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I � � � � � �' � O � h ; � �- r m =+; o � � V � ° v � Q �,�.� � o � Q v . o �, n � � � � o ' a � � � � � � �• v � m � � o 0 0 0 �. � i i � `- � � � � i (') 3 � � O � � �'`G H n O N � � CQ � <D n O n ,--� j� Q C� � � 3 � i � � � � I �,. � ---� r�������` APPLICATIpN FOR CERTIFICATE OF OCCUPANCY ����3 ` OR CERTIFICATE OF COMPLETION lM1s� COMMUNITY QEVELOPMENT DEPARTMENT•BUILDING DIVISION C � ALBERT SALVADOR,P.E.,C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE�CUPERTINO,CA 95Q14-3255 (408)777-3228•FAX(408)777-3333•buiidina�cunertino.ora COMPLETE A SEPA.RATE APPLICATION FOR EACH BUILDING: PROJlOo� N, Wo��� Rokp ST�•13o APN# 31�� 20- Io� 513► 201 DATE � � owx�tant.� C/� �{_- b�vG'L.QPh�ENT c� Y�N� P�p�.T D'6�C-t.aPN► ��.c p``�� g 3�3-�088 �,pKUgo��.e ��yNC—r.co STREEI'ADDRESS CITY, S7ATE,ZIP F I t�2o ST'Ev�S ��K g�vp �Zoo Gvp�R-T�No Cf� q5ai� ��W8�3y'3- �°g`� CONTRACTOR NAME MAYfri $Utt,D�S A�TNar�y JaAQuiN pHa��o) u,,22~ �fo�l A�Ti�{ON`I E r`�1�V1N$u14D�5,C n+� STRE OA17U O S I��� CITY, STATE.Z(P F HERMosA B6'AC Cp� qo24�5 '�3t�� $G6'"28v3 MAIL CERTIFICATE T0: Please allow u to 10 business da s for delive : CONfA � �;� �y ��1✓1 , PH� �l>�n) � L'�� ) � / �r.,�- --;S� - -• � - ' . � < / elY+l ��� �G� �., - t��,,�, STREET ADD S�$ CITY, STATE„ZIP FAX JcUU� JU, �„/v�T e l�� -�I s � 'G .. �.. � �j,��J �/ LIST ALL BUII,DING PERMITS ISSUED FOR PROJECT: PERhflT SIJBMIT LSSUE DATE INSPECTOR SCOPE NUMBER DATE DATE FINALED i g-2o��-Iq �/n i Mls1�t 31�z zo �- rx�C sT � -r.s, �o� cu� I�G^s-rsrun -h-2 n�w .-s�� Ns a 3 �CCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD GO i 1 TJocu A�2. IA-SP'W�N l. �,oOZ 5,�� 2�}'$ 2 3 4 BUILDING DATA: #STORIES #STORTES OVERALL � MAX OCCUPANT �IRE SPRINId,ERS FIRE SPRINKLERS BELOW GRADE ABOVE GRADE FI.00R AREA LOAD RE UIREA XES OR NO PRpVIDED ES OR NQ 1 5 6�r�,�'�os.�t V� Kx -s Y�S . s #PARKING #STANDARD/COMPACf #ACCESSIBLE . tt� U�v PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A CUPY OF THE SIGI�IED �p y-� a Gl(� Z, INSPECTION CARD TO THIS APPLICATION. - OFFICE USE ONLY- SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST: Copy of Job Card Attached(both sides)? _ Permit Signed off in system? , No othec permits open or expired in system? [.ocation of Approved Office Set? Co,�,4pplication.doc revised OS/17/16 ��..��---y� �_ � _ C;t1YOFCUPFR'I'INQ I3UlI.1)I�GPNT2MLf 1NSPEiC1'lON CA12U HUILDINGA�II3R�S --- — CON'CRAC.TOR +-- . �------- �it1�88 Z'VULF6RI? PIItMITNO CJPL�tTINO,CA 95014 ��tAVIN AUILDBLS IIJG &2016-1934 QWNF72'S AL�ME y�(y620 STE:JI7:S CItFFX RL#200 STE]30 GY7PERT1N0,CA 95014 PFR1�llT ISSUID: CU}'�l2T1N0 PROPFRTY DF.�Q,I I.:.C; O l/OS/2017 OWNFI2'S PHOiYE --- -- —�__ PHONENO: JOB Di�(,'S2TP'ITON; � �_ �T^ _ SIJI'I�130-T_i.FOR(1��1-2(X:CCTPANCY(6,886 S.T.)-ST'L[NS BIDt GARDIN TSPE � IIVSPECTOR DATE .�� ~� PLU�I[;l\G � . . . �1?vD3?GROUND GAS PIPING . UNUEIi61L(XND WATQt . . . I�Ur,i mxtatourm��siiwi7t UNDFRFLODR � RO(Xil l FLUh1B . � J �-I��- c �„J �;�) SHOWER]'AN WATER HEATEI2. . . . . . � 14'ATER SERVICE ' �. GhS PR6SSURET@ST _ � � � � GhS�:ML•TG2 RFI.EISE '` . �PkOPCRTI'IsINE CLGU90Uf .PI.IMRT.�Ci FINN. --- � . . . ,C-- �:�.,.��7t«t. _ It���'�' TO ARRANGF,INS PDCI70N � Cat1777-3228 Uctncen 7:34 ainand3:30 iNfonc� tlirou h PYlda at least 24 houra bcfore required � ���OIItGkOUN[) I� Y K Y: ' lnspecHon.Job adchess endPermit Numbers are neededHfien requestiit�;nn inspection. 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UNDEIiGILOUND GAS P1PING � TIIvIl'FOWER POLE � . Ut�'D�iGItOt1NU WATER �SEk2VICE UPGAADE FQ2E DEPAKI'AfEhT'_ � ' � ��... — SRE COMI'LUNCE UNllL72GROTJM>SEWFJt � P45YSTFtvf - S[TE WA11S FIRE MAIN SYSTF�tS i:V SYSTL•'M FOOTING . .... . . . _'I . . . '— 'F[IiL'SPRINKI..LRS,ROI;GIi '�-.�,.^ '�✓. ��I �� : M11ASONRYRF[3AR �g����...- � I�IR;:SPRINKLIRt-PWAL — r2� � , -► . DRA[NAGE � � � FURNANCE FIRE�ALAEtM FWAL �1.. �, + � CMU WnLLS BOQk7t STANDPIPL'SYS1'17R1S � i U�'UEtiFL()OR _ AIRCONDlIIONER ETK;WEFRE!)F[REPR.7TECTION�SYSTEM i U�DI:RFLLX)[L I'LUMBII:G � � � . . . .. FttbDS FIRii[IFE SAPE[Y UhDEItFL00R htECI IANICAL � �---- . . DUCI'WIL1P � UNDERPLIXN2 L•�C:GTRIGAL . . . .. . ....... . � � WCUNENfATION Utr'U112fL00fiFILU1ING � .I.�R � �� � PAU,'SL•TBACKCERTIFICATIGN i UNf)�.12Pi1pR INSU[�TlOtJ PLCIAfBiNG ��TRUSSES . � FiL4�{ING � pIECI'iCAL SPHCIAL INSPF.Cf f01 RF.POAT I fLWR`�hNUSHGITH(NG �.SMOKPICARAON MQ*'AM[�CFR � ML•.CIiANICAL . CONPLIAhCG T aawi���i,�nmmv — - .. 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