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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