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12070195 - COFO • • ATrpg xnj Wee r antp This Certificate is issued pursua td,--_there uirements of Sect on61 TOW of the 0 O California Building Code certifying that at the time of issuance, the ortrontofirhis sfruct re described below has eenAn ted for compliance with the � � IN requirements of this code and with,theRUMbus ordinances of thd�G ty regulating�build onstruction for the occupancy =�.7 p y and division ofoccupancy and the use for wiich tfe--proposeoccpany is classified. �� m Building Permit Number(s): 12070195 'ApplicationDate(s)X07-242b12 Issuance Date(s): 12-04-2014 z Address of Building: 21530 Stevens Creek Blvd w Scope of Work: CHANGEI S " E� GAS SERVICF—STAT#ON TOR AIL STORE. ( ` � S.F)F.)ANAMPROVEMK15: 7-ELEVEN ADDTION. � T ` t Use: Retail Vic, y Classification M / B WE- 7ccupant Load 48 occ. Total Floor Area: 2,279 sq ft7. pe of#Construction V B F e Sprinklers System: Throughout RM x b , W Current Property Owner: BS MgCupertino Union M Current Owner Address: 21530 Steve sCreek lud °Cuprt�no 9501 } � H a` * 3; f +t & Final Inspection By: BobSab chu�ldinglnspector , Final Inspection Date: 02-16 2016 � a *SPECIAL STIPULATIONS OR C§ONDITt�NS. ENone - �` �4 6 Albert Salvador P.E. C B.0 Building Official Date Issued All V i2 4 NO NOTICE/POSTING Nohanges shy//be made the<cha c#erg of a�ccancy Tis cMAM etcate s� °e posted to as conspicuous place on .1the�prem� es, and shat not be + roved except y the zuthontj of#tie Buy ng Official ay • • 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 acupertino.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PROJECT ADDRESS'J t 5--t) .�/��,\� � � 1 APN# ��_2L _C)1-7 OWNER NAME Lf J / J I`W PHONE� o `�V J I¢ E-MAIL uv C K �� '4U STREET ADDRESS OC� ' ` CITY, STATE,ZIP (^I r \u,a ��/ FAX CONTRACTOR NAME Jam, _ �V 1 PHONES lo` �] 1/ , �J(�J E-MAIL STREET ADDRESS/ n L) �}1 CITY,STATE,ZIP `7J J i j 2- FAX ---- 460 Q0 MAIL CERTIFICATE TO: Please allow up to 10 business days for delivery): CONTACT NAME`lam ! PHONE/jE-MAIL STREET ADDRESSz, `� CITY, STATE,ZIP in,/�� FAX U✓ v �J J LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE NUMBER DATE DATE FINALED 1 7 12L411YCO&Waj i s ACl L r 2 3 OCCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD I ► i��L U ?Zg 2 3 4 BUILDING DATA: #STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED YES OR O PROVIDED YES OR NO -09 #PARKING #STANDARD/COMPACT #ACCESSIBLE REQUIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED Zl� 25 1 INSPECTION CARD TO THIS APPLICATION. - OFFICE USE ONLY(To be completed by inspector of record)- SPECIAL STIPULATIONS OR CONDITIONS: Cq)'O Application.doc revised 0510772 CITY OF CUPERTINO BUILDING PERMIT.INSPECTION CARD BUILDING ArDDRESS CONTRACTOR:SAGARCHI I30.:1 (}7Qj'95s' ` ENTERPRISES INC OWNER'S NAME:BSA CUPERTINO UNION LLC 495 E BROKAW RD#F DATE ISSUED: 12/04/2014 owNF,R'S PHONE:4083169386 SAN JOSE,CA 95112 PHONE NO: (408)458-6670 TNST'ECII10 'xw• INSPECTION FOUNDATION/PIERS/H.D.S. 4 BUILDING PERMIT INFO: BLDG ELECTPLUMB r MECH r UFER GROUND ;s *- RESIDENTIAL I COMMERCIAL f— YAD/SET BACK-CERT JOB DESCRIPTION; TENANT IMPROVEMENT (1624 SQ FT) WITH A 634 SQ FT GARAGE LABSr REGUNITE DITION TO AN EXISTING GAS SERVICE STATION. Pt�llRN CONCRE`TEt I.L '#'ES:B l:D; ?. UNDERGROUND/SLAB UNDERGROUND PLUMBING »<, UNDERGROUND ELECTRICAL DO.NOTPOTJRILOOR.;TINTII,"A�B� =HASBEEN:STGPIED'' - UNDERFLOOR PLUMBING .UNDERFLOOR MECHANICAL uNDERFI.C)C�R ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA ER# UNDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION TO ARRANGE INSPECTION Ca, 777 3 28 between T;30 aT0 v 3:30 pm it'I0n'd, y;thrauph Fri`tlay,at least Z4 hours PLACINO$TJhFLOORU TITNA$4h' `'klASB EN;SIGNED before required inspection.Job address and Permit Numbers are needed when ROOF SHEATHING £A requesting an inspection. ROUGH PLUMBING CUPERTINO SANITARY DISTRICT TUBS&SHOWER PAN Closed circuit video inspection of property line cleanout,point of connection ROUGH MECHANICAL Rand street lateral required prior to passing FINAL CITY PLUMBING OUGH ELECTRICALTOOL BOND INSPECTION. Call the District(408-253-7071)for an appointment. � FRAMING/5TAIRS/E.