11070009 - CofO •� - -
trf —ate �I
This Certificate is issued pursuant to the requirements of Section/110.2 of the�2007 California Building Code certifying that _
at the time of issuance, the portion of this structure describ.ed/below has been inspected for compliance with the
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requirements of this code and with thewarious ordinances of th�City/regulating,building construction for the occupancy
and division of occupanc�and�the use-for-whiche proposed�occuparicy is classified.
Building Permit Number(s): 11 700009 Applicatio�n��Dza\t'e' (s):,07=01-2011 Issuance Date(s): 08-10-2011
Address of Building: 20530 Town Center Ln. (/
Portion of Building: A I rox. 2i 4'-6" 146' tenants ace at souther) ortion of round floor of building PI?.� i I p y p g g (includes
Medical-al as_S,y�em) �
Use: Dental Office Occ�u-p-anncy SCI 1 sification:,-B Occupant Load: 1196/100 - 12
Floor Area: 1,196 sq.ft. �� �-� Type of Construction: III-B
Sprinklers System Provided: YES Sprinkler System-Required: YES
Current Property Owner: Civic Park-Cupertino, LLC
Current Owner Address: P.O. Box 1325 Menlo Park,-CA 94026
00
Final Inspection By: JefferyGreef, Building,lnspector
Final Inspection Date: 11-28-2011
SPECIAL STIPULATIONS OR CONDITIONS:—N/A
bert Salvador, P.E.�C:B.OJ, Building Official - Datelss�0ed
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NOTICE/POSTING: No�changes shall,be,made m the character-of occupancy. This certificate shall be onted-ina cons icuous IJ , P P pace on
the premises,and shall not be removed except-by the authority of the Building Official.