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15110135�I CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10073 SAICH WAY CONTRACTOR: ALL CALIFORNIA SIGNS PERMIT NO: 15110135 OWNER'S NAME: SAICH WAY STATION LLC 80 PELICAN CT DATE ISSUED: 11/18/2015 OWNER'S PHONE: 4084534700 NEWPORT BEACH, CA 92660 PHONE NO: (949) 209-8716 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL H & R BLOCK - INSTALL 2 NON -ILLUMINATED WALL License Cl i - "�— Li,. #1 SIGNS (& 2 SIGN PANELS ON MONUMENT) �i` Date Contractor� i OCYI r cr " 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: 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: $8276 performance of the work for which this permit is issued. We and will maintain Worker's Compensation Insurance, as provided for by APN Number: 32632041.10073 Occupancy Type: Section 3700 of the Labor Code, for the performance of the work for which this 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 to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OETYJWT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F S LED 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 I Date: granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Secti 9.18. RE -ROOFS: Signature .Date 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 25505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized age�����atel/r sf�� 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, 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 CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(deupertino.org J —se -7/ 0/3—Se— PROJECT ADDRESS 10073 Saich Way Cupertino, CA 95014 APN# 326-32-041 170 OwNERNAME Saich Way, LLC / Larry Bengiveno PHONE 408-453-4700 E-MAIL larry@borelli.com STREET ADDRESS 2051 Junction Avenue, Suite 100 CITY, STATE, ZIP San Jose, CA 95131 FAX 408-453-5636 CONTACT NAME Archie Trinidad / Bill Comer PHONE 909-714-6406 E-MAIL archie@acsign.com STREET ADDRESS 80 Pelican Ct CITY, STATE, ZIP Newport Beach, CA 92660 FAX 13OWNER 11OWNER-BUILDER 13OWNER AGENT ElCONTRACTOR 6 CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME BIII Comer LICENSE NUMBER 636326 LICENSE TYPE C„455 BUS. LIC # 35463 COMPANY NAME All California Signs E-MAIL archie@acsign.com FAX STREET ADDRESS 80 Pelican Ct CITY, STATE, ZIP Newport Beach, CA 92660 PHONE 949-209-8716 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Install Two Sets of Non- Illuminated Channel Letters on Wall USE OF ❑ SFD or Duplex ❑ Multi -Family STRUCTURE: ® Commercial ILLUMINATED (Y / N) SIGN TYPE NO. OF SIGN AREA VALUATION (CODE) SIGNS (SQ. FT.) M SIGN TYPE CODES: 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 F, - ELECTRONIC W - WALLSIGN READERBOARD wr - WINDOW SIGN No W 2 30.3 (ea) 8,276 .IVED BY* TOTAL VALUATION: 8,276 By my signature below, T certify to each of the followln the property owner or authorized nt ct on the property owner's behalf. T have read this application and the information I have provided is correct. I have read the Description of w oz9AdNerity it is accurate. I agree to comply with all applie�able local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. 