12050156 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10564 S DE ANZA BLVD CONTRACTOR:NORTI-[WEST SIGNS PERMIT NO: 12050156
OWNER'S N.NIE: BYER PROPERTIES LP 120 ENCINAL ST DATE ISSUED:0521/2012
OWNER'SPHONE: 4156267844 SANTA CRUZ,CA 95060 PHONE NO:(831)•169-8208
ly LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL C051111ERCIAL
11
License Class JC_ YD Lic.0 ��61�5 CROSSROADS MUSIC- INSTALL I ILLUMINATED
N N�WPS+ � nS 5 .�� . CHANNEL
Contractor 0 Q Date I Z LETTER MOUNTED SIGN
I hereby affirm that 1 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 penalty of perjury one of the following two 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 ofthe work for whichthis permit is issued. Sq.F1 Floor Area: Valuation:$1975
1 have and will maintain Workers Compensation Insurance,as provided for by
Section 3700 of the Labor Code,for the performance of the work for which this APN Number:36938037.10564 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and slate laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 PAYS FRO AST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against Iiabilities,judgments, p ^ —
costs,and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
{! ' RF.-ROOFS:
Signature Date y• �I.. � 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.
❑ OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Lew for one of Signature of Applicutt: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 HAZARDOUS MATERIALS DISCLOSURE:
construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Cade.Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for whichthis permit is issued. will maintain compliance with[he Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safely Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this P/.c)'�4�N!', ' n
Owner or authorized agent:KDater
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 California_ If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against Iiabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
CITY OF CUPERTINO
6 ITEMS OF 6 PERMIT RECEIPT OPERATOR: SylviaM
COPY # 1
Sec: Twp: Rng: Sub: Blk: Lot:
APN . . . . . . . . : 36938037.10564
DATE ISSUED. . . . . ... : 05/21/2012
RECEIPT #. . . . . . . . . : BS000016867
REFERENCE ID # . . . : 12050156
SITE ADDRESS . . . . . : 10564 S DE ANZA BLVD
SUBDIVISION . . . . . . .
CITY . . . . . . . . . . . . . : CUPERTINO
IMPACT AREA . . . . . . .
OWNER . . . . . . . . . . . . : BYER PROPERTIES LP
ADDRESS . . . . . . . . . . : 66 POTRERO AVE
CITY/STATE/ZIP . . . : SAN FRANCISCO, CA 94103
RECEIVED FROM . . . . : NORHWEST SIGNS
CONTRACTOR . . . . . . . : JEFF FRANK LIC '# 23665
COMPANY . . . . . . . . . . : NORTHWEST SIGNS
ADDRESS . . . . . . . . . . : 120 ENCINAL ST
CITY/STATE/ZIP . . . : SANTA CRUZ, CA 95060
TELEPHONE . . . . . . . . : (831) 469-8208
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ------------- ---------- ---------- ---------- ---------- ----------
1BCBSC VALUATION 1, 975. 00 1. 00 0. 00 1 .00 0.00
1BSEISMICO VALUATION 1, 975. 00 0. 50 0.00 0 .50 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
1SIGNWELEC EACH 1. 00 260. 00 0.00 260 .00 0.00
1TRAVDOC FLAT RATE 1.00 44 . 00 0.00 44 .00 0. 00
---------- ---------- ---------- ----------
TOTAL PERMIT 393 . 50 0. 00 393 .50 0 .00
METHOD OF PAYMENT AMOUNT REFERENCE NUMBER
----------------- --------------- --------------------
CHECK 393 .50 6639
---------------
TOTAL RECEIPT 393 .50
VOICE ID DESCRIPTION VOICE ID DESCRIPTION
-------- ---------------------------- -------- ------ ------
101 FOUNDATION 103 UFER
104 REBAR 105 ANCHOR BOLTS
304 ROUGH ELECTRICAL 505 FINAL ELECTRICAL
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333 •build inq@J:upertino.orq ,`1��
PROJECTADDRESS I O /_ . 'be /\• zA 61%l .4P[:�o-l'� (1J_ G .3 G O , —1 ,
OUNER NAME �r Pw rtf P f �-"! PHONE' l �. V X, . -7glI ul E-KNE. 1 C/
STREETADDRESS 6& YofrPrO Aug L nnn .�CI1ITY.eo Ln.�7J�rp aico, (4 rjr//03 /� L
,,NTACit Ifl lE�l,Itl CITL�I"-Q51 �I of ,IQrd 1• V PHONE p M[I E-ALaIL `no 4W_jjftpf,(q
.j I �'3!• yb7 S'L(Up/J V� rlu�a r
STREETADDRESS 12,0 ellCtM� 4gt CFTY.ST.AL Al CrUz I (? Obo F.,- 3/. 469.8/7?.
