14040129CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10883 S BLANEY AVE CONTRACTOR: HENRY'S DESIGN & PERMIT NO: 14040129
SIGN CO
OWNER'S NAME: PACIFIC RIM PARK LLC 965 W WINTON AVE DATE ISSUED: 04/21/2014
OWNER'S PHONE: 4082554163 HAYWARD, CA 94545 PHONE NO: (408)269-0888
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL E] COMMERCIAL E]
CHANGE (E) ILLUMINATED WALL SIGN TO (N) CHANNEL
License Class Lic. # LETTER SIGN WITH (N) BOX WITH RACEWAY
Contractor Date
I hereby affirm that I am lice under the provisions f Chapte 9
(commencing with Section 7000) of Division 3 of the Business & Professions
Code and that my license is in full force and effect.
I hereby affirm under penalty of perjury one of the following two declarations:
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. Sq. Ft Floor Area: Valuation: $1500
e and will maintain Worker's Compensation Insurance, as provided for by
Se6tion 3700 of the Labor Code, for the performance of the work for which this APN Number: 36934052.10883 Occupancy Type:
permit is issued.
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED
correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS fRMIT ISSUANCE OR
to building construction, and hereby authorize representatives of this city to enterupon the above mentioned property for inspection purposes. (We) agree to save 180 DAY LAS LED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments
costs, and expenses which may accrue against said City in consequence of theued by: Date:
granting of this permit. Additionally, the applicant understands and will comply
with all non -poi source regulations per the Cupertino Municipal Ce, Section
9.18.
f RE -ROOFS:
Signature Date / All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
❑ OWNER -BUILDER DECLARATION
Signature of Applicant: Date:
I hereby affirm that I am exempt from the Contractor's License Law for one of
the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the roe y g HAZARDOUS MATERIALS DISCLOSURE
property, rty, am exclusive) contracting with licensed contractors to
construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
declarations: Health & Safety Code, Section 25532(a) should I store or handle hazardous
I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous
Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District 1
will maintain compliance with the upertino Municipal Code, Chapter
performance of the work for which this permit is issued. 9.12 nd
I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Secti s 25505, 25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date:
permit is issued.
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY
Compensation laws of California. If, after making this certificate of exemption, I
become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of
forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
APPLICANT CERTIFICATION Lender's Address
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 relating
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We) agree to save ARCHITECT'S DECLARATION
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional
9.18.
Signature Date
CUPERTINO
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION ( O
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building@cupertino.org
PROJECT ADDRESS 10883 B South Blaney Ave
APP - 3 — 3 y — o— —2—
Zpacific
PacificRim Park, LLC - Steve Caserza
PHONE 408-255-4163
E-MAIL stevecaserza@att.net
STREET ADDRESS 5057 Forest Glen Drive
CITY, STATE,ZIP San Jose, CA 95129
FAX
CONTACT NAME Alan Jiang
PHONE 510-512-6041
FE -MAIL ajiang@odsigns.com
STREET ADDRESS 965 W. Winton Ave
CITY, STATE, ZIP Hayward, CA 94545
FAX 510-940-2828
❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 0 CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME Henry Chen
LICENSE NUMBER 741908
LICENSE TYPE C-45
BUS. LIC#
cOMPANYNAME Henry Design & Sign Company
E-MAIL
FAX
STREET ADDRESS 2018 Evans Lane, #4
CITY, STATE, ZIP San Jose, CA 95125
PHONE 408-269-0888
ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS. LIC #
COMPANY NAME
E-MAn.
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK "Beijing Duck" exterior wall mount, front lit channel letters & light box with raceway, total 24sq.ft.
USE OF ❑ SFD or Duplex ❑ Multi -Family
STRUCTURE: Commercial
ILLUMINATED
(Y / N)
SIGN TYPE
(CODE)
NO. OF
SIGNS
SIGN AREA
(SQ. FT.)
