10100067 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19960 STEVENS CREEK BLVD CONTRACTOR:TRUE NORTH SIGNS& PERMIT NO: 10100067
GRAPHICS
OWNER'S NAME: CUPERTINO PROPERTY 2277 CE ANCERY CT DATE ISSUED: 10/07/2010
O. c R'S PHONE: 6508553327 SANTA ROSA,CA 95403 PHONE NO:(707)526-1908
LICEN ED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT r PLUMB r
License Class ic.# gs(2;24 r
MECH RESIDENTIAL r COMMERCIAL r
Contractor Date
1 hereby affirm th I m licensed under the provisions of Chapter 9 JOB D ESCRIPTION:INSTALLING NON-ILLUMINATING ACRYLIC LETTERS
FOR I
(commencing with ection 7000)of Division 3 of the Business&Professions ADDISC N AVENUE CREDIT UNION
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declarations:
1 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.
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 whichAVA Sq.Ft I loor Area: Valuation:$2000
permit is issued. "_-; J
APPLICANT CERTIFICATION APN Niimber:36905008.001 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the VN ITHIN 180 DAYS OF PERMIT ISSUANCE OR
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18.
' Issued Date:
Signatur Date
❑ OW /R-BUILDER DECLARATION RE-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All root's shall be inspected prior to any roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Signature of Applicant: Date:
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1 hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
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 I have read the hazardous materials requirements under Chapter 6.95 of the
performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain `
1 have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material.
Additi orally,should I use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
1 certify that in the performance of the work for which this permit is issued,l shall maintf in compliance with the Cupertino Municipal Code,Chapter 9.12 and the
not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,t
become subject to the Worker's Compensation provisions of the Labor Code,1 mus[ �'�°� d agent:
� Date:
forthwith comply with such provisions or this permit shall be deemed revoked.
I
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that 1 have read this application and state that the above information is I heret y affirm that there is a construction lending agency for the performance of work's
correct.1 agree to comply with all city and county ordinances and state laws relating for wh ch this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
unify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
,,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. 1 unde-stand my plans shall be used as public records.
Signature Date Licem ed Professional
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 19960 STEVENS CREEK BLVD CONTRACTOR:TRUE NORTH SIGNS& PERMIT NO: 10100067
GRAPHICS
OWNER'S NAME: CUPERTINO PROPERTY 2277 CHANCERY Cr DATE ISSUED: 10/072010
OWNER'S PHONE: 6508553327 SANTA ROSA,CA 95403 PHONE NO:(707)5261908
LICEN eo CONTRACTOR'S DE LARATIONBUILDING PERMIT INFO: BLDG r ELECT r PLUMB r
I �1
License Class �k.ic.H 7G�ln�-r%
MECH r r RESIDENTIAL COMMERCIAL r
i
Contractor 1 Date JOB
1 hereby affirm ih I m licensed under the provisions of Chapter 9 FOR DESCRIPTION:INSTALLING NON-ILLUMMATMG ACRYLIC LETTERS
(commencing with Ilion 7000)of Division 3 of the Business'&Professions ADDISON AVENUE CREDIT UNION
Code and that my license is in full force and effect. -
I 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,az provided for by Section 3700 of the Labor Code,for the
performance of the work for which this permit 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 whic Sq.Ft Floor Area: Valuation:$2000
permit is issued. 19
APPLICANT CERTIFICATION APN Number:36905008.00 Occupancy Type:
1 certify that I have read this application and state that the above information is -
correct.1 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 forinspection purposes. (We)agree to save PERMIT EXPIRES IF WORK IS NOT STARTED
t indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAY OF PERMIT ISSUANCE OR
costs,and expenses which may accrue against said City,in consequence of the
granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION.
with all non-point source regulations per the Cupertino Municipal Code,Section
9.18. G�<e
Issued�� ��� Date:
Signator Dala��
i
❑ OW :R-BUILDER DECLARATION RF.-ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to my roofing material being installed.If a roof is
the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for
I,as owner of the property,or my employees with wages as their sole compensation, inspection.
will do the work,and the structure is not intended or offered for sale(Sec.7044, Date:
-1 Business&Professions Code) Signature of Applicant:
1,as owner of the property,am exclusively contracting with licensed contractors to
construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
I hereby affirm under penalty of perjury one of the following three
declarations: HAZARDOUS MATERIALS DISCLOSURE
I have and will maintain a Certificate of Consent to self-insure for Worker's
I have read the hazardous materiels requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the
.i California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintainperformance of the work for which this permit is issued.
I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
Safety Code,Section 25532(a)should I store or handle hazardous material.
j Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should 1 use equipment or devices which emit hazardous air
permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will
I certify that in the performance of the work for which this permit is issued,)shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
-- not employ any person in any manner so as to become'subject to the Worker's Health Code,Sections 25505,25533,and 25534.
Compensation laws of California. If,after making this certificate of exemption,lgent:
become subject to the Worker's Compensation provisions of the labor Code,I must Date.
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT APPLICANT CERTIFICATION
n 1 certify that I have read this application and slate that the above information is 1 hereby affirm that there is a construction lending agency for the performance of work's
correct. 1 agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.)
to building construction,and hereby authorize representatives of this city to enter Lender's Name
upon the above mentioned property for inspection purposes.(We)agree to save
it indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address
costs,and expenses which may accrue against said City in consequence of the
granting of this permit.Additionally,the applicantpnderstands and will comply ARCHITECT'S DECLARATION
with all non-point source regulations per the Cupertino Municipal Code,Section
I understand my plans shall be used as public records.
