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09100090P1. r'=�'rr�t� 11,}>111r!rl'Jii - 1, U11 L'I"'J1 F =ile Edit Actions Details Links Favorites Help �'rrmit Irti�rri�i.iur Permit Number x 09100090 Status " C - Closed Master Number I4I Project Apply Date 1011412009 Permit Issue Date 10/14/2009 Certificate Issued 10/20/2009 Certificate Type Certificate Number Permit x Property Zoning Permit Details Address x I 19620 STEVENS CREEK BLVD STE 160 City/State/Zip CUPERTINO Notes 0 APN 36906010331=. 141 Unit Operator patg Operator patg Operator PALM Applicant Contractor ` Defined Fields CA 95014 ov"iJ:r E-116;111 hlormalion Owner Name xl CHINA TRUST BANK Use Default ❑ Address Business -19620 STEVENS CREEK BLVD STE 160 CitylState/Zip CUPERTINO Permit Type 1 CEAP5 I41 SIGNS, OUTLINE LIGHTING & MARQ Usage Class x N/A I41 NON APPLICABLE Applied Value " 1600 SQUARE FT. 0 Calculated Value 0 I1 US C-404 Type 437 Al ALT: NON -RES, NON-HSKPG Permit Form " --- -- ---_ _-- — - -- - ------------------ AUTOPERM - PERMIT Ownership 1 - Private Project Size COUNTER -OVER THE COUNTER 'ermit issued 1011412009 anter the purpose or any special conditions for this permit Purpose/Special Conditions CHANNEL LETTERS WALL SIGN FILMED 6/2011 CA 95014 1COAdd Default T ,/ OK I�ft Back Contractors Fees Int, Plan Reviews I¢ Inspections Print Permit '.Adjustments Holds 1CI Copy Permit J Close Permit Overrides Supplemental Fields �.'`�jNotes EAttachments I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 19620 STEVENS CREEK BLVD STE 160 1 CONTRACTOR: SIGN ART CO I PERMIT NO: 09100090 1 I OWNER'S NAME: CHINA TRUST BANK 1 423 S CALIFORNIA ST I DATE ISSUED: 10/14/2009 1 OWNER'S PHONE: 3107912828 1 SAN G.ABRIEL, CA 91776 1 PHONE NO: (626)287-2512 ❑ LICENSED CONTRACTOR'S DECLARATION License Class Li c. # Contractor 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: 1 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 1 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 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. Z4 Signature Date r --r ❑ 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) 1, 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: 1 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, I 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 1 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 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. Signature Date BUILDING PERMIT INFO: BLDG r ELECT r PLUMB f— MECH r RESIDENTIAL r COMMERCIAL r JOB DESCRIPTION: CHANNEL LETTERS WALL SIGN Sq. Ft Floor Area: Valuation: $1600 APN Number: 36906010.STE160 I Occupancy Type: PERMIT EXPIRES IF WORD IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued b�� Date l G �l Lr p 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: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or a �r rize en ate. i L -L14 -� CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Ad ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CITY OF CUPE1Q:1NO CITY OF CUPERTINO SIGN PERMIT APPLICATION FORM C91I��OgO APN # Date: 3(9C)�aos-TEJ�4o �I-4--() Building Address: Mailing Address (if different from building address): Owner's Name: Phone #: I�i)7gl Contractor: Phone #: 6>6 �f "N 4(,8,T " C D Fax #: (:),-6 —42-6 ES4. Contractor License #: Cupertino Business Lic nse #: 7s-� Contact: Phone #: 6 — '7� 1 Fax #: Building Permit Info: Bldg ❑ Elect [X\ Monument ❑ Mounted on Building ❑ Residential ❑ Commercial Job Description: Valuation (cost of project): �j tz) 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 aliz, CITY OF CUPEkTINO I 1 CITY OF CUPERTINO SIGN 1 FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1 SIGNDIRE;CT. i Directional B 1SIGN/RF. Ground/Roof/Projecting Signs ; B 1 SIGNMASCK Master Plan Sign Check B 1 SIGNREWRKG Rework of any existing Ground Sign . B 1 SIGNOTHER . Other Sign B 1 1 SIGNREINSP � Re -inspection Fee B ' 1 SIGNWNONEL Wall/Awning Sign, Non- Electric B 1 SIGNWELEC f Wall, Electric E I IESIGN; Sign, Outline Lighting System, or Marquee supplied from one ` branch E 10EAP5 IESIGNADD Additional Branch Circuit on Same Sign, Outline System or Marquee E 10EAP6 i I IELCPLNCK Plan Check Fee E 1EPERMITFEE Electric Permit Fee E 1BCBSC I Cal Bldg Standards Commision Fee B ALL PERMIT TYPES 1 BSEISMICOM Seismic Commercial B 1 BSEISMICRE Seismic Residential - B 1 TRAVDOC Travel & Documentation B 1 BUSLIC Business License B CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19620 STEVENS CREEK BLVD STE 160 CONTRACTOR: SIGN ART CO PERMIT NO: 09100090 O'."*�'F.R'S NAME: CHINA TRUST BANK 423 S CALIFORNIA ST DATE ISSUED: 10/14/2009 68, ..,R'S PHONE: 3107912828 SAN GABRIEL, CA 91776 PHONE NO: (626)287-2512 Cl LICENSED CONTRACTOR'S DECLARATION f— r License Class r Lic. # � � BUILDING PERMIT INFO: BLDG ELECT PLUMB f— f— Contractor —b�% MECH RESIDENTIAL COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 ` JOB DESCRIPTION:CHANNEL LETTERS WALL SIGN (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 Sq. Ft Floor Area: Valuation: $1600 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 APN Number: 36906010.STE160 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 comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PERMIT ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM 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 granting of this permit. Additionally, the applicant understands and will comply Issued b�T /y—�y— y--- Date. with all non-point source regulations per the Cupertino Municipal Code, Section 9.18. Sip--rureDate "o- �GviE:7 RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is ❑ OWNER-BUILDER DECLARATION installed without first obtaining an inspection, I agree to remove all new materials for inspection. I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: Signature of Applicant: Date: 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) ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). HAZARDOUS MATERIALS DISCLOSURE I hereby affirm under penalty of perjury one of the following three 1 have read the hazardous materials requirements under Chapter 6.95 of the declarations: California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain I have and will maintain a Certificate of Consent to self-insure for Worker's compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Compensation, as provided for by Section 3700 of the Labor Code, for the Safety Code, Section 25532(a) should I store or handle hazardous material. performance of the work for which this permit is issued. Additionally, should I use equipment or devices which emit hazardous air I have and will maintain Worker's Compensation Insurance, as provided for by contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Section 3700 of the Labor Code, for the performance of the work for which this Health & Safety Code, Sections 25505, 25533, and 25534. permit is issued. I certify that in the performance of the work for which this permit is issued, I shall Owner or a t rize en 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, I become subject to the Worker's Compensation provisions of the Labor Code, I must CONSTRUCTION LENDING AGENCY forthwith comply with such provisions or this permit shall be deemed revoked. I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) APPLICANT CERTIFICATION Lender's Name 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 Lender's Address to building construction, and hereby authorize representatives of this city to enter c le above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION .ify and keep harmless the City of Cupertino against liabilities, judgments, cows, 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