B-2016-1623 - COFO This Certificate is issued pursuant to the requirements of Secte Jofk'_"
cert-l'It-1%5"1"",C-------.............
Mw
t on 111 ��ofthe 2U13 California Building Code certifying that
at the time of issuance, the:,portion ofjthisstrupture`descn t ed�bJelovu liar been inspected for compliance with the
' 1
requirements of this code and with the various ordinances of the Gi y®ulath7--'' in-construction for the occupancy
and division of'occupancyYand the use for which t� a proposed occupancy is classified.
Building Permit Number(s): B-20161623 Application xDate(s)�03-24 2 6 Issuance Date(s): 05-10-2016
Address of Building: 10805 N Wolfe Rd, Suite #106
Scope of Work: TENANT IMPROVEMENT (8 10 S QUEENA. 01
AN
31
Use: Retail Occupancy Classifcatiorr M , Occ load 27 occ.
Total Floor Area: 810 sq.ft. Type ofConstruction II B Fire SprmklersSystem: Throughout
Current Property Owner: Cupertino Village LP
Current Owner Address: 3333 New-Hyde Park'`Rd #100,dew HydPark, N ( 11042
i
Final Inspection By: Paul O',Sullivan, Building Inspector J
Final Inspection Date: 07-08-2016
*SPECIAL STIPULATIONS OR CONDITIONS `None
Albert Salvador, P.E., C.B.O., Building Official Date Issued
NOTICE/POSTING: No changes shall be made�n;the characfer'of occupancy This certificate shall tie postedin a conspicuous place on
the premises. and shalhnot:be removed except by the authority of the;Bu►Id ng`O cial '
0 •
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 aO.cuoertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS ' (d i
APN# l 6 •- /S DATE
OWNER NAME� �® Vr/� � � PHONE ,_�.^.30' �� E-MAIL IK•1•
STREET ADDRESS � 3` t Y�C t CITY, STATE,ZIP(JN V-v� ..( � YO ppAK FAX
CONTRACTOR NAME H '`ONK�I VE 01'(S M(�a(01V PHONE E-MAIL
STREET ADDRESS CITY, STATE,ZIP FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME aoy( PHONE / ��y �Q� f E-MAIL k0n nC� (4���a t �^^
STREET ADDRESS^,��� r 'O �S(CAD(1� CITY, STATE,Z(IP��A"�,r11(,` oC n,IJ C, (�FAXj •_ 1
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: fY I
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER_ DATE, DATF FINALFD
it
5 t 6 �d t r ► 't-. --
2 --
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
V —f3 g( ---
z
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 (YES 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-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Copy of Job Card Attached(both sides)?
Pennit Signed off in system?
No other pennits open or expired in system? —
Location of Approved Office Set?
CofO Application.doc revised 05117/16
- -- - - CITY OF CUPFRTI.NO BUILDING PERMIT INSPECTION CARD —
jRUTLDIN::;ATLDt2L'SS. �—•— - --•-
03:)5 WOLFE RD iCONTRACTOR PERMIT NO
it:1.;P):R1IN0,CA 95014 INNOVATIVE CONSTRUCTION IMPLEMENT&DESIGN CO B-2016-1623
Irl:NFR'S NAME: -- — PIILM[TISSUID:
3333 NEW HYDE PARK RD#100 STE 106 NEW HYDE PARK NY 11042
F...-"lA'FR?'IN(?VILLA(-ELP - - ---- - --•— 05/16/2016
---- -- ------ - -- -----
,OWNIR'S PHONE: PHONENO:
---------'- JOB DESCRIPTION:
_ LE QUEENA-TT.I.310 SQ FT ADD(I)PARTITION WAI i.,(N)RESTROOM AND(N)FITTING ROOM
II TYPe —j INSPECTOR DATE—�
I � PI�NII3LS>S `•—�
f(�
UNDERGROUND GAS PIPING
I!T1DEP.GROUND WATER
I'LTIDERGROUND SI VER
�1UNDERFLOOR
ROUGHPLUMBING-- -- — _—
IISHOWFh r".a�.- -------
(WATER HF-1TEri--_
II WATER SERVICE
GAS PRESSURE:T CSI
Imo------ ---'----- -
IIGA::M"rF..R RELY.VSE
iL--._---__---- -.
I1PROPERTY LINr CLEANOUT
(i----------------- -
PLUMBING FINAL
--
IIt,=I j ( TOARRANGE INSPECTION
4UNDERGRIYJND i Call 777-3228 beth een 7:30 am and 3:30 pm Wnday through Friday,at least 24 hours before required
-_-- inspection.Job address and Permit Numbers are needed%hen regnesting an inspection.
JNDERFL XiR ----- --
+C--- -"--" CUPERTINO S ANITARYDISTRICT
ROUGH ELECTEICAI.
Closed circuit video inspection of property Linc cleanout,point of connection
.ITENIPORARIPOWER POLI: I I �1 and street lateral required prior to passing FINAL CITY PLUMBING
------- --"`—"}'--- +- ( INSPECTION.Call the District(408-253-7071)for an aplx)intment.
;i S aP VICE UPGRADE I
I;FLECTRIC METER RF.LFASE. -- - , NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES AREOBTAINFD
',E1.F(TR C FINAL
I -
I(_� mac PERM(T )CPII2)S IF WORK IS NOT STARTED WTfIiIN 180 DAYS OF PE RINq i
��iUNDER11AOR ISSUANCEOR180DAYS FROM. LASTCALLEDINSPECTION.
