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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION �-,,�-� -�--�
��,_�;t�����1��_�
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL _IUL %, � ZO�/
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333• buildinq(c�cupertino.orq
PY
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS .AP\= D.ATE
19459 Stevens Creek Blvd. Suite 120 316-20-112 7/20/2017
O\\T'BR N.A\fE PHOVL E-\1AIL
Sand Hill Pro ert Com an 650 344-1500 XT. 119 MKramer sh co.com
STREET.4DDRLSS CIT1'. ST.ATG ZIP FAX
v n r B Cu ertino CA 95014 N/A
CO�.�''TRACTOR KA\�IE PHO\E E-\4AIL
Ker Lobbestael 503 358-4557 K I n r r .
STREET.ADDRESS CITY. ST.ATE.ZIP F.Aa
10250 NE Marx StreFt Portland, OR 97203 503 262-4 80
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
COA'IACT NAME PHOA'E E-A1AIL
Emil Ba hdasarian 408 365-6423 eba hdasarian meriwest.com
STREET ADDRESS CITS'. STATE.ZIP FAX
19459 Stevens Creek Bivd. Suite 120 Cu ertino CA 95014 N/A
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SL"BMIT ISStiE DATE I\SPECTOR SCOPE
NU�IBER DATE DATE FINALEll
1 B-2016-3242 12/7/16 3/15/17 6/26/17 Bob S. Buildin Permit
2
3
OCCUPANCY DATA:
USG OCCUPANCY Tl'PE PLOOR AREA OCCUPAIT LOAD
1 Bank B V- B 1 622 SQ. FT. 16
2
3
4
BUILDING DATA:
#STORIES !#ST�RI�S OVERALL 14Aa OCCtiPANT FIRL SPRI\KL�RS FIt2E SPRI'iKLEKS
BELOVI'GRADE ABO�'E GRADE PLOOR AREA LOAD REQtiIRED (Y�S OR NO) PROVIDGD (YES OR NO)
0 1 1622 S.F. 16 ersons Yes Yes
#PARKING #STA\DARll/C0�IPACT #ACCESSIBLE
REQUIRED PARKI\G PROYID�D PARKIIG PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
N/A N/A N/A 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 petmits open or expired in system?
Location of Approved Office Set?
CofO Application.cloc i�evised OS/17/16
��_�j TY1'E Q�SPEGTOR DATE TYIE IIVSPECTOR DATE TYPE ASPEGTOR DATE
i�_,FOiJ.NUATTON PLU1ffiING SA��➢1'ARY II�SPECTIONS
F�T� SHOWER PAN
iINDERC�tOIJt�ID
�� WATER HEATIIt HYDROFLUSH
P� WATER SERVICE
GRADE BEAMS TFST PUBLIC wORKS
GARAGE SLAB � GAS MEI'ER RII.EASE RIQ�f OF WAY
GROUCID/STl'E WORI: GRADING
UNDIItGROUND II.EC.TRICAL ��Z RETAINING Wpi i.
Fi.&CI'RICAI.
UNDERGROiJND GAS PIPING TIIv1P POWER POLE
i1NDERQ20LlND WATER SERVICE UPGRADE FIItE DEPARTDfENT
�����SE� PV SYSTEM
STTE COMPLSANCE
SI"CE W_4T'�S EV SYSTIM F�M�'SYSTEMS
FOOTING
FII2E SPRII�IIQ�ERS-ROUQI"( Z�/'/
rri.,•t�'� �1.a^9, � . �v f t�
MASONRYREBAR FIItESPRIN[Q.ER-FINAL "`%'�h` �� .. k,m. L� .[t �:
htE�A,�IICAL
DRAINAGE FURNANCE FIRE AIARM FINAL 3���,�JB� "F.1':r«�y.;�P
CMU W�� BOII.EIt STANDPIPE SYS'IFMS � ��%� � „� �c%'�
UM1DFRF�OOR ��q�p�TiQ� INQNEERID FIItE PROTECTION SYS'IEM
LINDERF'LOOic PLUMb3NG
HOOAS FIItE LIFE SAFEI'Y A�. �
UNDERFLOOR MF.CHAN(CAL, ��`-.•�, '�i '1:. �
llLJGT WI2AF' � .