9.18.
Signature
Date Licensed Professional
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: Ia9(�0 DATE: REVIEWED BY:
APN: 3 (,19 C:S ODF, I BP#: 1 01 ('Dp(_p—+— 'VALUATION: $2,000
*PERMITTYPE: Building Permit � PL:INCHECK 7)1'F:
PRIMARY n Sig 707;11, PENTAMATION 10EAP5
USE: 0,00R:IRI.A: PERMITTYPE:
WORK
SCOPE
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign,Non-Electric 1SIGNWNONE 1 $253
TOTALS: $253.00
11o.1,, Ph,"Cl;erA Phunh. !'Inu Chrrk #Branch Circuits 0 $0.00
.U,ch. P.,,ma Fe,c hind. Permir I,.c: Elec. Permit Fee:
(hLcr llc•r'h_ ln.c/. Odw, Plumb Imp. Other Elec. Insp. 0.0 $0.00
I l,:rh. lu p_ Frc: Ph....h. hr,,p. Feer (ilrr.l,n+p. l'i'p:
NOTE. Thesefees are based on the preliminary information available and are only an estimate. Contact the De t or addn7 info.
FEE ITEMS (Fee Resohaiat 09-05/ tiff 71/1/0) FEE QTY/FEE MISC ITEMS
11(in Check lrr:
Suppl. PC Fee: E) Reg. O OT 0.0 hs $0.00
Phnnh_:'.11cch_'1,1cu Plem Check:
Permit Fee: $253.00
Suppl. lnsp. Feed Reg. O OT FO.0 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
C opsit w non 7 I
Sign Master Plan: O Yes 0 No $0.00
Work Without Permit? O Yes 0 No $0.00
Plammil /'CCS:
Travel Documentation Fee: ITRAVDOC $42.00
Strove Motion I'w: IBSEISMICO $0.50 Select an Administrative Item
Blde Stds Commission Fee: IBCBSC $1.00
SUBTOTALS: 1 $296.50 $0.001 TOTAL FEE: $296.50
Revised: 9/29/2010
CITY OF CUPERTINO
SIGN
CITYCUPEI�TINO PERMIT APPLICATION FORM
APN # Date:
Buildin Address:
9 O _ -
Mailing Address (if different from building address):
Owner's Name: Phone#:
ADPjsoAJ /-1voAjzj-t5 elo�-OPSS-332'-'
Contractor: Phone#:
62 VJjiCZ Fax #: p'7 Ste-/ 9r
Contractor License #: Cupertino B siness License #:
JOS—&
Contact: Phone #: '1b'I S /gyp
Fax #:
Building Permit Info:
Bldg n--� Elect ❑ Monument ❑ Mounted on Building
Residential Commercial
Job Description:
/0 T/4/—J—/ AA& A/0&r/kJ,-/tiM • /}L'iZytJc� ��77�5
Valuation (cost of projec
02,Coo ,
Project Size: Express Standard ❑ Laz e ❑ Major ❑
Green Building: Please complete relevant portion of the Green Building Checklist & attach it to the
application or if applicable, include in plan set & the sheet index.
Revised 07/06/09
20'-7" Ilk
A
ADD D I S O N A V E N V E
IN ACCORDANCL WITH THE CITY OF
CUPERTINO CODES AND D1FEDERAL'A' CRE DIT UNION b 8°
SIGNED/d�J �
This set of plans an s ilic{lions MUST
be kept on the all tim and it is 14'-1 3/4" � 7 T
unlawful to make ar changes or alterations�i I VrjiY/
on same without written permission from 1
the Building De dment.City of Cu vino.
The stamping of this plan and specifications 2(]10
SHALL NOT be held to permit or to be an I✓I Q
approval of the violation of any provisions
of any City Ordinance or State Law.
This reveal in stucco is assumed to 6e horiz. center of Fascia (center sign left to right).
Non-illuminated 1 /2" acrylic letters
with paint Finish (61ack) stud-mounted =;
to building Fascia with silicone.
Area Calculation:
(15.375"x 288.375") - -- CL'
+ (12.625"x 197.625)
+ 144 = 48. 12 sq. Ft. !4 .
ADDISM", AVENUE
Note: sign to 6e centered on building FEOE R?AL CREYIT` UNION
fascia--photo may not 6e perfectly ��1„
accurate.
YI. PLANS �If'lll�� ti
CLlECECKED BY _ VfUlllllnpyh
_ 7 y
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., i3F.PT. 1
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Z 7,.�..$A^' z•_. q. �'-' t iG ✓i
t
K1: Yo.�� �r ''�'�?.
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NS 9 GRAPHIC SERVICES
2277 Chan« Cour-L FIRST TECH CREDIT UNION ❑ PLANNING z 09.29.10 TEMPORARY BUILDING ID 1 .0
ry W 19960 STEVENS CREEK BLVD. = CONCEPTUAL 10.01 .10 a
Sarna Rosa,California 95403 p d ❑ 10.06.10
707-526-1908 a CUPERTINO, CA ❑ DESIGN DEVELOPMENT >
CA L'c 856249 ® 0 4 f ^
DESIGN INTENT ��2010 II �I, vel Ih { -n'a {ih i I1 d ;lo - � Jh rnd.i io ui or ur eorl,'J nm. ,
-p, an " -a,.r �,"i.. y
h. ,til. p,nN+iv.l,l i-a,-.v U " 11.:�n<o . pied -l;p,d p f4 .c " piop..,r, i«Ir aho L. mF•�v+-nr.xr