13010084 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 7335 BOLLINGER RD CONTRACTOR:ACTIVE SIGN CO PERMIT NO: 13010084
OWNER'S NAME: SEET DING SHEE TRUSTEE&ET AL 1365 E TAYLOR ST DATE ISSUED:01/16/2013
OWNER'S PHONE: 4083718770 SAN JOSE,CA 95133 PHONE NO:(408)297-6640
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class NO rte^ Lie.# UNIT D&E-CUPERTINO SPECIALTY FOODS-INSTALL
18X15 LED CHANNEL ILLUMINATED LETTER SIGN.ON A
ContractorG, MZ/ Date I w j RACEWAY-
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. Sq.Ft Floor Area: Valuation:$1600
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 APN Number:35923018.7335 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct.I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DA F OM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the Issued by: G Date: /� -3
granting of this permit. Additionally,the applicant understands and will comply
with all non-point source re plations per the Cu rtino Municipal Code,Section
9.18,
RE-ROOFS:
Signature Date /r/�� 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.
❑ OWNER-BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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 HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044;Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health&Safety Code,Sections 25505,25533,and 25534. 1 will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous
I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous
Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I
performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25533,and 25534.
Section 3700 of the Labor Code;for the performance of the work for which this Owner or authorized agent Date:—
permit.is issued.
1 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 CONSTRUCTION LENDING AGENCY
Compensation laws of California. If,after making this certificate of exemption,I
become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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 ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,'and expenses which.may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional
9.18.
Signature Date
li
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \Ub
CUPERTINO (408)777-3228• FAX (408)777-3333•buildinq(d�cupertino.orq D 1
V
1
PROJECT ADDRESS --1335 00l U _//,1#, > APN# •q 2.3 1 �f -•-1 �
OWNERNAME4-rlaq4-1140NI `•Cc V,�, k — V ll V E MAII.J(Y7Q On �O `�j 7(�VV S C.OM
STREET ADDRESS l'l /' t3 (_rjM l�1 a CITY,STATE,ZIP C� i nn h L'n 11 l f A_ GJG�Q FAX�1-j,jr`l^J_�1 f] !r-
CONTACT NAME T1,( e �, PHONE/Lr( )�.!',-1_(o� E-MAIL
STREET ADDRESS 131��rJ�()'C�/• T 1 CITY,STATE,�`ZIP+V/ aq?,"1 `J 6.�I ZyS I��FFAX406)-,4-Q-j_Q-7,q-3
❑OWNER ❑ OWNER-BUB.DER ❑ OwNER AGENT u CONTRACTOR ❑CONTRACTOR-lAG%GENTT 1 ❑ ARCHITECT`'l❑ENGINEER ❑ DEVELOPER ❑TENANT
CONTRACTOR NAME ( ^ �!_ LICENSE NUMBER (�20��7 LI^CENSE TYPE c to/ ` BUS.LI�Cj#� '
COMPANY NAME I�13�V 1 V.`D^i�7I��Q�`i
E-MAIL -t-k vt A 7� Y\ qa��l.,t�/TvV�' FAX ` 06)1'J`"l'I'O ( f
STREET ADDRESS 1,6T L�. "s1 17 1,��C L. CITY,STATE,ZIP c �a�,� Q T I� PHONE(1p•Q C)/1-7
ARCHITECT/ENGINEER NAME r"'),l�f ?` LICENSE NUMBER _l`7 BUS.LIC#`_ U �'l l la
COMPANY NAME E-MAIL FAX
STREET ADDRESS (] ,/ /�C�IITTY,,(STATE,ZIP Q l-, /^ PHONE
DESCRIPTION OF WORK l D�� 1` l j I C4
USE OF ❑ SFD or Duplex ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION
STRUCTURE: ❑ Commercial (Y/N) (CODE) SIGNS (SIO FT)
(S)
^
SIGN TYPE CODES: `�v �C�`4� 7
B - BANNER SIGN M - MONUMENT(GROUND)SIGN
BL - BLADE SIGN P - PROJECTING SIGN
D - DEVELOPMENT ID SIGN SP - SPECIAL.EVENT BANNER
DI - DIRECTIONAL SIGN T - TEMPORARY
F - ELECTRONIC W - WALL SIGN
READERBOAR , WI - WINDOW SIGN
RECEIVED BY: - TOTALVVk7 h
a Ir
By my signature below,I certify to eac f the following: I am the property owner or uth agent to act on the property owner's behalf. I have read this
application and the information I hav vided is correct. I have read the Description ofWpfk and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to ild' nstruction. I autho representatives of 6uperfino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: &I Date:
SUPPLEMENT,4 INF RMATION REQUIRED OFFICE USE ONLY
Site Plan PLAN CHECK TYPE ROUTING SLIP
Elevations ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW
Sign Details-including UL listing(S)applicable ❑ ExPRESS ❑ PLANNING PLAN REVIEW
Structural Calculations(if applicable) ❑ STANDARD ❑ OTHER. _
Copy of Planning Approval Letter or Meeting with Planning prior to ❑ LARGE
submittal of Building Permit application.
