12050146 - CofO fourp
Certtf1t-r&
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This Certificate is issued pursuant to the requirements of Section/111.2/of the 2010 California Building Code certifying that
at the time of issuance, the. onion of this structure describetl below has been inspected for compliance with the
requirements of this code and with'the,various ordinances of the Cit' regulating,building construction for the occupancy
/ --- \ / / 1
and division of occupancy and the use=for-which�he proposed�occupancy is classified.
Building Permit Number(s): 12050146 // Application D'ate:,05-18-12� Issuance Date: 12-12-12
Address of Building: 10425 S. De Anza/Blvd
Portion of Building: Type III-B, Reta'il_Ma ket (29,000 s.f.)
Use: Retail Market Occupancy-Classification: EO)F-1 / M S-1 ' —_Occupant Load: 665 maximum
Floor Area: 29,000 sq.ft. //_L- T e of Construction: III-B
--� - �.� �� �� / yp ,
Sprinklers System Provided: Yes -Sprinkler System'Required: Yes,��
Current Property Owner: Welcome Market;-Inc.
Current Owner Address: 2931 Faber Street;Union City, CA 94587
Final Inspection By: Larry Squarcia Senior,Building Inspector
Final Inspection Date: 06-118-2013
SPECIAL STIPULATIONS OR CONDITIONS: N/A
i
Albert Salvador, P.E.,C.B.0., 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
the premises, and shall not be removed except by the authority of'the Building,Official.,%
APPLICATION FOR CERTIFICATE OF OCCUPANCY
12 0R=CZRTWdIARL&T*M
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE •CUPERTINO,CA 95014-3255
(408)777-3228• FAX(408)777-3333•building(a)cupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS 10425 S. De Anza Blvd-Cupertino,CA APN a 359-17-019(ARB:359-17-06,08,09) DATE 06-25-13
OWNER NAME Welcome Market, Inc. PHONE 510-487-8899 E-A1AIL averyl@tawa.com
STREET ADDRESS 2931 Faber Street CITY, STATE,ZIP Union City,CA 94587 r•AX 510-487-8231
CONTRACTOR NAME Pacific General Construction PHONE 408-935-9234 E-MAu- toddpacgencon@sbcglobal.net
STREET ADDRESS 1150 Cadillac Court CITY. STATE-.ZIP Milpitas,CA 95035 FAx 408-935-9235
MAIL CERTIFICATE TO: (Please allow Lip to 10 business days for delivery):
CONTACT NAME Avery M.Lim PHONE 510-825-5223 E-MAIL averyl@tawa.com
STREET ADDRESS 2931 Faber Street CITY,STATE,ZIP .Union City,CA 94587 FAX 510-487-8231
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUB,�IIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 12050146 02-21-13 06-18-13 Larry Squarcia TI(99 Ranch Market)of Existing 29,000sf of Supermarket space
2 including M.E.P Upgrade.
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
Supermarket/Storage B/F-1/M/S-1 Type III-B 29,000 sf 145
7
3
4
BUILDING DATA:
N STORIES N STORIES OVERALL NIAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD Rls UIRED YES OR NO PROVIDED YES OR NO
None One 29,000 sf 145 Yes Yes
N PARKING N STANDARD/COMPACI' H ACCESSIBLE
REQUIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
N/A 397 12 INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Applicarion.doc revised 05/07//2
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 10425 S DE ANZA BLVD CONTRACTOR: PACIFIC GENERAL PERMIT NO: 12050146
CONSTRUCTION
OWNER'S NAME:CALI REAL ESTATE LLC 43050 CHRISTY ST DATE ISSUED: 12/12/2012
OWNER'S PHONE:5104878899 FREMONT,CA 94538 PHONE NO: (510)824-0490
LWANS DATE NSPECI'qjR
OUNDA'I10 IERS/H.D.S. 3 BUILDING PERMIT INFO: BLDG r ELECT r PLUMB r MECH r
UFER GROUND RESIDENTIAL r COMMERCIAL
PAD/SETBACK-CERT JOBDESCRIPTION: TI (RANCH 99) OF EXISTING 29, 000 SQAURE
4.000 GARA SLAB REGUNITE P.
Z FEET OF
POUR NO CONCRETE UNTIL`ABOVE-HAS BEEN SIGNED
UNDERGROUND/SLAB SUPERMARKET SPACE; INCLUDING M.E.P. UPGRADES
AV
UNDERGROUND PLUMBING 2
UNDERGROUND ELECTRICAL
DO NOT POUR FLOOR,UNTIL ABOVE HAS'BEEN SIGNED' '
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA r ER#
UNDERFLOOR FRAMING VENTS
TO ARRANGE INSPECTION
UNDERFLOOR INSULATION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
PLACE NO'SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED' before required inspection.Job address and Permit Numbers are needed when
ROOF SHEATHING requesting an inspection.
ROUGH PLUMBING
CUPERTINO SANITARY DISTRICT
TUBS&SHOWER PAN Closed circuit video inspection of property line cleanout,point of connection
ROUGH MECHANICAL and street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District(408-253-7071)for an appointment.
ROUGH ELECIRICAL/POOL BOND
FRAMING/STAIRS/E.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
INSULATIONi V ETITILATION
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
EXTERIOR SHEAR/HOLD DOWN ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
INTERIOR SHEARMOLD DOWN
SHEETROCK/SHEETROCK SHEARIMPORTANT
-IF 11y'16 When a permit has expired,a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATHJW-SCREED must be paid in order to reactivate the permit.If a permit has been expired for more
INTERIOR LATH than one year,a charge totaling the full fees to obtain a new permit must be paid
to reactivate the permit.
NO TAPE OR PLASTER'UNTIL ABOVE HAS BEEN SIGNED
SCRATCH COAT
NOTES:
SE WER/W ATER
T-BAR/MECH/ELECT ABOVE CEIL S •�
FINALS
ELECTRIC MIETFR RF1 EASE EC1AL INSPECTIONS Inspector: Date:
GAS TER R1 LE
`'• - •�• ,3
ROOF INSPECTIONS
GRADE-PUBLIC WORKS PRE-INSPECTION:Inspector: Date:
FIRE-CALL(408)378-4010 L�' 1 TEAR-OFF: Inspector: Date:^
PLANNING(408)777-3308 y
_ C.1 PLYWOOD: Inspector: Date:
SANITARY(403)253-7071
1-+I Y i K BATTENS: Inspector: Date:
ELECITRICAL . .I:{
MECHANICAL ,f �[�✓ IN PROGRESS: Inspector: Date:
` � FINAL: Inspector: Date:
PLUMBING .
HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
ENERGY •OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
INSPECTOR ` r
BUILDING ..��
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