12040035 - CofC • - -r-�-7-T--rte-ter-rte r�-r-�-t r-�--r-r�i-���r��-�- - •
0 - 7� tetton
This Certificate is issued certifying that at"he time oftissuance,(the porton othis structure described below has been
inspected for compliance with the requirements-of-the 201.0 California Code of Regulations and with the various
ordinances of the City regulating building construction for the occupancy and division of occupancy and the use for which
j the proposed-occupancy is classified/.
Building Permit Number(s): 12040035 Application ate(s):,-4-05=2012 Issuance Date(s): 4-05-2012
Address of Building: 20863 Stevens Creek Blvd. — S ite 560 & 580
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Scope of Work: Tenant Improvement (1293 s.f.� Suite 560 & 580
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# Parking Req d: No change i #-Std-Parking Pr�!No change # Accessible Parking Provided: No change
Current Property Owner: Stevens Cre k Office Center Assoc. C\ \
Current Owner Address: 6475'Christie Ave/#550 Emeryville, CA 95050
Final Inspection B : Bob Sa'bich,Bildin Inspector o
P Y , g Uo � �
Final Inspection Date: 05-17' -2'01-2'
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*SPECIAL STIPULATIONS OR CONDI-T-IONS--N/A — —
Alb Salvador, P.E.�C:B.O�, wilding Offi6 ial�( ;— DaI L -
NOTICE: No changes shall be made"in the character of occupancy of-the building except-by the auth�o e Building Official.
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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 c building(Dcupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS APNN DATE '
ZvBA' S)-� reed Ned.
011NER NAME PJfONE E-MAIL�d'D/ �-//'Oc'ry 'Y9r os���-� )P�f/f •�1.'
STREET AnDRFCc 7,5 )/ // f CITY.STATE,Z� /P ^� a.;� fA\
i7d9l)2—
CONTRACTOR NA\E PI ION L• E-MAIL
STREET ADDRESS CITI�STAT 7.IP FAX
' 2- 1- N. ly/. �i n n� 4 (03 '7• /D'/b
MAIL CERTIFICATE TO: Pleasc allow tip to 10 business days for delivery):
CONTACT NANlE .� PHONE � j F.•\IA
"� ruc� 11R�VPS'l t,�t�/ P� /7c
STREET ADp 'tk FA
�(SS CITY,5-•ATE•ZP� �_�r/�c� X
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE. INSPE:CI'OR SCOPE
NUMBER DATE. DATE FINALF.D
I /2U'pv3 S V5 2-
2 2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
l
2
3
4
BUILDING DATA:
N S'I'OIZIF:S N STORIES OVERALL MAX OCCUPANT FIRE.SPRINKLERS FIRE SPRINICI.F.RS
BEI.O\\'GRADE ABOVE GRADE FLOOR AREA I.OAD RF. UIRED YES OR NO PROVIDED YES Olt NO
H PARKING IISTANDARD/CO\II'ACI' H ACCESSIBLE:
REQUIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION CARD 7.O THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
Cof0Applicnrion.doc revised 05/07/12