TCO-SECTOR A6 CCCTEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERTSALVADOR, P.E., C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO (408) 777-3228 - FAX (408) 777-3333 • buildin cuperbno.Org
APN: 316-07-049
BP13 20072, 14020126, 14020132
DATE: 5/7/18
VALUATPROION
VALTION
I
SITE 1 Apple Park Wa
ADDRESS: Pp Y
OWNER'S NAME: Campus Holdings, LLC
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 BOND
MOUNT (1% VALUATION
CODE
❑CHECK ❑CASH BOND
F BOND: 5K min- 10K max) $ [BLQBONDS]
2010
EDITION:
TCO EXPIRATION
FEE: $329.00imo
TOTAL FEE: $ [lTEMPOCC]
DATE (6 MONTHS MAX):
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
Sector A6 CCC
1 A
11,510 sf
519
L1
Pods 10-11
OTHER DEPARTMENT f AGENCY APPROVALS:
anninq
Signature:.........................................................Date:.......................
❑APPROVED
® APPROVED WITHCONDITIONS'
ire
Signature: .....
�y
..................................................... Date:❑APPROVED
❑APPROVED WITH CONDITIONS -
u is ors
Signature: .........................................................
❑ APPROVED
Date: ...... ................
El 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. JA
Owner Contractor 5(7/18
Si nature:. ...: t::.. .. `................. Date: ...... Signature:. .. ....... Date: ......................
This temporary certificate ensures that all fire protection and life 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 encie
. d f r!
Buildinq Official:.... ......................Print:....................'? .. ...L...... .......Date:...i... Z .�.rj........
DEPARTMENT ACTION: After determination. conies to: 1) aoolicant. 2) nermit file
empOccF6r4013. doc revised &122/17
Friday, September 28, 2018 at 11:02:49 AM Pacific Daylight Time
Subject: Fwd: Status of 4LEAF Recommendation for TCO for A6 Level 1, Pods 10 & 11, Corporate
Conference Center
Date: Friday, September 28, 2018 at 10:59:19 AM 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 for A6 Level 1,
Pods 10 & 11, Corporate Conference Center.
Regards,
Dirk
From: "Traci Caton" <tcaton@41eafinc.com>
To: "Dirk Mattern" <dirk.mattern@sccfd.org>
Cc: "Craig Tole" <ctole@41eafinc.com>, "Chris Fowler" <cfowler@41eafinc.com>, "Albert
Salvador" <AlbertS@cupertino.org>
Sent: Friday, September 28, 2018 10:53:18 AM
Subject: Re: Status of 4LEAF Recommendation for TCO for A6 Level 1, Pods 10 & 11,
Corporate Conference Center
Here is the CCC TCO package as requested :)
Traci Caton
Sr. Project Admin
408.234.5975
4LEAF/City of Cupertino
0 4LEAF, INC.
From: Traci Caton <tcaton@41eafinc.com>
Date: Monday, July 2, 2018 at 9:02 AM
To: Albert Salvador <AlbertS@cupertino.org>, 'Dirk Mattern' <dirk.mattern@sccfd.org>
Cc: 'Craig Tole' <ctole@4leafinc.com>, Chris Fowler <cfowler@41eafinc.com>, Mike Drake
<mdrake@holder.com>, Mike Ossei-Antwi <mosseiantwi@holder.com>, Paul Yeomans
<pyeomans@apple.com>, Bill Keane <wkeane@apple.com>, Sean Hatch <SeanH@cupertino.org>
Subject: Status of 4LEAF Recommendation for TCO for A6 Level 1, Pods 10 & 11, Corporate Conference
Center
Good morning Albert & Dirk,
Pending SCCFD approval, 4LEAF is ready to recommend TCO for A6 Level 1,
Pods 10 & 11, Corporate Conference Center.
Contractor is requesting an amendment to the existing A6 TCO to include Pods
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