11-02-15 Signature of Applicant/Agcnt: Date: SUPPLEMENTAL INFORMATION REQUIRED Site Plan Elevations _ Sign Details - including UL listing(s) applicable Structural Calculations (if applicable) _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit. application. OFFICE, USE ONLY PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR ❑ BUILDING PLAN REVIEW ❑ PLANNING PLAN REVIEW ❑ OTHER: SignApp_2011.doc revised 03/31111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION `.- ADDRESS: 10073 SAICH WAY DATE: 11/18/2015 REVIEWED BY: MELISSA 1116 -in ("he e lee: APN: 32632041.10073 BP#: 'EVALUATION: 1$8,276 *PERMIT TYPE: Building Permit PL, -1 N C11ECK TYPE: PRIMARY Sign USE: g PENTAMATION 1 CEAP5 PERMIT TYPE: WORK H & R BLOCK - INSTALL 2 NON -ILLUMINATED WALL SIGNS & 2 SIGN PANELS ON MONUMENT SCOPE Tech. I'lran Check I I 1'Itanb. /'batt Check I I# Branch Circuits I1 $48.00 1'iU,tt17. 1'e•rniit F. IESIGN Elec. Permit Fee: IEPERMIT Othee 11ech..1rtsp. C?f,ur.1'Itrrr 3Irts Other Elec. Insp. 0.0 $48.00 .IS IL?L'1 t. IY<'Sp3. I,` 1''71f?n11..1tt:ti jt. I`.?e: E'lee. l nsp. Vee: NOTE: This estimate does not include fees due to other Departments (i. e. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc.). T hese_jees are based on the preliminary information available ana are only an estimate. c,'ontact the Dept for aaan t info. FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13, FEEQTY/FEE MISC ITEMS 1116 -in ("he e lee: Suppl. PC Fee: (j) Reg. 0 OT 0.0 hrs $0.00 Permit Fee: $572.00 Suppl. Insp. Fee:; Reg. 0 OTTO—-0 hrs $0.00 1 PME Unit Fee: $48.00 PME Permit Fee: $48.00 consi7^u£:lion :lira:: ,dthnini.slralive l°'ee: Work Without Permit? 0 Yes (D No $0.00 Sign Master Plan: 0 Yes (D No $0.00 Travel Documentation Fee: 1TRAVDOC $48.00 Strong Motion Fee: IBSEISMICO $2.32 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS " $719.32 $0.00 TOTAL FEE. $719.32 Revised: 10/01/2015 I Allowable SQ.FT. 1 32.6 SQ FT Total SQ.FT. 1 30.8 SQ FT 13'2-5/16" /4111-1 ]�En4 28,• Leave As Is: ❑ Additional Notes: IoFF��� LED Retrofit: ❑ Face Change: ❑ Y El Existing Face Col r: ❑ White ❑ Day/Night �'► � El Other Face Color: ❑ White ❑ Day/Night ❑ Other Rear ID ;SATE PLANNING DEPT Cv TTYPE:RNIono Illuminated Channel LeS '19FRT�Np FAB: 5" deep std .040 coil - white interior, .063 pre -Mite aluminum nt backs 0% . COOES04f MOUNTING: Flush mounted to building exterior �' - PC/gHC� with req. hardware 1/4"x3" Lag screws (4 Per letter) ILLUMINATION: None LETTER FACES: 3/16"thk. #2447 Arkema Plexiglas Acrylic with 1"std trimcap. LOGO FACES: 3/16"thk. #2447 Arkema Plexiglas Acrylic with 3M 3630-106 Brilliant Green. IN DIVIDUALLY- MOUNTED CHANNEL LE17ERS PRE -PAINT: Letter returns - pre -painted coil (PMS Gray 430C) Logo returns - pre -painted coil (PMS 376C) ' UNITY