05070151 CITY OF CUPERTINO '•^ �* �' ' �� `
BUILDING DIVISION PERMIT CONTRACTO]W�INFORMATION
BUILDING ADDRESS: ALLEN SIGNS INC PERMITNO.05070151
7335 BOLLINGER RD
OWNER'S NAME: PERMIT MUE DATE
GARY SOWARDS 1982 STONE AVE n7/2q /200S
E: SANITARY NO. CONTROL NO.
(408) 280-6500
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
0 0 0 0
r�+Op LICENSED CONTRACTOR'S DECLARATION 76 Description
i F 1 herebyN0CSCTIp affirm
at I am licensed under provisions of Chapter 9(commencing
?iw with Suction or Division 3 ofthe Business and.Prof2essions Code,and my license is
""0, inrallfpmeande U3T�D INSTALL NEW SIGNS - . ILLUMINATED CHANNEL LETTER
jvaZ License Cl ' Lie.N
°ro Dam 7 Contractor SIGN - GRAND INTERIORS
n 10 ARCHITECT'S DECLARATION
a 1 sunJ my plans shallbeused es public,cords
>yU /
eQy Licensed Professional
OWNER-BUILDER DECLARATION
af 1 hereby affirm that 1 em exempt from the Contractor's License Law for the
00 following reason.(Section 71111.5,Business and Professions Cade:Any city or county
<m which requires a Permit to construct.alter,improve,demolish,or repair any,m etum
prior to its issuance,also requires the applicant far such permit to rile a signed statement
< that he is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9 Sq.Ft. Floor Area Valuati SOO
%In (commencing with Section'/(00)of Division 7 of the B usiness and Professions Code)or
y that he is esempt therefrom and the basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for it .it subjects the applicant to,cI,,]pereally of APN Number Occupancy Type
not mo¢man five hundred dollars($500). 35923018 . 00
❑I,as owner*RW Property,or my employees wish wags u their sole compensation,
will d9 she work and me structure is not intended w 9Rbred formic(Sec.7054.Business
and Professions Code:The Canmclor's License raw it.Mt apply to an owner of Required Inspections
property who builds or improvs dmaen,and who dose such work himself or through his
Own employers,provided that such improwments ase not intended croffered for sale.if.
hawewn the building or improvement is sold within one year of completion,the owner-
builder will haw me burden of proving that W did not Wild or improve for pumo2 of
sale.).
❑1,as ow«r of the,property,am exclusively cmeractin,who licensed conbacmrs to
Contract the project(Sec.7064.Business and Professions Codc:)The Conuumri Li-
cense law dors not apply m an owner of property who Wilds or improves thereon,and.
who concocts for such projects with a eommoor(s)licensed pursuant tithe Coournome.
License Law.
I am exempt under Sec. .B h P C for this mason
Owner Dam
717 WORKER'S COMPENSATION DECLARATION - '"-'
I hereby affirm under Penalty of perjury o«of the following dularalions:
sm and will maintain a Ccnifism of Consent self-insum for Worker's Compere
,w provided for by Section 3700 of dm labor Code,for the Performance of the _.. _. . .
for which this permit is issued.
have and will maintain Worker's Compensation Insurance,as required by Section
of the labor Cade.for the Performance of she work for which this permit is issued.
orker' Cnsation Insuance cart rand Policy Wr art:
er: f�I.ffY1P.r:i �H�1CPolicy N..-,41glEz�D71_
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(Inds section need not W completed HOW Permit Is froom hundred dollars(5000)
or less.)
I certify Nat in the performance of me work for which this permit is issued.I shall not
employ any person in any manner sou w become subject o the Workers'Compewtlon
Laws of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Cenificam of Exemption,you should
become subject to the Worker Compensation provisions of thc Labor Cade.you most
.JO faMwalt comply with such provisions or mis Permit shall W deemed invoked.
z '—' CONSTRUCTION LENDING AGENCY
I hereby alBrm that tat isoconsmocamn lendingapeary,for the pefforman«of
C me work for which this pCrtnil is issued(S«.3097,Civ.C.)
Qlrndcrs Name
_z Landers Address
U Q I Certify met 1 have read this application and sate Our On,aWw,lot.on.unit is
(y F cmfect I agree to comply with all city and county ordinances and state laws relating to
QU building construction.and hereby Buthoriaempresenutiws of this city to enter upon me
Uabove-mentioned property for inspection purposes.
