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11010101 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19620 STEVENS CREEK BLVD STE 280 CONTRACTOR:HENRY'S DESIGN&SIGN PERMIT NO: 11010101 CO OWNER'S NAME: KCR DEVELOPMENT 2018 EVANS LN DATE ISSUED:01/18/2011 OWNER'S PHONE: 4088637346 SAN JOSE,CA 95125 PHONE NO:(408)269-0888 ❑ LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class f ; Lic.# MECH RESIDENTIAL COMMERCIAL Contractor / Tn Date VAA ,,__Lll I hereby affirm that I am licensed raider the provisions of Chapter 9 JOB DESCRIPTION: STE 280-GREEN VALLEY REALTY-ILLUMINATED (commencing with Section 7000)of Division 3 of the Business&Professions CHANNEL LETTERS SIGN FOR EXISTING COMMERCIAL SITE 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 Sq.Ft Floor Area: Valuation:$3000 Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. APN Number:36906010.280 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 accrue against said City in consequence of the 180 DAYS FROM LAST CALLED INSPECTION. 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. Issued by: Date: Signatures =— 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 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 9.12 and tine 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 9.12 and the I certify that in the performance of the work for which,this permit is issued,I shall Health&Safety Code,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 autl r' ed age t: become subject to the Worker's Compensation provisions of the Labor Code,I must Date: forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I hereby affinn 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 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 accme 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 YOF L 66 CITY OF CUPERTINO A SIGN CUPERTINO PERMIT APPLICATION FORM APN# Date: Building Address: 9 C Mailing Address (if different from building address): Owner's Name: Phone#: -e-0/vt[Lv le, Contractor: Phone#: v e Fax#: Contractor License #: Cupertino Business License #: Phone#. Contact: Fax/e-mail: Building Pen-nit Info: Bldg Elect Monument ❑ Mounted on Building ❑ Residential El Commercial Job Description: U A-1 Valuation (cost of project): Project Size: CounterExpress 0 StandardE] Large [] Majoi '— 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 12/06/10 I Building Department City Of Cupertino i 10300 Torre Avenue Cupertino, CA 95014-3255 RTITelephone: 408-777-3228 CUPEFax: 408-777-3333 CONTRACTOR U CONT CT LIST JOB ADDRESS: PERMIT# r0 OWNER'S NAME: c F` b e,d / v PHONE# <? p e,� &:-S' GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS:c�lJ? CITY/ZIPCODE: 4-74 _ *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: � Signature Date Please check applicable subcontractors and complete the following information: I SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring/Carpeting Linoleum/Wood Glass/Glazing Heating Insulation Landscaping Lathing i Masonry Painting/Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Date I SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 C1JPERTIN4 (408)777-3228 • FAX(408)777-3333•building Dcupertino.org i PROJECT ADDRESS .'� APN# �� I OWNER NAME PHOIrt( � /� E-MAIL STREET ADDRESS /I n ^ CITY,STATE,ZIP FAX CONTACT NAME PHONEE-MAI STREET ADDRESS CITY,STATE,ZIP FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHrIECT ❑ENGINEER ❑ DEVELOPER ❑TENANT CONTRACTOR NAME M LICENSE NUMBER o /r® LICENSE TYPE c,*� BUS.LIC 9 COMPANY NAMEE-MAIL �94 to 6' G•GM FAX Suc.egs �c si W I�r�vGLo STREET ADDRESS (T'r w r")g R CITY,STATE,ZIP w PHONE t'�� /' ARCHITECTIENGINEER NAME LICENSE NUMBER �C BUS.LIC#�(a COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WORK ��C7A U C--') S l' ti v 6`�At�V1 S N USE OF ❑ SFD or Duplex ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION STRUCTURE: Commercial (YIN) (CODE) SIGNS (SQ.FT.) p` (�) SIGN TYPE CODES: ^' Z 3; ✓►S"J 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 E - ELECTRONIC W - WALL SIGN READERBOARD WI - WINDOW SIGN TOTAL VALUATION: By my signature below,I certify to each of the following: I a owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is co read the Description of Work and verify it is accurate. I gree comply with all applicable local ordinances and state laws relating to building c ction. I authoiZ� tives of Cupertino to enter the aboi�id I,( Ied rope for inspection purposes. Signature of Applicant/Agent: Date: U t l SUPPLEMENTAL INFORMATION REQUIRED = a==usr�© � � Site Plan .