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12040075I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 18900 STEVENS CREEK BLVD OWNER'S NAME: LOUIS TSANG & LIU ZAU OWNER'S PHONE: ❑ LICENSED CONTRACTOR'S DECLARATION License Class / 5 Lic. q 7/7307 Contmctorl."AMt° 51C?AJ5 Date 0 4 /3ZOIL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. 1 hereby affirm under penally of perjury one of the following two declarations: I have and will mainta in a certif icale of consent to self - insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this peril is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANT CERTIFICATION 1AA61-' 1 certify that 1 have read this application and stale that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against Iiabilities,judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date ❑ OWNER - BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penally of perjury one of the following three declarations: I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 1 have and will maintain Worker's Compensation Insurance, as provided for by Section 3700 of the Labor Code, for the performance of die work for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person inany manner so as to become subject to the Worker's Compensation laws of Cal ifamia. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may acme against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date CONTRACTOR: SAM'S SIGNS NEON & PERMIT NO: 12040075 ELECTRICAL 16719 E 14TH ST DATE ISSUED: 04 /132012 SAN LEANDRO, CA 94578 PHONE NO: (510) 481 -1700 JOB DESCRIPTION: RESIDENTIAL U COMIIIF-RCIAL11 SUNFLOWER LEARNING CENTER- INSTALL SIGN AT COMM. SPACE Sq. Ft Floor Area: Valuation: $4500 APN Number: 37511073.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHINN 180 DAYS OF PERMIT ISSUANCE OR 180 DA 7J y yOM`LAST CALLED INSPECTION. Issued by: ??!! �l/G� / z L Date: -� 2 RE- ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. ]will maintain compliance with the Cupertino Municipal Code, Chapter9.12 and the Health & Safety Code, Section 25532(x) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and5534. e 1 //J Owner or authorized agent: / Date :,)' v CONSTRUCTION LENDING AGENCV I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Licensed Professional 7 ITEMS OF 7 CITY OF CUPERTINO' PERMIT RECEIPT Sec: Twp: Rng: Sub: Blk: Lot: APN ........: 37511073.00 DATE ISSUED.......: 04/13/2012 RECEIPT #.........: BS000016535 REFERENCE ID # ... 12040075 OPERATOR: SylviaM COPY # : 1 SITE ADDRESS .....: 18900 STEVENS CREEK BLVD SUBDIVISION ....... CITY .............: CUPERTINO IMPACT AREA ....... METHOD OF PAYMENT --------------- -- CREDIT CARD TOTAL RECEIPT : AMOUNT ------- -- - - - - -- 579.95 --------------- 579.95 VOICE ID DESCRIPTION -- -- - - -- -------`------- ------- - - - - -- 101 FOUNDATION 104 REBAR REFERENCE NUMBER -------------------- mc VOICE ID DESCRIPTION - - - -- - -- -------------------- -- - - - - -- 103 UFER 105 ANCHOR BOLTS 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL OWNER .............: LOUIS TSANG & LIU ZAU ADDRESS ..........: 12061 SARAGLEN DR CITY /STATE /ZIP ...: SARATOGA, CA 95070 RECEIVED FROM ....: MAGDIEL LEDESMA CONTRACTOR .......: SAM'S SIGNS NEON & ELECTRICAL LIC # 29407 COMPANY ..........: SAM'S SIGNS NEON & ELECTRICAL ADDRESS ..........: 16719 E 14TH ST CITY /STATE /ZIP ...: SAN LEANDRO, CA 94578 TELEPHONE ........: (510) 481 -1700 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC ------ ---- --- NEW BAL - - ----- ---- ------ 1BCBSC - -- ------ - - -- ----- - ----' ---- ------ -- -------- VALUATION 4,500.00 1.00 0.00 1.00 0.00 1BSEISMICO VALUATION 4,500.00 0.95 0.00 0.95 0.00 1BUSLIC FLAT RATE 1.00 119.00 0.00 119.00 0.00 1EPERMITFE FLAT RATE 1.00 44.00 0.00 44.00 0.00 1ESIGN UNITS 1.00 