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B-2016-1163CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1163 19638 STEVENS CREEK BLVD CUPERTINO, CA 95014-2465 (369 06 012) ( S I P SIGNS INC) SUNNYVALE, CA 95131 OWNER'S NAME: EVERSHINE VI, LP DATE ISSUED: 01/1212016 OWNER'S PHONE: PHONE NO: III [ ENCED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. # CZ15- g7YRS'2— Contractor ( S J P SIGNS INC 3 Date o j �� /� X BLDG _ELECT _PLUMB MECII _ RESIDENTIAL X COMMERCIAL I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of D1vlsion 3 of the Business & Professions Code and that my license is in full farce and effect. JOB DESCRIPTION; H & R BLOCK. - INSTALL 2 ILLUMINATED WALL SIGNS I hereby affirm under penalty of perjury one of the fallowing two declarations: s, 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 Sq. R Floor Area: Valuation: $$3000.00 this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above Number; Occupancy Type: information Is correct. l agree to comply with all city and county 69 060 12 369 3 A (Tenant Improvements) 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 IS NOT harmless the City of Cupertino against liabilities, judgments, costs, and PERMIT EXPIRES IF WORD ,STARTED expenses which may accrue against said City in consequence of the WITS IN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will complywith all non-point source regulations per the Cupertino Municipal 1,80 DAYS ED INSPECTION. Code, Section 9,18. � Date ail �G Is b : 1445 ) Date: r Signature Z OWNER-BUILDER DECLARATION RE-ROOFS I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is installed first obtaining an inspection, I agree to remove all new materials for following two reasons: t. I, as owner of the property, or my employees with wages as their sole without inspection. compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Z I, as owner of the properly, am exclusively contracting with licensed Date: contractors to construct the project (Sec,7044, Business & Professions Code), ALLROOF COVERINGS TO BE CLASS "A" OR BETTER I hereby affirm under penalty of perjury one of the following three declarations: — - i.--Lhave-and_will-maintain-a_Certificata-of_Consent_ta_self-insureiar_W�rlcer's— _—. _ -- - HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the Compensation, as provided for by,Section 3700 of the Labor Code, for the performance of the work for which this permit is issued, California health & Safety Code, Sections 25505, 25533, and 25534. I will 2. 1 have and will maintain Worker's Compensation Insurance, as provided for maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the by Section 3700 of the Labor Code, for the performance of the work for which Health & Safety Code, Section 25532(a) should I store or handle hazardous this permit is issued. material. Additionally, should I use equipment or devices which emit hazardous a. I certify that in the performance of the work for which this permit is issued, I air contaminants as defined, by the Bay Area Air Quality Management District I shall not employ any person in any manner so as to become subject to the will malntain compliance with the Cupertino Municipal Code, Chapter 9.12 and Worker's Compensation laws of California. If, after making this certificate of the Health &Safety Code, Sections 25505, 25533, and 25534, 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 Owner or authorized agent*if iii Iia be deemed revoked. Date:/%� f� nnnramurrnTION I ENDINGAC.EIYCY 1]PMJCANT CERTIFICATIO�i / I hereby affirm that there is a construction lending agency for the performance certify that I have read this application and state that the above Information