11040141 - CofO - , - - - -
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:_ �C��titi ��ct� ot � ��u� �.��p . _:
_ This Certificate is issued pursuant to the requirements of Section 110.2'of the 20Q7 California Building Code certifying that _
_ at the time of issuance, the portion of this'structure described below has been inspected for compliance with the
_ requirements of this code and with the various ordinances of the City regulating'building,'construction for the occupancy _
_ and division of occupancy and the use for which the proposed occupancy is classified. _
Building Permit Number(s): 11040141 Application Date: 04-19-11 Issuance Date: 09-19-11
Address of Building: 10101 N.Wolfe Rd. Suite 100
__ Portion of Building: Tenant Improvement—The Bay Club Athletic Club (69,300 s.f.)
;..
_ Use: Athletic Club Occupancy Classification: A 2, A-3, B, M, E Floor Area: 69,300 sq.ft. �'i
__ Occupant Load: 178 (A-2); 724 (A-3);;411 (B);, 8 (M);,38 (E) = 1359 maximum Type of Construction: II-B �_
Sprinklers System Provided: Yes Sprinkler System Required: Yes
Current Property Owner: Sears Roebuck and Co. ' �
Current Owner Address: 3333 Beverly Rd, Hoffman Estates; IL 60179 `
Finai Inspection By: Larry Squarcia, Senior Building Inspector ;
: _
Final Inspection Date: 04-12-2013 _
SPECIAL STIPULATIONS OR CONDITIONS: See attached letter dated 4-11-1°3
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/V'c,�i� ����1�X,Pi� �i�� 2��3 _
Al ert Saivador, P.E.,C.B�O., Building`Official' Date Issued
-- NOTICE/POSTING: No'changes shall be made in the character of occupancy. This certificate shall be posted in a conspicuous place on -
- - ihe premises, and shalfnot be removed except by the sufhority of the Building Official. ;
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I CITY OF CTJPER'I'INO BUILDING PERINIIT INSPECTION CARD
�6UILDINGADDRESS:10101 N WOLFE RD STE 100 CONTRACTOR:3AN JOSE �PERMITN0: 11040141 ��� �
I CONSTRUCTIGIS ..
�OMNERSNAME:SEARS ROEBUCK AND CO 121000LEMANAVE DATEISSUEU09/19/2011
iOWNER'SPHONE: 8472867538 SANTACLARA,GA 95050 � PHONENO: (408)986-8711 � � -� �-�-
� C�h�7'30NB `-,' . . ��< bATE -ix _ .,_.wS�!EGT R' __ �� .. . .. _. .___
Foun�nT�oNmteasiH D s. _ � ��'��' BUILDING PERMIT INFO: BLDG� ELECT� PLUMB� MECH�
UFER GROUtdD � .. . . . � .... � . .. � �� J�
RFSIDENTIAL� COMMERCIAL
PPAD/SETBACK-CERT � � �JOB DESCRIPTION: BAY CLUB ATftLETIC CLUB-TENANT IMPROVEMENT
����---- - OMMERCIAL AETAIL BUILLING(69,30�SQFT) CONVERT TO
IIGARAGESLABS/PREGUNITE � � fATRLETIC CLUB, NEW CAFE, STRUCT➢AAL,INCLUDES
N�P??��o;co�vca����na�a.a�avE�ras��eN�rG�En =_
RUNDERGRO[1NDISLAB � � �y
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IiINDERGROUND PLUMBING 1
A _ ] �
UNDERGROUNDELECTRICAL I
3 r
DO�NQT$QUR FLObR 9ty7'1�AROVE fTi15:B�FlN S�GNE¢-_ �
UNDERFLOORPLUMBING 7
I
RUNDERFLOORMECHANICAL , ' ..,._ _.. . ..... .._. .... .�,. . . . ... ... ....... . . .
I
iorroE�tooeELSCT�cn�. WILDLAND URBAN INT�RFACE FIRE AREA ER#
I
�UNDERFLOORFRANIING VENTS
TO ARRANGE IN5PECTION
ut�mEiul.o0e MSV�nrION � Cal1 777-3228 between 7:30 am and 3;30 pm Monday through Friday,at least 24 hours
Y1C�CL��qSt�gfllUOYt[1N'ri�=n�Oj+�`�3"A�s�E(ySYGNen--,:-.= �_' before required inspection.Job nddress and Permit Numbers are needed when
a00F sl-IEnTHMG 1 M requesting an inspecfion.
1
�j2oucH rum[a1NC CUPERTINO SANITARY DISTRICT
�;rueS&SHOwsit npN� Closed eircuit video inspection of property line cleanout,point af connection
''°""�°`�'-����-������ � � � � � � ��� � � �� andstreetlateralrequiredpriortopassingFINALCITYPLUMBING
'.R011UH Iv1HCFIANICAL .
...... ._... ... . INSPECTION. Call the District(408-253-7071)for an appointment.
, . ..... ._.. .. .. .. ..
iROUGH�LGC'fRICAL/POOL L�OND
"eanrtniNCis7'nras�..scaess �-� � ��7 S-��Z �- NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
� � - �-�- - � �� �� BUSL�9'�SS LIC�NSES ARE OBTAINED
�SULATIONN6N'fILA7?ON � �.
