S 2937 (2) APPLICANT-TO FILL IN INFORMATION WITHIN RED LINES-USE BALL POINT PEN ONLY
�CITY CUPERTINO BUILDING-ELECTRICAL PERMIT NO.
RIf+��ING DIVISION t APrOACATION/PERMIT PLunmlNc-naxcxnNlcnL
IF., BUILDING PROJECT IDEN'TIFICA'TION
B W LDING ADDRESS: cc SANITARY NO. APPLICA'I ION SUBMITTAL DATE
O4 O0Pf�'sEFFS NAME �I�LG� �v�'CONTRACTOR'S NAME: LICN 7-7 9
- NIC CON TROL#
EJ C. rA (, S 6/L
�ECT/ENCINEER: LIC NO'. AUDKF S: AAXiii
1:1�f CONI'ACI': PHONE, �� BUILDING PERMIT INFO
❑ Consultant Pees Paid by Applicant(Initial) BLDG ELECT PLUMB MECH
LICENSED CONTRACTORS DECLARATION QTY. ELECTRIC PERMIT FEE
1 hereby afrom mal I am heunetl ander prcvisi..aa..r chapter 9(Nmmeadng - _ _ - JOB DESCRIPTION
CMZ mScction 90Q)..fUivi.vionIna lheBasinenslmdProfen......,Codc,and my license is r RESIDENTIAL'
,,u�� in wtfull foto:and elle PERMIT ISSUANCE
Li C' (p� ❑SFDWL ❑KI'I'CHI?N REMODEL
QUO Lmcnre hie'# APPLIANCES-RISIDEN'I'IAL El ADDITION ❑PLUMBINGRE-PIPE
hQL Uvm Conlmalor
ARCHI'IUI?CLARATIO
'F.C'1'S N PANELS ❑MULTI-UNIT ❑STRUCTURAI,
f.gs z
024lundammnd my Dlans xhnll he used ns Puhlic records MODIFICATION
UP T021XIAMPS
[I INTERIOR ❑CHIMNFYRHPAIR
Licensed Professional 201-IODOAMPS IMPROVEMENT 0SWIMMING POOLS
as1 � OWNER-BUILDER UECLARAI'[ON OVER IIl1X1AMP5 E:1 BATH REMODEVRF.PAIR ❑DEMOLITION
XCC 6 I mchy nflirm that I am uempt loom the Commemr,License Law for the
W eO y U following reason.(Sear.....7031 5,Business and Professions Code.Any city or county SIGNS ELECTRICAL O ❑OTHER
iq Much q p ct i t 'hl P d I'.1 yatcmre -
�' prig t t......use,also richim,the ppD t firua,chfibrailt We bi,furedambabut SPECIAL CIRCUIT/MISC.
feyIlia,In,,liccn,,lpreandum thepnowisimn, fit C factors l Law(Cri9
� (e..nneang end Sect..19000)oIlly con 3ohlre Babies,andlrofasao.,Cale TEMP MEL:
TER OR POLH INST. COMMERCIAL
that he is exempt therefrom and the basis for be alleged exentp0on.Any violation of _ ❑NEW BLDG/ADDITION ❑DEMOLITION
Section 90315 by any applicant for a emnut Iodharo thcapppcmn to it civil penally of IIOW17R DEVICES El TENANT ❑FOOD SERVICE
#mare than five hundred doll—($5W).
Q ❑ Lo the w r of thepe lace 'I'mymunecs withgages ed for their Sole 044,Br,mrs, SWIMMING POOL BhPAfRIC
IMPROVEMENT
wJl dothework,and d The dureie nnt�micensdird orarcc dorotsuld tapply to
owner.. El OTHER
Cm and Pmfessiensld, :'Phewt, hit....License Laws such
not apply m If owner of WTLErs-SWITCHES-NIX'I'ORES
5 property who builds or improves hit i and who docs such wntA dnvrelf f inIFlet his awn employees,provided that such improvemld ate nut intended n oelme,for NEW RESIDEN'T'IAL ELECTR SQ Up
sale.BE rbuildeveoin,have thi boaden of powint:weld w.,III.onaild ofemopleri...an, $Q.fT.FLOOR AREA SISQ.FT.
owner builder will have the boots..of proving mut he diJ nm build nr::..prove tier poo-
pros.1 sale.).
El 1,as owner of the property,am seedusively contracting with licensed amtrnchas ,, T n
ametrvtt the p,c,,(Seas 9144,Bovines and Professions Cods:)'I'he Condecons Lr-
cruse Lrw does not apply In an ow net of property who milds or futurists therrindand QTY. PLUMBING PERMIT - FEE
wlm eonnown,for such IF jeans with a cents,(...(licensed pomoanno to Conwaors
Licenw Law. PERM[F ISSUANCE.
