15050053 - COFO"�., . ,i n� �.x ani-.. xc�a. �..&:. ..za..v= C �. _
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This Certificate is issued pursuant to��t e regi ire*mei s o Sec 1 2 of � 013�Calif tnia Building Code certifying that
at the time of issuance, theporfion of �hIS srucure escrrbed�bel Chas beenmspeCted for compliance with the
requirements of this code and with the various ordinances of theCty regulating building construction for the occupancy
and division ofoccupancyran theuusefornr'hich theproposed:occuparcy is classified.
Building Permit Number(s): 150,0053 ApplicationDate(s) 05-11 2015 Issuance Date(s): 09-16-2015
Address of Building: 19349 Stevens Creek Blvd.
Portion of Building: TENANTIMPRJUEMENT (5,510
Use: Office Occupancy Classification Bp
Total Floor Area: 5,510 sq ftTe. o
ypf. Construction vvB "
Current Property Owner: Ma
Current Owner Address: W
Final Inspection By: Gary Stream, B`uild�ng Inspectors
Final Inspection Date: 01-27-2016:
*SPECIAL STIPULATIONS OR CONDITIONS None
Albert Salvador, P.E., C.B.O., Building Official Date Issued
N]
Throughout
NOTICE/POSTING: No changes shall be made m. -the ,character,of occppancy Thiszcertifcate shah tie postetln a conspicuous place on
=the premises, andxshall.not"`be removed excepf by the authority of theiBu�lding O`fgcial
APPLICATION FOR CERTIFICATE OF OCCUPANCY`
3R, CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION
CUPERTIt G4 ALBERT SALVADOR, P.E., C,B.O., BUILDING OFFICIAL
10300 TORRE AVENUE . CUPERTINO, GA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • buildingat}culsert'no.orci
COMPLETE A SFP.ARATE APPLICATION FOR FACH RTTIT,DTNG-
PROJECT ADDRESS �t
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APN
DATE b J
3 15 l
OWNER NAME
PHONEf
E-MAIL
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STREET ADDRESS
CITY, STATE, ZIP
FAX
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CONTRACTORNAME
.
PHONE- _...
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STREET ADDRESS.
CITY, STATE, ZIP FAX
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MAIL CERTIFICATE TO: (Please allow uv to 10 business days for deliveru)`_
CONTACT NAME''
SUBMIT ISSUE DATE INSPECTOR SCOPE
DATE DATE FINAILED
PHONE
E-MAIL
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STREET ADDRESS
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CITY, STATE, ZIP
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FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT
NUMBER
SUBMIT ISSUE DATE INSPECTOR SCOPE
DATE DATE FINAILED
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OCCUPANCY DATA
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
2
3
4
RI TILDING DATA -
#STORIES
BELOW GRADE
#STORIES
ABOVE GRADE
OVERALL
FLOOR AREA
b2AXOCCUPANT FIRE SPRINKLERS
LOAD REQUIRED YES OR NO
FIRE H]
PROVIDED ES OR NO
#PARKING
REQUIRED
#STANDARDICOMPACT
PARKING PROVIDED
#ACCESSIBLE
PARKING PROVIDED
NOTE: ATTACH A COPY OF THE SIGNED
INSPECTION CART) TO THIS APPLICATION.
- OFFICE USE ONLY (To be completed by inspector of record)
SPECIAL STIPULATIONS OR CONDITIONS:
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C- 17FICATE OF OCCUPANCY
requesting an'inspection.
CUPERTINO SANITARY DISTRICT
Closed circuitvideo inspection of property tine cleanout, point of connection
and street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District (408-253-7071) for an appointment.
NO BUILDING :FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
PERMIT EXPIRES IF WORK I5 *;TOT STARTED WITHIN t80 DAPS OF PERMIT
ISSUANCE OR 180 DAYS FROM LAST CALLET) INSPECTION.
IMPORTANT
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 been expired fer more
than one year; a charge totaling the full fees to obtain a new permit must be paid
to reactivate the permit.
NOTE bow AA
`IONS Inspector: Dnts•:
SPECIAL INSI'E+C,t p
ROOF INSPECTIONS
PRE -INSPECTION: Inspector. _ Date:
TEAR -OFF: I*rspector: Date.
PLYIN'OOD: Inspector: �- — Date:
i BAT FENS: S: Inspector.
t INN PROGRESS: Irspector. Date: _.
FINAL: Inspector -- Date:
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTLON.
* OCCUPA CY OF BUILDING NOT PEItNfli"I`ED UNTIL BUILDING FINAL IS SIGNET) BY
INSPEt'TO12
CITYOFCUPIUMNO BULDINGPE iriIITINSPECfION
SIGN CW
0, CA 95014
NAML:
PKONE:
JOB DESCRIPTION:
j INSTALLATION OF (2) WALLMOUNTED SIGNS WITH FIEC:FORAhMUTRADE.
GAS PIPING
WMER.
SEWER
PAN
=SERVICE
j GAS PREISME TEST
fI
GA: Pfi=RMEIAA.SE
I PROPE:tTY UM CLEANOUT
MEMIUCAL
V,rY POWER. POLB
R LIPGRAM
SC MFA SMEASE
:IC FINAL --
OFF
TO ARRANGEI NSPECTION
Call 777-3228 betncen 7:30 am and3:30 pmMondaythrough FkidaN at least 24 homy before required
Inspection. Job address andPermitNumbers are neededmhen requesting an inspection.
CUPFRMNO SANITARYDISTRICT
Closed circuit video inspection of property line cleanout, point of connection
and street lateral requiredpior to passing FINAL CrIYPLUMSING
WSPECCION, Call the District (408-2534071) for an appointment.
NO BURDINGFINALS INSPECISONS IR1 M ALL REQUMM
BUSINESSS LICFNSIS AREOBTA D
PERM EXPIM IF WORKIS NOT STARTED WaUN 180 DAVS OF PIRiV F
ISSUANCEOR 180 DAYS FROMLAST CMJM INSPEMON.
RWORTANT When a permit has expired, a charge totalingone-h the fees to obtain a newpermit
mus t be paidin order to reactivate the peruat. H a permit has been expiredfor more
than one year, a charge totaling the full fees to obtain a newpernut must be pair[
to reactivate the permit.
NOTES: :�fCa� (`fes d1�7'16