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C � � O 2� N � J � > W i � � � � O O � Q U � O � � Q ; ; �j � �� � � •Q- c� �o c c � � (j � � ti � � a' � �. � � a� � � � � W _�--- a�i 2 a� H L m Q � � U' � U U i.i I.L � ~ Q � I i � 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.orq COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: PROJECT ry Dj2ESS 9. ) 1 �`+m APN= ���_ l� � �`� i D.ATE �La �/� i/� •� � L � I � OWNER NAh4E PHONE i� E-b1AIL. � iI� � ' �T L. ' � f��NGrC�,? N ��fo� c��%?-l{�a as�t�c�,�i i��v1 �' �- rti��,� . v�� STREET ADD ESS �( CITY, STATE,ZIP '� FAX 1� �� .J �'� �c`1'1 ��- '� L�v1�-e�c.- ✓l C� �-� �S'`� " CONTRACTOR NAME PHONE E-�IAIL: �{0�'C��.� l�Gt Ut�� �„-z — �bS- G�����«����� c i o c���r�v , c�,,� STREET ADDRESS CITY, STATE,ZIP �`— FAX � �� ��� ` �`cC 9 �� � �S � MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery): CONTACTK�AA9E Ul�l.- l�� l.='�tL��� PHONE/�,���� �E�(�"-,�Z(t_� .E-�fA1L� j�G� (.'- �"� �VC.�'. �� , l� � � G STREET ADDRES 'l i P CITY, STATE,ZIP . --� r' ,�1 '.� � v �1�3C')� � � < �C}'�.l�I �(,�3�-�. � �,h- . (FAY -D� ����— ��v a LIST ALL BUILDING PERMITS ISSUED FOR PROJECT: P�RMIT SUBbIIT ISSUE DATE INSPECTOR SCOPE NUNIBER DATE DATE FINALED 1 _ZU��- �a� ���li� - G�i ��� r�.��' 2 3 OCCUPANCY DATA: USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD 1 2 3 4 BUILDING DATA: #STORIES #STORI�S OVERALL MAa OCCUPANT PIRE SPRINKL�RS FIRE SPRINKLERS BGLO�Y GRADE ABOV�GRAD� FLOOR AREA LOAD REQUIR�ll (YES OR NO) PROVIDED (YES OR NO) #PARKING #STANDARD/COMPACT #ACCESSIBLC R�QUIRED PAI2KING 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)? Pcimit Signed off in system? No other pennits open or expired in system? Location of Approved 08ice Set? CofO Applicntiori.doc revised OJ/17/16 CPIY OF CGTFI21'INO BL7LBING PII2MIT'INSP1�lCTION CARD BUII.DINGADDRFSS ---T------- 10584 JOHNSON AVE CO1V'IRA("fOR pg�q7�np CUPIIZTINO,CA 95014-3816 70SHUA CONSTRiJCTION&RIMODFIINGINC B-201Cr1838 OWNII2'S NAME HiJ HONGQI Ei'AL 16230 A7Ai Fa WAYLOS GATOS,CA 95032-362.% �'�1�6 SL1ID: OWNII2'S PHONE PHONENO: JOB DFSCRIPTION: NEW 2 STORY SFD 1984 SQ FT;NE,W GARAC£428 SQ FT;PATIO/DECK 466 SQ FT TYPE INSPECTOR DATE PLL'MBTNG UNDEft(�tOUND GAS PIPING 1.JNDERQiOUND WATII2 `'t,�� � /�.'