11050191 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20550 TOWN CENTER LN CONTRACTOR:LEE'S SIGNS PERMIT NO: 11050191
'ER'S NAME: CIVIC PARK CUPERTINO LLC 845 E 10TH ST DATE ISSUED:05/23/2011
O'vr:vER'S PHONE: 4084363671 OAKLAND,CA 94606 PHONE NO:(510)452-1420
❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class Lic.# > >'S6f4q MECH r RESIDENTIAL COMMERCIAL
Contractor (X{ r5 51� J&At Date 2_
I hereby affirm that I am licensed under the provisions of Cha ter 9 JOB DESCRIPTION:VILLAGIO DENTAL-INSTALL ILLUMINATED CHANNEL
y p p LETTER STORE FRONT 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 declaration
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 Sq.Ft Floor Area: Valuation:$3650
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued. APN Number:36955082.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save WITHIN 180 DAYS OF PERMIT ISSUANCE OR
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may a crue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additi ally,the applicant understands and will comply
with all non-point source re ations per the Cupertino Municipal Code,Section
9.18. 7 Issued by: -Date: G'
c= �ture e Date
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
I hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
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, Signature of Applicant: Date:
Business&Professions Code)
I,as owner of the property,am exclusively contracting with licensed contractors to ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
construct the project(Sec.7044,Business&Professions Code).
I hereby affirm under penalty of perjury one of the following three HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.12 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Additionally,should I use equipment or devices which emit hazardous air
Section 3700 of the Labor Code,for the performance of the work for which this contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
1 certify that in the performance of the work for which this permil is issued,I shall Health&Safety Cod Sections 25505,25533,and 25534.
not employ any person in any manner so as to become subject to the Worker's �_S
Compensation laws of California. If,after making this certificate of exemption,I Owner or author' ed Date: /G-7/ (f
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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of work's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.-3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
the above mentioned property for inspection purposes.(We)agree to save Lender's Address
.►nify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20550 TOWN CENTER LN CONTRACTOR:LEE'S SIGNS PERMIT NO: 11050191
OWNER'S NAME: CIVIC PARK CUPERTINO LLC 845 E 10TH ST DATE ISSUED:05/23/2011
OWNER'S PHONE: 4084363671 OAKLAND,CA 94606 PHONE NO:(510)452-1420
❑ LICENSED CONTRACTOR'S DECLARATION F r
/� BUILDING PERMIT INFO: BLDG ELECT PLUMB
License Class_ Li,.#1 ! F F
LMECH RESIDENTIAL COMMERCIAL
Contractor _ �p r5 S t ljJ/1� Zti t`.. Date
1 hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION:VILLAGIO DENTAL-INSTALL ILLUMINATED CHANNEL
(commencing with Section 7000)of Division 3 of the Business&Professions LETTER STORE FRONT SIGN
Code and that my license is in full force and effect.
1 hereby affirm under penalty of perjury one of the following two declaration
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 Sq.Ft Floor Area: Valuation:$3650
Section 3700 of the Labor Code,for the performance of the work for which this
permit is issued.
APN Number:36955082.00 Occupancy Type:
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 PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (We)agree to save
indemnify and keep harmless the City of Cupertino against liabilities,judgments, WITHIN 180 DAYS OF PERMIT ISSUANCE OR
costs,and expenses which may rue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additi ally,the applicant understands and will comply
with all non-point source re ations per the Cupertino Municipal Code,Section
9.18. Issued by: Date:
Signature Date Z ��
❑ OWNER-BUILDER DECLARATION RE-ROOFS:
All roofs shall be inspected prior to any roofing material being installed.If a roof is
1 hereby affirm that I am exempt from the Contractor's License Law for one of installed without first obtaining an inspection,I agree to remove all new materials for
the following two reasons: inspection.
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, Signature of Applicant: Date:
Business&Professions Code)
1,as owner of the property,am exclusively contracting with licensed contractors 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 HAZARDOUS MATERIALS DISCLOSURE
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation,as provided for by Section 3700 of the Labor Code,for the California Health&Safety Code,Sections 25505,25533,and 25534. I will maintain
performance of the work for which this permit is issued. compliance with the Cupertino Municipal Code,Chapter 9.I2 and the Health&
I have and will maintain Worker's Compensation Insurance,as provided for by Safety Code,Section 25532(a)should I store or handle hazardous material.
Section 3700 of the Labor Code,for the performance of the work for which this Additionally,should I use equipment or devices which emit hazardous air
contaminants as defined by the Bay Area Air Quality Management District I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.I2 and the
I certify that in the performance of the work for which this permit is issued,I shall Health&SafetyCod Sections 25505,25533,and 25534.
