Loading...
14020046-expiredCITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10250 BANDLEY AVE CONTRACTOR: ADIMPACT PERMIT NO: 14020046 OWNER'S NAME: APPLE INC 16620 ASTON ST DATE ISSUED: 02/06/2014 OWNER'S PHONE: 4089748821 IRVINE, CA 92606 PHONE NO: (949)723-0187 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL !/I / G�-5 �d� INSTALL (N) NON -ILLUMINATED MONUMENT SIGN License Class Lie. # `'t % (APPLE) Contractor �� l %1'l��V'� Date 9-- 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 Sq. Ft Floor Area: N aluatiun: $5000 performance 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 APN Number: 32634069.00 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 180 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 save180 DAYS FR ALLED 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 Date: 7i 6 granting of this permit. Additionally, the applicant understands and will comply s Y. with all non -point source re ions p e Cupertino Municipal Code, Sectio 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 COVERINGS 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) 1, 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 1 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 1 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 Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections, d25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized ageDate:_ ni permit is issued. 1 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 CONSTRUCTION LENDING AGENCY Compensation laws of California. If, after making this certificate of exemption, I 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 consequence 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_ CUPERTINO SIGN PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a_kugertino.org PROJECT ADDRESS t �i L F1PN # '3 Z 3 Ll - O OWNERNAME j PHONE 9 � E-MAIL STREET ADDRESS CITYc'E,7�I©/]/ FAX CONTACT NAME U! 0c-, L' EE / -MAIL STREET DRE t / op CITY, STATE ZIP -js` / ❑ OWNER 00 -BUILDEP ❑ OWNER AGENT R -I CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ iLNA\T CONTRALTO NALICENSE NUMBER - G LICENSE TYPE^ BUS. LIC # COMPANY NAME 447 Cegp E-MAIL FAX . , aw-Ir STREE D 1 �✓ CITY, STAT ZIP ti, PH NE _ ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK USE OF ❑ SFD or Duplex ❑ Multi -Family ILLUMINATED SIGN TYPE NO. OF SIGN AREA VALUATION STRUCTURE: ❑ Commercial (Y / N) (CODE) SIGNS (SQ. FT.) ($) SIGN TYPE CODES: A/ A! (add B - BANNER SIGN - 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 BY: T VALUATION• v—N- By my signature below, I certify to each of the following: I am the property owner 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 Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to build' n to . I au a representatives of Cupertino to, enter the above -identified property for inspection purposes. Date: Signature of Applicant/Agent: SUPPLEMENTAL ATION REQUIRED OFFICE USE ONLY PLAN CHECK TYPE ROUTING SLIP Site Plan � A DOVER -THE -COUNTER ❑ BUILDING PLAN REVIEW /Elevations Sign Details - including UL listing(s) applicable /❑ EXPRESS ❑ PLANNING PLAN REVIEW 'ructural 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 03/31/11 CITY OF CUPERTINO I>I.Y'`��-E FEE ESTIMATOR - BUILDING DIVISION ig,ADDRESS: 10250 BANDLEY AVE DATE: 02/06/2014 REVIEWED BY: MELISSA APN: 326 34 069 BP#: (�� �� 'VALUATION: $5,000 *PERMIT TYPE: Building Permit 1 PRIMARY Sig n USE: $349 PENTAMATION 1 CEAP5 PERMIT TYPE: i WORK INSTALL N NON -ILLUMINATED MONUMENT SIGN APPLE SCOPE 0 0 SIGN TYPE FEE ID nrr- 0111e • Plum, QTY SIGN FEE i Ground Sign 1SIGNGR/RF hrs 1 $349 Permit Fee: $349.00 Suppl. Insp. Fee. -(F) Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? O Yes 0 No $0.00 TOTALS: $0.00 Travel Documentation Fee: ITR,4VDOC $349.00 Strong Motion Fee: IBSEISMICO NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt ote)_ Thoce feoc are hated an the nreliminary information available and are onlv an estimate Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 E(f 7%1%13) FEE nrr- 0111e • Plum, # Branch CircuitsT 0 1 $0.00 Elec. Permit Fee: Other Elea Insp.0.0 $0.00 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Dictrirt ote)_ Thoce feoc are hated an the nreliminary information available and are onlv an estimate Contact the Dept for addn7 info. FEE ITEMS (Fee Resolution 11-053 E(f 7%1%13) FEE QTY/FEE MISC ITEMS i Suppl. PC Fee: Q Reg. Q OT 0.0 hrs $0.00 Permit Fee: $349.00 Suppl. Insp. Fee. -(F) Reg. Q OT 0 0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 Work Without Permit? O Yes 0 No $0.00 Sign Master Plan: Q Yes Q No $0.00 Travel Documentation Fee: ITR,4VDOC $47.00 Strong Motion Fee: IBSEISMICO $1.05 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $398.05 $0.00 TOTAL FEE: $398.05 Revised: 01/15/2014