11010146-CofO UPI
Cer If ra e—� Ilf aurp
This Certificate is issued pursuai t to the requirements of Section/111.2 of the 010 California Building Code certifying that
at the time of issuance, the portion of this structure described/below has been inspected for compliance with the
requirements of this code and the,
ordinances of thCity�regulating,building construction for the occupancy
and division of occupari y and the use--f&-w�hicht,he proposed occupancy is classified.
BuildingPermit Number (s): 1101,0146 A licatio�ate(s :,01-27-2011- Issuance Date (s): 04-22-2011
Building Permit Number(s): 110101_4.7` Application Dat (s)�01-27-2011 Issuance Date(s): 04-25-2011
Address of Building: 2055;7 Blossom ; 1 1 0 Ir, A
Portion of Building: NEW 2L SiTORY S,FD (2,950 S.F.) ANBD DETACHED GARAGE (443 S.F.) PLUS
AN ATTACHED 2ND DWELLING lNIT (371 S.F�
Use: Single Family Dwelling )�ceupancy Classification R-3 / U Occupant Load: SFD
Total New Floor Area: 2,950 s.f. (R✓occ),/-443-s.f—(:U-occ) Type of Construction: V-B
Sprinklers System Provided: YES Sprinkler Sym-Required: YES
Current Property Owner: Ken Hsieh-& Jean Lai
Current Owner Address: 20557 Blossom-Ln., Cupertino, CA 95014
0
Final Inspection By: Jeff Greef/ding Inspector'
Final Inspection Date: 03-09-2012
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*SPECIAL STIPULATIONS OR CONDI-T-ION&—None
�-12- 1y
ert Salvador, P.E.�C:B:Od, Building Official Date U � � O
NOTICE. No changes shall be made in the character of occupancy of the building except by the authority of the Building Official.