12080229 - CofO • •
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APPLICATION FOR CERTIFICATE OF OCCUPANCY � �
OR CERTIFICATE OF COMPLETION \(,
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION � `�
C�P��=��� ALBERT SALVADOR, P.E., C.B.O., BUILDWG OFFICIAL �
10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 � `
(408)777-3228• FAX(408)777-3333•buildinqCc�cupertino.arq `�
� � S
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
' PROJE TpO�S�^� �' � , /�/y� _ 'A� APN# DATE � ���i �O/
v � N �r� �
.. OWNERNAME S I!1(✓(.I � I /IL 1 p /°� q � ��/ )a� E-�IL i����" V /S•
G
STREET ADDRESS � CITY, STATE,ZIP FAX
CONTRACTORNA � J.�� PHON �������Q---7 E-M�A^IL�� ���1Q �'`/ '
J J � ►7J �
. STREET ADDRESS�j� �� � �,/'�'�� ����,.� .. � CITY TAT ZIP � �� . 9�� 'AS�`_��t'..�,` 2 �,C"' ' �
� �����' �d� '[
MAIL CERTIFICATE TO: (Please allow u to 10 business da s for deliver ):
CONTACTNAME !/� �61�1 rC��1 U/<./ ��!V I�S' ,Y"�/`�(3v' ��"�71� I S � / E M/��$L/f'L6C-I�/C-.�(,7J O � (✓��j�.( I• K.�
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STREE A R � ��� CITY TA ZI, P_„ .,��� � AX /_� ?/ �/� f )�'j�
�/� �i .7roT ///
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 �a�aaa �aaY/la a-a�,� �.
�
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1 a�� . �t�'�D'1�'js' `� � .
2 � �/ �
3 '7 � ��
4 C�, , �n� �
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED E OR NO PROVIDED YES OR NO
� �t S � "e�S �-�
#PARHING #STANDARD/COMPACT #ACCESSIBLE
RE UIRED PARHING PROVIDED PARHING 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
��
r'�'I'�"�Y�F C[TPERTINO BUILllING PERMIT INSPE�CTION CAR�
,��BUILI�[1�G ADi3i2ESS: 10218 S TANTAU AVE CONTRAC'COR: `- PERMIT NO: 12080229
�r�A�l�/Y����
O�`1�'NER'S Nnn1E:ESMAIL ORANGIFAR 'L"Cyh�f 4��C�'T` i .�- Cr DATE ISSUED: lO/24/2012
��w1v�R'S PEiONE:408904$614 PHONE NO: (408)245-0991
_. � ,�._.
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roVNDnTION�Fl&RSii-I D s. BL'1LDING YERMIT INFO: BLDG� ELECT� PLUNIB� MECH�
�'�- 3
UFE�2 GROUM3 _-'� 3 � RESIDENTIAL� COMMERCIAL�
�PnD/SFT BACK-CERT� _ � 3 % JOB DESCRII'TION: CONSTRUCTION OF A N�W TWO-STORY SINGLE
�vARACr�SLP.BS/I'1tEGiJNITE
�r FAMILY
����''����"������ �` ' ���� �� �� � � ���" � ' � ��� ' ��� �"`� ESIDENCE 4,959 SQ FT A1VD AiTACHED GARAGE 452 SQ ��
IJPIDERGRO�1ND/SLAB
�UP:DERGROlJND?LUMBING
FT, TOTAL SQ FOOTAGE 5, 411 SQ FT-SANIT�IRY IS IN
UNDERf ROUND ELECTRI�.AL
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�UI�TDERFi00R PLIN_fiING � 'I � � �
l ✓
�UI�rDE1ZFLUOR IvfECHANICAL ����
� � �^ � WILDLAND U1tBAN I1�TERFACE FIRE AREA� ER#
UNDERFLOOR EL'rCTRICAL �
�..,,,
�[r:��ttFi.oex H-tzAhrtt�G vF?� ��� 6... � TO ARI2AN�E INSPECTIOi�T
LJI�TDbFtFL0021N5li�AT�ON ��_ C3II���-322H bClli�een 7:30 am and 3:30 pm Monday ihrough Friday,at I�ast 2�4�ours
� � -;. �efore required in�pection.Job address and Permit Numbers are needec�when .
