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12110117 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10370 S DE ANZA 13LVD CONI'RAC'MR:GOLDEN GATE SIGN CO PERMIT NO: 12110117 OWN'ER'S NAME: CIVIC PARK CUPERTINO,LLC 711 INDEPENDENI'RD DATE ISSUED: 11202012 OWNER'S PIIONE: 4084363671 OAKLAND,CA 94621 NIONENO:(51o)366-3838 ❑ LICENSED CO\I'RAC`FOR'S DECLARATION BUILDING PERMIT INFO: BLDG r ELECT r PLUh16(_I License ClassI.ic.b 5 I— IJ 1-. Lp1ECll RESIDENTIAL COMMERCIAL Contraclor xd!�_&QZg!71, 7iA (i Date 1 hereby nffinn that 1 am licensed under the pnrrisi ns of Chapter q JOB DESCRIPTION: KEIT WA11 BAKERY.INSTAI.1-A'fION OF(2)13LIiCTRIC (commencing with Section 7000)of Division 3 of the Business& Professions WALL Code and that in)'license is in full force and effect. MOUNTED SIGNS hereby affirm under penalty of perjury one of the Odlowing 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 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 which this permit is issued Sq.Ft Floor Area: Valuation:$20000 AI'1'LICAN'1'CER'I'II%C\T'ION I certify that I have read this application and stale that the above information is APN Number:36955081.10370 Occupancy Type: correct. I agree to comply with all city and county ordinances acid 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, PERMIT EXPIRES IF WORK IS NOT STARTED costs,and expenses which may accrue against said City in consequence of the granting of this permit. Additionally,the applicant understands avid will comply WITHIN ISD DAYS OF PERMIT ISSUANCE OR with all non-point source regulations per the Cupertino Municipal Code,Section 180 DAYS FROM LAST CALLED INSPECTION. 9.18. ^ �j� ,,/ Q Signaturel�r Date Issued by: .��I7/ I //lG Date: //• r9 ❑ ON'NP;R-BIIII.DE DECLARATION hereby affirm that 1 am exempt from the Contractor's License Law for one of RF;ROOFS: the following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is I,as owner of the property,or my employees with wages as their sole compensation, installed without first obtaining an inspection,I agree to remove all new materials for will do the work,and the structure is not intended or offered for sale(Sec.7044, inspection. Business&Professions Code) I,as owner of the properly,am exclusively contracting with licensed contractors to Signature of Applicant: Date: construct the project(Sec.7044,Business& Professions Code). I hereby affamn under penalty of perjury one of the following three ALL ROOF COVERINGS TO BE CLASS"A"OR II FI'ER declarations: I have and will maintain a Certificate of Consent to self-insure for Worker's HAZARDOUS,11ATERIAI S DISCLOSURF, 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 read the hazardous materials requirements under Chapter 6.95 of the I have and will maintain Worker's Compensation Insurance,as provided for by California Ileulth&Safety Code,Sections 2.5505.25533,and 25534. 