08010108 (2)iii F JJ I�!
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j i �IIIA !1 J�rl
1 CEAP5 IQI
Permit Number'
08010108
r
f Status '
C - Closed
k Master Number
NON APPLICABLE
Project
3000
Apply Date '
01/17/2008
k
Permit Issue Date
01/17/2008
Certificate Issued
Certificate Type
i
437 IQI
Certificate Number
i
[
Permit x Property
r -
Zoning
Permit Details
AUTOPERM -PERMIT
IQI Notes
Operator
Operator
Operator
0
IQI
SylviaM
SylviaM
Applicant ContractorDefined Fields
Permit Type "
1 CEAP5 IQI
SIGNS, OUTLINE LIGHTING & MARQ
Usage Class'
N/A IQI
NON APPLICABLE
Applied Value '
3000
SQUARE FT.
0
i Calculated Value
01-31
US C-404 Type
437 IQI
[
ALT: NON -RES, NON-HSKPG
Permit Form "
AUTOPERM -PERMIT
s
Ownership
-
1 - Private
Project S ¢e
I_uc--:ICn Cll��31. 0D
Address' I 20230 STEVENS CREEK BLVD
City/State/Zip CUPERTINO CA 95014
APN 36902031.00
Unit
f_lia)f'iar I_Rhr',' Ir?I''!I�Ie?Itwl
(Owner Name'I TORRE AVENUE PROPERTIES
Use Default ❑
Address Home - 20230 STEVENS CREEK
City/State/Zip CUPERTINO CA 95014
Purpose/Special Conditions
REMOVE EXISTING SIGNS (BANNERS) INSTALL ONE 1 SET
(INTERNALLY ILLUMINATING 15" LETTERS ON WALL (WELLS
FARGO) REFACE EXISITING TENANT PANEL ON MONUMENT S
FILMED 5/20111
Ir-rl AJ J n_C_..11 r
Io 0K
Back
Jr, Contractors
Fees
Plan Reviews
Inspections
Print Permit
Adjustments
It"7.i Holds
Copy Permit
Close Permit
Imo.; Overrides
Supplemental Fields
I..r.}J Notes
IrAiAttachments
Permit issued 01j17j2008
Enter the purpose or any special conditions for this permit
CY OF CUPERTINO
BUILDING DIVISION PERMIT
BUILIri�g>o�Ess�TEVENS CREEK BLVD MINA TREE SIGNS PERMIT0NO
8010108
R'S NAME. PERMIT ISSUE DATE
TORRE AVENUE PROPERTIES 1233 E RONALD ST 01/17/2008
PHONE: SANITARY NO. CONTROL NO.
ARCHITECT/ENGINEER: Tr
REMOVE EXISTING SIGNS BLDG BEILECTGPERPLUMBO MECH
cd Z
Op TOLICENSED CONTRACTOR'S DECLARATION
W C 1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing
Z tJ with Section 70(10) of Division 3 of the Business and Professions Code, and my license is
' &in full force and effe C, i/ 7
i n ? License Cla�s] '�1' Lic. p �,
t mDatc // Contractor
m ARCHITECTS DECLARATION
i < I understand my plans shall he used as public records
:a.
tL y Licensed Professional
y OWNER -BUILDER DECLARATION
>" I hereby affirm that 1 am exempt from the Contractor's License Law for the
i o following reason. (Section 7031.5, Business and Professions Code: Any city or county
e which requires a permit to construct, alter, impmve, demolish, or repair any structure
prior to its issuance, also requires the applicant for such permit to file a signed statement
< that be is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9
F (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he is exempt therefrom and the basis for the alleged exemption. Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars (E500).
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
and Professions Code: The Contractor's License Law does not apply to an owner or
property who builds or improves thereon, and who does such work himself or through his
own employers, provided that such improvements ate not intended or offered for sale. lr,
however, the building or improvement is sold within one year of completion, the owner -
builder will have the burden of proving that he did not build or improve for purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code:) The Contractor's Li-
cense Law docs not apply to an owner of property who builds or improves thereon, and
who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's
License Law.
1 am exempt under Sec B & P C for this reason
Date
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 hsve and will maintain a Certificate of Consent to self -insure for Worker's Compen-
sation, as provided for by Section 3700 of the Labor Code, for the performance of the
work for rich this permit is issued.
havc and will maintain Worker's Compensation Insurance, as required by Section
3700 of the or Code, for performance of the work for which this permit is issued.
My Worker' pensa nsurance carrier and Policy number a:
Cartier. &- zed Polity No.: 0 W � 0-2 U b
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100)
or less.)
