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C� � � �`�' �. c' "!� �'v � � c� � . o n � , ' � � v i �E �� t a..�, � a n =°� lR�°�'� � <, '-r ;-t _.� _.-L'-- � APPLICATION FOR CERTIFICATE OF OCCUPANCY OR CERTIFICATE OF COMPLETION COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION GUPERTINO ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq(a)cupertino.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: �o���D�ss 76 3 Z Qp��3ou� a�. "�.`" 362-Z`t� �3 DA� ,�20/i s OWNERNAME G�i� �+N��f..►�e'A� PHONE�^Sn�' � f�� EMAII. �� �M� ��p� E�') ., STREET ADDRESS ��/ S� C11'Y,STATE,ZIP FAX \7 BjLIA � t� C�R—t��ut7 C� 4� �S Iqll �o���N� �� ��!-t�rJ PHo�y,�_7�L�38H 6 E-�' r'hc s.�c . e�' sTxEsrnnnxEss '3$`�. S-t'CJ�N�"�R A�. crrY,sTn�>�clM�► VA[,G 9 O 3— Fnx MAIL CERTIFICATE TO: Please a11ow u to 10 business da s for delive CONTACT NAl1�EL l CT�+ c+a�+�Y�(J PHONE_l v��C]0/J�4 1�1�1 E MAII, �'\ I M�� K�C)O.� 6 � � STREET ADDRESS�rV�� �j� ,n 7 N� i Tn�JV �. CTIY,STATE,ZIEv 1�� C7 � "t J`�I y FAX �O� �+'I9 I/ . � (�iY ��. LIST ALL BUILDiNG PERMITS ISSUED FOR PROJECT: PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE NUMBER DATE DATE FINALED 1 1312Lb?6 ��? � �� 1 ts' �' A� � M�✓��' 2 3 OCCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANI'LOAD 1 _1 () — 2. l �O 2 3 4 BUILDING DATA: #STORIES #STORLE5 OVERALL MAX OCCIJPANT FIItE SPRINKLERS FII2E SPRINK[.ERS BELOW GRADE ABOVE GRADE FLOOR AREA LOAD RE UIRED S OR NO PROVIDED S OR NO p �13a Y6 11c #PARKING #STANDARD/COMPACT #ACCESSIBLE RE UIRED PARHING PROVIDED PARI�NG PROVIDED NOTE: ATTACH A COPY OF THE SIGNED INSPECTION CARD TO THIS APPLICATION. - OFFICE USE ONLY(T'o be completed by inspector of record)- SPECIAL STIl'ULATIONS OR CONDITIONS: CofU Application.doc revised OS/07/12 CITY OF CUP�RTTNO BUILDING PERMIT INSl'ECTI�JN CARD BUILnING ADDRESS:7632 RAINBOW DR CONrx.�Crox:ELI�NGELMAN rE12n7rr No: 13120096 OWNER'S NAA�IE:EL1 ENGELMAN i 7 652 BRIi�GE PARI�CT uA'rE�SSUEu:04/07l2014 OWNER�S rHONE:4088938985 CUPERTINO,CA 95G 14 pHOn��vo: � INSPECTIOIYS' DATE NSPE T R ' I �FOUNDnT1oN/PIERS/H.D.S. . o� BL!1LDING PERMIT INFO: BLDG� ET,ECT�� PLUMB� MECH� .UF�R(iROUND � ;�- ' RESIDENTIAL CO�'IMERCIAiI� PAD/SET9/iCK-CERT JOBDESCRIPTION: Ann 715 S.F. & CONVERT 80 S.F. OF (E) GARAGE TO (N) LIVING SPACE. RAZSE SI,EVATION & REPIODEL ' GARAGESLAB5!PREGUNITE ENAINING 1415 S,F.. RE-ROOF 30 SQ'S. UPGRADE i POLJR NO£ONCRE'I't�:CiFYTl1,ABOVE 1iA�BEEN SIGNED" ' � UNDERGROUND/SLAB _ _ U'JDERGROUND PLUMBiNG }, �'UNUERGROUND ELECTRICAL W� f ;DO N��dT POtIR I'LOOR UNTIi:AE(}VE_HAS B��IY SIGNED �UNDERFLOOR PLIJEvIBING �—`�.., r _ , . ` lr'NUERFLOOR Iv�CHANICAL urrDFxFi.00R F�Ecr[ucnL, WILDLAND URBAN INTERFACE FIRE AREA� ER# __ . ,UNDERFLOOR FRAMING VEN'fS ,,, � "';� \ . � TO ARRANGE INSPECTIOPi UNDERri.OGR INSU�ATION � ,�*�• �,,� �; Call 777�228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours :PLACE;VQSUBFLUORUNT L ABOVE EEN5ICN�D v before reyuired inspection.Job address and Permit Numbers are needed when �z«,�sHE��r�nN� � � �� ��� requesting an inspection. —,`-� _..,,..,.