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10110137
CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10123 N WOLFE RD CONTRACTOR:J T CO 1 STRUCTION PERMIT NO: 10 110 137 OWNER'S NAME: VALLCO MALL 1720 OCALA AVE STE B DATE ISSUED: 11/19/2010 OWNER'S PHONE: 4087773081 SAN JOSE,CA 95122 PHONE NO:(408)234-4340 C3 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT I— PLUMB License Class Lic.# MECH r RESIDENTIAL r— COMMERCIAL Contractor Date 1 hereby affirm that 1 am licensed under the provisions of Chapter 9 JOB DESCRIPTION:NEW MALL LED CHANNEL LETTER SIGN ON WEST SIDE (commencing with Section 7000)of Division 3 of the Business&Professions OF Code and that my license is in full force and effect. WOLFE RD BY THE AMC 13UILDING 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. 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 Sq.Ft Floor Area: Valuation:$4000 permit is issued. APPLICANT CERTIFICATION APN Number:31620089.MALL Occupancy Type: I certify that I have read this application and state that the above information is correct.1 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18, Signature Date Issued by,;i'�~� Date: ��/f l� OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of ROOFS: All roofs shall be inspected prior to any rroooofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for 1,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: 1,as owner of the property,am exclusively contracting with licensed con tors to �YiJ construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Compensation,as provided for by Section 3700 of the Labor Code,for the I have read the hazardous'materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. 1 will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupeetino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this 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 contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,1 shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sec}ions 25505,25533,and 25534. 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 Owne th ri fD forthwith comply with such provisions or this permit shall be deemed �revoked. Date: APPLICANT CERTIFICATION j te CONSTRUCTION LENDING AGENCY 1 certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address 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-p ' t so ego tions per the Cupertino Municipa n ,Section ARCHITECT'S DECLARATION 9.18. 1 understand my plans shall be used as public records. Signatur Date Licensed Professional CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10123 N WOLFE RD CONTRACTOR:J T CONSTRUCTION PERMIT NO:10110137 OWNER'S NAME: VALLCO MALL 1720 OCALA AVE STE B DATE ISSUED:11/19/2010 OWNER'S PHONE: 4087773081 SAN JOSE,CA 95122 PHONE NO:(408)234-4340 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG F ELECT PLUMB License Class Lic.# MECH RESIDENTIAL COMMERCIAL Contractor Date I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:NEW MALL LED CHANNEL LETTER SIGN ON WEST SIDE (commencing with Section 7000)of Division 3 of the Business&Professions OF Code and that my license is in full force and effect. WOLFE RD BY THE AMC BUILDING 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 Sq.Ft Floor Area: Valuation:$4000 permit is issued. APPLICANT CERTIFICATION APN Number:31620089.MALL Occupancy Type: 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 PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities,judgments, costs,and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally,the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. Signature Date Issued b �--� �— Date: OWNER-BUILDER DECLARATION RE-ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed.If a roof is the following two reasons: installed without first obtaining an inspection,I agree to remove all new materials for I,as owner of the property,or my employees with wages as their sole compensation, inspection. will do the work,and the structure is not intended or offered for sale(Sec.7044, Business&Professions Code) Signature of Applicant: Date: I,as owner of the property,am exclusively contracting with licensed con tors to construct the project(Sec.7044,Business&Professions Code). ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: HAZARDOUS MATERIALS DISCLOSURE 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 I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain I have and will maintain Worker's Compensation Insurance,as provided for by compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health& Section 3700 of the Labor Code,for the performance of the work for which this Safety Code,Section 25532(a)should I store or handle hazardous material. Additionally,should I use equipment or devices which emit hazardous air permit is issued. contaminants as defined by the Bay Area Air Quality Management District I will I certify that in the performance of the work for which this permit is issued,I shall maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health&Safety Code,Sections 25505,25533,and 25534. 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 Owne th ri I fD forthwith comply with such provisions or this permit shall be deemed revoked. 