B-2019-1242BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
OWNER'S NAME: Not provided
OWNER'S PHONE: Not Provided
CONTRACTOR:
SIGN DEVELOPMENT INC, 1366 W NINTH STREET UPLAND
CONTRACTOR PHONE:
DATE ISSUED 6/8/2020 3:51:40 PM
ISSUED BY: PhuongD
VALUATION: $5000
JOB DESCRIPTION
SIGNS - (26 SF) AND (1) NON -ILLUMINATED CANOPY SIGN - (4 SF) REV # 1 - REVISE SCOPE OF WORK TO ENLARGE (2) ILLUMINATED
-ILLUMINATED CANOPY SIGN - (8 SF) - ISSUED 08/26/2019 REV#2 - PHASE 2 : REFACE PRICE SIGN WITH LEDs;ADD ILLUMINATION TO CANOPY
INSTALL 2 (N) BUILDING SIGNS - ISSUED 6/8/2020
VALERO SIGNS - (2) ILLUMINATED CANOPY
CANOPY SIGNS - (63.70 SF) AND (1) NON
LOGO;INSTALL LIGHT DOWN BARS TO CANOPY;
LICENSED CONTRACTOR DECLARATION
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
SIGN
LICENSED
C45
LICENSED
576277
EXP
08/31/2021
I hereby
force
I hereby
DEVELOPMENT INC
CLASS:
ELECTRICAL SIGNS
NO:
DATE:
affirm that I am licensed under the
and effect.
affirm under penatly of perjury one
I have and will maintain a certificate
for which this permit is issued.
I have and will maintain Worker's Compensation
I certify that in the performance of the
laws of California. If, after
with such provisions or this permit
of the following three
of consent to self -insure
Insurance,
work for which this permit
making this certificate of
shall be deemed revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, I shall not employ any person in any manner so as to become subject to the Worker's
exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
V
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
requirements under Chapter
9.12 and the Health
6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance
I have read the hazardous materials
the Cupertino Municipal Code, Chapter
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
this project.
Firm Certification No:
or devices which emit hazardous air contaminants as
Code, Chapter 9.12 and the Health & Safety Code, Sections
An EPA Lead -Safe Certified Renovator will be responsible for
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
v
CONSTRUCTION LENDING AGENCY
there is a construction lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
affirm
under penalty of perjury that
No
�Yes
Lender's
Name:
APPLICATION CERTIFICATION
and state that the above