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PHONE E-b1AIL STREET ADDRESS CITY, STATE,Z[P FAX 66 Notrero Ave. San Francisco CA 94103-4837 CONTRACTOR NAME PHONE E-M.AIL r STREET ADDRESS CITY, STATE,ZIP FAX 948 N.8"'St. San Juse CA 95ll2 408-456-0924 MAIL CERTIFiCATE TO: (Please allow up to 10 business days for delivery): CONTACT NAME PHONE E-M.AIL � STREET ADDRESS CITY, STATB,ZIP FAX 1O65U S De Anza Blvd Cu ertino Ca 95014 408-366-2623 LiST ALL BUILDiNG PERMiTS ISSUED FOR PROJECT: PERMIT SLiBMIT ISSLrE DATE INSPECTOR SCOPE NUMBER DATE DATE FINALED 1 -2017-0762 �-����"°� 9-14-17 3-26-18 �,,:; '�^ � �,�.� ��„�;' TI for new retail Paint Store, 2 , ,��� �., . � � �, ;.� r. � ,, ^, � • t; . � P � ,,. � , �,�. � �°�� ��_'� `i�;� ? i;"Ei�'t d I � '4rv�:'y � �al 5��� .,� 3 " OCCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD 1 Class"M"Paint Supply 56 3,389 sqft Mercantile: 3,389/60 Gross=56 OCC 2 3 4 BUiLDING DATA: #STORIES #STOR[ES OVERALL MAX OCCUPANT E'IRE SPRINKLERS FIRE SPRINKLERS BELOW GRADE ABOVE GRAllE FLOOR AREA L0.4D RE UIRED YES OR NO PROV[DED YES OR NO 0 1 3,389 56 Yes Yes #P.4RKING #STANDARD/COMPACT #ACCESSIBLE RE UIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED � � 2 INSPECTION CARD TO THIS APPLICATION. - OFFICE USE ONLY- SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST: �;� --� �� r,�t --� � y..,, �-�- � : , '1 ti � y� � Copy ofJob Card Attached(boChsides)? � �'�`_ � �� � �,-- .�i �� Permit Signed off in system7 � �No other permits open or expired insystem'? Location of Approved Office Set� CofO A�plicataon.doc revisecl05/17/16 _ ...._..._�._.._ _.__._. ___...__............._�rrvo�cu��°enve�sa.m.n�vc��a�a�r t��r�r•r�nr�cA�n ....................._..._ ...._ R€m,nr�G u��u�� 14GSi3 E7E ANZA BL'JC3 CONFRACT(JFt PIIZll1fT lY(1 Cl7PERT[NO,CA 95n144450 PI.'�"1"[']iJA�[F3[7IFFd7EEiS IAtC 1�-2(11l-Q7G2 . __.._.........______ • f UWfVF�'S Nr114� ]'I:ftMITLSSIJFT�t B`:'E�`t PRC3PEFtTTIE..S:.E' G6%OTREPtCt A"i�SC,N F'RANCISCb,C.es 941�)3�4a37 �J9/14�2017 C'4�J?3�'S PIi(?�E: P�I4��N0: � _.._._........_..........__...__.._�.._ Jf��,�3E5 CI�TPTIt2I�; SI IE�.VJi�i 4��iiS dA1+1/5-i.I.;RECA IL(33&9 5.�.j .__.r......_._.........:.._........__ __...._ -�-_-- -- TYPE F�'SPECTCBCB, fJ,4TE � . � _.__._......... UNDEftC'i€t,�JF1D C'ul.S 9iPING itmioe�c�ourar�wa-rtx � UNpER.GROI]ND SfiW FA E . ____._...._....... _ _._-__-__.�_.............._._m.........._... 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'('I[..E$AC�R � T�AR CF3' Pt.iJi,SRING `.� :� � INTERICJR LAT9i RdPSLiN.t"i � �. . .. . ._._....:_...............� iLLLC'TRI�AL � ' F� .. ��r�csxz� �Ar,�Ns - In��eLa�c� �� �� g . -___-_� �r�aa�t�rx • . — � __._.._. °s. g �TF.,�9Pi5RdFc4'LJCCIPlthIC.'t' SCAATCH t,�GAT' ; ................�..._. w_��._..� �.�.--___.�__.....___..__._......__._... � � ' i .€Bt3iS.DIlVG �' � S�iNG I� ' .._.._._..—..m._..__i ,. _ _._:-.�:�::.-� ....._...�:... ...x__.......—...—. : PERMIT FEE RECEIPT Case # B-2017-0762 Date Printed: 08/22/2018 CUPERTINO CITY OF CUPERTINO - FEES RECEIPT Case Number: B-2017-0762 Permit No: B-2017-0762 Project Valuation: 150000.00 Date Submitted: 05/15/2017 Permit Type: Building Address/APN: 10650 S DE ANZA BLVD CUPERTINO, CA 95014-4450(369 37 027) Receipt#: 218099 Scope of Work: SHERWIN WILLIAMS-T.I.; RETAIL(3389 S.F.) • Contact Type: Applicant Full Name: RONNIE ROLLMAN Primary Phone: 619-358-9220 Address: 4080 CENTRE ST 203 SAN DIEGO, CA 92103 Email: Cupertino e lans cupertino.or Contact Type: Property Owner Full Name: BYER PROPERTIES LP Address: 66 POTRERO AVE SAN FRANCISCO, CA 9410: Fee Information Amount Inspection-Standard Hourly Rate $342.00 CERT OF OCCUPANCY/COMPLETION Payment Information Payment Date Patron Payment Type Amount Inspection-StandardHourlyRate 08/22/2018 THESHERWINWILLIAMSCOMPANY Check $342.00 FEE TOTAL $342.00 AMOUNT PAID $342.00 BALANCE DUE $0.00 08/22/2018-10:03:49 AM-Generated by:haleym 1/1 i