B-2016-1396 - COFO • •
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION
COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CUPERTINO i ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408)777-3228 • FAX(408)777-3333 • building a(�cupertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRE�S �..- APN# DATE �' `
- , �- •�- _ j- �� C1 -Zi�o-f�`ES � � I �
OWNER NAME PHONE., � � E-MAIL
�� ` ���.�` '�. �� �[�
STREET AUDRESS CITI', STATE,ZIP FqX
CONTRACTOR NAME , ., , PH NE .> .� E-�tAIL
�/ /�':- �i; - � C� ���.
STREET ADDRESS v CITY, STATE,ZIP FAX
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery): w� �,l �al.l
CONT.4CT�AME PHONE � E-MAIL 1 /
,� . ��� ' ., , .�`T;�L- -1.�`"�1�'C :_`?�i(�'', l;/l c`��� ''1
•- C , l`4 , '{
STREET;�DDRC-SS ,l . i CITY, STAT[,ZIP �.. , �, FA
�f"���� ,1, � �:-� l., � _1 ��Z/' -�� '� �`�� !� _
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBNIIT ISSUE DATE INSPECTOR SCOPE
\UMBER DATE DATE FINALED
i
1 �;7{;;l� a > � `� j 7 's c�it�1.' �—,� t t �,
2
3
OCCUPANCY DATA:
__ - - -__ --- —
USE OCCUPANCY TYPE FLOOR AREA OCCUPANT LOAD
1
2
3
4
BUILDING DATA:
- --- -_ ----- - --- --- --- --- _ ---- --- - - -- - - -- ---
#STORIES #STORiES OVERALL MAX OCCUPANT FIRE SPRINKLERS FIRE SPRINKLERS
E3EL0��'GRADE ABOVE GRADE FLOOR AREA LOAD RE UIRED YES OR NO PROVIDED YES OK\'O
� ,��' � �
- --- --- -- - _ ____ — ___-- - —_ .--
#PARKING #STANDARD/CONiVACT #ACCESSIBLE
RE UIRED PARKING PROVIDED PARKI\G 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)?
Permit Signed off in system?
No other permits open or expired in system?
Location of Approved Office Set?
CofO Applicatiai.doc revised O.i/J7/l6
r.b....=.—,:.---- —
�— CITY OF CUPII2TIN0 BUILDING PII21VII'C iIVSPECTION CARD
IB'JILi;ING AIIDRFS S r
742�f�ATH'rRWf�DDR CONTRACfOR �!�`'^��r� P��NO
C�I�'FRTWO,CA 9.`,014-5823---- -- B-7.016-1396
jSSWNIIt'S NAME 7425 HFATI��ZWOOD DRCUPIIZTINO,CA 950145823 P���T�SUID:
SARAH Q�' 08/23/2016
FJWNfIt'S PHONE PHONENO:
JrJB DFSCRIPTION:
CONST^ntic.'I'(�ONE STORY SFD(3,764 S.F.)WITH ATTA(��GARA(�',(441 SF.)&CbVE'.ID PORCH
(69 S.F.)
� TV!'E A`SPECfOR LATE
PLUR43ING
UNP.ERQ20UND GAS PIPING
Utd�FRQ20ilND WATIIt
LR�IDERQtOUI�ID SEWFR
UNDERFI.O(HL
ROLJQ-I PLIJMBING .
SHOV�'FR PAN �
VJATE{t HEATET.
IWATER SIItVIC'E .
'GAS PRSSUBE�PFS C
Ghi M"cT�t.RELEl�,SE I
r---- -
PRC�ERTY LTrIE CLEANOUI'
PLUMBIN�FINAL
�',_ EI.BCi'f21CAL�
�ue� T'O ARRANC�INSPDCI'ION
�.�,����� Ca11 777-3 22 8 betReen 7:30 amand3:30 pmMundaythrough NYiday,at least 24 hours before required
inspection.Jo6 address andPeraritNumUers are neededwi�en requesling an iosgection.
�1n�DmFi.00tt
CUPII2TIN0 SAr7I'ARYDlSTRICT
RcxIC'a I EI.ECI'itiCnL _ Cios ed circuit tideo ins pec(ion oC praperty line cleanout,point ot connection
THt�oRnRY rowIIt Po� andstreet lateral requiredprior to passing IINAL CITYPLiJ!l9BING
�s�vicet�ecanD� __ I�SPDCITON.Call the District(408-253-7071)for an a�oinhrent
��ecr�ucn��F'�'�,sE �c�S S — . 7 NOBUILDINGFINALSINSP�CITONSUNTII.ALLREQLJII2ID
— BL�IlVFSS LICIIVSFS AREOBTAIl\'a
�ELECTR[r FAL�[,
� �cc�erac�, PFI2Mi1'II�IRFS IF WORKIS NOT START�WII'I�I 180 DAYS OF PII2MIT
��� ISSUANCEOR 180 DAYS FROMLAST CALLID INSPE(LEL'IT�JN.
