15050164 - COFOCer
0
Incy
is Building Code certifying that
d for compliance with the
instruction for the occupancy
is classified.
Issuance Date(s): 11-10-2015
ystem: Throughout
NOTICE/POSTING: No changes shall be made m='the;characterfof occupancy T ►rsscertificate shall be posted" conspicuous place on
the premises, and."shall not"be removedexcept by the authority! of the Bu�Id ng`Official
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(aDcupertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDR� S
^h
�"o
APN #
2
DATE j /
3
W
/ b Q
OWNER NAME
PHONE 40�
E-MAIL
STREET ADDRESS
CITY, STATE, ZIP
FAX
CONTRACTOR NAME V F (!
PHONE ?;-10
4-13 D �
E-MAIL
STREET ADDRESS
��
i vQ
CI Y, STATE, Z,IP
!n
5Qyr( J vx cA 1V3 w
FAX
✓TAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACTNAME J-aI._���o i IunA LPHONE /r '1 f E-MAIL �y a�7�,1 C��
STREET ADDRESS / r�J [� (' N E,CZIIP/rJ n.,.� � / I .0,/� �S 0 `(/,f J FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT -
PERMIT SUBMIT ISSUE DATE
NUMBER DATE DATE FINALED
INSPECTOR SCOPE
FLOOR AREA
w
2
FIRE SPRINKLERS
PROVIDED (YES OR NO)
3
OCCUPANCY DATA -
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
I Ice CVe I &o
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)
# PARKING
REQUIRED
# STANDARD/COMPACT
PARKING PROVIDED
# ACCESSIBLE
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 05/17/16
I
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 19600 VALLCO PKWY CONTRACTOR: 'Vasa
_
PERMIT NO:A 5050164
NAME: CUPERTINO PROPERTY DEVELOP
CIS [_1,w0 f rn QQt/ �q/�
DATE ISSUED: 11/10/2015
fOW(NER'S
R
OWNER'S PHONE: 4087773081
@cW,-o cA q5
PHONE NO: C66+5
71—
ffil
FOUNDATION/PIERS/H.D.S.
BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH
RESIDENTIAL r COMMERCIAL r-
UI'ER GROUND
+;PAD/SETBACK-CERT
JOB DESCRIPTION: ICOOL - T. I. TO BUILD OUT SHELL FOR NEW 'B'
OCCUPANCY RESTAUARANT WITH NEW KITCHEN &
EQUIPMENT, ADD 1 ADA RESTROOM AND DINING & SERVICE
GARAGE SLABS/PREGUNITE
PC3UieitiiL _ - Ft lY IG 51•I
-
�UNDERGROUND'SLAB
UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL
UNDERFLOOR PLUMBING r
r /
UNDERFLOOR ECiLkMCA
ML
-WILDLAND
URBAN INTERFACE FIRE AREA ER#
UNDERFLOOR ELECTRICAL
#UNDERFLOOR FRAMING VENTS
i
TO ARRANGE INSPECTION
UI-P-)ERFL OOR INSULATION
Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours
�^ gbefore
' il:�>r
required inspection. Job address and Permit Numbers are needed when
ROOF SHEAT
requesting an inspection.
..'�Af,
Rr'UGH'I LUMBING y
PULS
CUPERTINO SANITARY DISTRICT
& SHOWER PAN
Closed circuit video inspection of property line cleanout, point of connection
20UGH MECHANICAL
and street lateral required prior to passing FINAL CITY PLUMBING
ROUGH ELECTRICAL/POOL
INSPECTION. Call the District (408-253-7071) for an appointment.
BOND
FRAMING/STAIRS/E. EGRESS �1 ��
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
NsuLAT ON VENTIL +TION
BUSINESS LICENSES ARE OBTAINED
PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
i17XTERUOR SHEAR/HOLD DOWN
r �;
ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
{ ❑•J"I'ERIOR SHEAR1HOL.D DOWN
SHFE rROCIVSIIEETROCK SHEAR /
IMPORTANT
When a permit has expired, a charge totaling one-half the fees to obtain anew permit
F,XTERICR' 4 H/ -SCREED
Y
must be paid in order to reactivate the permit. If a permit has been expired for more
IN-[ERIOR LATH
than one year, a charge totaling the full fees to obtain a new permit must be paid
to reactivate the permit.
-CP Al CH GOAT
1..SE W E. ,ATER `mar l / /•
NOTES:
__ I
t -B 4J?,%dE''fi,ELrC I ABOVE CEI e ip — f
rEI.ECTRICMhTER RELEASE
SPECIAL INSPECTIONS Inspector: Date:
GAS 71ST/METER RELEASE
ROOF INSPECTIONS
a[ UR kDF - PUBLIC WORKS
CAd:L (408) 378 'G 1 u
PRE -INSPECTION: Inspector. Date:
p _
TEAR -OFF: Inspector: Date:
}fr,, NNING (408) 777-3308 N�
r
PLYWOOD: Inspector: Date: , 1
SANITARY (408) 253-7071-�i
ELECTTRICAL
BATTENS: Inspector: _— — Date: —_--__
w
MECHANICAL
N PROGRESS: Inspector: Date: —
— — --
�PLt MBTG - "
FINAL: Inspector: Date:
iHNDICAP � �
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
*OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
- -� -
L)iNG ji
LNSPECTOR
rr)CA7 G OF OCCUPANCY * ���
2 17 Ile,