❑OwT.£R ❑ OWNER-111111 ❑ OANFa AGENT GI CONTRACTOR ❑CO��VDtACIOR AGENT ❑ ARCHTTECT ❑ENGINEM ❑ DEVELOPER ❑FIN.NT
CONTILACTOR Nd�IE LICENSE FST BER LICENSG T\FE BGS.LTC=
e�4 I.�/�ra}/nk( /�c b ass (� c- k7 �y/�y z�a)��n�5 �]
COWAN"N.4NIE 0 V"CJ 1
sqns IJ E-ALAI- R ' OL/f-) �1� Q ��/yrJ(Q(� Fp 11'MOT' �I /
STREET ADDRESS ACI^Q' �t Clil'.STATESP `I V Z i (' 1 q Z60 PV46`/•8
.ARCHITECTIENGNEER NANIE '1 LICENSE NUMBER BUS.LIC>
CONIP.SN1N.A•\fE E-MAIL F.1C
STREET ADDRESS y� CT STATE.ZIP II 11 ����//ff f1�,PHONE/�(_J�_/'//p
DESCRIPTIO.Or NDRK ,OII S rNQII ILLJp' 4 lJ <tl'M01 (-(l%ri
VV\bUA4Pj 4D -f-he bu 11414
USE OF ❑ SFD or Duplex ❑ Multi-Family IL UKENATED SIGN TYPE NO.OF SIGN AREA l'.aLUAT1ON
STRUCTURE: Commercial (YIN) (CODE) SIGNS (Sq,TT.) Q (FI
,
SIGN T)-PE CODES: ,-
B - BkU?"ER SIGN NI - MON .-T(GROUND)SIGN
BL - BLADE SIGN P - PROJECTNG SIGN
D - DE\'ELOPNIE9T ID SIGN SP - SPECIAL EVENT BANNER
DI - DBLECTION.AL SIGN T - TEN1POR.4R1'
E - ELECTRONIC w" - WALL SIGN
READERBO,ARD wT - PTNDOw'SIGN
RECEI\'EDB TO TAId\'.ALUA��):
By my signature below.I certify to each of the follom iag: 1 am the property owner or authorized agent t t on the property owner's behalf 1 h.,a read this
application and the information 1 have provided is correct. I have read the Description of Work and lroofy it is accurate. 1 agree to comply with all applicable local
ordinances and state Imes relating to build' a eonsuuction auth a represen rives of Cupertino w enter the above-ide/ptuified pr perrtt'for inspection pumoses.
Signature of Applicam1Aeene Date: 5 I rIt 1 L
SUPPLEMENTAL INFORMATION REQUIRED OFFICE FSE ONLY
_Site Plan PLAN ct¢c6 TYPE RODTIFG SLIP
_Elevations ❑ O\T.R.TBE{OC.NTER ❑ In ILDING PLAN REITFN'
_Sign Details-includine UL listing(s)applicable ❑ ExPREss ❑ PLANNING PLAN RE1"IFN'
_Structural Calculations(if applicable) ❑ STANDARD ❑ OTHFR:
—Copy of Planning Approval Letter or Meeting with Planning prior to ❑ LARGE
submittal of Building Permit application. ❑ MAJOR
�I f SignApp_2011.doc raised 03/31111
•nOF
------12.-2:.
T-5-
CRO
_-5•CRO ROADSM
USIC
-- -- -
MUS
INSTRUMENTS
1.81'x 12.16'=22 sq ft(module:1.61 x 3.41'=6.1177 sq ft) .
Sign elevations 314"= 1'-0"
Intemally illuminated channel letters and channel module. _
Channel letters and module have 3/16•thlck white translucent acrylic plastic faces, -¢", Max 3• sen-tapping screw
module has black vinyl graphics overlay.Vinyl overlay on'MUSIC'letters is: (minimum o13 per letter)
3M royal blue 230-67.Letters to have white border(exposed while acrylic substrate). _
Pbx Foca —•
All channel elements have black aluminum velum and black plastic trim cap.
L.E.D.(Light emitting diode)low voltage illumination system Light emming diode
�- Power supply
ILI rr �— Oleconrect SwiMh
Trim Cap-- -- f
Aluminum Returns 120 v 20amp circuit in
1/4'weep holo a middle bottom most�' \•
point:of Numinum realm
NOTE:Install In accordance with the
Stucco over wood framing N E C and any local electrical codes
L.E.D. Channel letter attachment detail NTS
too Esc
some cwi. Arent n MAY-8,122"•,`'•, "'°'"` G�� J — o�..uw cA vsoeo� i�, '�°�•°^ Crossroads Music °S°s'voty
O6C&YJ1R bp•Nvnin: 1
P:,^,, x31.469.8208 Vr1730+2
F..: 831.469.8172 ^tltl^ 111564 S.De Anna
w amen: rprlda@northwasgns.tam Cupedlno.CA.65014 o...e• KJOAmen
�4'Y,c,'.4:,,: • t7?•.e ww: vwru.noMweslsigns.mm _
LL �rc�lKe
12'- 2"
3'- 5" _ PLOT pLA_NS
� CBECKED BY
DATES 21 BY 12
l�3
CRO ROADS DATE DE".
MUSIC INSTRUMENTS UU
CUPERTINO Bim url•r.
Building Department
1.81' x 12.16'= 22 sq ft (module: 1.81'.x 3.4.1' = 6,l\q ft) PMAAY012
REVIEWED OR CO COMPLIANCE
Sign elevations 3/4" = 19 - 019 Revl%"d By:
Internally illuminated channel letters and channel module.
Channel letters and module have 3/16" thick white translucent acrylic plastic faces, 5" , #B x 3" Self-tapping screw
module has black vinyl graphics overlay. Vinyl overlay on 'MUSIC' letters is: (minimum of 3 per letter)
3M royal blue 230-87. Letters to have white border (exposed white acrylic substrate). Flex Face
Q� U t+ W 1 I �l
All channel elements have black aluminum return and black plastic trim cap. v L / I
L.E.D. (Light emitting diode) low voltage illumination system Light emitting diode �0 2
Po a upply
bl�� 230- 87 v ��h � 66P
COMMUNITY DEVELOPMENT DEPARTMENT Disconnect Switch
BUILDING DIVISION-CUPERTINO Trim Cap
APPROVED Aluminum Returns 120 v 20amp circuit in
This set of plans and specifications MUST be kept at the
Job site during construction. It is unlawful to make any 1/4" weep hole a middle bottom most
changes or alterations on same,or to deviate point of aluminum return
therefrom,without approval from the Building Official. Lc��Jl
The stamping of this plan and specifications SHALL NOT NOTE: Install in accordance with the
be hel JJ to permit or to be an approval of the violation Stucco over wood framing N E c and any local electrical codes
of an provision City Ordinance or State Law.
BY . yany L.E.D. Channel letter attachment detail NTS
DATE
PERMIT NO.
