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B-2016-2133CITY OF CVPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT 1140: B-2016-2133 10088 N WOLFE RD CUPERTINO, CA 95014 (316 20 108) MID WAY SIGNS - 3290 BASSETT ST OWNER'S NAME: MARK BATTISTINI DATE ISSUED: 06/14/2016 OWNER'S PHONE: PHONE NO: 408-982-9696 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-45 Lic. #Z07963 Contractor MID WAY SIGNS Date X BLDG —ELECT _PLUMB MECH RESEDENTUL X COMMERCIAL 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. JOB DESCRIPTION: (N) ILLUMINATED WALL SIGN - DOPPIO ZERO PIZZERIA I hereby affirm under penalty of perjury one of the following two declarations: NAPOLETANA 1. 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, ode, 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 ork for which this Sq. Ft Floor Area: Valuation: $1900.00 permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number: Occupancy Type: information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby author`ze 316 20 108 3 16 representatives of this city to enter upon the above mentioned pro)erty for inspection purposes.. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this Additionally, the applicant understands and will comply with all nor permit. -point WITHIN 180 DAYS OF PERMIT IS UANCE OR he icipal Code, Section 9.18. 180 DAYS FROM LAS SPECTION. source regulations p upert! no VI�I� Signature Date Issued by: Alex Vallelunea Date: 06/14/2016 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License La for one of the RE-ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: r. I, as owner of the property, or my employees with wages as their sole installed without first obtaining an inspection, I agree to remove all new materials for compensation, will do the work, and the structure is not intended or offered for inspection. sale (Scc.7044, Business & Professions Code) z. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Pr fessions Code). Date: 6/14/2016 I hereby affirm under penalty of perjury one of the following three, declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1. I have and will maintain a Certificate of Consent to self-insur, for Worker's Compensation, as provided for by Section 3700 of the Labor ode, for the performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance, gIIs provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the of the Mork for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will performance permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. I certify that in the performance of the work for which this pe 't is issued I Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous shall not employ any person in any manner so as to become s bject to the air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after making this certificate of will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the the Health & Safety Code, Sectio 25505, 3 , and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent:-,,'r /y! APPLICANT CERTIFICATION Date: 6/14/2016 I certify that 'l have read this application and state that the above information is I hereby affirm that there is a constru tion lending agency for the performance correct. I agree to comply with all city and county ordinances and State laws of work's for which this permit is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino agains: liabilities, judgments, costs, and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non-point source regulations per the Cupe tino Municipal ARCHITECT'S DECLARATION 1 understand my plans shall be used as public records. Code, Section 9.18. Licensed Signature Date 14 1 Professional SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CU�ERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 7 7-3333 • buildina(ftupertino.org CUPERTINO S PROJECT ADORES /OG p � tV O ] c F �J �� _ {V L l�(/l APN # ] /` ( � V J 1 OWNER NAME I PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP ? FAX CONTACT NAME//�� a5:_0 01f AHO /y1 PPW E- ` Q�I_ STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER El OWNER AGENT ❑ CONTIUCTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME ( LIC ENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME F� I'L ®� at;;H G Z11V '�` FAX STREET ADDRESS �n o l`? e % p T CI,,T'Y`"T i Q b �7 ARCHITECT/ENGINEEER NAME LIC ENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK /- l� n /� S O P USE OF ❑ SFD or Duplex ❑ Multi -Family STRUCTURE: ❑ Commercial ILLUMINATED (rY / N) SIGN TYPE (CODE)/ NO. OF SIGNS SIGN AREA (SQ. FT.) VALUATION (S) SIGN TYPE CODES: {�G