15120031 - COFOcert,
This Certificate is issued pursue
at the time of issuance, thi
requirements of this code and
and division c
Building Permit Number(s):
Address of Building:
Scope of Work
Use: Restaurant
Total Floor Area:
Current Property Owner:
Current Owner Address:
Final Inspection By:
Final Inspection Date:
*SPECIAL STIPULATIONS OR
rt Salvador, P.E., C.B.O., Building Official
r�NNn�.auu� r vatc�aL i
r QkYA
Date Issued
urp
is Building Code certifying that
:d for compliance with the
instruction for the occupancy
is classified.
Issuance Date(s): 02-18-2016
Throughout
NOTICE/POSTING: No changes shall be made inthecharacter=of occupancy lbis'certiricate-shalL;be postedrt n a conspicuous place on
the premises, and shall not.be removed except by thd,authority, of the:Building Official.
CUPERTINO
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(Wcupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS � Q "'j � n iiJ� APN # ^ � r � f�
PERMIT
NUMBER
DATE
OWNERNAME�(�� /ern _
STREET ADDRESS • i_,t 5 �
(t7,f
I PH log
CITY, STAT ZIP
E-MAIL
D ,i F
U(J s
CONTRACTOR NAME
l
PHONE
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
�30'lc'
FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME _ K /I `I PHO , �3�, a� r E-MAIL f
I C /7t` o A 06 (ie L' �1 QS 2 zct a gave
STREET ADDRESS lT730- �)L 'F` J ,t CITY, TATE, ZIP . ^ JCL:16%)
C,urer•f,no CA- 6(5alH
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
l
2
3
4
RT TTLDTNO DATA:
# STORIES
BELOW GRADE
PERMIT
NUMBER
SUBMIT
DATE
ISSUE
DATE
DATE
F ALED
INSPECTOR
SCOPE
l
15l)QD
to 13a
b
a3 'L
�30'lc'
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
l
2
3
4
RT TTLDTNO DATA:
# STORIES
BELOW GRADE
# STORIES
ABOVE GRADE
OVERALL
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED ES OR NO
FIRE SPRINKLERS
PROVIDED (YES OR NO
02
# 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
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
G ADDRES S u
CONTRACTOR PERMIT NO
1962 ST' CREEK BLVD
REBOZZI INC 15120031
ER CA 95014
OWNER'S NAME
_
19620 STEVENS CREEK BLVD STE 200 CUPERTINO, CA 95014 PERMIT ISSUED'
LP/ KCR MNGMNT EVE RSMNE Vl
02/18/2016
OWNER'S PHONE
PHONENO:
JOB DESCRIPTION:
LEGENDS PIZZA - T.I. TO RECONFIGURFIREMODEL (E) RESTAURANT (1,519 S.F.)
TYPE
INSPECTOR DATE
1• PLURffiIUG .,,
UNDERGROU'N'D GAS PIPING
UNDERGROUND WAI'FR
UNDERGROUND SE'D'ER
UNDERFLOOR
J,�
ROUGH PLUMBING
3—,
SHOWER PAN
WATER HEATER
915 6 3 "-
WATER SERVICE
GAS PRESSURE TEST
GAS METER RELEASE
PROPERTY LINE CLEANOUT
PLUP•Q3ING FINAL
ELL.CTRICAL,
UFER
TO ARRANGE INSPECTION
Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours before required
UNDERGROUND
inspection. Job address and Permit Numbers are needed when requesting an inspection.
UNDERFLOOR _
ROUGH ELEC_RICAL
- 44
.
CUPERTINO SANITARY DISTRICT
Closed circuit video inspection of property line cleanout, point of connection
TEMPORARY POWER POLE
and street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment.
SERVICE UPGRADE
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
ELECTRIC METER RELEASE
_
BUSINESS LICENSES AREOBTAINED
ELECTRIC FINAL
�oajg AN7�Ay � •._ ;
PERMIT FIRES IF WORK IS NOT STARTED WTrHN 180 DAYS OF PERMIT
ISSUANCEOR ISO DAYS FROM LAST CALLED INSPECTION.
unmERFLooR
ROUGH MECHANICAL
IlVIPORT.ANT When a permit has expired, a charge totaling one-half the fees to obtain anew permit
must be paid in order to reactivate the permit. If a permit has been expired for more
FUR.N.4NCE
_
than one year, a charge totaling the full fees to obtain anew permit must be paid
AIR CONDITIONER
I to reactivate the permit.
HOODS
MECHANICAL FINAL V
NOTES:
T BAR
PLUT9BING
ELFCTICAL
1MECHANICAL
I `
BUILDING
FIRE
S\Vti�Lti1[NG POOL'
RFINFORCF.MITT
:P 1/r
`1LIiCTRICAL BONDING
,I
ROOFING
PI REINSPECTION �T __
TEAR OFF
NAILING
(BATTENS
I}—
CNS E ]'OR, �"e bAT'E ,t
TYPE �.
-kN6PECPOR' ;,DATE `ti
-:; 'YYPP ".'.. -'
1NSPE' TOR"
•.'DATE-
`FOUNDATT
SA1�71'ARY=INSP£CIYON9'
FOOTINGS
SHOWERPAN
UNDERGROUND
UFER
WATER HEATER
HYDROFLUSH
PIERS
WATER SERVICE
GRADE BEAMS
GAS TEST
.PUBLIC WORKS
RIGHT OF WAY
GARAGE SLAB
GAS METER RELEASE
GRADING
_. ;GROUNDlSI' WORK
UNDERGROUND ELECTRICAL
:; £LEOi'ffiCAli; <
RFTAINING WALL
UNDERGROUND GAS PIPING
TEMP POWER POLE
"=-FIRE'DEPART�17E7N �"
y
UNDERGROUND WATER
SERVICE UPGRADEa
SITECOMPLIANCE
UNDERGROUND SEWEP.
