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Q^� I� � L' � � � � 0 � � � ,� LL � = �����_� �— m Q 0.. � � U U i.i � c!� Q Z � , • I - ��— � _ -,-- r —_ _-, , .._ , �._ __ ' -,— -- - _.. __�— =-- � -� _�_ --� ' __ _ _ _..- — — - '- - ;.__ _ _ _ . _-'_� _.._ �---'-- �� APPLICATION FOR 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 COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PR07ECT ADDRESS APN# DATE 10445 South De Anza Blvd CUPERTINO, CA 08-14-2019 OWNER NAME PHONE E-MAIL BDC Hayward LP 925-588-2219 azuzack@browmandevelopment.com STREET ADDRESS CITY, STATE,ZIP 1556 Parkside Drive Walnut Creek, CA 94596 CONTRACTOR NAME PHO�E E-MAIL Tectronic Builders Corporation 408-422-6029 larrywang@tectroniccorp.com STREET ADDRESS CITY, STATE,ZIP 10118 Bandle Drive, Unit#E Cu ertino, CA 95014 MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery): CONTACT NAME PHONE E-MAIL Ave M. Lim 510-825-5223 ave I tawa.com STREET ADDRESS C[TY, STATE,ZIP 2931 Faber Street Union City, CA 94587 LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: PERMIT NUMBER DATE FINALED INSPECTOR SCOPE 1 B-2017-2014 08-14-19 Bob Sabich 99 Ranch Market-T.I.Grocery Store (1,366 S.F.) @ 10425 2 S. De Anza; Food Hall -T.I. Food Court(10708 S.F.) at 3 10445 S. De Anza. 4 NO'TE 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)? Permit signed off in system? � No other permits open or expired in system? � Verification of payinent for certification? 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BUtLDINCi 1'i'� �� �'�'.i'-7',./<% i3A"('I�k;NS i : �iTlt t)� �t1PERTINO iQ��iO Torre Ae�enus Telephane 777-32�� , � IN I�E TI�N N TI E �UIL�IN� �!1/ISION � Jo� pAr� I -- � ADDRES� Tl�tl� � DAILY i�ERO�tT � C�RRECTI�N NOTICE C9 VIOLA�'10(V�❑ TYPE INSP.: B�DG.::] ELEC:U PLBG.❑ MECH.=1 �► R ���� 1 � � ��� �.ua..�� �E... �. _.��. _ ..: .m r�r,. _ _�a a ��3 ;Y� 4 �. }.�� �s.�_�. zu �. �� --- _ ��� -- —��— — --- � ���-- — --- a� -- ; � s � __ WEATHER __—_— _INSP. __ �: — �..._ — � � CARQ TO REIVIAIN ON JOB-�SITE , CUPERTINO Invoice No.: 47678 �� 10300 TORRE AVE Invoice Date: 08/19/2019 .,� CUPERTINO, CA 95014 CUPERTINO �ua��z-roMac3 INVOICE RECORD/NFORMAT/ON RecordlD: 8-2017-2014 Record Type: Magnet Converted Property Address: 10445 S DE ANZA BLVD, CUPERTINO,CA 95014-3011 Description of Work: RANCH 99-T.I.GROCERY STORE(1,366 S.F.)AT 10425 S.DE ANZA FOOD HALL-T.I.FOOD COURT(10,708 S.F,)AT 10445 S. DE ANZA REV#1 -DESIGN CHANGES-ISSUED 3/15/19 REV#2-REMOVE(1)CHECK-STAND-06/06/2019 Appiicant: Larry Wang N/A 2905 Stender Way 88 Santa Clara,CA 95054 FEE DETAIL Fee Description Quantity Fee Amount Occupancy-Certificate of Occupancy/Completion 1 $357.00 $357.00 AA_Invoice_Template.rpt Print Date:08/19/2019 Page 1