The URL can be used to link to this page

B-2016-2086CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-2086 19459 STEVENS CREEK BLVD CUPERTINO, CA 95014 (316 20 1 2) LONGROW INTERNATIONAL CORPORATION SOUTH EL MONTE, CA 91733 OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LLC DATE ISSUED: 06/08/2016 OWNER'S PHONE: PHONE NO: (626) 443-3333 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class ELECTRICAL SIGNS Lic. #552097 Contractor LONGROW INTERNATIONAL CORPORATION Dat 12/31/2016 X BLDG _ELECT —PLUMB MECH RESIDENTIAL 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 Cod and that my license is in full force and effect. JOB DESCRIPTION: INSTALL 2 (1) ILLUMINATED SIGNS - 85C BAKERY CAFE I hereby affirm under penalty of perjury one of the following two eclarations: t. I have and will maintain a certificate of consent to self -ins a 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. 2. I have and will maintain Worker's Compensation Insurance,as provided for by Section 3700 of the Labor Code, for the performance ofthe work for which this Sq. Ft Floor Area: Valuation: $12500.00 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 rdinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 316 20 112 representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep h rmless 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 permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally, the applicant understands and will comply with all n n -point source regulations per the Cupertino( Municipal Code, Section 9,18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date M?O 16 Issued by: AbbyAyende Date: 06/08/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License L w for one of the RE -ROOFS: following two reasons., All roofs shall be inspected prior to any roofing material being installed. If a roof is 1. I, as owner of the propemt 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 (Sec.7044, Business & Professions Code) 2. I, as owner of the property, am exclusively contracting with, licensed Signature ofApplicant: contractors to construct the project (Sec.7044, Business & I Irofessions Code). Date: 618/2016 I hereby affirm under penalty of perjury one of the following thre declarations: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER t. I have and will maintain a Certificate of Consent to self -ins ire 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. HAZARDOUS MATERIALS DISCLOSURE z. I have and will maintain Worker's Compensation Insurance, as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code, for the performance of the work for which this California Health & Safety Code, Sections 25505, 25533, and 25534. I will 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 ermit is issued, I Health & Safety Code, Section 25532(a) should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If, after makin this certificate of wf 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, Sections 25505, 25533, and 25534. Labor Code, I must forthwith comply with such provisions ar this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 6/8/2016 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 I hereby affirm that there is a construction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is issued (Sec. 3097, Civ C.) to enter upon the above mentioned property for inspection purp ses. (We) agree Lender's Name to save indemnify and keep harmless the City of Cupertino against 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 DECLARA31ON and will comply with all non -point source regulations per the Cul ertino Municipal ARCIIITECT'S Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date =Mlfi CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • GUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org r✓ —Zok(o I� PROJECT ADDRESS j/5� ,`A APN # OWNER NAME*1 V 4 PHONE E-MAIL STREET ADDRESS l] 5l . _9 i 11 -0p / � j[ FAX (/� ``ATE„ a `L CONTACT NAME 1� t z � 1 6]"i- d 293 3 PHONE 5 10-3 E-MAIL\1 o G[iti J_ STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CO CTOR Ud'CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAMEJ ICENSE NUMBER ' LICENSE TYPE BUS. LIC # 'Ye Yay as COMPANY NAME E-MAIL FAX 7 -523STREET ADDRESS 4v7* �rJG CITY, STATE, ZIP �� 7c 4173 PHONE ARCHITECT/ENGINEER NAME ICENSE NUMBER BUS. LIC 9 COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK USE OF ❑ SFDorDuplex ❑ Multi -Family ILLUMINATED SIGNTYPE NO. OF SIGN AREA VALUATION STRUCTURE: [�,<orilmercial (Y/N) (CODE)SIGNS (SQ. FT.) (S) SIGN TYPE CODES: 2— p 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 E - ELECTRONIC W - WALL SIGN READERBOARD WI - WINDOW SIGN RECEIVED�1� TOTAL VALUATION: 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 to buil ' g construction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: 6 SUPPLEMENTAL INFORMATION REQ D ustoNL�NO zrr RbuaA�r� sLp ., M _ Site Planr,Lq?iCg�4lc c�F RESS f c d1pIIDpVCYSA}'I�IREVIEW� Elevations Sign Details -including UL listing(s) applicable PETER "r QAlvivnynNR2 v�wM Structural Calculations (if applicable)TnxE3 kE4^`$ ,.fin. 14_111: — Copy of Planning Approval Letter or Meeting with PI ning prior toC7MAaoR#3�i��sft-SI 4 submittal of Building Permit application.