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B-2016-1155CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2016-1155 19638 STEVENS CREEK BLVD STE 270 CUPERTINO, CA 95014 (369 06 012) ( SUCCESS GRAPHIC SIGNS) SAN JOSE, CA 95132 NAME: LP EVERSHINE VI OWNER'S PHONE. 1,110ENSEDsCONTRACTOR'S DECLARATION„_ 1 ,/ i License Class Lic. � � `-t' ConimcInr (SUCCESSSAP C N at 1” I hereby affirm that I am licensed under the provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business &Pro essions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: t. 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 perfonnance off the work for which this permit is issued. z. c1 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. APP .I ANT= IFICATION I certify that I have read above information is correct. I agree to comply with all city and county ordinances and state Jaws 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 Munici al Code Section 9.18. Signature Date hereby affirm that I am exempt from the Contractor's License Law for one of the allowing two reasons: s. 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: a. 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. 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, ager 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 CF.RBEICATION 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. Date TE ISSUED: 01/12/2016 NO: BUILDING .PERMIT INFO: BLDG _ ELECT —PLUMB MECH _ RESIDENTIAL X COMMERCIAL DESCRIPTION: ALLATION OF CHANNEL LETTERS FOR (T -SWIRL Enlarge the sign size -Issued 1/12/16 Ft Floor Area: IV 1iiation-$0.00 i Number: Occupancy Type: 06 012 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by:.W?f1- ' – V RF. -ROOFS: 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. Signature ofAppiicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" 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, 5, 25533, and 25534. Owner or authorized' agent.'-'-, . "r Date: � - C ONSTRUCTI12N LENDING: QM 1 here if r, th the, is a construction lending agency for the performance of wo 's fo which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S D .0 .ARAT[ON I understand my plans shall be used as public records. Licensed Professic COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 14300TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 > building@cuperfing.org ino:org Mr PROIECTADDRESS f APNa r° / i.s' oWNERNAM 344 We PHONE S'PREET ADDRESS.✓ CITY ST AT'E ZIP FAX CONTACT NAME Pi•I(JNE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX 13 owNa ❑ owNER•Et umER Q owNERAGENT Q coNTRACTOR 0 CON'rRACToR,AMNT ® AkCUrt=T 13 Eriio EE& G Dbom-LPPER, 0 TNT ENA CONTRACTORNAME LICENSE NUMBER� UmT «�" � Sus. LIC # COMPANY NAME i . EMAIL FAX S'T'REET AIX1 . s5 e a ONEI ARCIETECTiENGINEER NAME LICENSE NUMi3ER EUS. LIC COMPANY NAME EMAIL FAX STREET" ADDRESS CI'ry' STATE, ZIP PHONE DIFSCRIPTIONof WORK cl USE OF ❑ SFD or Duplex ❑ Multi -Family ILLUMrNATED SIGN TYPE NO. OF SIGN AREA: VALUATION STRUCTURE., ❑ Commercial (YdN) (CODE) SIGNS (SQ, Fr.). (s) SIGN TYPE CODESt IAJ` IS - BANNER SIGN Tai a MONUMENT (GROUND) SIGN, HL - SLADE SIGN P - PROJECTING SIGN D - DEVELOPMENTID SIGN SP - SPECIAL EVENT BANNER DI m DIRECTIONAL. SIGN T n TEMPORARY E - ELECTRONIC W - WALL SIGN READERBOARD 1 - WINDOW SIGN rRECEIVFI)BY: TOTAL VALUATI By my signature below, I certify to each of the following: I am the property owner or autha ized agent to actr the p operty owner's behalf, I have read this application and the information I have provided is correct. I e the Description of Work and verify it i te. I a=jf to comply with all applicable local ordinances and sate laws relating to building constnt t' . I authorize represent es of Cupertino to enter the above-identi prope for ins ction purposes. Signature of Applicant/Agent: Date: _ SUPPLEMENTAL WORMATION R QLJIRBD OFFICE ListONLY PLANCHE-CKTY4 ROUTING SLIP Site Plan OVERTH&COUNTER ® RMLDINGPLAN