`��.J � . . � "'� LP.VDERQ20UNDSEWER � s-;��1 '+ l-��,�,�f/1^ p�/�� �� ,� ._ �,�GfJTj� (� UNDERFLOOR .., J `` t �'1� � IROLY�I PLU,MBING SHOWIIt PAN WATER HEATER WATER ShR\�[CE GAS PRFSSURE TFST GaS MET�2 RELtiASE PROPERTY LiNE CLFi1N0[7� PLLIMBING FINAI, ' ELEC.CRICAL '! i�� .+'� , / ''� ' TO ARRAN(�INS PDCTION I���o� Ca11777-3228 between 7:30 am and 3:30�Dlonday through FYiday,at least 24 hours before required inspection Job ad�ess andPeruat Numbers aze needed�en requesting an inspection. UIIDII2FIpOti xouc��cT�c�. ctm�Tnvo saNrrnitYn�s�ucr Ctosed circuit�ideo inspection of property line cleanout,point of connection 'f EMPORARY POWN12 POLE and s treet lateral required pior to pas sing FINAL CTI1'PLOMBING 5�.�?�[CE uecxnnF. INSPECTION.Call the Dish�ict(408-253-7071)for an apQointrnenL E[.ECrRICMEIgtu�He�g .,�j ;-', r. ' ' NOBUILDINGFINALSINSPDCITONSLINTiLALLRDQUII2ID ` ' BLSINFSS LIC�iSES AREOBTAINID �ELECCRIc FAAI. MECHnhTCAL PII2MIT FaCPII2ES IF WORKIS NOT STARTFD WII'HIN 180 DAYS OF PIIutiIIT ��ptrl.002 ISSUANCEOR 180 DAYS FROMLAST CALLID INSPDCI'ION. ROt;'c��n�cxnrltC�a- Il1�PORTANT When a perrrit has ezpred,a charge totaling one-half the fees to obtain a new perrcdt f.�y� must be paid in order to reactivate the perffit If a per�t has been eapred for more I - thsn one year,a charge totaling the 1 f to obtain a newper�t must be paid ant corrorrtot�t to reacdvete the pertst HO011s MecauNiCnc.Fu:,ai NOTFS: T-BAR PLUMBLNG ELECLICAL MECI IAMCAL BUIi DIIJG FIRF SR�4LtiffiVG FOOL � i RFINFORCFMINI' �P;M/E IIJiC7'R1CAL BONDIIVG ItOOI�M1G �PR�INSPLCI'ICHV I �TEAR OFF NAQ.i[��Ci BATTII�S � TYPE �INSPEGTOR��. �- DATE �. TYPE LYSPECTOP.� DAT� .�:�.TYPE � IlVSPECfOR DATE � FOiINDATION � � �� � .� PLU,'1�BING � . SARTTARY7rSPEC�'fONS FOO"I'INGS P �` , SHOWP.R PAN �r- �7—I UI�IDIItCdLOLIND � UFFR WATER HFATE[t HYDROFLUSH �p� _ WATER SII?��[CE (�uDE BEAMS GAS TFST � . ��PUBF.IC WORKS � . � . �� RIGffi'OF WAY �,���,'.�: c�.a�sL,ss = 6 -� cas n�rea x�.�sE `F �GROU1�/SlY'E- O� QiADAIG �3� /� UNDFRGROUYD II.EC7'RICAL .�.��F,I.F.(`Trx7�, �� � REI'AAfA'G WALL lJI1DFRQ20L'ND GAS PIPMG TIMP POWER POLE UNDERQtOUNDWATER SERVICEUPGRADE -FiREDEYARTMENC� . Ut�IDERCil20L1ND SEWF..R PV SYSTIM I SITE COMPLIANCE � ...SITE WAI7S�.,.. FIliE MAIN SYSTEMS EVSYSTEM F00'TING FIRE SPRII�IIQ.II25-ROLK'di ~ 3✓t°\ '� ) ��;. MASO�IItY REBAR ���� FIRE SPRQd[Q.ER-FINAI, � � t�. > � 3'7 DRAINAGE FURNAhY.'E FII2E AL4RM FAIAL CMU WAI.IS BOII.ER STANDPIPE SYS'CFMS -.. UNDERFI"OOR��.