06080251C C Y OF CUPERTINO
IT
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BUILDING DIVISION PE T
BUILDING ADDRESS:
SPECTRUM SIGNS
rERMrrNO. 06080251
10
10745 S DE ANZA BLVD
WNEWSNAMH:
0", p
PERMIT 15SUEDATE
BRIAN MARIDON
29999 SUMMIT RD.
ng/';0/2006
SANITARY NO. CONTROL NO.
(408)234-3401
ARCHITECT/ENGINFER:
BUILDING PERMIT INFO
I BLDG ELECT PLC= UMB MECH
LICENSED CONTRACTOR'S DECLARATION
Job Description
I tartly strum that I am licanscal under provilitar,11 OfCI11Pmr 9 (COMMCnCinj
wide Section 70(10) of 3.f& B.Smanand ftmelSks- Cods, and my license Is
in full to= and eflaCt.
Z_ LIC. N
HSBC LOGO SIGN ILLUMINATED INDIVIDUAL LETTER WA
License Class
CO
au Contractor 4L sisk'itwic 'S 0
D _V�-3�cHtr6EADECLARATION 11.11>
SIGN
I understand my plans shall ho used as public records,
11:2X
y __� "I
191
Licensed Pre(cuumnal OWNER -BUILDER DECLARATION
I hereby allims, that I am mmpt from tie COn"ClOn's License Law for ft
following hasson. Section 703 t.5, Businessland Professions Code: Any city at county
which requires a permit to Construct, After. Improve. demolish, or repair any smucluto
prior In its issoance. also minutes the applicant farsuch permit m rile a signed statement
Sq. Ft.:Floor Area
Valuat$13 000
Nat k is licensed rhamoom to use, provisions of clea Commutes Limuz Law (Chapter 9
(commencing with Section 70110) of Division 3 Or the Business and PmfmionA Cade) or
Nal M is Casomp, thereficam and da, basis far the a1ICjcdI ennumption. Any violation or
ber
Number
Occupancy Type
Section 7031.5 by any Applicant for A permit subjects due Applicant he A Civil PM11Y Of
Out ... Nan fi,C hundred dollars ($SM.
(PN
3 923017.00
0 l.uo ofatpropcny.wmympioymwith"psutk"mlccmpemdw,
Required Inspections
willclothework.wraddsclunmatuni ... throcenced.r.1firedrownshesec.7044.1husam
and prormalons Cade: The Committees Licence, Law dm not apply to an conne, of
property who Wlidaorimisrowstisrton,uta whommucle weak khrusellartknough his
am employces, provided dicalsech improvements am not mounted! caroffereal for UIL 11,
bervem. the building ar Improvement fissold within am year ofoompiedon, the manter.
buildic, MU turn the Auden of proving bass be did son build W Improve for purpose of
sale.).
[:) 1, as owner of she Patently, am combatively con ening with licensed Contractors; W
construct ft project (sea 7044. Busturecaus mal lerm(essions, Code:) The COOVICON'S Ll -
come Law does not apply to an marser of property who Wild, or improves thereon, ad
who conumets for such projects with a canumclor(s) licensed pursuant an the Contractors
License Law.
❑ larts exempt umbsusec. .,B&PCfor this amen
man Data —
ow",
—
WORKER'S COMPENSATION DECLARATION
kI hereby Lffiam under penally of perjury ante of the following denclarationer:
ion
aw and will maintain a Cardlicatuam' Comment to self-finsum for Want Carman.
an provided far by Section 3700 of the Labor Code, for line performance of the
_'m
ork for which this pcmit is banned.
-am"
I have and will maintain Worksus Compensation Immumcc. as acquired by Section
❑ I
37M dee labor Code. fear the Performance of the wart far which this permit In heated.
3"
My Worker, Compensation lossureace carriu and Policy numocr are:
C... Ir Policy No,
LN
Carrier. .. F. V_ r,- —
CN—TITRA"A'OF FU-1EIPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need notin,compimad Ifthe permit Is form hoomadmellars, ($1010)
or less.)
I certify that I. do, Perform him work for w this I, issued, I mall on,
-Cr ' far w "0' '
mit
employ anypcmn In my m �� M ba�-Z�.<bjecl to dee Worlecof compturzation
IA
LamofCaliforcia.0m, —
Applicant 1 '4 a" 1� �6_TE;�
NOTICE TO APPLICANT. If. afte,1164lemS %his Onairicam, of Exemption, you should
became &Object ch dus Workers Compensation Provisions Or the Labor Code, you am
forthwith comply with men provisions or this permit shall be doomed mused.
CONSTRUCTION LENDING AGENCY
I hereby affm this them 4 a culaceractinn lending agency rot the performance of
the work for which ins Permit is caused (Sec. 3097. Civ. C.)
