15120201 - COFO ;�' �.
� �
ca � cfl I
o ti � �
�
+' C LLI �
� � � N C� c� '� �
,�� � o � °i p I
� +-� U � Q M I
(�j � � � (� C'� C
� V � � � �
� � �
U � � Q � i
!�J � o � � U ¢ m
��- c .a� � N � .c
�.. ;
� � o � u c�i � o "'
� L � � � _ � � I
� m � `� � � U ° i
� cv -� O � � ~ �, I
N �
i V V V � � R
� O � � � a � �
I � Q� Q- � � � �C
r L.L +V I
U C = � � i
� O �
� � � V N (n f0 �.,
O Q
� � � � � J d
� O "� � � N M � � G�i
t � � O � � Q N �
� +� .� � fl- i� � � d' C
o � a°'i ° � z � v� a
� �a�i � a� � � � o �'c
� .� U � � wii � � �
� � � c�i o � tn � Q (� � "'
�� � � \ 4 �,
� � � t � U �
Q U U O 3 � J � � O � N G
� � � � Q- _ � cn � O � � Q
�
tn � � cn ¢ � p � t'i' }' �" Q- � � O
� � � � (n W � i
W d � U � �
� � � � Q J � '.� M � Lj,) Q � �
� � �.�. O .�' C� W (n 00 � E-- � � Z w
� � � � � �ZI1 � � L � �1 � � n V I
i � � � � (� N �/ W !1 L L J�/ � � (iJ � i
.�
� � �� •O � y � � `� O � � � •� � � � !
� � o � � O � O � � � } � m Q 'c� csi !
«� a� � � c� m � ^ � � 'Q UU � ti H � a�
�� � i
� � � Q O N Q � Q U U � � i
-� � � � � N � � � � C
�� p � � U N � N V � � � � � N z � � i
� '''' Q+_ 0 O � (n U O i- ~ N (n c� � "� a �
I � 3 `;- � tr) � �" OUL.L � � � � (� • � �
o w � � � � m � �
; �i■, � � � c ro�o z � = i mo 0 � � i
� L � � . . � _
Q V � �fn � � � c � p
� m
� � O •> L •� / L � O �J � h
� � v � � � � � cn 6 U �i �
� � � � � � � � � � a� ai � °' '
' •`n ;� � � � � � a� .o 3 � >,� Q � uJ � i
O `� a �a
`� � o z � �� �� o�o � >.Q m0 � � �
�
� � � � -� °o � � � � � oo � o o �
� � :� � Lm ° °� � � 03 aUia�i � � > Z I
4- N Q� `� � � L O L _J W
i .� � � � O O � QU � O � � Q cB (� I,
; �j � -� � � .Q- cn �o cc � � (� � � ;
� U a� a� W -��— � O
I � �n' � � (^n, Q� � Q L L � � /1 � �
' � � � � W � � � � � I.L '
� f— m Q � � C7 F— U U LL L� � Q !
�
,
� � �%i
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•buildinq(a�cupertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT qDDRE APN= D.ATE
�=� ��-'� alo ��r, � � �
f
OWNER NAME .� �� PHOVE�p�/J ^ �� E-MAIL `{
U �O/f �-� _ hs �
STREET ADDRESS � Cli'Y', STATE,ZIP �� � „_ FA3{
� 3� S� � �.0 r�� � � ��
COVTR�,C AbfE PHON E-i�1.AIL
l ►'�-►� 2�, , � O �3d°
STREET ADDRESS C1TY, ST ZIP F,4X
3��s C���� :�h� �- .�� �' ' �� `3`//�---
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME P NE E-b1ALL.
�"� C'Jr� D >C� ��� _��c� e-.�16C��
��
STREET ADDRESS> . � �� o` /`�4 �Ar� CITY, STATE,ZIP , ,e )�r �+ �� A}C
G� A LL�� f '�� F� �
J ri �
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PLRNIIT SUBMIT ISSU� DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
1 _ �// �� � � —,� I'i. S�.
2 � t
3
OCCUPANCY DATA:
USE OCCUPANCY TYPE FL.00R AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
#STORIES #5TORIES OVERALL MAX OCCUPANT P[RE SPRINKLERS FIR�SPRINKLERS
BCLO�V GRADE ABOVE GRADE FLOOK AREA LOAD REQUIRED (YI;S OR NO) PROVIDED (YES OR NO)
?-- �j
#PARKING #STANDARD/COMPACT #ACCESS[BLG
REQUIRED PARKING PROVIDED PARKING PROVID�D 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)?