❑ MAJOR
SignApp_201 Ldoc revised 03/31111
CITY OF CUPERTINO
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 7335 Bollinger Rd DATE: 01/16/2013 REVIEWED BY: Mendez
APN: BP#: 'VALUATION: 1$1,600
*PERMIT TYPE: Building Permit PL.-1;v CJIEC:TYPE:
PENTAMATION
PRIMARY 1 CEAP5
USE: Sign PERMIT TYPE: i
WORK Cu ertino Specialty Foods- install 18x15 LED Channel illuminated letter sign on a raceway
SCOPE
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign,Electric 1SIGNwELEC 1 $266
TOTALS: $266.00
Lfech. Plan Check. Phvnb. Plun Check #Branch Circuits 1 1 $45.00
i1 fech. Permit Fee.., Phimb. Permit Fe(": IESIGN Elec.Permit Fee: 1EPERMIT
Other itfech.Irtsp. Other Plumb Insp. LJ Other Elec.Insp. 0.0 $45.00
Mech.Insp.Fce: Plumb. hisp. Fee: Islet Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School
District,eta). These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn 7 info.
FEE ITEMS(Fee Resolution 11-053 E . 7ff /1/12) FEE QTY/FEE MISC ITEMS
Plan Check Fee:
Suppl.PC Fee: Q Reg. 0 OT 0.0 1 hrs $0.00
Plum b.Allech.1E,lee
Permit Fee: $266.00
Suppl. Insp..Fee-0 Reg. Q OT Fo,0 hrs $0.00
PME Unit Fee: $45.00
PME Permit Fee: $45.00
Construction Ttr .
Administrative Fee.-
Work
ee:Work Without Permit? 0 Yes iq No $0.00
Sign Master Plan: 0 Yes (E) No $0.00
Travel Documentation Fee: 1TRAVDOC $45.00
Strong Motion Fee: IBSEISMICO $0.50 Select an Administrative Item
BldgStds Commission Fee: 1BCBSC $1.00
SUBTOTALS: $402.50 $0.00 TOTAL FEE: $402.50
Revised: 10/01/2012
Certificate of Compliance (Sign Lighting) (Page 1 of 4) SLTG-1C
Project Name: cup e fi& S Kda Fbcd-r Date: I I (S I t f
Project Address:
"135G 130t11nio�e✓ Rd. #�Dte C e.r�tv►�
Location of Sign ❑Outdoor Signs ❑Indoor Signs
Phase of Sign Construction ❑New Signs ❑Sign Alterations
Type of Lighting Control ❑New Lighting Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls
This Certificate of Compliance includes the following components(check all that apply)
❑Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ❑ Specific Lighting Sources
1. Certificate of Compliance Declaration Statement (this may be a CIO,C45 or other eligible person)
❑ I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and
correct.
❑ I am eligible under Division 3 of the California Business and Professions 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,Parts 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: mnc 1 M Signature
Company: N(A�V-6 C7; ACJ Phone 40(�)
Address: kr7(Vs E -�-���Q( LjY License number(may be contractor's lic#)
City/State/Zip: -So�\ Cl\ nt�?133 Date ` 1 �15I i3
2. Installation Certificate(to be signed by responsible person after installation)
Permit number Checked by/Date
Enforcement Agency Use (Enforcement Agency Use
Installation Declaration statement
❑ I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and
correct.
❑ I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction,or an authorized
representative of the person responsible for construction.
