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14110014 - COFO
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N c �«� � � � � �' , � N � CD � � � O � � � � .-� i � � APPLICATION FOR CERTIFICATE OF OCCUPANCY OR CERTIFlCATE OF CQMPLETION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION +GUPERTtNt� 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.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PROJECT ADDRESS APN# DATE ;.,;�� ' ^ �,;a �'f ;�' �.�. f�� � �( c' � �„ � � „S��? ! � � j �l OWNER NAME, PHONE � f �,� trV 6 l�1 t� C��-I �i j "�'f��'/�L_C.1f L��G,�`3� �-����:)(:1 n�;G.� E-Ma.iL cy ^���1� (�}�'� �.G���+�;'> �Yi �?� ,�' C'"��-, . STREET ADDRESS {, y `y ,. CITY,'�ST�1ATE,ZIP^'� / FAX �V ��/ �J �-4- ��1 L 11 �r � 1�<.. 1 �t l. C_. V 1�L� 'C.. i �.'V� �,( ,�... c.."�q�,�� j r, . / � `��� CONTRACTOR NAME + PHONE 7 7 � E-MAIL ��� �.�V'�/�.G-��l./�� �-1� l.� �-' c 'f. C.' /` .� _ . ` f z ` ,� ;3 :S �.� l_')�J G' � 1 J t^�i:'� 1� :/�f. .�`t..-�/'� � �:i"1 STREET ADDRESS � CITY, STATE,ZIP � FAX I C� `r 1 �' �< !� ;,.., l-�) I �l f-� ���� ,�c� ) c,� C:..f�' `-j , �� MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery): CONTACT NAME � �,,,. PHONE � •'� � ��, ,., E-MAIL �� �1� "'" ��,(J�- ��- G �.,r� �N~.,_\��� �= 1�-� � � l �� � � C�. � L'{-c� ,� ... �...�C �,�,,t;z. �v ; ;t f�- � �. STREET ADDRESS � CITY, STATE ZIP FAX 2,C�� ��-�- �� L\( �:�.� �Y;� � f: � '��...�° �r,��,� C..�� z���4, � LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: PERMIT SUBA'IIT ISSUE DATE INSPECTOR SCOPE NUMBER DATE DATE FINALED 1 � ) 'I 'z j►.. ' ��,;�^ �...� ;L�,.l 1�..G� 2 � ' 3 OCCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD 1 � -�, �... F ' �..-�r ��.,_ � 2 3 4 BUILDING DATA: #•STORIES #STORIES OVERALL A�IAX OCCUPANT FIRE SPRINKL�RS FIRE SPRINKI:�RS BELOW GRADE ABO�'E GRADE FLOOR AREA LOAD REQUIRED �1'ES:OR NO) PROVIDED%(I'ES�OR NO) ` � � � - 1 ��� (� ; �:, <._:� .s ' .�,��. #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)? "'� Permit Signed off in system? �,,.�''�� No otl�er pernlits open or expired in system? ��'�� Location of Approved Oftice Set? i--'` CofO Applicrctioiz.doc revised OS/17/16 ..�.�.. .<.,�r�:.__._y..�.�.�...��� _ ___e_.�..�=.�-�, .�._._ �.._ __.._ , x..n„G.�.� _.,a. - - w _�_�,.�,. �� . ._..� � . . � Y1 '^Y�.�. 1 � y���7(�� r�'''' �. ... ..___..._�r. ��'-��-.v�.,_�� . _.����m,s.u.,.- �,� _.�... �...