14100068-TCOCUPERTINO
TEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
ALBERT SALVADOR, P.E., C.B.O., BUILDING OFFICIAL �' I
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a)cupertino.org
APNBP
#:14100068 _7DATE:
1/5/15
PROJECT 500,000
FEE: $-� j0
TOTAL FEE: $ [1TEMPOCC]
Lab/Support Space
VALUATION:
SITE
ADDRESS: 19333 Vallco Pkwy - Building A
OWNERS NAME: Apple, Inc. (Eileen Molloy)
PHONE #. 408-974-5951
.....
MAILING ADDRESS (if different from site address): 1 Infinite Loop, Cupertino, CA
CONTRACTOR:Devcon Construction, Inc.
PHONE#408-942-8200
El APPROVED
El APPROVED WITH CONDITIONS
CONTACT:Kevin Irwin
PA°#E # 408-712-9856
❑ APPROVED
❑ APPROVED WITH CONDITIONS
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: F1 SURETY BOND
CHECK ❑ CASH BOND
AMOUNT (1% VALUATION
000 [BLDBONDS]
OF BOND: 5K min -10K max
CODE
EDITION:
TCO EXPIRATION
DATE X MONTHS MAX): 4/9/15 \3 mar�"ln5
FEE: $-� j0
TOTAL FEE: $ [1TEMPOCC]
USE
TYPE OF
CONSTR
FLOOR
AREA
OCC
LOAD
LEVEL
COMMENT
Lab/Support Space
II -B
4,181 sf
83
1
.....
F 3
Pubf ork
Si_nature:.........................................................
Date:......................
El APPROVED
El APPROVED WITH CONDITIONS
Other:
Signature: .........................................................
'—�/ —;`
Date:.:..............;.....
❑ APPROVED
❑ APPROVED WITH CONDITIONS
PY"x'`55
OTHER DEPARTMENT / AGENCY APPROVALS:
Planning
Signature: ............. ... ...............
............... Date:.........................
❑ APPROVED
❑ APPROVED WITH CONDITIONS
Fire
❑ APPROVED
APPROV D IT CO QITION
S
Sign ture
.................... Date:.�...�...1..
.....
F 3
Pubf ork
Si_nature:.........................................................
Date:......................
El APPROVED
El APPROVED WITH CONDITIONS
Other:
Signature: .........................................................
'—�/ —;`
Date:.:..............;.....
❑ APPROVED
❑ APPROVED WITH CONDITIONS
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 fo�Oed and the non-compliance
may result in an nforcement a tion.
IOwner /6.tContractor
Signature: ...... .............................. Date:....Signature:.........` ......... Date:.....0i5
...✓.....
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 emeraencies.
IBuilding Official: ....... _e .......................................................... Print ........................ Date:/..-/.. `.:.1.�.....
DEPARTMENT ACTION: After determination, copies to: 1) applicant, gpermit file
TempOccForm_2011.doc revised 6/28/13
n
DEVCON CONSTRUCTION INCORPORATED
690 Gibraltar Drive
Milpitas, CA 95035
Phone: (408) 712-9856
License #399163
Apple VP02 - US/ESS Lab Buildout
19333 Vallco Pkwy
Cupertino, CA 95014
To: City of Cupertino Building Department, attn: Sean Hatch
Re: City of Cupertino Temporary Certificate of Occupancy — Bldg. Permit #14100068
Please see list below of items required to be completed prior to final permit sign -off per the FD:
1. Provide additional information regarding fire sprinkler design criteria above HD storage shelving
at Room A139.
a. This item is in progress and calculations will be provided to the FD as quickly as possible.
Kevin Irwin I Project Engineer
Devcon Construction, Inc.
kirwin@devcon-const.com
Kevin Irwin Date 1 115 /15 Eileen Molloy
Date
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