REVIEW _Elevations — Sign Details - including UL listings) applicable ❑ ExPREss E3 PLANNING PLAN REvttrsw Structural Calculations (if :applicable) ® STANDARD ® OTII : Copy of Planning Approval Letter or Meeting; with Planning prior to 0 LARGE submittal of Building Permit application. Cl IVIAJOR Si n pia_2011.doc revised 03131111 m Sk ``� � a °dine. iie}�erfinen' A JAN 12 2016 RE11iElvVED FOR CODE COMPLIANCE Reviewed By_ ante or ops on sa or to de t a c�ie illa l D+.gt from tfi J ding Of csa - OFFICE Plywood l3wkirxti—. "-'€ '536i7) ...... •--Pdm®y Ele trical Source of any i ais r= of any City Ord p3 ce of Stele Late. BY S�--..--'."''— (supplies by Others) 6`alumintum ReWrn j.OdII3 ......_a s€;' '�-Junction Boz 9.10x2`-31)2"Drive So i,,A. iE £: ,%r . e Minimum Thee (3) per Lotters ;l. '. Clasa 2 Low Witage aresrsguiredper0.1cl—didon ,r' Wdg wisleeves for stand-off '� —Nalo: No condukorflax Rubber &ns(img required perciass glow voltage wiring guideline Acrylic Faoa PowerSupPN ! - (120-277 vac) Djscmmecled SOMes We Cap 314 &'8' LeQ W&As P as Re pked. 174"Drain We m Sk ``� � a °dine. iie}�erfinen' A JAN 12 2016 RE11iElvVED FOR CODE COMPLIANCE Reviewed By_ ante or ops on sa or to de t a c�ie illa l D+.gt from tfi J ding Of csa - OFFICE e am m, i ; Ion aid specs is SHA L NOT COPY be he'd ,o E ;r to be an aP, r„dut 0[ the violation of any i ais r= of any City Ord p3 ce of Stele Late. BY S�--..--'."''— sign Fype: (1)Imemally iii'minated LED individual Channel Lstws Sign. Letter Face: 1B"Thkkaryticfaca calor as shmun f LUTE t/ l — —,._ L OuRemans: 5"btiititewith.040Alumnum £: ,%r . e PERMIT �; .�-�... _�..— 'Bins Cap: 3ld".lute U�a. e e 1744 Queens Crossing Drive - San Jose - CA 95132 I 19550 Stevens. Creek Blvd., Cupertino T (408)667-1777 - E -Mail. swU1966mgmakcom m Sk ``� � a °dine. iie}�erfinen' A JAN 12 2016 RE11iElvVED FOR CODE COMPLIANCE Reviewed By_ Jk 4 4 Plywood Backing a Elechical Source (supplies by Others) 5'Aluminium Return (.040) Junction Box • #10 x 2' - 3 1/2' Drive Screws Minimum Three (3) per Letters Class 2 Low Voltage or as required per field centli' ns —� Wiring w/sleeves for stand -oft Note: No conduit or flex Rubber Brushing required per Gass 2 low I I voltage wiring guideline Acrylic Face--� _ .—L Power Supply l LED (120-277 vac) Disconnected Switches Trim Cap 3/4' — 3/S' Lag Screws p u }I as Required. r — 1/4' Drain Hole lUU Dnz uw 111y i. -•.... - - changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The Stamping of this plan and specifications SHALL NOT be held to permit or to be an approval of the violation of any prcvis'om of any City Ordinance or State Law. BY iPAVVt 6 DATE PERMIT # OFFICE COPY Sign Type: (1) Internally illuminated L.E.D individual Channel Letters Sign. Letter Face: 1/8" Thick acrylic face color as shown Letter Returns: 5' white with .040 Aluminum Trim Cap: 3/4" white 1744 Queens Crossing Drive — San Jose — CA 95132 T (408)667-1777 E-mail., swu 1966@gmail.com 196505tevens Creek Blvd., Cupertino ©ATE PAN NN NGN p�� CUPERTWO r CUPERTINO Building Department JAN 12 2016 REVIEWED FOR CODE COMPLIANCE Reviewed By: REVISION # W u Raceway AWA4 1744 Queens Crossing Drive - San Jose - CA 95132 T (408) 667-1777 E-mail: swu1966@gmaii.com Plywood Backing 5°Aluminium Return (.040) #10 x 2" - 3 1/2" Drive Screws Minimum Three (3) per Letters or as required per field conditions w/sleeves for stand-off Rubber Brushing Acrylic Face LED Trim Cap 3/4' 1/4' Drain Hole tj • A& —Primary Electrical Source (supplies by Others) — Junction Box Class 2 Low Voltage Wiring — Note: No conduit or flex _ required per Gass 2 low voltage wiling guideline Power Supply 120-277 vac) Disconnected Switches 318' Lag Screws as Required. W. Sign Type: (1) Internally illuminated L.E.D individual Channel Letters Sign. Letter Face: 1/8" Thick acrylic face color as shown Letter Returns: 5" While with .040 Auminum Trim Cap: 3/4" white 19650 Stevens Creek Blvd., Cupertino COPY REVIS101V #