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08070068 - CofO • � �.._.�L_��_--1--��_:�.��._,�_�_�.,���,��, ., ���; �� __��-.._��_i.� .�. �. ;��� ..�.a �� _��,��;��� �.;� _��� � �..,,;�. � ::� .��.__i�������.L�..��������___�°��, ..�:,a .�. ..f.�:�,G=_���E� •
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This Certificate is issued pursua�� t�_�#�e requirerne'rits����of S�c�t�Qn 1�0.2 of fihe�2007��Calif�nia Building Code certifying that
at the time o# issuance, the��iortion of���this ��r��f'ure d�scrib�d bebw has;b�en inspe�ted for compliance with the
� requirements of this code and ��th fihe various°�ardinances of the'���"�y r�gulating bu�lding���onstruction for the occupancy
and division of�qcGt�pancy and the�����t�r°�n��h.t�i'e prop,osed a�cupara�y is classified.
� � � ` ;x`' ° �: �,;��[
�..� Building Permit Number(s): 08�00;�$ ��� ��- Appl�c�ti�n� Date(s) ����D 2t�{��`� r, Issuance Date(s): 6-30-2009
� Address of Building: 21 t�8 R����t��r [�r. _���_ �,�a
��; �� �� � � ;�; ,-
�E Portion of Building: NE�U 2'�TC�`F��( �FD (4 220 S.F.) W(TH ATTACHED GARA�� (663 S.F.) ��
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£
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�; Use: Single Family Dwelling �ccupancy �lassification: R 3 /�U Occupa'nt Load: SFD
:i � :, ' .� ���., . ... � �V�� � �...:' f f",rY
Total New Floor Area: _ 4,220 s� (R 3 occ� ���3 s��� (U o���� �� Type of�onstruction: V-B
� Sprinklers System Provided: Y�� � � Spt����r S����� Required� YES � � �
� � r�����;
� � � ` €� ��'
Current Property �wner:
; Cupertino, GA 95D14 : ��
` `� �
I, Final Inspection By: Ga�t�Stream, ,�Uilding fr�spector �
Final I�nspection Date: $-1��2012 � `
� � 3IE� . �.��
4 :, i
3:
� *SPECIAL STIPULATIONS OR ��ONDiTI�NS: Nan� ������ �
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� �� � � � ��� , � � �-�, � � � �� �
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Albe Ivador, P.E ,C Q,O , Building Official Dateg;.�,+,,Issued -
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��' NOTlCE: No changes's�halJ�be�t�l����he�haracter i�f accup �,cy of.the bttild�ng e�rceR�:iby th��utl���ty i�e Building Official.
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETlON
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDIIVG DIVIStON
CUP�RTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95094-3255
(408)777-3228•FAX(408)777-3333•buildinQ�cupertino.ora,
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
� I (OD� /\�IN6(J��A..�.uFaC//�C/T/Vr�, APN# �/��S O� ! DATE y r•/� ! �DI�
/ �/� , /
,
(
CONTRACTORNAME^�/�/� /�_�S��CTO/�J ` ��l) SI�-DD�a . E_�,
L c.f �
STREET ADDRESS�/(/ S!/N�7/�I/�L /��N C CITY,STATE, I��TTD/V�I/LL�.L.!"1 7.��//61 FAX
� .
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACTNAME �QLIlS ��i U I PHO�T��+ `�//'/ �/ / EMAILQ ' W�!
d I c� to �ac[�J Ct��
STREET ADDRfiSS CITY,STATE ZIP / FAX
�?I��A�.v.C�ou/ �? ,; , nJ ;,1� CI�/�
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERNIIT SUBMTf LSSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED r
1 o�o�oa�8�/�9��8 6��1�q �S,�5�-z .S`-yi �� 1 r��.�p l s
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1 S�� �-� 1/�S `7��Z `� �7 /o
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIItE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIItED (YES OR NO) PROVIDED (YES OR NO)
oZ � a�4 Y�,� Y�s
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQUIRED PARHING PROVIDED PARHING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
I INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPLTLATTONS OR CONDITIONS:
Co,�Application.doc revised OS/07/12
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SU7LDING D(VISION PER1r�T • �}`i�`. < ': ` , - . - •1:
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BUILDWGADDRESS' . s.^.'---_..� .. .. ' PF7tM1TNl1
�,�RAIIyTBOW�9/�� I'BD•- TO $E DETERMINED 08070068
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� . � �� . SAM'URY N0. , COMROC.NO.