is of work's far which this permit is issued (Sec. 3097, Civ C.) correct. I agree to comply with all city and county ordinances and state laws Lender's Name relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree Lender's Address to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in ARCHITECT'S DECLARATION consequence of the granting of this permit. Additionally, the applicant I understand my plans shall be used as public records. understands and will comply with all non-point source regulations per the Cupertino Municipal Code, Section 9.18, Licensed Professional Signature Date OWN�� CITY OF CUPERTINO 1 FF,F FgTTMAT0R — RTTTT,DIN'G DIVISION SIGN TYPE FEE ID QTY SIGN FEE Wall Sign, Electric- 1SIGNWELFC 2 $572 TOTALS: $572.00 €tfi:r Ir. Plan C:ltt;a;>a T'hollls. /'tall (heck # Branch Circuits 1 $48.00 Ili>tlt. I'er'nait.l'te: 1'1a t�tn. Ij rnrt f"i IESIGN Elce, Permit Fee: )EPERMIT Ofher.7'ltentla lase. Other Elec. Insp.0.0 $48.00 :$Ieclt. lrzsp, l i:t: Plrt szl3, h/q.. J"ee: f.: ea. ltzrl:. Fee: VOTr7• Thic nwf;mnia frnoc mn/ imrhifro £oo.c rlvrn to nfhvr• M-narYmenh (Le. Planninu. Public Works, Fire, Sanitary Sewer District, School District etc) Tlaese fees are based on the reliminar ire orrmtion avallable and are on1v an estimate, Contact the De pi ar addn'l irti o. x FE E I11TEMS fee Resoly 'ora II -053 .E '. 7/ 13J ADDRESS: 19638 STEVENS CREEK BLVD]DATE: 01112/2016 APN: 369 06 012 BP##: REVIEWED BY: MELISSA *VALUATION: 1$3,000 *PERMIT TYPE: Building Permit FLIN 01713-C TYPE: PRIMARY Sign USE: g PENTAMATION 10EAP5 PERMIT TYPE: WORD H & R BLOCK _ INSTALL 2 ILLUMINATED WALL SIGNS. SCOPE SIGN TYPE FEE ID QTY SIGN FEE Wall Sign, Electric- 1SIGNWELFC 2 $572 TOTALS: $572.00 €tfi:r Ir. Plan C:ltt;a;>a T'hollls. /'tall (heck # Branch Circuits 1 $48.00 Ili>tlt. I'er'nait.l'te: 1'1a t�tn. Ij rnrt f"i IESIGN Elce, Permit Fee: )EPERMIT Ofher.7'ltentla lase. Other Elec. Insp.0.0 $48.00 :$Ieclt. lrzsp, l i:t: Plrt szl3, h/q.. J"ee: f.: ea. ltzrl:. Fee: VOTr7• Thic nwf;mnia frnoc mn/ imrhifro £oo.c rlvrn to nfhvr• M-narYmenh (Le. Planninu. Public Works, Fire, Sanitary Sewer District, School District etc) Tlaese fees are based on the reliminar ire orrmtion avallable and are on1v an estimate, Contact the De pi ar addn'l irti o. x FE E I11TEMS fee Resoly 'ora II -053 .E '. 7/ 13J FEE QTY/FEE MISC ITEMS -Plrm--- (`heck -1" e e Suppl. PC Bee: (D Reg. 0 OT Q,Q lu 3 $0.00 Permit Fee: $572.00 Suppl. Insp. Feer Reg, C) OT 0 07 hrs $0.00 PME Unit Fee: $48.00 PME Permit Fee: $48,00 (7011--w-ruction :1 : .:1�1`rnin,�lrrall�cc .f=�c� • . Work Without Permit? 0 Yes) No $0.00 Sign Master Plan: 0 Yes (j) No $0.00 Travel Documentation Fee: ITRAVDOC $48.00 Strong Motion Fee: IBSEISMICO $0.$4 Select an Administrative, item Bldg Stds Commission Fee: IBCBSC $1,00 SUBTOTAI;_S€ $717.$4 $0.00 TOTAL FEE $717.$4 hevisea: u,itu u4u to SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(d),culaertino.ora a - 1163 PROJECT ADDRESS / ,767 T 7777 �� (nay �J, y' 111 7APN IF f G �- (J " Yi OWNER NAME %s n G � '/ PHON90tl ._ olb 7,_o,'07J9E-MAIL STREET ADDRESS! p ��� ( �7 CITY, STATE, r Gl� f FAX CONTACT NAME �Z7IPr� PHONE L 6 7 7( ��211_3 y�^ E-MAIL PAXAY &JI c a � tr + ��/ . [ r STREET ADDRESSCITY, STATE, ZIP FAX 13 OWNER © OWNER -BUILDER El OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT 11 ARC= -CT 13 ENGINEER 11 DEVELOPER 13 TENANT CONTRACTORNAMES0/<H,0,/f,r Vg(l-JT LICENS NUMBER NSETYPE BUS. LIC# 3�Z COMPANY NAME ! � J� �° - E-MAILL 1/e 1Pub }t �� YVIs���5 Y„']� - FAX 9Vp �� STREET ADDRESS % 1L7' 1 7 Ale7., VY r( }rr'� 114/�-1-4� V� p CITY. STATE, ZIP // _v '�'� eW _ 01511 p PHONE flog q7,. 