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B-2016-3018CITY OF CUPERTINO BUILDING PERMIT CONTRACTOR: PERMIT NO: B-2016-3018 ILLUMIN'ART SIGNS BUHDINGADDRESS: 10095 SAICH WAY CUPERTINO, CA 95014-2124 (326 32 04 1) i YUBA CITY, CA 95993 DATE ISSUED: 11/01/2016 OWNER'S NAME: SAICH WAY STATION LLC OWNER'S PHONE: 408-453-4700 PHONE NO: (408) 386-1485 BUILDING PERMIT INFO: 0 IDECLAEATM License Class DA Lic. 4678750 Contractor 11,Li tlSdINART SIGNS Late 94131!2017 2[ BLDG a ELECT _PLUME I hereby affirm that ant 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: I hereby affirm under penalty of perjury one of the following two declarations: SUITE -INSTALL (2) ILLUMINATED WAT L SIGNS ([JBREAKIFIX} g. Ii 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 flu Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Sq. Ft Floor Area: Valuation: $7000.00 APPLICANT CERTIFICATION I certify that I have read this application and state that the above APN Number: Occupancy Type: informations is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize 326 32 041 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 may accrue PERMIT EXPIRES IF WORK IS NOT STARTED against said City in consequence of the granting ofthis permit. Additionally, the applicant undersJ49ft and will comply with all non -point WITH4-N480-D'S T ISSUANCE OR source regulations per the Cup F o Municipal Code, Section 9.18. 180 DAYS FROM PECTION. Signature Date 11L 112016 Issued by: }?LISS AME Date: 11/01/2016 I hereby affirm that I ant exempt from the Contractor's License Law for one of the RFrROOFS: following two reasons: Ali roofs shall be inspected prior to any roofing material being installed, If a roof is z. 1, 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 isnot intended or offered for inspection. sale (See.7044, Business & Professions Code) 2. 1, as owner of the property, am exclusively contracting with licensed Signature of Applicant: contractors to construct the project (Sce.7044, Business & Professions Code). Date: 1.1101/201 I hereby affirm under penalty of perjury one ofthe following three declarations: t. I have and will maintain a Certificate of Consent to self -insure for Worker's ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER Compensation, as provided for by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE a 1 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 Cade, for the performance of the work for which (ids California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will permit is issued. maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the 3. 1 certify that in the performance of the work for which this permit is issued, I Health & Safety Code, Section 25532(x) 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 Worker's Compensation laws of California. If, after making this certificate of air contaminants as defined by the Day Area Air Quali Management District I will maintain compliance with the Cup lino IYIun al Cade, Chapter 9.12 and exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall the health & Safety Code, S 'o , 25533, and 25534. be deemed revoked. Owner or authorized agen APPLICANT CERTIFICATION Date: 11/012016 I certify that I have read this application and state that the above Information is N LENDING AGENCY correct. I agree to comply with all city and county ordinances and state laws I hereby affirm that ther Is struction lending agency for the performance relating to building construction, and hereby authorize representatives of this city of work's for which this mit s issued (Sec. 3097, Civ 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 DF AR ATION Code, Section 9.18. 1 understand my plans shall be used as public records. Signature Date 19/01/2016 Licensed Professional wyc.rrs SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buiidingaa.cuPertino.crcl S PROJECT ADDRESS 10095 Saich Wa APN fd 326-32- 4 OWNERNAME Craig Jan , 1114 4hfO {Vi & MAIL ST'RBET ADDRESS CITY, STATE, ZIP FAX CONTACT NAME. Douglas. Enns PHONE 408 963-6587 E-MAILdenns@missioncitysigns.com STREET ADDRESS 186 E. Sunnyoaks Ave Ste E CITY,STATE, ZIP Campbell, CA 95008 FAX ® OWNER 1 OWNER -BUILDER GI OWNER AGENT ❑ CONTRACTOR EYCONTRACTORAGENT ❑ AItcurrECT ❑ ENGINEER © DEVELOPER ❑ TENANT CONTRACTORNAME Don lie Lute LICENSE.NUMBER 678750 LICENSETYPE, C-45 BUS. LTC N -tel G✓ COMPANY14AMP Illuminart Signs E-MAIL llluminartslgnsco@att.rlet TAX S'TREB'I'ADDRESS 2643 Somerset Way CITY, STATE, ZIP Yuba City, CA 95993 PHONE. 408386-1485 .. ARCHITF..CTJENGINEER NAME LICENSF,NUMBFR BUS. LIC tf COMPANY NAME E-MAIL FAX STREP..T ADDRESS CITY, STATE, ZIP PHONE DESCRII'TIOI`! OF WORK Installation of 16" x 123" Halo -lit Channel Letters U IP— Off and 14" x 108°' Halo -lit Channel Letters USE OF ❑ SI'DorDuplex ❑ Mutti-family STRUCTURE: ® Coininercial ILLUMINATED SIGN TYPE NO. OF (Y JN) (CODE) SIGNS SIGN AREA (SQ.Irr.) VALUATION (S) SIGNTYPECODES: B. - FANNER SIGN M -. MONUMENT (GROUND) SIGN ' BL - ELADF.SIGN P - PROJECTING SIGN D - DEVELOPMENT ID SIGN SP - SPECIALEVENT BANNFR DI - DIRECTIONAL SIGN T - TEMPORARY E - ELECTRONIC W - WALL SIGN RE4DERBOARD WI - WINDOW SIGN Y W 2 24.25 $7,000 - RECEl 7=A7VWOATION: perly owner or autl agent to act on the property owner's behalf. I have read this By my signature below, I certify to each of the following: I n reehd application and the information I have provided is eor ct. athe Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building const I representatives of Cupertino to enter the above-ide i //property for inspection purposes. Signature of Applicant/Agent: Date: ff I JXy SUPPL)MIsNTAL ION RF,QUIRrD Site plan _ Elevations Sign Details - including 13L listing(s) applicable Structural Calculations (if applicable) Copy of Planning Approval .Letter or Meeting with Planning prior to submittal of Building Permit application. ; oxxlCr rill ONLY PLAN CHECK`rYPE ROUTING SLIP 11 OVER-THE-COIJNTER. � 0 UXPRESS 0 STANDARD El LARGE ❑ MAJOR Fl JIUILI)INGPLAN $EVIEW - ❑ PLANNING PLAN REVIEW ❑ OTHER! ,Sign✓ipp 2011.doc rovised 03/31111