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This Certificate is issued pursuant to fhe regtairem'ents of Secy iiin11,4 of�tb lifo nia Building Code certifying that
at the time of issuance, the.portian of this strOA`- desci=
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(acupertino.org
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:6'01k�azw Rb.
PROJECT
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PROJECT ADDRESS APN# 6/!" v�✓ DATE /2 CJ j
OWNERNAMEPHONED/ ` 2� `� E-MAIL
STREET ADDRESSO CITY, STATE,ZIP ' FAX
CONTRACTOR NAMEPH NyF 7 OL / -M
� � E-MAII�
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STREET ADDRESS CITY, STATE,ZIP , ,! FAX
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Pao, x c 3 0
MAIL CERTIFICATE TO: Please allow up to 10 business days for delivery):
CONTACTNAME I PHON LSIv 2 �y 6GG r E-MAIL
STREET ADDRESS I dl'- CITY, STATE,ZIP LQ �1 FAX
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LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
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 ES OR NO
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQUIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
T-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: 7540 BOLLINGER RD CONTRACTOR:WINGON PERMIT NO: 14070014
CONSTRUCTION CO
OWNER'S NAME:RUNPING LI P O BOX 31983 DATE ISSUED: 12/08/2014
OWNER'S PHONE:4089668850 OAKLAND, CA 94604 PHONE NO: (510)228-6665
INSPECTIONS t, :'DATE NSP.ECTOR
FOUNDATION/PIERs/H D.S. � BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH
UFER GROUND r r
RESIDENTIAL COMMERCIAL
;PAD/SET BACK-CERT 7� r� JOB DESCRIPTION: CONSTRUCT A ONE STORY ADDITION AT FRONT OF SFD
(554 SQ FT); FRONT COVERED PORCH (24 SQ FT) ;
uGARAGESLABS/PREGUNITE REMODEL KITCHEN (150 SQ FT); REMODEL MASTER BATH j)(?Z7-)e0(,/C -7S-iwf 'C
;PQUR NO CONCRETE UNTILA$OVE HAS BEEN SIGNED_,. Nrl uRollO �f�
Ur
tP (t�
UNDERGROUND/SLAB 4� � "� ) •�U {
UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL (� CL �(y
DQ NOT POUR FLOOR UNTIL"ABOVE;HAS BEEN SIGNED
UNDERFLOOR PLUMBING13
i. JCS l3�
UNDERFLOOR MECHANICAL
1
UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA r ER#
IINDFRFLOOR FRAMING VENTS z g- TO ARRANGE INSPECTION
EUNDERFLOOR INSULATION
11 1✓ " Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
PiENtiSUBFLOORUNTICABo3iASE ,5TGNEi��. � Fes; before required inspection.Job address and Permit Numbers are needed when
ROOF SHEATHING _ _ requesting an inspection.
ROUGH PLUMBING ..
G CUPERTINO SANITARY DISTRICT
TUBS&SHOWER PAN f < Closed circuit video inspection of property line cleanout,point of connection
-- ( 6r and street lateral required prior to passing FINAL CITY PLUMBING
Ii ROUGH MECHANICAL ._ L� INSPECTION. Call the District(408-253-7071)for an appointment.
ROUGH ELECTRICAUPOOL BOND r�
FRAMING/STAIRS/E.EGRESS �t SIJ NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
EINSULATION/VENTILATION ` BUSINESS LICENSES ARE OBTAINED
(I Eli NowORK UNTII,ABOVE xns > N sf cNl D ! y .• ;! PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
v
EXTERIOR SHEAR/HOLD D DOWN ...1 6w ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
(INTERIOR SHEAWHOI D DOWN �' 715/K J � I� r5f�-�
SHEETROCK SHEE"i ROCK SHEAR PORTANT
i �.AV -.E t When"a permit has expired,a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATH,tV-SCREED ? ._ must be aid in order to reactivate the permit.If a permit has been expired for more
"( sJ���3 � P P P P
INTERIOR LATH ! than one year,a charge totaling the full fees to obtain a new permit must be paid
a t to reac 'vate the ermR
NO TAPE OR PLASTER UNTIL ABU. B1jtNSI9NED P( <
1 l v- J
SCRATCH COAL' � �
_. T TES: _
}
SEW-FR/WATER
{T-BAR/MECI _
'FLLC�T ABOVE C1iIL (��1 �y� �
'FINALS rV i` ! RCI�L ' 4/� �' '�^i6 ((.l�Iez
(
ELECTRIC METER RELE SE �-
n W ECIAL INSPECTIONS. Inspector: a e:
t GASFEST/METER RELEASE
ROOF INSPECTIONS
GRADE PUBLIC WORKS PRE-INSPECTION:Inspector: Date: C/
FIRE-CALL(408)378-4010 TEAR-OFF: Inspector: U Dater (� —
i
PLANNING(408)777-3308
PLYWOOD:f Inspector: Date: _
SANITARY(408)253-7071 t I
_ BATTENS: Inspector: Date:
ELECT t
M(.I E - IN PROGRESS: Inspector: Date:
MECHANICAL. ®�
'PLUMBING
FINAL: Inspector: Date:_
;HANDICAP NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
3
V
ENERGY z *OCCUPANCY OF BUILDING NOT PERIMITTED UNTIL BUILDING FINAL IS SIGNED BY
#' t- INSPECTOR
BUILDING � p
I -- fes . CF � (? rU�� ��
CERTIFICATE Of OCCUPANCY `� `�t
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