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14110037 - COFO _
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This Certificate is issued pursuant to the requirem ip,s of SectEon 11 2 of Elie 2013 California Building Code certifying that
at the time of issuance, the port�op ofrthis structure, lescr� ed 06 owe ias beemar�spected for compliance with the
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requirements of this code and with the var�ou oiaiances of the City reglat ng,�urlding',construction for the occupancy
and division of.�occupancynithe use for which tkie �oposedccupany is classified.
Building Permit Number(s): 141.'0037` Application bae(s): 11 "g-x`014 Issuance Date(s): 01-21-2015
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Address of Building: 19048 Tllson Ave.
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Portion of Building: NEW DETACHED SECOND DWELLING`UNIT (586 S F ), COVERED PORCH (55 S.F.) i-
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Use: Single Family Dwelling Occupancy Classifica#ion: R 3 I"l! Occupant Load: SFD
Floor Area: 586 S.F. Covered Porch .55 S:F
Type of Construction: V-B " Fire Sprrkler°System: Yes `'
Current Property Owner: Tracy Hsc Tr�see
Current Owner Address: 223`30 Santa P u16 AVe'stCupertit rb, CX;8 014
Final Inspection By: Jeff Greef; Buil ung inspector .
Final Inspection Date: 01
*SPECIAL STIPULATIONS ORONDIT}OISNo _�
1 411
Albert Salvador, P.E.,C B O., Building Official Date Issued
NOTICE: No changes shall be Made in the'"' t'acter of occup�ncj bf the building except by tl� aut�i,' of#die Building Official.
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APPLICATION FOR CERTIFICATE OF OCCUPANCY
OR CERTIFICATE OF COMPLETION x
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTIN41� w
ALBERT SALVADOR,P.E.,C.B.O.,BUILDING OFFICIAL t` �� •1
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228•FAX(408)777-3333•building(ftupertino.ora
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING: S
PR JECT ADD /�, ,V'- APN# DATE
f''� G
OA] AMEPHON E-MA Yl U
^
STREET ADD SS CITY,S ATE,ZIP \ A(q 2
CONTRAC OR NAME ` PHONE�b E-MAIL
STREET DRES b-v\, el CITY, STATE,ZIP CM U-5311FAX
MAIL CERTIFICATE TO: Please allow up to 10 business days for delivery): .� G�/ •<�R;
CONTACT NAME 6PHONE f b _ �� E-MA ��
STREET ADD D CITY, ATE,ZIP L� A f FAX
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERMIT SUBMIT ISSUE DATE INSPECTOR SCOPE
NUMBER DATE DATE FINALED
-
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
BELOW GRADE ABOVE GRADE FLOOR AREA LOAD REQUIRED ES OR NO PROVIDED ES OR NO
#PARKING #STANDARD/COMPACT #ACCESSIBLE NOTE: ATTACH A COPY OF THE SIGNED
REQUIRED PARKING PROVIDED PARKING PROVIDED
0 INSPECTION CARD TO THIS APPLICATION.
- OFFICE USE ONLY(To be completed by inspector of record)-
SPECIAL STIPULATIONS OR CONDITIONS:
CofOApplication.doc revised 05/07/12
CITY OF CUPERTINO BUILDING PERMIT INSPECTION CARD
BUILDING ADDRESS: 44+2 TILSON AVE CONTRACTOR:TITAN GENERAL PERMIT NO: 14110037
i,P (y CONSTP.UCTION
OWNER'S NAME:HSU TRACY TRUSTEE 6509 MISSION BLVD STE 118 DATE ISSUED: 01/21/2015
OWNER'S PHONE:4084645030 - FREMONT,CA 94539 PHONE NO: (408)883-8668
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rINSPECTiONs (., w„ : DATE INSPECTOR
i FOUNDATION/PIERS/H D.S. BUILDING PERMIT INFO: BLDG ELECT PLUMB MECH
UFER GROUND (J F� RESIDENTIAL COMMERCIAL
PAD/SETBACK-CERT r
- JOB DESCRIPTION: DETACHED SECOND DWELLING UNIT (586 SQ FT); COVERED
;GARAGE SLABS/PREGUNITE PORCH (55 SQ FT) .