1 will maintain Section 3700 of the Labor Code,for the performance of the work for which this compliance with the Cuper ino Municipal Code,Chapter 9.12 and the Ileallh& Safety Code.Section 25532(a)should I store or handle hazardous material. permit is issued. Additionally,should 1 use equipment or devices which emit hazardous air I certify that in the performance of the work for which this permit is issued,I shall contaminants as defined by the Bay Area Air Quality Management District 1 will not employ any person in any manner so as to become subject to the Worker's maintain compliance with the Cupertino Municipal Code.Chapter 9.12 acid the Compensation laws ofCalifomia. IL after making this certificate of exemption,I llcalth&Safety Code,Sections 25505,25533,and 25534. become subject to the Worker's Compensation provisions of the Labor Code,I must forthwith comply with such provisions or this pemnit shall be deemed revoked r oath net a / nn Date: AIT LICANI'CERTIFICATION NS'I'It I1C1'IO\LISNDING AGFNCI' I certify that I have read this application and stale that the above information is sorest.I agree to comply with all city and county ordinances and state Imus relating I hereby ammh than there is a construction lending agency for the performance of work's to building construction,and hereby authorize representatives of this city to enter for which this permit is issued(Sec,3097,Cie C.) upon the above mentioned property for inspection purposes.(We)agree to save Lender's Name indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the Lender's Address granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section ARCUUTEM"S DECLARATION 9.18. I understand my plans shall he used as public records. Signature Date Licensed Professional G../-P2-, -h Imo - 12t SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE •CUPERTINO, CA 55014-3255 GUPERTINO (408) 777-3228• FAX(408) 777-3333•buildino6cuoertino.orD PROJECT ADDRESS 1,0 vV I / I AN4 J ( ( Q-5-7ry � l OWNER NAME E MA.1 fliVie, O _ 760 STRADDRSS I CITY. STATE,ZIP IC �A (�A ate/ I PAX - &14,y- CONTACT NAME PHO `0,,3 \(T E MAI IL4/Yff/� L�OAa S7REE7ADDRESS iJ// n CITY,STATE, ZIPO FAQ_ p ❑ oWNE.i ❑ OWNER-BUILDER ❑ OWNERAGEN'r ONTRAC:OR ONIAACTO0.ACENt ❑ kkCHTTECr ❑ENGINEER ❑ DEVELOPER ❑T XNT CONTRACTOR NAMEL CENSE NUMBER LICEN E TYPE BUS.LIC i COWANY NAME E-MAIL STREET ADDRESS CIN,$TA, PHOFIE /r ARCHITECTIEEER NAME LICENSENUMEER BUS.LICA �O NGBN COMPANY NAME E-MAIL FAX STREET ADDRESS I CITY,STATE,ZIP PHONE DESCR7i1ON OF WORK r N doli FA,*4 E dGL H19✓ WSE USE OF ❑ SFD or Duplex ❑ Multi-Farnily ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION STRUCTURE, ❑ Commercial (YIN) (CODE) SIGNS (SQ.FT.) (5) 1 SIGN TYPE CODES: y 6Z- coo. 40 B - BANNERSIGN M - MONUMENT(GROUNDISIGN SL - BLADE SIGN P.. - PROMcTINGSIGN D - DEVELOPMENT M SIGN SP - SPECIAL EVERT BANNER 01 - DIRECTIONAL SIGN T - TEMPORARY E - ELECTRONIC W - WALLSIGN I . READERBOARD WI - WINDOW SIGN *RECETVEDBY•^ WF TOTAL VALUATION: 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. 1 have lead this application and the information I have provided is ctmL I have mad the Deseiption of Work and vedry it is zecurate. I agree to comply-with all applicable local ordinances and state laws relating to b ' constructio ' Brize representatives of Cupertino to enter the ab vJ^-id '�nflle�eld1 p //p��ettty�y forr,inspection purposes. Signa[urt of Applicant/Agent: Date: / v!/ 9 -!-- / SUPPLEMENTAL 0 ION REQ D �.