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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPEF{`T'INO 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 SEPAREITE APPLICATION FOR EACH BUILDING:
PROJECT�DDRESS � �� / ApN 4 DATE /,�J
�v �
O\VNERNAtyIE P ONE t� E-MAIL
l �Q � L� � — ,,J` — O'�� f> �t' -
� `�.- Gc%6�
STREET ADDRESS � , c"`� CITY STA�'E,ZIP _
! t3 � _/., ��' `' � .�.e v'/Y� L' �'- �`.�
CONTRACTOR NAME , p�� _
E-MAIL /J
- �• �� �,�1 rC �L : 'l��'� J � 1�
S�TJREET ADDRESS -y� CITY, STATE,ZIP f p
�G�-�� a i,t/<�✓�� �' y / - � �� C -�J -�", �J �!// L�'�� !
MAIL CERTIFICATE TO: (Please allow up to 10 husiness days for delivery):
CONTACT NAME�,� P.ONE � E_MAII.,
� � . �'�� � � ��11 i' � �a�LIcC%r� 'r��t , :c c�
STREET ADDRESS CTTY, STATE,ZIP
���� � ��)�e�.ti � ,f ' ��� ��— C,!' ���' F ���� G�'2�
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERI4IIT SUBNIIT ISSUE DATE INSPECTOR SCOPE
NiJNiBER DATE DATE FINAI,ED
1 U -L� ! �,5'('7 -
�
-� �'' 7,�'-��f`�I��l Z
3
OCCUPANCY DATA:
USE OCCUPANCY '1'YPE FLOOR AREA OCCIJPAN'I'LOAD
i � � ��r ��� �
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL NIAX OCCUPANT FIRE SPRINKI,ERS FTRE SPRINHI.ERS
BELO�V GRADE ABOVE GRADE FLOOR AREA LOAD REQL7II2ED (YES OR NO) PROVIDED (YES OR NO)
-:�� �� J� . �� ,���
#PARKING #STANDARD/CONiPACT #ACCESSLBLE
REQUIRED PARHING PROVIDED 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)?
Peimit Signed off in system?
No other permits open or expired in system?
Location of Approved Office Set?
CofOApplication.doc revised OS/17/16
r------
CI7']'OF CUPQ2"['L�O BUII,DLVG PFRM['f ItiS PECI'[ON CARD
B�]J_�>1'�G ADDIiES S
�07:i`SfEb'ETJS CREEK BLVD COi�'TRACCOR PER1�1fI'NO
���UPER"fINO.CA 950142104 RTiN ENTERpI2ISES I1VC B-2017-0998
�OVdtiL72'S NA�tE
L'+U ALLAN CHOOK l'EEA\�D L[NDA YIM�EUNG EI' PU Bv�3324 SARr1TOGA CA 95070 P�N��SS UFD;
�OWNET2'S PHONE 09i25%2017 �
PHOA�NO:
JOB DFSCR[YTION:
� __ HABI't BURGGR GRiLLitH-IST FLOOR;T.L(2338 SF)
_ TYYE INSPECTOR � DATE
PLUMBING I
L4�'DERGROUND GnS PIPI�v(;
!:ND[RGROUND WP,TLR
�T`DERGROUND SE\I'ER
LR�IDERFL(�R
ROUGHPLUMBL�G
SHO\k'ER PAN
\I'ATER HFATtR
WATER SERVICE
GAS PRFSSURE TEST
GAS Iv1�'iER IttLEASE
PROPERTY LINE CLEANOUI'
PLU�RI�G FC�AL
�ELECTRICAL
�FER
TO ARRANGE INS PECT[ON
��'�eaGRotm�D Call 777-3228 between?:30 am and3:30 pm NIonday through Friday,at least 24 hours before required
un�o�ar�ooa
inspection.Jobacl�ess andPernutNmiil�ers are neededetitren requestlng an inspection.
ROUGH ELeCTR1CAL CUPIIZTI1vO SA:VTTARYDLS'►�RICT I
Closed circuit video inspection of propert}�line cleanout,point of connecNon
TF,P.IPORARY POWF.R POLE andstreet lateral requiredprior to oassing FLIALCITYPLIJ�IB[NG
SERVICe upcww� INSPE('IION.Call the IJistrict(408-253-7071)for an appointment.
ELECTR(C�teTER RELEASE NO BUILDIlVGFIIVAIS IlVSPL'C`IIONS UVTIL,AI,],REQjJiRF�
ELF.CTRIC�INnL BL�I�'ESS LICFIYSFS AREOBTAINm
�'����' PII2iVIITEXPIRES[FWORKIS NOTSTARTID WITHIN 180 DAl'S OFPFRi�llT
U?`'DERFLOOR ISSUANCEOR 180 DAYS FRO;YILASTC,aLLED WSPECTfON.
Rouci i tiiFci+a�ncn� �
L�IPORTAi\'T When a permit has expired,a charge totaling one-half the fees to obtain a neiv permit
tuart.���cE must Ix paid in order to reac6�ate the permiL If a permit nas been expired for more
than one year,a charge rotaling the full fees to obtain a ne�vpermit must be Iraid
A1R CONDfTIONER
to reacU�ate the permi�
iioons
kecN4nicn�F[r�.ai. NOTE5 ' _ �,^�,,l� � ., �
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SWI:1�Li1ING POOL��-
RE[IYFORCEMEM' ' q i... ,.•7 � � i
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PlWE � .:�`�' �`�.'a r', ,. .