44.00 0.00 44.00 0.00 1SIGNREWRK EACH 1.00 327.00 0.00 327.00 0.00 1TRAVDOC FLAT RATE 1.00 44.00 0.00 - -- 44.00 - --- - -- --- -- 0.00 -- - -- - -- TOTAL PERMIT ---- - -- - -- ---- - 579.95 - - 0.00 579.95 0.00 METHOD OF PAYMENT --------------- -- CREDIT CARD TOTAL RECEIPT : AMOUNT ------- -- - - - - -- 579.95 --------------- 579.95 VOICE ID DESCRIPTION -- -- - - -- -------`------- ------- - - - - -- 101 FOUNDATION 104 REBAR REFERENCE NUMBER -------------------- mc VOICE ID DESCRIPTION - - - -- - -- -------------------- -- - - - - -- 103 UFER 105 ANCHOR BOLTS 304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL CITY OF CUPERTINO ICI FEE ESTIMATOR - BUILDING DIVISION IMNI ADDRESS: 18900 Stevens Creek Road DATE: 04/13/2012 APN: BP#: REVIEWED. BY: Sean 'VALUATION: $4,500 *PERMITTYPE: Building Permit PLAw CHECK PRIMARY USE: Sign IESIGN Elec. Permit Fee: IEPERMIT PENTAMATION PERMIT TYPE: 10EAP5 WORK Remove and replace existing sign and reduce in size for Sunflower Learning Center. SCOPE Plumb. birp. tea: SIGN TYPE FEE ID phurrh. Plou ChecA- QTY ,Neely. Peron/ Fee: SIGN FEE IESIGN Elec. Permit Fee: IEPERMIT Ground Sign, Alteration 1SIGNREWRK Other Elec. Insp. 0.0 $44.00 1 Plumb. birp. tea: $327 Permit Fee: $327.00 Suppl. Insp. FeeQ Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $44.00 PME Permit Fee: $44.00 C;onsli nctlon 'I"Is. Administrative Fen: Work Without Permit? O Yes (E) No $0.00 TOTALS: $0.00 A Travel Documentation Fee: ITRAVDOC $327.00 Strone Motion Pee: IBSEISMICO NOTE: This estimate does not includejees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolulion 11 -053 EB: 7/1//1) d le,. /r, Plan Clack phurrh. Plou ChecA- # Branch Circuits 1 1 1 $44.00 ,Neely. Peron/ Fee: Plumb. Peinia Fee. IESIGN Elec. Permit Fee: IEPERMIT Odmr d/ech. Imp. Other Plumb In. p, Other Elec. Insp. 0.0 $44.00 ,1/cch. hup. [- re: Plumb. birp. tea: F.lce. Insp. Fco: NOTE: This estimate does not includejees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept for addn7 info. FEE ITEMS (Fee Resolulion 11 -053 EB: 7/1//1) FEE QTY/FEE MISC ITEMS Plan Check Fee:: Suppl. PC Fee: 0 Reg. O OT 0.0 Thrs $0.00 /'lour b.GFleclr. / /ilec Permit Fee: $327.00 Suppl. Insp. FeeQ Reg. Q OT 0.0 1 hrs $0.00 PME Unit Fee: $44.00 PME Permit Fee: $44.00 C;onsli nctlon 'I"Is. Administrative Fen: Work Without Permit? O Yes (E) No $0.00 Sign Master Plan: Q Yes (E) No $0.00 A Travel Documentation Fee: ITRAVDOC $44.00 Strone Motion Pee: IBSEISMICO $0.95 Select an Administrative Item Blde Sids Commission Fee: IBCBSC $1.00 SUBTOTALS: 1 $460.95 $0.00 TOTAL FEE: $460.95 Revised: 04/0112012 SCOPE OF WORK \J MANUFACTURE AND INSTALL ONE DOUBLE SIDED INTERNALLY ILLUMINATED SIGN with V2" PUSH THRU ACRYLIC LETTERS. rn -,I, s 114- MSBlO TRNGERIN'E YELLOW PPPLE GREEN KELLY GREEN WHITE M.Vtl"ER &YE yStl :0.Ni WIDIWA9 y}]]iPNli y:LnV \5 EV VOY YY90 EXISTING POWER - EXISTING 4 MTLSQ. POLES • 1 1�n d L DISCONNECT_, _ Y SWITCH \ ( R II I 1 l� 1 1 J ___STEEL SQ. TUBE 4 "X4 "X1/8" - h' QI.A. THRII 5OLT r- ALUMINUM ANGLE FRAME WELD AT ALL CONECTIONS 1' /:•'X 1'h "X1/8'. _I ■A CONNECTION Top view z PLACES Ivrs P_ roiect :6876__ Pl OT PLA a '/ C. i -'. 1" i- BUILDING DIVISION - CUPERTINO r' ^' ^' STORE FRONTAGE 108 LN FEET s ands ecif(cdUons MUST be ke t et ttre p p- WWI, 4011421-1431. - - - � SIGN AREA 37" x 96" = 25 SQ FT SQ FT CHECKED J14Y - - >?