15030042 - COFO e rti tiit {
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This Certificate is issued pursuant to terequirernens o cton11�11�2of ahfo nia Building Code certifying that
at the time of issuance, theo on ofthis strucfu�i�E desc edbelo `„habee n`spected for compliance with the
`j1h'C'eab §.'
requirements of this code and with he vanbus o'rdmances of the C ty egula 1 u� in construction for the occupancy
and division ofoccupancy and the usefohich�tepropose `occ,.panty is classified.
iop -
Building Permit Number(s): 150300442 Applicatto"n Dates , 03 6 2015 �= Issuance Date(s): 07-27-2015
Address of Building: 10784 JJ'NJ, 6n Ave.
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Description of Building: NEW 2 STORY$INGLE FAMILY D'VII'E-LING.( ,6 5��,), ATTACHED 2-CAR GARAGE
(42S F�), COVERED PORCH .82 �SF ) §
Use: Single Family Dwelling �ccupnc Classification R - / UCccu�an_ �� FD Floor Area: 2,703 S.F.
Garage Area: 420 S.F Covered,Porch 827 5
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ire
Type of Construction: V-B S�nn�Cler�System. Ye
50
Current Property Owner: Yma Wanglg
Current Owner Address: 10270 hula Ln , Cupertmo� A 5 14
�
Final Inspection B JON Ieef Buildih Ins e 'e �
p Y _ g P ti.
Final Inspection Date: 11 A0
*SPECIAL STIPULATIONS OR77
ONDaTIONS: NIA
Albert Salvador, P E: GBO , BIdinlOfficial k � a ssuetl 401�
71
ryk r Vis,
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NOTICE. No changes shay)be made in the dharacter'of'occupancy of the building'excep by the authority of the Building Official.
• •
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•buildinp(a)cupertino.oro
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS APN# DATE /
OWNER NAME \ N /v 'f v l PHONF�f ^ g Q�` I� E-MAIL
STREET ADDRESS CITY, STAT ZIP O ( FAX
'rE4(A t o Sal
CONTRACTOR NAME P ONE 55,g ^:� E-MAIL't`
STREET ADDRESS /� CITY, STATE,ZIP FAX
k/ 4t 113—
MAIL CERTIFICATE'r0: (Please allow up to 10 business days for delivery):
CONTACT NAME
/V PHONE „_ ,n�ZZ E-MAIL
STREET ADDRESS /D1 �' CITY, STATE,ZIP L�S1/_—may �8/ FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
2
OCCUPANCY DATA:
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
I
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
INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Copy of Job Card Attached(both sides)?
Pennit Signed offin system?
No other pen-nits open or expired in system? _
Location of Approved Office Set?
CofO Application.doc revised 05/17/16
CITY OF CUPERTINO BUILDING PERNUT INSPECTION CARD
31AU:DNG.ADDRESS: 10784 JOHNSON AVE CONTRACTOR:TITAN GENERAL PERMIT NO: 15030042 i
_ CONSTRUCTION '
OWNER'S NAME:YINAN WANG 46509 MISSION BLVD STE 11.8 DATE ISSUED:07/27/2015
i OR•NER'S PHONE:4088968822 FF-CMONT,CA 9453.9 PHONE NO: (408)883-8668
— sl' '
IIlSPEIS ,Ax� :: .a3�
FOLNDATiONMERS/"D.S. ^��1 r i BUILDING PERMIT INFO: BLDG' ELECT� PLUMB� MECH
!JEER GROUND Y i RESIDENTIAL Y COMMERCIAL
PAD/SET BACI.Cl:P.1 '7 — JOB DESCRIPTION: CONSTRUCT 2 STORY SFDWL LIVING AREA (2663 SQFT);
ATTACHED GARAGE (420 SQ FT); PORCH/CARPORT (827
GARAGE SLABSTREGUNITE / SQFT)
UNDER.,ROUN1D1Si AB6XVIS { �
Ito
UNDERGROUND PLUMBING.
