B-2016-1179 PERMIT APPLICATIONCUPERTINO
COMMUNITY DEVELOPMENT DEPARTMENT > BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(CDcupartino.org
C�
PROJECTADDRESS 10200 North D1e�Anza Boulevard Cupertino, CA
APN 4 316-26-088
OWNER NAME 1G�G ✓/ r ..ei-'�
PHONE L a0 P,('( � MU. / L
1.�
E-MA1L / I(G
Y(,/ r
STREET ADDRESS l (t `�o a �..11 J+��-S I_ dI w re
V/ 1. V
CITY,/ST�ATE(ZI�,� C—'4 l
FAX
(/rpl
J
CONTACT NAME
f
PH $ v �/f / . / O
1
E- A1L t� 0I C
��'T
STREET ADDRESS `L7 a 0 U/ f ve r(( Q on -
CITY, STATUyZOvP s•� `ram-/iJ%_
FAX
'OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVRL )PER ❑ TENANT
CONTRACTORNAME l _ r�1n' (+
LICENSE,NUM 90l6l
LICENSE TYPE,,
BUS. LIC 47
COMPANY NAME .
E-MAIL
E-MAIL
c01
d Lz`�Z
tnS
r~fQSee sl sUflI;M�Q.
STIUiEI' ADDRESS Q O �0.�_ (�
CITY, STATE, 7I5 - n n _ i� !'/��j
((�J//�� "(JI
PH U� I z in/ fob
G
- n0..G
6 /
ARCHITECTIENGINEER NAME
LICENSE NUMBER
BUS. LICa
COMPANY NAME
E-MAIL
FAX
STREETADDRESS
CITY, STATE, Z(IpP��/PHONE
f� DESCRIPTION OF WORK
I
ITa I�twyyV1 ��.Nh �X..1TU5 3u1��1
tiS /4rA�r�,C 2( dI2. IFw (/L�..'J
Illuminated Skyline -Wall (QTY 1) 18'-0"(w) x 2'-6"(h) Internally illuminated LED cannister skyl ne letterset with painted returns
returns to match face colors
USE OF ❑ STD or Duplex ❑ Multi -Family
ILLUMINATED
SIGN TYPE
NO. OF
SIGN AREA
VALUATION
STRUCTURE: 'Ug-Commercial
(YIN)
(CODE)
SIGNS
(SQOFT.)
($)
SIGN TYPE CODES:
B - BANNER SIGN M - MONUMENT (GROUND) SIGN
BE - BLADEsIGH P - PROJECTING SIGN
_D _- ❑EVELOPMENTID-SIGN _ SP—SPECIALEVENTBANNER
DI - DIRECTIONALSIGN T - TEMPORARY
F
E - ELECTRONIC W - WALLSIGN
READERBOARD WI - WINDOW SIGN
RECEIVED BY:
TOTAL ALUATII I,
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have ov ded is correct, I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relating to I Ig co tru ation. authorize representatives of Cupertino to enter the aboveified pr perty for inspection purposes.
1-ide
Signature ofApplicanHAgenC �-- Dale:
SUPPLEMENTAL INFORMAT ON REQUIRED
OFFICE
USE ONLY
Site
PLAN CHECK'I YPE
ROUTING BLIP
Plan
Elle
El OVER-THE-COUN'TER
El BUILDING PLAN REVIEW
e/Sign Details- including DL listing(s) applicable
❑ EXPREss
❑ PLANNING PLAN REVIEW
Structural Calculations (if applicable)
❑ STANDARD
❑ OTHER__
Copy of Planning Approval Letter or Meeting with Planning prior to
❑ LARGE
submittal of Building Permit application.
❑ Mnaoa
SignApp_201 Ldoe rwised 03131111
, C�P_�
CITY OF CUPERTINO
FEE, ESTIMATOR - BUILDING DIVISION
ADDRESS: 10200 N De Anza Blvd DATE: 01/1312016
REVIEWED BY: Sean
jai APN: BP#:
"VALUATION: $800
*PERMIT TYPE: Building Permit
PI f,h ("HECA`7)l'lE:
PRIMARY
Sign
PENTAMATION
10EAP5
USE:
PERMIT TYPE:
WORK
Install illuminated channel letter wall sign for E-Trade.
SCOPE
SIGN TYPE
FEE ID
QTY
SIGN FEE
Wall Sign, Electric
1SIGNWELEC
1
$286
TOTALS:
_
$286 00
Afech. T'lan Chv-ck
!'lerne%. i'iafl{'peek
4 Branch Circuits 1 $48.00
Tech. Derma I ee:
Plumb, 11zrnziiT
IESIGN Elec, Permit Fee: IEPERMIT
c3ihr•r ila( h, Lrs;:_
Orin r l'7nnii� iasn.
Other Elec. Insp. 0.0 $48.00
,�lfech. Trap. Fri
Phled), 171 Tp. F,,e:
E7ee. TrLct�. t'ee:
NOTE-- Thiv acAmate doe_c not include fees due to other Denartments (i.e. Plannine. Public Works. Fire. Sanitary Sewer Dish -let. School
r)ictrint otr I Thorn Fnnc nrn hncnd on tha nraliminary infnrmatim, availahlo and are MIN all ectirnate. Cnatnet the Debt for addn't into.
FEE ITEMS (Fee Resolution 11-053 E , 7/1/1 E
FEE
QTY/FEE
MISC ITEMS
Plan Check f "ee.
Suppl. PC Fee: (E) Reg. () C
0.0
hrs
$0.00
.{ylt7liil} /vlr.'C{7 '�/G t:
Permit Fee:
$286.00
Suppl. Insp. Fee: Reg. Q OT
0.0
hrs
$0.00
PME Unit Fee:
$48.00
PME Permit Fee:
$48.00
Cron-slywillon Tav,
rldrtainirlPrstirc Fee:
Work Without Permit? ® Yes (j) No
$0.00
Sign Master Plan: 0 Yes (E) No
$0.00
A
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee: IBSEISMICO
$0.50
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:
$431.50
$0.00
i 1�oTAL FEE:
$431.50
Revised: 01 /01 /2016