VALUATION
(S)
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
Y
W
1
24
1200.00
RECEIVED BY:
TOT UATION:
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. 1 have read this
application and the information I havepro ided is correct. I have read the Description of Work and verify it is accurate. I agree to co ly with all applicable local
ordinances and state laws relating to buil g construction. I au a representatives of Cupertino to enter the above-identiSLy for 1pection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL INFORMATION RE D
Z, ite Pian
V Elevations
,\/,Sign Details - including UL listing(s) applicable
ctural 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
X—OVER-TH&COUNTER
EXPRESS
El STANDARD
❑ LARGE
❑ MAJOR
BUILDING PLAN REVIEW
LANNING PLAN REVIEW
OTHER:
SignApp_201 Ldoc revised 03/31/11
PROPOSAL DRAWING
BEIJING DUCK HOUSE
11'-2'/2"
_ y t Y �►
I•
11'-4"
RACEWAY
ARTWORK SIZE
SCALE 120
TOTAL SIGN AREA = 22.4 SQFT
ESTIMATE WEIGHT = 20LB
COLORS & MATERIAL
LOC, :"1 3.3 L)LLP FRONT LIT ALJ!,ANUM CHANNLL LETTERS WITH RED COLOR RETURN,
DIGITAL PRINT ON VINYL AND APPLY ON
3/16' THICK ACRYCAST" WHITE TRANSLUCENT ARCYLIC
3/4 THICK RED COLOR TRIM CAP, AND INTERNAL ILLUMINATED WITH WHI TE L.E.D.
FLUSH MOUNTTOTHE RACEWAY
LETTERS: 3.5" DEEP FRONT LIT ALUMINUM CHANNEL LETTERS WITH RED COLOR RETURN,
3/16" THICK ACRYCAST" RED TRANSLUCENT ARCYLIC
COMMt W9HkE,jo�T AN INTERNAL ILLUMINATED WITH RED L.E.D.
BL>w.�ibt�fd0�d
RACEWAY: 8"H�' ' "�1( VaP 040"THICK 18 GAUGE ALUMINUM BOX,
PAI L ��c�? jytTING WALL
This set of plan8lffif 40@WafQrjbI# be kept at the
job site during construction. It is unlawful to make any
changes or alterations on same, or to deviate l
therefrom, without approval from the Building Official.
The stampin�11 is ply^ �r SHALL NOT
be hek.' the violation t
or State Law. IL
3 EXISTING VIEW & PROPOSAL VIEW
SCAIE 1:100
11
COLORS SPECIFICATION
'L UL IU INCUNSb I LN I PRINT/ SCREEN OUTPUT COLOR
INDICATE COLORS MAY \!" FROM ACTUAL COL''!'
PMS 187 C RED
31' ---t
STOREFRONT
NT
RECEIVED
APR 21 2014
BY
2 3 DIMENSION
NOT TO SCALE
CUPERTINO
r�uilrii
nq Departme
- �
FOR CODE (;OMPLIANC
Reviewed By ��, fjA
PLOT PLANS
CHECKED 2/ -
BY
q_ / Z �,_
y
CU
BLDG. iIEP'I'.
"FFICE
EQ EQ
IYC(� " /L)
this design is the layout we will use in producing your signs per your instructions. Please Check It Carefully! Mark any changes or revisions clearly on the layout. We fumish art for a one-time set up charge. Your design will be kept in a permanent file. In the event you need more signs, you will not incur another set up charge,
if you use the original design- Whereupon you purchase signs elsewhere or elect not to purchase signs, we will bill you for an amount not to exceed the amount of the set up charge. Please note ....... OD SIGNS INC., retains copyright of this art.
signs
OD SIGNS INC.
