B-2016-2952CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-2952
20590 HOMESTEAD RD CUPERTINO, CA 95014-6302 (326 10 066)
HUPP SIGNS &
LIGHTING INC
CHICO, CA 95927-7730
OWNER'S NAME: SOBRATO INTERESTS 1 ETAL
DATE ISSUED: 10/20/2016
OWNER'S PHONE: 408-446-0700
PHONE NO: (530) 345-7078
LICENSED D ONT TOR' DECLARATION
BUILDING PERMIT INFO:
License Class C-45 tie. #969949
Contractor HUPP SIGNS & LIGHTING INC Date 02/28/2018
X BLDG _ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
_ MECH _ RESIDENTIAL X COMMERCIAL
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
INSTALL (1) ILLUMINATED WALL SIGN - PET CLUB
I hereby affirm under penalty of perjury one of the following two declarations:
L 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
L
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
Sq. Ft Floor Area:
Valuation: $5800.00
APPLICANT CERTIFICATION
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
A (Tenant Improvements)
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 accru�g ins aid Ci"x-e asequence of the granting of this permit.
Addition y, the app ica "t derstan and will comply with all non -point
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
y
source' la ions er he up 'rti Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
j�
Signatur , MA4,,LA— Date 10/20/2016
Issued by: AbbL ekn&
`J f
OWNER -BUILDER DECLARATION
Date: 10/20/2016
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
t. 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)
z. 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: 10/20/2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
i. 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 & Safety Code, Sections 25505, 25533, and 25534. I will
permit is issued.
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
s. 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
material. Additionally, should I use equipment or devices which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the a Air Quality 11I agement District I
Worker's Compensation laws of California. If, after making this certificate of
will maintain compliance with a Cuperti o mcip Co e, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health &Safe Code, Sec 'ons 505, 2 53 -,and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
r
be deemed revoked.
Owner or authorized agent.
APPLICANT CERTIFICATION
Date: 10/20/2016
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
CONSTRUCTIONLE T GAGENCY
1 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.
1 understand my plans shall be used as public records.
Licensed
Signature Date 10/20/2016
professional
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 • buiIdin cu erlino.org
PROJECT ADDRESS 20590 Homestead RCI _ ...
APN 4 rL�.-._ ,Q P - -
�l �5..
OWNER NAME - - -
The Sobrato Organization / Ph liss Yamasak PHONE 408-446-0700
-
E-MAIL pyamasaki@sobrato.com
STREET ADDRESS
CITY, STATE, ZIP - _
FAX
10600 N De Anza Blvd #200
Cupertino, CA 95014
CONTACT NAME
Amber Moore
PHONE
530-345-7078
E-MAIL
amber hu psi ns.com
-
STREET ADDRESS
70 Loren Ave
CITY, STATE, ZIP -
Chico, CA 95928
FAX -
13 OWNER ❑ OWNER -BUILDER. '❑ OWNER AGENT ❑ CONTRACTOR ZI CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME
Gerald'Joe'Hupp
LICENSE NUMBER
969949
LICENSE TYPE
C45
13US- LICW
COMPANY NAME
E-MAIL
FAX
Hupp Signs & Lighting, Inc.
amberO-huppsigns.com
STREET ADDRESS
CITY, STATE, ZIP
PHONE
70 Loren Avenue
Chico CA 95928
530-34:5-7078
ARCHITECTIENGINEER NAME
LICENSE NUMBER
I-
BUS. LIC #
N/A
COMPANYNAME
E-MATL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION OF PORK
Installation of (1) Illuminated Letterset
USE OF ❑ SFDor Duplex ❑ Multi -Family
ILLUMINATED
SIGN TYPE
NO. OF
SIGN AREA
VALUATION
STRUCTURE: X❑ Commercial
(YIN)
(CODE)
SIGNS
(SQ. FT.)
(S)
SIGN TYPE CODES:
Y
W
1
51.14
$5,800
B - BANNER SIGN M - MONUMENT (GROUND) SIGN
BL - BLADE SIGN P - PROJECTING SIGN
D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER
DI - DIRECTIONALSIGN T - TEMPORARY
F, - ELECTRONIC W - WALL SIGN
READERBOARD WI - \bTNDOW SIGN
- - -
RFCF.IVF,DBY:
TOTAL VALUATION:
By my signature below, I certify t e following: T e property owner or authorized agInt to a t on the property owner's behalf. I have read this
application and the informatiot' have provi d is Corr I. ha read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws rela ng to uil ' g c nstmc@i uthorize representatives of Cupertino to enter the above -i ntified, rope>ty for inspection purposes.
Signature of Applicin t/Agent::: Date: 6 14
SUPPLEMENTAL INFO TION 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.
❑ nL9IOR
SigagnApp_2011.doe revised 03131/11