11070174 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 20510 TOWN CENTER LN CONTRACTOR:ALLEN SIGNS INC PERMIT NO: 11070174
OWNER'S NAME: CIVIC PARK CUPERTINO LLC 1982 STONE AVE DATE ISSUED:07/25/2011
OWNER'S PHONE: 4088969168 SAN JOSE,CA 95129 PHONE NO:(408)280-6500
2/ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL
License Class Lic.# 3 `r9-3q_ GEORGE HAIR-INSTALL CHANNEL LETTER SIGN
Contractor Date `
I hereby affirm that.I a licensed under the provisions of C apter9
(commencing with S on 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:$2000
1 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 APN Number:36955082.20510 Occupancy Type:
permit is issued. k L
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. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR
to building construction,and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (We)agree to save 180 DA7 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
granting of this permit. Additionally,the applicant understands and will comply Issued by: 7 Date:
with all non-point ource regulations per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature Date 7 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 al I new materials for
inspection.
❑ OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date:
the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
1,as owner of the property,or my employees with wages as their sole compensation,
will do the work,and the structure is not intended or offered for sale(Sec.7044,
Business&Professions Code)
1,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.I2 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 7
permit is issued. Owner or authorized agent:*�Y� Date:
I certify that in the performance of the work for which this permit is issued,l shall
not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
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
indemnify and keep harmless the City of Cupertino against liabilities,judgments, ARCHITECT'S DECLARATION
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
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
CUPERTINO�+ (408)777-3228• FAX(408) 777-3333• building(i5cupertino.or4
L_
V !
Building Department
City Of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
C O P E RT I N O Telephone: 408-777-3228
Fax: 408-777-3333
CONTRACTOR/ SUBCONTRACTOR LIST
JOB ADDRESS: 20 PERMIT# 9 4
OWNER'S NAME: PHONE# — V
GENERAL CONTRACTOR: BUSINESS LICENSE#
ADDRESS: SfMae- —W Coe CITY/ZIPCODE: d S
*Our municipal code requires all businesses working int o 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.
I am not using any subcontractors:
r �7As7/,
0 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
Owner/Contractor Signature Date
Certificate of Com fiance (Sign Lighting) (Pae i of 4) SLTGIC
Project Name:
George Hair Date: 7-22-11
Project Address:
20510 Town Center Lane, Cupertino,CA 95014
Location of Sign M Outdoor Signs ❑Indoor Signs
Phase of Sign Construction M New Signs ❑Sign Alterations
Type of Lighting Control M New Lighting Controls ❑Replaced Lighting Controls ❑Not Installing Lighting Controls
This Certificate of Compliance includes the following components(check all that apply)
❑Mandatory Measures(Lighting Controls) ❑Maximum Allowed Lighting Power ® Specific Lighting Sources
1. Certificate of Compliance Declaration Statement(this may be a CIO,C45 or other eligible person)
® I certify under penalty of perjury,under the laws of the State of California,the information provided on this form is true and
correct.
ExJ I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the lighting design.
PJ This Certificate of Compliance identifies the lighting features and performance specifications required for compliance with
Title 24,Parts l and 6 of the California Code of Regulations.
® The design features represented on this Certificate of Compliance are consistent with the information provided to document
this design on the other applicable compliance forms,worksheets,calculations,plans and specifications submitted to the
enforcement agency for approval with this building permit application.
Name: Signature
Kimberly Lin W-11 1��
Company: Phone
Allen Signs, Inc V
408-280-6500
Address: 1982 Stone Ave License number(may be contractor's lie#)
City/State/Zip: Date
San Jose, CA 95125
2. Installation Certificate(to be signed by responsible person after installation)
Permit number Checked WDate
Enforcement Agency Use (Enforcement Agency Use
Installation Declaration statement - ,
115 I certify under penalty of perjury,under the laws of the State of California,the information provi this form is true and
correct.
• ® I am eligible under Division 3 of the Business and Professions Code to accept responsibility for co c or an authorized
representative of the person responsible for construction.