`HIM- =�DA�r_el�c�`�>�Y- �-- Elevations -❑. PREs - 3 -- Y .$UFPIIu`(�rA Sign Details-including UL listing(s)applicablesAz� �. � Arrt ren i tv� Structural Calculations(if applicable) Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. SignApp_2011.doc revised 03/16/11 I Building Department City Of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 C U P E RT I N O Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST � JOB ADDRESS: PERMIT# OWNER'S NAME: _C.. PHONE# GENERAL CONTRACTOR: BUSINESS LICENSE# ADDRESS: ( - CITY/ZIPCODE: *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. � _..._. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets &Millwork- Cement illworkCement 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 i CITY OF CUPERTINO FEE ESTIMATOR-BUILDING DIVISION ADDRESS: 19620 Stevens Creek#150 DATE: 10/11/2011 REVIEWED BY: gs i APN: BP#: "VALUATION: 1$5,500 'PERMIT TYPE: Building Permit _:- r t;`1s=''T:T),71-- PRIMARY Si PENTAMATION Sign 1 CEAP5 USE: g PERMIT TYPE: woRK Install 2 channel sign SCOPE SIGN TYPE FEE ID QTY SIGN FEE Wall Sign,Electric 1SIGNWELEC 2 $520 TOTALS: $520.00 A,ie #Branch Circuits 1 $44.00 l'r<rc „ �,{ IESIGN Elec.Permit Fee: IEPERMIT fr��, t.)1hov 1�t-z h.Ir<.r„ 3tir��` 'rtt}rls7.+.:rt;. OtherElec.Insp. 0.E]�$44.00 Iasi?, F`t" ; (S1'... t3 : 1- i?t`.f)v:. NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc. . Thesefees are based on the prelimina information available and are onjV an estimate. Contact the De t or addn'l info. FEE ITEMS (Fee Resohition 11-053 E . 7/1111) FEE QTY/FEE MISC ITEMS Sup pl.PC Fee: Q Reg. Q OT 0.0 hrs $0.00 Permit Fee: $520.00 Suppl.Insp.Fee:Q Reg. Q OT F6.61hrs $0.00 PME Unit Fee: $44.00 PME Permit Fee: $44.00 s.,3(rF1.L'fr�tF`,.tlf Jit ICf{ .#!{i'13iY7f:1 r'F C( JIii.' Fee Work Without Permit? 0 Yes (D No $0.00 Sign Master Plan: Q Yes (F) No $0.00 Travel Documentation Fee: ITRAVDOC $44.00 Strong Motion Fee: 1BSEISMICO $1.16 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $654.16 $0.00 TOTAL FEE: $654.16 Revised: 10/01/2011 i i i 8 a 1/4x2" log screws with washers j Existing building 5"wood wall Race way r rug r Plex face with trim cap 30ma neon tubing GTO cable with silicon cap 1/electric conduit 5"deep letters body with UL list Lease 4 lath '/screws for each letters I ° Holes Transformer with box& _ 1 disconnect switch . r S ECTIM STRUCTURE AND MOMING Not to scale method of attachment - q F �n -; - PROPOSED,S"DEEP INDIVIDUAL CHANNEL LETTERS SIGN. ILLUMINATED BY NEON INTERNALLY . tv ALL LETTERS ARE TO BE FABRICATED BY 22 GAUGE SHEET METAL, THE FACE OF SIGN IS 3/16" THICK ACRYLIC WITH VINYL ART WORK, THE COLOR AS SHOWING AS fi ; 3 rf d DRAWING . LETTER'S FACE IS CLEAR PLASTIC, THE TRIM CAPS " ARE 3/4" WIDE WITH BRONZE COLOR. NEON IS GREEN ALL RETURNS COLOR ARE BRONZE ALL ELECTRICAL V-6)) COMPONENTS & ASSEMBLY ARE TO BE U.L RATED ` ® ® ® ® SIGN LOCATION SEE THE ATTACHMENT. � _ PiANS , -22 -6 UNIT FRONTAGE40 I N AREA TOTAL 28 Sq FEETPUANING DEPT. ACCOUNT Ei/ y.Q LI-6 F,4 L T 1;T.7W P—Vrl. LOCRbTION9620 STEVENS CREEK�Iva. 2 DRAWER HENRY'S SIGN CO. DATE 1/15-2011 i I I ••-•� —_....._�.-�--=–'"--Yl���--�---1--'y—'_r-- �r= ��7---�-r--'�t-: : 1 � t I-r •`I ; ,j_?.' 1 i,-�t- 4' ,•I i, i, •lt ; t 1' ;\•rte I� \, 't _r�'•i,' ?;/\ �I"I' /* jj /[ !` / �/ \\\/\x\�\ \\\ ,\\\ `-may V .��._ ._ '�\�t \! t 71 UHr 41 14-1 1] Wi, \ �\ f/ J J.i \ I Lj Ttr-El :ELF EF 71� C, A, " if P-1 itKM ii��6 Aj it