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12120061 - COFO TCO.ode certifying that ance with the or the occupancy ate(s): 06-04-2013 :D 3 -CAR Building Official. Y - - - _ u - - -- - - - w_ . _�T CUPERTINO APPLICATION FOR CERTIFICATE OF OCCUPANCY OR CERTIFICATE OF COMPLETION COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 777-3333 - buildina(cDcupertino.org CKS ►7�I-I&IIIM-W-1 yK7\771I1 W-11 CNVY[�7�i�L�77�I_T�7�i:�iliAlt71�C�A PROJECT ADDRESS 1375-08-057 APN # IS DATE INSPECTOR SCOPE D E LED DATE 111/1912015 19099 Tilson Avenue & 10418 S. Tantau Avenue 12 /14 3 Jeff Final 2 12120062 12/18/2C12 Lakshmankumar Mukkavilli 3 14P087N0 0255 lakshmanmukkavilli@gmail.com STREET ADDRESSCTTY STATE, ZIP FAX 19099 TilsonAvenue Cupe,rtino,CA 95014 WNTRACTOR NAME PHONE 1(510) E-MAIL Construction 432-6249 WkEET ADDRESS CITY, STATE, ZIP FAX 850 W, Sunset Blvd Hayward CA 94541 MAIL CERTIFICATE TO: (Please allow up to 10 business days for delive CONTACT NAME PHONE E-MAIL Lakshmankumar Mukkavilli 408 730 0255 lakshmanmukkavilli@gmail.com STREET ADDRESS CITY, STATE, ZIP FAX 19099 Tilson Avenue, Cupertino CA, 95014 LIST ALL RUII,DING PFRMTTS ISSITFD FOR PRO.TFC`.T- PERMIT NUMBER SUBMIT DATE IS DATE INSPECTOR SCOPE D E LED 1 12120061 12/18/2 12 /14 3 Jeff Final 2 12120062 12/18/2C12 N 6/1 5/29L iJeff Final 3 OCCUPANCY DATA: USE OCCUPANCY TYPE F R AREA OCCUPANT LOAD 1 2 3 4 BUILDING DATA: # STORIES BELOW GRADE # STORIES ABOVE GRADE OVERALL FLOOR AREA MAX OCCUPANT LOAD FIRE SPRINKLERS REQUIRED YES OR NO FIRE SPRINKLERS PROVIDED ES OR NO # PARKING REQUIRED # STANDARD/COMPACT PARKING PROVIDED # ACCESSIBLE 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 CUPERTINORCARD r_t.IL:,!,NG ADDRESS: i9099 TiLSON AVE _ON TRACTOR: BG CONSTRUCTION 1 PERMIT NO: 12120061 OWNER'S NANIE: LAKSHMANKUMAR MUKKAVILL1 850 W SLiNSFT' PLVI?. `♦' DATE ISSUED: 06/04/2013 OIVNERrs PHONE: 4087300255 HAY WARD, CA 94541 PHONE NO: (510) 432-6249 ���var�cv.�►atkva ,.. )uA1r, 91A Ei:l�] ;`"" y,FOUNDATIONrnIERs/H.D.s. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH UFER GROUND RESIf)E NTIAL £ COMMERCIAL PAD/SET BACK -CERT �� /i' 3 JOBDESCRIPTION: NEW TWO(2)STORY HOUSE ( 417 6 SQFT) INCLUDING �GARAGESLABSTREGUNITE W— - THREE(3)CAR ATTACHED GARAGE ( 631 SQFT) t°(wR 1O CONCR 'tTNTIL'ABOb E HAS BEEN SIGNED INDERCRCUND/SLAB r UNDERGROUND PLUMBING UNDFKGROU',D ELECTRICAL, 1 9 ^,kPOUR FLOOR OOR I e IL ABOVE HAS BEEN SIGNED/ 1 t r���_R,�rooRPCutitB1NG _ G� UNDERFLOOR MECHANICAL £UNDERFI.00RELECTK CA.L�LLW WILDLAND URBAN INTERFACE FIRE AREA ER# P UNDERFLOOR FRAMING VENT, 1 TO ARRANGE INSPECTION I UNDERFLOOR INSULATION � _ T� Call 777-3228 between 7:30 am and 3:30 pnt Monday through Friday, at leas: 24 hour N �LO "LAB _xE EN" SIGNED �� � before required inspection. Job address and Permit Numbers are needed when i ).t'1.Afr,'\C? SLBII(aOi;lJ`+aILA_i30VE:I-LASBFI:1\�,dG"wED q P f: ROOF SHeA1141M, � � � requesting an inspection. I ROUGTI PLUMB I1WG `x114 CUPERTINO SANITARY DISTRICT ! TUBS 8z SHOWER PAN T-' t'� Closed circuit video inspection of property line cleanout, point of connection ROUGH MECH arrlCnL and street lateral required prior to passing FINAL CITY PLUMBING INSPECTION. Call the District (408-253-7071) for an appointment. 20UCHELECTRICAL/POOL BOND ;,s_j �� ) _ J tNG;sTAtgs/E. EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED -— BUSINESS LICENSES ARE OBTAINED UL —)N/VENTILATION rwiR �o>�C tIc [r Tn � civE rA BEI sic ED PERMIT EXPIRES IF WORK IS NOT STARTED `l%JITHIN 180 DAYS OF PERMIT 47IR1Oi2SMEAR HOLD DOWN - w - �;I ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. FT I6R SHN.AR/HOLD DOWN t _ I ; y� � J� 1F OCK,SI'EETROCK SHEAR r IMPORTANT !