Penuit Signed off i��system?
No other��ennits open or expired in system?
Location of Approved Ottice Set?
CofO Applicalio�i.doc revised OS/17/16
i-- — CI"Il'OFCUPF'27T\GRL7LCI\C;PFR'�IITI\SPL�^_TfOtiCARD
rBL7LDI�C DDRF�S — --�---- — �r`(�'
x r,,r� �' C� ., j-� •-- i � 8',(.'�'�FR.19171\O
k='�.�E� �f�����ut cov��cro� (. 1�(.�I����t�t��-,�� �Gl���`t`'
C:�PF72TI�0,CA y5014-4265 15120201 �
OWVER'S\aD�1E
� 56;0 P1RP,CANTHA DR C'[�PERTI?v0,CA 95014=J265 P���S�'
�Mr c�Mrs THOf�4AS N A\D DOLORES C TRliSTFG�OSO _ �03/07!2016
IO�VVFR'S PHO\'E —T-----
�PHONE\O:
� JUB DFSCRIPTIO\:
i CONSTRliCi(N)?STORY SFD(3339 S.F.);FRONT PORCH(83 S.F.)\1+ITH ATTACHED GARAGE(43d S.F.)
� "*CL'PIJ2TIN0 SA*7TA RY**'*LOCA TION C-9S*'�
��. .. TI�PE � I\SPFCTOR DATF
It .� � � � Pi..�n18I1G I _ I I
�jLT�DERGROL'.VDQ4SPIPf;�G � — j
i
�UKDEFGROL'VD l�'.4TER i j
i __�
�'NDERGROUtiD SEN'ER �
iLTDERFL00R I
:ROL"GH PL[,9�IBL1G � I . I
I I —�I
�� I I '
�SriOIVER P.4D7
��
�\�'ATER HE4TFR ( I
\a'A'1 ER SERVICE �
�Q4S PRESSLRETEST I �
�-----------i---- �
'GAS 94ETER RELFs+.SE I
rPROPERTI'LI\i:CLEA\OCT ;
I�_ i
iPLL;!��63L�G F?':JAL �
I'—...----- � I
''��_ I:LICI'RICAI. __t_----
I
���CFI-R I I TO ARRA\GE I�S P ECI'ION ;
—{— CaII 777-3228 beh�een 7:30 am and 3:30 m\londa�through Fricla�,at least 24 hours before re uired
�;���,:'ac�ot;�o i � i �' 9 �
it-_-.-----. --__—�—._ _,_._ ; inspection.JobadcL�ess andPermit Numbers are needed��t�en requesting an inspection, I
���,x:aF�ooa ' i
__ — ---� ' cuPFUTL�o s.-�.nrra.���nis��ucr
�'_ .; !
ROUCiH E.fC'tRiCAL
��__ ______:________t_ Closedcircuit�ideoinspecfionofpropert}lir.ecleanout,pointofconnection
���'r-,n-tPOA.nRv No��'GH POLE andsheet lateral required prior to passing I�i.\AL.CITI'PLLIIBI'VG
--- �--� LVSPDCTIOV.Call the District(408-253-7071)for an appoinhnent
!SIStVICL iR'GRADI: �
�` i _ ;
I�[L�CTRIC AtG-II:R RGLco,��_ I ' \O BL�LDI.VGFLVALS INSPEC_'�l0\S 1J\�'ILAI.L REQLJIRED
��------ B[,'S1�ESS L[CEVSFS.�CB'1'AI1Mti
iIFLGCTRiC FI\AL --�-- �
� ��ece..�nTcaL i PFR�T[TA7'IRFS IF\\'ORKLS\OTSTAR7'ID��'I"IHI?�180 DAYS OFP£R�11T
� �——�— TS S UA\CE OR 180 DAYS FROni LAS T CALLID L�S PE("1TON.
�;nDer,��cx�R �
— —�------�
!ROUGH h.eCii=v�iC:� � � L�TPORTA:\�\Vhen a pernut has ezpred,a charge totaling one-half the fees to obtain a ne��pernut
� must be paid in order to reacti�ate the pernut.If a permit has txen esEbred Tor more
�FUR\A.\CE
Uian one rear,a charge totalind thc fulf fees to olrtain a newpernut must be paid
�va Co��n iu�ea I I � to reacti�ate the pernuL
�---- (�
�i!�a�ns I I
�I\1 CL='I-1.4.\IC:V_FI.1.A� � � i \'OTF$: I
�~�- 'T-BAR —__h I
I
!PLl!�IBI\�G � i I I
---T-I ( —� �
--
Ii cLLC i IC.4L
�A1ECI IAIJIC-4L (
�-- I
BOILUL\� I _—
1—�
I t�---� � �,�L� i r .,���` _ I ,'�:��-�.