I certify that the installed features,materials,components,or manufactured devices identified on this fi onforms to all
applicable codes and regulations,and the installation is consistent with the plans and specifications appr e
enforcement agency.
XG I certify that the requirements detailed on this Certificate of Compliance have been met.
K I will ensure that a completed,signed copy of this Installation Certificate shall be posted,or made available wit?� emgpermit(s)issued for the building,and made available to the enforcement agency for all applicable inspections.
that a signed copy of this Installation Certificate is required to be included with the documentation the builder pj
building owner at occupancy.
Company Name:
Allen Signs, Inc
Responsible Person's Name: Responsibl n' Signa e: C
Kimberly Lin
License number(may be contractor's lie#) Date Signed: Position With Co n
834580 Project Manage
2008 Nonresidential Compliance Forms October 2010
Certificate of Compliance (Sign Lighting) (Page 2 of 4 SLTGIC
Project Name: Date:
George Hair 7-22-11
3. Mandatory Sign Lighting Controls
NOTES.-
1.
OTES.1. The same responsible person may install both the sign lighting power and the sign lighting controls, or a different responsible
person may install the sign lighting controls than the responsible person installing the sign lighting power.
2. The Mandatory Measures (sign lighting controls) are requiredfor compliance with the sign lighting Standards. If the person
responsible for installing the sign lighting power is not also responsible for the sign lighting controls, then the owner of the
sign,general contractor, or architect shall be responsible to have the sign lighting controls installed.
3. If more than one person has responsibility for compliance, each responsible person shall prepare and sign a Certificate of
Compliance and an Installation Certificate applicable to the portion of construction for which they are responsible;
alternatively, the person with chief responsibility for construction shall prepare and sign the Certificate of Compliance
Declaration Statement or the entire construction.
3a. Statements of Responsibility: Any person signing the Certificate of Compliance Declaration Statement on page 1 of
4 on this SLTG-I C shall complete Part 3a.Check Yes or No for all of the following statements:
1 I have responsibility for installing the sign lighting controls
❑ Yes,complete parts 3a and 3b of this form 0 No,complete part 3a of this form
2 There are no existing sign lighting controls and I will be installing compliant sign lighting controls
❑ Yes M No
3 There are no existing sign lighting controls and someone else will be responsible to install compliant sign lighting controls
❑ Yes 6 No
There are existing sign lighting controls that do not comply with the applicable provision of§119 and§133 and I will be
4 installing compliant sign lighting controls
❑Yes Ll No
There are existing sign lighting controls that do not comply with the applicable provision of§1 19 and§133 and someone else
5 will be responsible to install compliant sign lighting controls
❑ Yes 6 No
3b. Mandatory Sign Lighting Controls
If the person signing the Certificate of Compliance Declaration Statement on page 1 of 4 of this SLTG-1C is responsible for
complying with the sign lighting control requirements,that person shall answer all of the following questions:
If there are construction documents,indicate where on the building plans the
m datory measures(sign lighting control note block can be located:
1 §133(a)l.All indoor sign lighting is controlled with an automatic time switch control that complies with the Y N NA
applicable requirements of§119. ❑ ❑ LS
§133(a)1 and 2. All outdoor sign lighting is controlled with an automatic time switch control plus a photo Y N NA
2 control,or an outdoor astronomical time switch,that comply with the applicable requirements of§119. IN ❑ ❑
Exception to§133(a)2. Outdoor signs in tunnels or large covered areas that require illumination during Y NA
•
daylight hours. ❑ El
§133(a)3. All outdoor signs are controlled with a dimmer that provides the ability to automatically reduce Y N NA
sign ower by a minimum of 65 percent during nighttime hours. ❑ ❑
Exception 1 to§133(x)3.Signs illuminated for less than one hour per day during daylight hours. Y NA
3 M ❑
Exception 2 to§133(a)3. Outdoor signs in tunnels or large covered areas that require illumination during Y NA
daylight hours. ❑
Exception 3 to§133(a)3.Only metal halide, high pressure sodium,cold cathode,or neon lamps used for Y NA
illuminating signs or parts of signs. 53 ❑
§133(a)4. An Electronic Message Center(EMC)having a new connected lighting power load greater than Y N N/A
15 kW has a control installed capable of reducing the lighting power by a minimum of 30 percent when ❑ ❑
53
4 receiving a demand response signal that is sent out by the local utility.
