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CITE' OF CUPERTINO
BUILDING DIVISION PERMIT���'
PERMIT NO.
07100127
BUILDf3 gIzDESsS-TEVENS CREEK BLVD
j
TBD — T� BE DETERMINED
PERMIT ISSUE DATE
r
EVERSHINE L.P.
10/17/2007
SANITARY NO. CONTROL NO.
PHONE:
BUILDING PERMIT INFO
ARCHITE(.TIENGINEER:
BLDG ELECT PLUMB MECH
0
LICENSED CONTRACTOR'S DECLARATION
Job Description
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business and Professions Code, and my license is
2 SETS DF PAN CHANNEL LETTERS ON RACEWAY
in full force and effect.
License Clara Lic.
Date �A —�L'L_ Contraelur
ARCHITECTS DECLARATION
1 understand my plans shall be used as public records
i
i Licensed Professional
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the
i following reason. (Section 7031.5• Business and Professions Code: Any city or county
which requires a permit to construct, alter, improve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
t' Ft. Floor Area Valuation
C that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
.
>9 $1200
1 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofNumber
Occupancy Type
not more than five hundred dollars ($500).
3 6 9 0 6 0 0 9•" i
❑ I• as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business
Required Inspections
and Professions Code: The Contractor's License Law docs not apply to an owner of
property who builds or improves thereon, and who does such work himself or through his
own employees, provided that such improvements are not intended or offered for sale. If.
however, the building or improvement is sold within one year of completion, the owner-
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
rl I, as owner of the property. am exclusively contracting with licensed contractors to
construct the project (Sec. 7044. Business and Professions Code:) The Contractors Li-
cense Law does not apply to an owner of property who builds or improves thereon, and.
who contracts for such projects with a conuactor(s) licensed pursuant to the Contractor's
License Law.
I am eze pt under Sec B & P C for this reason
—
r i Date `f
WORKER'S OMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
Q 1 have and will maintain a Certificate of Consent to self-insure for Workers Compen-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for which this permit is issued.
❑ 1 have and will maintain Workers Compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers Compensation Insurance carrier and Policy number are:
Carrier Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($ 100)
or less.)
I certify that in the performance of the work for which this permit is issued, l shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California. Date
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Labor Code_ you must
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
n
I hereby affirm that there is a construction lending agency for the performance of
> the work for which this permit is issued (Sec. 3097, Civ. C.)
M Lender's Name
Lenders Address
I certify that I have read this application and state that the above information is
r r correct. I agree to comply with all city and county ordinances and state laws relating to
Ubuilding construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
W
W (We) agree to save, indemnify and keep harmless the City of Cupertino against
liabilities, judgments• toss and expenses which may in any way accrue against said City
z in consequence of the granting of this permit. Date
APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by
SO CE REGULATIONS.
-6/�
Re-roofs
Siluature of Applian0contractor Doth
T f R oof
Type o
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety
'c, Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
Yes fa No
❑
If a roof is installed without first obtaining an inspection,.1 agree to remove
Will the applicant or future building occupant use equipment or devices which
for inspection.
emit hazardous air contaminants as dcfmned by the Bay Area Air Quality Management
all new rr aterials
District?
p Yes 'g No
1 have read the hazardous materials requirements under Chapter 6.95 of the Califor-
nia Health & Safety Cade, Sections 25505, 25533 and 25534. I understand that if the building
does not currently have a tenant, that it is my responsibility to notify the occupant of the
Date
t x met priorw issuance of a Certificate of Occupancy
mens which mugen
Signature of Applicant
���
�Owd,,
All roof coverings to be Class "B or better
or authorized at Date
CITY OF CUPERTINO -
r °-
CONT—RA.Ci'OR INFORMATION "=
BUILDING DIVISION PERNUT z,
BUILDiN§��DBsSTEVENS CREEK BLVD
TBD — TO BE DETERMINED
PERMITNO
07100127
PERMIT 2551E DATE
EVERSHINE L.P.
10/17/2007
SANITARY NO. CONTROL NO.
