01040104 - CofO • •
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This Certificate is issued pursuant to the requirements of Section/109.3 of the/1998 California Building Code certifying that
at the time of issuance, the lortion of this structure described/below has been inspected for compliance with the
P I � � � i l /has/been 6l
requirements of this code and with the�various ordinances of the Y�regulating,building construction for the occupancy
and division of occu occupancy and the use-for-which the ro p osed'occu pan
p � p p �p cy is classified.
BuildingPermit Number(s): 01040104 A licatio Date(s):/04-20-200, Issuance Date(s): 04-08-2002
, I , PP
Address of Building: 22811 San Juan Road \
Portion of Building: NEW 2-STORY SFD (2,431 S.F.) WITH ATTACHED GARAGE (522 S.F.)
Use: Single Family Dwelling Occupancy-Classification: R-3/ U Occupant Load: SFD
Total New Floor Area: 2,431 s.f.(R-3-occ) 22 s.f1,� (U-occ)� Type of Construction: V-B
Current Property Owner: Kelvin Loves
Current Owner Address: 22811 San-Juan'Road, Cupertino, CA 95014
Final Inspection By: Lar Srqua ��nior Builduin` Inspector
uFinal Inspection Date: 05-06-2013
*SPECIAL STIPULATIONS OR None
am
Albert Salvador, P.E ,.B.O., Building Official Date Issued
NOTICE: No changes�shall-be made-in the character of occupancy of the building except by the authonty_of the Building Official.
U �J L-1 U Li U �/
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•building -D
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
FADDRESS /y� 1n'// 7 ,�1 �l 6� DATE r a
' /O I V UQ•/ �a� All q ) '1 ') b / /7� J b
AME ' .-y C...l�.,�',/1- I '„) PHONED A t10 O "t'Q" O EMAIL ��I `nbe 10ADDRESS /\,Q`.I.: \I lA�d"-��1'`n'n O CITY, STATE.ZIP eu t r,�It,0 C. L 4- FAX
CONTRACTOR NAME.' V I .V IA'1 PHONE E-MAIL
STREET ADDRESS CITY, STATE,ZIP FAX
MAIL•CERTIFICATE TO: Please allow up to 100 business days for delivery):
CONTACTNAME M�I'I•1 PHON J,�� Q / //_�ttt'''D...� E-MAIL �p yr �G�,br1 ® III'10-4.';Lo .
STREET:ADDRESS i;q�,(LII An• �N /) _ CITY, STATE,ZIP /� er4,1, rIi R + FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
I6 lnqo Ind5to13
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4.
BUILDING DATA:
N STORIES' N STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
IBELOW'GRADE ABOVE.GRADE FLOOR AREA LOAD REQUIRED YES OR NO PROVIDED YES OR NO
LREQUIRED KING N STANDARD/COMPACT N ACCESSIBLE NOTE: ATTACH A COPY OF THE SIGNED
PARKING PROVIDED PARKING PROVIDED INSPECTION CARD TO THIS APPLICATION. .
OFFICE USE ONLY(To be completed by inspector of record)- !
SPECIAL STIPULATIONS OR CONDITIONS:
Co/O Application.doc revised 05/07112'
i
INSPECTION WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-001
PRINTED ON 05/22/13
PERMIT NUMBER: 01040104 22811 SAN JUAN RD CUPERTINO
PERMIT TYPE: SFDWL-NEW1 DO NOT USE
USAGE CLASS: DWL-WNEW DWELLING TYPE 5 WOODNEW
SPECIAL :2431 SQFT LIVING SPACE 522 SQFT GARAGE. REC
PERMIT :6/1/04-GAVE LTR TO GREG REVISION--03050079, NO NEW
CONDITIONS :PERMIT ISSUED
AND NOTES :CHECK SECOND HOLD BEFORE SCHEDULING BLDG.