� S\\7��1\1l\G POOL � � . � �� r
�IZEi\FORCE\-tE\7� I
_�—----
�P:.\t'F. i
i
I�— � �
i�ELECTP�CAL 9i)\'DI\r .
�..�.____.__— . }—_—_
�. .--.RGOFI\G� I �—._.
�;
�iPR�I.\SP[CTION ! I
i y
II --- i I
�,"i LAR OFF ;
Ir ---------------j-----------------I �
!\AILI,\G __ I I
�BATT[\5 -- --) ----- I — — —�
�i "1']PE IVSPECrOR DATE Ir- T1'PE -�j INSPECTO� �D47'E�� �� 1"1TE INSPECfOR � � D.4'IE j
i�-
i^- POGSDA'CIO� � ��� PLU�YBiNG ��I� S11�f"f:U21'7KSPECTI0.�5 �_ j-�
i.F�I".GS _ ; � l� i .�� SFION'ER I'.41-��� � ��. �jUNUERGRG�\'D _ I I
�� � - - -�
��Ul��k �,� � �� �L� �I��WATE1211�TER � �HYDY.(iFLlSi�l
�._�--_.___-_�__ �r �_ . � ___
��PIERS � ,?��� (..• -.'4� !�\\'ATER SER�9CE I �� h � � i V
_-- ��C,r�I� a- -- ,a J.3,�
_ � �� - , i ,�— �����.t��,oR- -
����R?.DE 664115 I I GAS"fEST I .�� ,� � �
Ir _--__'_ l l�� .. ��if�UF 11'.4l' _ I t°.,..0,3''u.s' i A �
��G4K.4C��SL ;3 ��t�r`' �3�C��.�G.AS�ft�tR RELt,�St � - ��. � .,-
I� GRi)0'�TY,SITL.N'pRK � GRADNG ` i . » .
I�� � �.-i- � � �_.__ -_ �� -i_._.-S_,�
I
IU,�T)BCGROLLv'pEL'c:"!'R.ICAi. � �RfSALNL�GR�qLL �
: I ELI:CI'RIC:�L I Ii
i �j i � �
':UNilERGROL;ID'iA5 PII'L\G i . -'TE�1P POP�:'E1t pULE % I �---
�L.�����,. i 'f' T- ' � tIREDEP,U2TAtE\T �
I 4D 1\'.�,TER , '�. .'"� � ER��CE UPGR?.DE _- I �
I �-t- �SITE CO�IPLIA.\'CE I -y
�::�DERCROWD SE�1'ER � ��� - '�PV S� � � �
� SITE 15'ALLS � � �FIRE h;,V�Sl'STGMS -+ �
---- EV SYSTFM ' t ..._�
jIFC�Ti\G �--- _� I �-- �fIRCSPRI\KLLRS-ROL'('iH �l�._--i��`� ��i..0 � �` �I l�i r� ..
i.--- - r... (
� I i 1
II:�i.=,SOVRI'REBAR � I - � FIRG SPRL\'KL[R-FIV.4L `�,,i � � j
p . �IECIi��ICAL � .