120 Encinal Street
Dales/Re.isbns; Approvals:
05.08.2012 Dr
Santo Cruz, CA 95060-211 1 PfOject Paggee Number; MAY-8.12
Crossroads Music r ' N
US-0&2Q12 Client: l u
S''V�� • Phone: 831.469.8208 05.17.2012 A,chuec'' Salesman Richard Praia
Fax: 831.469.8172 Address: 10564 S. De Anza Blvd. Landlord:
Cu edno, CA. 95014 Drawn By: K.Johnson
•. -. --- Fmoll: rpriola@northwestsigns.com P Project Mo"ager, Scale: As Noted
Web: www.northwestsigns.com
T c IC
4
CUPERTINO
Building Department
22'frontage 1-1
MAY 156 2012
EqualEqual REVIEWED OR CODE MPLIANCE
q- r r Rev BY
it
Mu 1 :01A o'
I
sm I
'n
WAN
Front elevation 114"= 1'b 0"
Doros/Rerhlom: Approvals:
120 Encinal Street 05.08-2012 't,. — DrewingNumber: MAY-8.12
Santa Cruz, CA 95060-2111 Project; Crossroads MUSIC
05•09-2012 Page Number; 2
Phone: 831.469.8208 05-17-2012 Architect: Salesman: Richard Priola
Fax: 831.469.8172 Address, 10564 S. De Anza Blvd. andlord:
Cupertino, CA. 95014 Drawn By: K.Johnson
--. -- - Fmojl: rpdola@northwestsigns.com n Project Manager:
Scale: As Noted
web: www.northwestsigns.com
2UA'
CUPERTINO
Building Department
Z
MAY 4 2012
REVIE E - FOR CO E,VMPLIANCE
Reviewed By:
i
I
rn
Sign
Crossroads Music N This Parcel separate
NRESTAURANT
FT
De Anza Blvd.
SITE PLAN n.t.s.
120 Encinal Street Approvols:
Santo Cruz, CA 95060-2111 Project: Crossroads Music 05.06-2012 r'�, DrawingNumber: MAY-8.12
05.09-2012 Clieai: Page Number: 3
Phone: 831.469.8208 05.17-2012 Archiiecti
Pox: 831.469.8172 Address: 10564 S. De Anza Blvd. ipadlord: _ salesmoa: Richard Priola
Cupertino, CA. 95014 Drove„ eY K.Johnson
email: rpriola@northwestsigns.com P Project Manogeru t . Scale: As Noted
Web: www.northwestsigns.com
CITY OF CUPERTINO
FEE ESTIMATOR- BUILDING DIVISION
ADDRESS: 10564 s de anza blvd DATE: 05/21/2012 REVIEWED BY: tarry s
APN: BP#: -VALUATION: $1,975
*PERMITTYPE: Building Permit PL,INCHEC'ti T)TE:
PRIMARY PENTAMATION
USE: Sign PERMITTVPE: 10EAP5
WORK one set internally illuminated channel letters mounted to the building.
SCOPE
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign,Electric 1SIGNWELEC 1 $260
TOTALS: $260.00
r
,I lrch. Plan Check Phuub. Plou Cheek #Branch Circuits 1 $44.00
d h•rh. Permit Fee: Phonh. PC,"di F,C IESIGN Elec. Permit Fee: IEPERMIT
dlhrr llcah. lnV,. 01/6.Plumb In rp, Li I Other Elec. Insp. 0.0 $44.00
.IdccIt. 112,p. Fca Phnuh. heap. Fee: [,(cc.Imp, 1',C:
NOTE: This estimate does not include fees due to other Departments(i.e. Planning, Public Works, Fire,Sanitary Sewer District,School
District,etc). Thesefees are based on the relimina in ormadon available and are only an estimate Contact the De t or addh 7 info.
FEE ITEMS (Fee Resohnion 11-053 Fff. 7/1/11) FEE QTY/FEE MISC ITEMS
Plan Chuck Gee:
Suppl. PC Fee: 0 Reg. Ip OT 0.0 hrs $0.00
P/umh.id•tech./1'.1c•c
Permit Fee: $260.00
Suppl. Insp. Fee-.0 Reg. Q OT O,O hrs $0.00
PME Unit Fee: $44.00
PME Permit Fee: $44.00
Cunsti i:tion Tv.r:
Adinhast orrice Pte.:
Work Without Permit? Ip Yes 0 No $0.00
Sign Master Plan: Q Yes 0 No $0.00
Travel Documentation Fee: ITRA VDOC $44.00
A
Strong Motion Fee: IBSEISMICO $0.50 Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC $1.00
I SUBTOTALS: . $393.50 $0.00 TOTAL FEE: 7$393.50
- Revised: 04/01/2012