08120010 CITY OF CUPERTINO
BUILDING DIVISION p$$MII -Cd1�ITRACTETRINFURNL�TI0z;
4'*�. �9i"$
BUILDING ADDRESS: PERMIT NO.
21050 MC CLELLAN RD WINDOW GRAPHICS SIGN 08120010
OWNER'S NAME: _ COMPANY PERMIT ISSUE DATE
Pr)PPTPR 101ATTEIR AND MARY 1260 DELL AIDES0
PHONE k3RLA . CONTROL NO.
mnrtCMV V
(408)376-3823
ARCHITECTIENGINEER: BUIL ULNG PERMIT INFO
0 0 0 0
u O p LICENSED CONTRACIDRI DECLARATION
I beeby A"M Nat I am li¢nsp
ed under ovidons m
of chapter 9(samme ng Job Description
MO Section 7010)of Dividen 3 of Ne Roams anal Prot...:.....Codo.and my license u
mfulll ra indaffan. 42 a F��7(f7 REPLC EXT MONUMNT SIGN, ADD CONCRETE
r
Data f ConuatlorkvlNDd c <s PEDESTL;LAYOUT INCLUDED
" W ARCHITECTS DECLARATION
C! 7 1 mMcnund my plans Nall be used as
Duette records
SyU
anti Li..d Pmfesvonal
Z
5 OWNER-RUILI)ER DECLARATION
vs
1 hereby affirm Nat 1 am esempt from the Caetrammej Irate Low for the
E p o folloring m ours.(Section 7U31.5.Business and hNessions Cade:My city w samty
e which requires•permit to comneL alter.imprme.demollsh,or repair any mmmta
�zi piamits ivumus.aBe rcgwm Ne appliontfw such pwroitm Nees Ladswmomt -
x
< at he at licensed rommusnt m the pmvmmm of Ne Canuwtula ileum law(Cbspta9 Sq.FI. Floor Area Valuation
ir° N(cmmentlng with S¢ 00)
Session TOM Division Rudmw sPmfmhons Code) 6500
i an 9$ Nhe at attempt mpt thmd and the hem red the a0egrd camp lm.Ally violation or
Smlon 7031.5 by any applicant red a permit subjms the applicanrt m•MU pemRy of AFN Number Occupancy Type
m mart um Rve bmraned aollus(tsDp).
35905133 . 00
❑L at awtc of the property.or my eoploym With nsm as tleir sale compotadon.
will do the wrk,oral the soumm 1A not intended oroffered for Win(Sec 70".Bud.
and Profesdans Cade:The Canurcmrs Lima Law dm net apply to an owns aRequired Inspections
property who bui Ids ser improves Neeen,aral who don atmh wort hloucif w dbough hu
ow emplaywa,provided Nat such improsrern.0 ate net intended are@rtd fwsall ff.
however.Ne building or impmvemmt is sold WNin sow year of mopmtion.the awm-
Wilda wW vise the burden of proving Nat he did an,held a Improve IN purpose Of
ale.l.
0 L a t ansa of the property,am exclusively maraedng NN 13—n-A mnbaTm to
construct the protect(Sec 7040.Summers and Pafemons Cede)The Cootramfa LL
aase law due not appy m an aura of property who builds Or imPmsa therms.and_
was contracts far such pmjeets with a mntaemNs)lianad parma d m the CanbamoM1
11a_law.
Iameaempundasec. .BAPCfwthlswoo
Owner Dam
-
WORKER'S COMPENSATION DECLARATION
I hereby aObm under perulty of palmy=of the folbwlas dectua0ans
Q I haveseed vill mainWn a Cetificateaf Conant to self-Inset fed Warkefa CMP.
adon.a provitled for by Scotian 3700 of the Labor Cedar for W pedommm,of the
vert for which this permit u imued
❑I have and anti maintain Worlm s Compensation Inmrium.u required by Section
3700 of Ne Labor Codo.red the performarm seethe work red welch this pump is lased. .
My Wwke's Compensation Immerse atria and Policy number ret:
caner: Policy Na:
CER71MCATE OF EXEMPTION FROM WORKERS!
COMPENSATION INSURANCE
!That axtl.s teed set he completed ifthe pembb(aroa hwtheddoOua RIBRI
or la.) /7
1 employ
Nat in the aformapee ey sa w��chb It la iaae0. .
Linvao CWifrmn1.Do-any no seam a bjram Wad¢rYCa
lawn of Catifmi.Due a�// P �TL�
NOTICE
E TO APPLICMor, If,after making Nb Cen ^ m
iO "of Eaption.yeu NonN
baome subjan lo the WWorkcfa Cmp wUm pmvW=of the labw Code you mann
.,O forthwith comply with sseh providmu or this permAudi tll x dammed rtwkcM1
Z CONSTRUCTION LENDING AGENCY
E-r Ihereby Arm that then era continuation lending+Fury red the performance of
Ne work fed which this permit Is issued(Se 2109!.Cr.C)
6 Landes Name -
=z lender's Adams
U O 1 sorrily that I have read this application and sea that the Noe infatmduo is
pL ^ eaneer I agR m cornply rich all city aN mmy mNnanva and Awe Ian Naninll M
C) rV': building construction.mad bembyamhories representatives of this city.soup.the
above-m.tiowd propeny for inspection propose.
