13110152 - CofO • - ,-- -- ,_1 ,_ . � --- - - - - - - -
; -� ;
� —�-- -� ,�
c
�-' � >, � o '
�. c.� o d
c �. �
� N (B N � � �
•�� Q r O Q i !
� M � y �
� �
'C � U M � �
J O
�.� V r? � � O ,
� = .�
- � U '� � �— y �-i
�,
�, � L Q� '', :
, 0 � O +-+ O F...:.
�
�\ � U � -� � ci E c, -
� !�J � � o � � o N `�_
� � o � �n c� � =
U V lA C �
i m O � (� � t6 � � ' ;' �: '
-7, � � � � � � � � � `�O� ' ��
N � � q
�; C � >, � � � d � --
� �,_ .r+ U U
r d � C� � � t6 Q :. �'"� ' ,
� � � � � � � � N � �� `�� � � .�
t� (/����� � -� � ,��' .�'m -�,
V � ' V M (A U �: „� � � 41 ' i
' � p � � V `� � � LL', � f' �� ��; !-'
��i c-- � p O �..� � 5-. ,� ,�
�I N � �� � r � � o -
� (V �- ll� � �
� � � c� N N ��� �•"�'
� ..� t6 � Q �'. � .�F; C> O `-i'
O � � � r Y �` = j -
?i � � � � �,�,�� :
� � � N ��'' (IS t- ' ''m
V � � m O � V�
U
� � .� � � '... , � � � w '`~i
._ .._
, ' C N � C,� � � O fl' � 4� i
i
� p ;.Q ..r � � � � fn 1 � � �
:i c`� o � �° N � `� � c�i
` � � � N O U � m :` � � C� � `p � - ;
-i � � � � ' •Q � O ,,m� '' � � `�, Q � �,
�+-- U
i � O � � � a � � O i .� v � O `_
� U, � N •� d� � p. '�_. Z3 m #�„ � �-i
� �� t ;s-�� �� (a � � O ` � �� �Rf L , _;
�
� � � fl -�-� �/ � � V N m ,_ ,C � ;
c/3 C V
�,, � � tn � � � � t6 +t..-' � � (y �� '�-I
� � O � � � U � � N � � � � ,
S . ,r.r � G L C Z ' (6 = .....{
�N•� t� U tA ��� > � O:� O `C � � C� U �,:.:_.� .�` ;
. �- o > c � ° � U o cu �� � �, �o r-;
4�i a� c a� cu � � � •� � � �`u � ~ p � y _I
�_c � � �c.� Q o� � �; .. ��r- -�
•�� o o � � � _ � � fl- o Z �� Z c °�' `�° '�
�
��� o o � � �, v� o ,n p � .c
_ �'� a � N � O 1-. . o `�'cv + U . .� vi �.,
� �►- r- cfl � a� 'cfl � , � 5 ; n=+� ,
� � � � c� o a� � o c� � � m ._ :=' _
N -�-• � � e- N I— f-- � J O _ � �
L c0 p � O v� � -
t�; � fl., U N v� ^ � a1 4
� J
� (� � 'p L L tn O m � y'�„ 'i
� � N � � U � �..'
� N � � � �'' � � � ~ � ' r�
�.... ' •� � � � � � � � � m� � a Z ,�
Z C ^ tn
H �� � O �� � -� W 'L � C C LL L V ..y'
-1--� � � �� � � � � 0 � � � � Z ��,
�- (,�,) ;4'� � � W •� � �' � �..� V �// � (a ~ �'�..{i
_ ;� � � � �- m Y � � � � N J > � ',_;
.� � � � O � � � Q Q �
- � y-- � � v� � ca � a � cn cn Q � a �
ca �
v � �� � � 0 0° a a a � � W "c � c_Wi
� v� �' y..� �♦ o c� c� ^ a� ti '
^' � L L
.�
� L 4/
� W I..{..
� � � � O fA o � � � � � � O
' I— C� Q �.. � LL. U U LL IL � Q Z
L.:
_
- - - __- _--. --� � _- r . _.
-- 7 _...,.
,_.
__.
� � , , , ' _... _ � �. __._ ,
_ _. ,
, � � �
, ,_:.. � �__, -� _�_ ,- _ �_ . — L ._- -- - ` L _i- � f ,
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTtNt7� ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228• FAX(408)777-3333•buiidinq�cupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT AD�E��� ��P �N / `Q�� � DATE r Z /—
l f
OWNERN E � ��� PHO � ` �� ���/ &MAIL
STREET ADDRESS - CITY, STATE,ZIP FAX
CONT OR N ME PHO E-M�IL
— 7 l ljt�,
STREET�A�RES i � � C , ST T ,ZIP � ���l FAa 2- 5`3
�� � c�
MAIL CERTIFICATE TO: (Please allow u to 10 business da s for delive
CONTACTNAME�C,� n_ `e PHO�N�E.� � _� E- !IL p� ��� �
��-'� Z .J
STREE D�ES$,� � C , STAT ,ZIP ���� F _�� �/.{/
�5 f 7
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 / r�or5z 3�-� �t`-25/ Q , . ,ve�.d �h � � !
2 I
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1 s a.H. _ �.
