15080067 - COFO I I J 1 •
.t
This Certificate is issued pursua t lif# nia Building Code certifying that
at the time of issuance, the i® r y esc d s pec ed for compliance with the
requirements of this code and with" e v o. o dinances of the i eg i b• On, onstruction for the occupancy
and division ofocc. . fisc d the.us or wh�iic t } op.� o . paney is classified.
Building Permit Number(s): 150800 - ; Applic Issuance Date(s): 10-01-2015
Address of Building: 10257 G enc:-e Dr
Description of Building: NEW 2-- Q SINGLE FAMILY D E ING X3,72 ,F.); TTACHED 2-CAR GARAGE
(48 XS ), FIS T PORCH (291 REA" O. C 2 F.)
Use: Single Family Dwelling Qccu.=.anc assification. / U c Lo-_�: SIED Floor Area: 3 727 S.F.
. ,
Garage Area: 489 S.F Frori. Porc 291 S e r o
Type of Construction: V-B Eire S15nnk e System: es
Current Property Owner: Trac-,'V,"
rac Hsu
Current Owner Address: 22330 S to Pau a are, O pe i o CA 5 =1>
Final Inspection By: Bob Sabie!gB' din. sect
Final Inspection Date: 10 Q4 2®.6 w
I
* a t
SPECIAL STIPULATIONS OR
Albert Salvador, P E B i lding ®fficNMI, � Da e Iss,a ede
x
x
NOTICE. No changes spa/!%be made in the character o occupancy 0 'he building excep by the au th in tithe Building Official.
APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUP RTINO ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildin cu ertino.or
9S� a a
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS �r TAPN# 2,Z) 3o
-0
116
DATE `j '
OWNER NAME L� PHONE —4 O E-MAIL
STREET ADDRESSCITY STATE,ZIP `w ^ / AX
��O �u ,�iL Z
CONTRACTOR NAMEPHONE E-MAIL
u - b _ a fpm
STREET ADDRESSAve-
a��� CITY STATE,ZIP 1 _
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME PHONE O E-MAIL
STREET D ^ ` CITY, STATE,ZIP ��I FAX Pajul OL s
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 D D 11h"5 sob r _5"'nl
2
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 I LOAD REQUIRED ES OR NO) PROVIDED ES OR NO
#PARKING #STANDARD/COMPACT #ACCESSIBLE
REQUIRED PARKING PROVIDED PARKING PROVIDED NOTE: ATTACH A COPY OF THE SIGNED
2— INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Copy of Job Card Attached(both sides)?
Permit Signed off in system?
No other permits open or expired in system?
Location of Approved Office Set?
C00 Application.doc revised 05/17/16
j CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 10257 GLENCOE DR CONTRACTOR:T1__ E;N V PERMIT NO:15080067
Os W'NER'S NAME:TRACY HSU 22333 SANTA PAULA AVE DATE ISSUED: 10/01/2015
OWNER'S PHONE:4084645030 CUPERTINO,CA 95014-2835 PHONE NO:
JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL❑
FOUNDATION/PIERS/H.D.S. ;g r ��
...._. o (CONSTRUCT(N)2 STORY 5FD(3727 S.F.)COVERED
UFER GROUND f � ORCH(616 S.F.)WITH ATTACHED GARAGE(484 S.F.)
PAD/SET BACK-CERT
GARAGE SLABS/PRECiIJNITT
Ap—
UNDERGROUND/SLAB
UNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL
UNDERFLOOR PLUMBING
UNDERFLOOR MECHANICAL `J
UNDERFLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA r ER#
UNDERFLOOR FRAI\4ING VENTS rte-°
TO ARRANGE INSPECTION
UNDERFLOOR INSULATION Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
before required inspection.Job address and Permit Numbers are needed when
ROOF SHEATHING v requesting an inspection.
ROUGH PLUMBING � �� CUPERTINO SANITARY DISTRICT
TUBS&SHOWER PAN - Closed circuit video inspection of property line cleanout,point of connection
ROUGH MECHANICAL � and street lateral required prior to passing FINAL CITY PLUMBING
INSPECTION. Call the District(408-253-7071)for an appointment. ,
ROUGH ELECTRICALPOOL BOND
F1tAMING/STAIR&B.EGRESS NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
fIdSULATIOiJ/VENTILATIGN � �
BUSINESS LICENSES ARE OBTAINED
PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT
�E FRIOR SHEARMOl D DOWN
ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
INTERIOR SHEAR/1-IOLD DOWN
SHEETROCK/SHiETROCK SHIE_ARj IMPORTANT
pC;_ When a permit has expired,a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATiUW-SCREED must be paid in order to reactivate the permit.If a permit has been expired for more
INTERIOR LATH than one year,a charge totaling the full fees to obtain a new permit must be paid
to reactivate the permit.
SCRATCH COAT
WAFER NOTES:
SEWEK l �S
6_9.16 C,le Ksu4t Luso, 6 6-16. $V
T-PAR/MECH.'EL.ECT ABOVE CEIL
ELECTRIC METER RELEASE SPECIAL INSPECTIONS Inspector: Date:
;GAS TIiST/A.IETER RELEASE
---. ROOF INSPECTIONS
GRADE-.7 1.1C WORKS � �` PRE-INSPECTION:Inspector: Date:
FIItF—CAL.L(�0:)3^,8-4010 i
TEAR-OFF: Inspector: Date: i
'tPLANNING(403)777-3308
PLYWOOD: Inspector: Date:
SAS NI FARY(408)2.53-7071. _
.. _ — BATTENS: Inspector: Date:
IN PROGRESS: Inspector: Date:
MECHATIICAL
P
FINAL: Inspector:_ Date:
PLL IN
ii�ND1CAP � NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
ENERGY — s *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
INSPECTOR
BUILDING
CERTIFICATE OF OCCIIPANC
5-46A P40 C IA-.0
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