15080109 - COFO 5�
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This Certificate is issued pursuant to the riaquirements of:Secti�on 111 2 of he 20>13 California Building Code certifying that
at the time of issuance, the portioh ofthis strucerre desc""gibed below-has,beenInspected for compliance with the
requirements of this code and with the various ordinances of the City regula,ing building construction for the occupancy
and division ofibccupancy.and the use for h—ich the proposed occupancy is classified.
Building Permit Number(s): 15080109. Applicationp*('s) 08 .13-2015 . Issuance Date(s): 10-06-2015
Address of Building: 109.71 N. Wolfe Rd.
Scope of Work: TENANT IMPROVEMENT (2,866
Use: Restaurant Occupancy Classification: A 22`' Occupant Load 98 occ.
Total Floor Area: 2,866 sq.ftT rpe ofi Constructio�at V B Firez�pnnkle s System: Throughout
v
Current Property Owner: Cupertino Village LP
Current Owner Address: 3333 New He ParkRtl #100, Nrt #Hyde, NX 11042
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n 'eFinal Inspection BY Jef(3Greef Seonspctor r �
Final Inspection Date: 01 14 201.6
*SPECIAL STIPULATIONS OR QONDITIONS.. None
Albert Salvador, P.E., C.B.O., Building Official Date Issued
NOTICE/POSTING: No_changes shag%/be made anAhe character of occ Pancy This`=certificate shallde postealn a conspicuous place on
the premises, and shad not be removed excepf Gy the authority of ttie Bu�ld�nga Official
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• buildina(abcupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESSTp pG�S ' �D APt�e_ P4 nj P��-r�0 CA ��r DATE
/
OWNER NAME !��j i c L PHONE �1 r�v /1� l�j JJ�/ E-MAIL
Er—
STREET ADDRESS J Ni Gy'�/ fly I Y�/j- ID' ` Q�-,I CITY, STATE,ZIP CI FAX
4
CONTRACTOR NAME/ V�-- )V I P O LS E-MAIL
STREET ADDRESS tj y/A��l N& CITY, ST.QTE,_Zi". r �•p� l3I t D►I,� FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME �p y f\ IDA, PHONE�I o` r'-tI -1//0 E-MAIL
STREET ADDRESS
/0-n
' t, V I(_�,, A..I CITY, `t E ZIPP` ' S r FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: I
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 i5MV 'C4(Q I `hS l my
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1 2, V-3 T&Q R5
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED (YES OR NO) PROVIDED S OR NO)
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQUIRED PARKING 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 05/07/12
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 10971 N WOLFE RD CONTILACT012s f I 1' l 6 RMIT NO:15080109
OWNER'S NAME:CUPERTINO VILLAGE LP DATE ISSUED: 10/06/2015
OWNER'S PHONE:4083166782 PHONE NO:
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL❑
FOUNDATI ON/PIERS/H.D.S.
TOFU PLUS-T.I.TO RENOVATE/RECONFIGURE(E)
UFER GROUND RESTAURANT(2,866 S.F.)-TI PREP 15090133
PAD/SET BACK_C15kZT
GARAG
SLABS= r�e—i�j�i
fiPOUR C .� fi;I> \B V �I�AS�EEI� I�(YEIi_ 5s�
UNDERGROUND/SLAB
UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL
DOI�() i'QLIR. .. BOHAS78 E1SI. xl? �ar :
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL V �`
UNDERFLOOR ELECTRICAL(r WILDLAND URBAN INTERFACE FIRE AREA ER#
UNDERFLOOR FRAMING VE/NUTS
Yo$ TO ARRANGE INSPECTION
UNDERFLOOR INSULATION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
P,.LACE ,O CJ13F•I C?9RI= -�i'EITr1SI£EE13TIGYE F before required inspection.Job address and Permit Numbers are needed when
ROOF SHEATHING requesting an inspection.
G ROUGH PLUMBING CUPERTINO SANITARY DISTRICT
TUBS&SHOWER PAN Closed circuit video inspection of property line cleanout,point of connection
r ROUGH MECHANICALand street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District(408-253-7071)for an appointment.
i ROUGH ELECTRICAi./POOL BOND b� t✓ �° jQ
FRAMNG/S TAIRS/E.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
INSuLATIGN;vENT1LAT10N BUSINESS LICENSES ARE OBTAINED
a pvER 1vOQa2fv % BoF Ba BEEN• GED = " : 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 SHEARqjOLD DOWN
qtr SHEETROCIvsH OCK SHEAR IMPORTANT
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
NO ,�P' RPx I" AB2)4E . $,)aEE�1(;I NED*w,t. 'a g to reactivate the ermit.
SCRATCH COAT $C, \ {}P
SEVb'ER/WATER NOTES:
c
® T-BAR/MECH/ELECT ABOVE CEIL tP � l '" C''
Tn
' 1 t a�
FINALS �am .-
ELE'.CTRIC METER RELEASE
SPECIAL INS CTIUNS Inspector: Date:
GAS TEST R REL, SE ^'
ROOF INSPECTIONS
T
'GRADE-PUBLIC WORKS' PRE-INSPECTION:Inspector: Date:
CALL.(408)3784010 A&- TEAR-OFF: Inspector:_ Date:
PLANNING(408)777-3308
PLYWOOD: Inspector:_ _ Date:
SANITARY(408)253-7071
_ BATTENS: Inspector: Date:
ELECTTRIC?I '
'- - ------ ` I 0. IN PROGRESS: Inspector: Date:
1 MECHANICAL1;1'1_ .
`I rJ'✓" c ri
PLUMBING FINAL: Inspector: Date:
rHANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
[ENERGY, IJ [ *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
BUILDININSPECTORERTIFICA O OCCUPANCY* —t 4j
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