•- - Contractor: EXISTING TQREaHL:oveD Account, Manager: 13 I y - 1 ,,, _ SAM'S SIGNS NEON et - �• I f this plan and specifications SHALL NOT Designer: 1 DA 1 ss _ ELECTRICAL SIGNS 4 sins of any City Ordinance or State Law. L ll ✓'1r 16719 E. 14TH ST. 15 - Revisions: Colors depicted are a graphic -- r 'a SAN LEANDRO, CA 94578 representation. Refer to call PLAN ' -• PH: 510.481.1700 �, ,;• s :_® FAX: 510 - 481 -0302 S _ info9samssigins.com - ST LIC# 717307 class C -45 IDATE sN I —�, = -- -- -,I, s 114- MSBlO TRNGERIN'E YELLOW PPPLE GREEN KELLY GREEN WHITE M.Vtl"ER &YE yStl :0.Ni WIDIWA9 y}]]iPNli y:LnV \5 EV VOY YY90 EXISTING POWER - EXISTING 4 MTLSQ. POLES • 1 1�n d L DISCONNECT_, _ Y SWITCH \ ( R II I 1 l� 1 1 J ___STEEL SQ. TUBE 4 "X4 "X1/8" - h' QI.A. THRII 5OLT r- ALUMINUM ANGLE FRAME WELD AT ALL CONECTIONS 1' /:•'X 1'h "X1/8'. _I ■A CONNECTION Top view z PLACES Ivrs - - P_ roiect :6876__ M ITY DEVELOPMENT DEPARTMENT a '/ C. i -'. 1" i- BUILDING DIVISION - CUPERTINO r' ^' ^' APPROVED s ands ecif(cdUons MUST be ke t et ttre p p- WWI, 4011421-1431. - - - � construction. It Is unlawful to make an approval. It is not to be shown anyone outside your or organization, reproduced or ralterationson same, ortodeviate Account, Manager: out approval from the Building OfficlaL _ V I f this plan and specifications SHALL NOT Designer: mit or to be an approval of the violati Ofl MAGDIEL ESTRADA sins of any City Ordinance or State Law. L ll ✓'1r PROPOSED SIGN/ NIGHT VISION Scale: As noted 15 - Revisions: - - This is an original, unpublished - l drawing created by Sam's Signs. It is submitted for your approval. It is not to be shown anyone outside your or organization, reproduced or -Ei copied in any fashion. Ownership of this design is held by Sam's Signs. Authorization to use this design V must be obtained by Sam's Signs. 510.481 -1700 www.SAMSSIGNS.co. L © 2012 O Colors depicted are a graphic representation. Refer to call VICINITY MAP outs Por actual colors to he used. CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 (408) 777 -3228 • FAX (408) 777 -3333 • buildina(cilcuoertino.orD S P0.0JECT ADDRESS I O l QD S 5 w. O FPHONE APN q /�? l 1 �( J OWNERNAAg rJ I S TsiFtiO, E -MAJL STREET ADDRESS 1$ s(/Eks CAMIC CITY, STATE, ZIP A,I PAX CONTACT NAME ��//�� q F1�OI�f- - I��jM A. 9 PHONE�O_YBI-I %OU EMAO. /u FO �S�IMSS( 'W •�O STREET ADDRESS ❑ OWNER ❑ OWNER - BUILDER . ❑ OWNERAOFNT YQ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCRrtECT ❑ IDI W R ❑ DEVELOPER ❑ T ANT CONTRACTOR NAME U E NUMBER LICENSE TYPE BUS. LIC a 757 CO11N1 3ktit`5 N N LS[.�cTerac� E -MALL ,v uyre 6 0aa(556 FAX STREET ADDRESS q -s r CITY. STATE, ZIP cat PHONE sio 8 -000 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC 0 COMPANY NAME E-MAIL FAX STREET ADDRESS CTTY, SPATE, ZIP PHONE DESCRIPnON OF WORK USE OF ❑ SFD or Duplex ❑ Multi- Family ILLUMINATED SIGNTYPE NO. OF SIGN AREA VALUATION STRUCTURE: ❑ Commercial (YIN) (CODE) SIGNS (SO FT,) (S) SIGN TYPE CODES- I" A Z Ly y �` �- /^J� B - BANNER SIGN 1 M 'a MONUMENT (GROUND) SIGN BL - BLADE SIGN P - PROJECT@TOSIGN D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER DI - DIRECTIONAL SIGN T - TEMIPORARY E - ELECTRONIC W - WALL SIGN READEKBOARD Wl - WINDOWSIGN } ; TOT ALUUA ON_- By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and reify it is accurate. 1 agree to comply with ill applicable local ordinances and state laws relating to building construction . 1 -v rize representatives of Cupertino to enter the above -iden pfied pro rY for inspection purposes. Signature of ApplicanVAgent: Date: c�2% 3 z SU`PPLF6PdALjNF0RMATI0N REQUIRED ^ -u�T ti xKS�i �°..1•;oaP[C�RD e:oHir,.;,.'`k'� na /= ✓ $Ite Plan %)it, s= ?�PCA.YC�CK T.EPEi;- x_ ±��i i�Ery���yROULQlG3I: @: 1`'�' y 3``s'-` ',hy s4Q y �• `m' ^+r `e*s`.rphv- �BUIDDCVG PTAN REVIEW E Elevations Y.�IXPRESS", _ ✓Sign Details - including UL listing(s) applicable a ❑ srANnARD�` t� � 'C'°'°�q't-,- -v.`, 're�xi5yt zT, n � e GPLAraevaw ^+ .'.� +" •q': Structural Calculations if livable ( aPP ) �°'_•``"c�'-" -�❑ Iaace < '`.� .�' �sor�R.h rx +: �. 7 — - Copy of Planning Approval Letter or Meeting With Planning prior to < ,�' App? submittal of Building Permit application. SignApp -201 Ldoc revised 03116/11