Exception to§133(a)4.EMC required by a health or life safety statue,ordinance,or regulation,including Y NA
but not limited to exit signs and traffic signs. ❑ 1 M
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Certificate of Com fiance (Sign Lighting) (Page 3 of 4 SLTGIC
Project Name: George Hair Date: 7-22-11
4. Maximum Allowed Liehtints Power Method of Compliance
Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the maximum allowed lighting power method of compliance.(Complete part 5
of this Certificate of Compliance if there are signs using the S ecific lighting sources method of compliance)
A B C D E I F G H I J
A Allowed Watts Design Complies?
Watts Y/N
0
U04
"al
a' vi
O Z ; 3W 3 x
•° 3 r,
"Cl Field
Field
ch a o 1 o i� Inspector
_ N -- a Check that
Y U Sign
r F,
Description ✓ Complies
❑ ❑
❑ ❑
❑ ❑
A Symbol or code used on the plans when plans are required)and other documents.
B A narrative description of the sign,or location of sign on the buildin •and the location of sign on construction documents.
OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed,ENERGY VERIFIED label,confirming that
the sign complies with the Section 148 of the California 2008 Title 24,Part 6 Standards,using the Maximum Allowed Lighting Power
method of compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized
C by Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/TEC Guide 65 by the American National
Standards Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual
inspection program carried out by a Type A Inspection body in accordance with ISO/IEC 17020. For signs with such an ENERGY
VERIFIED label,columns'D'through'I'are not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional
method to validate compliance.An ENERGY VERIFIED label is not needed for compliance.
D The sign area insquare feet.
E List"I"if the sign is internally illuminated. List"E"if the sign is externally illuminated.
F Allowed watts per square foot. Enter 12 if the sign is listed as"I"in column E.Enter 2.3 if sign is listed as"E"in column E.
G Multiply the square footage in column D times the allowed Lighting Power Density PD=watts in column F.
H Show the total installed watts in the sign,as determined according to the applicable provisions of§130(d ore .
I I Enter Y if the number in column H is less than orequal to the number in column G. Otherwise the sign does not comply.
J I This pagee doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
Certificate of Com fiance (Sign Lighting) (Page 4 of 4 SLTGIC
Project Name: George Hair Date: 7_22_11
5. Specific Liahtintt Source Method of Compliance
• Certificate of Compliance and Field Inspection Energy Checklist
Complete this part if there are signs using the Specific lighting source method of compliance. (Complete part 4 of this
Certificate of Compliance if there are signs using the maximum allowed lighting ower method of compliance)
A B C D E
OMONAL Field
ENERGY Specific light source used for
Symbol VERIFIED compliance Inspector
Check that
or Description label Shall include only lighting
Code (see instructions technologies listed below Sign
below) List all that apply Complies
Internally Illuminated Letter Sign ❑ 4 ❑
❑ ❑
A Symbol or code used on the plans when plans arerequired)and other documents.
B A narrative description of the sign,or location of sign on the buildin •and the location of sign on construction documents
C OPTIONAL-Check this box only if this sign has a permanent,pre-printed,factory-installed ENERGY VERIFIED label,confirming that
this sign complies with the Section 148 of the California 2008 Title 24,Part 6 Standards,using the Specific Lighting Source Method of
Compliance. The only labels that will be recognized for this purpose are ENERGY VERIFIED Certification Marks authorized by
Underwriters Laboratories(UL)or other Product Certification Body accredited to ISO/IEC Guide 65 by the American National Standards
Institute in accordance with ISO/IEC 17011.Surveillance by the Accredited Certification Body shall be an ongoing annual inspection
program carried out by a Type A Inspection body in accordance with ISO/IEC 17020.For signs with such an ENERGY VERIFIED label,
column`D' is not required to be filled out.Note:Using an ENERGY VERIFIED label is an optional method to validate compliance.An
ENERGY VERIFIED label is not needed for compliance.