I��DRAI?vAGF � _ j FI.'R\?,.\CT-��- �iFIRE ALARAI FI�'AL I �
I`------ �- i -� �- -i--- ' - --i �
C\AL`1VALLS I �BOfLEk j Sl \A.DPIPC 5�"Sl L�iS � � �
�� �� �� l,f�DLILI'LOOH � I I ! � �-
- .,� �AIR CQKUI;lu\i:R � . \(INL'�RLU riP.L PRO"CBCTION Sl'�TF.��1 � � ---�
��1:JJFRFi C�i)R P�U�iRI\G I���tj,�I��� � . ��IHC�DS � ~ I
� �
1�-- ��`,, '.� �FLRL LIFL S.AFGTI" � I �
IiL'\'UERFL(Y�R\;I�CHM:IC,1L tE'�q(��a� � ��i,+ i I I
r [�o-� DUCT\\RqP �
i i
I;l:\DERFLU:R FLFC"�RIG4L � , I --- � -�� -----�-t-----I
� �_ I llOCU\fE�7'A770V -- �--_�
I L`�-F{tFLCX1R FR/���LTG I . � ... �� � � ��I) T-B.AR I IP.4DSEiBAC'.<CFRTIfIG1TION i i �
� -._ - -
�L� �EitFl OOR I�SUL,\TIO\ i '���„�N� Yt�,.�j �PLUhfF3L\G ( TRliSSES I I I
� -r--�
' FIL1\IIVG FLECTICAI. I jSPE�SPECTIOti REPORTS � '
��-_..- f -- . � � �
� 1 C�O�_ VL'�rl}4"I H!�G yp ��-" '� � -- -- -------�
�� -- -'--- � "`��� t� \IFCHANICAL I IS\10}:E'CARBO�p10NO,t1DE CERT OF i I I
i � � .��� - � K✓ . �CO.AAPLfAA'CE �
i r_C.v.�.l P�l.\��bI�G - - - -�
I�------- , ,�� - : �BLILDItiG �� j\\'.ATER FIXTliRF CERT OF CO\�IPL.IANCF i i
Il�ty�H�thl Fv�\iC-.A!. .�' I
I� _. _ I _ _ �I F1f2E I FNERGY C0�IPLIA\CE FOR'.:S I
�iRCL'GH r�L l RI�:�L 'il��� I I '-.-__-I---�--�
- � - �-- - � � � CAL.GREE\\4q\DATORl'Il'f\!S CHFC.KI�ST ' i �
��RC���I_hRA\fIXG �� � � SR7?�IIPIIVG POOL � _ ,�� �
, - - --i����`t�l�-C�.��: t:��� .��' I
iin �.ioz s u_aR �_i � � _ i�Y iIREt�roac��at�7 -----I w
� /} UEPART�\fE\T FI.,\Lti �.. i '
��'FRIOR Sl I�AR i f�' � _ f P��Y6 �pL�\`�I.\�Cr CP,I L 777-3�OR '- - t� - � � .
I, -----���-�_ -r�i'� — � _.i�'�-f.�t�� i �-�ri t�_�
��\4+.��t'� '1:\T�O\� i .�`.e a�j t� f���/ °6LLCTRICAL[30\UI\'G� P[.IILiC\i-0RICS C:ll1 777;:;� T I� � ! � ��
�� --- - ��'; �+- .-F p-' �II _. -.�� ----;-1'�� `�3_g.��� �
IiC:h;l_I\G�1��.-\TIO\-.���`fd� F.. � µJUE\IOL7T10;� ��F�IRt-C�tiL37oa01� � j f I
v� _ w� . _1--I
�}(X�i=�41L I��G ( ,.��.�� � ':�I BACKFILL I I tHE�LTH-C�LL�OS S i S-}40C � � -�
(i . �l\l'ERIORF7KISHFS "� _ IF I �--�-- ! ---J
-� �-�
� ..� 6-/'��r� -_.,���{���I � I�S 1VT;V21'-G;'.L 3i',-7U71 � ' i
I�SN3E'ikUC'k � 7\6�Kid� � r 16.Y� .� : : i -------------(- i�- �--i
ROOFI\G ,
��f TILE 6 al.1:FR l,1DFF�L.41'�1ESf i � _�I PRL 1\SPECTIUV � ---I- �' . . . i -- -F- -�
I I i � B�NG FI'�ALS�
--- _'-� ---f"-- - i r
�TiLE BACKER I ��"fEAR OFF I I: `i i -�---��'--�
�---- --i � ���- I ,���ti,B��� r9 , �� i�11�17�
'II'�TLF:IOR LATH ��V.q�I\G � ��' i },�y �
i'� i _� il� i � Li.E�TR.CAL _ rV I �
-�-__ _��—��� � --I� -- , -. ; a�s S-l�17
I� �� ESTERIOR.FI\'ISHES � : -� �� -a �o !
I�B�TTENS i �----- ���!ECiL4.�:C.�F•.. _ I ci f �1 b�l� i
iEX"IERIOF L-�T�i �;:d(�/:i )��-�' --- - ---�- -��- - ------ -j
� i f > � I
!� ----- . -a- - ' I �ITE\IPORARI�(H'COPA\Cl' I � I
i
��°CR?.TCH�U.A7 - I �� -��---- �--- �_ --� �, �� �
�SIUL\G �- � ! ---- illC?I.DQJG� ---- --- �� f -�
, -- --�,�- i
=�_--— - - '_ ' - - - -� ' �