B-2017-0055CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2017-0055
20380 STEVENS CREEK BLVD CUPERTINO, CA 95014-2271(369 01 026)
WEIDNER
ARCHITECTURAL
SIGNAGE / HOUSE OF
SIGNS INC
SACRAMENTO, CA
95822
OWNER'S NAME: CUPERTINO CITY CENTERAPARTMENTS ii
DATE ISSUED: 01/10/2017
OWNER'S PHONE: 650-931-3452
PHONE NO: (916) 452-8000
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class C45:C-31-0-45 Lic. #559090
Contractor WEIDNER ARCHITECTURAL SIGNAGE / HOUSE OF SIGNS INC
X BLDG —ELECT _PLUMB
MECH X RESIDENTIAL _ COMMERCIAL
Date 03/3112017
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
with Section 7000) of Division 3 of the Business & Professions Code and that my
JOB DESCRIPTION:
license is in full force and effect.
CUPERTINO PARK CENTER - INSTALL 1 ILLUMINATED WALL
I hereby affirm under penalty of perjury one of the following two declarations:
SIGN
i. 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.
have and will maintain Worker's Compensation Insurance, as provided for by
ection 3700 of the Labor Code, for the performance of the work for which this
RpI
Sq. Ft Floor Area:
Valuation: $7950.00
ermitas issued.
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
369 01 026
and state laws relating to building construction, and hereby authorize
representatives ibf this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
PERMIT EXPIRES IF WORK IS NOT STARTED
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue agaihst said City in consequence of the granting of this permit.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally, th pplllcant-understands and will comply with all non -point
source regull rfiper the Cupertino unicipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
f
Issued by: AbbyAyende
Sigll erre Date 9/14/2017
Date: 01/10/2017
OWNER -BU ECLARAT
RE- ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the
All roofs shall be inspected prior to any roofing material being installed. If a roof is
following two reasons:
installed without first obtaining an inspection, I agree to remove all new materials for
n. I, as owner, of the property, or my employees with wages as their sole
inspection.
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
Signature ofApplicant:
2. I, as owner, of the property, am exclusively contracting with licensed
Date: 1/10/2017
contractors to construct the project (Sec.7044, Business & Professions Code).
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER
1. 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
HAZARDOUS MATERIALS DISCLOSURE
performance of the work for which this permit is issued.
I have read the hazardous materials requirements under Chapter 6.95 of the
2. I have, and will maintain Worker's Compensation Insurance, as provided for by
California Health & Safety Code, Sections 25505, 25533, and 25534. I will
Section 3700 of the Labor Code, for the performance of the work for which this
maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the
permitjis issued.
Health & Safety Code, Section 25532(a) should I store or handle hazardous
B. I certify that in the performance of the work for which this permit is issued I
material. Additionally, should I use equipment or devices which emit hazardous
Air Quality Management District I
air contaminants as defined be BaS25505,2553
shall not employ any person in any manner so as to become subject to the
will maintain compliance wit ' the C uuiei'p''al Code, Chapter 9.12 and
Worker's Compensation laws ofCalifornia. If, after making this certificate ofthe
Health & SafetyC e; ,and 25534.
exemption, I become subject to the Worker's Compensation provisions of the
LaborCode, I must forthwith comply with such provisions or this permit shall
Owner or authorized agerii:
be deemed revoked. `
Date' 1/10/2017 l
APPLICANT CERTIFICATION
CONSTRUCTION LElSDG AGENCY
I certify that I have read this application and state that the above information is
I hereby affirm that there is a construction lending agency for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit is issued (Sec. 3097, Civ C.)
relating to building construction, and hereby authorize representatives of this city
Lender's Name
to enter upon the above mentioned property for inspection purposes. (We) agree
to save indemnify and keep harmless the City of Cupertino against liabilities,
Lender's Address
judgments, costs, and expenses which may accrue against said City in
consequence of the granting of this permit. Additionally, the applicant understands
ARCHITECT'S DECLARATION
and will comply with all non -point source regulations per the Cupertino Municipal
I understand my plans shall be used as public records.
Code, Section 9.18.
SIGN PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
CUPERTINO
PROJECT ADDRESS
APN #
O ERNAME _ - - - ®
PHONE
STREET ADDRESS
C Y„ STATE, ZIP
FAX
CONTACT NAME:
PHONE
�E^-MAIL
'.-
iDi
STREET ADDRESS
CITY, STATE, ZIP
FAX
❑ OWNER ❑ OWNER -BUILDER ❑ OWNERAGENT W CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME 6 4-1e_
LICENSE NUMBER
LICENSE TYPE
BUS. LIC # (® f �
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iA��i�p..9"''� 'P�. G'-`�
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COMPANY NAME _
E-MAIL - - - -
FAX
STREET ADDRESS
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C�TY, STATE ZIP
�-,'�f5'. ,,�jr�'-a+ '�—hpad�*�d✓' ��,'�'��`�.%-
PHONEi
G361 f1.3 '�i �7 cs
ARCHITECT/ENGINEER NAME -
LICENSE NUMBER
BUS. LIC #
COMPANY NAME .