�._..e.. C i�"��t�� CUr�+:It 1���� �� �EJ i.il !_, � �.��iv�i'� �N,��.0 TI(�1Pd CA�?.D � ,_ . _ � �;� j��n:v�' UDR�:fiS:2��+:''�ir VEfi TJI� .....��C(),.��i'L'.�(.F 01�: .^,�.j'� Ci)?`��i'i�Ur�..�.Tl�UI`d Pr[�.�,�►;. iti'J: l 4;i C)���=� � ✓�� ..:.:1 �t L � 1 i ♦ f ' ...._>�.�._...... ��,. �.�-.._.._-�`' Y ���._A.1�1V���LJ�;1�.i���G i � '� _ols � 'v��';'��h'�►'•.�h.�v�E:GAl`�7I'ALti.RAVIK_i��`✓'iAR S ANL� .� ,i;;�l i SaT�)�; A?�Llt. !::YC,'�%i�. . ���t cF,i�Sii�.D�•��,:":'.�/? ; • 3�;�;:i"�'AJALLU :..�.. �._...�_....a�.,_ . __, ..___ _ -. — � - �,...�._.��_o.....- _ u,�,.._. _.._�._.___...�., �`)i�:�`i;it'�.�I-I�J*;L:40u43G0�Ci2 '���T' ��' ; ,�c� .�'_`_�.' . ;,-.;_o ___.A_ � �_aTl 3�.�x;, .A �1.:l�, s���ti�;r��: �4����)�.�98 64?�+ � ��Il��'SP�C.IOh� --:_���.T:E--- "."'`.."' d��TSPE�C.'T I2� ..._....._...,�...._.�._,.o.��..n. ..,..;tY__.,�.. �.�.-�.� � ...n . „� �F���TND��"� Utv/ptERS�3.I'.S. . �o'�S � � B�)i�.Df�G PF:itilfI�1'lr�f�'tl: ;3�,i��;5 �;T�EC'T P's.aU�`�fiB� MECH� s��� ����t.L_�,�{�!'� ��� _, ,_,.,.., �,r, . r.- , ._ �t UFE� R GIZC1tINU � � ' z ? _ i g: I RI;5�I�LNTIf'EL CO�•�MER�;.<;..►..: _.. _ .�� _. _ _ �;sE'!'Bacx cE2�� __ _ �, �� ��¢ ��� ��B llESC;'.►��a�`y'.�1: corasmkT�c^� .� ST��RY sF�:aL 1.s� r�,00�; a3oa sQ FT, �Nn L - r.. .__..._. -� A � � --��FLOGR '_972 3 r"I, F3�: T' ' �'� F r(iP,RA�'F.�L�'.B�/ Ri�'.;'.�NI'fE / , � S MFrI C 15��; _�1 �L' T4/ A'I'TI�CHED �.._.�� �� ° '� � ��/'�i ._...., �':,.'��.��c;F' 6 8� ;;,��c:�. . �, � i� �'POUit\ CON(;kEl'T'C:;�"i'ii..•�Fidi•✓E HAS BEEN S1G1�Ell � �^LRJI�ERGROU1vD,'�LAB�.Jf.��� -- -�- - � �, ,�..��,..�_,_. _ _. _ ,., __ _ _ _ . �_ _ �UNL�ER_GRUUfiT,i'LL��;L�IT1C� ;----.,�. _ _ �i UT•1T'�tRGROUNU ELCCTRiCALu t' �:,_ � �___._. . _ __ __. _ . . N U��NOT POUk 4�I�O�Jt2 UN'i'[L ABOVF.HAS BE.EN SIGNED 1.. .. ;;U1JnERPLUOR PI,LTMBING c'`" ~� .-- . �t ." �-�!�' �� , � •.;- _ .�_...__ ---..._..._...�.� �__ _ _ .__ . �� l�UT]�ER FLOOR MECHAN,CAL �,__ t `�` � ' WILDLAND URBAN INTERFACE FIRE AREA y �R# { ,.___._. �.,ivCEiZFLOt�k I LECTRICAL __. _�_, ' y.`�� a _ . �11NDEitFi,00R FkCP�,!ING VENTS �f�, �'�r� �" � � - ' TO AR12AN�E Ii�TSPE�TI�'ii`•! � ..... �.� �_ - _ 3 t�v,7��:2�I,o�F�Nsrr�.�T:oN � Call 777-3228 between 7:30 am and 3:30 pm i`V1oi�day thr�tu�h Friday;at ieast 24 i;a�rs 3'___'__._ . ..._ .� „�_..Y . . .. i.. ' ' T _ � "PL.aCE�O SUBF'LOOR L!IY IL AT3C►vE Ii�,S i3LEN SIG�TED before required inspection.Job addi•ess and Ferit��t l�uanber•s are necc��ci ►�vf�t.n �——___—__.