UNDERGROJND ELECTRICAL
UNDERFLOOR PLUNIBING CL
UNDFRFLOUR NAECI-14hICAL 4 ��"•"`"�"��
T RvDERFFLOOR CLECT RICAL WILDLAND URBAN INTERFACE FIRE AREA ER#`—
UNDERFLOOR FRM,1R4(j:,PNTSqlg
rH-- C5 TO ARRANGE INSPECTION
(.RJDERFLOUR INSJLAT Ca11777-322.8 between 7:30 am and 3:30 pm Monday througF.Friday,at(cast 24 hours
before required inspection.Job address and Permit Numbers are needed when
II
"R requesting an UVF SHEATHING �� q g inspection.
'N
ZOUG11 PLUKI 3i.NG
CUPERTINO SANITARY DISTRICT
UBS R IICV✓E:R P.AN � A Y Closed circuit video inspection of property line cleanout,point of connection
X i
and street lateral required prior to passing FINAL CITY PLUMBING
I�ROUGH IvIECRANICAL r�
INSPECTION. Cali the District(408-253-7071)for an appointment.
ROUG'-I LLP' RICAL/PGOL BOND
1'FRA*1>`'G/ST AIRS/13-EGkESS g �\�r I�� V NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED
uasuLF Ilcr/�I*�,T�Arlou � I . �"•'�����
C,OVF7t vY}: U f UI1TrI Y I3�%S 3E�.7`cI.isNEI? � k� ;x PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT 1
F`CTERTOR.SHE R'1-IOLD DO'
� � ISSUANCE OR 180 I).AYS FROM LAST CALLED INSP ;CTION.
a'IrI i PRIOR SAE ARiHOLD DOWN
„
S[?+ETROC'1��FTL�,RSC K SHEAR t ( IMPORTANT
When a permit has expired,a charge totaling Qne-half the fees to obtain a new permit
l
SEX IrR]UR LATrUW-SCREI D must be paid in order to reactivate the permit.If a permit has been expired fcr more
than one year,a charge totaling the full fees to obtain a new permit must be paid
/ to reactivate thep
� ermit,ra,A��i)i�I.`.[�s3`I✓T�a,�vr�:�.IIG,��3IA�IIr,I;�sI+�IVE�� ��s a#;� ����D`—(� � l�� �
j SCR ATC.I C�).AT
=a.n:i';vlLt:H/ELcT ABOVE CER,
Q
I�t I RtC M ,LR REI rAS3 a I SPECIAL INSPECTIONS Inspector: Date:
--- ------- --- +
rNGA� fT'S ,'�I IERI.';LT Aar �
ROOF INSPECTIONS
CRAub T'LR tC\1<)RKS ( PRE-INSPECTIODT:Irspc cr: -- Date
1 - - ----
! 3?S I010
TEAR-OFF: Inspector: _ Date: ---_,
iPi.ANIvIN x(1051777-.3'sU8 {{
f
—AN
o PLYWOOD: Inspector: --__— Date:
ISAN,LARZ'k:O3)"_':i3-7071 — --
._ BATTENS: Inspector•.---— -- --._..— -- Date:--
El EC 1 TRICA;, i I i 7 /
d��! IN?ROGRESS: Tn,,pecior: —..--. --- Date:--
T.
r --AYF
�--
°ii:'hBIN,J L iIFINAL: Inspector:_.---_— ._ _—"_—_--- Date-
HANDICAP
ate:HANDICAr ` � NOTE:OSTIA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
?i KNERvY *OCCUPANCY OF BUILDING NOT PERMITTED UNTIL BUILDING F'I,NAL IS SIGNED BY T
^— INSPECTOR
CF cl,F'ICATF U OCC�,FANCY* � � "� � / •"�,.��(L �">
ts>.:ss.ne iTsrrse�:t crx;w�a; „�n�"_;""-'•v.. '_"'.._. ..,�,..,"._�_ t —_/_—__`,}�-�V;��'x
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