BLD-2020-1367 - COFOCertificate 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-2020-1367 Application Date(s): 08-27-2020 Issuance Date(s): 12-21-2020
Address of Building: 10583 & 10585 Santa Lucia Rd.
Description of Building: NEW 2-STORY SINGLE FAMILY DWELLING (4,194 S.F.); ATTACHED ADU (568 S.F.);
ATTACHED 2-CAR GARAGE (646 S.F.);
Use: Single Family Occ Class: R-3 / U Floor Area: 4,194 S.F. ADU Floor Area: 568 S.F.
Garage Area: 646 S.F. Const. Type: V-B Fire Sprinkler System: Yes
Current Property Owner: Tracy Hsu
Current Owner Address: 22330 Santa Paula Ave., Cupertino, CA 95014
Final Inspection By: Antonio Torrez, Building Inspector
Final Inspection Date: 06-15-2022
*SPECIAL STIPULATIONS OR CONDITIONS: None
____________________________________ ________________
Albert Salvador, P.E.,C.B.O., Building Official Date Issued
NOTICE: No changes shall be made in the character of occupancy of the building except by the authority of the Building Official.
CofO Application.doc revised 06/01/20
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS CUPERTINO, CA APN # DATE
OWNER NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
CONTRACTOR NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
MAIL CERTIFICATE TO: (Please allow up to 10 business days for delivery):
CONTACT NAME PHONE E-MAIL
STREET ADDRESS CITY, STATE, ZIP
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT NUMBER DATE FINALED INSPECTOR SCOPE
1
2
3
4
- OFFICE USE ONLY -
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST:
Permit signed off in system? ________
No other permits open or expired in system? ________
Verification of payment for certification? ________
APPLICATION FOR CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • building@cupertino.org
10583 & 10585 Santa Lucia Road,342-17-002 6/16/2022
10583 Santa Lucia Investment LP 408-4645030 tracy_hsu@yahoo.com
2310 Homestead Road, Suite C1 #128 Los Altos, CA 94024
Tracy Hsu 408-4645030 tracy_hsu@yahoo.com
22330 Santa Paula Avenue Cupertino, CA 95014
Tracy Hsu 408-4645030 tracy_hsu@yahoo.com
22330 Santa Paula Avenue Cupertino, CA 94014
BLD-2020-1367 6/15/2022 Antonio TorrezNew 2-story SFD, attached ADU, attached garage