B-2016-2975 - COFO • •
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• •
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• buildinq(a�cuqertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROIECT ADDRLSS � ��. I i . / � APN� DATE
1�I�t;L �,�ti 11�;� � �.�;;,� �'��l" ?�It;i-"?,� - t�� �� � � �c����-
OV�ER NAME ����� � �� I � � . PHONE ��•�. ���� �•��_�r��� E-MAIL
�.11/ �.�..�:
STREETADDRESS ��'L/`� 1 I��;,' r / �' .`� CITY, STATE,ZIP ' t f�V�' �� js FA\
��li V vL "V L�f'T
COVTRACTOR NAME Y/�,�1,�� .�� PHONE E-MAIL
r�i
SI'REET ADDRESS + � CITY, STATE,ZIP FA\
r�i5 �'�Gar��i� q / (
� ' � ���.'�'Irvi'1 \1$-� � '�
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT N.4iViE � ,�' PHONE C'�� � E-MAIL
L����� ���t;�t�-�, `t�''�� ?� �Z.f���='h�
STREET ADDRESS ���f�i./������I�� ������, CIT1', STATE,ZIP �� ��� Fr�X
lTv � �
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSU� DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 j�__Ziy1F,�'ZE�•� � ti,�1,+� �, ���d i 1- � t �' .�.:! ''(�^�. �,.�;V� ld;�,,�..�..�
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE P'LOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS PIRE SPRINKLERS
BELOW GRADE ABOVE GRADG FLOOR ARGA LOAD REQUIRED (YES OR NO) PROVIDED (1'ES OR NO)
#PARKING #STANDARD/CONIPACT #ACCESSIBLC
R�QUIRF.D PARHING 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)?
Perniit Signed offin system?
No other perniits open or expired in system?
Location of Approved Office Set?
CofO Application.doc revised OS/17/16
CITY OF CUPFRTli\O I3UILDING PFRD7IT L\SPECCION CARD
B UILDI,YG ADDRES S
1)700 VALLCO PKWY CONTRAC['OR PIIL�IIT\O
CUPERTII�'O,CA 95014 KANLER INC B-2016-2975
O�VNFR'S V��1E: PFR:�IITLSS�'FD:
KCR DEVELOPMGM' Cupe�tiuo,CA 95014
� ) Ol/(kl/2017
O�VNIR'S PHONE PHONENO:
JOB DESCRIPTIO\:
r.l.NOSH CAFE-°,U[TE 19Q-RESTAURAM(1545 S.F.�REV#1-CE[LING&CAYOUT OF LOUNGE 2'VI.1010
-ISSUED 5�9/2017
T1PE INSPECTOR UATE
YLUM1]l3IA'G
U.\'DERGROUND GAS PIPING
U\DtRGROUNU\V.ATtR
U�DH2GROUIJD S8W'GR
I,nDERFLWR
ROUGH PLU�f,\G
SHOR'ER PAti
N'.�TER H�TER
WATBR S[RVICL•
GAS PRESSURETEST
QhS:�[ETER RELEASE
PROPERTI'L[NE CL64NOUI�
PLUMBING FI1dAL
ELEC['RICAL
uer_a TO ARRA\GE INSPECTIO\
U��DERGeoITn � Ca11 777-3 22 8 beri�een 7:30 am and3:30�Hn blonday througL Friday,at least 24 hours hefore required
inspection.JoU ackL-ess and Permit Numbers are needed��hen requesHng an inspection.
wnear'�ooa
ROL'GH BLCCTRICAL �'+`j �)� �����'�
C�PFRTCYO S?.NTTARY DLSTRICT
' Closed circuit�icleo inspecfion of pro�rty line cleanout,point of connection
�t E;vtPOR�RY Po�vER POLE and street lateral required prior to passing FI�AL CI'CY PLLJN[BING
INSPE('I'10\.Call the District(408-253-7071)for an a}�ointtnent.
SF.RV�7CF UPGRaDF
ELECTRIC tifEiER R[Le:asE "��`7 ''*;:i���.' �'�'" 1�O Bl1ILDING FL�:�LS L�SPOC tIO1�S UIV7TLALL REQCTRID
BISI\'FSS L[CEVSES AREOBTAINID
tLtCTRIC 1'f?�`i�L.
�fecHa;��C,aL PER�IITIXP[RES IF�VORKIS NOTSTARTID WITHI\]80 DAYS OFPERNtIT
u�De2FLCX)R ISSUANCEOR 180 DA1S F20n1 LAST CALLID LYSPFJC"I'ION.