❑tum ucnlpt under Sm. ,If&P C f..r this reason
- ALTER-DRAIN&VENT-WATGR(EA) VALUATION
Owner Dem
Wre andetSCOMPUNSATION DECLARATION HACK FLOW PROfF.CT.DF,VICF,
I heresy vf0rm under penalty of perjury one of the following dcelamd..n
�] I have and will bromate a Certificate of Consenuo self-insure for Worker'.S Compen- DRAINS-FLOOR,ROOF,AREA,COND. STORIES TYPB CONSTRUCTION
L 'sation,m providul for by Section 39(X1 of the Lure orCode,fol the poreati uvea of In, _
work for which this permit is issued FIXTURES-PER TRAP
❑ I have and will maintain Workers Comp enaot l....Insunmcc,as resulted by Section
3900 ofthe Labor Code,for the lwrfonnanceofinework for which this permit is issued GAS-EA,SY.STEM-1 INC.4 OUTLETS OCC.GROUP APN
My Works Cy�s pp }}µµ In c c r sad Polley ppyyo�
Carrier'. II P:/Lp/J rte an' Policy No.:[✓ �igy)yV GAS-EA.SYS'THM-0VHK4(EA)
0 CF,RTIFICATF.OF man,
FROM WORKERS'
COMPENSA'T'ION INSURANCE: GREASFANDUSTRI.WASTE INTERCEPTOR
(Dissection m
s ction need tbc e..nnpleted if the per nit is fnIonchundied dollars($I W) - BUILDING DIVISION FEES
or Ices.) GREASE TRAP PLANCHECK FEE
Licitly that in the perform m.ce..tline work for which it,,,permit is issued,I shall SEWER-SANITARY-STORM EA.200 FT
not employ any person in any manner no as to hu..me suhj al to the WorkeN Conran- ENERGY FEE
',Z sation Laws nl Chhuram.Date WAI'Idn HEATER W/VENT/Id.BCI'R
�O Applicant GRADING FEE
NOT ICE TO APPLICANT.If,informant this Cenlficvteof Exemt WATER SYS TEM/TREAI'ING
W 6 p inn sera sh..nW
become subject to the Wmkere Cu ars or this permit
of ma Labor Code,you moa SOILS PEE
forthwith comply with such pmvisi..ne or permit ahill be,Jeetned revoked, WATER SERVICE
WW Q
7z CONHONLENDING AGENCY NEW RESIDENTIALYhMB. SQ.FT. PAID
I lmrcby vlfirm that therehem 1,is rconxwetion lending agency fenhe peltbrmnnw of Dule t v #
the work for which this permit IS inroad(Sec.3097,Clv.C.)
p Lender's Name 'TOTAL
U Lcndcr's Address TOTAL:
0. I cedify that 1 have read this application and state that the above information is _ BUILDING FHFV
FF-I V) errant.1 ngrcc to cotnp1y with all city and county ordinances and state laws adding to QTY. - MECHANICAL PERMIT FEE
UZ building amstmctiar and hereby addenae representative,of this n lywtetritiothe SEISMIC FEE
above-mentioned property for inspection purposes. PERMIT ISSUANCE
(We)agree to save,indemnify and keep harmless the City of Cupcnin..against ELECTRIC FEE
liabilities,judgments,costvandexpemas which may inanyway accrue agnint Said City ALTER ORADD TO SUCH.
to consequence of the granting of this permit. PLUMBING FF..
APPLICANT UNDERS'T'ANDS AND WILL COMPLY WITH ALL NON-POINT AIR HANDLING UNIT(TO IfldBF CPM)
SOURCE :'ULAINS. MECHANICALF E
/ ,e Aar �iJ..1i AIR HANDLING HNIT(OVF.1210.000 CFM) CONS'1'KUCI'ION'f X
Signature ofAppli t/Coournew Date EXHAUST HOOD(W/DUC'D HOUSING MITIGATION FEE
MATERIALS DISCLOSURE
Wlllmoappliche or f :building eccupum Stereor handle hewrdo..s mmenni ((EATING UNIT(TO 100.000 BTU)
vs doth d by the Cupertino Municipal Code,Chapter 9.12,and the Health and Safety
Code,Section 25532(a)1 / t HEA'T'ING UNIT(OVER Ion ni,BTU)
//
❑YenNn VF.NT'ILATION FAN(SINGLE RESID) PAID
Uma Receipt#
Wid the applicant or fulury holdingdistantthe B um Area
Air auL or devices which BOILER-COMP CHP OR HX),000 PTU)
emir hazardous air mnmminann as ddined by the Pay Area Air Quality Management - TOT L
Dnincl9
❑Yes Nn BOILER-COMP(OVER 100,000 B'I'U)
777
1 have rcvd the hwaNnm matenuls reyuirunents ander Chapter 695 of the Cvli- AIR CONDITIONER ISSUANCE DATE
for is Boom&Safety Code,Sections 25505,25533 and 25534.1 understand mut it We NEW RESIDENTIAL SUCH. SQ.FT.
