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10060028
CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19110 STEVENS CRK BLVD STE C [CON 4TRACTOR: LEE'S SIGNS I PERMIT NO: 10060028 I `?ER'S NAME: MI -HYE CHOI OWNER'S PHONE: 9256421065 LICENSED CONTRACTOR'S DECLARATION License Class Lic. PCI Contractor �S_ r`dT�1� Date �— _ r� I hereby affirm that I 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. 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, 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. ��� APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Ad itionally, the applicant understands and will comply with all non -point source igyulatioonss per the Cupertino Municipal Code, Section 9.18. lature Date 7 ❑ OWNER- BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three 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. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, 1 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 )n the above mentioned property for inspection purposes. (We) agree to save emnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 845 E 10TH ST OAl:LAND, CA 94606 DATE ISSUED: 06/07/2010 PHONE NO: (510) 452 -1420 JOI: DESCRIPTION: RESIDENTIAL U COMMERCIAL INSTALL ILLUMINATING SIGN Q -SALON Sq. Ft Floor Area: APV Number: 37507003.0 Valuation: $1400 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Iss ued by ate: 7— / 0 RE- ROOFS: Al roofs shall be inspected prior to any roofing material being installed. If a roof is ins talled without first obtaining an inspection, I agree to remove all new materials for in: pection. Sinature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I Lave read the hazardous materials requirements under Chapter 6.95 of the C, ilifornia Health & Safety Code, Sections 25505, 25533, and 25534. I will in tintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the H :alth & Safety Code, Section 25532(a) should I store or handle hazardous in iterial. Additionally, should I use equipment or devices which emit hazardous ai - contaminants as defined by the Bay Are Air Quality Management District I w 11 maintain compliance with the Cupert' o Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 255 , 25533, an _25 34. r Owner or authorized agent: CONSTRUCTION LENDING AGENCY I iereby affirm that there is a construction lending agency for the performance of w ark's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name L ender's ARCHITECT'S DECLARATION I rnderstand my plans shall be used as public records. Licensed Professional CITY OF CUPERTINO BUILDING PERMIT ItD IL I NG ADDRhSS: 19110 STEVENS CRK BLVD STEC I CONTRACTOR: LEE'S SIGNS PI ?BM I'1'NO: 10060028 OWNER'SNAME: MI- FIYECHOI PIIONR: 9256421065 }- LICENSED COYrRAM'OR'S DI?CLARAT'ION License Class_ Lic. 4�(, 2,r Contractor 1S %i oJl/If� �yqr Date JV 1 hereby affirm that 1 am licensed tinder the provisions of Chapter 9 (commencing e'ith Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. hereby affirm under penalty of perjury one of the following two declarations: I have mid 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 Insurmice, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, iIA7 .U'I'LIC, \ \1'CEIi'I'IPICA'1'ION C/ I I cenify that I have read this application and state that the above information is 'correct. I agree to comply with all city and county ordinances mid state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (Nye) agree no save indemnify mid keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature DaicO 7-10 ❑ OWNER - BUILDER DECLARATION hereby affirm that I am exempt lrom the Contractor's License Law fur one of the following two reasons: 1, 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 construct the project (Sec.7044, Business & Professions Code). hereby affirm tinder penalty of perjury tine of the following three declarations: I have and will maintain a Certificate of Consent to selr-insure for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work lot 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 stork for which this permit is issued. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. It, after making this certificate ofesemption, 1 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICAN I' CE101 FICTION I certify that 1 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Date 845 E IOTH ST DATE ISSUED: 0 610 7 20 1 0 OAKLAND, CA 94606 PHONE No :(510)452 -1420 Soli DISCRIPT]ON: RESIDENTL\L COAIMERCIALLI INSTALL ILLUMINATING SIGN Q -SALON Sq. Ft Floor Area: � / I Valuation: $1400 AI'N Number: 37507003.0 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAN'S OF PERM IT ISSUANCE OR 180 DAN'S FROM LAST CALLED INSPECTION. Issued bye: ate: C.--'?— l0 RE- ROOFS: 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. Signature of Applicant: Dale: ALL ROOF COVERINGS TO 13E CLASS "A" OIt BEITF:14 IIA %ARDOUS MATERIALS DISCLOSURF have read the hazardous materials requirements corder Chapter 6.95 of the California Ilealth & Safety Code. Sections 25505. 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code Chapter 9.12 and the Health Y Safety Code. Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices a'ltich emit hazardous air contaminants as defined by the Bav Arca'Air Quality Management District I will maintain compliance with the Cope 'no Municipal Code. Chapter 9.12 unit the Ilealth & Safely Code Sections 2i5o5. 