;ROt.�GH MEcx�N1CA?. -,,,_ �•` '� IMPORTANT When a permit has expired,a charge tGtaling one-half the fees to obtain a newpermit
must be.paid in order to reactivate the permit if a permit has been expired for more
i1FURPIANCE ---
Ij-_._._---_—._______-___...___ —�— -� than one year,a charge totaling the till fees to obtain a newpermit mustbe paid
iAIR CONDITIONI-A j I to reactivate the permit.
AN
11!100-os ---'---'----I" I ) 09K•/y'{i '. �j6141'
111MECi-TANICAL FINAL NOTES:
y ��• �/�''� V'a�/� y��(,�� • (��� �/yc�^ C�(,��f�,�
F�,(,' 1T � 4r., Or— Pt=ND �`4r'�t er-- C./�6 `-.
11UU{1.DiI:G --- -- -�---� — G/,f��/� '(�,�'I•�h/:��f� � `�r.,• �9 ��
1'W'IrA%HNf3 POOL
{�P.EINFGRCi;.StE'vT
ELECTRICAL BON NIG - -------
II ROOAN?
°PRLINSPECTION ----�— --�I
1,
PRL
Oi'F
,114AUNG I
r- -TYPE ;INSPECF072• ;DATE " TYPE INSPECTOR' DATE; %TYPE .<,'' INSPEC fOR'% DATE
ILII _
FOUNDATION ; PLLJI.9BING. S�NITARYIDJSPECTIOAS -
FrI LUGS SHOWERPAN UNDERGROUND
I�UFER WATER HEATER HYDROFLUSH
(PIERS WATER SERVICE
ii -- —}--
p GRADE BEANIS GAS TEST P:3BLTC V60RKS
I�-- RIGHT OF WAY
"GARAGE.SLAB GAS METER RELEASE
I� .:GROIJI�'[)/SITE WORK - GRADING
IIJNDERGROUND ELECTRICAL ERETAINING WALL
LECCRifa1L' —_
I�UNIDERGROUND GAS PIPING I TEMP POWER POLE
III. -- - FIItE DEPA[tTMBNT
J'IDERGROUND N A7 ER SFY VICE UPGRADE
SITE COMPLIANCE
I!UNDERGROUND SEWER PV SYSTEM
FIRE A M,41N SYS T EMS
EV SYSTEM
IiFOOTING -- - ETRE SPRIJKLERS-ROUGH! $yys e / �Gr
�rMASONRY REBAR FIRE SPRINKLER-FIN ri✓n.` /j
_ MECHAHICAL-- v(ti, 1
IiDRAIN.AGE FURNANCE FIRE ALAR,4 FINAL
('CMU WALLS BOILER STANDPIPE SYSTEMS
�r UNDERFLOOR, AIR CONDITIONER ENGINEERED FIRE PROTECTION SYSTEM
�U'NDERFL(X�R PLUMBING -
.��--- HOODS FIRE LIFE SAFETY
UNDERFLOOR.MECHANICAL -- - --_ ------. - -
DUCT WRAP
��NDERFLOOR ELECTRICAL
II�
IU.TIDERFLOOR1RAiAING I ry-T-B� PAD/SETBACK CERTIFICATION
IIUNDERFLOOR INSULATION PLUMBING TRUSSES
ELECTICAL SPECIAL IdSPECTION REPORTS
11"U)OR NAILSHFATHING SMOKE/CARBON MONOXIDE CERT OF .—JI
it - -- --- - CE
MECHANICAL COMPLICARB
!ROUGH PLUivIRINCi 'Iq —'-`- -
�!------- 1BUILDING - �WATER FIXTURE CERT OF COMPLIANCE
,ROUI GH MECHANICAr t)—
!t-- -- -- --- F'IRE I ENERGY COMPLIANCE FORMS
ii ROUGH ELECTRICAL. - ---I-- -- -
C--v--- - - CALGREEN MANDATORY ITEMS CHECKLIST -�
ijPOUGH FRAMING
IIT,',"!-ERIOR SHEAF------ -- REINFORCEMENT s_�DhPARTMSIyTFIb7ALS .. ---
!�FX'I'ERIOR SHEAR P/M/E PLANNING-CALL 777-3308 ---
�WALL INSULATION ELECTRICAL BONDING PUBLIC WORK::.-CALL 777-3354
(cEI,i
LING INSULATION D'cMOLITION r
I�.IiE-CALL 378-4010
R
IjCkOF NAILING 1 BACKFILL ----! 408-918-3400 -- - -
I � HEALTH-CALL
INI LRIOR FI\ISHLES _— _ —'-----�'"—
IIS lEI1YIX K
ROOFING CALL 253-7071
-
i
:I�rs;• SANITARY-
.CKt�R UNDERI.Alb4tNT -_-- I PRE NSPECTION- _ BUII;DNG FINALS - -
�i---- 111-------- --
r I:_r B:\CLER TEAR OFF
-_-�- PLUMBING
�i ER OR I..ATH - NAILING 1 - ELECTRICAL
!I ERTr.RIOR.FI,\ISF.IEb F --
BATTENS -- MECI-D NICAL. I -
(I-----
EXTERIOR LAT14
- __-- _ I TEMPORARY OCCUPANCY
iIR.4TCH COAT_ -{ ------ r
iIi1DING --- - L— - BUILDING----
/