DEVELOPMENT Dt�ri{p capf- pre -painted black(letters) green(logo) ILDING DIVISION - CUPE `Ij1�7U APPROVED 3 and specifications MUST be kept at the construction. It is unlawful to make any Colors to Match or alterations on same, or to deviate ithout approval from the Building Official. s Letter Returns f this pian and specifications SHALL NOT PMS 430C Gray or pproval of the violation 4 'ty Ordinance or State Law. Signage Recommendations: Channel Letters: EJ Raceway: ❑ Y 0 New Face Color: ■ White ❑ Day/Night ❑ Other Existing Sign Size: N/A X N/A New Sign Size: OR 28"-14" X 13'-29/16" Part # Box Sign: ❑ Trite & Returns - PMS 376C v-�L4--, Faces - #2447 Arkema Plexiglas -ith 3M 3630-106 Brilliant Green Awning: ❑ Reface Existing: ❑ Illuminated: ❑ Y Retrofit Existing: ❑ ❑ N New Sign: ❑ Size: ❑ 2'X 8' El 3'X 5' Shared Pylon/Tenant Sign: ElY 0 T 8' El TX 6' El ❑ 4'X 8' ❑ 4'X 10' If yes, Green logo with ❑ ❑ 2'-6" x 11'-0° white copy ❑ Other: 0'-0" X 0'-0" Other ❑ J b." N ED it F ."f 1. TRIM CAP WITH RETAINING SCREW 2. 3/16" THK. #2447 ARKEMA PLEXIGLAS ACRYLIC 4. ALUMINUM .063" BACKS /.040" RETURN 6. FASTENERS AS REQUIRED ❑ SIG NS Sales Rep: La Sg crew till Wood lags for solid wood backing Designer: Concrete lags for solid masonry applications ❑ �t Toggle sate.. ..... El - Wedge Anchors .. For Use in Masonry Applications ❑ Thru-Bolt with U -Channel Hollow Walls with Rear -Access SOUTH WATER SIG NS Sales Rep: till Designer: nkr 0 a CL ,z c -o a� c iIF V >�- J f\ M Ln� o� o o 0 �o r- o 00 N Op O� O C o D � 4— J Location: 10073 Saich Way Cupertino, CA MEMBER INTERNATIONAL SIGNASSOC A110N LISTED Allowable SQ.FT. 1 32.6 SQ FT I Total SQ. 1- 1. 30.8 SQ FT 13'2-5/16" 14-3/411 H EL L IL( E Leave As Is: ❑ Additional Notes: LED Retrofit: ❑ Face Change: ❑ Y 0 Existing Face Color: ❑ White ❑ Day/Night ❑ Other New Face Color: ❑ White ❑ Day/Night ❑ Other BEAR ID TYPE: Non Illuminated Channel Letters FAB: 5"deep std .040 coil - white interior, .063 pre -finished white aluminum backs MOUNTING: Flush mounted to building exterior with req. hardware 1/4"0" Lag screws (4 Per letter) ILLUMINATION: None LET; ER FACES: 3/16"thk. #2447 Arkema Plexiglas Acrylic with 1"std trimcap. LOGO FACES: 3/16"thk. #2447 Arkema Plexiglas Acrylic with 3M 3630-106 Brilliant Green. PRE -PAINT: Letter returns - pre -painted coil (PMS Gray 430C) Logo returns - pre -painted coil (PMS 376C) ' Trim caps - pre -painted black(letters) green(logo) O— ���rr�nent Colors to Match Letter Returns R 'q4"`"E(COMPLIANCE PMS 430C Gray RwAoWob 6y: Signage Recommendations: Channel Letters: ❑ Raceway: ❑ Y El N New Face Color: ® White ❑ Day/Night ❑ Other Existing Sign Size: N/A X N/A New Sign Size: OR 28"-14" X 13'-2 9/16" Part # Box Sign: ❑ Reface Existing: ❑ Retrofit Existing: ❑ New Sign: ❑ Size: ❑ 2'X 8' ❑ 3'X 5' ❑ 3'X 8' ❑ 3'X 6' ❑4'X8' ❑4'X10' ❑ 2'-6" X 11'-0" ❑ Other: 0'-0" X 0' -0" - Trim & Returns - PMS 376C Faces - #2447 Arkema Plexiglas with 3M 3630-106 Brilliant Green Awning: ❑ Illuminated: ❑ Y El Shared Pylon/Tenant Sign: ❑ Y 0 If yes, Green logo with ❑ white copy Other ❑ 1. TRIM CAP WITH RETAINING SCREW 2. 