,�t-cECr�xcn�Fx; PHONE M: . �J�+'W � STORY .SFDWL 4, 219 .2� au�n+c�srru�o
s�.nc ¢�� rs.un�a �c-�
w a o sARAGE 6 6 3 � �VAC�T Q 0 :. � Q
�(..u� �N���c�. '�a�'��,���" s ��s��'� �,,��,Y� ��!� �%, '�� r�� �...• "�'f0 ARf2ANGE IAISPECTION,-.....•`•, 30BDESCRIPTSON
y�W �.��"� .'� ,,,�f, �' � �-��,�f , .. Call 77�-3228 between 7:30 a.m.and 330 m., RFS1T)FTV'TTAi; . .
o y� `-�������� ��� M'�'4 �'�'`�` ;"�"` ;`�e��' �Nlonday through Friday,at leest 24 hours before � ���'�- - 0 1�Cf�N RE�fODII.
A
��° FOUNDATIOI�UPIERSlH.D.S. � �}�t'� ' required inspection. Job address and Permit Numbcr ��DR7oN � pLUMBING RE�ptpg
'��< UFER GROUND %1�l�� 6 �needed when requcsting an inspecrion: � �Z•� ❑ �1��
3 u� PAD/SEI'SACK�ERT �/l L• Q ` ,�y�,� i� Q .
�Q�'n I' �7��7J�FSIDFN7IA1: ' COM2vCII2QAL OCHFR . C7�+Q�IEY RY�AIIt
H y` GARAG6 SLABS/PREGUNTi'E $ �,�+ . . . ���`/�� ' �SwAa�IIrGYOOu
�`a o �:�' ."Fc�; -w" 41,� .�l .:; c�s�xF $EA - ❑SATH RF1vtODQJREPAIIt❑ DEMOLT170N
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x:F�:<..:.����,.,,..�.a.��s?�������l��y�,`.�`;�#1�.. F��.� , ..... ❑oTHEx
F z� UNDF.22fiRQLIND/SLtLB I Q 7E4 !f yu-f undrrsaud thu i daa A mof assemWy iz�equired ' . .
��c` UNDERGROtTND PLiJMBING �u,� - �.c�a+
i� UNDERGROUITDELECTRICAL I ❑NO tn . COMMERCIAL• .
�cr s w w �i�y� � s••••••� :"'"i +K F tT'TNG ROOF COVERINC+
� .. v1���. ' : �. _ , ❑NE�Y BLDGlADDR10N ❑ DEMOLrfIG',N
��t�����1c��,'���. .� ��`.�`
,....... -
1J�ERFZOOR FLLiMHING ' � f D � _ � �T��'I' �� ❑ �Qa SEx`/S�
UNDERfT,00R MECHAMCAL Numha oCuissin=co�c,�� �pgpyp��T
i
UND ERFI.,00 R EI.ECFRICAL 1 Tc 6e remrned To be retained � �R --
UNDERFLOOR FRAMFAiG VENT� Z" 'Il�
LJ.�fU G l�.J`>R INSI.TI.A?ION • Z��-)p `W
�a,<� � ;�ax:.. -,:,�cc:a::ss��+n.�,.;� �:;»e:�F �<.��-a.� IYPE OE ROOF COYERING • .
<.-. .
��9',�..�'"�I����,��.��� Q�.� .;`.<. S� .:..�..�'< FXISTING PROPOSED.
ROOFSHEATH/DIAPFiRAGM �Z6`l� �L� .