�
�w��Na ryo�tUN�Yt���i��as�Eamr.gic�vnn�-, �.__ pERMTT EXPIRES IF WORK IS NOT STARTED WITAiN 180 DAYS OF PERMIT
�xT�xtoxst�nwHOt.pDOwnr ! � .. 1SSUANCE OR 180 DAYS RROM LAST CALLED INSNEC7'IUN. �
� �
�MTERIOR SHEAI2/Fl0f D DOWN � � j �
�SHI.ETROCK/SAF.ETROCi:.SHEAR �� ���� � � YMPORTANT
------ 'When a permit has expired,a cliargc totaling one-haff the fees to obtain a new permit mu
tlEXTERIORLATH/W SCRLGD I
e ��-�'f ��.,�' ! be paid in order to reactivate t6e permit.If a permit h:cs been ezpired for more
m*r�i�Olt 1.n1'x -�- �� �� � than one year,a charge totaling the fWl fees to obtain a new permit must be paid
3':A:� PI.�C7'�RSJiv7'I,L.=.BOY�{TAS�-AEEN.Sd�NE�== to reactivate the permit.
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SCRATCHCOAT � � �
� ... NOTES:
SEWER/WATER
T-BAR/MECH/ELECTABOVECE[L L _ !�s�j2i �
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�k1�+fL-5 -_ ...- _ -
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LLECTRICMETEARELEASE If 6•�12 I SPECIALINSPECTIONS InSpeCtoC: D.M1fe:
„ _.. . �U � �,
GAS TF.STlMETER RELEASC
'.can��-ruBUCwoRxs ��� � I — �ROOFINSPGCTIONS
� `r� (0�(�r � CF/� �PR&[NSPECTION:Inspector: Date:
� FIRE-CALL(40R)?7R 4010 ' � ""�
� ����� ��.. � TEAR-0FF: Inspector Date:
d PLANN[NG(4CSj 7773308 ...... � .-,
�'f o . � °}�� . ��^ LYWOOD: Inspecror: Date:
iy SAMTAIiY(AOR)253 7071 �i#_,'(O,„, ("�, ��(Z � � /
�1 . ... ..... ���E ._. �d � .f.. . fA BATTENS: lnspecror. Date:
ELECTTRICAL �
. �� ... � � � � � IN P20UP.ESS: Inspector: Date:
MECHAMCAL
... �- � � ��� � FINAL.: lnspector: Date:
PLUMBING
�Hn7ai71Cnr �� �� �� { � NOTL:OSIIA APPROVLll ACCF.SS TO ROON SI3ALL BE PROVIDCD FOR INSPPCTION.
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HIJPRGY � ��� *OCCOPANCY OP BUILDING NOT PERMITTLD L'N'LIL BUILUING L'ANRL IS SIGNED I3Y
BUILDIN . . n � F - �*-•� [NSPECTOR �A O /�. �i� FI�/,.N.Jin/ . FW
�- �� �_t�- t � � ,�w��d�N� r l � � yy 5p��{
CERTIFICATG OG OCCliPANCY-• `- t � L t-I�J 3 ,�/
n� � ._ J�v � ��.,, °��s A� l�O��S I'n _ u�
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTIN4 ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 950143255
(408) 777-3228 • FAX (408) 7773333• buildinp a(�cupertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJBCT ADDRESS `�,� I N tvo�� 2d �I APN H � '� n g � �� I DATE (�II� /I 3
4
OWNERNAME I PHONE ��7, a8�� .�53$ I f�O�Of`!S�
SFAY'iS 2oEQUCK fbvACO. 9kwtnaccraQse.arshr.ca-�
STREET ADORESS I.�'� CQ'�.� ^ � I CITY, STATE,ZI}'� � mD� ( � q $,m S p I FAX
�'TV�¢. �.Yj d
CONTRACTORNAME San �oSa �' xs��{-� I rHON y68— qp6 -S?t ( I E-MAIL
sTar:r:r noorzcss`u� ��N� A� I cirr, srs�� ���( � 9�o$� I Fnx
MAIL CERTIFICATE TO: (Please allow up to 10 business days Por delivery):
ICONTACT NAME PHONE H-MAIL
Y �do�ac,r E!I i p�' I 4'I S-69b -4 o5S I �. e2/1�o't•l�a Wa,c...c.! s�cum
I STRCGTADDRGSS } �DM�NAC �T � .�wIT�- ��� I CI'I'a,',�nAf(V/�/�*�[1L0� � Gl G� 2.� I NAX 6r �5.39y -ss7
J� J
LIST ALL BUILDING PERMITS ISSUSD FOR PROJECT:
PCRMIT SURMIT ISSUF, DATC INSPECTOR SCOPC
NiIMBER DA7'L DA'PL FMALED
� 1! (�Yc�[�fl
z
3
OCCUPANCY DATA:
USP OCCUPANCY TYPti FLOOR AREA OCCUPANT I.OAD
1
2
3
4
BUILDING DATA:
� #STORIES #STORIES OVGRALL MAX OCCUPANT P'IRCSPAINKLCRS TIRCSPRINKLI�.RS
BLLOW GRAllE AQOVC GRADE RLOOR ARCA LOAU REQ[IIRCD (YCS OR NO) PROVIDED (YES OR NO)
#PARKING NSTANDARD/COMPACT #ACCGSSI6Lti I NOTE: ATTACH A COPY OF THE SIGN�D
� RGQUIRCD PARICING PROVIDED PARKING YROVIDrD
I INSYrCTION CARD TO TffiS APPLICATION.
- OFFICE USE ONLY(To Ue completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofOApplicatlon.doc revised OS/07/11