�� rr yea 'r3F� y�{3 Sign,4pp_2011.doc revised 03/16/11 - ,i STATE OF CALIFORNIA SIGN LIGHTING CAI IFORNIA FNFRGV COMMISSION VCERTIFICATE VOF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 1 of 5} Project Name: 85C Bakery Cafe-- Date Preparedv May 16 .2016 Project Address: 19459 Stevens Creek Blvd., #100, Cupertino, CA 95014 Location of Sign M Outdoor Signs 1 Indoor Signs Phase of Sign Construction ,V New Signs 0 Sign Alterations Type of Lighting Control 0 New Lighting Controls 0 Replaced Lighting Controls 0 Not Installing Lighting Controls This Certificate of Compliance includes the following components (check all that apply) 0 Mandatory Measures (Lighting Controls) 0 Maxi um Allowed Lighting Power ;Specific Lighting Sources 1. Mandatory Sign Lighting Controls NOTES: 1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible person may install the sign lighting controls than 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 power is not also responsible for the sign lighting controls, then the owner of the sign, generalcontractor, or'architect shall be responsible to have the sign lighting controls installed, 3. If more than one person has responsibility or 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 sig ing the Certificate of Compliance Declaration Statement on this NRCC-LTS-01-E shall complete Part 1a. Check Yes or No for all aft le following statements: i have responsibility for installing the sign lighting controls 1 0 Yes, complete parts 1a and lb of this form JW No, complete part 1a of this form There are no existing sign lighting controls an i I will be installing compliant sign lighting controls 2 0 Yes Al No There are no existing sign lighting controls anis someone else will be responsible to install compliant sign lighting controls 3 M Yes 0 No There are existing sign lighting controls that d not comply with the applicable provision of §110.9 and §130.3 and I will be 4 installing compliant sign lighting controls D Yes M No There are existing sign lighting controls that din not comply with the applicable provision of §110.9 and §130.3 and someone S else will be responsible to install compliant sin lighting controls 0 Yes M No STATE OF CALIFORNIA SIGN LIGHTING r•"AI_IFnRNIA FNFRGY COMMISSION 0 VGV'IYRVV'{.'�1q.. 1'W IIGYfJGL WW+.'+ CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign lighting (Page 2 of S) P'.I.ct Names 85C Bakery Cafe °ateP'°°a`£° Ma 16, 2016 1b. Mandatory Sign Lighting Controls I If the person signing the Certificate of Compliance l eclaration 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 whem on the building plans the mandatory measures (sign lighting control) note block can be located: §130.3(a)1. All indoor sign lighting is controllejd with an automatic time -switch control or astronomical time- Y N NA 1 switch control. ❑ ❑ M §130.3(a)2A. All outdoor sign lighting is cont r Iled with a photocontrol in addition to an automatic time- Y N NA switch control, or an astronomical time -switch control. ja ❑ ❑ 2 EXCEPTION to Section 130.3(a)2A: Outdoor signs 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. ❑ M ,§130.3(a)28. All outdoor sign lighting that is C�N both day and night is controlled with a dimmer that provides the ability to automatically reduce sign lightin power by a minimum of 65 percent during nighttime hours. Y N NA Signs that are illuminated at night and for mom than 1 hour during daylight hours shall be considered ON both ❑ X ❑ 3 day and.night. EXCEPTION to Section 130.3(a)28: Outdoor signs in tunnels and large covered areas that are intended to be Y NA illuminated both day and night.. ❑ JU §130.3(x)3. Demand Responsive Electronic Nessage Center Control. An Electronic Message Center (EMC) Y N N/A having a new connected lighting power load gi eater than 15 kW has a control installed that is capable of ❑ ❑ ju 4 reducing the lighting power by a minimum of 30 percent when receiving a demand response signal. EXCEPTION to Section 130.3(x)3: Lighting for EMCs that is not permitted by a health or life safety statute, Y NA ordinance, or regulation to be reduced by 30 percent. ❑ Field inspector Notes: CA Building Energy Efficiency Standards - 2013 Nonresid0tial Compliance lune 2014 STATE OF CALIFORNIA SIGN LIGHTING05, CEC-NRCG-LTS-01-E Revised 06119 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 3 of 5) rmjedtjame: 85C Bakery Cafe Oate Prepared: May16 2016 2. Maximum Allowed Lighting Power Method of Compliance Certificate of Compliance and Field Inspection Energy Checklist Complete this part if there are signs usingthe maximum allowed lighting power method of compliance. (Complete part 3 of this Certificate of Compliance if there are sjgns using the Specific lighting sources method of compliance) A 6 C D E F G H i J Symbol Or Code Description of the Sign OPTIONAL—Ener Verified Label (see instructions below) Allotted Watts Design Watts Complies Y/N Filed Inspector Check that sign complies wO —"''- rC C M Q 0X I II N to ¢ `-� •.