08070076 - CofO 0 CCU Allrp
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This Certificate is issued pursuant to the requirements of Section/1�10.2/of the 2007 California Building Code certifying that
at the time of issuance, they portion of this structure described below has been inspected for compliance with the
requirements of this code and with the�various ordinances of the-,Cit///yregulating,bullding construction for the occupancy
I I t \ / -- � i / i
and division of occupancy wand the use-for which the proposeddoccupancy is classified.
Building Permit Number(s): 0807i0076,_-- f Applicationbate '11�X08/ Issuance Date: 07-01-09
Address of Building: 20900 Stevens Creek Blvd. � O
� O —J
Portion of Building: New Classroom/ Office Building (5,000 s.f.); -�
Use: Classroom/Office Occupancy-Classification:-A-3 -Occupant Load: 219 maximum
Floor Area: 5,000 sq.ft. ; ; ype of Construction: V-B
.--
Sprinklers System Provided: Yes �= Sprinkler System-Required: Yes\
Current Property Owner: Union Church of'Cdpertino \
Current Owner Address: 20900 Stevens,Creek Blvd.-Cupertino, CA 95014
Final Inspection By: Larry Squarcia, Senior Buildirig�lnspector
Final Inspection Date: 12-03-2012 �6
j -Z�
SPECIAL STIPULATIONS OR CONDITIONS:---N/A---------—
Alb
ONDI-T-IONS=N/A Alb Salvador, P.E C-.B.-O , Building Off cial��
NOTICE/POSTING: No changes shall be-made`in the character-;of occupancy. This certificate shall be posted-in a conspicuous place on
the premises,and shall not be removed except-by the authority of the Building Official.
�_ f f IT"TfT TTTIT-1T _ 19
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228• FAX(408)777-3333•buildino(ftupertino.org AA o10) 6
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECTADDRESS -2 p /700 Steuc/)_S I [
Geek algid. APNP DATE
OWNERNAME f 1�f0�1 l.kW.,I ef lf/A.o PHONE E-MAIL L
STREET ADDRESS 20 9 o u If4vtkf Creek QvJ. CITZ;T E,tJ -95611- FAX
CONTRACTOR NAME A n f 5 C.nStk"4 L/o PHONE6SW) .7 7 2-J[0 I I E-MAEL
STREET ADDRESS .516 )3& r7_; -t
/J h// CITY, „STATE,ZtP� Q� � FA7t 7 3'Z 6 22Z
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAhIE h C ~ PHONE y ��,L �t0 3 E-MAIL.
ti s ree U
STREET ADDRESSq E S�(?Vl'ns (,P-eek
�P 81-A
1V I C , STAT'FE.ZIP FAX
A vI R,� CA o l 4
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PEILNIIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1
636-700-76 '711/05 k)ew 9 ,l d i S'o'V S
2
3
OCC ANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
I Ad.;.. off; A3 V-9 -51000 r 2
2 �(nsset Gt-d x.
3 NNI V L
4
BUILDING DATA:
N STORIES H STORIES OVERALL NIAX OCCUPANT FIRE SPRINII.ERS FIRE SPRLN'KLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED TES OR NO PROVIDED YES OR NO
Y--5
P PARKING iV STANDARD/COMPACT k ACCESSIBLE
RE UIRED PARKING PROVIDED PARKING PROVIDED
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Applicnlion.doc revised 08/04/11
CITY OF CUPERTINO
BUILDING DIVISION PEKVRT MEPERIVEIT NO.
gF�
STEVENS CREEK BLVD TBD. - TO BEDETERMINED 08070076 ,
OWNERS NAME PBHlQ15UEDA+'E
UNION CHURCH OF CUPERTINO 07/01/2009
PHONE SANrrARY NO. CONTROL NO.
ARCH-I ECVENGWEFA PHONE a NEW 5, 000 SQ FT W/ 4 CLASS auuoING PERMrrurF:o
a ad ROOM, 2 OFFICES & 2 Q Q 0 O
0
;'rix°`" TO ARRANGE INSPECTION JOBDESCRIFI'ION
� a F .