Q. (Wc)ac=to ave.indemnify and lmp hamb9 the City of Cupxdetapimt
y Itatilitmjud enu.cmts and apmm which main arty wyamwagdnslald City / G$'
U z in calm grantingof Nisptmail
'—' APZLA UNDERSTANDS AND WILL COMPLY WIT ALL NON-POINT Issued by: Date
s0UTATIO
4� !L Re-roofs
Si m of ApplicaMConumewr Data
HAZARDOUS MATERIALS OISCLOSURE Type of Roof
Will the appllomt or rut=building omupmtaom or hendle haardou,material
.t dented by the Cupertino Municipal Code.Chapter 9.I2.and the Haled and Safety
Cam.Sseuo.2553x(')? —/ All roofs shall be inspected prior to any roofing material being installed.
❑Ya pNo
Will the applicant or to=building wmpam tax equlponat er devise which If a roof is installed without first obtaining an inspection,I agree to remove
emit haramaus At conuminsnu a fined by the Bay Ara Air Q1WIly Marra�ancm all new materials for inspection.
District?
❑Ya e
I have rend Ne luanmumueriab rtquvem.....untie Chapter 695 ofNeCdifw-
rua H.11 Cado.Sca, hat s'es., analyST3/.I to Mamthe occupants
de balding
dour set cid have a imranc due it at my ropof Coulto ratify the•°tilde of the
ralmnern taw hra=t Decor inuateear,Cmilaeer Signature of Applicant Date
Orn mOofi=d agent me
All roof coverings to be Class'Aa'or better
oo/
CITY OF CUPERTINO
CSO
CUPEkTINO PERMIT APPLICATION FORM
APN # Date:
Building Address: a a S'O j/V c C (-e-
Mailing
-eMailing Address (if different from building address):
Owner's Name: Phone #:
ws M , e: t=L-C2 -5 / (�_ Y `/ l
Contractor: VANW y GRAPHICS SM CO. Phone#: /v Y 37 6-3�z 3
1260 DELL AVE
CAMPBELL, CA 85006 Fax #:F- �/08 3 -7 6- 3,9-11-
Contractor
-2Contractor License#: Cupertino Business License #:
Contact: J ,`� Phone#: s << �-•
Fax #: J
IT2^-T-QA-_
Building Permit Info:
Bldg ❑ Elect Monument Mounted on Building ❑
Residential ❑ Commercial
Job Description: -
A o.? cti.ic nye_ of d s�a 1 -1 c t.
Valuation (cost of project):
Project Size: Ex ress ❑ Standard ❑ Lar 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 6/16/08
DATE
144" DA2j TO.
2 Sided:Illuminated Sign Cabinet 14"
Opaque 2m Vinyl Film with pulled out lettere. Lexan Faces BLDC, et Painted Dk. Brown' '
39,, *,Waldorf • •
High School Annex
Dimensional Address -
Numbers,Both sides.
Grade
„
ILLUMINATED 2 SIDED ALUMINUM SIGN CABINET. CHANGEABLE TENA14 11 6F 1 g S
DIMENSIONAL ADDRESS NUMBER 2 SIDES. INCLUDES TENANT GRAPHICS334 o 0
INSTALLED TO EXISTING 3"X3" POLES, REPAINT EXISTING SKIRT- woo F o
RELACE EXISTING SIGN CABINET Add CONCRETE PAD,-, _ o
40 L_0C j- dA1 WILL No 1 BE7 cfl/9 V aD = y = v " ;L
O !�
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c 7O ,y
3 0 V, d • �O
JOB: 21050 MC CLELLAN RD. CUPT. o - CA
1A/'iWdOW Grap�hecS 1280 DELL AVE ., CAMPBELL CA 85008 408 37682'3 SAX 408 378828
SIGN COMPA/N�
E/Mall=wingraph@ earthlink.net Web Site: www.windowgraphics.net Lic.# 667347
T CONCRETE PAD #4 REBAR 6 SAC MIX
I
24"
6
156"
144
TYP-
2 Sided Illuminated Sign Cabinet 83,5'0/C 14"
umimue
wme®m
,an"nx burr
—
EXISTING POLES
39"
plsurlNclf
SIGN SKIRTCEX Is7l N 6� E%brrl6 d
a u�Ic7't c rt
Grade box
5.5""
CONCRETE PAD
�- 24
EXISTING
FOOTINGSo p 1 l N iss) Po t,�s� s l tJ s,'C/,�T A0
F
ISLEcTFicAL 4PE EKlsrING, PAD
AAM slGnl �✓lL� &G NcW
2
JOB: 21050 MC CLELLAN RD. COPT. SCALE
Window Graphics 1260 DELL AVE ., CAMPBELL CA 95008 408 376-3823 FAX 408 376-3826
—s-1GN COMPANY
E/Moil=wingraph® earthlink.net Web Site: www.windowgraphics.net Lic.# 667347