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� � � APPLIC�ITI{�!� �+t�R CERTIFI�AT� OF C�CCUPA(�CY
"'' f� � COMMUNITY DEVELOPMtNT C3EPARTME�IT• BUILQING DIVISION
� 'ry ��y � ALBERT SALVADOR, P.E., C.B4O., BUiLDING�7FFiGiAL
�.�:_ - 1�300 TORRE AVENUE>CUPERTIN�,CA 95014-325�
C U���::�"s i�8 Cr
(408}777-322$•buildinq_Ca7eupertina.ort�
COMPLETE A SEPARATE APPLICATION FOR EACH BUII,DING:
PROJECT ADDRESS �v S�}-� ,'�j�
APN k DATE
� `�J CUPERTINO, CA �
ON�LR NAME PHON� �/r^� E-bIAI
' O �i+ 1'Li.i
SI'KCET ADDRESS � - t� CI'IY, STATfi,Z1P � �
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CONTRACTOR NAME PHONE E_;ytq���^
f �� YJ ,�'
STREET AI}DRESS ('� (� CITY, S'IATE,ZIP
� • t'S 1..� � �
MATL CERTiFICATE TO: Please aIlow up to 10 business da s for delivery):
COIvTAGT NAySE PtfQNE L-4tAi
Q�
3IREET ADdRESS �L CITY, STATE,ZIP .
V
� �'
LIST ALL BUILDING PERMITS FSSUED FOR PROJECT:
PE&'1'IIT NUMBER DATE FINALED INSPECTOR SCOPE
� ' �--�-�, , �
2
3
4
NOTE: Please attach a copy of SQTH SIDES af the signed inspectian jot� card to this application.
- OFFICE USE ONLY-
SPECIAL STII'LTL,ATIONS OR CONDITIONS: CHECKLIST:
Copy of Job Card Attacl�ed(both sides)? 1{��S��J��'M`
Permit signed off in system? �
No othc.r permits open or expired in system? �
Verification of payment for certification? � N
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CofO Applicazion.doc rei-ised O��i08i18
�
���� INSPECTION RECORD
CUPERTINO
CITY HALL
10300 Torre Avenue•C�pertino,CA 95014-3255
PHONE 408-777-3228
WWW CUPERTINO ORG
. ... ..... . ...... . .. .. ,. ,,. ,_ _.�.._._ .. _..... _.......,...._._._ ...��...._��___. __..�_..........______...__...�.___
BUILDING ADDRESS:19540 VALLCO PKWY STE 150 CUPERTINO,CA 95014 ApN:316 20 119 PERMIT NO:b-2019-1 D2
CUPERTINO
_._
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E ' HONE:4 -252-4451
OWNER'S NAME:OWNER INFO MISSING FROM RECORD OWN R S P OS
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CONTRACTOR:81LT RITE WC,37390 CEDAR BLVD SiE C NEWARK CONTRACTOR PHONE:4085923672
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! DAiE ISSUED 3/3/2020 4:0202 PM ISSUED BY: VA�UATION $250000
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� iOB DESCRIPTION
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? MYUNGRANG HOT DOG-i.l.�720 SF)
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IINSPECTION TYPE DATE STATUS INSPECTOR
�� COURTESY ROUGH PLUM8ING 2019-11•21 Conditional Bob Sabich
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COUR7ESY ROUGH ELECTRICAL 2019 11-21 Conditional Bob Sabich
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COURTESY ROUGH FRAME 2019-11-21 Conditional Bob Sabich
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, COURTESY ROUGH FRAME ����� �� m2079-11-25� Conditional Paul O'Sullivan �
�m _._�. .... �.����... �.. �..�.�_.. _��,... �____�._ � _�..�� �._...��. ._...�.__._._..._.
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SERVICE UPGRADE 2019-12-20 Passed Jeff Greef
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, FINAL PLUMBING � 2020-01-14 �Passed Bob Sabich
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3' FINAL ELECTRICAL 2020-01-17 Failed Paul O'Sullivan
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FINAL ELECTRICAL 2020-01-21 Cancelled Bob Sabich
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!� FIRE DEPT-SPRWKLERS-ROUGH 2O20-01•21 Passed Santa Clara County Fire
3 i...._......_.............._.._...............,,,,,.,...__...�._....__..__._.........................�..................__....._...._....,,_.,,,,,,,._,..,....,,,,,.,.,._....,,...... ... .. . .... ............................._.....�...........�...�._......___.�..�...�._,__.,,.,,,,........,.,.�...�.. ..�,......_...,.._._..._.........._._.._......_�..,........,....,,,,,,,,.,.,..,..,,.,,_..................__.�_......_��.�_..
` FINAL ELECiRICAL 2020-01-30 ; Failed Bob Sabich
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� ROUGH ELECTRICAL � 2020-01-30 ' Passed Bob Sabich
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�; SHEETROCK ! 2020-01-30 Passed Bob Sabich
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j{ FINAL MECHANICAL �2020-01-30 Passed Bob Sabich
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S ROUGH MECHANICAL 2020-01-30 Passed Bob Sabich
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ROUGH PLUMBING 2020•O1-30 Passed Bob Sabich
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, FIRE DEPT-FINAL 2020-02-07 Passed Santa Clara County Fire
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�� FINAL BUILDING g 2020-02-07 Passed � Albert Salvador
.......... .... ... ............�...._____..._...._....._........................_.....................,..,..,_,....,.,,.a..,,,,,,,,,,..,,,._._..._.....____........._...__......,......... ,m._.._....._3......__..........�.....�.._...._.._....._.,.,..............,,...�..,,,,,.,_,......_......_._.............___"'__..,..__.,..,,,,,a
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� FINAL ELECTRICAL 2020-02-07 Passed , Alberf Satvador s
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j EVERY PERMIi ISSUED SHALL BECOME INVAIID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIi IS COMMENCED WITHIN 12 MONTHS AFTER ITS ISSUANCE,OR IF THE WORK
�3 AUTHORIZED ON iHE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12 MONTHS AFTER THE TIME iHE WORK IS COMMENCED.
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