15120132CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20080 STEVENS CREEK BLVD
CONTRACTOR: SIGN OF LIGHT PERMIT NO: 15120132
OWNER'S NAME: PREG BILTMORE
9499 HIGHLAND PARK DR DATE ISSUED: 12/15/2015
OWNER'S PHONE: 4088730121
ROSEVILLE, CA 95678 PHONE NO: (916) 416-1212
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑
License Class C—( Lie. # �'j Gt �1
STE# 100, THE COUNTER- INSTALL 1 NEW ELECTRICAL
�_
WALL SIGN (A) ON EAST ELEVATION
Contract + r , ' Date _ L 2
I hereby affir 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
performance of the work for which this permit is issued.
Sq. Ft Floor Area:
Valuation: $3000
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
APN Number: 36903009.20080
Occupancy Type:
Permit is issued.
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
PERMIT EXPIRES IF WORK IS NOT STARTED
to building construction, and hereby authorize representatives of this city to enter
WITIiIN 180 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
indemnify and keep harmless the City Cupertino
180 DAYS FROM LAST CALLED INSPE TI
of against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of theI
r.
(
1
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Date: l G
with all non-point source regulations per the Cupertino Municipal Code, Section
9.18.
_
% y
Signatur Date i. �[ �
i
All roofs shalt be inspected. prior to any roofing material being installed. If a roof is
any roofing
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
El OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
will do the work, and the structure is not intended or offered for sale (See.7044,
Business & Professions Code)
1, 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
I hereby affirm under penalty of perjury one of the following three
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations:
I have and will maintain a Certificate of Consent to self-insure for Worker's
Health & Safety Code, Section 25532(a) should I store or handle hazardous
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 HealIth &Safe c ' rs Code,. Se25505 2 5533, and 25534.,
Section 3700 of the Labor Code, for the performance of the work for which this
Owner t authorized a eV [( Dater
permit is issued.
g
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
CUP RTINO
PROJECT ADDRESS 1
11
SIGN PERMIT APPLICATION 15 Jac 1'
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVI'S'ION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 - buildin(IOCUoertino.org
C'0
1�114 #
OWNER NAME
E-MAIL
t�% P®
STREET ADDRESS i3c% CITY, STATE, Z4 § i FA
-1T qq
CONTACT NAME ` PHONE E_MA
p
STREET ADDRESS CITY, TE, ZIPS yt j� FAX
OWNER I❑ OWNER -BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT ARCHITECT ❑ENGINEER ❑ DEVELOPER CJ TENANT
CONTRACTOR NAME z r
LICENSE NU ER pLICENSE
TYPE
BUS. LIC #
COMPANY NAME
E-MAIL
L
FAX
4-
STREET ADDRESSItCITY,STATE, .ZIP
ARCHITECT/ENGWEER NAI; EEE LICENSE NUMBER
� ems;► i
BUS. LIC #
COMPANY NAME 333 q
E MAI ii pp
FAX
STREET AD RESS
ek e C s�$�.
TATE, ZIP
a,t Q C; S -L -7V
PHONE
?57-6, tj( f
DESCRIPTION OF WORK
USE OF ❑ SFD or Duplex ❑ Multi -Family
STRUCTURE: ❑ Commercial
ILLUMINATED
SIGN TYPE
NO. OF
SIGN AREA
VALUATION
(Y/N)
(CODE)
SIGNS
(SQ- FT.)
(S)
SIGN TYPE CODES:
L
1cwo
B. - BANNER SIGN M - MONUMENIT (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
RECEIVED BY
/
e l
TOTAL VALUATION:
s0
'3 .
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 provided 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 ing construction. I authorize representatives of Cupertino to.enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: V' f Date: �17, !