UNPER}UXxt E[.E('fRICAL
DOC1319E�'I'ATION
UNUERFLt�R FRAMRJG T$� PADJSETBACK CIItTIFICATION
UNDERFLOOR INSULATION PLiJMBING '.Q ,`l TRUSSES
�� —���G ELECTICAT- �.. � 1 ��:7 SPECIALINSPECfIONREPORTS
FL.,OpR NA[L/SFIFJ,THIIJG ` �� SMOKE/CARBON MON07.�DE CIItT OF
- �l ���. +, + �o���
R(it:GH PLUMBING .��
BUIIDING ` ���U WATER FIXTURE CERT OF COMPLIANCE
iROtJGH MECHANICnL
�' F� �.T'ERGY COMPLIANCE FORMS
��ROIJCiliF1.LCTRICAL .► J —
r�— y ��J CAL(3REE.TI MANDATORY TfIIvfS C[-iECKI.IST I
,�ROI.JGI-I FRAMING � SN'i11LM1IING I'OOL --{—
lt�"1�ERIOR SFIEAIi RIIt�*FORCIIviQ�*I' I
--- DEPARTD1FNt FI]VALS
EX1'ERI(H2 SHE?R P/M/E PLANI�QPIG-CAI.L 777-3308
WALL ASULATION II.EGTRICAI,BONDING PUBLIC WORKS-CAI.I.777-3354
CIII,WG INSULATION DFMOLITION
FII2E-CAL.L 378-0010 '� �,,� �
� f..�:� f�)
ROOF NAII.ING BACI�ILI, HF AT TH-CALL 408-91&3400
IT7"ERIOI2 HY�i IISIIES
SANCI'ARY-CAI..L 253-7071
5[�3EEI'ROCK
ROOFTNG —
�7UJE BACI�R UNDERIAYMFNI' PRE INSPECTION _
-- $QfLDING F11\AI,S
I TILE BACKF1i TEAR OFF
PLUMBING
. -- ',`"� 1-- i�`
�;;it:OR LATH G II.F.CI'RICAL �),I
EXCERiOR F1�7SIfE5 BATT�.T'S -
MECIIAHICAL � . i�/
}�'I'ERIOR LATH
TIIvfPORARY OCCUPANCY
SCRATCH COA7
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r CPI'Y OF CUPIIZTINO BiJII.DIIVG PIItMIT'IlVSPDCITON CARD
B[JII�I)INGADDRFSS
19459 STEVINS CRffiC BLUD CONTRACTOR � PIItMI'I'NO
CUPIRTINO,CA 95014 MARKbT CONTRACI'ORS LTD B-2016-3242
OWNII2'S NAME
2882 SAND I-IILI,RD STE 241 MINI,O PARK CA 94025 P���SUID:
MAIN STRFk,T CCTPNRTINO 03/15/2017
OV1'NIIt'S PHONE
PHONENO:
JOB DESCRIPTZON:
i_RJIT 120;T.I.-OFFICF/STORFFRONT(1622 S.F.)-MIIiIWFST CRIDI1'LTNION
TYPE INSPECTOR DATE
PLUrIB[NG
11NDERGROL7ND GAS PIPING
UNDIIZCd20UND WATIIt
LINDERQ20UND SER�EEt
UNDERFLOOR
ROIIU7I PLUMBING �
SHOWIIt PAN -
WATER HEATER .
WATER SERVICE �
GAS PRFSSURE TFST
GAS N.EfERP.II.EASE
PROPERTY LINE CLEANOIJi
PLUMBIIJ6 FINAL ,
EL'r.C172ICAL
�� TO ARRAN(�INSP�CIYON
LnIDgtc�pllxp Ca11777-3228 betReen 7:30 am and3:30 pnMonday through FYiday,at least 24 hours before required
inspeclion.Jobad�ess andPermitNwubers are needed�en requesting an inspection.
UNDERFLOOR
xotic�E[.F�-rtuCaL � COPII2TIN0 SAl�'II'ARYDISTRICT
C9osedcircuit tideo inspection of property line cleanout,point of connection
TEIvfPORARY POWIIt POLE and s treet lateral required Irior to pas s ing I7NAL Cliy pLiJMt3ING
smv[CE u[,caADE INSPF]CI'ION.Call the District(408-253-7071)for an ax�ointment
��e�r.criuc�r�aII.FasE NO BUIL,DINGbINAIS INSPEC7'IOnS UNTII,ALL R�CZUIRID
i r.��xtc rmni. Bi�1NFS5IdCINSES AREOBTAINID
` �t�;�t�nnTc�t PII2MIT II�II'IRES IF WORKIS NOT STARTID WITI�p�T 180 DAYS OF PII2Mfi'
urmmrwoa ISSUANCEOR 180 DAYS FROMLAST CALL�INSP17C7CITON.
ROU�x t�CHnrnCnL IMPORTANf When a perrxrit has eapired,a charge totating one-half the fees to obfain a newpernrit
f URNnN�[ must be pnid in order to reactivdte the permit If a permit has been ebpred for more
than one year,a charge totaling the full fees to ohtain a oewpercitit must be paid
AIR CO!V[]ATIONEIt to reactivate the pel•miC
HOODS
MECI IANIC.'�L FIh'AL NOTES:
T-BAR
iPI,UMIiQ'G
�.._."-'
FT FlTICAL
MFCCI-IAiJICAL
BUIC.DLNG
FIRE `
SR'[1LhIIYG POOL -
REINf'ORCEIv(II�T
PlP.i/E
Fr Ft'rRICAL BONDING
ROOfL*IG '
PRE INSP._C.TION
TEAR OrF
NAILING
BATTGNS