BLD-2021-0371 - COFO_Koi PalaceCofO Application.doc revised 06/01/20
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS CUPERTINO, CA APN #DATE
OWNER NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
CONTRACTOR NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT NUMBER DATE FINALED INSPECTOR SCOPE
1
2
3
4
- OFFICE USE ONLY -
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Permit signed off in system? ________
No other permits open or expired in system? ________
Verification of payment for certification? ________
APPLICATION FOR CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
CUPERTINO, CA 95014-3255
(408) 777-3228 building@cupertino.org
19369 Stevens Creek Blvd ste 100 316-20-112 01/11/23
408-781-7866 yorkelee@timespacegroup.comKOI PALACE CONTEMPO LLC
19369 Stevens Creek Blvd ste 100 Cupertino, CA 95014
BRI 831-297-0012 project@briconstructions.com
37390 Cedar Blvd Suite C Newark, CA 94560
Sophia Zhang 408-786-8866
SOPHIAZHANG@KOIPALACECONTEMPO.COM
19369 Stevens Creek Blvd ste 100 Cupertino, CA 95014
BLD 2021-0371 1/1/2022 Jasmine Archbold11.22.22 Albert Tenant Improvement - Koi Palace - (3393 SF).
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