BLD-2020-1375 - CofO
Certificate of Occupancy
This Certificate is issued pursuant to the requirements of Section 111.2 of the 2019 California Building Code certifying that
at the time of issuance, the portion of this structure described below has been inspected for compliance with the
requirements of this code and with the various ordinances of the City regulating building construction for the occupancy
and division of occupancy and the use for which the proposed occupancy is classified.
Building Permit Number(s): BLD-2020-1375 Application Date(s): 08-31-2020 Issuance Date(s): 12-01-2020
Address of Building: 10104 Vista Dr.
Scope of Work: ADDITION (1,019 S.F.); TENANT IMPROVEMENT (1,008 S.F.)
Use: Office Occ Class: B / S-2 (Non-Separated) Total Occ Load: 90 Occ.
Bldg Area: 6,333 sq.ft. Constr. Type: V-B Fire Sprinklers System: Yes
Current Property Owner: Santa Clara County Fire Protection District
Current Owner Address: 60 S. Market St., 10th Floor, San Jose, CA 95113
Final Inspection By: Bob Sabich, Building Inspector
Final Inspection Date: 11-10-2021
*SPECIAL STIPULATIONS OR CONDITIONS: None
____________________________________ 11/15/2021
Albert Salvador, P.E., C.B.O., Building Official Date Issued
NOTICE/POSTING: No changes shall be made in the character of occupancy. This certificate shall be posted in a conspicuous place on
the premises, and shall not be removed except by the authority of the Building Official.
CUPERTINO
10300 TORRE AVE
CUPERTINO, CA 95014
Receipt No.:279195
Receipt Date:11/12/2021
R E C E I P T
RECORD & PAYER INFORMATION
Record ID:
Record Type:
BLD-2020-1375
Commercial Addition
Property Address:10104 VISTA DR, Cupertino, CA 95014-225
Description of Work:WEST VALLEY COMMUNITY SERVICES - ADDITION (1,019 SF); T.I. (1,008 SF)
REV#1 - EXPAND SCOPE TO INCLUDE REMODEL (E) 77 SF LAUNDRY ROOM; ADD WATER
LINE TO NEW HAND SINK-APPROVED 1/26/2021
REV # 2 - MECHANICAL AND ELECTRICAL REVISIONS - APPROVED 2/26/2021
Payer:Joshua Selo
Applicant:JEFF POTTS
CUPERTINO, CA
PAYMENT DETAIL
AmountCommentsCashierReferencePayment MethodDate
11/12/2021 Credit Card PUBLICUSER353
927
$443.00
FEE DETAIL
Fee Description Invoice #Quantity Fee Amount Current Paid
1.00 $443.00Occupancy - Certificate of Occupancy/Completion 58154 $443.00
$443.00$443.00
AA_Receipt_Template.rpt Print Date: 11/12/2021 Page 1