�_.—--.t_. _ ----- -- �RCCii-S'TEATHING� ����( � �,�.. ; .� • --� � requesting ato it�spee.tion. ; � {�� .� / + ri.�>''• (y � � 1 �: r_._.�....�.,.__�. ._ -.�� ..��,._ _.... �... .r. __._..�� ."�." . . ROUGI�PLUI`1BT'.�G �/� � . . -i' i:-��.��_�..._�_..�..���._ . _�4��=!� �_� CUPERTII�'C•SA1�IT��.��C'T)ls'�':�It.'�. � ,trr3s� �Ho��,�R P��t �s����� ,��,,,��j. � �;los�d circuit video inspec�tion�f property lir,�cl��n�ut,�a�int c:f;�;:���;e��i0�1 I ...,� __:,��:�,�..:;�, _.�,:�__�,�,,:�,�-. __. ` �` .. . _ and street lateral required�irior to�ass�ng FIidA.l�:�.���'s�.i��i1�..�;� � � ' ^a T �i �;*� ,i O�JC�H�:FCfIANIC,AL. :' � � � u''�-���� �� INSPECTION. Call the Diti±rict 14��-253-7071;ft�:an apE���:�trr�:,:�t. a--___ _.�__...........______.....:r ��oLc�l���.c�rr<ir..�a.Li�>ooL "�''D.,�� 2-��-t� i� } _ .�.� _ .�.. __ . _- �rR-�tv�rn�c��, �� S�� EG1tF,s � „� !�� t � � NO BUILI3ING FINALS INSt�ECT'I()1r15 ���;�i:i.�L�.�Ft�i�i�°,�?�.°J � � ' BUSINESS LIC��ITJE�A��('.fJ3TA�NEII� 4 w_.. ..�_ ::rf_.a.,_....,� .-1. � ___.......�.�......._ . t RJti1JI ATiC)?vNLN"riLAT10N ' � � �f� � ���`��'� + C . .. c ov�:,���c��i�o�zk���i�As�3���fit�s s EN iGni�.� _ — PERI�IIT EYPIItES IF Vb'ORK IS 1�0►'�ST�.R'T�1���'ITHII'•; ?��DAY�•^Ji,�'ER�sI'�' , � � �u.o��;ir a�;}(OI D I�O`bN� �g-� � � � t f ' • - �t-�� f ISSUANCE OR 180 DAYS FR43���AS'�CALLED�i�S�'��:'�'i(?�;. � � • ��_ � �� .v�.�.w,.�.�. ._�:�_��,�.1` �� .,� �i*��I�Gi:,UE_St,t,AR/I�r��D DOWrd ,� - . � ��, �.�:�!.:.�;.� .� —/� `�,� ��HLF_TR��C IvS�I�T'TRO�K S��E,�R � � � � ~ Y1�ZY�)I�TAN`T ..,..� _�,�.� ,�._. .�:,,,,,�.._._....,�,� '_. _- �- VVhen a permit has exi�fred,a charge tota.��::g�r,:;••ha�f ih'}r��s t�ob+<�ij: a r`rw permi± F �1' l / a'•J_ � � — --•- :�-:.t��F t.�r[,� SCREF7 � - ' must be E�aid in order to reactivate t�►�permit�.Ii'a p�;-niii ��� 1�Q:a:i �xpi�•ec� for more � � __ _..._..... .._.. t����:it�t,�;iy��'rx � ' , �� �;� - than an�year,a charge totaling ti�e fuli fees to obtai�.�.:i+�w;��rm6#�ryu`t he paid � , �� �� tu reactio�ate t13�per�:l;t. � ��^�'�TAPI� ()R PL�.57'LR iJNTIL ABOVE HAS BE:�SIGNE � � .`__..._..�._._._.��_ ..._...� ,�, ��c 1t�]�CH ro.AT 1 . „f l /� �� OTES � t�. ��r,...,p �,�" �-�`- �` ,r� � �. `._ -�.�����_�_.._.� __. _,r._.�_......I. ....�.. , �1 ("ir��,, �gr:y„t� � ,.�.. �' C-�.'�°►.L. 