PHONE:
ARCFRTECT/FNGINEER:
BUILDING PERMITM O
BLDG ELECT PLUMB MECH
_
LICENSED CONTRACTORS DECLARATION -
Job Description
1 hereby affirm them 1 San 1'..-....a i M pavilion, of Cb . 9 (mlwneneing
with Ssdon]�OrDlvision3of dk BusineueM Pmfawou Code.SMmylkenx is
2 SETS OF PAN CHANNEL LETTERS ON RACEWAY
In full farm and effectZZ-7&.111-
Limnm Class f" " Lie. g
Dam/A��^�'> Conua'a
ARCHRFITS DECLARATION
1 undcrsmnd my plata shall bi timid u public rsootls
Lc.d Pmressmnal
OWNER -BUILDER DECLARATION
1 hereby SIT,. than, 1 em exempt from the CannCtOea Limme, Lw rat the
following Luna. (Sudan 70313, Business and Pmfasiom Cade: Any city or county
which requires a permit m canswaL alcor. improve, demallah, m repair my mumune
Sq. F FlFloorArea
Valuation
! priasomensom
ru" oat ancc.alsencquireaWeapplieantlmauehpesmilmRlea9gnWChap.9
9
Nat he is licensed purmem m Ilk provision, of the Co mover's Ijmnv Vw (CNplm
Profesiau COMS)
$1200
(core me ng with S Spn 1000) of Division Sof the Businepae nd err
3 that he u eaanpt thacrrom and We basis for the alleged ea 00. Any Apra cd of
-
Number
3 6 9 0 6 0 0 9
Occupancy Type
W IS by any applicant ran a Permit subjects Nc applicant m a civil penalty of
Section '03,
cot mote than fire ban red dollars (5500).
❑ L u owns of the property. err my wplaym smith ngep u the'v sok mmpenssdm.
Required Inspections
will d0 thewh and theswctupeanot inkMedmonered fmuL•(Sec. ]Oat, Brmrcss
and Professlom TOO e Convaclo', License In, deep ml Apply up an away of
Piratical, he builds or improves drawn, and whodwsuch work Rimselforllumugh his
nts ase not imceofferrd for sale B.
awn, cmPleyms, provided that Such impmvemeMtl or
wev. the bidding or unPromlle^t is sold within com year of mmPlesian. dk owors-
hov
.
builder win has Me bumcn of proving Walk at not bmdW or improm for PmpnSe of
saki
1. as awns of We pmpeny, am exclusively contracting with Imposed mneaetars to
mnsuun We Project; (Sec. 7044. Business and Profaslom Cade:) M CnnhanmY$ V'
. Law dors not apply W m pwm of Pmpaty who builds or imp. dicamn. and.
who c.uace, ran Such projects with a contras m(s) Timised Pruatsnt to We Cmtractan
Lea a Law.
I oro a,}e�t munMet See .B&P C for this reason
Date -f
.. .. _.
WORKERS COMPENSADON DECLKRATION
1 hereby affirm under penalty of perjury arc of We following •ec ara^^es
Ihsrt and Lill maintain aCatifieue of Comeelmsrdf-Imwran WarkeYa Campeo-
sation. as provided for by Section 3700 of We Labor Code. for the Perfosmm¢ of the
work for which this permit is issued.
D 1 have and will maintain Worke,,S Campm perm Irsavan¢, as lequimd by Samoa
3]00 of We Labor Com, far We perrarmmp of We work fm which rhos permit u issued.
My Worker Compensation Imurance caner mad Policy number K:
Cartier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE
Crbu section need nom he Completed ifuz permit Is formic hundred dollars (SIM)
or ITIS)
1 Ce.ifv them in the Performance of the work for which this permit is Issued. l Wall not
employ any perm. in my mannose as m bLsamesrbjmt W the Winl=' Compenndon
Laws of califOmiz Dak
Applicant
NOTICE TO APPLICANT: If. trier making this Certirspm of Ea eriali n, You should
become subject to We Worker's Compensation Provisions or We Labor Code you a=
Z r.Mwi th comply with Such provisinm or this P.ni, Shall be dimmed mmketl.
n CONSTRUCTION LENDING
ngagerAGENCY
I harwhich ou that Wert u 7, Cm. agency for the performatrce of
7 We sort fur which Nis Armin is issued (Sm. 309.1. Civ. C.) -
s ed (See
aLinda's
'
z Lender's Add.
(] 1 modify Wan 1 here read Nis application and state this Me Sam informed. is
(•-' Correct- 1 Since to comply with all 61Y and cowry ordinances eM Sum Ian pending m
building consweetoand this the
aifyandereppepenuiass
U
LLl ahuvc-mcmiuncd Frei for ins,mUon purpases
atymmtvupnn
the City of Cupertino again
,inda y and temp a
fl (We) mime m sass mal
cap may in m
N liebilitiu.judgmcnts, costs eM capumsep which may la any nyepme agalosl uitl City
Z in consequence of We granting of this PcrmiL
^-' APPLICANT UNDERSTANDS AND WILL COMPLY WrM ALL NON-POINr
Issued by: Date
SO CE REGULATIONS.
-
Re -roofs
Type of Roof
Signature or AppliandConuacnor Data
HAZV.DOUS MATERIALS DISCLOSURE
Will We aPpliom Or forme building omrpantstore .handle h .matrnal
as def od by dk Cupertino Mumripal Cade, Chapter 9.11. and the Health and Safely
Cods. Smtion 35532(.)?
