B-2016-1675 - COFO � -- -- - •
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
GUPERTINA ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408)777-3228•FAX (408)777-3333• buildinq a(�,cupertino.orq
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJF.CI'ADDRESS �� � ( / ��p�L,/V� �/�C�1���� APN;i �/�� �11 " � � � DATL �� � � �
L V
ON'NLR\�A�fE ��I��-C�� C�/� a/�f7TI�J`N PHONB/:IZ��(/l._���((j L 2��/L� i C2� EI::�'�X� C��L'
(X
ST EC-."C�DD S CITY, S7'ATE.ZiP F,�
3 S�� �f�' ��'. CG- ZS/D i'✓1 i NN.�.�4 c-l�.S �✓1�✓ �S�f D Z
CONTRACTOR i�Ab ` PHONE E-�,4fL
�. �• �vf�l� C��niSr�2��Tro�✓ ��,,/c , ��9- ��.� �`lP90 ,��,��e� C��,��@�✓f�v�/e2, cnM
S�FET:��1 F�,� K � �� � 5te �l�a ����. S��GK�r�� C,� 9sZ a� F,�� � �
�r-�✓ Q L'iac� 2�� -��'.�-� ��
MAIL CERTIFICATE TO: (Please allow up to 10 business da s for delivery):
con�TacT�v�.�1iF. L= �jlJf'�(�2 �/✓Si/Ii1JC%/d�� .�n/G� nttohGfl�—q�� � l�9/� �/t!!Q .C�/L�#!-t✓`B�l�v�"lQ/�. c.�r�
W
S'i'REE DDR� Cl�i'Y TATE,7iP FAX
�'a �i A�v`K r,JQST�,e�l� sr��i�a ��ra�K ra�. �A 9s'Za� �9 -- 9�3�y��/
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERNIIT SUBMI"C ISSLI�E DATE INSPEC"COR SCOPC
i�U11BER DA'I' A1' FiNALF,D
1 �-Zn�fv-1�o7 " j �� 7 r �� �.��7 � 5�+12� �i b`' r�c%SS er��r.,l� ��r��Q,v�
? -Z�ll�W2z�'. � �� 7 8 i� � T= . 2e�
3
OCCUPANCY DATA:
USl OCCUPANCY TYP� TLOOR AREA OCCUPANT LOAD
� rai`l r'�feac�av}��l �� ✓� �5� -�'F ('� I!�
2
�
�
4
BUILDING DATA:
#S'TORIES #S'CORILS OVERALL i1�tAJ�OCCL�PAN'C F[RG SPRINKI.ERS FIRE SPKItiKLI:RS
BELOW GRAll� ABO�'E GR.4DE FLOOK AREA LOAD REQD[RCD l'ES OR NO PROV�DEll (l'ES OR VO
C � �3 oss (�fo �es � �'s
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQPfRED PARKING PROVIUEll PARKIIG PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
�j '7 4, S' y INSPECTION CARD TO TNIS APPLICATION.
- OFFICE USE ONLY-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Copy of.iob Card Attached(both sides)?
Permit Signed off in system?
No ofher permits open or expired in system?
I�ocatioii of�Approved Ot�'ice Sct?
CofO Application.doc revised 05;77�16
CITYOFCUPERTINOBUILDINGPE[MUTINSPECHONCARD
-O fE LNGADDRISS
,19499 STEVENS CREISC BLUL'
CUPERTINO, CA 95014
Y
CONTRACTOR
W L BUTLIIR CONSTRUCTION INC
PERMIT NO
B-2016-1675
OWNER'S N.A6?4TE
( MAIN STREET CUPERTINO AGC FJE - TOR LLC)
2882 SAND ?TIIZ RD 241 MENLO PARK CA 94025-7057 .07/01/2016
PE RNIIT ISSUED:
iOWNFR'S PROPM
PHONENO:
_
JOB DFSCRIPIIUN: 4
TARGET EXPRESS - T.I.21,050 sq. ft. (inclined MEP)
TYPE INSPECTOR DATE
-
�� �"U157B1� W
UNDERC',RCA ID GAS PIPING
UNDERGROUND WATER
LMERG'ROUND SEWER
UNDERFLOOR
RCUGH PLUMBING
SHOWER PAN
.WAT12%HEATL•R __—
WATER SERVICE
GAS PRESSURE TEST
GAS METER RELEASE
PROPERTY UNE CLEANOUT
Pl ii'MBNG FN %L
E�iJ!'I12I '`.x:71.
