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04060162BUILDING DIVISION PERMIT S NAME: CELLULAR X /TACHI T 1 hereby affirm that 1 am licensed under provision, or Cbapmr Y (emormo erg with Section ]01111) mf Division 3 of the esimss and Prolcoias Code, end my intens is in fun force and effect. License Class Lic, a Data Contractor ARCHITECTS DECLARATION 1 understand my plans ah ll W used m public records Licensed Professional OWNER -BUILDER DECLARATION 1 hereby affirm on 11. excmpl from the fe mem C- ! License Law for the following morn. (anion ]1171.5,Busiucas andme. damns Code:Anyclay ser county whorM1 requires a permit re cnwru6 aag improve, deamail o of e a signed "—in- Prior ement thioneitsstagnatealsom to requires the applicant for suchpermit mice signed statement that heiscingwiit pursumt 7 the pro vision of thehe Buacmr'a License io (CWc)or -19 (commencing with Section ]000) of Division 7 du the alleged Maand Pmf=on. Any Lir that io is excmpl Ihcm(rom and the hula far Ne cls the exemption. Any it penalty of Section7031.5flour five any applicant for a permit subjects the applicant m a civil penalty of not more Nm Ow hundred dollen (5500). ❑ I. as owner of the Property, or my employes with wages as theirmle compensation, will do Ne work and Ne awcmm is not intended or offered for ole (Sac. 7014, Bsinea and Professions Code: The Committees License Law does not apply m an owner of propeny who builds., impowa beman,end whodossuch work himselfserthrough his own employes, provided that such improvamsts am not intended anc fared for ale. If, however. the building or improvement is said within one year of completion. the owner - builder will have she burden of proving that he did not Wild or Improve for purpose of 1, s owner of Or. property, am exclusively contracting with licensed emom emla m uwct the prefect (Sec. 7(114, Business and Professions Code:) The CaeBamr'a U' see law data not apply to an owner of propeny who Wilds or impmws Ibeaon, and, o conuucu for such projects with a eonowsbaD) licensed pursuant mum Crammer, era Law. , & P C for Nie meson lam exempt under See. B one G 17 b - I hereby affirm under penally of perjury arc of the fof" decimations: 1 have and will maintain acendmian of Conant to self-insum for Worker's Compcn- nn. as orovidcd for by Secuon 3700 of due Labor Code. for dm performance of the 1 ban and will maintain Workers Compensation Infamous, as mquimd by Section 3700 of the Labor Code. for ftperformance of the work for which this permit is noted. My Workees Campemauon Insurance carrier and Policy number am: Cartier:Policy No.: — CERTIFlCATE OF EKWMDN FROM WORKERS' COMPENSATION INSURANCE (Thissection need notbe completed if the Perrot is fmonc hundooldollaa (SIM) or lass.) L certify that in the Performance of the work for which Nis permit la issued,) shall not employ any person in any manner so o an become subject to the Worked Compensation Laws of Celifemna. Dem nppncam NOTICE TO APPLICANT. If, after making this Ccnnfsm of Exemption. you should become subject m the Workeh Compensation provisions of the Labor Coda, you must 0 ,Z forthwith comply with such previsions or the permit mall be deemed stwked. .Zr gO CONSTRUCnON LENDING AGENCY f~ Ihereby affirm that there is a construction lending agency tar the performance of r1 > the work for which this permit is issued (Sec. 3097, Civ. C.) W A Lenders Name lY Lenders Address V 1 Modify Nat I haw mad this application and sum the the about nnfmmation is W F <mtRCL 1 agree b comply with ail city end county eminences and rule laws retaring m V building construction, and hereby authome repmenuALI s of this city to enter upon the W ahovomentioned property for Inspection Purposes. D. (We) agree m save, indemnify end keep hamdcss the City of Cupenfna a9a1s1 n,r , liabilities judgments. costs and expenses which may in any way amus against aid City U in consequence of the goomng of this permit. e -a APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NON -POINT