Loading...
13040066CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 19400 STEVENS CREEK BLVD CONTRACTOR: SAM'S SIGNS NEON & PERMIT NO: 13040066 ELECTRICAL OWNER'S NAME: YUKO MIYOKO TRUSTEE 16719 E 14TH ST DATE ISSUED: 04/08/2013 OWNER'S PHONE: 4085560200 SAN LEANDRO, CA 94578 PHONE NO: (510) 481-1700 JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL D LICENSED CONTRACTOR'S DECLARATION �.. �S Li,. �2 /%;S0.7 SUITE 200** KELLER WILLIAMS**INSTALL ONE SET OF License Class # INTERNALLLY ILLUMINATED CHANNEL LETTER ON (E) ContractorSAk6 oww 8 «-�t6R ate ��OC3 WALL I hereby affirm that I am licensed under the provisions of Chapter 9 SIGN & CHANGE NAME ON (E) MONUMENT SIGN (commencing with Section 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: $5900 I have and will maintain Worker's Compensation Insurance, as provided for by APN Number: 37501023.00 Occupancy Type: Section 3700 of the Labor -Code, for the performance of the work for which this permit is issued. 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 DA , 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 ss y: te: y 3 granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. RE -ROOFS: Signator Date 0 '4* —ZQf 5 All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER I, 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.70441 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 9.12 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 Owner or authorized agent: Dater permit is issued: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, 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 CUPERTINO SIGN PERMIT APPLICATION 1j COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION d� 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 O� (408) 777-3228 • FAX (408) 777-3333 • buildingCa)-cupertino.oro PROJECT ADDRESS f -/ � s e p�C O cv © . Z.D D APN # 3 +1„- a/O �2 7� J% /'y OWNER NAME VC( lL� Q K 0 77 NE �15_SSC E-MAIL STATE, ZIP FAX STREET ADDRESS CITY, 0 iz SAN U-05 CONTACT NAME PHONE 510 ( `( I E-MAIL STREET ADDRESS 6 CITY, STATE, ZIP N �aNv�a FAX Sr6 /-030 ❑ OwNER ❑ OWNER-BUIIAER ❑ OWNERAGENT Ul CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC # COMPANY NAME IStQF11AJ E-MAIL . C 5Atk: 5L .CMA FAX 570-'f&(-0 3 0 STREET ADDRESS CITY, STATE, ZIP PHONE 6 -ANr L9KAV e!A G -(7 O o. ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF{WORK - st �_��� A ` fN C�-�Vr A/U fj0NL)►^UjT S [CqN USE OF [:]SFD or Duplex ❑ Multi -Family ILLUMINATED SIGN TYPE NO. OF SIGN AREA VALUATION STRUCTURE: Commercial L"1 (Y / N) (CODE) SIGNS (SQ. FT.) M SIGN TYPE CODES: V-- 1 41 O -1 0 O O B -BANNER SIGN MONUMENT (GROUND) SIGN ` f ' V „ /+ � 1 v \ �q O p U BL - BLADE SIGN P - PROJECTING SIGN D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER DI - DIRECTIONAL SIGN -TEMPORARY /�T�J E - ELECTRONIC - WALL SIGN u READERBOARD WI -WINDOW SIGN REC Tff,I�6JA9fiOi� O By my signature below, I certify to each of the following: I am the property owner or authoriz ent to act on the property owner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize rqpWentatives of Cupertino to enter the above -identified property for inspection purposes. Signature of Applicant/Agent: Date: y $ z Of 7::,__ SUPPLE AL INFO ATION REQUIRED OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP _ Site Plan OVER-THE-COUNTER UILDING PLAN REVIEW Elevations Sign Details - including UL listing(s) applicable ❑ EXPRESS PqLANNING 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. ❑ MAJOR SignApp_2011.doc revised 03131111 CITY OF CUPERTINO Ilei I U1V1V U cmnvr A Tn1D _ RTTTT .nINC nIVICInN SIGN TYPE FEE ID QTY SIGN FEE Wall Sign, Electric 1SIGNWELEC 1 $266 Ground Sign, Alteration 1SIGNREWRK 1 $334 TOTALS: � $600.00 Wech. Plan (."heck Plumb. Platt Check # Branch Circuits 1 $45.00 lESIGN Ilech. Permit Fee.; Plumb. Permit Pee: Elec. Permit Fee:: IEPERMIT —L Other :l9ech. Insp. OtherPlumb Insp. Other Elec. Insp. 0.0 $45.00 ,laech. 