15080044CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20674 HOMESTEAD RD
CONTRACTOR: TICO CONSTRUCTION PERMIT NO: 15080044
CO
OWNER'S NAME: SOBRATO INTERESTS ET AL
1585 TERMINAL AVE DATE ISSUED: 12/14/2015
OWNER'S PHONE: 4084460700
SAN JOSE, CA 95112 PHONE NO: (408)499 -0266
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL 'n
License Class R? Lic. # �L b
INSTALL TEMPORARY "COMING SOON" BANNER
FOLLOWED BY
Contractorl� C D C C_A�; (' UC I Gate j D j ( 4f
INSTALLATION OF ILLUMINATED (1000 DEGREES
I hereby affirm that I am licensed under the provisions of Chapter 9
PIZZERIA) WALL SIGN.
(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: $9195
ave 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.
APN Number: 32010066.00
Occupancy Type:
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, l 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
WITFUN 180 DAYS OF PERMIT ISSUANCE OR
upon the above mentioned property for inspection purposes. (We) agree to save
180 YS FROM LAST CALLED INSPECTION.
indemnify and keep harmless the City of Cupertino against liabilities, judgments,
costs, and expenses which may accrue against said City in consequence of the
C
( tl
�
granting of this permit. Additionally, the applicant understands and will comply
Issued by: Ioh L Date:
with all non -point source egulatons per the Cupertino Municipal Code, Section
RE- ROOFS:
9.18. � ,
c`
Signature V " ate l
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
OWNER- BUILDER DECLARATION
inspection.
I hereby affirm that. I am exempt from the Contractor's License Law for one of
Signature of Applicant: Date:
the following two reasons:
I, as owner of the property, or my employees with wages as their sole compensation,
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
will do the work, and the structure is not intended or offered for sale (Sec.7044,
Business & Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
HAZARDOUS MATERIALS DISCLOSURE
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 I
performance of the work for which this permit is issued.
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance, as provided for by
the Health & Safety Code, Sections 25505-,25533, and 25534.
Section 3700 of the Labor Code, for the performance of the work for which this
Owner or authorized agent: °1 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
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 /
(408) 777 -3228 • FAX (408) 777 -3333 • building(LDcupertino.org 1
S
PROJECTADDRESs 20674 Homestead Road, Cupertino, CA 95014
APN11 320 -10 -066
OWNER NAME a7obrat0 .1.�il�C /° /° E.
PHONE 40$-446 -0700
E -MAIL jmsobrato @sobrato.com
STREET ADDRESS 10600 N- DeAnza Blvd, suite 200
CITY, STATE, ZIP Cupertino, CA 95014
p
FAX 408- 446 -0583
CONTACT NAME Jull Satoh
PHONE 6550-743 -8962
E- MAIL, jasatoh@gmaii.com
STREET ADDRESS 26515 Stoney Hill Lane
CITY, STATE, ZIP Clovis, CA 9361.9
FAX
❑ OWNER ❑ OWNER - BUILDER ❑ OWNER AGENT ❑. CONTRACTOR. ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER 151 TENANT
CONTRACTOR NAME. Ken Ravizza
LICENSE NUMBER 595540
LICENSETYPE GC
BUS. LIC;I
`
sue`. , t
COMPANYNAME TICO Construction
E -MAIL _ken @ticoinc.com.
FAX 408 -487 -0700
STREET ADDRESS. 1585 Terminal Ave
CITY, STATE, ZIP San Jose, Ca
PHONE 408 -200 -6908
ARCHITECr/ENGINEERNAME Jeanette Coran
LICENSE NUMBER y
xm a
BUS LIC, #?
al zz
COMPANY NAME JCA Architects, Inc
E -MAIL jeanette @jca- architects.com
FAX 408- 278 -1177
STREETADDRESS 1028 Lincoln Ave.
CITY, STATE, ZIP San Jose, CA 95125
PHONE 408 - 278 -1166
DESCRIPTION OF WORK Temporary "Coming soon" banner followed by installation of illuminated '1000 degrees pizzeria' wall
sign by sign contractor, after building permit or I I nas been issued.