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 Owner or author' d
become subject to the Worker's Compensation provisions of the Labor Code,I must Date: L (r
forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION I hereby affirm that there is a construction lending agency for the performance of%ork's
I certify that I have read this application and state that the above information is for which this permit is issued(Sec.3097,Civ C.)
correct.I agree to comply with all city and county ordinances and state laws relating Lender's Name
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes.(We)agree to save Lender's Address
indemnify and keep harmless the City of Cupertino against liabilities,judgments,
costs,and expenses which may accrue against said City in consequence of the ARCHITECT'S DECLARATION
granting of this permit.Additionally,the applicant understands and will comply
with all non-point source regulations per the Cupertino Municipal Code,Section I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
//o5 o/ 9 /
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228• FAX(408)777-3333•build ingCakupertino.org
PROJECT ADDRESS � APN N
�Otb Towxt Cev der h. (r/ o
OWNER NAME t' PHONE � �-
STREET ADDRESS CITY, STATFrZo` _ �6/ iy r`� FAX 1 •'v v'/ �1
CONTACT NAME , PHONE �O� / _!vim E-MAIL /Lee
f
STREET ADDRESS CITY,STATE, ZIPD�IC l G ( .�FijA
❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER `❑TENANT
CONTRACTOR NAME L/6, lC LICENSE NUMBER-/
7,O LICENSE TYPE BUS.LIC H
COMPANY NAME s� ,` E-MAIL O FAX(�—f
o 77
STREET ADDRESS CITY,STATE,ZIP -r
\440(
O PHOT 51.0)�f')`_fD1Z
ARCHITECT/ENGTNEER NAME cl LICENSE NUMBER BUS.LIC 9 /
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK 1 I �r_: o
r
USE OF ❑ SFD Or Duplex ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION
STRUCTURE: ❑ Commercial (Y/N) (CODE) SIGNS (SQ.FT.) (S)
SIGN TYPE CODES: W Z�7
VB - \/BANNER SIGN M - MONUMENT(GROUND)SIGN n / B 1
1—
L BLADE SIGN P - PROJECTING SIGN !
DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER
DI - DIRECTIONAL SIGN T - TEMPORARY
E - ELECTRONIC <� WALL SIGN
READERBOARD 1 WINDOW SIGN
RECEIVED BY: TOTAL VALUATION:
By my signature below,I certify to each of the following- 1 am the property ner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is corn t. I have cription of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to building constr do representatives of Cupertino to enter the above-ide ified roperty for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL KFORMATION REQUIRED OFFICE USE ONLY
LSite Plan DkXN CHECK TYPE r.�'BUILDING
ROUTING SLIP
�ev 'ons OVER-THE-COUNTER 11 BUIL NG PLAN REVIEW
Sign Details-including UL listing(s)applicable ❑ EXPRESS �ING PLAN REVIEW
_Structural Calculations(if applicable) ❑ STANDARD ❑ OTHER:
Cof Planning Approval Letter or Meeting with Planning prior to ❑ LARGE
submittal of Building Permit application.
❑ MAJOR
SignApp_201 Ldoc revised 03/31/11
t
r
Certificate of Compliance (Sign Lighting) (Page 1 of 4) SLTG-1C
Project Name:
J Date:
Project Address: V
Ca 4" /
TDvm
Location of Sign Outdoor Signs ❑Indoor Sign
Phase of Sign Construction KNew 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) _
Fl I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is_tt 6.ftd
correct. -
l.] I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighfiirg[iesign.
This Certificate of Compliance identifies the lighting features and performance specifications required for compliatipe,wilh
Title 24,Parts 1 and 6 of the California Code of Regulations. r
❑ 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, s and specifications submitted to,
enforcement agency for approval with this building permit application.
Name: J—VAI t �- Signature
t.w
Company: ) S t S Z Phoneme
Address: License number(may a contractor's lic*1
City/State/Zip: C n To
I Date L ['
2. Installation Certificate (to be signed by responsible person after installation) CJ �•
Permit number Checked by/Date
Enforcement Agency Use nfoncement Agency Use
Installation Declaration statement
❑ 1 certify under penalty of perjury,under the laws of the State of California,the information provided on this forme and
correct.
F] 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.
n 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.
I certify that the requirements detailed on this Certificate of Compliance have been met.
❑ 1 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: C t
Responsible Person's Name: Responsible Person's Signature:
t1V1 kttit"
License number(may be contractor's lic#) Date Signed: Position With Compan .