not;�ti�cFtarrrcn[, IMPORTANT«hen a permit has expred,a charge totaling one-half the fees to o6tain a naw permit
�'�atw�NCE must be paid in order to reacti�ate the perffit If a per�t has been ea�ired for iceore
than one year,a cbarge totaling the full fees to ohtain a newpernnt must be paid
.41It Co1�m1T70?�. to reactivate We permmt
I HQ7DS
�x[cn.[.,�wn[. NOTES:
T-8AR
.IYi_LJMBLNG
iFS.EC'I ICnL
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� TIPE IhSPECTOR� DATE TSPE LNSPECCpR DATE TYPE II�PEGTOR DATE
F6Uh'Dn1'ION PLU�iBI1VG Sn:'�iT'.ARI'A'SPECTIONS
I FCY�IIJGS C / `
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i�UI�ER �,::� (� ���� �_�-��. WATER HEATII2 HYDROFLUSF[
PIEFtS I`{ ' ��w Ct���..._� q WATERSE'itV[CE
aune sEnMs �� � cns TEsr 6�S �5�•27 eusucwowss r ��
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GRODI�,�S1TE WO1tK C3tADING /��-^ �,`•^ '
�i r-„t/*'i
iJI�EFtQ20iJND Ef.EC'I'RICAL FT.F.�'TRICAL � REI'AINWG WALL , t
UNDER(.atOiJND GAS PIPING TIIvfP POWEIt POLE
iJNDEE2�tOLIND WATER j �J7�/� SERVICEUPGRADE FII2E DEYARCMENC
STTE COMPLIANCE
UNDERCilt0L1ND SEWER �� ��4'-�/� PV SYSTEM
SITE WN'I S EV SYSTEM FIltE MATN SYSTEMS
FO01'ING FII2E SPRIIIIQ.ERS-ROUQ-I �r
� t���`F
MASONFiY REBAR MECHAA'ICAL FIRE SP�i�nnci F'2�FpVpL � �� "�f f. �'f,j
DRAINAGE FURNAN(.`E FIRE ALARM FINAI., - , �
CMU WALIS BOII.IIt STATIDPIPE SYSTFMS
�� � ��'�x AIIt CONDITIONER INC3IVEERID FIRE PROTECIION SYSTEM
UNDERFL003t PLUMBING � ��7`�E� �� �. - _'
— . HOODS FIRE L.�r'E SAFEI'Y r�, 'F I�a�.'`�:-
I?1I�IlJERFLOOR MECH 1NICAL .
-- DUCT WRAP -
UNDERFL,OOR ELEC.'TRICAL
� � DOCUME!�TATION ��
UNDERFLOOR FRAMWG �i�-�.���.., ��� T_B� PADISETBACKCIItTIl'ICATION �.� ,,,` �'�`/)._/�
It7,yp�*ppR�c�pTlOn ff��y,,� j n E.�`��_`�f PLUMBING TRUSSES
'� FRA''�fil�`G � � II.ECTICAL SPEL7AL INSPECTIO'�REPORTS
ivA1USHHATI-IlNG
I ��� SMOKEJCARBON MO*]07�DE CERT CF
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- BUIIDA'G WATER FIXTURE CERT OF COMPLIANCE
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- � a �'� � F�' �.,E�;i,"t�' �(`s i' t Et�'ERGY COMPLL4NCE FORMS
ROLKiLI FtrCPRCAL�f�. ' .�r � ��; �'� � � CALGEtEE.'N MAND.4TORY ITEMS CI�'.(:HI.iST
Cif�E� s t�'V �t �,
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r-X';ERIOttSHEAR s,�,,.�y �� ''� � P/ivf/E PLnt�II�IIdG-CAI.L.777-3308 (�,7' �f�j,
`Nfu.l.D.'SLII.AT;ON f�;��L%' II.ECfRICAL BONDING PLIBLIC WORKS-CAIS.777-3354 t r
CEPA'G INSL'�JATION �/� {�� DFMOLII'ION FIRE-CALI,3?8d010 t . .� :`� •;�.-'f
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ROGF NAII:NG - y � •r. BAC7�II.L H6AI.TH-CALL 408-91&3400 �
IlVI'ERIORFLt7SHES A
� ��� t SAI�IlTARY-CAIS.253-7071 � " �
SHE6TROCK ,�.a� e '-� I. :. ROOFING
TILF.BACKIIt UN�ERIAY:vtEt�7C PRE A]SPECI'ION
,(,�-, q5"S �� �
L'Q.DING Fl\AL.S
TIIE BACI�.'R TEAR OFF PLI.IMRAIG
:_ Ed`m'' l� �' �j
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F.X'CERIOR FLRISHES � BATTINS �MF�'IIANICAL \\ ��I�
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