1nsp. Fee: Plumb. hrs/r. Fee: Elec. Insp. Fee,: NOTE: This estimate does not includefees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are ADDRESS: 19400 STEVENS CREEK BLVD DATE: 04/08/2013 REVIEWED BY: MELISSA APN: 375 01 023 BP#: *VALUATION: $5,900 *PERMIT TYPE: Building Permit, PLAN CHECK TYPE: PRIMARY Sign Yrs PENTAMATION 1 CEAP5 USE: PERMIT TYPE: i WORK SUITE 200** KELLER WILLIAMS**INSTALL ONE SET OF INTERNALLLY ILLUMINATED CHANNEL SCOPE I LETTER ON (E) WALL SIGN & CHANGE NAME ON (E) MONUMENT SIGN (NON-LUMINATED) SIGN TYPE FEE ID QTY SIGN FEE Wall Sign, Electric 1SIGNWELEC 1 $266 Ground Sign, Alteration 1SIGNREWRK 1 $334 TOTALS: � $600.00 Wech. Plan (."heck Plumb. Platt Check # Branch Circuits 1 $45.00 lESIGN Ilech. Permit Fee.; Plumb. Permit Pee: Elec. Permit Fee:: IEPERMIT —L Other :l9ech. Insp. OtherPlumb Insp. Other Elec. Insp. 0.0 $45.00 ,laech. 1nsp. Fee: Plumb. hrs/r. Fee: Elec. Insp. Fee,: NOTE: This estimate does not includefees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District, etc). These fees are based on the preliminary information available and are esumare. c.onracr me uep1 Ul' uuun < MISC ITEMS Select an Administrative Item $737.24 Revised: 04/01/2013 FEE ITEMS (Fee Resolution 11-053 E . 7/1/12) FEE QTY/FEE Plan Check Fee: Suppl. PC Feer (D Reg. Q OT 0.0 Yrs $0.00 Plumb.Alfech.lElee Permit Fee: $600.00 Suppl. Insp. Feer Reg. Q OT O,Q Yrs $0.00 PME Unit Fee: $45.00 PME Permit Fee: $45.00 Consiniction T ox: Administrative.Fee: Work Without Permit? 0 Yes (E) No $0.00 Sign Master Plan: 0 Yes (E) No $0.00 Travel Documentation Fee: 1TRAVDOC $45.00 Strong Motion Fee: IBSEISMICO $1.24 Bldg Stds Commission Feer 1BCBSC $1.00 $737.241 $0.00 esumare. c.onracr me uep1 Ul' uuun < MISC ITEMS Select an Administrative Item $737.24 Revised: 04/01/2013 CUPERTINO CONTRACTOR / SUBCONTRACTOR LIST' Building Department City Of Cupertino 10300 Torre Avenue CCA 95014 3255 upertino, - Telephone: 408-777-3228 Fax: 408-777-3333 JOB ADDRESS: jcfLfoo SrEcl;ENS Cp lafp PERMIT # 13 0 O 0 OWNER'S NAME: PHONE # GENERAL CONTRACTOR:S��`` 5 51ON 5 Neo lj J� NC. BUSINESS LICENSE # ADDRESS: 161[q E 144�. SZ 5,gAj CEANpzo a Yy5 75. CITY/ZIPCODE:5AW LJFAI1OR-0 C -A Q'C-fS7$ *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTIONS) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED :ACITY OF CUPERTINO BUSINESS LICENSE. 17 I am not using any subcontractors: y S ignature Date Please check applicable subcontractors and complete the following information: •/ 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 SCOPE OF WORK 0,1 "BUILDING SIGN" INTERNALLY ILLUMINATED CHANNEL LETTERS "EXISTING DOUBLE SIDED MONUMENT SIGN" CHANGE NAME ONLY Y2"BLACK ACRYLIC LETTERS. "EXISTING DOUBLE SIDED MONUMENT SIGN" CHANGE NAME ONLY 1/2"BLACK ACRYLIC LETTERS. JUNCTION BOX WITH DISCONNECT SWITCH, ( EXISTING ) (1) 20 AMP 1120 VOLT PRIMARY ELECTRIC CIRCUIT (EXISTING) kw! KELLER WILLIAMS R t 4 I A SIDE ELEVATION FACING PARKING LOT SCALE: 1/6" = 12" . 4•� EXISTING STUCCO WALL 1/2" ACRYLIC LETTERS STUD MOUNTED WITH 1/8" ALUMINUM PINS MIN. 3 PER LETTER ( all penetrations Watertight ) EXTERIOR STUCCO WALL 5" .04 ALUMINUM RETURNS CHANNEL LETTERS RETURNS "RED LED" 12VOLT 14 AWG SLEEVED SECONDARY WIRE LISTED BUSHING FASTENERS MIN. 3 PER LETT #2 Phillips — 3/16" X 1 Flat Tapcon® Concrete OawRlgoe rune COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION - CUPERTINO APPROVED This set of plans and specifications MUST be kept at the job site during construction. it is unlawful to make any changes or alterations on same, or to deviate therefrom, without approval from the Building Official. The stamping of this plan and specifications SHALL NOT be held to �to approval of the violation ny provis' itv Ordinance or State Law. 1 STEEEK 0 IVE�NS CRLI D1 ,I ^ VICINITY MAP Ina Contractor: SAM'S SIGNS NEON ft ELECTRICAL SIGNS 16719 E. 14TH ST. SAN LEANDRO, CA 94578 PH: 510.481.1700 FAX: 510-481-0302 info@samssigns.com ST LIC# 717307 class C-45 AIINA KHAN Project: " kw Cupertino 19400 Stevens Creek Blvd. Cupertino CA Nelda Petri 408-850-6996 �N :3 IT 0/ 0 2-3 Account Manager: Designer: MAGDIEL ESTRADA Scale: As noted Revisions: 04-04-2013 �1 ry\I Date: This is an original, unpublished drawing created by Sam's �igns. It is submitted for your approval. It is not to be shown to anyone outside your organization, reproduced or copied in any fashion. Ownership of this design is held by Sam's Signs. Authorization to use this design must be obtained by Sam's Signs. 510-481-1700 www.SAMSSIGNS.com © 2013 Colors depicted are a graphic representation. Refer to call outs for actual colors to be used.