02120027CITY OF CUPERTINO
BUILDING DIVISION PERMIT CONTRACTOR INFORMATION:.
Bu1LDwcpDDR�s$ STEVENS CREEK BLVD XL CONSTRUCTION PERMrtNU2120027
OWNER'S MY OF CUPERTINO-SPORTS C�NTR1500 BERGER DR
ARCHITECT/ENGINEER: PHONE q:
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WOO
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INSPECTIONS DATE INSPEC.
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Z
Z_-
y FOUNDATION/PIERS/H.D.S.
i UFER GROUND
O'U
LLo� PAD/SETBACK-CERT
NN_j GARAGE SLABS/PREGUNITE
00 POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED .
W=UNDERGROUND/SLAB
>-
F Do UNDERGROUND PLUMBING
itis= UNDERGROUND ELECTRICAL
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
PLACE NO SUBFLOOR UNTIL.ABOVEHAS BEEN SIGNED
ROOF SHEATH/DIAPHRAGM
PLUMBING
TUBS & SHOWER PAN
MECHANICALEE-Q_
ELECTRICAUPOOL BOND
FRAMING/STAIRS/E. EGRESS
INSULAT)ONNENTILATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
EXTERIOR SHEARIHOLD DOWN
INTERIOR SHEARIHOLD DOWN
SHEETROCK/SHEETROCKSHEAR
EXTERIOR LATWW-SCREED
SHOWER LATH
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
SCRATCH COAT
SEWER/WATER
TEMPORARY APPROVALS
OCCUPANCY
Z FINALS
Z 0
PLANNING 777.3308
y� j GAS TEST �Q
y Q GRADE (P.W. 777-3354)
D Z FIRE - CALL (408) 378-4010
J O HANDICAP
D U ELECTRICAL
y PLUMBING - -�
:J Z MECHANICAL - -
`" ENERGY
VISUAL FINAL ONLY
- BUILDING
OCCUPANCY OF BUILDING IS NOT PERMITTED
UNTIL- BUILDING FINAL IS SIGNED BY BUILDING
INSPECTOR. CERTIFICATE OF OCCUPANCY ❑
PRE -INSPECTION- PLYWOOD: IN
INSP. DATE SP, / 1 VAT& t DATE
TEAR OFF INSPECTION: BATTENS:
SAN JOSE, CA 95112-2703
TENANT IMPROVEMENT
TO ARRANGE INSPECTION
CALL 777.3228 MONDAY - FRIDAY 24 HOURS
BEFORE REQUIRED INSPECTION. JOB ADDRESS
AND PERMIT q ARE NEEDED WHEN PHONING.
RFSIDENTIAL COMMERCIAL OTHER
❑ YES If yes - I understand that a Class A roof assembly is required.
�NO Initial I.C.B.O. N
EXISTING ROOF COVERING
Number of existing coverings
To be removed To be retained
PERMI[�y�E4/2003 /2003
SANITARY NO. / CONTROL NO.
BUILDING PERMIT INFO
BO ELECT PLUMB fMf----E--C�HH
0 u
RESIDENTIAL,
JOB DESCRIPTION
❑ SFDWL
❑ KITCHEN REMODEL
❑ ADDITION
❑ PLUMBING RE -PIPE
❑ MULTI -UNIT
❑ STRUCTURAL
❑ Wood Shingles
MODIFICATION
❑ INTERIOR
❑ CHIMNEY REPAIR
IMPROVEMENT ❑ SWIMMING POOLS
❑ BATH REMODEL/REPAIR
❑ DEMOLITION
❑ OTHER
COMh1ERCIAI
❑ N8W BLDG/ADDITION ❑ DEMOLITION
❑ TENANT ❑ FOOD SERVICE
IMPROVEMENT
❑ OTHER
TYPE OF ROOF COVERING
NSTINGD
❑ Built -Up Roof
PROPOSED.
❑ Built -Up Roof
❑ Asphalt Shingles
❑ Asphalt Shingles
❑ Wood Shakes
❑ Wood Shakes
❑ Wood Shingles
❑ Wood Shingles
❑ Other (Specify)
❑ Other (Specify)
Provide I.C.B.O. Report No. _
Provide Mfgr. Installation Specs.
INSPECTION SPECIAL INSPECTION REQUIRED ❑ I DATE I INSP
Z'l-e %Z' J11 -W ' 3
IMPORTANT
When a permit has expired, a charge totaling one-half
jhe fees to obtain a new permit must be paid to
deactivate the permit.
)If a permit has been expired for more than one year, a
charge totaling the full fees to obtain a new permit
must be paid to reactivate the permit.
❑ Initials
INSP. DATE INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
This Certificate is issued pursuant
t
at the time of issuance,
the
po
requirements of this code and
wit
and division of
oc
Building Permit Number(s):
02120
Address of Building:
211:11
Portion of Building:
Multi
-
Use: Fitness Center
Oc
Floor Area: 16,750 sq.ft.