SUPPLEMENTAL INFORMATION REQUIRED,
OFFICE USE ONLY
PLAN CHECK TYPE
ROUTING SLIP
_ Site Plan
Elevations
OVER -THF -COUNTER
BUILDING PLAN REVIEW
Sign Details - including UL 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,
mlAaoR
SignApp 2011.doe revised 03/31/11
. c
CITY OF CUPERTINO
FEE ESTIMATOR BUILDING DIVISION
ADDRESS 20080 Stevens Crk Blvd Ste 100 DATE: 1 211 5/201 5 REVIEWED BY PAUL
APN: 369 03 009 BP#: VALUATION: $3,000
*PERMIT TYPE: Building Permit
PRIMARY Sign PENTAMATION
USE: 10EAP
PERMIT TYPE:
WORK STE# 100 THE COUNTER- INSTALL 1 NEW ELECTRICAL WALL SIGN A ON EAST ELEVATION
SCOPE
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign, Electric 1SIGNWELEC. 1 $286
TOTALS: $286.00
:`_ w z A0"'
7 T7
#Branch Circuits 1 $48.00
f _, IESIGN Elec. Permit Fee: IEPERMIT
Other Elec. Insp. [EE]�$48.00
.4h""" ..f.:F !"A:: "}hii3if;. ;; 1: .f Gs. ..ei... y Fee
NOTE: This estimate does not include fees due to other Departments (%e. Planning, Public Works, Fire, Sanitary Sewer District, School
vtstrtet, etc.. These fees are based on the prelimina information available and are only an estimate. Contact the De t or addn'l in o,
FEE ITEMS LFee Resolution 1.1-053 I f: 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Suppl. PC Fee: (E) Reg. 0 OT
0.0
hrs
$0.00
Permit Fee:
$286:00
Suppl. Insp. Fee -(F) Reg. 0 OT
0Q
hrs
$0.00
PME Unit Fee:
$48.00
PME Permit Fee:
$48.00
.
Work Without Permit? ( Yes Q No
$0.00
Sign Master Plan: 0 Yes (D No
$0.00'
i
Travel Documentation Fee: ITRA VDOC
$48.00
Strong Motion. Fee: IBSEISMICO
$0.84
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
SUBTOTALS:,.
$431.84
$0.00 .. TOTAIJFEE
$43T.84
Revised: 10/01/2015
F
Dc ARTMENT
,,^�,J�.1ha1UNITY DE\jEL.OPNIE C,UPcRT1N0
BUILDING D,PPROvF-D
�be kept at the
This set of p
fans and specifications NU-jS
site during construction. It is unlav,'f ortto deviate
ma�e any
job same., Offiicial.
changes or alterations on uiiding
of
approval from the
therefromL Ian and specificati ns SHALL NOT
The: -tamping of tris p (oval of the violation
be held to permit or to be an app
of any City Ordinate e or State I+aW
of any r�
BY — l
DATE i
PERMIT #,
CUpFRTINO
�. Building Dai0a>-tment
DEC2015
REVIEWED FOR CODE COMPLIANCE
Reviewed By. �t
v
PLOT PLANSp �CH�ECK�f-:p Sy
DATEI
P4ANN NQ �P
clJp�p7Ih1Q
EXTERIOR MARKETING PACKAGE
D
1419 SEABRIGHT AVE. PROJECT: The Counter Cupertino DESIGNER: A. Abeyti DRAWING APPROVALS: THIS 15 AN ORIGINAL, UNPUBLISHED DRAWING CREATED BY #150338-03
TDI SIGNS. IT 15 SUBMITTED FOR YOUR APPROVAL, R IS NOT
LONG BEACH, CA 90813 ADDRESS: 200&0 Stevens Creek Blvd. ACCT MAN: D. Rivas CLIENT: REPRODUCED
SHOWN TO ANYONE IN ANY EOFYOUR ORGANIZATION,
^' P H . 6 6 2.4 3 6.518 8 REPRODUCED OR COPIED DI ANY FIGNS .ASHION. OWNERSHIP OF 11/24/15
CTIll
SIGNS S CITY/STATE: Cupertino CA PM: LANDLORD: TH1IS DES
IS HELDTBY T015OBTA AUTHORIZATION SOUSE
FX. 562.436.5199 THIS DESIGN MUST BE OBTAINED BY TDI SIGNS.
