B-2016-2590CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS;
CONTRACTOR:
PERMIT NO: B-2016-2590
19369 STEVENS CREEK BLVD STE 100 CUPERTINO, CA 95014 (316 20 112)
88 SIGN CORP
SOUTH EL MONTE, CA
91733
OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR LLC
DATE ISSUED: 08/25/2016
OWNER'S PHONE: 949-697-5883
PHONE NO: (626) 442-8033
LICENSED D ONT A TOR' DECLARATION
BUILDING PERNUT INFO: `
License Class CC -45 Lic. #7 74
Contractor 88 SIGN CORP Date 02/28/2017
X BLDG _ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
_
MECH — RESIDENTIAL X COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
2 (N) ILLUMINATED WALL SIGNS - CHEF HUNG
I hereby affirm under penalty of perjury one of the following two declarations:
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 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
permit is issued.
Sq. Ft Floor Area:
Valuation: $6000.00
APPLICANT CERTIFICATION
1 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 20112
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 consequence of the granting of this permit.
Additionally, the applican understands and will comply with all non -point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
source regulations pert a Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
Signature r Date 8/2512016
Issued by: AbbyAyende
OWNER -BUILDER DECLARATION
Date: 08/25/2016
I hereby affirm that I am exempt from /oontractor's License Law for one of the
RE-ROROOFS-
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 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 proper[}; am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 8/25/2016
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
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 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, Sect! s 25505, 25533, and 25534.
Labor Code, I must forthwith comply with suchprovisions or this permit shall
be deemed revoked. ;
Owner or authorized agent:
APPLICANT CERTIFICATION
Date: 8/25/2016
I certify that i have read this application and state that the above information is
I hereby that there is lending
correct. I agree to comply with all city and county ordinances and state laws
affirm a construction agency e performance
relating to building construction, and hereby authorize representatives of this city
of work's for which this permit is issued (Sec. 3097, 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, 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 Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Section 9.18.
1 understand my plans shall be used as public records.
Licensed
SiSignature Date 8/25/2016
9
Professional
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 -'FAX (408) 777-3333 - buildind0cuoertino.or4
PROIECTADDRESS19369 Stevens Creek Blvd #100, Cupertino, CA 95014
AM#
OWNMNAMFOH`EF HUNG CUPERTINO /Aberdeen Project 1.3 LT
PHONE (949) 697-5883
E-MAIL chefhungcupertino@gmail.com
STREET ADDRESS
2710 Alton Pkwy, Ste 117
CITY, STATE, ZIPIrvine, CA 92606
TAX (949) 756-0078
CONTACT -NAME Susan -Lo z
PHONE 949 697-5883
( )
E-MAIL
chef hungcupertino@gma l.com
STREETADDRESS
2710 Alton Pkwy, Ste 117
CIY,.STATE, ZIP
Irvine, CA 92606
FAX
(949) 756-0.078
® DWNER 13 OWNER, -BUILDER ❑ OWNERAGENT 13 CONTRACTOR ❑cONTRAcTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTORNAME Danny Leung
LICENSENUMBER 702474
LICE 657PE
`J
BUS. LIC N
CQMPANYNAW 88 Sign Corp
An.
E•M88signQsbcglobal.net
FAX (626) 4479002
STREETADDRESS
1906 Doreen Ave,
CITY, STATE. ZIP
South El Monte, CA 91733
PHONE(626) 5241668
ARCHTTECTIENGINEER NAME
LICENSE NUMBER
BUS. LIC 9
COMPANY NAME
E-MAIL
FAX
STREETADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK Luminated Business Permanente Signs for Chef Hung Restaruant
USE OF ❑ 'SFD or Duplex ❑ Multi -Family
ILLUMINATED
SIGN TYPE NO. OF
SIGN AREA,
VALUATION
STRUCTURE: Commercial
(Y / N)
(CODE) SIGNS
(SQ. FT.)
(S)
SIGN TYPE CODES:
B — BAN'QERSIGN 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
w.
TOT V UATION:
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the prbperty owner's behalf. I have read this
application and the information I hav ovided 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 t ui ing construction. I uthorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of Applicant/Agent: Date: $/8/2016
QUIRED
SUPPLEMENTAL INFORMATION.a,'tiv_it.
.-.a ��`ts r'�_OFEICIaLt$Ol�:
•r,, N
t PIr�tIV CHECK.It'r
_
Site Plan %Ct.4tu� (a
'
l
Elevations t
T Sign Details - including UL listing(s) applicable
Structural Calculations (if applicable)
Copy of Planning Approval Letter or Meeting with Planning prior to
submittal ofBuilding Permit application.Ni
Sigx4pp_2011.d6c revised 03/16111