13020138 - CofO• - •
-0'/. 1P holl
This Certificate is issued certifying that at the time ofJssuance, the portion of this structure described below has been
inspected for with the requ cements-of-the 201,OICalif.ornia Code of Regulations and with the
compliance various
ordinances of the City regulating building construction for the occup \icy and division of ioccupancy and the use for which
the propose Moccupancya classified.
13020138� /Application(s);: 2-26-201,3 Issuance Date(s):
Building Permit Number(s): 3-01-2013
Address of Building: 10300 S: M—Anza Blvd. Suite 2 0
L_ r � j 0
--� /�--�
Scope of Work: Tenant-Improvement (1,778 s.f.) 1Wells Fargo Home-Mortgage
Use: Office Occupancy Class:--B- FI ,Area i1778/sG ft: - Occupant Load: 31
Type of Construction: V-B ( / i� Fire Sprinklers System Provided: �No
' i -Std Parking Provided:-IVo change \# Accessible Parking Provided: No change
# Parking Req d: No change -
�-
Current Property Owner: JJG Investment LLC
Current Owner Address: 126910 S. La Cresta Dr., Los-Altos-Hills, CA 94022
Final Inspection By: Bob Sabic�BuildingInspector
�
Final Inspection Date: 04-22-2013
*SPECIAL STIPULATIONS OR CONDITIONS---N/A--- -
A1ert Salvador, P.E�G.B.O , Building Officiah� I---Date[lssued-_ ---'
NOTICE: No changes shall be made in the character of occupancy of the building except-by the authority of the Building Official.
I
0 _
•
CUPERTINO
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(aa cugertino.orq
COMPLETE A SEPARATE APPLICATION FOR TACH RI JILDINC7-
PROJEC7rDDRESS
SUBMIT ISSUE DATE INSPECTOR SCOPE
DATE DATE FINALED
APNN�,
MAX OCCUPANT
LOAD
2
DATE
i o0
OWNER NAME
PHONE
E-MAIL
STREET ADDRESS
CITY, S TE, P
1 FAX
'
CONTRA AR NAMEPHONELI�R
E-MAIL
�_
_
STREET ADDRESS1
GATE, Z
QA
FAX
VIAIL CEKTIFICATE TO: (Please allow uD to 10 business days for delive
CONTACT NAMEPHONE E-MAIL
ST^ADDRESSCITY TATE, ZIP � FAX
V 'J1
LIST ALL BUILDING PERMITS ISSIIF.D FOR PROJECT -
PERMIT
NUMBER
SUBMIT ISSUE DATE INSPECTOR SCOPE
DATE DATE FINALED
1 '0+
MAX OCCUPANT
LOAD
2
ti
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
k STORIES
BELOW GRADE
N STORIES
ABOVE GRADE
OVERALL
FLOOR AREA
MAX OCCUPANT
LOAD
FIRE SPRINKLERS
REQUIRED YES OR NO
FIRE SPRINKLERS
PROVIDED YES OR NO
N PARKING
RE UIRED
N STANDARD/COMPACT
PARKING PROVIDED
b ACCESSIBLE
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:
CgJ0 Applicalion.doc revised 05107112
CL I,'�
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 10300 S DE ANZA BLVD CONTRACTOR: SOUTH BAY
CONSTRUCTION, INC PERMIT NO: 13020138
OWNERS NAME: JIG 1N VESTMENTS LLC 1711 DELL AVE
OWNER'S PHONE: 4082527310DATE ISSUED: 03/01/2013
CAMPBELL, CA 95008 PHONE NO: (408)379-5500
1.. S .EZ3FIQNS'"t,•, uK s
DA.. �� ,..,n
'PE, tk,43�i; IIYSREGTOIZ
-------------
FOUNDATION/PIERS/H.D.S. BUILDING PERMIT INFO: BLDG r ELECT r PLUMB 171ELECT�..i
UFER GROUND
RESIDENTIAL r COMMERCIAL r
PAn/stslBACKCERT JOBDESCRIPTION: **SUITE # 2**T. I. TO (E) OFFICE SPACE
GARAGE SIA RR/PR F(:f nnrc TTT!'T .i in twin
.ucuurvD/SLAB
INT DEMO, NON-STRUCTURAL PARTITIONS, EL OUTLETS,
;ROUND PLUMBING..
iROUNDELECTRICAL
LIGHTING FIXTURES, ME DUCT WORK & PL FOR (N) ADA."
