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APPLICATION FOR CERTIFlCATE 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
(408j 777-3228•FAX(408)777-3333•buildinq�cuqertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS/,D � � I�� L T TG� �� �N# � DATE
l
OWNERNAME„���I ,f �� PHONE E-MAI[.
��
STREETADDRESS�O6� NI �NG t T�� �1�. CITY, ST�A��.TNL'� �-yi- ���/� FAX
r
CONTRACTORNAME �. PI�ONE E-MAIL
���1-� c� C-�.. 2_.�. � ° S —�.S�` ��/.�0z/3�r� /� � � • C�i
STREET ADDRESS I��^ � ��S� �J��° CITY, S�TA�TE,ZIPCZ ��_,`„' FAX
QL. l:i
MAIL CERTIFICATE TO: lease allow u to 10 business da s far delive ):
CONTACTNAME� c�. . � s��� PHONE�U. ����,�5 / E-MAIL
�� y
STREET ADDRESS� .(7� �,/�� `,���. d !' CITY, STA��, . ��` .� O FAX
d" J `"`�
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERAI.L MAX OCCUPANT FIItE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD RE ULRED ES OR NO PROVIDED YES OR NO
#PARHING #STANDARD/COMPACT #ACCESSIBLE
RE UIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofO Application.doc revised OS/07/12
�
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BU�LDING nnnRESS: 10659 MINETTE DR Co1v'r�c'rox:TARIQ AHMED PERMIT NO: 11080129
OWNER'S N�ME:TARIQ AHMED 10659 MINETTE DR DATE ISSUED:03/27/2012
OWNER'S PHONE:6508237082 CUPERTINO,CA 95014 PHONE NO:
�±r��� ;., �_ _h..���: �_.`����v� s ���rox
FOUNDATION/PTERSiH D S, r BUILDING PERMIT INF'O: BLDG� ELECT� PLUMB� MECH�
UFER GRO[IND H/�,'2 RE5IDENTIAL� COMMERCIAL�
P.aD/SETBnCK-CFRT .20.�2 JOBDESCRIPTION: DEMO EXISTING ONE CAR CARPORT(171' ) AND
GARAGE SLABS/PREGUNITE �" LIVING
V�.�.�2
' � � � ° , ' � � � � .��,��,��•����
� � � � � ROOM (386' ) . ADD FAMILY ROOM, LIVING ROOM (386' ) ,
UNDERGROLJND/SLAB •�f,�
UNDERGROUrm PLUMBING '8,i2 DTO BEDROOM AND MASTER BEDROOM (2 8 8 ' )AND NEW 2
UNDERGROUND ELECTRICAL
.��•
� ;A'�`. 0 v , a . ° v' BE�N��GI�''I,1 ,, , � ",�,.,
UNDERFLOOR PLUMBING
LJNDERFLOOR MECHANICAL
uriDE�toox ELECTiucfu, WILDLAND URBAN INTERFACE FIRE AREA� ER#
UNDERFLOOR FRAMING VENTS
TO ARRANGE INSPECTION
t�rmE�'LOOtt trrsu�.AT�orr. Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
� �, � �} ��� before required inspection.Job address and Permit Numbers are needed�vhen
xooF SxEnTt�rrG� � requesting an inspection.
1y.�2
ROUGH PLUMBINCi f
•ZS<<2 R1�1I CUPERTINO SANITARY DISTRICT �
TUBS&SHOWER PAN ��/'2 Closed circuit video inspection of property line cleanout,point of connection
� and street lateral required prior to passing FINAL CITY PLUMBING
ROUGH MECHANICAL �25��2 ,,/
�" INSP�CTION. Call the District(408-253-7071)for an appointment.
I:OUGH ELECTRICAL/POOL BOND '��,L �
FRa.rvtiNGisTa.utsB.EUr�,ss 5 �',Z � NO BUILDING FINALS INSPECTIONS UNTIL ALL ItEQUIRED
�[rrsuL,n-riowvFNT�LATiorr BUSINESS LICENSES ARE OBTAINED
6.!2
rcov�x x�r woa��tr�vn�;��o �„��� �
�� ��'��� ��� � � '' PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
��xTExlox sHEF.RiHOr.D Dowrl .',� 12 ,�fG ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
�1NTERIORSHEAR/HOLDDOWN �.��
SHEE�i:K/SHEETROCI:SHEAR IMPORTANT
When a permit has expired,a charge totaling one-half the fees to obtain a new permit
exTEtuoR Lw'rtvw-SCREED � �g 12 must be paid in order to reactivate the permit.If a permit has been expired for more
tt1'rExtoR L.nTH I�� �Z than one year,a charge totaling the full fees to obtain a new permit must be paid
��� to reactivate the permit.
� � ��. ��E�
"SCRATCH COAT • ,2(�� 2
NOTES:
SEWER/WATER
T-BAR/MECH,BI,ECT ABOVE CEIL
��'` �Ci� �,.,, , ���.y;:;� � f �, �'� ��`� �°�
�ELECrtuc t�T�,R xE[,EASE ���,_,�2 SPECIAL INSPECTI6NS Inspector: Date:
GAS TEST/METER RELEASE �
�7 ROOF INSPECTIONS
GRADE-PLBLIC WORKS PRE-INSP�CTION:[nspector. Date:
FIRE—CAI.L(408)37R-4010 TEAR-OFF: Inspectur: Date:_
PLANNING(408)'77-3308
PLYWOOD: Inspector: Date:
SANITARY(408 j 253-7071
BATTENS: Inspector: Date:
ELF,CTTRICAL /b L
� IN PROGRESS: Inspector. Date:
MECHANICAL �V
PI,CJMBINU F[NAL: Inspector. Date:
/v 3 /Z
HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
ENERGY *OCCUPANCY OF BUILDING NOT PERMI'1!'TED UNTIL BUILDING FINAL IS SIGNF.D BY
INSPECTOR
BUILDING �
CERT[FICATE OF OCCUPANCY•