(We)agree to saw,indemnify and keep hornless the City of Cupertino against
liabilities,judgments,costs and expenses which may in any way aocrou against said City
U Z in consequence or the grand ng of this Permit,
'—' APPLICANT.UNDERSTANDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
SOUR �TI �/,1/(7�
Re-roofs
' Sign cof Appli an ontracmr
AZARDOUS MATERIALS DISCLOSURE —ate Type of Roof
Will the,apDiisnt or furore building«cupanl sore or handle hazardous material
ns
defined by the Cupenino Municipal Code,Chapter 9.11,and the Health and Sardy
ode, DYes yzss3za25532m)? All roofs shall be inspected prior to any roofing material being installed.
yes
Will me applicant or future building Occupant use equipment or avis wnlen If a roof is installed without first obtaining an inspection,I agree to remove
-`M'havamous air contaminants as dcrined by the Bay Area Air Quality Management all new materials for inspection.
District
❑Yes �No
I have mad the th.obb onateriala rogtimments undorehapmr6.95ofthe Cxiifo>
ria Flcalm6SafctyCadc.Sections 25505.2S5JJ am1255Ja.1 unrkrstend thazirdo Wilding
Jou not currently bow a tenant ma it is my respmtsihility M Coufy mo occupant Of the
aqI t Inch Wmupoor toissean«Ora ccrdfMawe "uPan Signature of Applicant Date
ower« am .a sent -, Dam All roof coverings to be Class"B"or better
CITY OF CUPER'1-INO
BUILDING DIVISION PERM CCONTRACTTOR INFOk;MA�N
. ,y
BUILDING ADDRESS: ALLEN SIGNS INC PERMIT NO.05 O7 O151
35 BOLLINGER ED PERMITMUEDATE
R'S NAME:
GARY SOWARDS 1982 STONEAVE
PHONE: SANITARY NO. CONTROL NO.
(408) 280-6500
wRCHITECT/ENGINEER: BUILDING PERMMINFO
BLDG ELECT PLUMB MECH
lee, LICENSED CONTRACTOR'S DECLARATION Job DCSCrIpI1oO
tilp 1 hereby affirm that 1 am licensed under provisions of Chapter Y(commencing
;iW with Section 7000)ofDi,mion Sof the Business and PfufessionxCde,and my license is
in mu force ander t. �3 $ba INSTALL NEW SIGNS — ILLUMINATED CHANNEL LETTER
,�� umnxcl sa Lin'" SIGN — GRAND INTERIORS
S I- Dam 7 Contractor
ARCHITECTS DECLARATION
I understand my plans shall W used as public records
JyU
to Licensed Pmfcssinnal
g OWNER.BUILDER f DECLARATION
Contractor
1 hnehy.(Senton 11. exempt from the Canlns Co :Any.Law far the
o o following reason.(Section 7031.5.Business and ve demolish,
Code:Any city lir county
d m, which requires a permit re airs the alloy,improve,h Permit I lire pair any Structtatemurt
11< hor m its issuance,also requires the applicant for such Permit I.tilt a signed summem Valuati�
as he is licensed pursuanttotheprovisionsortheContractor'sLicenseLaw(Chapter9 Sq. Ft. Floor Area I2500
x-a (commencing with Section 70007 of Division 3 of the Business and Professions Code)or
;?3—
that he is exempt therefrom and the basis for the alleged exemption.Any violation of
Section 703ISbyany applicant for a Permit ubjects the applicant to a civil penally of APN No r Occupancy Type
not more than five hundred dollars(6500). 359230 8 00
❑1,az owner of Ne pmpeny,W my cmppoyc¢with wages an their sole compensation,
will do the work,and the swan¢is not fn rsolod to o(fcrrA fors.].(Sm.7044,Business; Ruired Inspections
Said Professions Cade:The Cmimcmr's License Law does nm apply,o as net of q p -
property who builds or improves thereon,and who does such work himself orthrough his Q
Own employees,provided that such improvements are nolinsnded oroRered forsa]e.It, o
however,the building or improvement is Sold within one year of completion,She owner-
builder will have the burden of proving then he did ons Wild or improve for mr,me of /
salt.), ry
❑1,as owner of the Seoperty c.704.B sines andely contractingfesss with:)Thelicensed conoanors i.
consuvm @c es not (Sec.o an Business and Professions Code:)The Conmcmn.Lid
whoLaw does not apply teen Owner of property who Wilds or improves thereon,and
who contracts for such projects with a conuanor(s)licensed pursuant to the Convenor's
License Law.
1 am exempt under Sec. .B&P C for
a Dam ..
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑I have and will maintain a Certificate of Consent to self-insure for Worker's Compere
solicit,az provided for by Section 3700 of the labor Code,for the pcsformance of the ..
work for which this permit is issued.
