B-2017-0350CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: tRONA,CA!
NTRACTOR: PERMIT NO: B-2017-0350
10493 S DE ANZA BLVD CUPERTINO, CA 95014-3011 (359 17 019) HAN INC
2882
OWNER'S NAME: BDC HAYWARD LP
OWNER'S PHONE: 925-588-2213
LICENSED CONTRACTOR'S DECLARATION
License Class ]a Lic. #944248
Contractor P J HAN INC Date 03/31/2018
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.
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.
z. 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.
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 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 indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in consequence of the granting of this permit.
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
Signature Date 03/02/2017
f.
DATE ISSUED: 03/02/2017
PHONE NO: (951) 280-3010
PERMIT INFO:
X BLDG —ELECT _ PLUMB
_ MECH _ RESIDENTIAL X COMMERCIAL
JOB DESCRIPTION:
KOREAN BBQ; INSTALL (2) ILLUMINATED WALL SIGNS
Sq. Ft Floor Area: I Valuation: $2500.00
"N Number: Occupancy Type:
359 17 019
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FR0]1 -LAST T T ED INOECTION.
Issued by:
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-
ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed. If a roo
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
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: 03/02/2017
hereby affirm under penalty of perjury one of the following three 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.
2. 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.
3. 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 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 forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
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 indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
and will comply with all non -point source regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 03/02/2017
"A" OR BETTER
HAZARDOUS MATERIALS DISCLOSURE
I have read the hazardous materials requirements under Chapter 6.95 of the
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
Health & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
the Health & Safety Code, Sections 25505, 25533, and 25534.
Owner or authorized agent:
Date: 03/02/2017 -
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S RATION
I understand my plans shall be used as public records.
Licensed
Professional
L* j_dXtIi;£�
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 o FAX (408) 777-3333 • buildingp_cupertino.ora
/,7, 2_Q i 3-- - 0 3 50
PROJECT ADDRESS J9� e e- ma J 1
APN #� p
IP�/
OWNERNAME
PHONE )>
oe
Yrs%f%i �L fs
STREET ADDRESS prruF&,dr
yac
cTf n S�TKI� p
F � - =
CONTACT NAME lY'!
PH(y
E MA
/
STREET ADDRESS a ® � �
CITY, s/Jy&G,. / 1
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENTM CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHrrECCT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME '• 1 ) .�
'IV
LICENSE NUI 7LICENSE
P/t
TYPE
BUS. LIC # 7�
COMPANY NAM G�
E-MAIL j, Ir j_ �a
-- ---
FAX
STREET ADDRES n,
Mav-521r� A.
CITY, STATE, ZIP
v
P ONE
ARCHITECT/ENGINEER NAME &
LICENSE NUMBER
BUTS. LIC #
COMPANY NAME
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF WORK —^'^'—
U
USE OF ❑ SFD or Duplex ❑ Multi -Family
STRUCTURE: Commercial
ILLUMINATED
(Y/N)
SIGN TYPE
(CODE)
NO. OF
SIGNS
SIGN AREA
(SQ. FT.)
VALUATION
M
SIGN TYPE CODES:7/
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
a�
- - - -- -- _
TOTA2�AL5V,N0
By my signature below, I certify to each of the following: I am the prope0agent 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 building cons itn. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes.
Signature of ApplicantlAgent: ✓ Date:�Y / f
Y - P -
SUPPLEMENTAL INFORMATION REQUIRED
Site Plan h�v_�Idi`CL
Elevations (J`
Sign Details - including UL listing(s) applicable �aello S7 -T/,<❑
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
- HE -COUNTER
EXPRESS
❑ STANDARD
❑ LARGE
❑ MAJOR
ElBUILDING PLAN REVIEW
❑ PLANNING PLAN REVIEW
❑ OTHER:
Sig ,4pp_2011. doc revised 03131/11
t -A
NEW SIGNAGE FOR "BULL KOREAN BBQ`
4R=D EB"4
COLORS & MATERIALS:
"BULL" — 3/16" WHITE TRANSLUCENT PLEX
LOGO — RED TRANSLUCENT VINYL ON 3/16" WHITE TRANSLUCENT PLEX
"KOREAN BBQ" — 3/16" WHITE TRANSLUCENT PLEX
CHANNEL — BLK. (S" RETURN, 0.940 ALUM.) & 3/4" BLk
ALL LETTERS ARE U.L. LISTED
s 1
TAKE DOWN!
EXISTING SIGN
VIALLtW-d)
120V20AMP
CHANNELLETTER
3HT.MTLRACRVAY(PR61
PANT+AACHTOWALLFACE
LOWVOLTAGE
POWERSUPPLY
.440 -
AWMINUMRSURN
- TYPICALLED. CHANNEL LET[ERSEC110N
NEW SIGN
NEW SIGN