��z�r.�c,�y��u��L,�. ��i`z�,.nff�v7��rAS'���.�rc��-�''., �
�'-"`�-'- " " _ ""`�`' "� re uestin an ins ection.
�`RGOr`�};Fr`THiNIi �� �!� � `� P
_ -
�ikOUGH PL[J'vIIilNti
k, ^ � U' CUPER'TINO SANITARY DISTRIC7'
i;..�,..�...�.:. ,....._ .,.,�.
;�TLRS sx�w'�R t� _ � 3 Closed cirruit video inspection of property line cieanout,point of connection
��°- °°-� -� and sireet laterai required prior to passing FI\TAL CI'TY PLUI:'IBING
�RO��GI t ML-CHANICAI.
� ___ ___ ___. ,,W,,,i ' „�,�,3 INSPECTI�N. �all the District(408-253-7071)for an a�pointment.
r;RC[JGH ELrC i RICAL/POOL OND
�' �
�FR�* LN��sT.�ts�.���s _ , NO BUILDING FINALS 1NSPECTIONS UNTIL ALL REC2UIRED
`r�sLL�1��un Gr�T2niiorr � BiJSINESS LICENSES ARE OBTAINED
�����Y `�`'. `���$U' : $��.�5��: ', ;,
r�,'� `' PERNIIT EXPIRES IF WOItK IS NOT STARTED WITHIN 180 DAYS OF PER1biIT
Exrr.iz?UR Sxza�r:/iioLn now i � ISSUANCE OR 180 DAYS FROM LAST CALLED IIYSP�CTION.
,,N T�:RIOi<SIiF.AR�HOLB u0 _
7� �
� CtfFr tROCk/�kEETROCK SHEAR �� � IMPOR�ANT
�� When a permit has expired,a charge totaling one-half the fees tn obt�in a new permit
jL•:KTFRIOi2i,ATH.NV-SCREED �_ � �` must be paid in order to rcactevate the permit.if a permit has�een expired foc more
/
,...,�.�,.�_...._.....,...._
��,:v,ciuox�.a'rr� , than one year,a�harge totaling the full fees to obtain a new permit n3ust be paid
�— � ,� - to reactivate the Nermit.
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�EI.�CTR1C MC'fER RELEASF � _ o �
�G � �3 7j � SP C�AL IN��PECTI�NS Inspector: Dafc:
�. _ __ _�_..___.._ ,
k �GPS,ES'C/if,FTERF�LF.ASE
� ROOF 1NSPECTIONS
�c?Rai'ir_pUgLIC WORKS � t PRE-INSPECTION:Inspecter, Date: _
a...�......r.m,... ___—
��FiTtE-CAL�(�(!3)378�010 TEAR-OPF: Inspector.__ _ _ _ Date:
�_,,,,,,_„__.....,.-_ ,,,...,,.,_y,.,..,,
PLANNING(4P8)7?7-3308 +�y � �
' � ID � Y
������ � YtY'vVOOD. Inspcc or:—. ---.— - Date:
__ _______. �,.
S,^,NITARY(&OS)253-7071
_, .�..,. BATTENS: Inspector: _ _ Date:
�LLC'TTRICAL � �
�! � ,
��:�.�..w..�,.,�.�.�o�., IN PROGP.ESS: InsPector: __ i)ate:
tT:4F HAI�ICAL '�� ----
�:;��--W--�.�--�-�°°°°--- �� .' FINAL: Inspector. Daie:
�r�.IJ?,�[BR�G l� - -
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`�"""°"v"""""`"""""° NOTE:OSIiA APPROVED AC_CI;SS TO ROOP SL�ALL BE PP20�'1DED FOR Il\SP�CTIOIV.
��''i{L�'�]DICAP
�L*I�RGY � .. � *OCCUPANCY OP'BUILBING NOT'PF.RNtITTEP UN1fIL SIIILBI``G A'INAL IS SIGNED BY
� ___ � ( INSYECfOR
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