I UFER
UbDERGROUND
TO ARRANGEIlYSPECTION
Call 777-3228 between 7:30 am and3:30 pm Monday through Friday, at least 24 hours before required
inspection. Job address andPermit Numbers are neededwben requesting an inspection.
UNDERFLOOR
ROUGH ELECTRICAL
('TEMPOMW POWER POLE
111SERV[Cl•', UPGRADE.
CUPERTINO SANITARYDISTRICT
Clos ed circuit i4deo inspection of property line cleanout, point of connection
andstreet lateral requiredprior to passing BNAL CLfYPLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment
NO BUILDINGFINALS INSPECTIONS UNTIL ALL REQLMUD
ELECTRIC METER RELEASE
—
BUSINESS LICENSES AREOBTAIN D
ELLCl'RIC FINAL
UNDERFLOOR
PERMIT EXPI RFS IF WORKIS NOT STARTED W7IIIh'V 180 DAYS OF PERMIT
ISSUANCEOR 180 DAYS FRO,MLAST CALLED INSPECTION.
ROUGH MECHANICAL _
I NANCE
IMPORTANT When a pernnt has expired, a charge totaling one-half the fees to obtain a newperinit
must be paid in order to reactivate the permit If a permit has been expired for more
than one.year, a charge totaling the full fees to obtain a newpernrit must be paid
VAIR.. CNDUIONIM
ACALtiNC
to reactivate the perndt
%el- C6A
a.'-" + P a
r—/' k1
"J< '✓ ! 1-�' �� `-''� �,
PLUMBING
IEISCTiCAL
BUILDING
RINFORCEMINf
E * d�
�L, 6,GTRICAI BONDING
PRE INSPECTION
TEAR OPF
I',
NAR.ING --
BATTENS
7,
Lu"
FOOTINGS
SHOWER PAN
UNDERGROUND
LIFER
WATER BEATER
HYDROFLUSH
PEERS
WATER SERVICE
L.
GRADE BEAMS
GAS TEST
-MW7-
RIGHT Or WAY
GARAGE SLAB
GAS METER RELEASE
GRADING
UNDERGROUND ELECTRICAL
RETAINING WALL
UNDERGROUND GAS PIPING
TEMP POWER POLE
UNDERGROUND WATER
SERVICE UPGRADE
SITE COMPLIANCE
UNDERGROUND SEWER
PV SYSTEM
FIRE MAN SYSTEMS
1@1 4
EV SYSTEM
FOOTING
FIRE SPRDLKLERS - ROUGH 0
MASONRY REBAR
FIRE SPRINKLER - FINAL
DRAINAGE
FURNANCE
FIRE ALARM FINAL
CMU WAILS
BOILER
STANDPIPE SYSTEMS
V Ame
AIR CONDITIONER
ENGINEERED FIRE PROTECTION SYSTEM
UNDERFLOOR PLUMBING
HOODS
LIFE sAFFrY,4 im Iq
UNDERFLOOR NJECHANICAL
DUCT WRAP
UNDERFLOOR ELECTRICAL
"Lab -m-mm
FPAD/SE .
UNDERFLOOR. FRAMING
rBACK CERTIFICATION
UNDERFLOOR INSULATION
PLUMBING
TRUSSES
1; - _1095 IRS - U75T __ ___
ELECrICAL
SPECIAL INSPECTION REPORTS
FLOOR NMUSHEATMNG
MECIIANICAL
SM0KElC.4RBCN MONOXIDE CERT OF
COMPLIANCE
ROUGH PLUMBING
BUILDING
WATER FIXTURE CERT OF COMPLIANCE
ROUGHMECHANICAL
FIRE
ENERGY COMPLIANCE FORMS
21
ROUGH ELECTRICAL
f-
CALGREEN MANDATORY ITEMS CHECKLIST
ROOM FRAMING
INTERIOR SHEAR
REINFORCEMENT
EXTERIOR SIMAR
PAVE
PLAN144IN& CALL 777-3308
WALL INSULATION
ELECTRICAL BONDING
PUBLIC WORKS -CALL 777-3354 r--wirk, W4 9-1,11-
I CEILING INSULATION
DEMOLITION
IRE -CALL 378-4010 i„ j'
ROOF NAILING,
PACKFILL
HEALTH - CALL 408-918-3400
SANITARY -CALL 253-7071
p
SHEETROCK _14
t
TILE BACKER UNDERLAY-MENT
PRE INSPECTION
PLUMBING
TILE BACKER
TEAR OFF
INTERIOR LATH
NAMING
ELECTRICAL
MECHANICAL
EXTERIOR. LATH
TEMPORARY OCCUPANCY
SCRATCH COAT
BUILDING
SIDING
iG
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