15080040 - COFOary
is Building Code certifying that
!d for compliance with the
instruction for the occupancy
is classified.
Issuance Date(s): 10-16-2015
Throughout
NOTICE/POSTING: No changes shall be made h"t, a character=of occupancy.This cerilficate shall.be postedln;a conspicuous place on
'the premises, and shall not°be removed excepfby the authority=of the building OfficialT
APPLICATION FOR CERTIFICATE OF OCCUPANCY
lim 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 - buildinga-cupertino.ora
('OMPI.F.TF. A QFPARATF. APPI.ICATION FOR FACHRITHT)ING-
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LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
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2
3
4
BUILDING DATA:
# STORIES
BELOW GRADE
PERMIT
NUMBER
SUBMIT ISSUE DATE INSPECTOR SCOPE
DATE DATE FINALED
1
15800 D
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OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
ate,-
2
3
4
BUILDING DATA:
# STORIES
BELOW GRADE
# STORIESOVERALL
ABOVE GRADE
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED YES OR NO
FIRE SPRINKLERS
PROVIDED YES OR NO
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# 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) -
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Application. doc revised 05/07/12
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CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 19409 STEVENS CREEK BLVD
CONTRACTORi5l@(. />A1t,4 PERMIT NO: 15080040
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OWNER'S NAME: MAIN STREET CUPERTINO AGGREGATOR
t j �� DATE ISSUED: 10/16/2015
OWNER'S PHONE: 6503441500
jLL& (fA ,(j PHONE NO: q ?�
JOB DESCRIPTION: RESIDENTIAL COMMERCIAL c� rt 7
❑ ❑
FOUNDATIONTIERS/H.D. S.
CINARRA - STE 200 T.I. TO BUILD OUT SHELL FOR (N)
B OCCUPANCY (5,939 S.F.) (MAIN STREET - FLEX 2 �
UFER GROUND
PAD/SET BACK -CERT
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GARAGESLABSPREGUNITE
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UNDERGROUND/SLAB
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UNDERGROUND PLUMBING'
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UNDERGROUND ELECTRICAL
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DQ„1lOT POtili FLQOR 171�Ti s . BO V I `BE> 1 I`GNED ,:'
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UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL
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UNDERFLOOR ELECTRICAL
WILDLAND URBAN INTERFACE FIRE AREA
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 INSULATION
PLA( E;N ? I1BFiOt R 131vIIti BQVEr iA B E';SiGNED ',
before required inspection. Job address and Permit Numbers are needed when
ROOF SHEATHING
requesting an inspection.
ROUGH PLUMBING
CUPERTINO SANITARY DISTRICT
Closed circuit video inspection of property line cleanout, point of connection
TUBS & SHOWER PAN
and street lateral required prior to passing FINAL CITY PLUMBING
ROUGH MECHA:!4TCAL
INSPECTION. Call the District (408-253-7071) for an appointment.
ROUGH ELECTRICALTOOL BOND
FRAMING/STAIRS/E. EGRESS
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
INSULATION/VENTILATION
covER Noyoluc,IJITII ABOYEHas.$EL�NcivEn !
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
IMPORTANT
SHEETROCK/SHEETROCKSHEAR
When a permit has expired, a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATH/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 paid
M
SIG)`IED
TAPE:OR PT ASTER LiITIL'-ABOV, Hr1S'BEEN"'03
[SCRATCHCOAT
to reactivate the permit
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SEWER/WATER
NOTES:
�T-BAR'MECII/ELECT ABOVE CEIL
FINALS _a;
ELECTRIC METER RELEASE „ W
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SPECIAL INSPECTIONS Inspector: Date:
- --
+GAS TEST/METER RELEASE a k
ROOF INSPECTIONS
GRADE - PUBLIC WORKS
PRE -INSPECTION: Inspector: Date:
FrRE CALL (408) 3784010 r('` (6
TEAR -OFF: Inspector: Date: _
PLYWOOD: Inspector: Date:
PLANNING (408) 777-3308
SANITARY (408) 253-7071
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BATTENS: Inspector: Date:
ELECTTRICAL r,
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IN PROGRESS: Inspector: Date: _
ivIECHANICAL � � � � �,
-
PLUMBING f'
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FINAL: Inspector: Date:
HANDICAP
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
!ENERGY
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* OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
'.INSPECTOR
BUILDING
CERTIFICATE OF OCCUPANCY "
CERTIFICATE
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