BLD-2022-1726_Cert of OccupancyCofO Application.doc revised 06/01/20
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS CUPERTINO, CA APN # DATE
OWNER NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
CONTRACTOR NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT NUMBER DATE FINALED INSPECTOR SCOPE
1
2
3
4
- OFFICE USE ONLY -
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Permit signed off in system? ________
No other permits open or expired in system? ________
Verification of payment for certification? ________
APPLICATION FOR CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • building@cupertino.org
DocuSign Envelope ID: DCA147B4-EF20-497A-B444-76CBAEA6DF91
925-360-7081
Leslie Mitchell
599 Hawthorne Place
12/7/2023
San Jose, CA 951312051 Junction Ave., Suite 100
925-360-7081
23-3351
Paul O'Sullivan
Lmitchell@sleepworld.com
Livermore, California 94550
10465 S De Anza Boulevard
Building; Mechanical, Electrical, PlumbingBLD-2022-1726
359-17-019 07
12/04/2023
Livermore, California 94550
11/28/2023
408-418-0099
599 Hawthorne Place
Lmitchell@sleepworld.com
D. Whipple
SiliconX Construction, Inc.
Mancini's Sleepworld
Fire Life Safety
Greg@SiliconXConstruction.com