14010147 - COFO i
This Certificate is issued pursuant to the raquirements of Section 111;
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•buildingacupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADD � J APN# 9,.,4 2 1 4-o DATE / 4
OWNERNAME 'v[._ PHONE �y E—MAIL i
GO" 3 Gf /.e i tJ�C0
STREET ADDRESS CTTY, STATE,ZIP 2 FAX
CONTRACTO N E PHONE E—MAIL
4443-IA -4-0411
STREEADDRESS CITY, STATE,ZIP�v D FAX
MAIL CERTIFICATE TO: lease allow up to 10 business days for delivery): /�
CONTACT NAME"r`� /� PHONE ^3 F.MAYL—4M � LI (G!� a
STREET I�fG CITY, STATE ZIP , FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER PATE DATEFI AL D
1
14QI0144t
16I!!i GT3 COh6TW aq 31DW 5MWL
2
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
#STORIES #STORIES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED YES OR NO PROVIDED YES OR NO
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQUIRED PARKING PROVIDED 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:
CofO Application.doc revised 05/07/12
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 10215 S FOOTHILL BLVD CONTRACTOR:GRAND NEST PERMIT NO: 14010147
CONSTRUCTION
i OWNERS NAME:XIE WEN TING AND LIU WESLEY 13428 CHRISTINE DR DATE ISSUED: 07/22/2014
1W
§OWNER'S PHONE:4088296083 SARATOGA,CA 95070 PHONE NO: (408)891-8059
LNSFE O ? DATE I1SPECTOR
FOUNDATION/PIERS/H.D.S. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH
3iUFEUFE OUND
RESIDENTIAL� COMMERCIAL
PAD/SET BACK-CERT JOB DESCRIPTION: CONSTRUCT 2 STORY SFDWL 4,387 SQ FT TO INCLUDE 1ST
FLOOR 2316, 2ND FLOOR 1175, ATTACHED GARAGE 441
I;GARAGE SLABS/PREGUNITE D PORCH 455 SQ FT
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED:'r
1x UNDERGROUND/SLAB
f UNDERGROUND PLUMBING
1€UNDERGROUND ELECTRICAL
DO NOT POUR FLOOR UNTIL ABOVE'IAA BEEN SIGNED:
j UNDERFLOOR PLUMBING Z `�
'UNDERFLOOR MECHANICAL
2 WILDLAND URBAN INTERFACE FIRE AREA ERN
UNDERFLOOR ELECTRICAL
UNDERFLOOR FR VEN
ATS ' TO ARRANGE INSPECTION
i UNDERFLOOR INSULA ION �7 6_ r, Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
PLACE NOSUBRLOORUNTIIyAB IIAS BEEN SIGNED
_1 before required inspection.Job address and Permit Numbers are needed when
ROOF SHEATHING requesting an inspection.
/j
1
ROUGH PLUMBING CUPERTINO SANITARY DISTRICT
TUBS&SHOWER PAN -_ j� '- Closed circuit video inspection of property line cleanout,point of connection
and street lateral required prior to passing FINAL CITY PLUMBING
ROUGH MECHANICAL ,� • INSPECTION. Call the District(408-253-7071)for an appointment.
ROUGH ELEC'TRlCA-.'POOL BOND ,is
i FRAMI &;STAIRS/E.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
�N
[NSJLATION�VLNTII,ATION BUSINESS LICENSES ARE OBTAINED
_ � d ��
k 2 J
+clvERNoH�oRx,,uNTIL,ABO�I Hns=BEEN;sIIVED PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
EXTERIOR SHEAR/HOLD DOWN
� �"l�-•I S" �4`P ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
i INTERIOR SHEAR/HOLD DOWN t
SHEETROCK/SHEETROCK SHEAR �� v1f IMPORTANT
J - When a permit has expired,a charge totaling one-half the fees to obtain a new permit
ExT RiORL•,aTlliw r)D �L Je, must be paid in order to reactivate the permit.If a permit has been expired for more
j INTERIOR LATH - — than one year,a charge totaling the full fees to obtain a new permit must be paid
o reactivate the permit.
NO TAPE OR PLASTERUNTIL:ABO Tj1AS BEEN SIGNED ' -<''i
SCRATCH COAT ® d,
4 l_ `
NOTES: C �✓
SEWER/WATLRj� l
LT-BAR/MECH/ELECT ABOVE CEIL �•t°�� � `� ���h
?� .
r�FINALS
ELECTRIC METER RELEASE SPECIAL INSPECTIONS Inspector: Date:
1
i GAS TEST/METER RELEASE
-' ROOF INSPECTIONS
(GRADE-PUBLIC WORKS /. „s PRE-INSPECTION:Inspector: _ Date:
1 FIRE—CALL(408)378-4010 r' EAR-OFF: Inspector: Date:
PLANNING(408)777-3308
PLYWOOD:- Inspector: Date:
I
SANITARY(408)253-7071
_ VV� BATTENS: Inspector: Date:
ELECTTRICAL
IN PROGRESS: Inspector: _ Date:
r MECHANICAL f
j
PLUMBINGu FINAL: Inspector: _ Date:
f ,
HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
ENERGY - *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
INSPECTOR
BUILDING G—
i 6
CERTIFICATE OF OCCUPANCY