08060241 (2) CITY OF CUPERTINO
BUILDING DIVISION PERMIT O1�iTRA TOR'INI'O�RMA�,It3N
BUILDING ADOftES5 PERMIT NO.
205.1.0 STEVENS CREEK BLVD ITAL CUSTOM SIGNS INC 08060241
NER'S NAME: PERMff ISSUE DATE
JNII?RTRUST BANK 9868 KALE ST 08/04/2008
1ARR(C
(626) 444-6027 ONE: SANITARY NO. CONTROL NO.
HITECTIENGINEER: BUILDING PERMIT INFO
-BLDG ELECT PLUMB MECH
u o LICENSED CONTRACTOR'S DECLARATION
OR with 1 Wmby affirm than am licensed under proviaione of Chapter 9(carom ncin6 lob Description
Station 7")ofDi,iai.m 3af the Business and Rmfessoms Coda, ml jy lice.:is INSTALL ONE SET OF INDIVIDUAL CHANNEL LETTERS
ZM4 in full forteande cet. ^ INTERNALLY ILLUMINATED LED LIGHTING. LOGO &
p2p License as
Llo,Y
5eData
1 understand my pleas ssh, I'SDECLARA LETTERS WILL BEZ4 IN HEIGHT 4 . 5 DEEP. 1/8 THICK
y M used u Intel re Me
] U
G Licanmd Pmfcssia.l
'�y OWNER-BUILDER DEthe Com ION
a Z I Mmhy o?nn that 11. exempt from the icsdon,Co :A nae Law for the
isOO fallowingmason.permit
7031.5,Business and Pmfeemoli Code:Any city mcounty
$ which iquiresnpermit reuirsdeLalar,nt human.h Perlia ears asiranymament
iymmum
Prnrmiuiensedpursamquime meeimm,aid,far,sucC.nuesue's ienseaned w(Cha mrnt
then he is licensed pursuant to the provitio.of dm Canaenor's License Law(Chapter Sq.Ft.Floor Area $ Valuation
$ (commencing with Section]W0)nf Divui.JMUe Budnevana Pro@ssians CnM)or 8800
., that he is esempt therefrom and the but,for the alleged exemption.Any violation of
Section 7031.5 by M'appliani far a Permit subjects the applicant a a civil penally ofNumber O
not mart Nen live hundred dollars(5500). 35908018 jVOccupancy p y TYpe
❑Las ownmoftie property. my employees with wagmas Neirmleeompenution,
will do thewormL and the simnum Is Maimended Or offered formle(Sec.7014,Business
and Professions Code:The Commences License Law dart mt apply he an owner or Required Inspections
property who builds or improves thereon,and who does such work homed r ar through his
own employees,provided dmisuah improvements are not intended mortered(meal.it,
however,the building or Improvement is said within a.Year of completion,the owmr-
builder will have the burden of proving that M did set build or Improve for purpose of
sale.),
❑1,as Owner of ft property.am exclusively contracting with licensed cam umns;e
contract the mien(Sea 7044.But.and Professions Code:)The Connector's LI-
cave law data not apply to an Manor of property who builds Or improves thereon,sed,
who contracts for such projects with a ronuaemr(a)licensed pere"m to do Cammen Ys
License Law.
❑I can nempt under Sea ,B&PC far this mama
nv Dam
WORKER'S COMPENSATION DECLARATION
I hereby afBm under penalty of perjury ane of the following declanlio.:
❑1 ham and will meintsin•CWnntoof Cansenl to self-Wase for Workers Compcn-
some.u provided for by Secdon 3770 of the labor Code,for the performance of the
warts for which this Permit is issued.
❑I Mac and will..!.We Workers Compensation Insurance,as required by Section
37M of the Labor Code,fm the performance of the mr,far which Nu permit is Issued.
My Workers Compensation Insurance artier and Paltry number am: j p
Cartier, �.aw�A7 Policy No.:tav,+/� 0.1 AX
CERT, CATE OF EXEMPTION FROM Wits'
CERT
COMPENSATION INSURANCE
(Thu motion eel not M completed if the permit 10momhundred dollars($100)
or lora)
1 amly that in the performance of the wort Ice which this Permit is issued,I sell at
employ any person In say answer so az m became subject In Me Workers'Compensation
Laws of Califomia Data
APpilam
NOTICE TO APPUCANM.If,alter matlng that Cenincam of Eacmption,you should
become subject to the Workers Compensation provisions of the Labor Codc,you mesa
OroMwith comply with such inevisin.Or Nis permit shall M dammed invoked.
'y 5; CONSTRUCTION LENDING AGENCY
��+ IMrob alrism that Nem is a construction lending• rear the
F Y g gercy ,erformenceur
ai the work for which this permit ts issued(Sea 3119'L Civ.C.)
Z)Q Lenders Name
Z)z Leaders Addrea
V Q 1 certify Nn I have mad this application and roto that IM stove itaamudun is /
U+ F oartal.I agree to comply with all City and county ordinances and emu laws relating M
.O U bulldingconsuunion,and hereby whadbe mprnsentativa of this city to caw upon the
above-mendaned property for inspection purposes
(Wc)agree to ase,indemnify and keep harmless IM City of Culx:rOm against
ivy CA Iiabllitia,judgmams.cmts and OsPes nsewhich may in my way same agaimlssidCity
V Z in consequence of the granting cit Permit,
"y APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by:3 � Date
SOURCE REOULATIO
SgM9U.5pp as on or Dam Re-roofs
HAZA OUSMATERIALSDISCLOSURE Type of Roof
Willthe appacat future building OCCupant Stoe M hand¢hamrsom material
az defined by the Cupertino Municipal Cade.Chapter 9.12.and the Health and Safety
.Section 255324?
Oyu 0 No All roofs shall be inspected prior to any roofing material being installed.
Will the appliam or future building Occupant use equipment or devices which If a roof is installed without first obtaining an inspection,I agree to remove
emit hamraou air contaminants u defined by the Bay Arca Air Quality Managentenl all new materials for inspection.
District?
❑Yea C]No
1 have mad the haaardnus maedau requimmenu under CMPer 6.95 of the Califor-
nia HcalO&Safely Cade,Scetians 75505,25573 end!25534.1 understand that lfthe building
data not currently have a"4 that it u my responsibility M leafy the OccLM1M Of the
mquhcmanu which must M me 'ortoiauanceOra CeraMamar Occupancy, Sig nature of Applicant Date
Owner or am a nl
Dam All roof coverings to be Class'A!'or better