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B-2018-0572 - COFO
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'' �• ? -- c� CD �., � o � � ° � � — � c� � c� � — a o N � �`� '- °; � iv � � �. � o � � � i � � c� v � • __T_� � �- r--- _ _;---- - _. --._ .TI�.-:.. _ • -.. 1 -----1 -�-- - .—T . ._�.. . T_ T"T��._..'� L—:__? �- ��� � APPLICATION FOR CERTIFICATE OF OCCUPANCY COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL C�������� 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•buildinq�a.cupertino.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PROJECT ADDRESS APN' DATE , ,.� �=�{,ri.f�� �' �V'tI CUPERTiNO, CA � � O � Oo ` ''�� A , OWN R NAME � .,.,a PHONE �y, . E-MAIL , � �e� l - - L��/ -� �-� ��� .� ���� ,J � " �����. �Z` STREET ADDRESS 9 1 CITY, STATE,ZIP G� .� �.,._ � .l" /��b�. �- .3` �'L�c* ,;,. � ��� CONTRACTORNAME PHONE � a E-�IA[L � ' � �r.0 ��- c" 3 c�� > r� �=�Y�� �'� �l���'2�. c�E�r� STREET ADDRESS CITY, STATE,ZIP � MAIL CERTIFICATE TO: Please allow u to 10 business da s for deliver 'L �--� r� f � p Y Y)� � iI � �, \ CONTACT NAME , PHONE E-MAIL -.� - � _r� t , - ._. _ . _ - -N ,�� f`t i' �'�i �6''-` � )�� "? �f �✓�2 `' �' �' `��� STREET ADDRESS �/ f� f CITY, STATE,ZIP �y- ? �.� � LL'�. : / V ..� rJ �C( '� r/' .G'/ Q�Z.�C? �?.'7� � C�� r LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: PERMIT NUMBER DATE FINALED INSPECTOR SCOPE i �� ��,� :�Z � �� 3�b 1� 1� ' _ . Z.� s� 2 3 4 NOTE: Please attach a copy of BOTH SIDES of the signed inspection job 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 pennits open or expired in system? Veritication ofpayment for certitication? CofO Application.doc revised 08/08/18 CITY OF CU['FR'i'[NO B IAI.DING PIRMIT(NS PECTION CARD I3UII,DINGADD2FSS 101(�DEAN"LA BLVD CUPERTINO,CA 9.5014 CONTRACTORJ T CONSTRU('T[ON SERVICES[NC PER�VIIT NO F3-2018-0572 OWNFR'S NAME ZANKiCH MARTINTRUSTEE `�_� PHONE: PF12V1IT ISSUEU:UI/27J2019 PHONE;�O: ADDAESS:525 W RCMI�V(TO[J DR STE 114 SUNNYVALL•,CA 94087 � TYI'C INSPECiOR DATL � JOB DESCRIPT�ION: eo�tirozrro�;s�rF��cnat; PF{0 HA NO[-T.I.;RLS7AURANT(625 S.F.i PIERS i FOUI�IDATION � <<.;.�;�;; 1 �? UFER GROUND CdtADE BEAM � SI,AB �, ,'y, ; �� �'R RE[NFORCEN[Ei�T 1��11�^'�"� ,t+, f'�'� ;.,� ` �!� +��,�;«t��� ,,, �,P�3"�S '�tis �:��E� §.�i�::`�' k����-�' g�' d MASONf2Y/STEEL � � '�� °�� co�utinv sT�L � g�� `` Y; !; �, �" �. � P ?`'.`� .9,�i� �� � ;�l.� I � �F-'� RECA[NNGWALL u �' � ' &% �� P�R.iti1SG �� � �� UNDER FLOOR FRAMING � ROUGH FRAME �i�: )f;;`.��- � ,y�.},��F�: EXTERIOR SHEAR `' INTERIOR SHEAR ROOF NAIL '+ � s�I ' �;...y ��y A . . .rN�,�;'� '1,`1 l"5-- 1 �� i �� '�'^ i_��,% C,..., ::x,'a'�' , u•.,?r� _ .,.ti.h i'-BAR � � s _ a�..;�-"- ��..��� �.�� �t` .I.- % �it:C1t ti�TC.�L TO ARRAIVGE L�S PECT[Ov:CA LL 4Q8-777-3228[3EIWFkN 7:30 A.M AND 3:3 U P:vL UNDERFLOOR MECFIt\MCA L �'IONDAY"[IiI201;GH THURS DAY OR BEIIVEQV 7:30 A.11�L.AND 2 30 P.n'L ON F'I2IDr:�', ROUGHMECHAMCAL �, �-`._�;;f? ,, y,� CALLATLG4ST24HOURSBFFOREREQIJII2FD�'SPEiC'I'dON,JOBADDRFSSMD PFdLM1I['I'NUIYtB FRS ARE NFk�ID WfiFi�'R�UES TING AN INS P ECT[ON. FURANCE ' AIR CONDITIONER 1'���IRES[F WORKfS NOTST.ARTED�VITf[I�1S0 DAYS OF PET2NI[I' — — ISSUANCEOR 180 DAYS FROM LASTCALLED INSPECT[ON. BOII.ER HOQDS �� �� NO I1'SPECI'[ONS FOR BU[LDING FGVALS UNTILAi,[,[ZEQUIRFT)gl}gTi�rFSS-- DUCT WRAP ��- LICF1�iSES AREOBTAINCl). � F.LE�CI'k1CAl. TYPE TNSPF.LTOR DATE UND'�-KGROUI�D�iECTAICAL __._ — s:�titt',�itti���rN<-rio��'�� UNDERFLOORELECTRICAL UNDEKGROUVD L �� ROUGH EL6C.'TRICAL "�"�/ �';�#�:G�, d K� r;'p=e HYDROFLUSH .