14020130TEMPORARY CERTIFICATE OF OCCUPANCY FORM
CUPERTINO
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
ALBERTSALVADOR, P.E., G.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE - CUPERTINO, CA95014-3255
(408) 777-3228 - FAX (408) 777-3333 - building(a�cupertino.org
APN: 316-07-049
BP3#20072, 14020126, 14020130
DATE: 3/20/18
vALOUATION $
SITE 1 Apple Park Wa
ADDRESS: pP Y
OWNER'S NAME: Campus Holdings, LLC
p 9
PHONE #: 408-996-6684
FAX #:
MAILING ADDRESS (if different from site address): 1 Infinite Loop, MS 21-AC2, Cupertino, CA 95014
CONTRACTOR/POINT OF CONTACT:
PHONE #:
Holder Construction Company - Mike Drake
FAX #: 708-204-3230
REFUND - CHECK PAYABLE TO:
MAILING ADDRESS:
Apple Inc.
1 Infinite Loop, MS 21-AC2, Cupertino, CA 95014
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BONA
AMOUNT (1 % VALUATION
CODE
❑CHECK ❑CASH BOND
F BOND: 5K min- 10K max) $ [BLDBONDSj
EDITION: 2010
TCO EXPIRATION
FEE: $329.00/mo
TOTAL FEE: $ [ITEMPOCCJ
DATE (6 MONTHS MAX):
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
Entrance E4 and Sector A4
1 A
166,981 sf
1,626
L1-Plant
See attached drawing for exclusions
4 L3 Pods 2-10 for 8-1
-2018
L3
OTHER DEPARTMENT ! AGENCY APPROVALS:
anninq
Signature :.......................................... ...... Date:.......,...............
❑ APPROVED
❑ APPROVED WITHCONDITIONS`
Fire
Signature: ............... Date:.............. ..........
❑APPROVED
❑APPROVED WITHCONDITiONS'
PublicWorks
Signature: ......................................................... Date:.......................
❑APPROVED
0 APPROVED WITH CONDITIONS'
Other
Signature: ............................................Date:.......................
APPROVED
El APPROVED WITH CONDITIONS'
*CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of theproperty
stating the list of items required to be completed for each individual Department before final occupancy
can be granted. Include approximate completion dates for each item.
The undersigned covenant and agree as a condition to the approval of the above request for temporary occupancy to have the building or
buildings complete and in compliance with all building codes, ordinances and regulations and ready for inspection prior to the expiration
date specified. If this Temporary Certificate of Occupancy expires, the total amount of the bond may be forfeited and the non-compliance
may result in an enforcement action.
Owner / ,r / 4e Contractor
Si nature:....k:L.i -. �• ................ Date MRJ ..�..... Si nature:................ ...... ........................... Date:..!..`'X!.47....
This temporary certificate ensures that all fire protection and 1rfe safety systems have been completed, inspected, successfully tested and
approved for the specific area of the building specified above to provide a reasonable degree of safety to the occupants from fire and
similar emer encies
Buildino Official t ........................Print:.............................................. ....................... Date:.....s.....c-....i...........
DEPARTMENT ACTION: After determination, copies to: 1) applicant, 2) permit file
emp0ccFoma2013.doc revised 8/22I1
Wednesday, July 11, 2018 at 3:58:25 PM Pacific Daylight Time
Subject: (none)
Date: Tuesday, July 10, 2018 at 3:49:04 PM Pacific Daylight Time
From: Dirk Mattern
To: Albert Salvador
CC: Traci Caton, Chris Fowler
Albert,
The Santa Clara County Fire Department has no objection to granting TCO approval for A4,
L1 to Plant Level, with the following excluded areas:
Level 1 Pod 2 Product Lab Stands 003 and 004.
Level 1 Pod 10 Product Lab Stands 011 and 012.
Level 1 Pod 11 Bookend Lab H 15.
Level 2 Pod 10 Product Lab Stand 011 and X-Lab 012.
Level 2 Pod 11 Bookend Lab H09.
Regards,
Dirk
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