ZIP CODE: 95014 Time: 1 hour TDI SIGNS: COLORS DEPICTED ARE A GRAPHIC REPRESENTATION, REFER PAGE: 1 O F 5
WWW.TDISIGNS.COM r TO CALL OUTS FOR ACTUAL COLORS TO BE USED.
PLAN
VICINITY MAP
CUPERTIO
Building Department
�+
REVIEWED FOR CODE COMPLIANCE
ie
SIGN A: Manufacture and instal s o aYce TINOM114tering with
a raceway.
SIGN B: Manufacture and install (2) sets of vinyl graphics to existing
blade sign.
SCOPE OF WORK
1419 SEABRIGHT AVE. PROJECT: The Counter CU ertino DESIGNER: A. Abeyti DRAWING APPROVALS: THIS IS AN ORIGINAL, UNPUBLISHED DRAWING CREATED BY 4150338-03
p DI SIGNS. R IS SUBMITTED FOR YOUR APPROVAL, IT IS NOT
LONG BEACH, CA 90813 ADDRESS: 20030 Stevens Creek Blvd. ACCT MAN: D. Rivas CLIENT: RE R SHOWN TO ANYONE IN ANY FAS YOUR ORGANIZATIO01
N,
SIGNS P H . 16 2 .4 3 6.518 8 REPRODUCED OR COPIED IN ANY FASHION. OWNERSHIP USE 11/24/15
CITY/STATE: Cupertino, PM: A. Vaca LANDLORD: HIS DESIGN IS HELD BY TDI SIGNS AUTHOR HTION TOUSE
FX. 562.436.5199 THIS DESIGN MUST BE OBTAINED BY TDI SIGNS,
ZIP CODE: 95014 Time: 1 hour TDI SIGNS: COLORS DEPICTED ARE AGRAPH CTUALC REPRCOLORS
REFEREll, PAGE: 2 OF 5
WWW,TDISIGNS.COM TO CALL OUTS FOR ACTUAL COLORS TO BE USED.
16 3/8" f
11'-7 1/2"
♦ 10' f
� I
� I
CUPERTIN
Building Department
DEC 15 2015
REVIEWED FOR CODE COMPLIANCE
Reviewed By: Tpw
FACE LIT CHANNEL LETTERING WITH RACEWAY TOTAL SIGN AREA: 13.65 S.F.
ONE SET/S REQUIRED SCALE: 3/16" = 1'
1419 SEABRIGHT AVE. PROJECT: The Counter, Cupertino DESIGNER: A. AbeVti DRAWING APPROVALS: THIS IS AN ORIGINAL, UNPUBUSHED DRAWING CREATED BY #150338-03
TDI SIGNS R IS SUBMITTED FOR YOUR APPROVAL, R IS NOT
LONG BEACH, CA 90813 ADDRESS: 20030 Stevens Creek Blvd. ACCT MAN: D. Rivas CLIENT: TO BE SHOWN TO ANYONE OUTSIDE OF YOUR ORGANVATION,
�9 REPRODUCED OR COPIED IN ANY FASHION. OWNERSHIP OF 11/24/15
ell, S 1 ■ 3 N PH. 562.436.5188 CITY/STATE: Cupertino CA PM: LANDLORD: THIS DESIGNESIG IS UST BISIGNS. AINEDOBY TDI TO SIGNS.
y FX. 562.4.36.5199 THIS DESIGN DARE BE OBTAINED BY TDI SIGNS.
ZIPCODE: 95014 Time: 1hour TDI SIGNS: COLORS DEPTCTEDAREAGRAPHIC REPS ESEMATISE REFER PAGE: 3 OF 5
WWW.TDISIGNS.COM TO [ALL OUTS FOR ACTUAL COLORS TO BE USED.
Ir
I
REVIEWED E
Reviewer
10'
9'-8 5/8"
I
FRONT VIEW OF FACE LIT CHANNEL LETTERING SET WITH RACEWAY TOTAL SIGN AREA: 13.65 S.F.