Sprinklers System Provided:
YES
Current Property Owner:
City of
Current Owner Address:
10300
Final Inspection By:
Y
Larl
!Y
Final Inspection Date:
5-07;2
SPECIAL STIPULATIONS OR CO
Alb V Salvador, 'F
NOTICE/POSTING:
V
ft
r --C- 7
)--C
Ia' It r
o the requirements of Section 109.3/of the �2001 C
rtion of this str� cture describe below has been in
h thewarious ordinances of theme Ci ty/regulating,buili
cuparivand� the use-for-which�he proposed occu
027 A licat�\ s ///
pp () 12=05-2002
Stevens Creek Blvd. — `Cupertino�SportslCenti
o
Pur' pose Room (2,425 s.f.),Dro,p-in Child-care 720
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cupancy-Classification: 42.1,;
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iff
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PRE -INSPECTION^, J.7"��i✓�/�l��j �/�� � J��T l��jPLYWOOD: 0
—7— �jAv 'VZ/ ES
INSP. r�(i DATE SPs - VAT -Ea �_ /!�' DATE
TEAR OFF INSPECTION: BATTENS: &O Y - - .
INSP.
DATE INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
I:IrY Ur CUPERTI.NO
BUILDING DIVISION PERMIT
CONTRACTOR INFORMATION:
BUILowr D�Flssl STEVENS CREEK BLVD
XL CONSTRUCTION
PER"" X2120027
"""'MY OF CUPERTINO-SPORTS C
NTR1500 BERGER DR
ftRMrrVIM /2003
PHONE:
SAN JOSE, CA 95112-2703
SANITARY NO. CONTROL NO.
DO
Lu I-
U a
w
I <
iv
n j
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n
L
=o
i
ARCHITECT/ENGINEER: PHONE p
WSPECTiONS DATE WSPEC.
TENANT IMPROVEMENT BUILDING PERMIT INFO
BLDG EO PLUMB MU
TO ARRANGE INSPECTION
JOB DESCRIPTION
CALL 777-3228 MONDAY - FRIDAY 24 HOURS R ID NTI 1 :
BEFORE REQUIRED INSPECTION. JOB ADDRESS ❑ SFDWL 1:1 KITCHEN REMODEL
AND PERMIT q ARE NEEDED WHEN PHONING. ❑ ADDITION ❑ PLUMBING RE -PIPE
❑ MULTI -UNIT ❑ STRUCTURAL
MODIFICATION
RESIDENTIAL COMMERCIAL OTHER ❑ INTERIOR ❑ CHIMNEY REPAIR
IMPROVEMENT ❑SWIMMING POOLS
HAZARDOUS FIRE AREA ❑ BATH REMODEL/REPAIR ❑ DEMOLITION
OTHER
❑ YES if yes -I understand that a Class A roof assembly is required.
NO Initial I.C.B.O. a
COMMERCIAL,
EXISTING ROOF i - ❑ NEW BLDG/ADDrrION C1 DEMOLITION
❑ TENANT ❑ FOOD SERVICE
Number of existing coverings IMPROVEMENT
OTHER
To be removed To be retained
TYPE OF ROOF COVERING
PROPOSED -
Built -Up Roof ❑ Built -Up Roof
❑ Asphalt Shingles ❑ Asphalt Shingles
❑ wood Shakes ❑ Wood Shakes
❑ Wood Shingles ❑ Wood Shingles
❑ Other (Specify) ❑ Other (Specify)
Provide I.C.B.O. Report No.
Provide Mfgr. Installation Specs.
FOUNDATION/PIERS/H.D.S.
LIFER GROUND
PAD/SET BACK -CERT
GARAGE SLABS/PREGUNITE
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UNDERGROUND/SLAB❑
UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED_
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
UNDERFLOOR ELECTRICAL❑
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
PLACE NO SUBFLOOR UNTILABOVEHAS BEEN SIGNED
ROOF SHEATHIDIAPHRAGM
PLUMBING 7
TUBS & SHOWER PAN
MECHANICAL Jj — —Q_
ELECTRICAUPOOL BOND
FRAMING/STAIRS/E. EGRESS
INSULATION/VENTILATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
EXTERIOR SHEAR/HOLD DOWN
INTERIOR SHEARIHOLD DOWN
INSPECTION SPECIAL INSPECTION REQUIRED
DATE
INSP
SHEETROCK/SHEETROCK SHEAR
EXTERIOR LATH/W-SCREED
t
SHOWER LATH
NO TAPE OR PLASTER UNTIL ABQVEHASBEEN SIGNED
j4ly 03V
•
SCRATCH COAT
SEWERIWATER
-03
� ! �� '
TEMPORARY APPROVALS
OCCUPANCY
ZZ
FINALS
PLANNING 777-3308
�.Y,. f�✓�
IMPORTANT
When a permit has expired, a charge totaling one-half
he fees to obtain a new permit must be paid to
activate the permit.
If a permit has been expired for more than one year, a
charge totaling the full fees to obtain a new permit
must be paid to reactivate the permit.
❑ Initials
>_
GAS TEST - -o
5
Z
U
Z
GRADE (P.W. 777-3354)
FIRE - CALL (408) 3784010
HANDICAP
ELECTRICAL
PLUMBING
MECHANICAL
ENERGY
VISUAL FINAL ONLY
BUILDING
OCCUPANCY OF BUILDING IS NOT PERMITTED
UNTIL BUILDING FINAL IS SIGNED BY BUILDING
INSPECTOR.
CERTIFICATE OF OCCUPANCY ❑
PRE -INSPECTION^, J.7"��i✓�/�l��j �/�� � J��T l��jPLYWOOD: 0
—7— �jAv 'VZ/ ES
INSP. r�(i DATE SPs - VAT -Ea �_ /!�' DATE
TEAR OFF INSPECTION: BATTENS: &O Y - - .
INSP.
DATE INSP. DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION