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(408)777-3228•buildinaCn?cupertino.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PROJBCT ADDRESS �_p APN# DATE ) y '�`\s��I .,fe�-C <�'tl� ��vr-Y CUPERTINO, CA �,(p 2� �,�.� �'/ �I l� �` OWNERNAME� .�\ ��•.�t�iRf(:"'pHOVE�, ,�� E-MAIL 1 1��,.., �s1r;� ("�>��'-�� �.�� �-��,- :3�(�t- I 5�.�.; STREET ADDRESS . � _ - . �-. : Lo C[TY, STATE,ZIP �� _ -, e.. t- _ __ ,^. .�;,, L �_ � .-., ,. � . __.. . � � � ��`i�_ CON ACTOR NAME PHONE E-�IAIL' i � � � � � 1 J� � ~ �� � t �_ ('� � i` , -ff.-`it'.t_Li:, y�V �:+,."'. <,�,.'� 'C '!. l�i:. '��L ��.7 �) )l G��'1 � '�-) �' �C STREET ADDRESS �_ �- �� CITY, STATE,ZIP ��cLV �>,�i,j/'..�Nz-��' , :,. ♦V� i�'�:' ` \`�� �� ��� U'�� MAIL CERTIFICATE TO: (Please allow up to�10 business days far delivery): CONTACTVAME , �--'� PHONE ��-_ � _ , E-MAIL 1���. ��^f ��C<-��'1���_� ��� ��'��J"��� �'� �CC��1�.� °l.i C��' LC ,_�L..�,.+�� �, � 9 STREET ADDRESS C.�� �_.��,.���G�' ��� � ,V� CITY, STATE,ZIP � ���� � '"`'�:�t`�zlS �r-} �1 S 3 LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: PERMIT NUMBER DATE FINALED INSPECTOR SCOPE <.. , J .� V� 1 ._�G,�I C�� - �?�� � �h / (� YL'�'�L;J C�.�� �'�j�.,1 i i A+. �C,i.�.�i-''�C,,�c;' � � � .�4 � .• a �.-o.� �.,� 2 ' , 3 4 NOTE: Please attach a copy of BOTH SIDES of the signed inspection job card to this application. - OFFICE USE ONLY- SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST: Copy of Job Card Attached(both sides)? Pennit signed off in system? No other pennits open or expired in system? Veritication of pay�nent for certification? CofO Application.ctoc revisecl 08/08/18 CTI'Y OF C[JPFR'[71V0 6 LRLUING YFRMIT INS PECI'ION C.ARD BUILDINGADDRESS 19339 ST'EVE[vS CREEIC BLVD CUP��ZTRVO,CA 95014 CONTRACTOR PFRivII'T NO B-2019-0134 _� OW�YEl2'S NA.�1E Mau�SVeet Chpertino Aggregator L[.0 FHONE 650-34�1500 PII2NIlT ISSUE3):0210 6/2 0 1� YFIOYENO: f1L11)R�SS:965 Page Mill Rd Palo Alto,CA 943 04 1 0 1 3 TYPE INSPF,CTOR DA'fE JOB DESCRI4'TTON: ��— FVL�n,�noxs�re��oax ,�PYLE VP-03-T.I.{7,46p S.F.) � PiERS (� `/ .l FOUNDATION -1��V # � � �-�-�L I l�Lti M D��F 1GA'T J�!"J � S�� LL ur�c�ourm --- �'i) f��C kS�����SC ��S-f R�O N' �Q/�-���[i(t7-1� GRADEBEAVI — WACLS� `SsuE� b3/+��'/�o�Q SLA B — � RFSl`IFORCEMENT 1�IASONRY,�STEII: COLUivIN STEEL I KETAINING WALL ea t�n�c UNDER FLOOR FRAMING ROUGfi FR1ME �' �- �-1� __L'XTEP.IORSHEAR _ . __—. . _ _ _ _ _ LT�TIItIOR SHEAR ROOF N iL T-BA � � --/�J � a�EC7�:���c�L TO Af2I2A1VGE INSPECTION:CAL,L,408-777-3228 BEI�'IDV 7:30 A.bL A��ID 3:30 P.:1'L UNDERFLOORMECNA. CAL iVIONDAYTHROtiGHTIIURSDAYORBEItiVFIN7:30A.NLAND2:30P.NLONl�'RIBAY. ROUQiMECHAMCA ,�r � �-l�-I� C�PFRNIfI'NL�IBII2S AREYFFDm WIIINREQUESTINGAN GVSPEC'['[ON. �� ' ;; FURANCE AIRCONDITIONER P�NllT EXPII�IF'WORKIS NOTSTARTID