1 have and will maintain Worker's Compensation Insurance,as required by Section
37 ofthe labor Code.for Ne performance of the work for which Nis permit is issued.
My Workce Comneruadon lnmrantt artier end Policy nrum'M,ve:
Came'. 3%i(7✓j YT.i /Add Polity No-ASLI>5D JI
CERTIFlGTE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE
(This section need not hecamplesd if,le permit is feronc hundred dollars(SI W)
or less.)
I eenify that in the performance of the work for which this Permit is issucd.I shall not
employ any per i n in any manner So as to become subject to the Workers'Compensation
Laws Of California.Date
Applicant
NOTICE TO APPLICANT:If,after making this Certificate of Exemption,you should
become subject to,he Worker's Compensation provisions of the labor Code,you must
.J Z forthwith comply with such provisions or this permit shall W deemed Cooked.
ZO CONSTRUCTION LENDING AGENCY
(•a Ihereby affirm Na,there is a construction lending agency for the performance of
C > the work for which this permit is issued(Sec.3037,Civ.C.)
(y A Under Name
IL Under's Address
U C) 1 mnify that 1 have read Nis application and sues that the above information is
D, F comet.I agme to comply with all city and county onfinances and stag laws relating to
0O building construction,and hereby authorim mpu
remativ of this city to coos,upon the
rabove-mentioned property for inspection purposes.
P. (We)agree,o save,indemnify and keep harmless the City of Cupertino against
ql liabilides.judgmenu.cosu and expenses which may in any way Same against said City
V Z in APPLICANT�UNDERSTANDS of the granting Of tAND his rWILL COMPLY WITH ALL NON-POINT Issued by: Date
SOURMG LATIO
I 14 � :%&19 1; Re-roofs
Sign sere of Applian omouctor Date
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will JC applicant or future Wilding Occupant store or handle havardous material
def cd by the Cupertino Municipal Code,Chaps,9.12.and the Health and Safety ,
dc.Section 25532(.)? All roofs shall be inspected prior to any roofing material being installed.
❑Yesle
If a roof is installed without first obtaining an inspection,I agree to remove
Will the applicant lir from building occupant ax coopmenlor dances Which
Credit hazardous air contaminants az dc0ncd by the Bay Arca Air Quality Management all new materials for inspection.
Disulet?
❑Yes XI Nu
I have read the baanrdous masriuls rtyulrements under Chapter 6.95 of Ne Cali for
M.Hmhh&Safc,Cure,Scctiuns 25505.25533 and 25534.1 undersand that if the Wilding
Jas not currently have a snare,that i,is my respansi bit ty or nod fy the waupan,of the
regi, ntswahichmdlheme,pro,baisteaneeofaCemacatt�acppany. Signature of Applicant Date
owner m athn atom _/ Date All roof coverings to be Class "B" or better
J C
GRAND INTERIORS BUILDING SIGN ELEVATION: 7335-D BOLLINGER ROAD CITY OF CUPERTINO
1`-JI
jV
E
O
25'-0'STORE FRONTAGE 0 � UC 2 5 2
1T-6' NEW SIGN LOCATION -- -. 005�
NEW RACEWAY PAINTED 5AME COLOR
R A5 WOOD TRIM(DE 3029 EXPRE55) -
GRAND INTERIORS m%ND INTERIORSTin-
5"THICK INDMOUAL CHANNEL LETTERS,NEON FOR INTERNALLY ILLUMINATION. i'Ll)'l
YLal�a
11 - tIN
3/4"SILVER COLOR PLASCO TRIM-LAP,BRUSHED ANODIZED ALUMINUM RETURN 4. �„� - - - s- _ - - ,_ -_ _ - ChECbED $Y
j LETTERS WILL 15E RED COLOR - - s
I - SCALE:1/4"=1'-d' DATE:JLY-20-2005
oATE
I BUILDING ELEVATION PLANNL D
DATE -7—2(Y 0
' SRICINGTABIFGRAND INTERIORS �pT
Lwed GTO C" A 9siumn pdmaywidnpad insdded high vMW 7335-D BOLLINGER ROAD
- - B.Beneminstantwl
instant hompewrceaapm.uganhusi9 CFINOFCUPERTINO
. pWMdadmewlurm tVwl'wdNnsDwbb.