40_ - ARCHITECIYENGINEERNAME - LICENSENUMBER BUS,LIC41 COMPANY NAME EMAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION 4F WORK USE OF ❑ SFD.or Duplex ❑ Multi -Family ILLUMINATED SIGNTYPE NO, OF SIGN AREA VALUATION STRUCTURE;E] Commercial (Y(N) (CODE) SIGNS (SQ. FT.) t$} SIGN TYPE COAGS: / � B. - BANNER SIGN M - MONUMENT (GROUND)SIGN- BL - BLADE SIGN P - PROJECTING SIGN _ D - DBVELOPMENTIDSIGN SP - SPECIAL EVENT BANNER DI - DIRFZfIONALSIGN - 'TEMPORARY /T�� E - ELECTRONIC ! W J - WALL SIGN l/WI READERBOARD - WINDOW SIGN - _ IVED 6Y: TO �� jQTI. f By my signature below, I certify to each of the following: I am the pr per er- rau _ o—REed agent to act on the property owner's behalf. I have read this application and the information !have provided is correct. I have read the escripho is of V9ork and verify it is accurate. F agree to comply with all applicable local ordinances and state laws relating to build' consti tion. II authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature ofApplicant(Agent; Date: t2t% SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY PLAN CFIECK TYPE ROUTING SLIP _ Site Plan OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ Elevations Sign Details - including UL listing(s) applicable ❑ EXPR):SS. ❑ PLANNING PLAN REVIEW Structural Calculations (if applicable) ❑ STANDARD OTHER: Copy of Planning Approval Letter or Meeting with PIanning pt'ior to ❑ URGE submittal of Building Permit application. 0 NIAJOR SignApp 2011.doc revised 03131111 Building SQ.Ft I N/A I CurrentSQ.FT. I 21.5SQFT 0 to increase size: 0 Y 11 N SOUTH WATBR 8 1 qaN 8 X 4or r)DV– COMpL1�t tDmesigner: nkr MMBER HIM MMMMM LISTED Existing -Signage: Sign Type: Existing Sign Dimensions: Illumination: Face Color: Sign Conditio Box Sign: L1H 24" -12'/7" W 10'-9 1/4" None: M White: N Gnoo fit. Channel Letters: 0 — LED: D Day/Night: El Fair Other: [I Existing Wall Dimensions: Neon: 0 Other: 0 Poor: D H N/A W N/A Fluorescent: El Additional Notes: MMBER HIM MMMMM LISTED L pcaoh— MMBER HIM MMMMM LISTED Total SQ.FT. 117.33 SQ FT h Main ID OUPERTINO TYPE: Face Llt Channel Letters �3uilding Depaftmen FAB; 5"deeps[d.040 call -white lntefio,.063 pre-fini - mbackUiniq1 2 016 MOUNTING: All cans attached to a common extruded Eastern Metal aluminum raceway (4-1/2"x7"). a.V v TBID ILLUMINATION: Raceway5 MMN on tubes with 30 maeHOUSED IN RACEWAYREVIEWED FOR CODE COt�PLIANCF LETTER FACES; "Advisers":#2447White RevieWed "Block"#2447 Arkema Plexiglas with 3M 3630-106 Brilliant Green LOGO FACES; #2447 Arkema Plexiglas with various coverage and layering ofgreen vinyls Layers of translucent vinyl as described in sign family PRE -PAINT: Letter returns - pre -painted coil (Silver) for"Advisors" Block & Logo returns - pre -painted coil PMS 3760 Green Trim caps -Silver for"Advisors'Green for"Block" and Logo Cube Raceway Color TBD ` "Advisors" ���_� White Leave As Is: Bottom of Cube Channel L e—t—te fis—:11111 Raceway: ■ Y ❑ N New Face Color: ■ White ❑ Day/NOther ght El Other Existing Sign Size: 24"- 12"17"X 10'•9114" New Sign Size: OR X Part# 3630-156 Vivid Green Awning: ❑ Illuminated: [J Y D IN Shared Pylon/Tenant Sign: ❑ Y D N If yes, Green logo with D white copy Other Elw" Pantone 363 C Additional Notes: Signage mounted to TBD Colors to Match Advisors Returns Std Silver & Trimcap Trim & Returns- PMS 3760 Faces-#2447Arkema Plexiglas with 3M 3630-106 Brilliant Green Rlght SldeofCub' PMS 369C with 3M 3630-136 Lime Green Signage Recommendations: J ���_� Leave As Is: LED R—e—tro—fi t -.71 Face Change: ❑ Y D N Existing Face Color: D White g El Other ht El Other New Face Color: ❑ White D Day/Night D Other Channel L e—t—te fis—:11111 Raceway: ■ Y ❑ N New Face Color: ■ White ❑ Day/NOther ght El Other Existing Sign Size: 24"- 12"17"X 10'•9114" New Sign Size: OR X Part# Box Sign: Reface Existing: ❑ Retrofit Existing: ❑ New Sign: ❑ Size: ❑ YX B, ❑ 3' X 5' ❑3'X8 ❑axe• ❑ 4'X e ❑ 4'X 10' ❑ T-8• x it o' L3 Other oo o° xQo" Awning: ❑ Illuminated: [J Y D IN Shared Pylon/Tenant Sign: ❑ Y D N If yes, Green logo with D white copy Other Elw" ❑ [ w":tw.dm wPoemo-xq coo".mi.e•m,.am m"T�n"nw==��_ __ Additional Notes: Signage mounted to TBD ❑ 8a aeene ee,e..