—�� PV SYSTEM " VISUAL EVCHARGINGS'CATION � CdtFASEINTERCEPTOR TEMPORARYPOWERPOLE � r��;i.�c��c»z�:t �'y_i„1--�' —� SERViCEUPGRADE ' '21GHT OF WAY v i;FW DL\'G �" ELECTRICN(ETERRELEASE �_� � ._ri.i'�ntt�c _._ ---- ;2ETAININGWALL - _^ UNDERGRUt;'NDWATERSERVICE -_ _�� [iiie[�Fr.�x[:�jr�r v�. _ ..— UNLIERGROUND SEWER ��>�',����y�, r� � �t StTECOMPL,IANL'� � PROPERTYLfNECLGANOUT � FIRLMAIIVSYSTCMS UNDERGROUND GAS PIPING FIRE SPRCVKLERS-ROUG�-[ �'o' �ti�..y:s:�,„;, --- UI��ERFLOOR PLUMBIiVG F1RE SPRI.�IKI,ER-FINA L ' ROUGHPLUMBING ��::,�y,�y ' �:f;i�;. FIREAId1RMFINAL �;� ,�� i^=- SHO W ER PA N STANDPIPE SYSTENIS WATER HEATER ENG(NEEREIJ PROTECT[ON SYSTEM �� ' r-BAR-FIRE ° a GAS TEST �� :7�t,�.. �'-p m ^$ �"� �tuc.ntir t.c-i'tms ._.._..._._.._�- §, GAS MEIER RELEASE U�v(OLI t10N STRUCTURE tV'�tfl:ATIOA" � UIvDERFLOOR�1SULATION�� - ACCESSIBILITY � INSiJLATION �-- T.I.PREP ' — i�'re,tiioiii Fi��r:auirs r7ciwi��:ti � T�SPORARYOCC[JPANCY SHEETRO(:K ---__.�._ �_._.,_ A�`'I P :� 3 � -_,, — .�__� ocxl�it:�r,�tio�_.._____� —_ —� -�...:; INTERIOR LATH " Y PAD/SETBACKCi�IZTlF1CAT10N� EXTEF2IOR IATH t:PDX1 OBSIIZVATION LEI TII2 Df.l':SHl'>if�l'FI�:�L.S SCRATCH COAT � PLA?�N`NCr CALL(403)i77-330:{ �~ � S�N\L�it�G YCxt71. POOL PRE-DECK PUBL[C W ORKS-CALL(408)777-33�4 POOLPRE-G[JI�[TE �IRE:-CALL(408)37R11010 M,,. .-:,r1,',;'-��,�:.'' SA;v'ITARY-CALL(408)253J071 P(�L PItE-PLASTQZ _ i PC)OLDEMOLITION at.itni�c t���r: ` MECHANICAL � �"' ��� '� Rt7Ufl�G � "�� '�-�1'�k.: � ROOF PRE-INSPECTION ELECTRICAL i". , ���';#'v�; �., TEAROFF PLUMB[NU_• � � Pcl' a�p �'4" Z� PLY�VWDIVAIL BUILDIIVG /.�% , f^�_3<iYe ,,�---�'-� �` BATTENS v -- t i; l r� , �-�, .�� � � � � � -- - �� �`'� �� ' � ` � `�_ �� , ; ., d� � 1�` i �- +. , � � �d�� Sew��,,t2.Gf�+t'� �� '��Y�g�p c,.�. PERMIT FEE RECEIPT Case # B-2018-0572 Date Printed: 07/09/2019 CUPERTINO CITY OF CUPERTINO - FEES RECEIPT Case Number: B-2018-0572 Permit No: B-2018-0572 Project Valuation: 80000.00 Date Submitted: 04/09/2018 Permit Type: Building Address/APN: 10100 S DE ANZA BLVD CUPERTINO, CA Receipt#: 221755 95014(369 01 001) Scope of Work: PHO HA NOI-T.I.; RESTAURANT(625 S.F.) • Contact Type: Applicant Full Name: Sullivan Santos Primary Phone: 650-796-7159 Address: PO BOX 38 Mountain View,CA 94042 Email: cu ertino e lans cu ertino.or Contact Type: Property Owner Full Name: Zankich Martin Trustee Primary Phone: 408-483-0030 Address: 525 W Remington Dr Ste 114 Sunnyvale,CA 94C Email: na Fee Information Amount Inspection-Standard Hourly Rate $357.00 CERTIFICATE OF OCCUPANCY Payment information Payment Date Patron Payment Type Amount Inspection-Standard Hourly Rate 07/09/2019 HARRY U NGUYEN SR Credit Card $357.00 FEE TOTAL $357.00 AMOUNT PAID $357.00 BALANCE DUE $0.00 07/09/2019-9:17:04 AM-Generated by:jasminea 1/1