---�----��-+—� ,�tOUGH PLUMBING �� ���Z„}r� CUPERTINO SANITARY DISTWCT i _ .,,,..,, ._.._.._.........�.. .._ :UBS&SHOWER PAN ' � Closed cir�uit video inspection of property line cleanout,point of connection �����----- � -�� f � �� - and street lateral required prior to�assing FINAL CITY PLUMBWG �R(�UGH�9ECIiANI�AL „ �"�'�'` �•?"� INSPECTION. Call the District(408-253-7071)for an appointment. i,RI�UG}IEL.ECTRfC.0.L/PWL OND � ,�h/' ����,i� . rRAM:A;GiST URS/E.EGR s ' �L j � � 1\TO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED _�:.._._..�.: �� BUSINESS LICENSES ARE OBTAI;VED �INSULAIIOI�iVENT11.ATi0 �_���� ty '' F ,;cavEx No wouk un��neov�HaS s�E�v SiGNi�n p�Rl�1IT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT Ex�arox sxEars,�o[.flD �vn ,�� ��l ISSUANCE OR 180 DAYS FROM LAST CALLED IIVSPECTION. �II+T"IERIOR SHEAR/HOLy yV� YSf�EETROCK/SHEL'PROCK SIiEAR �� � �� ��, IMPOR7'ANT — " ` - When a permit has expired,a charge totaFing one-half the fees to obtain a new permit FxrrRioR I A t t:�w-scRr�ED . ��.=1�, m u s t b e paid in o r d er t o r e a c tiv a te th e p e r►ni t.If a permi t h a s b e e n e x pi r e d f nr m o r e i+ rx�rE"� a;oa[.ATi� � -� �� than one year,a charge totaling the full fees to obtain a new permit must be paid NQ 7'APE OR PLA5TERUNTIL ABOVE S B EN S1GNEll � to reactivate the permit __.�....w... j �( sc�rc�i con� fr"�� � � �� "i �,�'e.��T `� YU �, 1�.y� �'. a, _ � NOTES: � � �'�,i�� '•'� ! • p C 4SF J6'FR'W ATFR � � f�.~ �{'-RAK/MECH/tiLECT ABOVE CGFL R' ���GINAi,�,S `���1. CTKSC�rvtETE�R��EAsr: �'�'� + SPECIALINSPECTIONS Inspector: , Date: %--- ___ _. __._, „_ ,,� _ Gn�rEsrr�vFTER�LEwSE °�' , � '=� � ROOF INSPECTIONS URADE-PVBI.IC WORKS � PRE-1NSYECTION:Inspector. _ Date: �i�I12E—CAI.L{.OS)378-�1010 ��+ ;a ,��,�-�C. TF-AR-OFF: Inspector: Date: �� �YLANNING(408)177-3308 PLYWOOD: Inspector: Date:_ ��-- ;1 SANITARY(408)253-7071 1"-� _r1 � / .+ � _ ��" ��t� BA'?TENS: inspector. Dace: _ �'EI.,ECTTRICAL � � _.... - Ir7 PROGRESS: Inspector: Date: 'iv1HCHANICAL �,�„ '}'1.UMBING FINAL: Inspector: Da[c: _ � � _ _. __. _ _ _ }�pN���pp NOTE:OSHA APPROVEB ACCESS TO ROOF SHALL BE PRUVIDED FOR INSPECTION. ______..�.�..�..�: ,ENERGY �� *OCC.UPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL}S SIGNED BY" ,.�.,�,,� _ � INSPEC.'TOR �RlifLDItaG �,` � , "CfiRTlI�iCATL'OF OCC ANCY• j _. _.... . _ _..___ -___ . ..._I_ ���..s jr� -- �.�,,.�.� ��:.�-��- .s�.����° ..� �� � 1 f�� �;�� �� c� ✓ � .����'�`�� ��-- � � � � � �r� � a �