4—_40Date: C APPLICANT CERTIFICATION Of CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct.I agree to comply with all city and county ordinances and state laws relating for which this permit is issued(Sec.3097,Civ C.) to building construction,and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes.(We)agree to save indemnify and keep harmless the City of Cupertino against liabilities,judgments, Lender's Address costs,and expenses which may accrue against said City in consequence of the granting of this permit.Additionally,the applicant understands and will comply ARCHITECT'S DECLARATION with all non-p 'Rsoegu tions per the Cupertino Municip o ,Section 9.18. I understand my plans shall be used as public records. Signatur Date Licensed Professional CITY OF CUPERTINO _ � r SIGNCITY OF CUPERTINO PERNUT APPLICATION FORM APN# Date: 1� 2� ©P�q . NI�1 I ll r v Building Address: �0I23o (�'-e 43!� Mailing Address (if different from building address): Owner's Name: Phone#: Ua(6 S40,0 al C c qe)- k 777 30E-1 Contractor: Phone#: 2 3rd_14 3 D Fax#: -77s- 0 3 70 Contractor License #: Cupertino Business License #: GG cl&5-0 Contact: Phone#: 1-(©F- ?7� .309 W t I e— (2�kJo Fax#: !(a- 7?5-.63 76 Building Permit Info.: Bldg '"� Elect �j Monument ❑ Mounted on Building ❑ Residential ❑ Commercial Job Description: l�1ew Wast LF0 se -- - Valuation (cost of project): 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 CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 10123 n.wolfe rd DATE: 11/19/2010 REVIEWED BY: bobs. APN: BP#: *VALUATION: 1$4,000 PERMIT TYPE: Building Permit PLAN(;11ECK7')'1'17: PRIMARY T©7',,1L PENTAMATION 1 CEAP5 USE: Sign FLOOR IIRE,4: PERMIT TYPE: � WORK SCOPE SIGN TYPE FEE ID QTY SIGN FEE Wall Sign,Electric 1SIGNWELEC 1 $253 TOTALS: uR . . $253.00 b R 1,1kch. Plan Check Plumb. Plan Check #Branch Circuits 1 $42.00 llecvt.Perwil Fee: Plumb.Permit Fee: IESIGN Elec.Permit Fee: IEPERMIT 0 her A kch.hasp. 01her Plumb Insp. Other Elec.Insp. 0.0 $42.00 ,liech.Insp. Fee: Plumb. hasp. Fee: 1-;1ec.Insp.Fee: NOTE: These ees are based on the preliminary information available and are only an estimate. Contact the Dept,*addn'l info. FEE ITEMS (Fee Resolution 09-051 E . TWIN FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee: E) Reg. ® OT 0.0 hrs $0.00 Pla mb-,i'vlech,"Mec Plata Cheek: Permit Fee: $253.00 Suppl. Insp. Feer Reg. ® OT 0.0 1 hrs $0.00 PME Unit Fee: $42.00 PME Permit Fee: $42.00 Construction :TaxT-T Sign Master Plan: ® Yes (E) No $0.00 Work Without Permit? ® Yes (2) No $0.00 T'lannin�;Nees: Travel Documentation Fee: ITRAVDOC $42.00 A Strong Motion Fee: IBSEISMICO $0.84 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 AtlYi ._ 4s $380.84 $0.00 'e- $38 0.84 . : . Revised: 11/08/2010 Building Department City Of Cupertino 10300 Torre Avenue Cupertino,CA 95014-3255 Telephone: 408-777-3228 C O P E RT 1 N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST on nr JOB ADDRESS: Z?j 0 PERMIT# ®J OWNER'S NAME: Ck -b PHONE# GENERAL CONTRACTOR:, TnMSfiAL&d BUSINESS LICENSE# ADDRESS: CITY/ZIPCODE: *Our municipal code regiires;�all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAIy OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR:AND. ALL SU ONT C RS HAVE OBTAINED A CITY 9F CU ERTINO BUSINESS LICENSE: 1)1(1?116 I am not using any subcontractors: _' Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACT.OR. 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 Page 1 of 1 GROU GPEE MREIA�III IRpM IERMHM IW (P.VM GRFEl11 W ENCLOSURE TRANFORMER F `JG 0' CLASS 2 POWER SUPPLY - �y DISCONNECT SWITCH SPLICE CONNECTORS y ala+ II I i 6'L 120V 20AMP LED PRIMARY CIRCUIT POWER SUPPIY /aacl.erIN's MC 160Wolts,12V/5AI ENCLOSHOPPING MALL " 3' POWER SUPPLYURE b DISCONECT IswlrcH I. Roof Top I - CHANNEL LETTER SIGN! AppHOVED 120Y 20AMP r VV TVA THE CITY G v PRIMARY CIRCUIT IN AC(-ORDAN �E ND ORDINANCES IN-/FMC CUPERTINO Cr DES ' ICondulf Tube { DATE1 Q _ 5"BLACK RETURN CEI`I SIGNED - w/ x hot screws 19 O tans and specifications MUST Q Q w/anchor(min.B Ea.) `f Z01 This set of p TR BLACK NO V be kept on the IOb at aII times and It Is ®.. TRIM CAP (] Seal all buiding fro lawful to make any changes or alterations O penetrations unm Red LED on same without written Permis,iai ino. the Building Department,City of Cuped i actions 3/16" The stampLng o this plan and Spec RED FLEX FACE BUILDING It or to be an _ STUCCO WALL SHALL NOT be held to permit provisions 1 �O, approval of the violation of any p 0 of any city Ordinance or State Law. SIGN VOTERS: 0 _ VALLCO SHOPPING MALL COndUlt Tube Channel Letter 5"deep Return painted Black 3/16"thick Red Plastic Face, 1" Black Trim Cap, 1/4"DRAIN HOLE Illumination by LED Red LETTER DETAILS l%%, *Each letter weights—25 lbs UL listed all letters. *All materials used are UL listed PLOT PLANS - CHECKED BY . INSTALLATION: P Letters attached on the stucco wall by 3/8"x2,5"screws w/anchor, min 8 screws each letter, *This signs requires min. 30 Amps line circuits €%Te-� https://webmail.vallcoshoppingmall.com/exchange/Lisa.Estes/Inbox/FW:%2OV allco%2OSign.EML/Vallco%20SHOPPING%20MALL%2OSign.jpg/C58EA28C-18CO-4a9... 11/19/20 1.9/