ONE SET/S REQUIRED SCALE: 1" = 1'
Al 3/16" White Acrylic
A2 1" White trimcap_
A3 1/2" Acrylic
L1 7100K LED
PTM 313 Bronze
PTM PMS 5415C
P3 PTM raceway to match trellis.
P4 PTM White
COLOR SCHEDULE
/4"
2 11/16"
3" 4"
END VIEW
SCALE: 1" = 1'
1/4-20 S/S C/S screw,
nut
.040" aluminum back
3/16" acrylic face
LED illumination.
.063" Aluminum background.
UL listed fittings and
connectors..063"
Alum letter return.External
On/Off switch.UL
listed transforme
and housing.
1/2" acrylic lettering
3/8" Dia. S/S SMS (2) at
LETTERS
18" O.C. as required
ATTACHMENT DETAIL
SCALE: NTS
1419 1EABRIGHT AVE. PROJECT: The Counter Cupertino DESIGNER: A. Abeyti DRAWING APPROVALS: THIS IS AN ORIGINAL, UNPUBLISHED DRAWING CREATED BY #150338-03
t01 SIGNS. IT 15 SUBMITTED FOR YOUR APPROVAL, IT IS NOT
LONG BEACH, CA 90813 ADDRESS: 20030 Stevens Creek Blvd. ACCT MAN: D. Rivas CLIENT: RE R SHOWN TO ANYONE IN ANY FAS YOUR OWNERSHRGANIN!.TIOF
ON,
PH. 562.436.5188 A THISD DEIGN
15HLD OR BY DI ANYFAU71-10OATIONTIPSE 11/24/15
S � ES -4 CITY/STATE: Cupertino CA PM: LANDLORD: THIS DESIGN IS HELD T TDI 5OBTAI UPD BY TIDN TO USE
FX. 562.436.5199 THIS DESIGN MUST BE OBTAINED BY TDI SIGNS.
CT ZIP CODE: 95014 Time: 1 hour TDI SIGNS: COLORS DEPICTED ARE A GRAPHIC REPRESENTATION, REFER PAGE: 4 OF 5
TO CALL OUTS FOR ACTUAL COLORS TO BE USED.
WWW.TDISIGNS.COM
SALADS
BEER+WINE
BURGERS mP1
SHAKES m
Aft VINYL GRAPHICS ON EXISTING DOUBLE SIDED BLADE SIGN
ONE SET/S REQUIRED SCALE: 3/4" = 1'
Al 1 .063" aluminum
_
PTM 313 Bronze
21
3M 18OC-10 White
UZ :
3M 18OC-14 Bright Orange
CUPERTINO
Building Department
fZ. DEC 15 2015
BiY'_b:M rf L
REVIEWED FOR CODE COMPLIANCE
Reviewed By: �4v1
COLOR SCHEDULE INSTALLATION RENDERING
SCALE: NTS
1419 SEABRIGHT AVE. PROJECT: The Counter Cupertino DESIGNER: A. Abeyti DRAWING APPROVALS: THIS IS AN ORIGINAL, UNPUBLISHED DRAWING CREATED BY #150338-03
TDI SIGNS. IT IS SUBMITTED FOR YOUR APPROVAL, IT IS NOT
LONG BEACH, CA 90813 ADDRESS: 20030 Stevens Creek Blvd. ACCT MAN: D. Rivas CLIENT: TO BE SHOWN TO ANYONE IN ANY FAS YOUR ORGANIZATION,
REPRODUCED OR COPIED IN ANY FASHION. OWNERSHIP OF 11/24/15
1 H . 5 6 2.4 3 6.518 8 LANDLORD: THIS DESIGN IS HELD BY TDI SIGNS. AUTHORIZATION TO USE
SIGNS CITY/STATE: Cupertino CA PM: THIS DESIGN MUST BE OBTAINED BY TDI SIGNS.
F X . 562. 4 3 6.519 9 COLORS DEPICTED ARE A GRAPHIC REPRESENTATION, REFER
CT13, www.TDISIGNS.COM ZIP CODE: 95014 Time: 1 hour TDI SIGNS: TO GALL OUTS FGR ACTUAL COLORS TO BE USED. PAGE: 5 OF 5