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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO,CA 950143255
(408)777-3228•FAX(408)777-3333•buildina(a�cupertino.ora
COMPLETE A SEPARATE APPLICATION FOR GACH BU[LDING:
raaecr n�oness nrrv u 326-10-066 ��'E 11/22/2016
20600 Homestead Rd. Cupertino CA 95014
OWNrRNAMG PHON[ 408 796-6486 E-MAIL
Sobrato Interests 1 & Sobrato Interests 2 � ) sportera@sobrato.com
STREETA�ORG$$ �0600 N. De AI�Za BIVU. QTY, STATE,Z.IP FAX
CONTRACTOR NAME PHONE E-MNL
South Ba Construction (408) 379-5500
STRLf:TADDRLSS CI'PY, Sl'ATE,Z.IP FAX
Campbell, CA 95008
MAIL CERTIFICATG TO: (Please allow up to 10 business days for delivery):
CONTACT NAM[ PHONG E-h1AIL
Sierra Portera 408 796-6486 s ortera@sobrato.com
snun nooacss 10600 N. De Anza Blvd. �'T`' ST"T�,"� rnx
Cupertino, CA. 95014
LIST ALL BUILDING PERMITS ISSUED POR PROJECT:
PERMIT SUBMIT ISSUr DAT¢ INSPCCTOR SCOPE
NUM6C2 UATG DATC �INALED
� o b 9 it 5 � �o.w. Z
z 2 9 `� ° l2
3
OCCUPANCY DATA:
ll5G OCCUPANCV TYPE �LOOR ARCA OCCUPANT LOAD �
1 �
2
3
a
BUILDING DATA:
NSTORICS NSTORIGS OVP;RALL MAXOCCUPANT FIRCSPRINICL�RS PII2I'sSPRINKLERS
UELOW GRADE AISO\'C GRADE RI.00R ARGA LOAD RGQUI1tF.D YCS OR NO PROVIDP.0 YCS OR NO
N/A 1 `3 ��l9 � Yes Yes
#PARKINC N 5'PANDARD/COMPACI' N ACC¢SSI6LL
aeQuuacu PARI(ING PROVIDGD PARICING YROVIDCD NOTE: ATTACH A COPY OF 7'HE SIGNED
�� INSPCCTION CARD'PO THIS APPLICATION.
- OFFICG USE ONLY-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Copy of Job Card Attnched(6olh sides)? . _
Pennit Signed off in system?
No othcr permi�s apen or expired in syslem?
Location uf Approved Office Set?
CofO A1���licntion.doc revised OS/77/16
_ 1'I.a.o-JI i o
_ _
CITY OF CUP` 'T 'i0 BUILDING PERMIT INSPT T'^N CARD
nu�i.u�Ncp�o� c55:20600 TiOME:;TEAD RL con�r�u�cToa: SOUTH I3AY �amnTtvo: 14040064
CONS"CRUCTION, INC I.L
owN�a�s nnmr: SOBRATO [NTERESTS 1 ETAL 1711 DELL AVE �naTe�ssuEu: 06/19/2014
OWNGR�s e�ioNr: 4084460700 CANIPBELL,CA 95008 PHONF.NO: (408�379-5500
INSPECTIONS DATE —jINSPCCTOR
FOUNDA7'ION/PIERS/H.D.S. BUILDINC PER�71T INFO: BI.DC f CL6;CT I PLU�'IB I �7ECH r
IUPfRGROUND RF.SIDENTI:IL � COMhIF.RCIAL I
PAD/SEl'BACK-CHRT JOBDESCRIPTION: STEIN MART - T.I. TO BUILD 0[TT (E) SHELL (31,499
S.F.)
iGARAGC SLAI3S/PRFGUNITE
�rOUR NO CONCRET�UNTIL AUOVE HAS BEEN SICNEU
UNDHRGROUND/SLA6
UNDBRGROUND PLUMBING 7 , � .
� / U
rUNDFRGROIJNDELECTRICAL I^�,� �
� /
�O NOT POUR RLOOR UNTIL ADOVC HAS 6F.GN SIGNCD .
