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APPLICATION FOF� CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255
(408)777-3228 •buildinq(a�cupertino.orq
����t� �n� V'
���OMPLETE A SEPARATE APPLICATIQN FOR EACH BUILDING:
� �
PRO,[,ECT ADDRESS , . �✓^� � � °'
�°<, , � . , ;�✓ ' CUPERTINO CA nrN����� �Q �'� �'� DATE
E �1� � �' ' !' t , � - t k" __ �
OWN$R E ` PHONE . ---- MAIL
t—�"�`� t � � � -- �7�°— ��L�'r i� �1 � �—} . t� a�,� �; �,��: �;��, ;�� ,
STREET ADDRESS� CITY, STATE,ZIP
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CONTRACTOR NAi1QE ' PHONE . E�MAIL , . ' , .
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STREET ADDRE�S r , ., .� `�� � `� CI�Y, STATE,ZIP , �� .' , 7-c��. V� -� ,
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MAIL CERTIFICATE TO: (Please allow u to 10 business da s for deliver ):
ri
CONTACT NAME ( , . PHONE E-MAIL �`.. - `
rl ' - _ '� '� . .
� - ' . `7 �, � -', q ,/ "1 / f
��,� ��.:�' �1��1 i�`,�i , ';°i '� � � J` � �3 r';t ? � J � , � f"/f>'�'11'' J� ' � ��`t'( �r','G,�4.��'el,r'�', ���' C�1�
STREET ADDRESS ` , t+ CTT,yK STATE,ZIY
�n � , � �_. � ��_ ,
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT NUMBER DATE FINALED INSPECTOR SCOPE
1 . 4 �
fa �:�.�-�� ����� � --r> �, r����� S ���.,j ; �� ,��. �---
2
3
4
NOTE: Please attach a copy of BOTA 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)?
Yermit signed off in system?
No other permits open or expired in system?
Verification of payment for ceRification?
CofO Application.doc revised 08/08/18
-c.;. , C�IY OF'C[JPFR'['fii0 BUILDING PII2.NffT�1SPF�;I70N CARD 'I
BUILDINC;�DDRFSS��70PVALU_'OPKWYC[,'PERTING,CA950i4 CONI'RACCORTEEL,CONSTRUCI'IONINC PFRMI'CNOB-2018-1727
Ot4�NII2'S NAME Clipertino PropeRy Devcloprrent LLC PHONE 654776-3L6 PFILVIlTLSSUED:02/I I/2019
PFIO'VENO:(703)759�754 4DDRESS:C:�
T\PE INSPECCOR DATE .10B DESCRIPTION: �
FOUti'nnTlor�SrcE WOFuc HSBC BANY T.I.-FIRST FLOOI;ALTERATION TU NUN BEARiNG INTGF.IOR �
p�g� PARTITIONS,DOORS AIv'D riJRN;EQUIPMEVT-(2190 SF) �
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�FliRA NCE � PERbllT\IJMBII2S ARE NkT�DID WI�TI RpQUES'(1NG Ai\LtiS P�]C170N.
AR COTv^JITIONFR PFRNffC IXPIRFS 1F V1'ORKLS NOT STARTID W[TiiW 180 DAYS OF P�L1'aT
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— ISSUANCEOR180 DAYS FROMLASTCALLIDINSPECT[ON.
HOODS NO L\SPECTIONS FUR SUII.DING FLV.�LS UNTIL AL,L ItDQUIRFD B[JSIlVFSS
DUCT WRAP LICEtiSFS AREOBTAIIVND.
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,rERV[CE UPGRADE KIQ-1T OF W AY �
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L�IDIILC320UND W.ATER SII2VICE FtRe nEPnttr,�te!vr ____j
L'NDERQZOUND SEW FR SITE COMPLIANCE I
FIRE MATN SYSTEMS
PRUPERTY L[NE CLEA NOUT ;
IJNDERQtOUND GA S PIPING FIItE SPRINKLERS-ROUC�3I ,�.,•� ,s �5 i
FIRE SPRINKLER-FINAL -^�-�. r
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ROUGH PL[,PVIBING . --� ' -e I
SHOWET2 PAN STANDPiPE SYSTEviS �1
W.4'I'II2 HE4TF�It INC�vEII2ID PROTECTION SYST�vI 1
GA S TEST T-BAR-FIRE __`�
� � � `��NIISGiNSPECTIONS'...:
GASMETEE2RELFASE DF1v10LITIONSTRLICTURE — �
.�INSULA'iTON
UNDIItFLOOR INSULATION ACCESSIBIIITY �
T I.PREP _ I
I.'JSULaTION J
i*rrEiuoR/E�ereiuoR�nrlst�s ': TFMPORARYOCCC,PANCY �
�SHEEI'ROCK ', "� y�-,�-j� � noc�,:�r,TnTTov �
I;�TERIOR LATH P.AD/SETBACK CFRTIFICATION
EXTERIOR iATH EPDXYOBSERVATION LEI'TEFt �
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SCRATCH COAT PLAt�lVING CALL(408)7i7-3308
�;ISWiMNtNG YOOL- �' I
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POOL PR�DECK PUBLIC W ORKS-CALL(408)777-33>4
POOL PRE-GUNITE FIRE-C.4LL(408)37&4010. �-. ': '>/,;%:: �t -
POOL PRE-PLAS i ER SANI IARY-CAI�(408)253-7071
POOL DIMOLITION
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kOOF PRE-INSPECTION ELECTRICAL � �S-_, y' `-�
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