15080027 - COFO • •
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This Certificate is issued pursuant to the requirements of Section-1 11.2 of the.2013 California Building Code certifying that
at the time of issuance, theportion of thisxstructure described.below Lias,been inspected for compliance with the
requirements of this code and with the various ordinances of the City regulating building construction for the occupancy
and division of,occupancy and the use for which the prop. d'occupancy is classified.
Building Permit Number(s): 15080027 Application Date(s): 08-042015 Issuance Date(s): 01-05-2016
Address of Building: 10787 S. Blaney Ave.
Scope of Work: TENANT IMPROVEMENT (1,370 S.F.)
Use: Restaurant Occupancy Classification B Occup'ant:Load: 38 occ.
Total Floor Area: 1,370 sq.ft. Type of Construction: V-B- Fire-Spnnklers.System: Throughout
Current Property Owner: LLC?ACIFIC RIM PARK
Current Owner Address: 5057 Forest Glen Dr:,San Jose- CA 95129
Final Inspection By: Jeff-,Greef, Builds Inspector
Final Inspection Date: 06-21-2016
*SPECIAL STIPULATIONS OR CONDITIONS.. None
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Albert Salvador, P.E., C.B.O., Building Official Date Issued
NOTICE/POSTING: No changes shall be made in�the:,characterof occupancy. Thisced ficate shall be posted in:a conspicuous place on
the premises, and shall not-`tie removed ezcepf by the authority of the'Sul ng OffPcial.
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