IUNDERPLOORPI,UM�MG ��
�
�UNDHRIrLOOR ML'CHANICAL
�uNoeae�,002 a�scra�cn� WILDLAND URBAN INTERFACE FIRE AREA I ER#
UNDER�LOOR PRAMMG VENTS "
TO ARRANGE[NSPECTION
�UNllGRPLOOR INSULATION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
�
iNLACE NO SUDfLOOR UNTIL A�OVE HAS BCCN SIGNF.D before required inspection.Job address and Permit Numbers are needed when
!�kooF sHflniiimc requesting an inspectiun.
i
ROUGHPLUMI3MG �
I CUPERTINO SANITARY DISTRICT
liuds ffi s�iowea r�N i Clused circuit video inspection of property line clennout, point of connection
�ROUGH MECHANICAL xnd sh�ee[lateral requireA prior to passing FINAL CITY PLUD1BING
INSPECTION. Call[he District(405-253-7071)for an appointment.
�i ILOUGH F.LHC'I'RICAL/POOI,I30iJD I"'1 _ 1 �
! /
��I eitnmmc;s'rnias�e.ecaess � NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
-- BUSINESS LICENSES ARE OBTAINED
I.1N S�JNN H1JTi LATION
I
�_.—____'—.___--
,co�ea rvo woet<urvTi�nuove xns eeerv s�cncu pERMIT EXPIRES IF WORIC IS NOT STARTED WITHIN 180 UAYS OF PERMIT
exrsaioa sHen�,i;oi.n oowN ISSUANCE OR I80 DAYS FROM LAST CALLED INSPECTION.
i WT8RI012 SHF.AR,'HULD DOWN I
`rti11EHTROCK/SHEGfROCK SHEAR �MPORTANT
� � W6en a permit has expired,a charge totaling one-half the 1'ees to obtain a new permit
�I�x�'Eaioa�,piFuw-sc2Eeo must be paid in m�der to reactivate the permit. If a permit has bcen ezpired Yur more
ilNieaioa�ni'u � [hen one yexq a charge totaling the 1'ull fees to obtain a new permit must be paid
�O TAPC OR YLASTCR UNTIL A60VG HAS BCEN SICNED fU 1'eNctiVNte t�le pe1'mit.
SCRATCHCOAT
Iscwstiwnrna — NOTES:
i
IT-BAR/MECH/ELFCTA60VF.C6IL ,�� .,
�lVALS �
,e�ec�aic Meiek ae�snse SPECIAL[NSPECTIONS lnspector: Date:
I
IuAS'I'ES1'/MGfCR RELEASE
�_._ ���'� OOF INSPECTIONS
iGRADH-PUOLICWORKS PRE-MSPECI'ION: liupecmr: _ Date: _. _
�PIRE-CALL(408)378-4010 � � '
�q 4,, i� ' '";-('�` , �� '�l'EAR-OPP'. Inspec�or Datc:— __
�PLANNING(A08)777-1305 � � �
� �� , PLYWOOD� Inspector. Dace�
SAN�RY(A(18)253-7U71 r '7 ! � � � �
I I��� �7 �� � ATTENS�. Inspccroc Dnte�. _.__
�IiLECTTRICAL �
ROGR1iSS�. Inspeclor.___ Dace:
�MECHAMCAI. � —
� 24)
�PLUMBING INAL: Inspector___ _ Uale:_
i;HnNUICnI� .�+1 OT�:OSHA APPROVED ACCCSS TO It001�SHALL,I3E PROVIDED FOR INSPECTION.
I
I�GhERG\' l � �7 .
�� _I _. 7.-.1� , 1�( "OCCUPANC\'OF BUILUING IVOT PG,RMI'I'PCD UNTIL 6UILDING RINAL IS SIGNED UY
> > INSPCCTOR
6UIIAMG - � -
�- �'����.� 1>�"
, . �_.,
� - �
r .
�CERTII'ICATLOFOCCUPANCY' / �� � � I �� 1� )��
II_____ _'__'_'_"__—..____.�__'-_""'�__ ..__ _ - _ . _ _ - . . _ . .. _
30$ — u�- I,LS � -�� "� `� ��/S.
-96 �c� - u�-L� S � -� d ' I� [�ra�-� VS
30� . ��,-� // '
? ��.� ' �y �'�-".D'��
� �`/��/i'� r�'.e�C'�j v e..�,�� --t,�:�cy�-C�_E> !�—��.rv.:�J:<__