HAZARDOUS MATERIALS DISCLOSURE Will the applies ser future Wilding occupamatore or andle hauaAous minimal dcOned by rhe Cupenin0 Municipal Code, Chapter 9.13, and the Health and Safety Code, See tioa 255J2(a)? �Yu ;9 No Will the applicant ser inIum building occupant Lire min pmenI or devices which emh havamnus air eonumim us as dcOmed by the Bay Arca Air Quality Management 'is tic 7 ❑YesNo 1 have mad he hvamlwsmamrialseci uirements under Chapur6.95 of ibe Califor ni Hca IN & Safety Code, SMtios25505.25533 and25531.1 undso med lhatif um Wildol r t curcndy osc a meant. Nat it is my M,,malbilnly to armory The occupant of in foments must el wuanccofa CcnfOcioud IXyupancy. my W P 7 HENRY'S DESIGN & SIGN CO IPERMIT NOO4060162 PERMIT ISSUE DATE NO. CONTROL NO. Job Description SIGN --CELLULAR X 4100! CEGB Required Inspections Issued by:Date Re -roofs Type of Roof 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 inspection. Signature of Applicant Date A 11 .....F .-nsrreinoc to he Class "B" or better 19710 Stevens Creek Blvd. -Marketplace @0990907(Z Rib %-AcE Cl�A/ BviCK 7'/2/.�i tvN/jE Gq.v 2X-� T,k/al RE.07, zo/ aei P ne joh at all times and it is on Q/S CONN�i;w e� t any cnanges or alterations same without written permission fron H L 11itfAeE»nnart�3ilniQ nQ ar. n 1 LAIa aoaa'N��oilmt provlslons „PTOWI4E VVrHR'SbCON CAP 1/1 FLEXIBLE ELECTRIC CONDUIT 5 -DEEP LETTERS BODY TRANSFORMER lh T y+n� PER LETTER TO INSTALL TO THE NW.L SECCION:STRUCTURE AND MOUNTING ' NOT TO SCALE INDIVIDUAL CHANNEL LETTERS SIGN, INTERIOR #j4VIjTfftWITH 30MA NEON TUBING. ALL LETTERS MOUNTED ON IS"�LOR /yam ey S ice/ C'�9 L/c # )fig o d OF SIGN SEE THE ATTACHMENT, _ DATE ��/jf /bfi (YGT)o26�1"OE'b'c� DEPT. a. •, CUPEkTINO • •CITY OF CUPERTINO SIGN PERMIT APPLICATION FORM APN #/ Energy Date:, BPERMFEE Build' n Address: q�► o SfieV&KS Cry BUILIDNG Owner's Name: Cell (ter BUILIDNG Phone #: u BUILIDNG Contractor: U License #: EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Contact: ELECTRICAL Phone #: Rmdl Signs, Marquee Applicant/Contractor: Building Permit Info: 13ldg Plumb Mech `i__Elect Job Description: C✓I �hf1 'QJ'S Business License BUILIDNG Residential: Commercial: Sq.Ft. Floor Area: $/Sq.Ft.: chitect/Engineer: Cost of Projec . r Type of Construction: Occupancy Gro, U,( r /\\Qty. if A'b licable Fee ID Fee Descrintion Fee Croun BENERGY Energy BUILIDNG BPERMFEE Bldg Permit Fees BUILIDNG BPLANCHK Plan Check Fee BUILIDNG BSEISMICOM Seismic Commercial BUILIDNG EPERMITFEE Elect Permit Issuance ELECTRICAL BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL BREMSIGNS Rmdl Signs, Marquee ELECTRICAL : J BUSLIC Business License BUILIDNG -# 2S-77 z-- CITY OF CUPERTINO B OILDING DIVISION PERMIT INEORMAT.I©N : ,CONTRACTQR BUILDINGADDRESS: HENRY'S DESIGN & SIGN CO PERMIT "°04060162 19710 STEVENS RE OW NER'S NAME: PERMIT ISSUE DATE CELLULAR X TACHI TING 2018 EVANS LN 06/18/2004 E: SANITARY NO. CONTROL NO. (408)269-0888 ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH 0 0 0 0 LICENSED CONTRACTOR'S DECLARATION Job Description �Q 1 hereby afford that 1 am licensed under provision of Chapter 9 (commencing with Section7MO) of Division 3 ofthe Busimmand Profcaioes Code,and my license is TfyA ff in hull come and effect. SIGN --CELLULAR X License Clan see.• Dale ContractorInt DECLARATION �" (n� ARCHITECTS 1 understand my aball W used As public records J �oOY plans II11 Liurr d Pmfualona OWNER -BUILDER DECLARATION 1 Wrtur .