thanimm"aw" tcuroantlyhavcamnant,matinial..ymspnnsibilitytnnatifylhenccupunt
ofthe re no, - :pit rte issuance'If a Cenifisat Occ j
'
Owner or vnth..n ay t Date TOTAL ISSUED BY:
I� OFFICE
l
APPROVED
IN ACCORDANCE 1'iITH ]HE CITY 01
CUPERTINO CODsS AND ORDINANCE`:
HALO LIGHTED LETTERS SIGNED____---. - / -_
This set of I u. ns MOST
be kept on .no it s Un
k"5--►� 2• i lawful to m alterati.mo
on same IaL +:.asion hen)
i the bui dlr, : t no.
The stamp,c ;.e:: caticn+
SHALL NOl be _ r .r to be an
approval of tho v ,I .IVa r,t :r/ pwvisioai
060 ALUMINUM FABRICATED of any City O d.nanco or 'wtah: law
CHANNEL LETTER
CLEAR LEXAN BACK w/ —
WHITE VINYL DIFFUSER / EXISTING FASCIA
1 i8'PLEXIGLAS FACES
6500 WHITE 13MM NEON - -
ILLUMINATION (60 m.a.)
• PLECTROBITS PYROLENE ELECTROD
INSULATORS>O COVERING
ELECTRICAL THRU FUXBLE CONDUIT
r0 REMOTE TRANSFORMER IN
GALV. BOX BEHIND FACIA
MOUNT 2-OFF FACIA WITH
.VON-CORROSN'E FASTENERS
AS REQUIRED i
G,-ASS TUBE SUPPORTS
CONNECTIONS BETWEEN LETTERS
MADE INSIDE HIGH VOLTAGE J-BOXES
LOCATED[BEHIND FASCIA ����9��
rvuxwnNt�nElAll I-:'11
APR 1 9 7999
✓jLUG,CNry ECTION DEFAR7ivrcry I
OF CUPERTINO
A
Z0 'd
9222 6£Z 60Z N0Iltl11fJ1SNI NDIS 'dIlH7 Wd S£: 6 -6T-Ndi
5/6Nmi Tv,
SPEG/FIGATIONS:
GUT-OUT 1/4" ALUM/NUM LOGO and LETTERS
PAINTED "AKZO-NOBLE" #351-F3 DARK BRONZE. I _
LOGO and LETTERS SHALL BE APPLIED TO EXISTING
SANDBLASTED PIGMENTED CONCRETE I TWO SEXOTIMNG
TORY
OFFICE
9 o
9,4313F.
2 SETS REQ,D. LU ' `
I
I , .COA13:eCA Bnrac
NON-ILLUMINATED. O - -
5'-8" O.A.
I • I 'r - -
v✓t ----------
Lii
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1 � -II NORTH —A—X-15
Fjc2s5 NumC -
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r Y\am�A— o
5TEVEN5 CREEK
170UBLE FACE MONUMENT 5/6N. 5/TF PLAN
5/GN 'A ': —r: K wA�TJU.
5ca/e 1/16" = 1'-O" f),0, 04J��'1 dLUl9. INSPECTION DEPART 1.�,„
scale ® 1/2" = 1'-O'. �33C. CITY OF CUPERTINO
Heath
and. e e .ny,:m- Signs Nationwide _HEATH
. 2121 Grnge5oeel.APamMe.CWWQ91803(Vfi)451-8300 NgatN ERN57- YOUNG LLP y 1mh De�.a 21010 Rev No 1.
:Nb R AN OPIGUTAL IIIWIBLL" ^
OPAw1Y CIEAieD BI 4F T
RELOCATE MONUMENT 5/GN. pMpAN rt s sue a
z5z5 waYlW Ha Lane.oaas.reu nzr3.9n)am.3.ee A0lresv ��y 5- 5 �n£�l/ � ;- 1 3.3,99/BARR05. 3ak a5 NOTEV s�1 w. 1 OF 3.