- AIIt CONDITIONQt IN(3NEERf�FIRE PRO'IECTION SYSTEM UNDF32FLCN�RPLLJ;vIDING . .... C� � ,..j� �J � Q i HOOAS FIILE LIFE SAFEIY �/!� �U!�'DERI'I.00R YIECIIAMCAL � T�_'1 �"-'"^` �7 �-'''-� nucT w[znr I ITR�ERPLOOR HLHCCRICAL . . ... . _ �bt'tT;NENfATtON �NDERI'LOOK fR/u " � ` _..�� �� i � .�.$�. � PALVSETBACK CIItTIFICATION - , , �. � . . _� � I UNDERFLOOR ASUI.�TION ��-'�� � PLUMBA'G TRUSSFS FY2AbII1�'G � � ELECI'ICAL SPECIAL INSPECTIONREPORTS �l7��' ��"�''I' .; F[.00R NAiUSF�nTHING SMOKF/CARBON MONO�DE CQtT OF ----- MECFIAA'ICAL, ROL�GH PLiMBl`�(i � �`� �'9�'�� COMPLIAhCE -- BUIIDAIG WATIIt FDSTURF CIItT OF CO�'LIANCE ROr.i(�I:�iFC:tiA,1:CAI. �,� �a��• i I RCW(iEi F.I.EC"CRiCAI, . .s�-5� ���°q FIItE °'� i.C�:r` FNFItGY COMPLIANCE FORMS _ r- a+� y �RaIGt�FRAMIN �� � CALGREIN titANDATORY ITIMS CHECHI.IST � ,� :� e '��'°I swn�mmvcrooL iNfERIORSIIEAR �? �,'' � -'3- RE¢QFORC'IIvfII�C . � � `DEPARTh�TC FIIVALS� �cr�tox s�a,�.7 �<.� — P� 'd ���� �� PLANNIN('CALL 777-3308 WALL LYSUL.ATIOV �� � _ � �, ECF.CI'RICAL BOidDING - PUBLIC WORICS-CAI.L 7�7-3354 � �CF7I.ING L�'SLTATION s�"���- DFMOLITION FIRE-CAIl,378-4010 ', ,ie�� y I'� f �ROJFTvVT..ThG u '�' BACI�'IIZ z�eiTH-CALL408-918-3400 —� � L'�TERIOitFG�iLSHES:.�. E"'-' .. ... . SAMTARY-CAL.L Z53-7071 � j�'$HEEf20CK `J t- 1 .�j' 7 ROOFING — - TI IIF.I�A.CKFR Li�DERI.AYMENC PRE INSPEGTION . ���,�... ... "�.. ����� �I � �"I(LC RACKER __ TEAR OFE YLU,�iBInG � ' s(S- `���.�-� J� j� I;vl'CRiO�t�;f? � - G ,, ,j L �� n�crtucnt �( --��-1 i � EXCERtOK BG\7SIiES __ BATTLNS . P MECIIAQIC ,_/ �1F1" X��:�:���,7« ��. �- 3-� =�- TE�QPO .ANCY' ��Si;ItA7CH CGr:T � _ � BUIIDA7 1 � '�'� L'Sljp,;�; � : �--_—_ .� f i� � � �( �.fi �%' �_ r�� � -�.7,t\,.-� ( : �� , � � � ���'.�'r� �1--�� ! � - � p � , �/' �1 (;`�`>lCitf�C� 'LU �1 ��t�� l. , G� i C;:;�'��C / !�1�7 ��� � �1 � �� �,���..��fi � � ;`�� � � � � �1 � � ' � �- '� E; 1 C; ���_; �k`�. . �� �����; ,� C� �\ �.� � . ' ����' �� '��? G�v��� -� ;5`� .� � � (, ; 'R �, / � y � � ���� �.��. � ,--�� �?5 ��� ���. � Iti t� � � � + �l � / � �l :�.� �� � �t�tl.��� �r_ ,�1--)r-1