. ;�, �?�� `���;�'' �, � :
ELECTRlCAL BONDING a �E��� a'�'j'i���I� �`�'.���q.1��,.;.z...-
�ROOFING , � '.. .. .':�. .� '.'':`i t.c ...`� 4.� � a.._...¢t"�i�'t�4�= f..+.'����s-��;
PRF NSPECTION
T[AR OFF
N.VLIVG I
(3ATTE\;S
� TYPE ItiSPECTOR DATE TYPE Il�'SPECfOR DATE TYPE INSPEGTOR DATE
FOLT7DATTON PLiPNBING � SA,'VITARY INSPECTiONS
�
i!�(70TINGS �'? � y,�� �:1� SHOWtR PAN IJNDERGROUI�ID
UFER WATER HEATER HYDROFLUSH
PfFRS W�\TF,R SF.R\1CF
GRaDC BGAMS GAS TL:ST �;;��:; •,s��':;��'y.:� PUBLIC WOk2KS
�
GARAGE SLAB � " ' RIGHT OF WAl'
GAS ME�ER RELEASE
CROUND/SITE WORK � GRADING
UNDtRGROUNDELECTRICAL -'i" �^ � ItETAWI\GWALL
` A � 4 ELECTRICAL
U?v�DERGROUND GAS PIPR.G TENIP POWER POLE
UNDF.RGROUt�D WATFR SERVICE UPGRaDF. FIRE DEPARTh1EnT
Wi�t2GROUNDSEWtR >; ' -_�d;�: SITECOi�IPLL�V�CE
• ��_,�i� � PV SYSTEM
SITE R'ALLS FIRE MAIN SYSTEMS
EVSYS7EM
FOOTNG FIRE SPRINKLERS-ROUGI I� �:1 I ) � y �.
f ., i. � 3.';
:VW,SONRY RtBAF2 �. C .. , - i?�! j'
MECH�L�IlCrlI. FIRt.SPltl�lKLER-F�l\AL fi a .�,9{t.'�'�� � A�i .ri r_.
DRAfNpGE FURNANCE �o...+`° �. a 'y e 't
F(REALARMfINAL r�.11 . �R r,;S�c;'.F';�.��; %�� .�',, ^�"�F��,'fp;. ,.�
CMU 1VALLS BOILFR STAiYDPIPE SYSTP1vIS
[INllERFLOOR
AIR CONDITIONER `� E 1
WDGRFLOOR PLUMBI�IG �,lTGWtERED F'IRE PROTECTInN SY;Ey1 , p,--, ,�-�i,. y?{'j{'�
F�
HOODS �' ���1��•� F[RE L[FE SAFECY' � � _ � ,�;y 9. �� -�. .�
UI�DERFLOOR\qECHANICAL €a_
DUCT WRAP �<�:• -
L'ND�;RFLOOR ELECTRICAL
DOCU�7EIVTATION �
I,�DERFLOOR FRAViING � .�.�� Pqp!SE?BACK CERTffICAT10N
U��DERFLOOR fNSULATION PLCMBO�G TRUSSES
���G �� tLECTICAL `�.�'� �I�. SPBCIAL I\'SPECTION REPORTS
fL00R NrVUSH[ATHING
:�4ECHA;.7CAI. S\-tOKE'CARBON�10NOXIDE CERT OF
ROUGH PLIMBfI�'G �'�'��' CO�PLL41dCE
' � 4�". t S.� BL'ILDNG � .,
✓ -= R�ATER FIXTURE CERT OF CO�iPLiA\�CE
ROUGH�1ECHFvVICAL e.��,.;;;�� � ��:� .,f� E� � ���
, FIRE E\�ERGY COMPLIfv�CE FOR�b15
ROUGH ELECTRICAL ,�� � �� ���.�
° p �� CALGREEN MANDATORY ITEMS CFIECKL[ST
ROUGI-1 FRAMMG g a
c1 -yP:'`"iO� S.'Z.i't�!� � SWIMIIIING POOL
lNTER10R SHEAR REWFORC�'v1EM
DEPARTMENI'FI2QALS
EXI�ER(OR SHEAR PRvVE PLANMt•;G C,4LL 777-3303
l4'ALL INSU7ATION ELECTRICAL BONpING PUBUC�VORKS-CALL 777-3354
CEILIUG WSULATiON DE�IOLITION FIRP.-CAI,L37S-0010 ��•„ t�i>';�_:
;` ,�;s ;
ROOF NAILNG BACKFILL I IFALTFI-Cr11.L 408-918-3400 -
LYCERIOR.F7:\'[SHES c � -
3 t�� SHEETROCK � a - � ,F - SMITARY-CALL 2S3-7U71
�.�.-,..�. �:\ ROOFII�G
TILE BACKER UNDERLAYMEM PRE L\SPECTION
BUILDL'VG FI�AIS
TILE BACKER .!, A � -
TFAR OFF PLUMIIING -��� y;��.L_9"�s;
�YTERIORLATH NAILIi�iG ELECTRIC?.L �.�(,r 3 y
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. EXTERIOR F'aV[SHES BATTENS ` -
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SCIL\TCH COAT -
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