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B-2016-2452 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-2452 20664 HOMESTEAD RD CUPERTINO,CA 95014-0451(326 10 066) NORTH WEST SIGNS INC SANTA CRUZ,CA 95060 OWNER'S NAME: SOBRATO INTERESTS 1ETAL DATE ISSUED:08/03/2016 OWNER'S PHONE:408-446-0700 PHONE NO:(831)469-8208 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class C-45 Lic.#786185 Contractor NORTH WEST SIGNS INC Date 08/31/2018 X BLDG —ELECT —PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9{commencing MECH RESIDENTIAL X COMMERCLAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: INSTALL 2 WALL ILLUMINATED SIGNS hereby affirm under penalty of perjury one of the following two declarations: '-AT&T 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. 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. Sq.Ft Floor Area: Valuation:$8500.00 APPLICANT CERIMI ATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 32610 066 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting. this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all ll non-point source regulations per the Cu ertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. 'Signature Date /8 3/2016 Issued by:Abby Avende LIP— Date:08/03/2016 OWNER-BUILDER DECLARATION 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 roof is 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 for 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:8/3/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&c Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous hall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I. Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and exemption,Ibecome subject to the Worker's Compensation provisions of the the Health&Safety Code,Sectiqps 25505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. t,I--- r or authorized agent: .&&;e APPLICANT CERTIFICATION Date:8/3/2016 Lf certify that I have read this application and state that the above information is CONSTRUC ON EN correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. i understand my plans shall be used as public records. Signature Date 8/3/2016 Licensed Professional SIGN PERMIT APPLICATION 111 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 CUPERTIN (408)777-3228•FAX(408)777-3333•building a@cupegt .orq �-lol,Co P 2-14-s2- PROJECT ADDRESS 20664 Homestead Rd --TAPN# 62(„ to Qr `p O NA"he Sobrato Organization PHONE 408/446-0700 ENIAII STREET ADDRESSCITY,ST TE,ZIP 10600 N De Anza Blvd #200 CuAkpertino CA 95014 FAX CONTACT NAME Chris Merrell PHONE 831/469-8208 1dffrAHis@northwestsigns'.cou 8=ETADDREss 12.0 Encinal St. CITY,STATE,z9anta Cruz CA 95060 F`'x831/469-8172 EI OWNER ❑ OWNER-BUILDER- 0 OWNERAGENT ❑CONTRACTOR I4CONTRACTORAGENT 0. ARCHITECT ❑ENGmEER 0 DEVELOPER ❑TENANT CONTRACTOR NAME s LICENSE NUMBER LICENSE TYPE BUS_LIC If Northwest Si ns 786185 C-45 U COMPANY NAME - E-MAII, - FAx 831/469-8172 I sTREET ADDREss 120 Encinal St. `8TAHta Cruz CA 95060 PHONE 831/469-8208 ARCHiTECTlBNGINEERNAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX .: STREET ADDRESS CITY;STATE,ZIP PHONE DESCRIPTION OF WORK Instal of two (2) illuminated by LED channel letters sets reading Logo AT&T USE OF ❑ SED or Duplex ❑ Multi-Family ILLUMINATED SIGNTYPE NO-OF SIGNAREA VALUATION STRUCTURE: ®.Commercial (YIN) (CODE) SIGNS (SQ-FT.) M SIGN TYPE CODES: Y W 2 53.44 $8, 500 . 00 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 RECEIVED EY. TOT vI.�.6'WN.O 0 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 l have read this application and the information I have provided is co = t_ I have read the Desen n of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to buil in authon se es of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant(Agent: Date:Vf/ Al 14 —' SUPPLEMENTAL�iNrORMA,TrON REQUIRED OFFICE USE ONLY _ Site Plan PLAN CHECK TYPE. ROUTING SLIP t _Elevations OVER-THE-COUNTER Q' BUILDING PLAN REVIEW 00y'0W Sign Details-including UL listing(s)applicable El ExPREss ❑ PLANNING PLAN REVIEW Structural Calculations(if applicable) © STANDARD El OTHER: _Copy of Planning Approval Letter or Meeting with Planning prior to p TARGE submittal of Building Permit application. © NIAaoR SignApp 2011.doc revised 03131111