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD RE UIRED YES OR NO PROVIDED YES OR NO
#PARHING #STANDARD/COMPACT #ACCE5SIBLE
RE UIRED PARHING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Application.doc revised OS/07/12
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS:20620 HOMESTEAD RD CONTRACTOR:1VIARKET PERMIT NO: 13110152
CONTRACTORS
OWNER�s 1vAME:THE SOBRATO ORGANIZATION 10250 NE MARX ST DATE ISSUED: O3/31/2014
OWNER�S PxoNE:9254674291 PORTLAND,OR 97220 PHONE NO: (503)255-0977
.a?,���''„,R��� ,4 t:.�.j�"� ,�«°'r„37a;r.sc ..4a+.k.��'..'yN'�,��' y�,�i+i i' *��ry,�.ikyi'�Y�
FOUNDATION/PIERS/H D.S. BUILDING PERMIT INFO: BLDG� ELECT� PLUMB� MECH�
UFER GROUND RESIDENTIAL� COMMERCIAL�
PnnisEr Bncx-cERT JOB DESCRIPTION: US BANK- LOCATED IN SAFEWAY- COMM. T.2 448 SQ FT
0 INCLUDE NEW SET UP M,E
GARAGE SLABS/PREGUNITE
PC3I�R NO'.GQNCRET'��Jt�l?'I�^^,Q�Oy'E':3�AS BEEN SIGNED
UNDERGROUND/SLAB
�UNDERGROUND PLLJMBING
UNDERGROUND ELECTRICAL
_
D(�1�Q�'PO.I�FI,003�.1J1V�'IT.�:A�UVE��I?i�B�`�N'.S�GIV`�D��.,��"..4:_:sr
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
urrDEr�LOOx ELSCTRtCas. WILDLAND URBAN INTERFACE FIRE AREA � ER#
UATDERFLOOR FRAMING VENTS
TO ARRANGE INSPECTION
c1t�rDExF'LOOa�stn.aTtotv Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
�i�rl�E=•1�iOSUB��;�q ��'N'� � ���4����.�_ �IG��D �,� °����,,:� 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
RotiGx tvrECxnNiCni. � • and street lateral required prior to passing FINAL CITY PLUMBING
_ INSPECTION. Call the District(408-253-7071)for an appointment.
ROUGH F,LECTRICAL/POOL BOND Ji � k .�
FRANI:NG/STAIRSiE.EGRESS ,��, NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
irtsLZ.ATiorr/vENTi1,ATioN BUSINESS LICENSES ARE OSTAINED
�v�����������`�� ' ` � �B �'�I����`�� �" "��'`�'� PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
ExTExiox sxEalvxoLD nowr� ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
_.. INTERIOR SHEAR/HOLD DOWN
SHEETROCK/SHEETROCK SHEAR IMPORTANT
When a permit has expired,a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATI-Lll%-SCREED must be paid in order to reactivate the permit.If a permit has been expired for more
INTERIOR LATI3 than one year,a charge totaling the full fees to obtain a new permit must be paid
n0'TAPE:ORPLAST�Iii�111�i ��A�b�� , "SBEE SIG�VED, ��� to reactivate the permit.
__ _ .�. ,_�
SCRATCH COAT
I_ NOTES:
SEWER/WATER
T-BAR/MECH/ELECT ABOVE CEIL .� `� , .
FX�'AL ��:.,�,,.." �.'��.�"�;°r 3.v'�A �::`'�,,�.'�=�.,�'?"'ur'�, s;l��kn." �.�r!" k,
� �y,� .�a,
ELECT�IC METER RELEASE SPECIAL INSPECTIONS Inspector: Date:
GAS TEST/NIETER RELEASE
; ROOF INSPECTIONS
GRADE-PUBLIC WORKS PRE-INSPECTION:Inspector: Date:
'FIRE—CALL(408)378-4010 L,�, _ /� TEAR-OFF: Inspector: Date:
PLANNING(408)777-3308
---,.�.__..
PLYWOOD: Inspector. Date:
SANITARY(408)253-7071
BATTENS: Inspector. Date:
ELECTTRICAL . +
i IN PROGRESS: Inspector: Date:
MECHANICAL l 7 ,
.L_
PLiJMBING FINAL: Inspector: Date:
HANDICAP OTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
ENERGY *OCCUPANCY OF BUILDING NOT PEILYIITTED UNTIL BUILDING FINAL IS SIGNED BY
BUILDING e�� INSPECTOR
! s�l �� t�,"J
CERTIFICATE OF OCCUPANCY*
_ TM � .. _
I ;`� _ � �, .
CLAIt.9 C
_ ���A �� FII3E DEPARTl�IENT INSPECTION NOTICE
F E '�' SANTA CLARA COUNTY
� 14700 Winchester Blvd.,Los Gatos,.CA 95032-1818 ❑ AC1C1UaI - CyCle
CWRTESYtSENVICE (408)378-4010(phone)•(4os�3�a-9s42�f�) _ - � ❑ Reinspection _ .
❑ Constr�u�tio�n�PC ## 3- z $'
� [,�'Flnal �3 tt O)S Z. Page�of�
Street# Stre t Name&Suffix Suite# City Oca Date:
�,(,J�Z!� �'i0 r++�+4„►�T' d!. �� s �v . Class / � ,Z� �L
Occupancy , Occ. Phone
� � �'v� � � r., �f" ��5 � Load: .�" ��j,�� a ,.. �
Issued by� / .+J
It..f E° '�0 e�?:.+! G+
ISSUed t0 � 1 f r
�T ���� �,�. � Signature % � �
ITEM# _ .
" "1 l C� 1`r .�..t � `
P
� �` f'i�%� ��L-'f" • iyvA� , ��Z� -
Z:, — f'� S S ta fi r' G� c� `"" / �,� ✓ 1 G � ;, o�;
!
�
i/t-�°�---^'-5 rr� =,..-� r�S '�x• �
3� c� �r;�r +-,�S �.c:r ��5�'rt���
� J
� � � ������ � �� �� �� � � �
_ _ . J``
FORM#20