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15020045 - COFOcertificate of Av- ccu�ancp APPLICATION FOR CERTIFICATE OF OCCUPANCY OR CERTIFICATE OF COMPLETION 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 cDcupertino.orq r`nT%APT FTP A CFP A R A TF A PPT WA TTC)N FC)R F A CH RT TTT .T)TTTC' - PROJECT ADDR$SS (� ; r,� C . 1( •' ( APN DATE OWNERNAME 1 (� Pr"('aJ�{�, DATE INSPECTOR SCOPE FIALE PHONE4?Z) (F0'7j,i Z, l 1��rf E-MAIL STREET ADDRESS ( Q 3 4 \ �lAt G ll (AI l CITY, STATE, ZIP ?� A . FAX CONTRACTOR NAME ` . ` / '� qs i ` L,S/, P117?- ' ^ 1 ' I 2j (-�[ � L� ��/ �I /1 t' f , Fes' �..v Ij71�� STREET ADDRESS / ©JC�{'/ -W , g� vR/� /�/'f C CIT�PSG,) A • 1AIL CERTIFICATE TO: (Please allow uD to 10 business days for delive CONTACT NAME S PHONE1-D - - Ll' E-MAIL JZ STREET ADDRESS ✓ CITY, TEIP 0-4I T TCT AT T RTTTT nT-NTr3 PRDA4TTC TCCTTRTI RCIP PT2r)TFC T• C% f" f1T Tn A XTry Tl A T A . _ USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD 2 3 4 DT TTT T %TTT!`_ Tl A T A . `# STORIES BELOW GRADE PERMIT NUMBER SUBMIT ISSUE DATE DATE DATE INSPECTOR SCOPE FIALE FIRE SPRINKLERS REQUIRED ES OR NO FIRE SPRINKLERS PROVIDED ES OR NO _ 2 ` 5 U 3 C% f" f1T Tn A XTry Tl A T A . _ USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD 2 3 4 DT TTT T %TTT!`_ Tl A T A . `# STORIES BELOW GRADE # STORIES ABOVE GRADE OVERALL FLOOR AREA MAX OCCUPANT LOAD FIRE SPRINKLERS REQUIRED ES OR NO FIRE SPRINKLERS PROVIDED ES OR NO ` 5 U # PARKING REQUIRED # STANDARD/COMPACT PARKING PROVIDED # ACCESSIBLE PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED INSPECTION CARD TO THIS APPLICATION. - OFFICE USE ONLY (To be completed by inspector of record) - SPFC'TAT. STTPTTT,ATTONS OR CONDITIONS: CofO Application. doc revised 05/07/12 �" 1 - CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD BUILDING ADDRESS: 19399 STEVENS CREEK BLVD CONTRACTOR: PARKWAY PERMIT NO: 15020045 CONSTRUCTION & OWNER'S NAME: MAIN STREET CUPERTINO 1000 CIVIC CIR DATE ISSUED: 07/10/2015 AGGREGATOR LL OWNER'S PHONE: 6503441500 LEWISVILLE, TX 75067 PHONE NO: (469) 322-3768 ELECT PLUMB MECH i FOUNDATION/PIERS/H D.S BUILDING PERMIT INFO: BLDG RESIDE NTLAL ' COMMERCIAL UFER GROUND ;PAD/SETBACK-CERT JOB DESCRIPTION: LYFE KITCHEN, COMM. T.I ON (E) SHELL BUILDING 4,092 SQ FT / - C J � � %� C) �;�,� ��� • GARAGE SLABS/PREGUNITE PQUR O CONCRETE [iN3IL ABOUEIIAS,BE,EPsSI AED i UNDERGROUND/SLAB f UNDERGROUND PLUMBING TY, /3-- 1 UNDERGROUND ELECTRICAL D(LNOT�PQUR FLOOR,LdN3IL ABOVE:HA;BEEN SIGNED'1, , UNDERFLOOR PLUMBING UNDERFLOOR MECHANICAL FIRE AREA r ERN (UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE UNDERFLOOR FRAMING VENTS TO ARRANGE INSPECTION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours UNDERFLOOR INSULA'T'ION r. PLACE 1SO SUBFLO-0 IyNTII ; ABOI E Tr1S BEEN SIGNED ,.,;'; before required inspection. Job address and Permit Numbers are needed when ROOF SHEATHING requesting an inspection. 'ROUGH PLU'vIBING IZ7 A f CUPERTINO SANITARY DISTRYCT Closed circuit video inspection of property line cleanout, point of connection TUBS & SHOWER PAIN ROUGH NfECIIANICAL and street lateral required prior to passing FINAL CITY PLUMBING A INSPECTION. Call the District (408-253-7071) for an appointment. NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED ROUGH ELECTRR-ALNOOL BOND 4 -� EGRESS ,� `FRAMING/STAIRS/E. BUSINESS LICENSES ARE OBTAINED INSULATIONNENTILATION ;covER Rx--atTlLAsoVEIASBEENSiGNEDG.; j PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT EXTERIOR SHEAi2'HOLD DOWN ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. INTERIOR SHEAR/HOLD DOWN IMPORTANT When a permit has expired, a charge totaling one-half the fees to obtain a new permit 1I SHF rROCKiSHLE-!ROCK SHEAR E c ;EXTERIOR L A'TH: W-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 pal 2IO