , Ellis
S1GN SYSTEM`S
916.924.1936 FAX 916.924.3133
1111 Joellis Way, Sacramento, CA 95815
Commmnr's license #545161
I
Estimator Approval for Production
Standoff
Scale: 1" = 1'
�1O 62� l of l
S�
APPROVED
IN ACCORDANCE WITH THE CITY 0
CUPWINO gowMN"1"1"
This set of plans aCrrspeancacwns lg4Jgga
tie kept on the iob at all times end it i8 sen
lawful to make any changes or BRUG IM
on same without written perrtos" tM
the building Dept., MY of Wert"
The stamping of this plan and spedtiMUMS
;HALL NOT be held to permit OF 110 be W:
tpproval of the violation of earn PMvlg e
r Inv (iw Ordinance or SrPte Law
PLOT PI,AAS
r • i
L �
r �
' � V
This tlocumem is wbmrtted for review/approval o(al aspects
mdudng; byum spelling convert/=am, gamma, gnaplvcs,
etc. BysgnmylackhavvL*emyaview/appavaland
funher acknawletlge that arty requested revisions may resuh in
addtioal charges. Written dimensions on these dne 4*shall
have precedence aver scabtl dimensions.
•
Elemncal reluirments cliem is respowble for,
I I Electrical nam ba v loin 6' d sign.
2) Must have bonded earth Qoul ham electrical •
Penal m sign bcation.
3) N.E.C. requires de6caed chorea for sgns.
4) No mof Mennsisse.
nmanzwm, I'll