Leaders Name
Leaders Add.
I Curtly ths, I have read this application and mus Out, t1he above hifentati.n is
correct. I agree to comply with all city and county ordinances and mat, lam totaling to
building construction, and thereby authorin representatives Of this City to enter Upon One
move -mentioned property bar, inspection purposes.
(We) narec I. ..., immmai fy ad keep harmless the City or Captain. against
Sainaid City
Ilabilide"' judgramus. costs 'ad expenses which may In my my acme t s
in
comeseclueneas of the granting of this Permit.
APPLICANTILL COMPLY WITH ALL NON -POINT
Issued by: Date I
SOURCE R��
Re -roofs _C7
Type of Roof
'6 -3 -"-CX
SignaturedrApplicas"ohillfacher Dow
HAZARDOUS MATESUALS DISCLOSURE
WIII Its db henNoamase
as callnund by the Ctmemitm Municipal Cock. Chaps9.12, and dac Health and Safety
Code. Section 25532(a)7
0y. e.
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
Will the applicant or future building occuissaLLQ equipment or c1cdows which ch
It Imcandaus air cmusaminants as deflecd by the Bay Arta Air Quality MZUgCMCRL
all new materials for inspection.
Disaict?
Oyu P".
I have mad the hummotis maunialsm,pumments undarChoplerti.95 aide Califor.
ria Heald & SafCLYCode. Sections 25505.25533mv125534. 1 teradessuand thatifft building
does; not currently mmant. 0.1 1 is my responsibility In hadly the of Ove
cup..
raquinnatals. Met flosSIROACC.f.com,111VOC Y.
in 0
Signature of Applicant Date
0.0r.
All roof coverings to be Class "B" or better
uthori7.cd g
lCV
Owner or Data
ip
' CITY OF CUPERTINO �Ys��t&,,��T(�z
Oforthwith
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BUILDING DIVISION PEnyYlL
SPECTRUM SIGNS
BYA
UILDING ADDRESS:
PERMIT N0
.06080251
10 S DEANZA BLVD
W745
ONER'S NAME:
PERMIT ISSUE DATE
BRIAN MARIDON
29999 SUMMIT RD
NE:
SANITARY NO. CONTROL NO.
(408)234-3401
ARCHITECT/ENGINEEit:
BUILDING PERMMWO
BLDGO ELECTO PLUMB MFCHO
LICENSED CONTRACTOR'S DECLARATION
.lob Description
1 hereby affirm that I am Incensed under provision of Chapter 9 (commencing
with Section 7") o(DivWon Solstice Businevand Prefesdons Code, end my license U
iinrultffoCeand effect
HSBC LOGO SIGN ILLUMINATED INDIVIDUAL LETTER WA
Lk.g 7oZ y90
Data_��rj
SIGN
O(��_ Conlrecmr�-.?a �,�y��
DECLAR�',�'iaV-` � \ lr>
sARCHITECTS
I understand my plan hall he uud as public records
LwErtmd Professional
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Convectors License Lew for the
following reason. (Section 7031.5, Business and Professions Code: Any city at county
which requires a permit to eo^esmL altar. improve, dconoth h, w repair any simcture
prim b his issuance, also tegYlRas the applicant for such permit to file a signed etatamentArea
Li=nw Law 9
Sq. Ft. Floor
Valuatfpd 0 0 0
that he is liccmed pursuant to the provisions or the Convector's (Chapter
mrsomcroing with Section 7000) of Division 3 of the Business and Professions Critic) or
that he is exempt di=from and the buts for the alleged exemption. Any violation of
N Number
_
Occupancy Type
Section 70315 by any applicant fora permit subjects the &Pplieanl to • civil penally of
not more than five hundred dollen (f3GBk
3 .7 7 23017.00
1, as owner afthe property, "my employ= with wages u their role compevadan,
Required Inspections
9 P
wiildothewarkand Ne Numumisrotinlmdedoroffcmdr=We(S=.7044,Businns
and Proresaiow Code The Contmetw's License n teto Law dot apply an Owner of
property who buildaerimproers deamm, andwhodwaluehwork himWfwthrough his
awncroployms, providedthat Well MMM mnot intended woRered roruln 1
hwe.,tire ingEir Improvementisaid dsoyear o1compledn, thwner-
bpilder will havbuilding
the burden of proWns that he id nm build or Mprove for puroose of
ealcJ.