❑ I certify that the installed features,materials,components,or manufactured devices identified on this certificate conforms to all
applicable codes and regulations,and the installation is consistent with the plans and specifications approved by the
enforcement agency.
❑ 1 certify that the requirements detailed on this Certificate of Compliance have been met.
El I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available with the building
permit(s)issued for the building,and made available to the enforcement agency for all applicable inspections. I understand
that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the
building owner at occupancy.
Company Name: i �vP, -;l C ),1 S
Responsible Person's Name: N al1 G4 D-a& Responsible Person's Signature:
License number(may be contractor's lic#) Date Signed: Position With Company:
2008 Nonresidential Compliance Forms October 2010
Certificate of Com fiance (Sign Lighting) (Page 2 of 4) SLTG-1 C j
Project Name: cupe.f�vAVIfl �pe-clA vd� Date:
3. Mandatory Sign Lighting Controls
NOTES.-
1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person may install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures(sign lighting controls)are required for compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the
sign,general contractor,or architect shall be responsible to have the sign lighting controls installed.
3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and an Installation Certificate licable to the Portion o construction or which they are responsible;
Papplicable P .f f
alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance
Declaration Statement or the entire construction.
3a. Statements of Responsibility:Any person signing the Certificate of Compliance Declaration Statement on page 1 of
4 on this SLTG-1 C shall complete Part 3a.Check Yes or No for all of the following statements:
I I ve responsibility for installing the sign lighting controls
IYes,complete parts 3a and 3b of this form ❑No,complete part 3a of this form
2 re are no existing sign lighting controls and I will be installing compliant sign lighting controls
Dere
❑No
3 There are no existing sign lighting controls and someo a lse will be responsible to install compliant sign lighting controls
❑Yes o
There are existing sign lighting controls that do not comply with the applicable provision of§119 and§133 and I will be
4 installing compliant sign lighting controls L5 k'
❑Yes C]No
There are existing sign lighting controls that do not comply with the applicable provision of§119 and §133 and someone else
will be responsible to install compliant sign lighting cynAls
❑Yes 16 No
3b.Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-1C is responsible for
complying with the sign lighting control requirements,that person shall answer all of the following questions:
If there are construction documents,indicate where on the building plans the
in datory measures(sign lighting control note block can be located:
1 §133(a)1.All indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA
applicable requirements of§119. ❑ ❑
§133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo N NA
2 control,or an outdoor astronomical time switch,that comply with the applicable requirements of§119. ❑ ❑
Exception to§133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during Y NA
daylight hours. 0 1 V
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce N NA
sin power by a minimum of 65 percent during nighttime hours. ❑ ❑
NA
Exception 1 to§133(a)3.Signs illuminated for less than one hour per day during daylight hours. 0
3 Exception 2 to§133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during Y / N❑A
daylight hours.
Exception 3 to§133(a)3.Only metal halide,high pressure sodium,cold cathode,or neon lamps used for Y/ l
illuminating signs or parts of signs. El
§133(a)4. An Electronic Message Center(EMC)having a new connected lighting power load greater than N N/A
15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when ❑ ❑
4 receivinga demand response signal that is sent out b the local utility.
Exception to§133(a)4.EMC required by a health or life safety statue,ordinance,or regulation,including Y NA
but not limited to exit signs and traffic signs. ❑
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Certificate of Compliance (Sign Lighting) (Page 3 of 4) SLTG-1C
Project Name: C LlV� Vll7 Sp{Ll GV Cdy Date: k 1 1; f 13
4. Maximum Allowed Lightin!Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance.(Complete part 5
of this Certificate of Compliance if there are signs using the S ecific lighting sources method of com liance
A B C D E I F G H I J
A Allowed Watts Design Complies?
Watts Y/N
40.
o V71
V N cc
3 x
o w ?� -d 3 3 .b Field
a d o ri 3 A Inspector
:~
z II II o IIa
V. � Check that
w ¢ t j Sign
°— E°. Complies
Description ✓
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
A Symbol or code used on the plans when plans are required)and other documents.
B A narrative description of the sign,or location of sign on the building;and the location of sign on construction documents.
OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that
the sign complies with the Section 148 of the California 2008 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized
C by Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National
Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual
inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY
VERIFIED label,columns`D'through`I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional
method to validate compliance.An ENERGY VERIFIED label is not needed for compliance.
D The sign area insquare feet.
