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TcluDnDADV eGaTiFir_ATP nF nrrl IPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND
® CHECK ❑ CASH BOND
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CODE
EDITION:
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
13
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL
Lab
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO
(408) 777-3228 • FAX (408) 777-3333 • build ing(cDcupertino.org
APN
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BP #:
15040059
DATE:
9/2/15
PROJECT $ $500,000
VALUATION:
SITE
ADDRESS: 6 Infinite Loop, Cupertino, CA 94015
OWNER'S NAME:
PHONE #: 650-421-1832
Apple, Inc
FAX #:
MAILING ADDRESS (if different from site address):
1 Infinite Loop, Cupertino, CA 94015
CONTRACTOR: Novo Construction
PHONE #: 650-399-5449
FAX #:
CONTACT: Michael DiMonaco
PHONE #: 650-399-5449
FAX #:
TcluDnDADV eGaTiFir_ATP nF nrrl IPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND
® CHECK ❑ CASH BOND
AMOUNT (1% VALUATION5,000 LDBONDS
OF BOND: 5Kmin-10Kmax $
CODE
EDITION:
OCC
LOAD
LEVEL
COMMENT
Lab
V13
TCO EXPIRATION
DATE (6 MONTHS MAX): Z
3
1 [ -
FEE: $286.00/mo
TOTAL FEE: $ 5� s [1TEMPOCCJ
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
Lab
V13
2555
Public Works
❑APPROVED
APPROVED WITH CONDITIONS
Signature:.................................0.......................
Date:......................
t er:
11 APPROVED
El APPROVED WITH CONDITIONS
.........................................................
Date:......................
nTueo MCOADTUCAIT I Ar-Cnlry ADDOnVA1 C -
Planning
❑ APPROVED
❑ APPROVED WITH CONDITIONS
Signature: ....................................
.. .......... Date:.
ire �l�l
Signature: ................/."`
p
A,i lei 1 6 �n� O
Da e:,,..-_1--� 0 ❑APPROVED
El APPROVED WITH CONDITIONS'
Public Works
❑APPROVED
APPROVED WITH CONDITIONS
Signature:.................................0.......................
Date:......................
t er:
11 APPROVED
El APPROVED WITH CONDITIONS
.........................................................
Date:......................
CONDITIONS OF COMPLETION - Attach a letter signed by the contractor and owner of the property
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. IF F
Owner (CES 11 I Contractor
Signatu t Z....... Date: .12��.5..... Signature: ......... Date: .a .�s....
This temporary certificateFnses that all fire protection and life safety systems have been completed, inspected, successfully tested and
approved for the speci f the di specified above to provide a reasonable degree of safety to the occupants from fire and
similar emergencies. j
Building Officia Print:. ...... r 4... `..................... Date:..... ...... . `.•
DEPARTMENT ACTION: After determination, copies to: 1) applicant, 2) permit file
TempOccForm_1013.doc revised 717114
3