TAPE OR PLA$3 UNTIL ABOVE HAS'BE'EI' SIGNEDa to reactivate the permit. lZ4 NOTES:i L 1 �' iCii7 { l-3 I / SCRATCH COAT SERBR/WATER <. r-F I; T-BARj%TECH.BLECT ABOVE CEIL ...e SPECIAL INSPECTIONS Inspector: _ Date: i EI-EQ.TRIC METER RELEASE � T'ST ER RELEASE _ ROOF INSPECTIONS PRE-INSPECTION: Inspector:._ Date: EAR-OFF: Inspector: Date: PLYWOOD: Inspector: Date: - i BATTENS: Inspector: Date: i A E - P. BLIC WORKS( FIR E - CALL (408) 378-4010 q S l _ PLANNING (408) 777-3308 D/Wa tSANITARY (403 53 ?071 f �' _ is ELECTIRICAL ' Inspector. Date: ii MECHANICAL y f� IN PROGRESS: _ _ PLUMBING FINAL: Inspector: _ Date: HANDICAP _� .r � S NOTE: OSHA APPROVED ACCESS TO ROOF ,HALL BE PROVIDED FOR INSPECTION. *0C UPANCY OF BUILDING NOT PERAlITTED UNTIL BUILDING FINAL IS SIGNED BY INSPECTOR y ENERGY _.._ _ l BUILDLNG I M ii 'LRTTF7CATE OF`OCCJPANCY " La :UPERTINO TEMPORARY CERTIFICATE OF OCCUPANCY FORM 0 / c COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION W ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 36 r (408) 777-3228 • FAX (408) 777-3333 • build inq(a)cupertino.orq APN 3`16 l� TYPE OF CONSTR BP #: Igl1 l DAT J� ' PROJECT CS510X VALUATION: SITEV ADDRESS: (� � 1q9 ��� l�� U-� Ci -e L� l� . l��i� —2f /O� OWNER'S NAME: /,��� ublic rks PHONE #:G FAX #: ❑ APPROVED WITH CONDITIONS Signature:.......... 2(03 �l MAILING ADDRESS (if different from site address): Other: Signature:....-:.... ll6 .................................. Date:.: � Sal...... :` ... ❑ APPROVED CONTRACTOR: a 12Y- PHONE #:1-72- FAX #: c c� CONTACT:iO !�, �L PHONE #: FAX #: 19� TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION b~ (0, �?X-dn BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION QCODE El CHECK El CASH BOND OF BOND: 5Kmin-10Kmax $ c/'t 3� IBLDBONDSj EDITION: TCO EXPIRATION � DATE X MONTHS MAX): FEE: $2$6.00/1110 TOTAL FEE: $ L �� - r [1TEMPOCC] USE TYPE OF CONSTR FLOOR AREA OCC LOAD LEVEL COMMENT ❑ APPROVED APPROVED WITH CONDITIONS Signature:.. ............ ... . Date:.712.�JI.?-f?(tR. LV ublic rks ❑ APPROVED ❑ APPROVED WITH CONDITIONS Signature:.......... 2(03 �l Other: Signature:....-:.... ll6 .................................. Date:.: � Sal...... :` ... ❑ APPROVED f�^ APPROVED WITH CONDITIONS OTHER DEPARTMENT / AGENCY APPROVALS: Planning Signature: ......................................................... Date:........................ ❑ APPROVED ❑ APPROVED WITH CONDITIONS' ire ❑ APPROVED APPROVED WITH CONDITIONS Signature:.. ............ ... . Date:.712.�JI.?-f?(tR. ublic rks ❑ APPROVED ❑ APPROVED WITH CONDITIONS Signature:.......... ,...................................... Date:...................... Other: Signature:....-:.... ll6 .................................. Date:.: � Sal...... :` ... ❑ APPROVED f�^ APPROVED WITH CONDITIONS w *CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating the list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration date specified. If this Temporary Certificate of Occupancy expires, the total amount nd may be forfeited and the non-compliance may result in force ent action. Owner /-) Cont ct Signature:r f•• / .............. Date:.. � ...�C, . Signature:........................................:............... Date:,..zr7... j.fB. This temporary certificate ensures that all fire protection and life safety systems have been completed, inspected, successfully tested and proved for the specific area of the building specified above to provide a reasonable degree of safety to -the occupants from fire nilar emergencies. / BuildinaOfficial: ...................................................................... Print: .......................................................................... ate:......................... ACTION: After determination, copies to: 1) applicant, 2) permit file TenapOccFoi _2013.do 1 1711 M