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CofO Application.doc revised 05/17/16
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS APN # DATE
OWNER NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP FAX
CONTRACTOR NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT
NUMBER
SUBMIT
DATE
ISSUE
DATE
DATE
FINALED
INSPECTOR SCOPE
1
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
# STORIES
BELOW GRADE
# STORIES
ABOVE GRADE
OVERALL
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED (YES OR NO)
FIRE SPRINKLERS
PROVIDED (YES OR NO)
# PARKING
REQUIRED
# STANDARD/COMPACT
PARKING PROVIDED
# ACCESSIBLE
PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION 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? ________
Location of Approved Office Set? __________________
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10 UPERTINO, CA 95014-3255
(408) 777-3228 -building@cupertino.org
19479 Stevens Creek Blvd Cupertino,
CA 995014
7/21/17
AT&T Mobility 847-891-2329 mc6171@att.com
5 Wood Hollow Rd Parsippany, NJ 07054
CB Bovenkamp, Inc.305-233-4438 shawn@cbbovenkamp.com
9002 SW 152 Street Miami, FL 33157 305-254-1098
CB Bovenkamp, Inc.305-233-4438 shawn@cbbovenkamp.com
9002 SW 152 Street Miami, FL 33157 305-254-1098
B-2016-1901 8/19/2016 1/24/2017 Tenant Build out
Retail Mercantile V-B 4802 126
N/A N/A 4802 126 YES YES
Provided by Mall Provided by Mall Provided by Mall
Garyunknown
B-2016-1901
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