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39851ampa .011 rFhN S. o (813)M5 415 CMi81aa GUPERT/N0, GA 1 i ---- U4 YON A R10.IECi MD %4NNE0
mu 2/3/99 :m w- _W YOUNOT e.M Axo LOAVA4r.
'S4GT i0 Pl 51VAN TO zw01h
NOR
505 WeQnerOme Wes�tr,cago IIMas a^+85 i630)8e8-0OTO Llrem Apagy .. ' _- O OSr.AFe.R1 W
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NORTH ELEVATION - PARK/NG 51VE
31&N"B
6cale @ 1116'
5/GN MANUFACTURING 5FECIFICAWN5:
FABRICATED ALUMINUM REVER5E CHANNEL LOGO and
LET"MR5 ( 2- VEEP ) A/ INTERIOR *VH17-E NEON &LUM1-
NATION.
LOGO and LET"TER5 SHALL BE PAINTED 'AKZO-NOBLE
#351-F3 DARK BRONZE.
tQ
1- 11 till
LOGO and LETTERS 5HALL BE FEC7,67F.0 OFF WALL 1" --------- - - ---------
-___
-_____
FOR HALO EFFECT.
5QUARE FOOTAGE BREAKDOWN:
36. 1qNOTM
GABLE r0)1&=6-R ELEVAT70N
MAX. ALLOWED ................................. 40.00 ( PER ELEVATION
1-M -
MAX LETTER HEIGHT. ENLAR&EVVErAlL.
24" NORTH ELEVATION. scale 0 3132" 1,-Om
_HEATH
Heath and Compapy.-- m Sig- ns Nationwide -
• 21210a Sant Aew,GaCaV-91803(6261457-]009 ftjw� OMST if YCVNC7 LLP DesiFft 21010 6 "1 991011,4 A
fWAFED V XO OR
LOCATE MONUMENT '134,111INIff II IS SOONTRED OR
as NOMP 2 OF 3. up Kw�W IN�l
[RE Mil WHABUNIG�REO
'A If";W NWH MD �,Lhry
3ws tm,Ri ONlirlItI.Film�67(813)M15 cnytsmw CVPf9Z7-/NO, CA 12 caw 21-91qq licit,M. 6"1" :0 W TO"Arfow
"10. W�I`ON ItOR
IM.s W185 tf�13)8760070 Ctituit A=lxJ s�-AUSHERMAN D—By BARR03 �1 111)W If,13 rAMED�ic
o West CP�g ,WD
;I :
SOUTH ELEVATION — 5rEVEN CREEK R—V
516N "Gof 0
6cale 0) 1116 1 -0is
516N MANUFACTURING 5PECIFICArION5: 17�
FABRICATED ALUMINUM REVER5E CHANNEL L-000 and J!, I
INH/TE LETTERS ( 2" DEEP ) !N/ INTER/OR PYHI 5 NEoN ILLUMI-
NATION.
LQ
,Lo&o and LETrER5 SHALL BE PAIN-rEr? AKzo-NOBLE,, ------- T-r
------------- -
#351-F3 DARK BRONZE. ------
LO&O and LETTER5 SHALL BE PEGGED OFF WALL 1" IF
FOR HALO EFFECT. L
SQUARE FOOTAGE BREAKDOWN:
GABLE TOWERELEVATIONNOTE.
1'-6" x 25!--q"........................................
MAX ALLOWED ................................. 40.oo P5R &LjEVA noN ENLAR&ED VETAIL.
MAX. LETTER HEIGHT ALLOWED:'
10" 5OUTH ELEVATION.
Heath and Company 'iii Signs Natibnwide: -.
7
HEATHI
�7 I
2121 Orwoo SmI.ANarGre,Ulfww 9160.316261151-3000 ftpa urm ERN-Sr S Y'0)N& 1-1-P Reamon I Dam odmxo. 21010
• REL R�NO. o6wmn *10,
1 U�" IT Is S�"
25M Wgm HIII Um.D=.Tau� 75M(972)�-3� AWm RELOCATE MONUMENT 516N, —3,3,"I'l-BARR05 I as NOTED 3 OF -9.
3%5 Tamw Opyw(Fw U617(8131855"15 CITY I stm GVPOMNO, CA
IDY WH A WHO�
2 FOIR ffM BY HEATH�JEU AND COMF,AppE,
IC.NAT IOU
505 wannerAo%U1,o.91w1 W!85 TEJO)876-0070 flieil ADWw I3 --- - IMNDE ffrim 01 iA
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