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APPLICATION FOR CERTIFICATE OF OCCUPANCY
�� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
��.--.� ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255
��.9�'��iTls�dC?
(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
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