B-2017-1564 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-1564
20735 STEVENS CREEK BLVD CUPERTINO,CA 95014(326 32 054) SIGN OF LIGHT
ROSEVILLE,CA 95678
OWNER'S NAME: LAU ALLAN CHOOK YEE AND LINDA YIM SEUNG ET DATE ISSUED:09/13/2017
OWNER'S PHONE:408-777-0220 PHONE NO:(916)787-9445
. I Il. r;.:C_ e t'. __ _ ._ e. BUILDING PERMIT INFO:
License Class C-10 Lic.#906191
Contractor SIGN OF LIGHT Date 11/30/2017 X BLDG _ELECT _PLUMB
MECH_RESIDENTIAL X COMMERCIAL
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
license is in full force and effect. JOB DESCRIPTION:
INSTALL(1)ILLUMINATED WALL SIGN AND RE-FACE(1)TENANT
I hereby affirm under penalty of perjury one of the following two declarations: PANEL FOR"VERIZON"
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
.e- ormance of the work for which this permit is issued.
- I 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
permit is issued. Sq.Ft Floor Area: Valuation:$3000.00
APPLICANT CERTIFICATION
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 APN Number: Occupancy Type:
and state laws relating to building construction,and hereby authorize 326 32 054
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,costs,and expenses which PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands and will comply with all non-point
source regulations .-r the Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
,L111119-, e ji=r- Date 9/13/2017 Issued by:Jasmine Archbold
Date:09/13/2017
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofmg material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:9/13/2017
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
performance of.the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE.
z. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous
shall not employ;any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous
air contaminants as defined by the Bay Area Air Quality Management District I
Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code, f ns 25 5,25533 d 25534.
Labor Code,I must forthwith comply with such provisions or this permit shall
be deemed revoked. Owne orized agent: //
O,C„,,
APPLICANT CERTIFICATION Da "� 0
I certify that I have read this application and state that the above information is CONSTRUCTION LE ING AGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon,the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed
Signature Date 9/13/2017 Professional
:, -7., SIGN PERMIT APPLICATION
. COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
���•yy 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINC (408)777-3228•FAX(408)777-3333•buildingna cupertino:orq
PROJECT ADDRESS
2•09
O 73.1*64 C12‘‘‘ ,41/P-
APN# 3 C 3 2 OS-4
OWNER NAME ,� y i /�� ems,_ PHONE y/fj^ y iDziv E-MAIL
STREET ADDRESS /f`/ �/ i CITY,'STATE,ZIPJ3 / Airo ''� FLAX
CONTACT NAME UV �� PHONE �3/ E-MAIL
STREET ADDRESS CITY,STATE,ZIP FAX
/ZV *L«dam _ / !r// , �y7
❑ OWNER 0 OWNER-BUILDER 0 OWNER AGENT 0 CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER '0, DEVELOPER 0 TENANT
CONTRACTOR NAME...3;I',J £4L/ LICENSE NUMBER,99 79/ LICENSE TYPE C10 BUS.LIC# VOA
O g
COMPANY NAME E- ! /citc1 / 47.46 C4
STREET ADDRESSr;. / CITY,STA ZIP ��� PHONE'yr2
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC 01'
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PIIONE
DESCRIPTION OF WORK /07-7/14 (1) X1.4(J / � f
/ � L /6,i ,��i-//j�•�i.-
0 f ,®i-NSG . A- 'P4 joil.�
USE OF ❑ SFD or Duplex ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION
STRUCTURE: 74 Commercial (Y/N) (CODE) SIGNS (SQ.FT.) (5)
SIGN TYPE CODES: Y w ' /. .9 ,,f orb
B - BANNER SIGN M - MONUMENT(GROUND)SIGN
I
BL - BLADE SIGN 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 n RECRJ3Y: prit„.....dij I TOTA� LUATION: '
erPeo
By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property own 's behalf. I have read this
application and the information I have provided is street, I .ve 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 „a lion. . authori -sentatives of Cupertino to enter the above-identified property for inspection purposes.
Signature ofApplicant/Agent: %r' Vir- Date:___014.7
SUPPLEMENTAL INFORMATION 'EQUIRED OFFICE USE ONLY , .
Site Plan PLAN CHECK TYPE ROUTING SLIP
Elevations 0 OVER-THE-COUNTER ,0 BUILDING PLAN REVIEW
Sign Details-including UL listing(s)applicable 0 EXPRESS '0 'PLANNING PLAN REVIEW
_Structural Calculations(if applicable) 0 STANDARD I:7 ,OTHER:
Copy of Planning Approval Letter or Meeting with Planning prior to 0 LARGE
submittal of Building Permit application,
0 MAJOR ,
SignApp_2011.doc revised 03/31/11