UR'$LQ[i�UNTIGA'DO.VFi}Ftd%BEEN'StGNEI)
LOOR PLUMBING
LOOR MECHANICAL
LOOR ELECTRICAL
WILDLAND URBAN INTERFACE•FIRE AREA r
ER#
LOOR FRAMING VENTS
Loon INsuLATION
TO ARRANGE INSPECTION '
ibSU13kL ORs' 7IL+AB j!ti�iA�'�BLI NrSIGI�lEDi�S` ;
Call 777-3228 between 7:30 am and 3:30 pm Monday through -Friday, at least 24 hours
before required inspection. Job address Permit
,,I
EATHING
and Numbers are needed when
requesting an Inspection.
LUMBING Sr
HOWER PAN
CUPERTINO SANITARY DISTRICT
FC—ROI—CAL
Closed circuit video inspection of property line cleanout, point of connection
and street lateral required prior to passing FINAL CITY PLUMBING
LECTR1CAL/POOL BOND
INSPECTION. Call the District (408-253-7071) for an appointment.
/STAMS/E. EGRESS
NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
oN/VENTILATION.
—�) AV
BUSINESS LICENSES ARE OBTAINED
bSW,OhK� IIJ�jypjpBdY,EIHAS�EE, SIGNED'' ,r:°ivZE'`.4'
t SIIEAR/HOLD DOWN
PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
SHEAR/HOLD DOWN
ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
:K/SHEETROCK SHEAR .�
IMPORTANT
LATH/w-SCREED
When a permit has expired, a charge totaling one -halt the fees to obtain a new permit
LATH
must be paid in order to reactivate the permit. If a permit has been expired for -more
)I2; ;ITA$TER$UIVtIIi,A'DOYL;IIAS)BFE' N;SIC,LVED tdSja�:•al
than one year, a charge totaling the full fees to obtain a new permit must be paid
to
COAT
reactivate the permit.
ITER NOTES:
TESI SPECIAL INSPECTIONS Inspector: Date:
T/METER RELEASE
DE - PUBLIC WORKS ROOF INSPECTIONS
PRE -INSPECTION: Inspector. Date:
- CALL (408) 3784010
Z TEAR -OFF: Inspector. 'Date:
MING (408) 777.3908
I•ARY (408) 253-7071 PLYWOOD: Inspector: Date:
TTRICAL BATTENS: Inspector. Date:
IANICAL IN PROGRESS: Inspector. Date:
BING FINAL: Inspector. Date:
IICAP NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
Gy
• OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
ZING INSPECTOR
FICATEOF OCCUPANCY
�P°''`R''•°°G FIRE DEPARTMENT
m F E .� SANTA CLARA COUNTY
14700 Winchester Blvd., Los Gatos, CA 95032-1818
(408) 378-4010 (phone) • (408) 378-9342 (fax)
INSPECTION NOTICE
0 Annual,'Cycle
❑ Reinspect'ion
ERConstruction PC # /.?O FO l.��
I1 Final Page of
Street 0
Street Name& SSuNIx
Sulte H
City
Occ.
Date:
�1
�V
S r ✓C An
Z
C V
Class
y/?
upanay`
Occ.
Load:
Phone
G r O
Issued by
Issued to, / /7 //
�a 0U Sk 'de C�p.�'1,`, Signature
FORM H2O