PARCEL ID: 34222077 . 00
LOT: BLOCK:
SUBDIVISION:
OWNER NAME: KELVIN B C LOW & BEE YIAN LIEW
OWNER ADDRESS: 22811 SAN JUAN RD
CONTRACTOR ID: 24774
CONTRACTOR NAME: ED DAOU
CONTRACTOR PHONE: (408) 399-4949
INSPECTION TYPE: 303 ROUGH MECHANICAL
INSPECTION AREA:
SCHED DATE: 05/02/13 INSPECT TIME:
CONTACT INFO:
INSPECTOR: LS SQUARCIA, LARRY
INSTRUCTIONS: P.M. - RQST LARRY- KELVIN 408 386 4800
COMMENTS:
RESULTS: PASS FAIL CANCEL RE-FEE FAIL CODE:
NOTES:
PRIOR INSPECTION RESULTS:
101 FOUNDATION 01/22/03 P AD
101 FOUNDATION 01/02/03 P AD
101 FOUNDATION 12/30/02 C
101 FOUNDATION 09/16/02 F MIST LAYOUT AD
102 PIERS 11/07/02 F LS
102PIERS 11/07/02 I LS
102 PIERS 11/07/02 P LS
102 PIERS 10/28/02 I AD
102 PIERS 10/25/02 F JB
102 PIERS 10/16/02 P AD
102 PIERS 09/17/02 P AD
102 PIERS 09/16/02 F MIST LAYOUT AD
103 UFER 01/22/03 P AD
106 SEWER & WATER 10/16/03 P AD
204 UNDERFLOOR FRAME 04/29/13 P LS
INSPECTION WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-002
PRINTED ON 05/22/13
*** INSPECTION SHEET - CONTINUED ***
PERMIT NUMBER: •01040104 22811 SAN JUAN RD CUPERTINO
INSPECTION TYPE: 303
PRIOR INSPECTION RESULTS (cont`d) :
204 UNDERFLOOR FRAME 02/26/03 F JB
301 ROUGH PLUMBING 10/16/03 P AD
301 ROUGH PLUMBING 09/29/03 I AD
301 ROUGH PLUMBING 09/02/03 I AD
301 ROUGH PLUMBING 08/28/03 F AD
303 ROUGH MECHANICAL 05/02/13 P LS
303 ROUGH MECHANICAL 04/29/13 R LS
303 ROUGH MECHANICAL 09/02/03 I AD
304 ROUGH ELECTRICAL 04/29/13 R LS
304 ROUGH ELECTRICAL 09/02/03 I AD
304 ROUGH ELECTRICAL 08/28/03 C AD
305 FRAME 05/02/13 P LS
305 FRAME 04/29/13 R LS
305 FRAME 09/02/03 I AD
305 FRAME 06/24/03 I AD
305 FRAME 06/23/03 C AD
305 FRAME 12/30/02 C
307 INSULATION 10/16/03 P AD
307 INSULATION 09/11/03 P JB
309 EXTERIOR LATH 10/16/03 I AD
309 EXTERIOR LATH 09/15/03 P AD
309 EXTERIOR LATH 09/02/03 I AD
309 EXTERIOR LATH 09/02/03 I AD
311 SCRATCH COAT 05/02/13 P LS
311 SCRATCH COAT 04/29/13 R LS
311 SCRATCH COAT 10/16/03 I AD
313 ROOF NAIL 06/10/03 P AD
313 ROOF NAIL 06/06/03 I JB
315 EXT SHEAR 06/10/03 P AD
315 EXT SHEAR 06/06/03 I JB
315 EXT SHEAR 05/22/03 F LS
315 EXT SHEAR 05/08/03 I AD
315 EXT SHEAR 02/21/03 I AD
316 INT SHEAR 05/02/13 P LS
316 INT SHEAR 04/29/13 R LS
316 INT SHEAR 06/10/03 I AD
316 INT SHEAR 05/22/03 F LS
402 TEMPORARY POWER 09/12/02 P AD
402 TEMPORARY POWER 07/30/02 P AD
403 GAS METER RELEASE 10/16/03 P AD
501 FINAL ELECTRICAL ENE 05/02/13 P LS
501 FINAL ELECTRICAL ENE 04/29/13 R LS
502 FINAL PLUMBING ENERG 05/02/13 P LS
502 FINAL PLUMBING ENERG 04/29/13 R LS
503 FINAL MECHANICAL ENE 05/02/13 P LS
503 FINAL MECHANICAL ENE 04/29/13 R LS
504 FINAL BUILDING ENERG 05/02/13 P LS
INSPECTION WORK LOG - ONE PER PAGE DETAIL FORMAT PAGE-003
PRINTED ON 05/22/13
*** INSPECTION SHEET - CONTINUED ***
PERMIT NUMBER: 01040104 22811 SAN JUAN RD CUPERTINO
INSPECTION TYPE: 303
PRIOR INSPECTION RESULTS (cont`d) :
504 FINAL BUILDING ENERG 04/29/13 R LS
504 FINAL BUILDING ENERG 12/16/03 P AD
505 FINAL ELECTRICAL 05/02/13 P LS
505 FINAL ELECTRICAL 04/29/13 R LS
505 FINAL ELECTRICAL 12/16/03 P AD
505 FINAL ELECTRICAL 12/10/03 F NO BLDG FINAL PLNG HAS PR LS
505 FINAL ELECTRICAL 12/01/03 F LS
506 GAS TEST 10/16/03 P AD
507 FINAL PLUMBING 05/02/13 P LS
507 FINAL PLUMBING 04/29/13 R LS
507 FINAL PLUMBING 05/19/04 N NO INSPECTION-QUESTIONS O JB
507 FINAL PLUMBING 12/16/03 I AD
507 FINAL PLUMBING 12/10/03 F NO BLDG FINAL PLNG HAS PR LS
507 FINAL PLUMBING 12/01/03 F LS
508 FINAL MECHANICAL 05/02/13 P LS
508 FINAL MECHANICAL 04/29/13 R LS
508 FINAL MECHANICAL 12/16/03 I AD
508 FINAL MECHANICAL 12/10/03 F NO BLDG FINAL PLNG HAS PR LS
508 FINAL MECHANICAL 12/01/03 F LS
516 FINAL BUILDING 05/02/13 P LS
516 FINAL BUILDING 04/29/13 R LS
703 MISCELLANEOUS 12/23/03 N LS
703 MISCELLANEOUS 10/08/02 I JB