25533. and.25534. % i Owner or authorize(] agent: _ Date: CONST14t1C11ON ]-ENDING AGENCY 1 hereby of nm that there is a construction lending agency for the performance of work's for which this pennit is issued (See. 3097, Civ C.) Leader's Natne Leader's ARCHITECI "S DEICLARATION I understand my plans shall be used as public records. Licensed Professional r� CAN of CUPEkTINO CITY OF CUPERTINO SIGN PERMIT APPLICATION FORM !W i!: s_ APN # 7te:T-- Building Address: %'ll o s l s creek f? I„ ,,t., cLA V vw sti,k C Mailing Address (if different from building address): Owner's Name: M � -Hit chid; Phone #: � Contractor: S �LiC Phone #: 3 Fax Contractor License #: Cupertino Business License #: Contact: ` Jk5JW1 1 A Phone #: Fax #: Building Permit Info: I Bldg 1❑ Elect ❑ Monument ❑ Mounted on Building ❑ Residential ❑ Conunercial Job Description: Vu& oVI, l� C,�-Sa ot� C e ,3o u- hzri I e(Fers +ate -Fra,kr Valuation (cost of project): /690.0 0 Project Size: Express Standard ❑ Large ❑ 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 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014 -3255 Telephone: 408- 777 -3228 Fax: 408- 777 -3333 JOB ADDRESS: {ygh < v PERMIT # 60 OWNER'S NAME: pe PHONE # Cabinets & Millwork GENERAL CONTRACTOR: CjPle. ' BUSINESS LICENSE # ADDRESS: p' CITY /ZIPCODE: pinr� o *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY IN PECTION(S) WILL B r- SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTR TORS V ED A CITY OF CUPI:RTINO BUSINESS LICENSE. I am not using any subcontractors: � _(Z) i ,,'nature Date Please check applicable and complete the following information: Owner/ Contractor Signature Date 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 `711, BUILDING ENERGY ANALYSIS REPORT PROJECT: Q Spa Salon: New Sign 19110 Stevens Creek Blvd. Cupertino, CA Project Designer: Lee's Signs 845 E. 10th Street Oakland, CA 94606 (510) 452 -1023 Report Prepared by: Rosemary Howley, CEA, CEPE Gabel Associates, LLC 1818 Harmon Street Berkeley, CA 94703 (510) 428 -0803 Job Number: 10185 -RH Date: 5/27/2010 Q-�- D RECEIVED JUN 0 7 2010 BY: The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoh, LLC — www.energysoft.com. I TABLE OF CONTENTS I Cover Page Table of Contents Form SLTG -1 -C Sign Lighting Compliance i CERTIFICATE OF COMPLIANCE SIGN LIGHTING Part 1 of 2 SLTG -1C Project Name Phase of Construction: ❑ New Construction ❑ Addition 10 Alteration Date Q Spa Salon: New Sign Function Type: M Outdoor Signs ❑ Indoor Si ns 512712010 Project Address Compliance Method Used 19110 Stevens Creek Blvd. Cupertino, CA '❑ Maximum Allowed Lighting Power ® Alternate Lighting Sources Documentation Author's Declaration Statement - I certify that this Certificate of Compliance documentation is accurate and complete. f9nature Name Rosemary Howley, CEA, CEPE Company Date Gabel Associates, LLC 527/2010 Address - EA # tt7, 1818 Harmon Street CEPE# City/State/Zip Phone Berkeley, CA 94703 (510) 428 -0803 Principal Lighting Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professional Code to accept responsibility for the lighting design. • This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with Title 24, Pages 1 and 6 of the California Code of Regulations. • The design features represented on this Certificate of Compliance are consistent with the information provided to document this design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name Signature Jin H. Lee, State Lic. # 556289 Company Phone Lee's Signs (510) 452 -7023 Address License # 845 E. 10th Street City /State2ip Date Oakland, CA 94606 ' Sign Mandatory Measures Indicate location on building plans of Mandatory Sign Measures Note Block: Mandatory Sign Lighting Controls YES NO §133(a)l. All signs with permanently connected lighting are controlled with an authomatic time ® ❑ 1 switch control that complies with the applicable requirements of 119. §133(a)2. All outdoor signs are controlled with a photo control or outdoor astronomical time ® ❑ switch control. 2 Exception to §133(a)2. Outdoor signs are in tunnels or large covered areas that require ❑ illumination during daylight hours. §133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to ® ❑ automatically reduce sin power by a minimum of 65 percent during nighttime hours. Exception 1 to §133(a)3. Signs are illuminated for less than one hour per day during, daylight ❑ hours. 3 Exception 2 to §133(a)3. Outdoor signs are in tunnels or large covered areas that require ❑ 121, illumination during daylight hours. Exception 3 to §133(a)3. Only metal halide, high pressure sodium, cold cathode, or neon ❑ lamps are used to illuminated signs or parts of signs. §133(a)4. An Electronic Message Center (EMC) having a new connected lighting power load greater than 15 kW'has a control installed is capable of reducing the lighting power by a Y N N/A minimum of 30 percent when receiving a demand response signal that is sent out by the local ❑ ❑ 4 utility. Exception to §133(a)4. The EMC is required by a health or life safety statue, ordinance, or Y N N/A re ulation, including but not limited to exit signs and traffic signs. ❑ ❑ EnergyPro 5.0 by EnorgySoh User Number., 1002 RunCode: 2010- 05- 27T19:33:1 /D: 10185 -RH Pe Pn 0 m A C) m m oN " "c ssed ❑ ❑ ❑ ❑ ❑ 13 El 0 A a J _ 3 N o N m m L m U J N O O W` ° J O E d ^ 7 _ N L o W m S ¢ N O N J y m C N � m N Et r H °a cz 0 0 c > _a o I% l0 — m 03 N -6 my o Ad ' L F O 3 O. m 3 n m C_ N > N O O C y m C ga @ m H m ¢ O J 9 L 3 x E E m m d L LL �i U m e o a m 1° o �n <� ° _ V N O y •- d C A 3 O N r N> N O N U 3: 76 — Jo o o 3¢ Q U 7 E W r N ° N N ¢ N O m N m m m to Dm m m O O 3 II II �W E m e — N OL.. 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