15070149 - COFOcer" h_ n, a etc,
This Certificate is issued pursuan toy ;i eme0 s f',f ectio�, W ® lif ;nia Building Code certifying that
at the time of issuance, theortip�cf a descry .� o b., p . ed for compliance with the
requirements of this code and wit h�he ious,ordinances of the i. La bui in g onstruction for the occupancy
c sand the use f it whtchxt 4, proe d�occn pa ..vis classified.
and division ofRocc"_�
Building Permit Number(s): 150,701'4 ` ApplicationDae(s:l� 2'130154 Issuance Date(s): 10-07-2015
*SPECIAL STIPULATIONS OR
ILS- ��AACN
Albert Salvador, P.E., C.B.O., Building
Date Issued
NOTIMPOST/NG No khan e s a be made , h �h er oI n . y h s e �c%hqal-apo conspicuous place on
premi s, an , ha€ owe re fed e y the atuthor ofng �cia
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUP R'TINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 - building a0cupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS to S / ` /,
t , O �, APN # �� - D� I c)��
('{�/%
DATE ^ -+
fi �iV
OWNER NAME
-(> n.Q
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(
PHONE _ 2Z
E-MAIL
STREET ADDRESS 3333
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ow
CTT `L , IP , FAX
CONTRACTOR NAME^
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PHO`6
k (� C� hCOvl
STREET ADDRESSCTTy
STATE, ZIP
e", -".'vs
FAX
9A6-7Z'1-o5&vj
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delive
CONTACTNAME PHONE
STREET ADDRESS CITY, STATE, ZIP ® r FAX
T TCT AT T RT ITT 1lTNC: PF.RMTTR TORTIFD FOR PR(')IF.C.T- 'O f' / // ��'- // Oa/,- c-,, P
PERMIT
NUMBER
SUBMIT
DATE
ISSUE DATE INSPECTOR SCOPE
DATE FINALED
1 o201
FIRE SPRINKLERS
REQUIRED YES OR NO
s A".j Yrs
2
3
nC C..T TPANCY DATA
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
RTTTT.DTNG DATA
# STORIES
BELOW GRADE
I # 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 (To be completed by inspector of record) -
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Application. doc revised 03/07/12
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
6�t",L—I)n-G
ADDRESS: 10815 N WOLFE RD
I CONTRACTOR: S D DEACON CORP OF
,ILIFORNIA
PERMIT NO: 15070149
OWNER'S NAME: CUPERTINO VILLAGE LP
17745 GREENBACK LN STE 250
DATE ISSUED: 10/072015
O%`NEWS PRONE: 9257889971
CITRUS HEIGHTS, CA 95610
PHONE NO: (916)969-0900
DVSPF.Gii0A1S ==¢ -' DtiTE , = ss; SPEt~It1
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑
PANCHEROS MEXICAN GRILL - STE # 105 - T.I, TO
BUILD.OUT SHELL 2,067 S.F. (CUPERTINO VILLAGE)
FOUNDATIOMPIERS+AD_S.
LIFER GROUND
PARET EXEK-GE'PT
GARAGESLABS:'PREGUNPTE' •T.
t
POiS#Gi�iOQO�It7iI71�E�ii�� ?'31G3StED�_,.. '.>° �'
UNDERGROUNDISLAB
UNDERGROUND PLUMBING
UNDERGROUND Ei.ECTRIEAL
DowP041R
UNDERFLOOR PLUMBING t _ 1 6 -
1 t
UNDERFLOOR MECHANICAL
WILDLAND URBAN INTERFACE FIRE AREA ERI€
TO ARRANGE INSPECTION
Call 777.3228 between 7:30 am and 3:30 pm Monday through Friday, at least 24 hours
before required inspection. Job address and Permit Numbers are needed when
requesting an inspection.
CUPERTINO SANITARY DISTRICT
Closed circuit video inspection of property line cleanout, point of connection
and street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment.
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
IMPORTANT
When a permit has expired, a charge totaling one-half the fees to obtain a new permit
must be paid in order to reactivate the permit. If a permit nas been expired for more
than one year, a charge totaling the fbll fees to obtain a nese permit must be paid
to reactivate the permit.
�L j��f��C � �� ��
NOTES: SIS L� WH TU�'_ICtS�C Bi
y CK— aJ,�n N� { `yam POWAT � y ;PTCP + 1 `
R S RM F jk. IOW6 NIP- -S1 G_a� M.+^a.
C17RG. 1 lrlhQ. UL !8D G1I SpA
_ _fJ
S L INSPECTIONS Inspector: Bate:
ROOF INSPECTIONS
PRE-INSPF,CTION: Inspector. Date:
TEAR -OFF: Inspector: Date:
PLYWOOD: hispector. Date:
BAT TENS: Inspector. Date:
17.; PROGRESS: Iosp:ctor. Date:
FINAL: Inspector: Date:
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
OCCUP4NCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
VAI -•�. j (tom
1
UNDERFLOOR ELECTRICAL % — (r
!
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
PI4GENO St/BFLOO)i UNTI ` ABOyE-IIAS=BEEN S(fiy#`RD ._f ti
ROOF SHEATHING
d ROUGH P-umBiNG /1 Z ' 77
TUBS & SIIOW'E_I. PAN 1
ROUGH MECHANICAL
c
ROUGH ELFCTRICALIPOOL BOND
� , S
fRAMINGSTAIRSS EGRESS: .--
R-ISULATION/VENTILATION
tCOVER
NOFY�1Rl�tJ1VTIL �BOYE^11hS`BEF�I`SEGLVED"'` ., "p '
EXTERIOR SHEARIHOLD DOWN
INTERIOR SBEARMOLD DOWN
SHEETROCKISHEETROCK S AR
EXTERIOR LATI W -SCREED
EXTERIOR
INTERIOR LATH
O TAPE OR PLAS7 ER iil•S iIL A,BOVE. I1.i$E11.'� SIGiVt D '
SCRATCH COAT
ISLWER/WATER
(r-3ARM1EC1i ELECT ABOVE CEIL t
/ , ..•
!
F14AL • �., �. , fi,
FLECTIMC METER 2ELEASE>A '
10ASTE3j,METER-RELEJ'kS LES
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43PADF-PI1BLIC WORKS
FIRE -CALL (40 S) 37S -t010 —>Q'=F.
PLANNING (408) 777-3308
SANTCARY (408) 253-7071
ELECTTRICAL j, [
MEC! IIICAL
PLCiME1NG
i .
HANDICAP �
ENERGY
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