C.Bdwsnl Wbe(dosr7500voka )androa wrlm.
liaeded pvribpnaehed meW D.BNennuwvAabd Novdlepawdi mw mpm .(Md- y. ,nM yif eMmuw MaA
liredpnixtign m(confuted rgovmlvlewma nary poidyaulBM mallomwjaddbd maw(praad),bwwhap 1; aSOp.1/µ{GFL+
drum!blM awlNdbrwsmey, am ehM mew War). cin'ut wdagNsad high wlbpaamutwi;it pp610III a+ 1 IP aw/
Eandarmee miebp Imb,
c� ep
swbh�WWO&I ubba t Dept i UdeddNnnNct-oitlimlinni" VdDq A B C D —e ...'_.._ v �. .
bradcnudennunwiridwwd/. I �°° bbealb�(muenim!5 k) 1001 ta50T0 12inch 12inch nuns 3/db °._.-yt� I 'Aaw�-.N — -- urr
III( mer III
eia dpirehpwe) 5001 to 10000 3N inch 3NinU lAirchil 1-LBin I ....9FF_ —, a F't-1
Plvft Nast NEC 1103(b),OOD2.d001. 10001 to 15000 nimb Lich 7500!. 1-121. I .�}
vs 1 .a.eetwd vise aaeeu
�l a 'N
i Tub$"" C 7Mi on
pw NEC W WW). 1 —�--rr T
f
Em"
Nw tut e. _
mr�bameT• GI�1 111. I I i i i e l d IoffMp
Pa Wed9Yble. g' (>pp^lub9MN
p a 0 112 b.stain). osMb, Jonr N
vedr mew ahvrl. Eyn"yb'B' _- O 11 I 1 I .
Gectrede soft" ____ r.,- IEC SOB Adp021.
bppteM chew 7 Twr BIG BIBS �-
provl0ed'MYT _ Tmyy�� - ` T.,uniryn� _ _ ��� j O 000 O OEs' O O -
rowl.wdo ` VCN f1 Mlda
' = — zl.,urY.wL RcMa
,�„
_ mnae Is n Asad r
i 2 SITE 101./-.ti�._I w NWn
an
1t S } _bywwmatici (a WINkSmakmewhiW) c
Dain ••�
Onabs _ s A
Pusd awimn Not. Infitn Intim lidedper .*.
Manistunn ionnpu"mc ody.
Mermladunnp nWinmema conbisd in ULe&
LISTED , as. o m.. wi,, mninnniis IWNIINAD CHANNEL LERER
Lia ,mwti III,WfldeNcbieal
Syn pr aMbn/¢rp mak „w.��Ouinuna. N.Ww n eaEalaildiin n aonw DGNTININNIa RACEWAY
BwuiMmspnaradws Noting bboneory >d ssa Masa .illaul mannpasinsnarpnamN NIBUTATWG 80076 AND GLEEVE
Sa aumprAB,aC ELECTRIC SIGN SECTION as vqY mp®d MxkW yxmgb mMyabm RYaxdd
1M Gsl Elmo bam MniiI$arnaminrd yn imArn mnlxr Wpxpae aamiaN OoiWeeam Out. Octabarl
rnsyn secaon-ince samw Ewa apace NO.XX-123A56 awlapoa aarmm.em mass aeEm..sa+ra.�mar Goals IAEI
igor r bw smbm d>wn amtiww. d 0 ,aaex. Nora D .No
All designs S art toorks belong to Allen Signs,
any duplication is probilked.COPYRIGHT2005
Approval: - Date: All designs & art works belong to Allen Signs, Iac. Any duplication is prohibited. COPY RIGHT 2005E-mail address.allensigns@yaboo.com
Tel.-4081280-6500 Fax.40812806700
1992 Senna Ase.San Jose,Ca 95125 State IJc..4 834580
CITY OF CUPERTINO
SIGN
CUPERTINO PERMIT APPLICATION FORM
APN # Date:
�9 .- a3' 0� 8 oS
Building Address:
Owner's Name: Phone #:
GlLfVS - 3 — 2oXr�
Contractor: License#:
S. n 3
Contact: Phone #:
I Yl I Lr) 46Vv
Applicant/Contracto :
1°ice S n
Building Permit Info. dos W&W Si�Yr
Bldg Elect Plumb Mech
Job Description: _ _T( tv-M
Residential: Commercial:
Sq.Ft. Floor Area: $/Sq.Ft.:
Architect/Engineer: Cost of Project:
Type of Con tru Iti n: Occupancy Group:
I
Qty. if
Applicable Fee ID Fee Description Fee Group
BENERGY Energy BUILIDNG
BPERMFEE Bldg Permit Fees BUILIDNG
BPLANCHK Plan Check Fee BUILIDNG
BSEISMICOM Seismic Commercial BUILIDNG
EPERMITFEE Elect Permit Issuance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Rmdl Signs, Marquee ELECTRICAL
BUSLIC Business License BUILIDNG