- -o Iceuseo m3 ,/Site Plan Elevations 0156 BRESS _ LD � � •� 3 BtJ¢n[� ILw alf-+�d s..al"aa es Sign Details-including UL listing(s)applicable LAnNLvicecAt.REv[Ew>r� _ Struc[uralCalculatioos(i1 applicable) Q• uxcE�_ -��� o� "� Copy of Planning Approval Letter or Meeting with Planning prior to Submittal of Building Permit application. SignApp_2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION ADDRESS: 10370 S. Deanze Blvd DATE: 11/20/2012 REVIEWED RY: Sean APN: BP#: VALUATION: 1$20,000 *PER;,iITTVPE: Building Permit I'LtUVCIIECKT)PE: PRIMARY PENI'ANWTION USE: - Sign PERiMITTYPE: 10EAP5 WORK Installation of 2 electric wall mounted signs for kee wah bakery. SCOPE SIGN TYPE FEE 11) QTl' SIGN FEE Wall Sign, Electric 1SIGNWELEC 2 $532 TOTALS: $532.00 Hoch. Plan Check Phmrb.Platt Check N Branch Circuits 1 1 1 $45.00 tlech.Permit Fee: Phumb.Permil ree: 1ESIGN Elec. Permit Fee: IE'ERMIT OthertWerh. htcP. Other Plumb fmyp. Ll Other EleaInsp. 0.0 $45.00 Mech.Inrp.I?e: rhumb.Insp.r•e: Elec. hr>P. Per: NOTE: This estimate does not include fees rhie to other Departments(i.e. Planning, Public Works, Fire,Sanitary•Setrer District,School District,etc.). These ees are based air the preflininan in onnation available and are onlr on estimate. Contact the Dept for addn'I in o. FEE ITEMS (Fee Resolution 11-053 /iff 7/1/)2) FEE QTY/FEE MISC ITEMS Hem Cheek f-ee: Supp]. PC Fee: Q Reg. O OT 0.0 hrs $0.00 P1 imb.Ltllech.'E/ec. Permit Fee: $532.00 Supp]. Insp. FeeQ Reg. O OT 1 0.0 [its $0.00 PME Unit Fee: $45.00 PME Permit Fee: $45.00 C onsiruction Tar: Adminisiralhve Fee: Work Without Permit? O Yes (F) No $0.00 Sign Master Plan: O Yes e) No $0.00 Travel Documentation Fee: ITR,4VDOC $45.00 Strong,Motion Fee: IBsB/S,tIICO $4.20 Select an Administrative Item Bldg, Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $672.20 $0.00 TOTAL FEE: $672.20 Revised: 10/01/2012 APPLICATION FORM Cotnmunih,/Development Department 10300 Torre Avenue (408) 777-3308/ Fax(408)777-3333 Cupertino,CA 95014 planning@cupertino.org L U P E RT I N O http://www-cupertino.org/planning Property Owners Phnne(w), Phone(h)� X GiV c PA^k Street Address Fax Cell ' City,State,Zip C de &16,4 , - E•Mail -' Project Contact Person - Phone(w) Phone(h) X Gregory A. Graves 510-336-3838 Street Address - - Fax Cell 711 Independent Rd, 510-336-3830 925-586-4859 City,State,Zip Code E-Mail Oakland, CA 94621 design@goldengatesign.com Project Address APN(s) 10370 S. De Anza BI., Cupertino, CA 95014 Brief Project Description Sign A.: Install (1) Internally Illuminated Signs @ 24.8" x 13'-3/4" Sign$: Install (1) Internally Illuminated Signs @ 32.5" x 16'-0" 1 cerlify that the foregoing statements are true and correct to the best of my knowledge. 1 understand that a misrepresentation of any submitted data may invalidate an approval by the Director of Community Development, Design Review Committee, Planning Commission or City Council of this application. I understand that the application may be withdrawn if my authorized representative or 1 is not present at the sclieduled meetings) unless a written request for postponement has been presented to the applicable review body. 1 have discussed this application with the Public Works staff and 1 understand the public itnprovetuernt requirements associated with this proposal Applicant's Signa Dat I declare and penalt erjury that I aim of of said property or line Power of Attorney(attach copy)from.said property owner and that t to the above-described application and I authorize City staff to visit the site in order to take photographs; .slides a or.videbtape that nwy be shown at a city meeting. / Property-Owner s Signatvre Print Property Owers Nam Date. Staff use only: Application accepted by_on Application type: ForAmendments or Modifications,list file original permit: Sheet 2 of t I App2010-11.doc rruised.71-00 '.