1, as owner of the property, am exclusively contracting when licensed cram ecmrs to
wnstnms the project (Sec 7044, Business entl PrafnalOm Code:) The Canpseme$ U-
tense law don ant apply was owner of property who builds or hnpeuvn dmmm. and.
amnvactortU msuam to Ne Comouner's
a'hm contracts projects with licensed p
ytracts for t
Laeme Law.
v
❑ l am exempt under see ,B A PC fw this moon
Owner Oam
WORKBR'S COMPENSATION DECLARATION
1 hereby &from under penalty Of perjury Om of she fallowing declantions:
1 have and will meinuin a Cart iumbe of Comment in self-imute for Workch Cont
nation, as provided for by Section 3700 of dm Labor Code. (w the performance of the
wwk for which this permit is issued.
❑ I have and will maintain Workers Compensation ]mune, as required by Section
"
3700 of the labor Code, for the performmce &(the work for which this paten is Issued.
My Workers Compansatim Insurance carrier and Policy number are:
Not:FG
Carrier. N
MPolicy
Ati FKION FROM WORKERS'
COMPENSATION INSURANCE
-
(Thls sewim need nothecomplemd Him Permit is fare= hundred &]]=($IOU)
a) Imin)
I certify Not in enc perfomanc the workfw W Nis permit u lasted, l shall nm
employ any person in any in rsarss to bmo rvbjwtm the Workiml C^mpensatlot
Laws of California. Dam / —
ICE TO APPLICANT. If, afro akin¢ this Ccnincate of Exemption. you should
MICS
Income subject m the Workers Compensation prmisiom of the labor Code, you mum
'
comply with such Im'u a n w this permit shall ba diamond revoked.
CONSTRUCTION LENDING AGENCY
1 hereby afrim that Nem is a comtmetinn lending agency tear the performmm or
the work for which thin permit ts issued (Sm. 7097, Civ. C.)
Lenders Name
'
Leaders Address
1 certify that I have and this application and sum ens tiro above information is
torten. I agree to comply with all city and county ordinates and suite laws relating to
building convection, and herebyanthodm representatives of this city to curer upon the
show-misjudg d property for inspection purports.
(WH) agree to save, indemnify and keep harmless enc City of Cupcnina against
asnand which may in any myeecmc against mid City
Of Ibisexpenses
A consequence of the STAN of ANpermit.
inconsequenc of the pe
APPLICANT U���(((DDD80.5TANOS AN���MMM'''ILL COMPLY WITH ALL NON -POINT
Issued by: Date Q /G
SOURCE RF�OJLATj00JIS. /
Re -roofs
Type of Roof
`/ / / �C-?�-lM
signmurt Applic nd/CoAamor Dam
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant w lumen building occupant more or handle haurdous MAMAW
as deflncd by the Columbia Municipal Code. Chapter 9.13, and the Health and Safety
Cade. Section 25532(a)7
❑Yes e.
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
LWill the applicant or future building wcupant use equipment or devices which
L haPasdnw aircmmisimnu ss defined by the Bay Area Air Quality Management
all new materials for inspection.
District?
OYes VIE)
I have mW the haudous materials requircmmnts under Chalmr 6.95 of the Califor.
nia Heal" SafetyCOde, Smoom 25505,25533 and 25534.1 undcmmnd the irenc building
dun nct cumndy a mnm, Net t is, my respomlbllity m notify the occupant of the
mgaimmcnmw ten rtenaaae.facmuretootOccupmmy.
:
Signature of Applicant Date
i5 O.0 �
All roof coverings to be Class "B" or better
Owner or anthorbcd ag Dam
SLEW-
OCU
cinoe
PEkTINO
C1
•
CITY OF CUPERTINIO
SIGN
PERMIT APPLICATION FORM
OWOWEU
APN # 2 I
Date: �> -
Building Address:
Owner's Name:
Phone #:
(Ef3 / - yzS- ysy y
Contractor:
License #:
702.
S�SI
o
Contact: ` t
V-,
Phone #:
23 `+ 3 `f G ,
Applicant/r.
Building Permit Info:
Bldg lec Plumb Mech
Job Description: �- J%wv�- VA -1.1- S/6
Residential: ! S^ «wo,� A� N��Commercial:
Sq.Ft. Floor Area:
$/Sq.Ft.:
Architect/Engineer:
Cost of Proje . 7
J�
Type of Construction:
OccupanGrbup.,
2V
ELECTRICAL
Qty. if
Applicable
f9=0H
Fee Description
Fee Group
BENERGY
Energy
BUILIDNG
BPERMFEE
Bldg Permit Fees
BUILIDNG
BPLANCHK
Plan Check Fee
BUILIDNG
BSEISMICOM
Seismic Commercial
BUILMNG
EPERMITFEE
Elect Permit Issuance
ELECTRICAL
BREMSIGNAD
Rmdl Signs Add Branch
ELECTRICAL
BREMSIGNS
Rmdl Signs, Marquee
ELECTRICAL
BUSLIC
Business License
BUILIDNG
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