PLUMBING � .��/� ❑ BuilaiJp RoaC ' ❑ Built-Up Roaf
�� � ❑ AsphaltShinelu ❑AsphaltShinglc •
TUBS 3c SHOWER PAN ° �" !G •
' MECHAMCAL o-��C'� 1� ❑ waod Stukrs , . ; . , p wacd Stulw
Ei.ECTRICP.LIPOOL BOt�tD ❑ wood Shingles ❑ Wood Shingla
FiZAMING/STAIRS/E EGRESS ❑ Ocha(Specfy7� ❑ Otha(Spediyli
�svta-rior►rv�-ru..a�or� ��/ 1�s r o NO FINAL tNSPECTIONS ����de t.C.B.O.Report Na
�£,��'��F`��,.��������� °� ����; t]iVTIL ALL REQUIRED BUSINESSP�����"^f�.�nS�,���,S�. �
�iuoR sxFax�o�n Dowrz -l��c"� � `
INTERIOR SI3EAR/HbLD DOV✓N f 2"�-YO ��tsp..rnoN SPECIAL INSPECITON REQCf1RED ❑ nnrs trs�
SHEEIAOCIClSHE��ROCX SHEAR j -•�/0 � / � . , . ' ' � .�
� EX7'ERIOR LATH/W-SCREID. I�I�f� �� �i r ✓J
sxowEx taTx I G /,�iPi'-► �"°Y r��.���/�,� �°f o v f� . ��t�� ,�
I ��'�����t�.$�.��� �.. ������I4 Y l`` � - � �
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I . SCRATCH�COAT • ,� .j���1 "��,L� U��l�� Moy y��,a[�i �-� hv����ra r�o/
5 EV✓ER/YVATEt� F S�Cti C� ! _ ���� �, ''� � , d- • ; j
L�r- , r 3'�-�l .!y- S�r.� �.- ��rP a� �r�':��s�� i� �L .�„ ���� ��i�f0�i
� TEMPORARYAPFROYALS ry - t + I "
OCCUPANCY `�X�t1r'�'�� r�. i " �F S��1�•1�� WG�I nrn�s 3`��u��,�� �l�j�CS �--
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�Z����#�i�.� ���'�'�':� ' i�.- '
z o = �� , '� � CUPERTiN�SANITARY DISTRICT ,
� PLANNU�tG TT7-37o8 ��� Closed circuR video inspection of property line cleanout,poir�t of connection
x j GAS TFSi'A+�.1� ��f..'T� � ��-[-I � and sfreet lateral required prior to passing FINAL CITI PLUMBING .
�p GRADE(P.w.777-335a) fNSPECTION. Ca11 the District(408-253-T071)for an appointmertt
� z FiRE-CALL(408)378-4010 R/ ��1 Z' � �X Tt�.Jr?�'� �jl(-{�f� !1�A'lL).CI Lr C�/<=� �L�' ��l7-�0
�� HANDiC.4P �� ` �
�U ELECTRlCAL l� IS�I�r ='
r a PLUMSING L' . � ��,� , IMPORTANT
�j � MECHANSCAL � :�i7 When a permit has expired,a charge totaling one-haIf the fees to � '
'" ENERGY � " � ' obtain a new permit must be paid to reactivate the permit �
VISUAL FINAL ONLY �: •
BUiLD�NC �/� If a permit has been expired for more than ane year,a charge totaling
_ � - _ ,��t� d � y, ,� the full fees to obtain a new permit must be paid to reactivate the
Q���������������R�� � � I
^� �a�a.�=,� a,�>��r s I �.� � .,,
,�Me$b�,�EF�2��s��s�'tUc"�eETS�$'L� Ti�3�'r•�c- ��';'n`��4S Permit
}�,�,��'¢�r�s��":���L4 ��df ; �xr��M �_ �, `;��;����,Y:�CERTIFiCATE OF OCCUPANCY ❑ '
PRE-tP4SFECr10N: Pl.Y`NOdD: IIJ-PROGRES • .
iNSP. DATE . �SP. __ DATE INSA. I ���� . DATE 1 O"''lU�{ `�
TFAR OFF INSPELTION: HAT'CENS: F7NAL•
� ^ .
MSP. DATE INSB. � DA7'E " � Q�iSP. DATE
NOTE: OSHA APPROVED ACC SSTa ROOF SHALL BE PRC?VIDED �OR lNSPECTION -
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