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09080390t .i' r�JJJJId IllfJJJJI•!rj:-JJ - '_ U J L'I"T Ji I! 7 File Edit Actions Details Lints Favorites Help Permit Property Zoning Applicant Contractor " Defined Fields Permit Number 09080390 Status C - Closed Master Number SIGNS, OUTLINE LIGHTING & MARQ Project 10,1 Notes Apply Date 08/27/2009 Permit Issue Date 08/27/2009 Certificate Issued 09/04/2009 Certificate Type t�vdr�r Er'itInfnr;nah,ri Certificate Number patg Permit Property Zoning Applicant Contractor " Defined Fields Lo� �i o. -i Ir _rc=,icor Permit Type x Address x 19620 STEVENS CREEK BLVD STE 160 SIGNS, OUTLINE LIGHTING & MARQ City/State/Zip CUPERTINO CA 951714 10,1 Notes 0 APN 36906010:3 QTS , Applied Value x 3850:i 1011 Unit Operator patg t�vdr�r Er'itInfnr;nah,ri Operator patg I Owner Name %I CHINA TRUST BANK Operator PALM Use Default ❑ Ownership 1 Private Address Business -19620 STEVENS CREEK BLVD STE 160 Permit Property Zoning Applicant Contractor " Defined Fields Permit Details Permit Type x 10EAP5 ICI SIGNS, OUTLINE LIGHTING & MARQ Usage Class " N/A IQI NON APPLICABLE Applied Value x 3850:i SQUARE FT. 0 Calculated Value 0 IIS US C-404 Type 437 ISI ALT: NON -RES, NON-HSKPG Permit Form " AUTOPERM - PERMIT Ownership 1 Private Project Size COUNTER -OVER THE COUNTER Permit issued 08/2712009 Enter the purpose or any special conditions for this permit City/State/Zip CUPERTINO CA 95014 Purpose/Special Conditions INSTALL 2 SETS WALL SIGN ILLUMINATED CHANNEL LETTE WALL SIGNS FILHED 6/20111 [©Add Default T 1,,_,, -'OK I Back Imo, Contractors Fees Imo;; Plan Reviews I�.Inspections IC Print Permit �-"'Adjustments H olds `J I17_-�] Copy Permit Close Permit Overrides I'= Supplemental Fields r,INotes Attachments I CITY OF CUPERTINO BUILDING PERMIT I I BUILDING ADDRESS: 19620 STEVENS CREEK BLVD STE 160 1 CONTRACTOR: SIGN ART CO I PERMIT NO: 09080390 1 OWNER'S NAME: CHINA TRUST BANK 1 423 S CALIFORNIA ST. I DATE ISSUED: 08/27/2009 OWNER'S PHONE: 3107912828 1 SAN GABRIEL, CA 91776 1 PHONE NO: (626)287-2512 ❑ LICENSED CONTRACTOR'S DECLARATION License Class C Lic. # Contractor Date Z �� I hereby affirm that I am licensed under the provisions of Chap er 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. 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 1 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. BUILDING PERMIT INFO: BLDG F_ ELECT f— PLUMB F_ MECH F_ RESIDENTIAL i— COMMERCIAL F_ JOB DESCRIPTION: IN STALL 2 SETS WALL SIGN ILLUMINATED CHANNEL LETTERS WALL SIGNS Sq. Ft Floor Area: Valuation: $3850 APN Number: 36906010.STE160 I Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. I u db ss e y. Signature Date ❑ OWNER -BUILDER DECLARATION hereby affirm that 1 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) I, 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: 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. 1 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. 1 certify that in the performance of the work for which this permit is issued, l 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, 1 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 1 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 Date: 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 puthori,efl age t: w gn Da etet �. CONSTRUCTION LENDING AGENCY 1 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 ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed tv � L 6 CITY OF CLI PEI�JINO CITY OF CUPERTINO SIGN PERMIT APPLICATION FORM 0`td� 0 C, APN # Date: 0 ii �y Building Address: Mailing Address (if different from building address): Owner's Name: Phone #: CA CL (t)-711lr,. Contractor: Phone #: 6 _,)t? JN �� Fax #: — —D 6 Contractor License #: Cupertino Business Lic se #: Contact: Phone #: Fax #: Building Permit Info: Bldg VL Elect Monument ❑ Mounted on Building Residential El Commercial Job Description: e , 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 01/07/09 i CITY OF CUPEkTINO CITY OF CUPERTINO SIGN FEE SCHEDULE Quantity Fee ID Fee Description Fee Group Permit Type 1"SIGNDIRECT 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 I SIGNREINSP Re -inspection Fee B 1 SIGNWNONEL Wall/Awning Sign, Non- Electric B 1 SIGNWELEC Wall, Electric E ' 1 ESIGN Sign, Outline Lighting System or Marquee supplied from one, branch E 10EAP5 1ESIGNADD Additional Branch Circuit on Same Sign, Outline System or Marquee E 10EAP6 / 1ELCPLNCK Plan Check Fee E PERMITFEE Electric Permit Fee E 1BCBSC Cal Bldg Standards Commision Fee B ALL PERMIT TYPES BSEISMICOM Seismic Commercial B SEISMICRE Seismic Residential B TRAVDOC Travel & Documentation B BUSLIC Business License B CITY OF CUPEkTINO Community Development . 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax (408) 777-3333 Building Department .:ADDRESS: 21 SUBCONTRACTOR ,M .C P- BUSINESS LICENSE # I am not using any subcontractors: Signature Date PIease check applicable subcontractors and complete the following information: Owner/Contractor Signature Dat ' 21 SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile Owner/Contractor Signature Dat ' CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19620 STEVENS CREEK BLVD STE 160 CONTRACTOR: SIGN ART CO PERMIT NO: 09080390 OW!YER'S NAME: CHINA TRUST BANK 423 S CALIFORNIA ST. DATE ISSUED: 08/27/2009 1 :R'S PHONE: 3107912828 SAN GABRIEL, CA 91776 PHONE NO: (626)287-2512 ❑ LICENSED CONTRACTOR'S` BUILDING PERMIT INFO: BLDG F— ELECT F- PLUMB F 7DECLARA22TION License Class .-- Li,- # / \77 D MECH RESIDENTIAL COMMERCIAL Contractor Date ` Z --0'� I hereby affirm that I am licensed under the provisions of Chap er 9 JOB DESCRIPTION: INSTALL 2 SETS WALL SIGN ILLUMINATED (commencing with Section 7000) of Division 3 of the Business &Professions CHANNEL Code and that my license is in full force and effect. LETTERS WALL SIGNS 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: $3850 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. APN Number: 36906010.STE160 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: Signature Date C� 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. 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) 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). HAZARDOUS MATERIALS DISCLOSURE 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 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. 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 1 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 become subject to the Worker's Compensation provisions of the Labor Code, I must Owner or thori age t, 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 ups 'he above mentioned property for inspection purposes. (We) agree to save Lender's Address it ify and keep harmless the City of Cupertino against liabilities, judgments, C :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