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 Workers' Compensation
Laws of California. Dale
Applicant
NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should
become subject to the Worker's Compensation provisions of the Labor Code, you must
.J z forthwith comply with such provisions or this permit shall be deemed revoked.
z O CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of
lyethe work for which this permit is issued (Sec. 3097, Civ. C.)
W Q Lender's Name
�z Lender's Address
U O 1 cenify that 1 have read this application and state that the above information is
(L r -r cortecL I agree to comply with all city and county ordinances and state laws relating to
0 V building construction, and hereby authorize representatives of this city to enter upon the
Uabove-mentioned property for inspection purposes.
0. (We) agree to save, indemnify and keep harmless the City of Cupertino against
►.-r In liabilities, judgments, costs and expenses which may in any way accrue against said City
U Z in consequence of the granting of this permit.
�-+ APPLICANT UNDERSTANDS AND ILL COMPLY WITH AL NO POINT
SOURGUL ONS. 1
�'I OL d2 cC' l 17 t
Signature of Applicant/Contractor Date
HAZARDOUS MATERIALS DISCLOSURE
Will the applicant or future building occupant store or handle hazardous material
defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety
de, Section 25532(a)7
ED Yes Io
Will the applicant or future building occupant use equipment or devices which
emit hazardous air contaminants as defined by the Bay Area Air Quality Management
District?! K. [:]Yes el
1 havc read the hazardous materials requirements under Chapter 6.95 or the Califor-
nia Health &Safety Code, Sections 25505,25533 and 25534.1understand that if he building
does not currently have a tenant. that it is my responsibility to notify the occupant of the
requtrcme which must be met prior tss of a Certificateof (ke parry.
Owner or authorized agent Dim
Sq. Ft. Floor Area
Required Inspections
Issued by:
Re -roofs
Type of Roof
Occupancy Type
Date
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
All roof coverings to be Class "B" or better
CITY OF CUPERTINO
SIGN
CITY OF
CUPEkTINO PERMIT APPLICATION FORM
�1?a/Dl0�
APN #
Date:
c�9 �a�21 00
Building Address:
Mailing Address (if different from building address):
Owner's. Name:
Phone #:
Contractor:
C
A,-7—alk
Phone #:
/,y
Fax #:
Contractor License #:
Cupertino Business License #:
ag9796
Contact:
Phone #: 9Z S — g 4 0 —4, V
Fax #:9z5' 7
Building Permit Info:
Bldg Elect [] Monument ❑
Mounted on Building
Residential ❑ Commercial
Job Description:
Cw�2�s� )
Valuation (cost of project):
�G ,157D
klolll.
Y 1-sr,
CUPEkTINO
CITY OF CUPERTINO
SIGN
FEE SCHEDULE
Quantity.
Fee ID
Fee Description
Fee
Group
Permit Type
1 SIGNDIRECT
Directional
B
1SIGN/RF
Ground/Roof/Projecting Signs
B
1SIGNMASCK
Master Plan Sign Check
B
J
1 SIGNREWRKG
Rework of any existing Ground
Sign
B
1SIGNOTHER
Other Sign
B
1SIGNREINSP
Re -inspection Fee
B
1SIGNWNONEL
Wall/Awning Sign, Non-
Electric
B
1
1SIGNWELEC
Wall, Electric
E
IESIGN
Sign, Outline Lighting System
or Marquee supplied from one
branch
E
10EAP5
-1ESIGNADD
Additional Branch Circuit on
Same Sign, Outline System or
Marquee
E
10EAP6
1ELCPLNCK
Plan Check Fee
E
EPERMITFEE
Electric Permit Fee
E
JBSEISMICOM
Seismic Commercial
B
BSEISMICRE
Seismic Residential
B
BUSLIC
Business License
B
ig"
✓,..
!'
CITY OF
CUPEkTINO
Community Development
10300 Torre Avenue
Cupertino CA 95014
Telephone (408) 777-3228
Fax (408) 777-3333
Building Department
JOB ADDRESS:
aoa -3dCU X .��
PERMIT #
OWNER'S NAME: 7A- A o _ Q.u�� /t
PHONE # Va-
GENERAL CONTRACTOR: —TA4!�2.
FAX #
0
I am not using any subcontractors: �.�` - 4'r GQ._- l 7 0
Signature Date
Please check applicable subcontractors and complete the following information:
Owner/ Contractor Signature
,// 7j"r YY
Date
SUBCONTRACTOR
BUSINESS NAME
BUSINESS LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring: Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Ornamental Sheet Metal
Painting / Wallpaper
Paving
Plastering
Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner/ Contractor Signature
,// 7j"r YY
Date