_ s' - �, r s Call 777-3228 between 7:30 a.m.and 3:30 p.m., RcsrnQMA •-
a Lu
t-.2 -.a. -��,' . � ' '' "x-" 'F °Y - -' °" Monday through Friday,at least 24 hours before ❑ SFDWL ❑ 1Crr�'q REMODEI
�44� FOUNDA IONIPMRSfiI D.S, - (�i) G required inspection. Job address and Permit Number ❑ADDMO ❑ PLUMBING RE-PIPE
a' UFER GROUND I, ��� (� are needed when requesting an inspection. ❑M=-UMT ❑STRUCTURALW
MO
�c
PAD/SETBACIC�ERT I 'I I lid V� PJ=EN7LkL COMMERCIAL o77it ❑ IN7FRIOR ❑CI MODIFICATION-Y
- _j GARAGE SLABQS/PREGUNITE T PRCYVEv[ENr ❑ SWIMMING Pools
<2HA'7ARDOUS FIRE AREd
o , CI BATH REMODELRtFPA[R C3 DEMOLITION
4$G
-oPOFDfSNVEI $FFr.�tirr. } yr_?
x 9 ❑OTHER
UNDERGROUND/SLAB ❑YES If yes-I undernmd thn a Claa A roof-,suably is required.
` -or-, ��
F o UNDERGROUND PLUMBING 2..Z�
= UNDERGROUND ELECTRICAL ❑ NO ,Im�il LC_9.o.0
COMN>IItCiAT
DQ`N,O p pQU L EI3�C1B:iEL TIT BO E I A�'$EET[?ST ictED::. : EXLMNG ROOF COVERING ❑NEW BLLVADDITION ❑ DEMOLITION
UNDERFLOOR PLUMBING ❑TENANT r' ❑'FOOD SERVICE
UNDERFLOOR MECHANICAL Number of aisting covein NPROVEMENT
UNDERFLOOR ELECTRICAL To be mmwed To be retained ❑OT}{ER
UNDERFLOOR FRAMING VENTS
UNDERFLOOR INSULATION
�. TYPE OF ROOF COVERING
PC 4CSL3FF�!17 Tlrf$0Vl:1iA9EE{V$I " EXIST TNG PROPOSED
ROOF SHEATH/DIAPHRAGM Z Z tl
PLUMBING ❑ BWIt-Up Roa( ❑ Built-Up Roof
TUBS&SHOWER PAN ❑ Asphalt Shinglu ❑Asphalt Shingles
MECHANICAL S 1" ❑ Wood 1 Z- ❑ wood Shakes
ELECZZi TCAUPOOL BOND Wood Shingles ❑Wood Shingles
FRAMINGISTAIRS/E EG / •L• ❑ Otber(Spedfy) ❑Othc(SpedfY)
INSULATION/VENT•ILATioWl" NO FINAL INSPECTIONS Provide I.C.B.O.Report No.
FSK...+P 'A� aIsI '. s
UNTIL ALL REQUIRED BUSINESS
Provide Mfgr Inarallatioo Spec.
EXTERIOR SHEAR/HOLD DOWN Z 1)
SHEE37ROCKSHEETROOC SHEAR
D Z i •'!d INSPECTION SPECIAL INSPECTION REQUIRED 1 _ inwr IMFEXTERIOR LAT•H/W-SCREED
SHOWER LATH �1 i�G� 7 !'/t�i ( ('-N (_i�� " J/-/_ G T r (Y'ifahr
SCRAT AT %
SE-W A — _ 7- _ -C/L Jt/R/j
T-2MPORARYAPPROVALS Gqy�y
OCCUPANCY //
h -� ,�.�4 nti 3 y/ l L �l�r;k tcdrfl�3o►G� - Izoo� r-j 0V L_ • a
Z
Z CUPERTINO SANITARY DISTRICT
PLANNING 777-3708 Closed circuit video Inspection of property line cleanout,point of connection
> GAS TEST 'Z' and street lateral required prior to passing FINAL CITY PLUMBING
2, 0 GRADE(P.W.777-3354) INSPECTION. Call the District(408-253-7071)for an appointment.
Z FIRE-CALL(408)373-4010 l
J O HANDICAP
O U ELECTRICAL
r ' PLUMBING IMPORTANT
j Z MECHANICAL When a permit has expired,a charge totaling one-half the fees to
ENERGY obtain a new permit must be paid to reactivate the permit
VISUAL FINAL ONLY
BUILDING If a permit has been expired for more than one year,a charge totaling
s Q a the full fees to obtain a new permit must be paid to reactivate the
06Ci}2AN�Y01'FTIJIE>7liNrsl FOTPFStM�TT»_
s •:s x cf.�"sw,fac. rs +.-..�•.�,� w,toa�r3..at•a :." ;x- s'. permit.
>:IEVIIF.BUIi33�G�tAE3S�TGT3EEkItYB`IlIEE3i�tG,
LNSE>=EFEIRs r, r» � , CERTIFICATE OF OCCUPANCY 2-- -3
PRE-RVSPECTION: PLYW000: IN-PROGRESS:
INSP. DATE INSP. DATE INSP. DATE
TEAR OFF INSPECTION: BAT7-ENS: FINAL
INSP. DATE INSP. DAT EE INSP. DATE_
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION
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