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N �,�� f�.:. ��` t .T::�9 P'.b .F �E�f�tt-��VJATER /� ,,� � '��`�`� � . , � �—, f:��'t��,`�'��E��}��"�� � �fi�ti.% F�' � �r� �Y ��'� �� ,. -- - - -�-� �:d� . -� .� � �' ..,� .�. ,;�f'BAAJT.�rr.CI1;!;LFCTl;BC��'�CEIT� �� � ���� "� ��, �� �,�}� �iy��'��-� ��� �;, .._.-- -�� --- - _�- - � �t ���.�- � ����1 ,�`��.t�!t-� .� �-t►� i������`�1 p� 1 i�T!`:AL� 1 � i�l EC i I�.IC MFTE►?RE�LASE � ' �� - � ; ; � - PI�CIAL I� SPEC I'�0.�� In p ctor __��_ _.`__ D:t��_�______,__. , _ _ _ ,�_�.y�.�, ___..._.__ ` �� �_ 5 'V r s e + ; ,AS'l��.S'�ivtL�i;?:ItL�,�A:;� � � lL� � � � ��..:��{,�.�~/�.Cl,�`.�..�.�.���.'j.�,�^��:� _ i20�F INSPECTI�NS �,1./�1�:�-�-t,f?LIC'Wr�RKS � � �' 4 �°y►.i� P?E-INSPECTION:Irspector:_ l�a�.;:---------._...-------.. . s- __...._--- --�_�_ ..�:_:a_.,,.,.�_ ���'2('-CALL(�OK)373-�010 a • � t` � �� TEAR-OFF: Inspector: ---—_`-- Dat��`: � t_.._�_..`�._.. _ ___,.4,..._,.......,, _.�.�., • ----- ----------; j I'LANNING(��)`d`i'?-�i08 �- � in . � ��`` �� � PLYWOOi�: Inspector: — -- ------ Dat��:...- ----------� • ...,,,. �_,_.. ., � AN'.'TAR Y,4�)4)253-?0 i 1 ���_, �� ' ! ? _ .� ' �•� BATTFNS: Inspector: _______ L�ate, ' Y �_ --------------._.__--------� ��Fl EC"I 1'RI:Ai f � i � � . .-- _� I IN PROGRESS: Inspector:-- -------� Da�e: j 1`,,:CC}I�T,(CA ' - ---- --...------- _. � 4 � � Y � � "-" "` ---- ---- , F'.Pv�i,: Ins ector: Date,: �FI.UI�;i31NG � '',_. � P -�--- -- -�— ------------ ( ' __.�.� _ __ ��:�� .,..._..� __ . --____ _ � ''iiANDE:.AP � ' � NO"�'T.a;:OSHA APPROVED ACCESS TO R.QOI'SHALL BE PRCi�'[liED FQtC II�;�+PEC"I'ICj,'�T. !, �r—�--------_�..., __.... _,_._,�..,. <<F�T�=}��Y � *FJ�CUPANCY OF BL'IL�ING NOT PERM["1"TE�L'NTIL BUILDI'JG TI�:�L.1S SI(';NED B'Y ' �_ !__. .- :� _ INSPECTOR ._._.�___�.. _ �L'tJILDi\'(; " �,;�, s�� €� I � .�=- � ��- �-�.. . 1 .._ .�._._._�..__ _ _w:.� ;�LRTTI�ICA'Ir:�i'c�t.'CUl'ANc."* � � `-- .� �w`` ��.. � ��� -a 9 ., E � ��...�ir-��.::�n�-:�.:..�,.ma:s�•.^__`c-..�i:s�,!i�_:,-.,+..a�._ ..:._.�-..._�..,..._,.,;.�.�:..^�-....:t_^ta�ci.�r:_��q�'�_��-�----_...�.,...o...v_�.�._'__ ( ,�..me - �.�„���_-s_..=._.�...._�...�.o..r..a.�..o.�...e,..e�,..o,�.,.....v.��.a.+,.z�_,....��.�,.-a,.,,.�.d�.�.�,a.w._.�:., _ �+ � .. ,.�. ......._. .._ _. . .. . . . . .. _ ... . .... .J � � ! e.�f ,r�� �� `3{� ��4._f ��_,(.!'..��C:�' �1��. _z,�`:��..... �i,�-��♦ tC"� �/y�%.'ti't�..� �"6`-+�. , .��... 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