ROUG1i�4Ec;1`vaiC�+L P.�IPORTANT When a permit has en�red,a charge totaling one-half the fees to obtain a ne�cF�ermi[
FURn,pnCr nmst be paid in order ro reacti�ate the pernuL If a pernut has been ex�ired for more
thau one year,a charge totaling the Tull fees to olrtain a ne�c��ermit must be�r.tid
A[R CONDITIONER to reacti�ate the permit.
HOODS
MECHA,VICAL FG�AL NOTES:
T-BAR
PLU�IBING
FLECTIGLL
MECHF.NICAL.
l3UfLDING
FIRL-
S«I;tL�I1NC POOL
AF[1JFORCE�fENI' �
P,M�F.
ELECTRICAI.BONDIKG
ROOFI�G _�
FRt NSPECiIOV
TLAR OFF
NAILMG
[3ATTENS
T1Pfi IYSPECTOR DATE TTPE IIVSPECTOR DATE T]PE L'�SPECTOR DATE
FOL�YDAT[O:� PL[i1it31NG SA.\7TAR;'INSPECTIONS
FOOTIN�S � SHON�BR PA,\ l.`uDHRGROUND
UFER �VATER IIEATER I IYDROFLUSH
PIFRS �\'ATF.R SFRVECE
GRADE BEAIvLS GAS TEST PUBLIC NORKS
— RIGHT OF R'AY
G�1GE SL4D G.\S M6TER RELEASE
GROC1'D/SITF.R'ORK GILIDI�G
UNDGRGROUND GLBCTRICAL ELECTRICAL ��'�G WALL
UNDERGROUND G.�S PfPIKG TE:vi]'PONER POLE
UNDERGROUhD WATFR SERVICE UPGIL�DE FIRE DEPARTlfE\T
SITF C0�4PLIAi�CF
IJNDERGROUND SE\1'ER PV SYSTEM
S1TE WALLS FIE2E MAQ�Sl'STEMS
EVSYSTEM
FOOTI\G FIRE SP}2L*1KLERS-ROUGH
�'�n�R��B� AtECH.4VtCAL FI}tL SPRINKL[R-FINAL
DIU�II�'A(;E FURI`A�\CE FIRE ALARA�(F,I\'AI.
C�fU�\'ALLS pOILFR STANDPIPE S1'STEMS
UNllERFLOOR AIR COlVD1TI0NER ENGII�'EERED FIRE PROTECTIO\SYSTEbf
I.�DERFLOOR PLUMBI\G —
I IOODS FIR�LIFt SAFETY
-UNDERFLQOR MECI�LVJfC.4L
DUCT\1'RAP
I U�DBRFL(nR BLHC�RICAL —
IH�CUDIF,A'fATION
�T'I DER;LWR FRA:VING PAD�SETBACK CERTIFICATION
T-B:1R
��l,.�DERFLOCR[NS�1.��TIOA PLtJ�fE3�G � � - -USSES
FRA'�R�G — — ELECTICAL (,, �'�� - ECI.�I.INSPECTIO\R�PORTS
'FL�R XAIVSHF4T!i[NG ' b OKPJCARBON MO\�GXIDE CF,RT OF
. -- bIECI1ANICAL �� � OA1PLIANCE
ROUGIi PLU�4[31NG
� — BUILDING \YATLR FIXI'URE CGRT OF COMPLIANCH
R OU,H MGCHANICAL
� F« ENERGY CO�IPLU\NCE FOR�iS
�ROCGH ELECTRICAL.
ROUGH FRr�:�fl\'G � CALGREEA!MANDATORY fTE�1S CHFCKLIST
SlF7h4��tING POOL
�1\'TERIOR SHE4R REINFORCE\1ENT
_ DF,PARTb7EnT FTVALS
F.�'TERIOR�IIGAR P/M/E PL.A.VNING-CALL 777-3308
WALL fNSULATION GLHCTRICAL BONDNG PUgLIC N'ORKS-CALL 777-33i4
CEILL'�G INSLIATION DEr-fOLITION FIRE-CALL 378-�010
ROOF\NLI1G 6ACKFILL HEALTH-CALL a03A18-3�101?
i!�TERIOR FINISHES
-� . � SANITARl'-CALL 253-7071
SI-�ETROCK �`;;`:�'' �.'����}��� ROOFL�G
TILE 9ACKFR U�IUEftL.�YM�YC PRE INSPtC710N
_ BU1LDInG F1:�ALS
TI[.E BACKGR T�AR OFF PLI.?vlBltiG - -� ,
IMERfOR LATH NAII.ING ELECTRICAL � �.,_�
E17ERIOR,FIN1SiiES �
--- � 3��TTENS �-fF.CHANIG�L � .., 7
GClERIOR L4TH
T8\iPORARI'(a:CUPA\CY ��,-� � 1l
�CRATCH COAT -- r
S7DING - [3UII.UING — � . -. 7