-. r4 p .... Q tv pp O F-- 0 of E Y East too M 116 1 12 192 132 Y ❑ East 85C Bakefy Cafe JZI 1 145.4 1 12 545 264 Y ❑ South 85C Bakery Cafe EI 66.5 1 12 798 396 y ❑ South square icons JO 1 125 1 12 300 264 y ❑ ❑ ❑ ❑ ❑ ❑ ❑ 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. C . 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 140A of the California 2013 Title 24, Part & Standards, using the Maximum Allowed Lighting Power 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 Prodtjrct Certification Body accredited to ISO/IEC Guide 65 by the American National Standards 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 V through T are not required to belfilled out. Note: Using an ENERGY VERIFIED label is an optional method to validate compliance. An ENERGY VERIFIED label is not heeded for compliance. D The sign area in square feet. E List "I" if the sign is internally illuminated. List "E" if the sign is externally illuminated. P Allowed watts per square foot. Enter 12 if th4 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 determined according to the applicable provisions of §130(c). Enter Y if the number in column H is less than for 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 June 2014 STATE OF CALIFORNIA SiGN LIGHTING CERTCFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 4 of 5) ProJ.Ct Ne: 85CBakery Cafe �atePrepafed: May 16, 2016 3. Specific Liahtin& 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 r. E..=-... OPTIONAL Specific light source ,used for Symbol ENERGYVERIFIED compliance[eldfnspect>,r Check thatStgn or Description label Shall include onlylighting Code (see instructions technologies listed below 3 °� below) List all that apply East logo Y t7 East 85C Bakery Cafe ❑ Y ❑ ... ,,; South 85C Bakery Cafe 0 Y R South square icons 0 Y ,�„ ❑ . �� A Symbol or code used on the plans (when plans are required) and other documents. B A narrative description of 66 sign, or location of signjon the building; and the location of sign on construction documents C OP"T"IONAL-Checkthis box only if this sign has a permanent, pre-printed, factory -installed ENERGY VERIFIED label, confirming that this sign complies with the Section 140.8 of the California 2013 Title 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/IEL Guide 65 by the American National Standards Institute in accordance with 150/IEC 17411. Surveillance by the Accredited Certification Body shall bean 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, 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 Id 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 tha$ are 320 watts or smaller, are not 250 watt or 175 wattlamps, and are served by 3 a ballastthat'has a minimum efficiency of SO percent. Ballast efficiency is the measured output w Atage tothe lamp divided by the measured operating input wattage when tested according to ANSI C82.6-2005. Neon or cold cathode lamps with transformer or power supply efficiency greater than or equal to a minimum efficiency of 75 percent D 4 when the transformer or power supply rated ou�put 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 thelfollowing 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 having 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 2�0 watts, shall comply with the applicable requirements of the Appliance Efficiency Regulations (Title 20). 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 Nonresider tial Compliance June 2014 I . I STATE OF CALIFORNIA SIGN LIGHTING CEC•NRCC-LTS-01-E Revised 06114. CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-LTS-01-E Sign Lighting (Page 5 of 5) ProJatt Fame; 85C BakeYv Cafe .Date Prepared May 16 2016 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: - Lavender Fun Documentation Author Signature: Company: SZ ns Ex Y2SS M . CO Signature Date: Ma y 16, 2016 Address: 1438 Santa Anita Ave CEA/ HERS Certification Identification (if applicable): `ity/5tate/zip: South El Monte, CA 91'1733 phone: 626-443-3333 RESPONSIBLE, PERSON'S DECLARATION STATEMENT 1 certify the following under penalty of perjury, under the'laws.of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am. eligible under Division -3 of the Business and PrIofessions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible 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 feat res identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documems, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit appii Iation. 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 inciudec{ with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: ► \ Responsible Des er5ignature: Company: Si ns Express M . Co Date Signed: 16, 2016 Address: 1438 Santa Anita Ave License: C45-552097 rty/state/Zip: South El Monte, CA 91'1733 Phone: 626-443-3333 CA Building Energy Efficiency Standards - 2013 Nonresidel}tiai Compliance June 2014