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B-2016-2179i CITY OF CUPERTINO BUILDING PERMIT BUILDINGADDRESS: CONTRACTOR: PERMIT NO: B-2016-2179 19389 STEVENS CREEK BLVD CUPERTINO, CA 95014 (316 20 112)` PETALUMA SIGN COMPANY PETALUMA, CA 94952 OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LLC DATE ISSUED: 06/21/2016 OWNER'S PHONE: 408-813-7490 PHONE NO: (707) 322-0009 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-45 Lie. #833377 Contractor PETALUMA SIGN COMPANY Date 03/31/2018 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 Code and that my license is in full force and effect. JOB DESCRIPTION: INSTALL (1) NON-ILLUMINATED BLADE SIGN - ROOTSTOCK I hereby affirm under penalty of perjury one of the following two declarations: WINE BAR 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 Code, 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 work for which this Sq. Ft Floor Area: Valuation: $2500.00 permit is issued. APPi.I NT .RTiFiCATION certify that I have read this application and state that the above APN 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 authorize 316 31620 112 representatives of this city to enter upon the above mentioned property 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 con o the granting of this permit. WITHIN 180 DAYS OF FERMI ISSUANCE OR Additionally, the applicant understa s and will comply with all non-point source regu ' ns er a Cuperti u icipal Code, Section 9.18. 180 DAYS FROM LAS D SPECTION. Signature Date 6/21/2016 Issued by: Alex Vallelung_a Date: 06/21/2016 BUILD DECLARATIL I hereby affirm thA I am exempt from the Contractor's License Law for one of the RF ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: t. 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 (Sec.7044, Business & Professions Code). 2. I, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sec.7044, Business & Professions Code). Date: 6/21/2016 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-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. HAZARDOUS MATERIALS DISCLOSURE 2. 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 permit 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 subject 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 & SafetyC ections 25505, 25 33, and 25534. Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. Owner or authorized agent: APPLICANT CERTIFICATION Date: 6/2112016 I certify that I have read this application and state that the above information is CONS UA04 LE A NCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a cons � u tion lending a ncy for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this permit is is d (Sec. 3097, iv C.) 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 against liabilities, judgments, casts, 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 Cupertino Municipal ARCHITECT'S DECLARATION Code, Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 6/21/2016 Professional CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(@_cupertino.org S PROJECT ADDRESS 19389 Stevens Creek Blvd APN # !�'` OWNERNAME Rootstock LLC PHO �� _gll � 1 E-MAIL STREET ADDRESS 19389 Stevens Creek Blvd CITY, STATE, ZIP Cupertino, CA95014 FAX CONTACT NAME Jim Foley PHONF408-813-7490 E-MAIL jimf@rootstockwinebar.com STREET ADDRESS 19389 Stevens Creek Blvd CITY, STATE, ZIP Cupertino, CA 95014 FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER IXTENANT CONTRACTOR NAME John Ton LICENSE NUMBER 833377 LICENSE TYPE C-45 BUS. LIC # 40406 COMPANY NAME Petaluma Sign Company E-MAIL john@petalumasign.com FAX STREET ADDRESS 90essie Lane J CITY, STATE, ZIP Petaluma, CA 94952 PHONE 707-322-0009 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK Install one NON -ILLUMINATED blade sign for ROOTSTOCK WINE BAR, per sign criteria specs. Subject property is located at "Pad #3" within the Main Street Cupertino development. USE OF ❑ SFD or Duplex ❑ Multi -Family STRUCTURE: ® Commercial ILLUMINATED (Y /? SIGN TYPE (CODE) NO. OF SIGNS SIGN AREA (SQ. FT.) VALUATION ($) 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 E - ELECTRONIC W - WALL SIGN READERBOARD WI - WINDOW SIGN N BL 1 6 $2,500 F -F [RECEIVEDBY:, 5 '42511\1 1 TOTALV ION: oo 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 relaf bui I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicaut/Agent: Date: 6-1-2016 SUPPLEMENT INFORMATION REQUIRED _ Site Plan _ Elevations Sign Details - including UL listing(s) applicableEXPRESS 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 ❑ STANDARD ❑ LARGE ❑ MAJOR BUILDING PLAN REVIEW PLANNING PLAN REVIEW ❑ OTHER: SignApp_2011.doc revised 03/31111 CEIE JU1v 2x16 BY SHOP 9 - Sign location: North wall of "Pad 3" (Rootstock Wine Bar), Main Street Cupertino S T E V E N S C R E E K B L V D UPERTINO Building Department OF FiCE C `� i JUS 2 1206, REVIEWED FOR GODS COMPLIANCE Revlew0d By. �E-q, Rootstock Blade Sign Permit Application - SITE PLAN - NO SCALE submitted by John Ton / Petaluma Sign Co / 707-322-0009 /john@petalumasign.com COMMUNITY-DRV5M,ENcT!DVRRT.,MENT BUILD.ING DIVISION - CUPERTINO v CuAefgkb��.cyse # 40406 This set of plans and specifications MUST be kept of the job site during construction. It is unlawful to make any EU Y changes or alterations on sane, onto deviate p►,�'T PLAN therefrom, without approval from the Building Official. The Stamping of this plan d specifications SHALL NOT ®ATE �P.T be held to permit o o an approval of the violation PLANNI G of any provisiors ity Ordinance or State Law. CUPF-RTINO BY DATE PERMIT #. C-107 MIs il- 0 Existing frame wall I 1/2" bolts through -bolted through wall (TYP). Nuts + foundation washers (TYP) Drawn by John Ton 707-322-0009 r Existing stone veneer Bracket is welded 1/4" plate steel 1/2 x 1/2 steel guy, welded to bracket and to pole 2 in. sched 40 steel pole, all intersections /.fillets welded r 36 in UP' NO lei .> '` Building Depatnent I g `` Ems' �f Jum ��9i >9 feet to fin. grade, per MSC Sign Criteria RE"VlEVVED AOR CODE: I.;C)MPLi,4NCE Reviewet7 By: 17�iw' scale: 1" = 12" Double -sided blade sign, rusted steel letters. Rusted steel bracket. Aluminum pole finial. wood is reclaimed fir, stained / whitewashed to contrast with steel. End straps encase all wood to ensure structural stability. welded to chain hangers. Decorative steel rivets. Letters attached with 2 inch threaded studs, holes filled with foundation epoxy. Stand-off <1/2'in. wood thickness = 2 inches.