BLD-2019-1062 - COFOCertificate of Occupancy
This Certificate is issued pursuant to the requirements of Section 111.2 of the 2016 California Building Code certifying that
at the time of issuance, the portion of this structure described below has been inspected for compliance with the
requirements of this code and with the various ordinances of the City regulating building construction for the occupancy
and division of occupancy and the use for which the proposed occupancy is classified.
Building Permit Number(s): BLD-2019-1062 Application Date(s): 10-01-2019 Issuance Date(s): 03/19/2020
Address of Building: 10310 S. De Anza Blvd.
Scope of Work: SPICE KLUB - TENANT IMPROVEMENT (4,020 S.F.)
Use: Restaurant Occupancy Classification: A-3 Occ Load: 114 occ
Total Floor Area: 4,020 sq.ft. Type of Construction: 1-A Fire Sprinklers System: Yes
Current Property Owner: CIVIC PARK CUPERTINO LLC
Current Owner Address: P.O. Box 1325, Menlo Park, CA 94026
Final Inspection By: James Lee, Building Inspector
Final Inspection Date: 03-17-2021
*SPECIAL STIPULATIONS OR CONDITIONS: None
____________________________________ 04/23/2021
Albert Salvador, P.E., C.B.O., Building Official Date Issued
NOTICE/POSTING: No changes shall be made in the character of occupancy. This certificate shall be posted in a conspicuous p lace on
the premises, and shall not be removed except by the authority of the Building Official.
CUPERTINO
10300 TORRE AVE
CUPERTINO, CA 95014
Receipt No.:273743
Receipt Date:04/07/2021
R E C E I P T
RECORD & PAYER INFORMATION
Record ID:
Record Type:
BLD-2019-1062
Commercial Alteration
Property Address:10310 S DE ANZA BLVD, Cupertino, CA 95014
Description of Work:SPICE KLUB - T.I. (4,020 SF)
REV # 1 - REPLACE (1) FLOOR SINK WITH (2) SMALLER SINKS - (8 X 8) & DEFERRED
SUBMITTAL FOR FIRE PENETRATIONS INTO 3-HOUR FIRE RATED POST TENSION SLAB -
APPROVED 08-07-2020
DEF#1 - RAMP - APPROVED 11/3/20
Payer:Nayan Amino
Applicant:LIU PEI XUAN ET AL
20500 TOWN CENTER LN UNIT 189
CUPERTINO CA, 95014
PAYMENT DETAIL
AmountCommentsCashierReferencePayment MethodDate
04/07/2021 Credit Card PUBLICUSER352
757
$419.00
FEE DETAIL
Fee Description Invoice #Quantity Fee Amount Current Paid
1.00 $419.00Occupancy - Certificate of Occupancy/Completion 55069 $419.00
$419.00$419.00
AA_Receipt_Template.rpt Print Date: 04/07/2021 Page 1