3/16" THK. #2447 ARKEMA PLEXIGLAS ACRYLIC 4. ALU MINUM .063"BACKS /.040' RETURN 6. FASTENERS AS REQUIRED ❑ 3 % G N S Sales Rep: Lag Screw till Wood lags for solid wood backing Designer: Concrete lags for solid masonry applications nkr Toaale Softs 0 F-1 0= Werdge Anchors For Use in Masonry Applications SOUTH PYA T ]E R 3 % G N S Sales Rep: till Designer: nkr 0 o o ro � M 00 10 ry r �M 0o a W o 0 �o �o � 06o N p 0 rC CU D � ruto�. N Vl J Location: 10073 Saich Way Cupertino, CA MEMBER r As�»� LISTED H & R Block 10073 Saich Way Cupertino 29-5/8" (2) externally illuminated sign panels 1/2" FCO letters painted respected colors, pin mounted to metal panel brushed aluminum, CUPERTINO Building Department NOV 18 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By. Tenant / Pylon Before Recommended Sales Rep: Designer: > o o Q' Q M Q o U C� CD r a 00 0 0 �o o00� o>- Y l/1 J Location: 10073 Saich Way Cupertino, CA MEMBER fl(n)@ NTEWPONALSGASSUTON LISTED 0803 Stevens Creek Boulevard & Saich Way I Cupertino, CA I IP �i►wslw F1 SRS Real Estate Partnefs PRKT %&IIAR'Y =we P, we 0M Aes+c rue+ •wn cr n! a" V" "M 400-Wod r wwt 30-a"M cum M...a clam r �csplw l M am I" AMA I JIM Ar law V M10,9CT Raaq 106A• iel9�'! • A �� • Jl eEir VP Ru IN �Idi � Y 0epar�nt Way Cupertin0 *IE rj �oft �Y R�wr, R CptE caMPUgNCE 8y, 10073 Saich c1sJr.> 4.4 LU A win r r�txNu rE tIkK— - - � Y "i':. i.: • /rF}'� f r'+ • �, . , � ..__mama_ .. ._- ,..�. i iaIt.kVA'V {i .� a. +• t .....-.,a.W,....::.<,...,....,..,.d.s...��„•..:#.y...e..n.. mama _...�,.� mama ...•.--- . - �- --- ..._.,.W...,.,.�.. .rte 01; ..--!M t^� Jft to C © COPYRIGHT 2013, BY SOUTH WATER SIGNS, LLC. ALL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF SOUTH WATER SIGNS, LLC, AND MAY NOT BE REPRODUCED IN PART OR WHOLE WITHOUT WRITTEN PERMISSION FROM SOUTH WATER SIGNS, LLC. Li �J T "F1 _VV A T Sales Rep: Designer: O M o � M o Oai O O 7 O O w/ 00 O N O i(iT T0 o� Y � V1 J Location: 10073 Saich Way upertino, CA MEMBER I 0 �ONATOMLSGNASSOCAON LISTED © COPYRIGHT 2013, BY SOUTH WATER SIGNS, LLC. ALL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF SOUTH WATER SIGNS, LLC, AND MAY NOT BE REPRODUCED IN PART OR WHOLE WITHOUT WRITTEN PERMISSION FROM SOUTH WATER SIGNS, LLC. SOUTH WATER S I G NS Sales Rep: Designer: M > 0 a Q v 0 v ti v o � Vl J Location: 10073 Saich Way Cupertino, CA MEMBER n 0 �N'ERNATMWASSOCAN LISTED © COPYRIGHT 2013, BY >OUTH WATER SIGNS, LLC. ALL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF SOUTH WATER SIGNS, LLC, AND MAY NOT BE REPRODUCED IN PART OR WHOLE WITHOUT WRITTEN PERMISSION FROM SOUTH WATER SIGNS, LLC. 5 0)TTT1--I "rVATER sl errs Sales Rep: Designer: 0 M 00 � O C 01 r C � .O ria O1 O O Ln O � O O -• C O N v� `a v o � «� ro V1 J Location: 10073 Saich Way Cupertino, CA MEMBER NTEWTI0kS1GNASf, :', LISTED