l POURNO CONCRETE;UNTII ABOVE IiAS.BEEN SIGNED,
_
UNDERGROUND/SLAB
}.TNDERGROUND PLUMBING
UNDERGROUND ELECTRICAL
ADO NOT POUR 1'LOOR UIVTILiABO. HAS.$EEN SIGNED u;
UNDERFLOOR PLUMBING r� r I,a lj
�:-
t UNDERFLOOR MECHANICAL
! �NDERrLOOR ELECTRICAL WILDLAND URBAN INTERFACE FIRE AREA ERN
LNDERFLOOR FRAMING VENT
1 TO ARRANGE INSPECTION
UNDERFLOOR INSULATION _ Call 777-3228 between 7:30 am and 3:30 pm Monday through Friday,at least 24 hours
PLACE NO SUBFLSUBFL©,oRYTNTI'�,A�OUE�'�3dS B�E. S1GNEn ,rt� before required inspection.Job address and Permit Numbers are needed when
ROOFSHEATHING I requesting an inspection.
ROUGH PLUMBING _L /5` CUPERTINO SANITARY DISTRICT
PUBS&SHOWER PAN Closed circuit video inspection of property line cleanout,point of connection
ROUGH MECHANICAL and street lateral required prior to passing FINAL CITY PLUMBING
"z5� INSPECTION. Call the District(408-253-7071)for an appointment.
s ROUGH ELECLRICAt,IPOOL BOND
1'FRAMING/STAIRS/E.FGRESs � !��. NO BUILDING FINALS INSPECTIONS UNTIL ALL REQUIRED
BUSINESS LICENSES ARE OBTAINED 1
I NSULATION'VENTILATION
1
EXTERIOR
HE Rx OLD OWN__HA BEENs"li D PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAVS OF PERMIT '
r7.TERIOR SIIEAR/HOLD DOWN
t ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION.
IN7�R10R SHEAR/HOLD DOWN f
�� IMPORTANT
SItFL''TROCK SHEETROCK SHEAR
7~ � When a permit has expired,a charge totaling one-half the fees to obtain a new permit
EXTERIOR LATH/W-SCREED �r ��� � must be paid in order to reactivate the permit.If a permit has been expired for more
E INTERIOR LATH than one year,a charge totaling the full fees to obtain a new permit must be paid
;.-- to reactivate the permit.
JO TAPE OR I LASTER UNTiL ABOVE"HAS BEEN'SIGN'ED
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SCR<TCI 1 COAT �
+SFS,JL:R/WATEIZ 2 NOTES
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�-T-:tAR%NIFrI�I L.EC"T ABOVE CE1L
FINALS
RI-ETRIC METER RELEASE d
k '- C �E �- –('r � S ECIAL INSPECTIONS Inspector: _ Date:
I'GAS TEST/METER RELEASE
ROOF INSPECTIONS
GRADE-PUBI"'C WORKS PRE-INSPECTION:Inspector:— Date:
TIRE -CALL (403)3734010
7' / f TEAR-OFF: Inspector: Date:
yP1.ANN,NG(4OC)77 -3308 /LV!Jr
_ PLYWOOD: Inspector: Date:-
ii SANITARY(408) 253-7071
BATTENS: Inspector: _ Date:
ELECT'TRICAL V —
MECHANICAL --
IN PROGRESS: Inspector: Date:
I _ —
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}PLUMBING ( FINAL: Inspector: Date:-
'V'a
HANDICAP t NOTE:OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION.
,,;ENERGY OCCUPANCY OF SCALDING NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY
�.
}� INSPECTOR
11
CERTIFICATE
EL-k i RTIFTIC 4T)r OF OCCUPANCY* J 'T5
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