Q �15 ',7 t B - BANNER SIGN M - MONUMENT (GROUND) SIG BL - BLADE SIGN P - PROJECTING SIGN D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER DI - DIRECTIONAL SIGN T - TEMPORARY 11,4 � 1 E - ELECTRONIC W - WALL SIGN A-- READERBOARD WI - WINDOW SIGN RECEIVED BY: ; �r Vact TOTAL VALUATIqjq��, By my signature below, I certify. to each of the following: I am the prPperty owner or�utho ' d ago nt to on -75 propertyowner's behalf. I have rea this application and the information I have provide correct. I b e r ordinances and state laws relating to b 7d' fconstructio an riz Signature of Appheant/Agent: the Description of rk and verify it is accurate. I agree to comply with all applicable local re r entatives of Cupertino to enter the above -identified property for inspection purposes. Date: ze SUPPLEMENT INFOfUWATION REQUIRED OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP Site Plan ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW Elevations 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 Planni g prior to ❑ LARGE submittal of Building Permit application. ❑ MAJOR SignApp2011.doc revised 03/31/11 �V SIGN LIGHTING CEC-NRCC-LTS-01-E(Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting A, -e DSS (Page 2 of 5) Project Name: f n h Date Prepared:/ 1b. Mandatory Sign Lighting Controls If the person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E is responsible for complying with the sign lighting control requirements, that person shall answer all of the following questions: If there are construction documents, indicate where on the building plans the mandatory measures (sign lighting control) note block can be located: §130.3(a)1. All indoor sign lighting is controlled with an automatic time -switch control or astronomical time- Y N NA 1 switch control. 11 0 D §130.3(a)2A. All outdoor sign lighting is controlled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control. © C 2 EXCEPTION to Section 130.3(a)2A: Outdoor signsl in tunnels, and signs in large permanently covered outdoor Y NA areas that are intended to be continuously lit, 24 hours per day and 365 days per year. §130.3(a)2B. All outdoor sign lighting that is ON both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lighting power by a minimum of 65 percent during nighttime hours. Y N NA 3 Signs that are illuminated at night and for more than 1 hour during daylight hours shall be considered ON both p p p' day and night. EXCEPTION to Section 130.3(a)2B: Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night. §130.3(a)3. Demand Responsive Electronic Message Center Control, An Electronic Message Center (EMC) having a new connected lighting power load greater than 15 I(W has a control installed that is capable of Y N NA 4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal. EXCEPTION to Section 130.3(a)3: Lighting for EMCs ordinance, or regulation to be reduced by 30 percent. that is not permitted by a health or life safety statute, Y O NA 0— Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 SIGN 'LIGHTING G`EC-NRCG1-TS-01-E(Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting kq �9�- I (Page 1 of 5) Project Name: yy sign lighting power and the sign lighting controls, or a different responsible the responsible person installing the sign lighting power. Date Prepared;% d6onI dtJ 7"_ 2 .B Yl,— A. General Information Project Address: /0 D --,? sr sign lighting power and the sign lighting controls, or a different responsible the responsible person installing the sign lighting power. Location of Sign 1?A D9 , ❑Outdoor Signs ❑ Indoor Signs Phase of Sign Construction , R'New Signs ❑ Sign Alterations Type of Lighting Control ?e ❑ New Lighting Controls ❑ Replaced Lighting Controls ❑ Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) ❑ Mandatory Measures (Lighting Controls) ❑ Maximu im Allowed Lighting Power 0 Specific Lighting Sources 1. Mandatory Sign Lighting Controls NOTES: 1. The same responsible person may install both the person may install the sign lighting controls than sign lighting power and the sign lighting controls, or a different responsible the responsible person installing the sign lighting power. 2. The Mandatory Measures (sign lighting controls) are required for compliance with the sign lighting Standards. If the person responsible for installing the sign lighting powerI's not also responsible for the sign lighting controls, then the owner of the sign, general contractor, or architect shall be responsi le to have the sign lighting controls installed. 3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance Declaration Statement for the entire construction. 1a. Statements of Responsibility Any person signing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E shall complete Part 1a. Check Yes or No for all of the following statements: I have responsibility for installing the sign lighting controls 1 ,($�-Yes, complete parts 1a and 1b of this form I p No, complete part 1a of this form There are no existing sign lighting controls and I will be installing compliant sign lighting controls 2 0 Yes 1 0 No There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls 3 0 Yes ®—No There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and I will be 4 installing compliant sign lighting controls 0 Yes G�--No There are existing sign lighting controls that do not comply with the applicable provision of §110.9 and §130.3 and someone 5 else will be responsible to install compliant sign lighting�con ols 0 Yes �J No CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 SIGN LIGHTING CEC- NRCC-LTS-01-E(Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting ,I— ,c Z) (p O C4; 9 , (Page 5 of 5) Project Name: T -y _ a--� ,— /1) e Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT1 1. 1 certify that this CertI is "f Compliance documentation is accurate and complete Document do horName: Documen�uthorSignatI5 l�d� Compan � Signatur Date• Addres _ _ CEA Certification Identification (if applicable): City/State/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compl;ance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsib'e designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signe I �� �� •L� .C.tJ _ — Addres 7 o License: 76 75'6 ell'S City/StatJJJe/Zi�,�� � Phone: Aeai. — CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 SIGN LIGHTING CEC- NRCC-LTS,01-E(Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting 4C-r�'>5 (Page 4 of 5) Project Name: Date Prepared: 3. Specific Lighting Source Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 2 of this Certificate of Compliance if there are signs using the maximum allowed lighting power method of compliance) A B C D OPTIONAL Specific light source used for Field Inspector Symbol ENERGY VERIFIED compliance Check that -Sign or Description label Shall include only lighting Compiles Code (see instructions technologies listed below below) List all that apply ❑ ❑, ❑ ❑� ❑ ❑ ❑ ❑ ❑ ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A narrative description of the sign, or location of sign on the building; and the location of sign on construction documents C OPTIONAL - Check this box only if this sign has a perma'ent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 140.8 of the California 2013 TTItle 24, Part 6 Standards, using the Specific Lighting Source Method of Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Gluide 17011. Surveillance by the Accredited Certification Bodylshall 65 by the American National Standards Institute in accordance with ISO/IEC be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such a ENERGY VERIFIED label, column `D' is not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. Specific Light Source Compliance Method. The sign(s) identified above use only the following lighting technologies: List all applicable numbers (1 through 9) that apply in column D above for each row. 1 High pressure sodium lamps Metal halide lamps that are pulse start or ceramic served by a ballast that has a minimum efficiency of 88 percent or 2 greater. Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Metal halide lamps that are pulse start that are 320 watts or smaller, are not 250 watt or 175 watt lamps, and are served by a ballast that has a minimum efficiency of 80 ercent. 3 Ballast efficiency is the measured output wattage to the lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or polwer supply efficiency greater than or equal to a minimum efficiency of 75 percent D 4 when the transformer or power supply rated output current is less than 50 mA. The ratio of the output wattage to the input wattage is at 100 percent tubing load. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 68 percent 5 when the transformer or power supply rated output current is 50 mA or greater. The ratio of the output wattage to the input wattage is at 100 percent tubing load. 6 Fluorescent lighting systems meeting one of the following requirements: A. Use only lamps with a minimum color rendering index (CRI) of 80; or B. Use only electronic ballasts with a fundamental output frequency not less than 20 kHz. 7 Light emitting diodes (LEDs) with a power supply haying an efficiency of 80 percent or greater; Single voltage external power supplies that are designed to convert 120 volt AC input into lower voltage DC or AC output, and have a 8 nameplate output power less than or equal to 250 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). I i 9 Compact fluorescent lamps that do not contain a medium screw base sockets (E24/E26). E This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 SIGN LIGHTING CEC-NRCG-LTS-01-E(Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE I NRCC-LTS-01-E Sign Lighting ��$ I (Page 3 of 5) Project Name: lDty Date Prepared: Co ��— 2. Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs using the maximum allowed lighting power method of compliance. (Complete part 3 of this Certificate of Compliance if there are signs using the Specific lighting sources method of compliance) A B C D E F G H I J Field Symbol OPTIONAL—Energy Design Complies Inspector or Description of the Sign Verified Label (see Allotted Watts Watts Y/N Check that Code instructions below) sign complies N`yJ _0 O N y Y VI C N vfO C E to E v fY1 0 X 3 YCL .E in N +'II c w— II Q =� 0 Q O �a I— 3 0 V V ®�Al� ❑ ® �� 0.00 % ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ I 0.00 ❑ ❑ I 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ ❑ 0.00 ❑ A Symbol or code used on the plans (when plans are required) and other documents. B A description of the sign, or location of sign on the building; and the location of sign on construction documents. OPTIONAL - Check this box only if this sign has a permanent, pre-printed, factory -installed, ENERGY VERIFIED label, confirming that the sign complies with the Section 140.8 of the California 2013 Title 24, Part 6 Standards, using the Maximum Allowed Lighting Power method of compliance. The only labels that will 4e recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by Underwriters Laboratories (UL) or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards C Institute in accordance with ISO/IEC 17011. Surveillance by the Accredited Certification Body shall be an ongoing annual inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY VERIFIED label, columns 'D'through 'I' are not required to be filled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not needed for compliance. D The sign area in square feet. E List "I" if the sign is internally illuminated. List "E"1 if the sign is externally illuminated. F Allowed watts per square foot. Enter 12 if the sign is listed as "I" in column E. Enter 2.3 if sign is listed as "E" in column E. G Multiply the square footage in column D times the allowed Lighting Power Density (LPD = watts) in column F. H Show the total installed watts in the sign, as deteIlmined according to the applicable provisions of §130(c). I Enter Y if the number in column H is less than or equal to the number in column G. Otherwise, the sign does not comply. J This page doubles as a field inspection checklist. Field Inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 r JELOPMENT DEPARTgEN13'-L--1 IVISION - CUPERTINO II //APPROVED Z�9-0 - A- pecifications MUST be kept at the job site during construction. It is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. Sign, ) The stab pin n this plan and specifications SHALL NOT be hel p rmit or to be an approval of the violation of an vi is of any City Ordinance or State Law. � I BY DATE Letters White face, black 3/4" tri ll; 8" 1 ette r return 'RECEIVED BY Letters White face, black trimcap, Black return The wireway side color same as awning 2 V DC power supply 1" led's foot lambert 250 max /4" x 1/2" bolt one for each letter PLAOT P _KED BY ' DAT;E PLANNING DEPT 46 inch channel beam CUPERTINO 10' i v 12" 32,90 v�ASSETT bWNEWAP=P-ROYALr- 1�- L J STREET SANTA'CLARA CALIF., (408)982-9696 FAX:(408)982=9370 JOB:NAmE DOPPIO ZERO DATE: 5/6/16 BY: LOCATION 100881WVOLFE RD. SCALE: NONE PHONE: _ CITY/ CUPERTINO 'DRAWN BY: ' DATE: --- -----------' ----- - llcl)� Jlu I 30" X 120" = 25 SQ.FT 1 1 8" 30" V�J UK 8" 1 END VIEW sign (13) �—Y Letters White face, black. 3/4"' trimcap, -Black return 8" letter 1/8"x1/2" bolts per letter 1811 Letters White face, black 3/ " rimcap, Black return The wireway side color same as awning 12 V DC power supply _Y�"ed's foot lambert 250 max x 112" bolt one for each letter 611 CUPERTINO inch channel b Butiding Department _A14 20 REVIEWED FOR CODE COMPLIANCE Reviewed By 3290 BASSETT STREET' SANTA- CLARA CALIF.(408)982-9696 FAX:(408)982-9370 OWNER APPROVAL -JOB NAME DOPP10 ZERO DATE: 5/6/16. BY: LOCATION 100880OLFE RD.. SCALE'- NONE PHONE: DATE: CITY/ CUPERTINO DRAWN BY -