Specific Light Source Compliance Method. The sign(s)identified above use only the following lighting technologies:
List all applicable numbers 1 through 10 that apply in column D above for each row.
1 High pressure sodium lamps
2 Pulse start or ceramic metal halide lamps served by a ballast with >_88%efficient
3 Pulse start metal halide lamps that are<320 watts,are not 250 watt or 175 watt lamps,and are served by a ballast
with> 80%efficient
4 Neon or cold cathode lamps with transformer or power supply efficiency>_ 75%with rated output current<50 mA
5 Neon or cold cathode lamps with transformer or ower supply efficiency>_68%with rated output current>50 mA
ID Fluorescent lamps with a minimum color rendering index(CRI)of 80
6 (Note:when using electronic ballasts for compliance,lamps with a CRI<80 may be used
7 Light emitting diodes LEDs with a power supply with> 80%efficient
Single voltage LED external power supplies designed to convert 120 volt AC input into lower voltage DC or AC
8 output,having a nameplate output power less than or equal to 250 watts,and certified to the Energy Commission as
complying with the applicable requirements of the Appliance Efficiency Regulations Title 20
9 Com act fluorescent lamps that do not contain a medium screw base sockets E241E26
10 1 Electronic ballasts with a fundamental output frequency>_20 kHz
E This page doubles as a field inspection checklist.
Field Inspector Notes:
2008 Nonresidential Compliance Forms October 2010
GEORGE'S HAIR DESIGN BUILDING SIGN ELEVATION: 20510 TOWN CENTER LANE CITY OF CUPERTINO
SIGN 0 NORTH BUILDING ELEVATION SIGN®EAST BUILDING ELEVATION DOUBLE SIDED FIN SIGN
#80"SCREW
EXISTING WALL MIN.3 PER LETTERS
2"SPACING CLEAR LEXAN
NEON TUBING 3/8"MIN.FLEX ALU.CONDUIT
ILLUMINATION
3"THICK INDIVIDUAL BACK LIT CHANNEL LETTERS,NEON FOR HALO ILLUMINATION ONLY 30" N
3/4"DARK BRONZE TRIM-CAP,RETURN WILL BE DARK BRONZE ALUMINUM ELECTRO BITS METAL TRANSFORMER
LETTER WILL BE DARK BRONZE COLOR(OPAQUE),INSTALL 2"AWAY FROM WALL CONNECTION < BOX TO CONTAIN ALL
5CALE:1/4'=1'-0" DATE:JLY-13-2011 SYSTEM ELECTRICAL COMPONENTS
GLASS STANDS DISCONNECTED
SWITCH
50 0" 30 0" ALL ELECTRICAL
STORE FRONTAGE 3"THICK BRUSHED �
STORE ALUMINUM RETURN COMPONENTS&ASSEMBLY
FRONTAGE WITH 1/4"DRAIN HOLE
7O BE U.L.RATED.
NEW SIGN
LOCATION
� s
FIN SIGN
LOCATION
NORTH BUILDING ELEVATION EAST BUILDING ELEVATION
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GEORGE'S HAIR
20510 TOWN CENTER LANE
CITY OF CUPERTINO
All designs&art works belong to Allen Signs,
ff
A&Dm
any duplication tsprobtbtted.COPYRIGHT2010
Approval: Date: All designs &art works belong to Allen Signs, Inc. Any duplication is prohibited. COPY RIGHT 2010 it E-mailaddress.alkmigns@yaboo.com
Tel.4081280-6500 Fax:4081280-6700
ar
1982 Stone Am San Jose,Ca.95125 State Ltc.#834580