13070104 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 1375 S DE ANZA BLVD CONTRACTOR:WINDOW GRAPHICS PERMIT NO: 13070104
SIGN COMPANY
OWNER'S NAME: GFL GROUP INC 1260 DELL AVE DATE ISSUED:07/17/2013
OWNER'S PHONE: 4082521500 CAMPBELL,CA 95008 PHONE NO:(408)376-3823
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RF
9✓ S ENTIAL 11 COMMERCIAL
License ClasA
C
1 D -Lic.# LIQUID GARDENSZSTALL NON-ILLUMINATED WALL
SIGN
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.
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:$4000
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 APN Number:36619081.00 Occupancy Type:
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 80 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 OM LAST 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 '7,�7/5
granting of this permit. Additionally,the applicant understands and will comply Issued by: Date:
with all non-point sourc a per the Cupertino Municipal Code,Section
9.18.
RE-ROOFS:
Signature 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.
❑ 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 COVER,`NGS 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)
I,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE
construct the project(Sec.7044,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&nicipal Code,Chapter 9.12 and
I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 25505,25 3,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date:1 d
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
Compensation laws of California. If,after making this certificate of exemption,I CONSTRUCTION LENDING AGENCY
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 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
SIGN PERMIT APPLICATION `0A
Lal COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION V�
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO (408)777-3228•FAX(408)777-3333•building(a)cupertino.ora 0�
PROJECT ADDRESS F37.5-
37S S, Dz A-n ZA_'-8 Ud. APN# 5& b - 141 — /►�
OWNER NAME II � " r J E-MAIL (J
STREET ADDRESS 2 t /1 CITY,S(T�T' ZIP ' FAX
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CONTACT NAM •., PHONE E-MAIL
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STREET ADDRESS CITY,STATE,Z[ o �- FAX
❑OWNER ❑ OWNER-BUILDER /❑ O AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER TENANT
CONTRACTOR NAME( „y., �Cj LIC$NS CENSEOTYPE BUS.LIC
COMPANY NAME , A)) E-MAIL
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ST Tipp Ib • jfS�26,*Jl
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ARCHITECTIENGINEER NAME LICENSE NUMBER BUS.LIC#/r(� o
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
DESCRIPTION OF WORK ��� It .®� ^ _e j y )I 1 1
�w ase
USE OF ❑ D or Duple ❑ Multi-Family ILLUMINATED SIGN TYPE NO.OF SIGN AREA VALUATION
STRUCTURE: Ommerclal (Y/IN) (CODE) SIGNS (SQ.FT.) (S)
SIGN TYPE CODES: D V Ozqv
B - BANNER SIGN M - MONUMENT(GROUND)SIGN
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
REC i B TTLTATION:
By my signature below,I certify to each of the following: I am the property o r or authorized agent 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 Des ion 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 representatives of Cupertino to enter the above-identified property for inspection purposes.
Signature of Applicant/Agent: Date: y +
SUPPLEMENTAL INFORMATION REQUIRED OFFICE USE ONLY
Site Plan N CHECK TYPE ROUTING SLIP
Elevations OVER-THE-COUNTER BUH,1INGPLAN REVIEW
Sign Details-including UL listing(s)applicable ❑ EXPRESS ❑ NNING 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
FEE ESTIMATOR—BUILDING DIVISION
ADDRESS: 1375 S De Anza Blvd DATE: 07/16/2013 REVIEWED BY: MENDEZ
APN: BP#: EVALUATION: 1$6,000
%PERMIT TYPE: Building Permit PLAN CHECK 7'YPE:
PRIMARY PENTAMATION 1 CEAPS
USE: Sign —7 1PERMIT TYPE:
WORK li uidgardens- install 2 non-illuminated wall signs
SCOPE
SIGN TYPE FEE ID QTY SIGN FEE
Wall Sign,Non-Electric 1SIGNWNONE 2 $556
TOTALS: $556.00 �T
Mech.Plan Check 7(�,
rrrb.Placa Check #Branch Circuits 0 $0.00
1911111.1'ermil Fee: Plumb. Permit Fee: Elec.Permit Fee:
LA'1',",'h.
,llctrh.Insp. rer Plumh Insp. Li
L_ Other EIeC.Insp. 0.0 In p. Fee: rrab. Insp. 77
Fee Iaec.Insp.f ee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). Theseees are based on the prefindna information available and are only an estimate Contact the Dept for addn'l info,
FEE ITEMS(Fee Resolution 11-053 E . 711112) FEE QTY/FEE MISC ITEMS
Plan. Check Fee:
Suppl.PC Fee: E) Reg. 0 OT 0.0 1 hrs $0.00
f'lzrinh.%rtaec:h.;Lslec
Permit Fee: $556.00
Suppl. Insp.Fee1q Reg. Q OT r070 hrs $0.00
PME Unit Feer $0.00
PME Permit Fee: $0.00
Construction :Tar:
A.dininistrative Fee:
Work Without Permit? ® Yes No $0.00
Sign Master Plan: ® Yes (E) No $0.00
Travel Documentation Fee: 1TRAVDOC $47.00
Strong Motion Fee: IBSEISMICO $1.26 Select an Administrative Item
Bldg Stds Commission Fee: 1BCBSC $1.00
. - $605.26 $0.00 $605.26
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Revised: 07/01/2013
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Job: Liquid Gardens
W.O.#:4455
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2" HDU with acrylic laminate back painted, returns painted existing exterior wall
Digital print for logo. Stud mounted to existing wall.
Dim:24?x240"
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Qty:1
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with Wacryfic laminate
Installation Detail
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Mounted to existing building with 1/4"aluminum threaded studs
CUPERTINO ���AL S,�aP�
Building Departmen
240" :'i ! JUL 2 4 2013
— Job:Liquid Gardens North
! REVIEWEOR CODE COMPLIANCE W.O. # :4455
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CHECKED BY
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DATE
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Color(s):
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2" HDU letter
with 1/8"acrylic laminate
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1/4" Alum. Studs
All information and drawings
are property of Window Graphics
Sign Co.No use of this inoformatiob
of design may be used without the 9
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Graphics Sign Co.
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\X'.O. # :4455
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CUPERTINO
- Building Department
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J U L 2 4 2013 Dim: 24"x240"
REVIEWED FOR CODE COMPLIANCE Font:
Location of second proposed sign Reviewed By: Color(s):
view from De Anza Blvd of proposed second sign Qty' 1
location
CW,
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All information and drawings
are property of Window Graphics
s Sign Co.No use of this inoformation
or design may be used without the
rxhress written consent of Window
Graphics Sign Co.