USE OF ❑ SFD Or Duplex F1 Multi - Family
ILLUMINATED
SIGN TYPE
NO. OF
SIGN AREA
VALUATION
STRUCTURE: Commercial
(Y /N)
(CODE)
SIGNS
(SO. FT.)
(S)
SIGN TYPE CODES:
Y
W
1
30
8895.00
B - BANNER SIGN M - MONUMENT (GROUND) SIGN
N
T
1
30
300.00
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
_
RECEIVED BY:
TOT VjON:
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. 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 bui onstruction. I authorize resentatives of Cupertino to enter the above - identified property for inspection purposes.
Signature of Applicant/Agent: Date: _ !�
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY
PLAN CHECK TYPE
ROUTING SLIP
Site Plan
OVER - THE - COUNTER
BUILDING PLAN REVIEW
Elevations
Sign Details - including UL listing(s) applicable
EXPRESS
PLANNING PLAN REVIEW
Structural Calculations (if applicable)
❑ STANDARD
❑ OTHER:
_ Copy of Planning Approval Letter or Meeting with Planning prior to
❑ LARGE
submittal of Building Permit application.
❑ MAJOR
SignApp 2011.doc revised 03131/11
CITY OF CUPERTINO
FEE ESTIMATnR — RITIT,iIINC 11IVIC1[IN
INADDRESS: 20674 Homestead Rd
FEE
DATE: 08106/2015
REVIEWED BY: Sean
APN:
BP #:
*VALUATION: 1$9,195 —�
RPERMITTYPE: Building Permit
0.0
ft1 ".n,:1?1
PRIMARY Sign
USE.
PENTAMATION
PERMIT TYPE: 1 CEAP5
WORK
Install tem ora "Comin Soon" banner followed b installation of illuminated 1000 degrees pizzeria)
SCOPE
wall sign.
®p
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign, Electric 1SIGNWELEC 1 $286
TOTALS: _' $286.00
l', dp, Check
# Branch Circuits 1 $48.00
. . ? F - IESIGN
b g < 3r}} zf Elec. Permit Fee: IEPERMIT
Other Elec. Insp. 40 hj- P b h-S ;
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc . These ees are based on the relimina information available and are only an estimate. Contact the De t or addn'l info.
FEE ITEMS (lee Resolution .1.1-053 .ff. 7 -11131
FEE
QTY /FEE
MISC ITEMS
f £ ✓
Suppl. PC Fee: Reg. 0 OT
0.0
hrs
$0.00
Permit Fee:
$286.00
Suppl. Insp. Feely Reg. O OT
®p
hrs
$0.00
PME Unit Fee:
$48.00
PME Permit Fee:
$48.00
Adn�,,inistra!;vr Fee:
Work Without Permit? 0 Yes No
$0.00
Sign Master Plan: 0 Yes No
$0.00
A
Travel Documentation Fee: ITRAVDOC
$48.00
Strong Motion Fee: IBSEISMICO
$2.57
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$1.00
iTBTOTAL
$433.57
FE
$0.00 y AL E�
$4 33 5 7
Revised: 07/02/2015
CUPEkTWO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
10300 ToiTe Avenue
Cupertino, CA 95014 -3255
Telephone: 408 -777 -3228
Fax: 408- 777 -3333
JOB ADDRESS:20674 HOMESTEAD RD
PERMIT # 15080044
OWNER'S NAME:JULI SATOH
pHONE # 650- 743 -8962
GENERAL CONTRACTOR: CITY SIGNS
BUSINESS LICENSE # 23656
ADDRESS: 1101 DOKER DR SUrfE D
CITY /ZIPCODE: MODESTO, CA
*Our municipal code requires all businesses working in the city to have a City of Cupertino business license.
NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE
GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO
BUSINESS LICENSE.
lam not using any subcontractors:
Signature Date
Please check applicable subcontractors and complete the following information:
V
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & .Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
ti L
Owner I Contractor Signature
Date