E-MAIL
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
DESCRIPTION. OF WORK
r
I,
USE OF hu ❑ SFD Or Duplex Multi -Family
ILLUMINATED
SIGN TYPE
No. OF
SIGN AREA
VALUATION
STRUCTURE:, 0 ❑ Commercial
(Y /N)
(CODE)
SIGNS
(SQ. FT.)
($)
SIGN TYPE CODES:
'��
���a
E R I C>,�-{
g
`�� . c g
B - BANN1 R SIGN M - MONUMENT (GROUND) SIGN
BL - BLADE,ISIGN P - PROJECTING SIGN
D - DEVELOPMENT ID SIGN SP - SPECIAL EVENT BANNER
DI - DIRECTIONAL SIGN T - TEMPORARY
-
E - ELECTRONIC W - WALL SIGN
READERBOARD WI - WINDOW SIGN
-
RECEIVED BY:
_
TO �V9A�LU`,I�ON:
'
By my signature below, I certify In each of the fo ooving_:...J_, m the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have pfovided ' . onect. I have 'rea the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and state laws relatin uil ' cons coon. I authorize epresentatives of Cupertino to enter the above -identified property for inspection purposes.
Signature Date: G'
oflpplican IIt" is �_ /
G
SUPPLEMENTAL INFORMATION REQUIRED
OFFICE USE ONLY,
PLAN CHECK TYPE
ROUTING SLIP _
Site Plan B
❑ OVER -TAE -COUNTER
(�
❑ BUILDING PLAN REVIEW CI�'RO
_
Elevations
Sign Details - including UL listing(s) applicable
❑ EXPRESS
❑ PLANNING 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
IIIIIIII Jill 111 1`1 111 in I I I I I � I I � I I I;! ��� I I� III
Scope of Work: Illuminated wall -mounted Project ID
Contractor: WeidnerCA
500124th Street Sacramento CA 95622
Project Manager: Gigi Gaskin / Patrick Du Hain
Index
Sheet
Page
Permit Cover Sheet
1
Project information
2
Site map
0.1
3
MID street view
1.0
4
MID detail
1.1
5
MID section detail
1.2
6
MID elevation view
1.3
7
MID elevation detail
1.4
8
California cerificate of compliance NRCC-LTS-01-E
9 to 11
Total number of pages
11
ZCUPERTINO
Building Department
REV FW_D �OR CODE CON11"ANC-
Rew-wed 3y' ADD, Alende
MCOMMLIETYDEELSPE EWDEPARTAAEN_
BULONGDIVISON-CUMNO
APPROV—D
f S.IA-_ Ic-
z_ 'G C :a,
Cupertino
ILLUMINATED MONUMENT
Weidner
u`sraerdrh;
CUP—RTMO
t-; =and the Built nvir :�� Mme \Buisding Department
REV rF v . _R CO " NIP= tats`-
Weidner
239 39 240
Sonq. end Graph
33 308 l -
to Brand he Bu* Ervirer,,t
1 140
0 r
230 329 307 208
z
130 229207 108
5001 24th street
— 129 107
Sanater.ran, CA 95822
919-49z-80093
a3 r
23332 2 2006 6 3c gWelonerCA.com
132 106
331 337 301 303 - ----------
231 237 201 203 ---------- 4
131 137 101 103
333 305
233 205
133 105 Project:
Cupera Park
334 335 Leasing Cyber 302 304
2038098tvens GreekCenter Blvd.
234 235 Office Cafe 202 204 Cuperino, CA
134 135 102 104
Client:
Prometheus Real Estate Group
az
Designer.
Mid—CA
Monurrient Work Order: 41979
Est. Na A10026
Vicinity Map Issued; 01-06-17
D— BY: J. R.
0�) Pm: GG
DWO: 41979 SITE 00
Revisions:
mCUPERTINO SITE
Buding Department Site Map & Street View
REV EWIED -OR cnDE COIMPL ANCE 0.1
Revie-e, 3y, AN), Avende
Date.
9
CUPERTINO
M Bui ding Department
Rew-wed 3y' ADD, Alende
-rale-
Wei ®tier
Sgn.ge end Grphi s
.o Brend °he B-111 E-hrcrme^t.'
5001 24th Street
S—mento, CA 95822
818-462-8000
WeidrwCA.Com
Pr07e0t:
Cupertino Pane Center
20380 Stevens Creek Blvd.
Cupertino, CA
Client
Prometheus Real Estate Group
Designer:
Weid—CA
Werk Order: 41979
Est. No: A10026
issued 12-06-16
Drawn By: Jim R.
PM: G.G.
DWG: 41979_MID. 00
Revisions:
QTY: N), copy as shown.
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