2008 Nonresidential Compliance Forms October 2010
f
Y
Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTG-1C
Project Name: iDate:
V;11 � t o tk1i+'k. 1-
3. Mandatory Sign LijIting 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 applicable to the portion of construction for which they are responsible;
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-1C shall complete Part 3a.Check Yes or No for all of the following statements:
I I have responsibility for installing the sign lighting controls
❑Yes,complete parts 3a and 3b of this form 91,No,complete part 3a of this form
2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes ❑No
3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
❑ Yes ❑No
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
❑ Yes ❑No
There are existing sign lighting controls that do not comply with the applicable provision of§119 and§133 and someone else
5 will be responsible to install compliant sign lighting controls
Yes ❑No
3b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-1 C 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
M 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 I 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 Y N NA
2 control or an outdoor astronomical time switch,that comply with the applicable requirements of§119. k ❑ ❑
Exception to§133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during Y IA
daylight hours. 11
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y N NA
sign ower by a minimum of 65 percent during nighttime hours. b� ❑ ❑
Exception 1 to§133(a)3. Signs illuminated for less than one hour per day during daylight hours. Y NA
3 ❑ 171
Exception 2 to§133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during Y NA
daylight hours. ❑
Exception 3 to§133(a)3. Only metal halide,high pressure sodium,cold cathode,or neon lamps used for Y NA
illuminating signs or parts of signs. ❑
§133(a)4. An Electronic Message Center(EMC)having a new connected lighting power load greater than Y N N/A
15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when ❑ ❑
4 receiving a demand response signal that is sent out by 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
'r
Certificate of Compliance (Sign Lighting) (Page 4 of 4 SLTG-1C
Project N ame: ` /;l r t0 �^•A i 5� Date:
5. Specific LigVhtiing 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
Symbol VERIFIED compliance Inspector
Check that
or Description label Shall include only lighting
Code (see instructions technologies listed below Sign
below) List all that apply Complies
0 0
0 0
0 0
0 0
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.
I 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 efficiency>_ 75%with rated output current<50 mA
U 5 Neon or cold cathode lamps with transformer or power supply efficiency_>68%with rated output current>50 mA
6 Fluorescent lamps with a minimum color rendering index(CRI)of 80
(Note:when using electronic ballasts for compliance,lamps with a CRI<80 may be used
7 1 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 Electronic ballasts with a fundamental output frequency>20 kHz
E I This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
J
1
Certificate of Compliance (Sign Lighting) (PaLe 3 of 4 SLTG-1C
Project Name: Date:
",W'D
4. Maximum Allowed Lightin2 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 compliance
A B C D E I F G H I J
A Allowed Watts Design Complies?
Watts Y/N
ag
w
UxO oWb Ate ' M VI
o z w 3 x
Field
�°
Z ¢ E c ri 3 °� Inspector
o �? x w S Check that
F_ p G
Description ✓
0 U Sign
EComplies
d [64 liW X0(_6 j(0 �' ❑
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.
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'Fare 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 in square feet.
E List"I"if the sign is internally 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 Multiply the 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 Enter Y if the number in column H is less than or equal to the number in column G. Otherwise the sign does not comply.
J This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Y COMMUNITY DEVELOPMENT DEPARTMW
BUILDING DIVISION-CUPB;ffM
APPROVED NEW SIGNAGE FOR VILLAGIO DENTAL"
This set of plans and specMicatfons MUST be kept at the
Job site during construction. it Is unlawful to mak arty (16" HT. ILLUM. INDIVIDUAL REVERSE CHANNEL LETTER SIGN )
changes or alterations on e
therefrom,with aff� � -
The stampin of thi and speciflcatkma SHALL 1/2"
or To Be an app—m of the vlolatkm 122" .050 ALUMINUM 3,
of�Y ons of any City Ordinanoe or State Lay& CHANNEL RETURN WALL(STUCCO) r
LETTER FACE C W
T (0.065 ALUMINUM)
IT NO. LED UNITS 120V 20 AMP t „
24" PRIMARY CIRCUIT
16" 1/2"WIRE CONNECT ° LOW VOLT'V ._
PASS THRU POWER SUPPLY
3/16"CLEAR LEXAN DISCONNECT SWITCH
2 OF 1/4' HOLES 3/8"X 6" BOLTS/NUTS
(5MIN. /LETTER) CY
CY
SC p/4►", 1"(�?";, 13/17"x 2" w a
COLORS MATERIALS
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23 �� 1 REVERSED CHANNEL LETTERS 5ECTi0N
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LOGO - DIGITAL PRINTED TRANSLUCENT STICKER ON BLK. 0,063" ALUMINUM
CHANNEL - BLK. (3" RETURN, 0.050 ALUM.) ''"
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