All roofs shall be inspected prior to any roofing material being installed.
❑Yes 29Na
If a roof is installed without first obtaining an inspection, I agree to remove
Will We applicant err future building occupant use equipment Or deri� which
emit hanard"s air ccntsminams as de0rka by the Bay Area Air Quality Managa.eol
all new materials for inspection.
Duoictl
Dyes No
1 have ncad the hansaom mamtials requinmerm under Chapmr 6,95 afWc Califon
.is H.iM&Safety Code, Sim. 25505, 25533 Said 25534.1undervsld dustirde bolding
docs netc.ady have a Wane Nat a h my responsibility mi m mdk oanpanm or We
re{lalpemenCs whicb mnnbemet Qiormiss or.Ccrtirkucof Occp .
Signature of Applicant Date
All roof coverings to be Class "B" or better
Owner Ur.uM.nztd1 agent
D CITY OF CUPERTINO
SIGN
CUPERTINO PERMIT APPLICATION FORM
APN #
3�`'1 - C� _� O�
Energy
Date:
/v �i"7/07
BPERMFEE
Bldg Permit Fees
BUILIDNG
BPLANCHK
Building Address:
BUILIDNG
BSEISMICOM
Seismic Commercial
BUILIDNG
Owner's Name:
Phone #:
k—A#,4& hit
SIT L.
Elect Permit Issuance
ELECTRICAL
Contractor:
Rmdl Signs Add Branch
ELECTRICAL
License #:
Rmdl Sings, Marquee
D -
7-00,37
Contact:
Phone #:
BUSLIC
Business License
BUILIDNG
Applicant/Contractor:
Building Permit Info:
B -
E�lec�
Plumb Mech
Job -Description:
'/ �jdJreLc!
Residential:'
,�� �¢ y
/ , 00 Commercial:
Sq.Ft. Floor Area:
$/Sq.Ft.:
Architect/Engineer:
Valuation:
�/ nd
Od.
Type of Const ction:
Occupancy Group:
i
«.2G
,�jPwT •�Gfti/�
Qty. if
Applicable Fee. ID Fee Description Fee Group
BENERGY
Energy
BUILIDNG
BPERMFEE
Bldg Permit Fees
BUILIDNG
BPLANCHK
Plan Check Fee
BUILIDNG
BSEISMICOM
Seismic Commercial
BUILIDNG
EPERMTI'FEE
Elect Permit Issuance
ELECTRICAL
BREMSIGNAD
Rmdl Signs Add Branch
ELECTRICAL
BREMSIGNS
Rmdl Sings, Marquee
ELECTRICAL
BUSLIC
Business License
BUILIDNG
Name of business.
Project address. PI k�
Contact person. 4rwr Ko%a / Phone. V&- - 5- z! `7e' S
Fax.
Current use of space
Proposed use
Building construction type.
Occupancy Group(s)
Occupancy Load.
Square footage of remodeled area.
Is the building equipped with: Fire sprinkles?
Number of floors in the building?
Brief description of work.
Y - N; Fire alarm system?
On what floor(s) is work being done?
u
Code editions: 2001 CBC (Y - N)2001 CFC (Y - N)2001 CMC (Y- N)
2001 CPC (Y - N)2001 NEC (Y - N)
Effective ll/l/02
Are there any chemicals/hazardous materials to be stored at site? Y - N
If above answer is yes, provide a list of materials and quantities.
14,
If job is involves food service, provide 3 extra plan sets for Health Department review
Y -N
RECEIVED
OCT 17 MY OFFICEOPy
Commercial Plan Review Process Work BookPage -11- revised 4/28/04
SIGN A Pan Channel letter on Raceway
�a'`FICE CO
SIGN B
cin
d pink neon
..5
13" x 189" x 7" deep Racway painted to match building
DATE.
READ
PLOT PLANS
CHECKED BY
WEST ELEVATION
t _ Sign face flush with roof rafter
Existing 4" x 8" roof wood raft
— Install Clear Bird spike
j Sign contractor will connect sign to
the J -Bax provided b la lord
Installation
3/8" x 3" Thru Bolt 8 Washers
1.5" x 1.5" x 1/8" Angle Iron every
24" on Center Max 3 per Sign
r
r—_1.5".x 1-5" Angle iron
T
Painted matte black color
White LED
3
II��—
1/4" x 1" bolls
Disconnect switch
• •
r� Transformer must be in raceway
no remote location
1 •` ��_
24 gage galv. steel sheet metal
\
raceway painted KM 587-M braford brown
\
'\
x sheet metal screw min.
.`
3 per letter
3 p lett
U.L Listed labeled fro channe letter
ra
..INS IALLAIION UETT111.
Installation