WiTHIN 180 DAYS OFPF1utilIT fSSUANCEOR180 DAYS FROMLASTCAI.I.m INSPECTiON. BOILER HOODS NOIPiSP�CCfONS FORB[IIL,DL�IGFIlVALS L7V'I'ILALLREQL1IItIDBL��YESS DUCI'W RA P LICINS FS ARE OBTAINID. ELF.CTRIC:U. TYPE INSPECTOR DATE t1NDERGROUND Ei.ECIRICAL s��iTaa��i�srecr�ons UNDERFLOOR ELECTFtICAL UNUIItGROLND ROUQ-[ELECTRICAL C -� j HYDROFLUSH PV SYSTEM VISUAL EV CHARGINGSTATION C3tEASE Qs['ERCEPTOR TEMPORARY POW ER POLE r�nt.ic��akrs SIItVICEUPCRADE RIGHT OF WAY ELECCRIC METEfL RELEASE GRADNG e���mr�r. RETAIMNG WALL, i1ND�RGROUND WATERSERVICE r�iae ner,�kno-:�� iNDII2Q20UI`'D SEWER SITE COMPLIANCE PROPERTY LQVE CZEANOUT FIItE MAIN SY�TEMS UNDERCdZOUND GAS PIPING FIRE SPRIMCL�,RS-ROUQ-I � �� 1 � _� UNDERFLOOR PLUMBING FIRE SFRINKLER-FINAL ,Y ROL`GH PLCJMB[NG ��' _>�_j FIRE ALARM FINAL a�- � ;� SHG W F.kt PA N STANDP[PE SYSTEM S _ WAT��T� E,^lGINF..II2ED PROTECT[ON SYSTEM tiA S TEST T-BA R-FIRE JIISC.ISSPF.C9lOXS � GA S METE:Et RELEA SE - D�1VI OLITION STRUCTURE ��:sci.:rn��.. � UNDII2FLOOR INSLT.ATION ACCFSSIBILITY -f INSIJLATION T.1.PREP i�rewoH E.xrt:ku>kr»i5��t;s TtiMPORARYOC(.'UPANCY �' SHEETROCIC n��ci:�tt:�-r:�rio� NTE72IOR LA1'H PAD/SETBACK CERTIFICATION LXTERIOR LATH II'OXYOBSEItVATION LETTER uer:��>�e�-r Fl�:us SCRr1TCH COAT pLp�T�II�IINCr CALL(40�)777-3303 s��ui�n�r.,rcxn. PGOL PRE-DECK PLBLIC W ORKS-CALL(408j777-3354 POOL PRE-G[J:v7TE FIRE-CALL(403)378-4010 `""�- � -' 1 POOL PRE-PL?.STER SA:�TTARY-CALL(�308)253-7071 POOL DFMOLITION e ci�.ui�c Fixus MEC'HAMCP.L ' NlN)FUG `� ROOF PRE-INSPECI'[O� ELECTRICAL •' �" � .�,�' TEAROFF PLL�IBING �`� d,.- PL�14'OOD ti.�,IL BUILDING ,i�''`' BA ITEVS PERMIT FEE RECEIPT Case # B-2019-0134 Date Printed: 06/04/2019 CUPERTINO CITY OF CUPERTINO - FEES RECEIPT Case Number: B-2019-0134 Permit No: B-2019-0134 Project Valuation: 610000.00 Date Submitted: 01/22/2019 Permit Type: Building Address/APN: 19339 STEVENS CREEK BLVD CUPERTINO, Receipt#: 221359 CA 95014(316 20 114) Scope of Work: APPLE VP-03-T.I. (7,460 S.F.) REV#1 -CEILING MODIFICATIONS; INSTALL(3)RACKS; REVISE RESTROOM PARTITION WALLS;- ISSUED 03/04/2019 • Contact Type: Applicant Company Name: Devcon Construction Incorporated Primary Phone: 408-964-5657 Full Name: Thomas Mueller Address: 690 Gibraltar Dr Milpitas,CA 95035 Email: cupertino_eplans@cupertino.org Contact Type: Property Owner Full Name: Main Street Cupertino Aggregator LLC Primary Phone: 650-344-1500 Address: 965 Page Mill Rd Palo Alto, CA 94304-1013 Email: n/a Fee Information Amount Plan Review-Standard Hourly Rate $343.00 CERTIFICATE OF OCCUPANCY Payment Information Payment Date Patron Payment Type Amount Plan Review-Standard Hourly Rate 06/04/2019 BRIAN R BECHTEL Credit Card $343.00 FEE TOTAL $343.00 AMOUNT PAID $343.00 BALANCE DUE $0.00 06/04/2019-10:24:13 AM-Generated by:jasminea 1/1