965 %'. WINTON AVF
HAYWARD CA 94545
TEL: 510-940-7446
FAX 510-9402828
ALL RIGHTS RESERVED
T- s w ongmal unpdbl snM pre
or wbowk gated by Hl Sig—
n is rot to be aeoww 10 anyone —deyour orq> atop. - to - used.
reyoduned- o V— x e,nlb tea
ram,on
HIwn^out wnsen aumonzaacn
uom 'g3_'
Project
BEIJING DUCK HOUSE
Address
10883 B SOUTH BLANEY AVE.,
CUPERTINO CA 95129
Salesperson
I ALAN JIANG
Drawn By
KEVIN LEE
Date
04.04.2014
Revision 1 By 04.14.2014
CUSTOMER APPROVAL
Art approved as is
0 Art NOT approved - note changes
Signature: -
Date:
.., ,n,rueir, In"d hrlwra. inn tvgin prcpraun
LANDLORDAPPROVAL
Art approved as is
.Art NOT approved - note changes.
Signature:
Date:
Yau Tmrtue n rrornf hNoce .r s. ,yin s a:l�-wn.
Drawing Number
3.5" 6 -TBD
Q
INS
PROPOSAL DRAWING
BEIJING DUCK HOUSE
j
3.5 -DEEP FRONT LIT CHANNEL LETTERS
14 GAUGE 063"THICK ALUMINUM
FOR LETTERS OVER 3' IN HEIGHT:
12 GAUGE 080"THICK ALUMINUM
B
_
3/4" THICK TRIM CAP
C
3/16"THICK TRANSLUCENT ACRYLIC
D
12 VOLTS JS L.E.D. LIGHT MODULES
E
01/4" GALV. BOLTS & NUTS (MIN. 7 PER LETTERS)
LENGTH TO BE DETERMINED
F
12 GAUGE ELECTRICAL WIRE IN 1/2" FLEX CONDUIT
G
(E) EXTERIOR RATED WEATHER TIGHT QUAD
JBOX FOR PRIMARY SIGN POWER
H
DISCONNECT SWITCH
J
TRANSFORMER
(E) STUCCO WALL
K
040"THICK 18 GAUGE ALUMINUM 8"H RACEWAY
C4]
INSTALLATION DETAILS (SECTION)
NOT TO SCALE
05 Al AND SITE MAP
NOT TO SCALE
This design is the layout we will use in producing your signs per your instructions. Please Check It Carefully! Mark any changes or revisions clearly on the layout. We furnish art far alone timesetup charge. Your design will be kept in a permanent file. In the event you need more signs, you will not incur another set up charge,
if you use the original design. Whereupon you purchase signs elsewhere or elect not to purchase signs, we will bill you for an amount not to exceed the amount of the set up charge. Please note. ...... OD SIGNS INC., retains copyright of this art.
�N
r
si,5ns
OD SIGNS INC.
965 W. WIN ON AVE
HAYWAI LD CA 94545
TEL: 510-940-7446
FAX: 510-9402828
ALL RIGHTS RESERVED
this s an anginal unp,rDfished P—
! anwore gerera!ed Dy HI signs.
It
is ^at Id t>s si—h+ anyone o+,ude
your nq.. t— " Is to De used,
repro ,—, mpled W a,h—si, in any
rasn— wn^out wnnen aumodxauon
rrom Hls'V'
Project
BEIJING DUCK HOUSE
Address
10883 B SOUTH BLANEY AVE.,
CUPERTINO CA 95129
Salesperson
,RTI NO ALAN JIANG
)epartmenf I
Drawn By
MPLIANGe
hATGr i
KEVIN LEE
Date
04.04.2014
Revision 1 By 04.14.2014
CUSTOMER APPROVAL
Art dpproved as Is.
Art NOT approved - note changes
Signature.
Date:
Yo:e.gatue n �reluiMMfine'we!an t�gin po3,Imn
LANDLORD APPROVAL
Art approved as is
Art NOT approved - note changes.
Signature
Date.
Ywr wgutue n r.lar rc.lsivie .c . an �.egui ,r,r:l,�. iini.
3rawing Number
2-2
.lob Number
21348