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED INSULATION%VENTILATION BUSINESS LICENSES ARE OBTAINED ar- EXTERNowEARMOLrIDOWN PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT EXTERIOR SHEAR/HOLD DOWN !� r0 ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. 'INTERIOR SHEAR/IIOLD DOWN SHEETROCKr'SHEETROCKSREAR � 5 IMPORTANT Ex'rERIOR LATHrw-SCREED When a permit has expired,a charge totaling one-half the fees to obtain a new permit A must be paid in order to reactivate the permit.If a permit has been expired for more INTERIOR tA'rx than one year,a charge totaling the full fees to obtain a new permit must be paid NO TAPE OR PI.ASTER.UNTIIFiJBO4?ETfAS.13E1 NSti1D ® to reactivate the per p SCRATCH COAT (01Tt- t {C�I�Y Or �dj• '_ - �V/ rSF.WER/WATER T-BAR/MECH/ELECTABO �i..I9 S �' a t� FINALS •/d•/'"' .+ {�y '- ✓<S S . ELECTRIC METER RELEASE SPECIAL INSPECTIONS Inspector: Date: GAS TEST/METER RELEASE GRADE-PUBLIC WORKS ROOF INSPECTIONS PRE-IN+NSSPATION:Inspector: Date: -DIRE-CALL(408)378-4M 408)378-401 _ ( - AR-OFF. Inspector: Date: PZANNINU(408)777-3308 PLYWOOD: Inspector:_ Data: SANITARY{408)253-707 t / ELECTTRICAL BATTENS: Inspector: Date: MECHANICAL IN PROGRESS: Inspector: Date: PLUMBING FINAL: Inspector: Date: HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION. ENERGY *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY •BUILDING INSPECTOR CERTIFICATE OF OCCUPANCY• L� `�} -tee ! 4 ��y g`a � ::� n CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD BUILDING ADDRESS:21530 STEVENS CREEK BLVD CONTRACTOR:DC ELECTRIC PERMIT No 14100132 OWNER'S NAME:BSP CUPERTINO UNION LLC 405 RING NECK LN OWNER'S PHONE:4086744064 DATE ISSUED: 10/22/2014 SUISUN CITY,CA 94585 PHONE NO: MIJ 386-2117 FOUNDATION/PIERS/H.D.S. BUILDING PERMIT INFO: BLDG ELECT r PLUMB r MECH r UFER GROUND RESIDENTIAL r COMMERCIAL r PAD/SET BACK CERT JOB DESCRIPTION: INSTALL CIRCUIT TO POUTER MOBILE TEMP POWER GARAGE SLABS/PREGUNITE PUUR NU CO, ?E:UNTII;ABO: .BAS:$E ia'SI D-g . UNDERGROUND/SLAB UNDERGROUND PLUMBING UNDERGROUND ELECTRICAL DO NOTPOIIRFIUO$IJhI ^ S$0�i: S.BEENSIGII1_ UNDERFLOOR PLUMBING UNDERFLOOR MECHANICAL UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA r ER# UNDERFLOOR FRAMING VENTS UNDERFLOOR INSULATION TO ARRANGE INSPECTION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours PLACENOSUBII 1tUNTI1„A1�D;, : sulFNSIGN$p:, before required inspection.Job address and Permit Numbers are needed when ROOF SHEATHING requesting an inspection. ROUGH PLiIMBING TUBS&SHOwER PAN CUPERTINO SANITARY DISTRICT Closed circuit video inspection of property line cleanout,point of connection ROUGH MECHANICAL and street lateral required prior to passing FINAL CITY PLUMBING DOUGH ELECTRICAL/POOLBOND INSPECTION. Call the District(408-253-7071)for an appointment. y �ZZ:Y ,� r I RFZMING/STMAI RS/E.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED [NOA TION/VENTILATION BUSINESS LICENSES ARE OBTAINED NO W+ARK UNTIL A6f2I 1`I SI A PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT IOR SHEAR/HOLD DOWN ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. OR SHEAR/HOLD DOWN OCK/SHEETROCK SHEAR IMPORTANT OR LATH/W-SCREED When a permit has expired,a charge totaling one-half the fees to obtain a new permit must be paid in order to reactivate the permit.If a permit has been expired for more OR LATH than one year,a charge totaling the full fees to obtain a new permit must be paid E OIt P TERItNTII :' OYE . $EEN,.SI,GNEDto reactivate the permit. SCRATCH COAT SE WER/WATER NOTES: T-BAR/MECH/ELECT ABOVE CEIL FINALS ELECTRIC METER RELEASE SPECIAL INSPECTIONS Inspector: Date:. GAS TEST/METER RELEASE GRADE-PUBLIC WORKS ROOF INSPECTIONS PRE-INSPECTION:Inspector: Date: FIRE–CALL(408)378-4010 — TEAR-OFF. Inspector: Date: PLANNING(408)777.3308 PLYWOOD; Inspector; Date: SANITARY(408)253-7071 ELECTTRICAL BATTENS: Inspector Date: MECHANICAL IN PROGRESS: Inspector: Date: PLUMBING FINAL: Inspector: Date: HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR,INSPECTION. ENERGY *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR CERTIFICATE OF OCCUPANCY+