-X-,'LP (OR LTH W -SCREED When a permit has expired, a charge totaling one-half the fees to obtain a new permit must be paid in order to reactivate the permit. If a permit has bee3 expired for more r it 6i L, Fi ti!' f than one year, a charge totaling the fu,i fees to obtain a new permit must be paid Ct I iPL `R P 4,� ER I aVTIL ABOVE HAS BEEN EEN SIGNE to reactivate the permit. - _:rt �11 C11 _ NOTES�ss lum :'CH FLL � AI JVL CLIC � � � � ��� i 1 F R REL ASE � �'��� -- SPECIAL INSPECTIONS Inspector: ate: s iF5 *Mr TER REI EASE I[ ROOF INSPECTIONS R, DL - PUBLIC WORKS 5 PRE: INSPECTION: Inspector: Date: RL CAL=(408)'i78-4010 I TEAR -OFF: Inspector: — Date: °LANNINI_ (0)s) 777-3308 ' ib f PLYWOOD: Inspector: Date:l ,% Y (408)23-75071 _ j.j BATTrNS: Inspector: Date: FLFCI1RICAL IN PkOGRESS: Inspector: _ Date: MECHANICAL V r JMI3INUFINAL: Inspector: Date: " S C7 T� rl NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION. NI RGY_ * OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED Bl' d ),U1 INSPECTOR NC I OCCl PA JCY 2 TIFICATE OF ti ti -7� I CV 61235,,1EE7pa c/C - Gopr d �KWel- g rAiGz ..¢ lcA t-1 y* %l ryr� �'o L< a ©�L fn s �.a !� iGeC 70V? CUPERTINO TEMPORARY CERTIFICATE OF OCCUPANCY FORM COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION l l ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCo>cupertino.org APN"� ®ts 1 BP#:1 I a 006 f � Iab0 DATE: �' � ��f0 PROJECTVALUATION: $ 6 uo) 000 SITE Ici0g9 711-50N AV. &I oL4 IS 5- FANTA lJ AV. _ CuKg-TWO c A ADDRESS: Fire Signature: ......... ........................................... OWNER'S NAME: PHONE #: Li 0$ — 7:) 0 — C? .4 LAKSHMANKL)11pP, MU1`KAVI _a MAILING ADDRESS (if different from site address): 11 APPROVED WITH CONDITIONS` Signature:................... CONTRACTOR: y� o CL-) oj S u „i. 10, /44 I SIC. 47 PHONE #: 5-i c 1 /. 9 "/ `i Fh�Ift CONTACT: acNYAMIN 0711 T ►Aiz P N f 1 odWVd14cY Date:.. �.�...�.... TEMPORARY CERTIFICtTSVOCCVANCY INFOR I NI,, 17 k BOND TYPE: ❑ SUR B ;D�jl OUNT (1° V U 10 $ (BLDB NDS]C (TION: ❑ CHECK ❑ D BOND: in- 0 max TCO EXPIRATION qcldf DAT (6 M THS X : $ o/ 0 TOTAL FEE: $ � [1TEMPOCCJ r)TNFR n;=Pw T r -NIT / AGENCY APPROVALS: Planning W-WASRAT"Aw" lot, ❑ APPROVED II-APPROV WDIITH IONS? TA Date:...................... Fire Signature: ......... ........................................... Date:....v'Z ../..2 .(..C- APPROVED ❑ APPROVED WITH CONDITIONS` -P-uTlic Works � tZ(APPROVED r)TNFR n;=Pw T r -NIT / AGENCY APPROVALS: Planning G• S�L�..eoL' w �S ❑ APPROVED II-APPROV WDIITH IONS? Signature: ........................................................ Date:...................... Fire Signature: ......... ........................................... Date:....v'Z ../..2 .(..C- APPROVED ❑ APPROVED WITH CONDITIONS` -P-uTlic Works � tZ(APPROVED 11 APPROVED WITH CONDITIONS` Signature:................... `�.. Date:.. ....... ........ t er: /L" 0n Date:.. �.�...�.... APPROVED APPROVED WITH CONDITIONS` Signatures ,...:,...(7. .......... J " *CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property stating the list of items required to be completed for each individual Department before final occupancy can be granted. Include approximate completion dates for each item. The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or buildings complete and in compliance with all building codes, ordinances and re_gulatiens-and-F&ady-for inspection prior to the expiration date specified. If this Temporary Certificate of Occupancy expires, the t amount of the bond may be forfeited and the non-compliance may result in an enforcement action. Owner 17 r Con t Signature: ........................... Date...........k.�..... Si nature:...............z......................... Date:.. This temporary certificateensur s that all fire protection and life safety systems have been completed, inspected, successfully tested and approved for the specific a e building specified above to provide a reasonable degree of safety to the occupants from fire and similar emer encies. Building Official:......, . ...... ...................................................Pring ............... Date:..2.7%7',r� �. DEPARTMENT ACTIOIQ: After determination, copies to: 1) applicant, 2),permit file two O TempOccForm_2013.doc revised 717114