(Sero that I em exempt from me Comet I-aw for the Any (tl C. : Code: Any city er county fallowing mann. (Section 7031.5. Business and Rofce c which mquims a permit re enm 1. mats uclum piesis impmw, demolish. or repair any suuemm$2000 the signed swemem prior m its caned 0. also requires dm applicant for such permit m ole F[. Floor Area Valuation s that Wee Rained pursaall come the Contractor's License sews Sq. Cars) or of Division 3 of Nc Business and Professions Cade) ser (commencing with Section ofDivision on. An of t and burs for the alleged exemption. Any Nn u Ncrtfrom and a Occupancy Type it Penalty fora permit subjects the applicat m a civil penalty of io 31.5 b or Section 7031.5 any red d.I not more Nan five hundmd doNa (g5t)0} five I, as owner of the property. w my employee, with wagesAs their sole mmpensadon, Required Inspections will do NC Wolk. and NC structure Ice nal intended Moffered forsake (Sm. 7014, Business Add Profession& Code: The Conuacmra Liana Law does nat pply m an earner or property who builds or improves demon. and whadoessuch work himulfor through his own employees, provided that such Improvements art not Intended or offered for tale. If. however, Ne building or Improvement is sold within one year of completion. Ne owner. builder will Mn the burden of proving that he did not Wild or improve for purpose of salt.). 0. I. u owner of de property, am exdmiwiy continuing wrh licensed mnlaCmrs to comwct the, project (Sec. 7044. BusNcu sod Psofmsiom Code:) The Contractors Li. earn. law does nor apply in an net of property who Wilde or improves themes, and who contracts for such pmjecu with a contlumr(S) licensed pursuant to the Contractor's License Law. ❑ I am exempt under Sec. B & P C for Nls¢aon 6 ownh Dass I b RKER'S COMPORSADION DECLA0.AT10 I hereby affirm under penalty of perjury one of the fA@9 f9deduaduns:. have and will maintain a Certificate of Consent an sekGinaum for Worker's Coupes. ation, As provided for by Section 37W of the labor Code. for the Performance of the work for which this permit is issued. 01 I ban and will maintain Worker's Compensation [mama, as required by 5ecuan of the labor Code. for the performance of the work for which this permit is issued. My Workers Compensation Insurance carrier and Policy number she , tinier. Policy No.: + CERTIFICATE OF EKEMMON FROM WORKERS' COMPENSATION INSURANCE insurrection need not beenmpleted If Ih permit is fmone hundred dollars (Ston) or Ima) 1 certify Not In the performance of Ne work for which this Permit is issued, I shall not employ any person in any manner so u to become subject to the Workers'' Compemelion Laws of Califomis Data Applicant NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become Subject to the Worker's Compensation Provisions of IW UW Code, you must forthwith comply with such provisions or this Permit shall Ec dwmcd revoked. CONSTRUCTION LENDING AGENCY I hereby olGnn in., Nem is a cementation lending agency far the pen' ..once of the work for which this permit is issued (Sec. 3097. Civ. C.) Landers Name Lender's Address 1 cenlfy that 1 haw coed this appneation and sum that Ibe above informadun is correct. I agree to comply with all city and county ordinances and amu lawn mlating in building construction, and hereby authorise representatives of this city to enter upon the above-mentioned proarty for impaction purposes (We) agree to saw, indemnify and keep harmless the City of Canadian a&aim(/ Ilebilrues.judmt d expenses which may in ay ray aoc against said City gmes.cosu am in consequenec of the &among of this Permit. APPLICANT UNO STANDS AND L COMPLY WITH ALL NON -POINT Issued by: Date SOURCERE ONS. 4 Re -roofs Type of Roof � 1A.1i Sign of AplietrUCcumaxio, J Data HAZARDOUS MATERIALS DISCLOSURE Will the applicant or fort Wilding oaupant store or handle moraines material a farmed by de Copeman Mteddpal Code. Chapter 9.13, and the Health and Safety , code. Se Non 25533(a)? ❑Yes glue Allroofs 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 occupant use equipment or devices which t havar alms air comemmants as defined by me Bay Arta Air Quality Management all new materials for inspection. win? ❑Yes 9Nu I haw mal the haardom materials requiremcnu under Chapter 6.95 of the Cadfor. ni Hmlth&SafciyCWe,Smumu2S5f15,25533ad35534.1undcmand Nalifmc Wilding Jot eurmnlly on a mnu4 Nal it is my mspnsibility m wuly the mcupat or the req mcnu must bc me, 'Moamof. Certiommoroepumy. Signature of Applicant Date off— All roof coverings to be Class "B+' or better Owner an auNorisd agent'"