��,w"w.vh. ❑ e""<"� erm El HRBA•Custom-CLR .n ".epuwan�nmu.t SOUTIF�WATER �' 91GNS 0 tm Designer: Location: 19638 Steven's Creek Blvd. Cupertino, CA 95014 MEMBER 4 n�omm LISTED Total SQ.FT. 1 17.33 SQ FT Side ID F;i sT Building DePartment JAN k RL -411E YVMd)d.L ikw,9Fjjar'Lor, D6 re -fills }vie lu�pminum backs MOUNTING: All cans attached to a common extrude tern eala umLlm raceway (4-172"x7"). fad4VB@O+#Ul6J8 �grdw4 ILLUMINATION: 15 MM Neon tubes with 30 ma HOUSED IN RACEWAY LETTER FACES: 'Advisors': #2447 White "Block"02447 Arkema Plexiglas with 3M 3630-106 Brilliant Green LOGO FACES: #2447 Arkema Plexiglas with various coverage and layering of green vinyls r r Layers of translucent vinyl as described in sign family PRE -PAINT. Letter returns - pre -painted coil (Sliver) for"Advisors" Block &Logo returns - pre -painted coil PMS 376E Green Trim caps -Sliver for"Advisors"6reen for"Block" and Logo Cube Colors to Match Raceway Color Leave As Is: ❑ Advisors Returns Channel Letters: Raceway: ■ Y ❑ N New Face Color: ■ White ❑ Other ht ED Other Existing Sign Size: 24"-12"17"X 10'-9 114" New Sign Size: OR X Part # TBD wnmg: ❑ ❑ Y ❑ N Pylon/Tenant Sign: ❑ Y ❑ N If yes, Green logo with El Other El- Std Sliver&Trimcap Additional Notes: Signage mounted to TBD ❑ agls app ❑ _. ._'. •_ _„°n"�np u�, waEll Trim & Returns- PMS 376C "Advisors" ❑ Faces- 42447 Arkema Plexiglas HRBA-Custom-CLR White with 3M 3630-106 Brilliant Green Bottom of Cube Right Side of Cube 3630-156 Vivid Green PMS 369C with Pannone 363C 3M 3630-136 Lime Green TRIM CAP WITH RETAINING SCREW PURKE NEONTUBE NEON TUBE SUPPORT LeTEOGTOGBLE ELECTRODE INSULATING BOOT AND SLEEVE A-UMINUM.BBS' BACKS I AW RETURN WAAEASM Signage Recommendations: �� �wh Leave As Is: ❑ LED Retrofit: —� Face Change: ❑ Y ❑ N Existing Face Color: ❑ White ❑ Other ht Cl Other New Face Color: C3 White ❑ ONlght El Other Channel Letters: Raceway: ■ Y ❑ N New Face Color: ■ White ❑ Other ht ED Other Existing Sign Size: 24"-12"17"X 10'-9 114" New Sign Size: OR X Part # Box Sign: Reface Existing: ElIlluminated: Retrofit Existing: ❑ New Sign: L1Shared size; ❑ T X ' ❑ 3'X ' ❑ 3'X B ❑ a'x s• [I 4'X 8' ❑4'X10' [I x ElOth Other: 000^ x o_o' wnmg: ❑ ❑ Y ❑ N Pylon/Tenant Sign: ❑ Y ❑ N If yes, Green logo with El Other El- ❑ leq .dd-1 LVNN9 c�am"ly,m,.wa ms�nmml.mm"s Additional Notes: Signage mounted to TBD ❑ agls app ❑ _. ._'. •_ _„°n"�np u�, waEll HRBA-Custom-CLR SOUTH WATER 5 I G N 8 tm Designer: nkr c `o 0 0 0 No 3 Location: 19638 Steven's Creek Blvd. Cupertino, CA 95014 MEMBER 00 LISTED WW NamR9G1A6Mm Overview Photos SOUTH WATER S % G N S ten Designer: nkr 0 COPYRIGHT 2013, BY SOUTH WATER SIGNS, LLC. ALL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF SOUTH WATER SIGNS, LLC, AND MAY NOT BE REPRODUCED IN PART OR WHOLE WITHOUT WRITTEN PERMISSION FROM SOUTH WATER SIGNS, LLC. _v - o z o 0 � a � I M a a o a 1 N O b d r m o ® C U :9• . ,o d o CCf ` 6 o QU V a� m C\/ ur Q :I Location: 19638 Steven's Creek Blvd. Cupertino, CA 95014 ti ` MEMBER 04A �mm LI® 0 COPYRIGHT 2013, BY SOUTH WATER SIGNS, LLC. ALL DESIGNS PRESENTED ARE THE SOLE PROPERTY OF SOUTH WATER SIGNS, LLC, AND MAY NOT BE REPRODUCED IN PART OR WHOLE WITHOUT WRITTEN PERMISSION FROM SOUTH WATER SIGNS, LLC. 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