✓-. w.... -M1r _Sur _ � .� .ew— _ _- i.0 �_,j:.•.. +c .r,�u � .... •fy-- _ r .. - .t .-� n _ .'_ Building Department v City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 C U P E RT I N O Telephone:408-777-3228 Fax: 408-777-3333 CONTRACTOR / SUBCONTRACTOR LIST JOB ADDRESS: — WO' PERMIT# OWNER'S NAME: Lt'VIG kV t4le, PHONE # &-W-- 3 GENERAL CONTRACTOR: CO. BUSINESS LICENSE # ADDRESS: / CITY/ZIPCODE' O G *Our municipal code requires all businesses working in'the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL -OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE, GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OB'T'AINED A CITY OF'CUPERTINO BUSINESS LICENSE: 1 am not using any subcontractors: 2� Si iature 9`te Please check applicable subcontractors np ete the fo wi g information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/ Carpeting Linoleum /Wood Glass/ Glazing Heating Insulation Landscaping Lathing Masonry Painting/ Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal- Sheet Rock _ Tile Owner/Contractor Signature Date T -1 TF a II �1 DATE 11/9/2012 ��LL 25379 Wa c 'NlWss PFAAX:11 ** 272 'I (661)259-0 S'To M(661)259-09900 00 Valencia CA 91355 ------- Sign Design Based on 2010 CBC Joe p JTS_69912 Project Kee Wan Bakery-Comer Sign Jae Lorallon 10370 S.de Anna BNd.. Cupertino,CA 14'ILL I 13''-0.0 314" TYP. LUM. 3/16" I T ul ip 1/2"DIA.,GALV. ALUM,RECT.TUBE STL THRU.BOLTS 2"TYP �RT 2 x 4 x 0.188 LtU' N TYP.,(4)TOTAL r j I `2x 2x3/8" ALUM.GUSSETS ELEVATION TYP. TYP. N.T.S. L-e••-J 2 x 2x 3/8' ALUM.GUSSETS - 7" - TYP. -1 0 1/2"DIA.,STL 3/8"DIA.,GALV. THU-BOLTS `STL THU-BOLTS. TYP. TYP. ALUM.RECT.TUBE ALUM.RECT.TUBE RT 2 x 4 x 0.188 RT2x4x0.788 2x 2x 3/8" ("-6".""I ALUM.GUSSETS II 4 x 5 x 318"WE ALUM. 2'-6" V-5" y TYP.PLATE WELDED 2'-0 3/4" I TO BASE PLATE aV3-/tl-6'13/8"DIA.,GALV. TYP STL THU-BOLTS EX.WALL 4 x TYP.x 3/8"ALUM. 1/2"DIA.,STL PLATE WELDED THUTYP BOLTS TYPACK PLATE TYALUM. 3/16" I� —15/8"UNI-STRUT . ALUM. TYP. SIDE VIEWN.T.s. A BASE PLATE S. _ t ®®_[pp ^ 1 5/8"UNI-STRUT �� CUPERI E 11'§Q TYP. �� PL 30"x8"x318" 3/8"DIA.,GALV. K Building Department ALUM.PLATE STL THU-BOLTS BEYOND,TYP. N. 4 ` NOV Z 0 1012 2x2x3/8" EX.V'JALLJ I ALUM.GUSSETS TYP. !� i IEWED FOn C - ? r�lh10E 4 x 5 x 3/8"ALUM.J 1/2"DIA. STL Revltwec By: / ToPASE auTE 4" l TYP Bo rs _ - t'—8..--i aeSECTION o FES Nq C 319 ' z s CIVIL 0 TgrFOF CAL1F���\� NOTE:SIGN DESIGN IS BASED ON ADEQUATE EXISTING SUPPORT ELEMENTS. PROVIDE ISOLATION BETWEEN DISSIMILAR MATERIALS, 2 OF 2 W t iL Z C 2 'o c 0' it ..• a `oma d o t W V z ^ .. cdm ,,, � d =ao m- U r` O h h SCJ L =moi Y O u'4 S n 'n U3 CWL 1P1191 , a O cc O a Fn Cj W5: d m o a c n T❑ l o OO 'of �b k� Z5 0 0 .3 m _� �y O Uo Cf.) m a �� dIL AV wrl, ftAM ¢ `` q�jttyy v [[77 r 6 ! 0 LU 1 �1w 14 . Kat t■ � a VV!! + `44� �'^I' � �'8.� •,` ,��y old - � "� ` � � <� y 1 i ry� �_`/�,, 1` F[�S ♦131 . - -Aml- HT *� Al '' r M 1 fQ J.g W y d �,�,. �>• �� . , a ! Q kyr W tN W f }��_;:1'"37 L� � +� �?5Y+��k��+F�:•r��.�li �� �; F 0 9 LU IA Q R p c�0 hi Z. 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