PV SYSTEM
FIRE MAIN SYSTEMS
=,ate SITE FALLS . "; ^`
EV SYSTEM
FOOTING
FIRE SPRINKLERS - ROUGH
�"}+��
$ ,C/I
MASONRY REBAR:,
MkCffA"MClW-,_ , ,.<
FIRE SPRINKLER - FINAL
DRAINAGE
FURNANCE
FIRE ALARM FINAL
CMU WALLS
BOILER
STANDPIPE SYSTEMS
AIR CONDITIONER
ENGINEERED FIRE PROTECTION SYSTEM
UNDFRFLOOR PLLLMBING
'- 1^1
HOODS
FIRE LAB SAFETY
�
t /,/� p'I/w
P
-517-PI 1 16
UNDERFLOOR MECHANICAL
DUCT WRAP
UNDERFLOOR ELECTRICAL
::,'-D000MKNTATIOIN, _,r
UNDERFLOOR FRAMING
PAD/SETBACK CERTIFICATION
UNDERFLOOR INSULATION
PLUMBING
TRUSSES
ELECTICAL
SPECIAL INSPECTION REPORTS
FLOOR NAIUSHFATH NG
MECHANICAL
COMPLIANCE MONOXIDE CERT OF
COMPLIANCE
ROUGH PLUMBING
_...._
BUILDING
WATER FUTURE CERT OF COMPLIANCE
ROUGH MECHANICAL
FIRE
ENERGY COMPLIANCE FORMS
ROUGH ELECTRICAL
CALGREEN MANDATORY ITEMS CHECKLIST
ROUGH FRAMING
6
`�SWIn9VBNG POOL
�_
INTERIOR SHEAR
I
REINFORCEMENT
EXTERIOR SHEAR
P/M/E
PLANNING- CALL 777-3308
WALL INSULATION.
ELECTRICAL BONDING
PUBLIC WORKS - CALL 777-3354
CEILING INSULATION
DEMOLITION
FIRE -CALL 378-4010
ROOF NAILING
BACKFILL
HEALTH - CALL 408-918-3400
:.: INTERIORFRNTSH£S "`.':'2534071
SANITARY -CALL
SHEETROCK��
/`
—1
°'It00£ING=`M
TILE BACKER UNDERLAYMENT
PRE INSPECTION
BUILDING FINALS"
TILE BACKER
TEAR OFF
PLUMBING
.�1
INTERIOR LATH
NAILING
ELECTRICAL
E\� '?'ERIORFI'N`(SHES .•.i'..
_
BATTENS
MECHANICAL
�II
EXTERIOR LATH
.��_.
TEMPORARY OCCUPANCY
SCRATCH COAT
BUILDING
SIDING
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'` y
(408),177-3228 • FAX (408) 777-3333 • building6c0 upertino ora
COMPLETE A SEPARATE+ APPLICATION FOR EACH BUItD ' \
ING:
PROJECT ADDRESS p �/9 f
I t ✓ r% SJ"V CViS Cre-e-IL 131APN# '° DATE
OWNER NAME _ _ /y .ry J
p I Pk�A 1 i6�t9iy+I%s'i`�" " � l ., I P { ` _ ? _ E -MAL � 6d
1 H `7l t�—S g �
_ —1 6 �d2 S f2�sCiS
STREET ADDRESS J ' CITY, STATE, ZIPS
'S e0_I< vd
Oro y F _3 Z?— q
CONTRACTOR NAME Re {, PHONE E-MAIL
70 V
CaA
STREET ADDRESS CITY, STATE, ZTP FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACTNAME _ ` g1
Ic� PHOIdfli 1�. E-MAIL
L2 'YL �fi24 �aG o3a
STREET ADDRESS E 5S!
�Gj°%3� �'�e-��S ,n„- �� �(�,� CITY, TATE, ZIP
QgLctL,,12 CA q5619 4.�-3-q7,q
f P - `h CA f'5blLj
LIST A LT, RT TTI .T)TNCT PFR A/TTTR TC CT TT7T1 >,: nD DD n mr. r.
OCCUPANCY -DATA
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
l .
2
3
4
BT TTLDTNCT T) A TA
# STORIES
BELOW GRADE
PERMIT
NUMBER
SUBMIT
DATE
ISSUE
PATE
DATE
F ALEDG�u
INSPECTOR"
SCOPE
he,dd
l
t@) o0i
P 3 x-
2
f
3
OCCUPANCY -DATA
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
l .
2
3
4
BT TTLDTNCT T) A TA
# STORIES
BELOW GRADE
# STORIES
ABOVE GRADE,
OVERALL
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED S OR NO
FIRE SPRINKLERS
PROVIDED (YES OR NO)
# PARKING
REQUIRED
# STANDARD/COMPACT
PARKING PROVIDED
# ACCESSIBLE
PARKING PROVIDED
NOTE: ATTACH A COPY OFT E SIGNED
INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY (To be completed by inspector of record) -
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Appiicatioii. doc +ised 05/07/12