E List"I"if the sign is intemaliy illuminated. List"E"if the sign is externally illuminated.
F Allowed watts per square foot. Enter 12 if the sign is listed as"I"in column E.Enter 2.3 if sign is listed as"E"in column E.
G Multiplythe square footage in column D times the allowed Lighting Power Density(LPD=watts)in column F.
H Show the total installed watts in the sign,as determined according to the applicable provisions of§130 d ore .
I I Enter Y if the number in column H is less than orequal to the number in column G. Otherwise the sign does not comply.
J I This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
J
Certificate of Compliance (Sign Lighting) (Page 4 of 4) SLTG-1C
Project Name: CuwrttM Specx'aAtl-� FZ>va5 Date:
5. Specific Lighting Source Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this
Certificate of Compliance if there are signs using the maximum allowed lighting ower method of compliance)
A B C D E
OPTIONAL Field
ENERGY Specific light source used for Inspector
Symbol VERIFIED compliance Check that
or Description label Shall include only lighting Sign
Code (see instructions technologies listed below
below) List all that apply Complies
(�// �l�' � C.t�2x��e t l-e:t-� � -I - (fib l 1 c�-►��-5 ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
A Symbol or code used on the plans when plans are required)and other documents.
B A narrative description of the sign,or location of sign on the buildin •and the location of sign on construction documents
C OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that
this sign complies with the Section 148 of the California 2008 Title 24,Part 6 Standards,using the Specific Lighting Source Method of
Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,
column`D'is not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An
ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s)identified above use only the following lighting technologies:
List all applicable numbers 1 through 10 that apply in column D above for each row.
1 High pressure sodium lamps
2 Pulse start or ceramic metal halide lamps served by a ballast with >88%efficient
3 Pulse start metal halide lamps that are<320 watts,are not 250 watt or 175 watt lamps,and are served by a ballast
with>80%efficient
4 Neon or cold cathode lamps with transformer or power supply efficient > 75%with rated output current<50 mA
S Neon or cold cathode lamps with transformer or power supply efficient >68%with rated output current>_50 mA
D Fluorescent lamps with a minimum color rendering index(CRI)of 80
6 (Note:when using electronic ballasts for compliance,lamps with a CRI<80 may be used
7 Light emitting diodes(LEDs)with a power supply with> 80%efficient
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC
8 output,having a nameplate output power less than or equal to 250 watts,and certified to the Energy Commission as
complying with the applicable requirements of the Appliance Efficiency Regulations(Title 20
9 Compact fluorescent lamps that do not contain a medium screw base sockets E24/E26)
10 1 Electronic ballasts with a fundamental output frequency>20 kHz
E This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
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Tel.408-297-6640
SJ 408-910-8493
` •N Fox408-297-0743
P1,0T p � 1365 E.Taylor Street
CHECKED BY, San Jose,CA 95133
el, Jt ? LIC.#622021
DAT
1.ANN1 DEPT.
wwv -
" INSTALLATION DETAIL(LED CHANNEL LETTER WITH A RACEWAY)
Fascia(Wall)
.�»18-t1811 ,
- - - _. - -
Y " 0 1 H 22- Blo P
--- - - -
I cop
Primary
C 'I Power3ource
LED
� Fasteners
1 3/10"Acrylic Face !Concrete Bolts
"x4"Long
Holes �\
1r2 V former
,,� pp\��(`• 8'x 177'RACEWAY
J•
JOB SITE
,,&LOCATION OF THE SIGN
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T.
OG t10\J €(�F
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t
FRONT ELEVATION .v�ti' 9 ;��. "� J$'
1l ���• �.- •,-.,fill. .... -a � �t� ,,.1� �s .�M.eyy ,y
�� � �l✓'�" Jf � Yy 9Y I 1. µ.ms .{� _
PROJECT: LED CHANNEL LETTER WITH A RACEWAY PREPARED BY: -
SCALE: N/A BUSINESS APPROVAL: Active Sign Company
DATE: LANDLORD APPROVAL: 1.366 E.Taylor St.
San Jose,CA 95133
PROJECT ADDRESS: CUPERTINO SPECIALTY FOODS Tel:408-297-6640 _ t
7335 BOLLINGER RD, Q � Fax:408-297-0743
tksign5068@yahoo.com
CUPERTINO, CA 95014 LIC#622021