11070140 - TCO Tempo = r - �Ct-i-f t_�= t- - o=00- ricupantp=
This Certificate is issued pursuant to th�requirements�,f Section 110.2 of/the 2007 California Building Code certifying that
at the time of issuance, they portion of\this st'ructure��desc�ibed;below"has been inspected for compliance with the
requirements of this code and withhe various ordinances of-the„City regulating building construction for the occupancy
and division of,occupancy and the use for which---- the'� \�proposed occupancy is classified.
7 Building Permit Number(s): 110701.40 � Application-Date,07-09 11 Issuance Date: 12-29-11
Address of Building: 10165 N. De Anza Blvd C/
Portion of Building: Four-story, Type;III-A, Hotel (68,970�-p.f.) over one level Type I A basement parking (29,293
s.f) �-
Use: Hotel Occupancy-Classification:�R,1 / B 1, -2/ S-2 L---Occupant Load: 219 maximum
Floor Area: (68,970 s.f + 29,293Is.f.)L�/ - ' ��,� Type of Construction: III-A
Sprinklers System Provided: Yes r-- Sprinkler System-Required: Yeses
Current Property Owner: Infinite L--oop Hotel,-LLC \
Current Owner Address: 2060,0 Steven 'Creek Blvd. Cupertino, CA 95014
Final Inspection By: NA
Final Inspection Date: NAi
SPECIAL STIPULATIONS OR CONDITIONS:—Conditions-of-Final-Approval-as-per–T-CO'application.
Alb rt Salvador, P.E*�,t B.-O-.', Building Official� r F---DateLlssued�
�. t l f �
NOTICE/POSTING: No�changes shalFbe,madel in,t' he character-of occupancy.I This certificate shall be posted-in a conspicuous place on
the-p�emises,-and shall-not be removed except-&Y the authority of the Building Official.
• -ITT-r-l-1-I- - •
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This Certificate is issued ursuant to there uirernents of SeI tion 1/10.2 of�he 200por-a TUR-ta -(K-0-tri, t up an r P
7 California BuildingCode certifying that
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at the time of issuance, the portion 0f� s str1uctureAescnbed below has been inspected for compliance with the
requirements of this code andwith, various ordinances of-the„Cityregulating balding construction for the occupancy
and division of occupancy and the use for which,tth6 proposed occupancy is classified.
Building Permit Number(s): 11070140 Application,Date X0077-009-11 Issuance Date: 12-29-11
Address of Building: 101�fi5 N. De'Anza Blvd
C1
Portion of Building: Four:story, Type�1111-A, Hotel (68,970,s.f.) over one level Type I-A basement parking (29,293
Use: Hotel Occupancy Classification. R:1 / B 1- -2/ S-2 Occupant Load. 219 maximum
Floor Area: (68,970 s.f + 29,293 S.f. `_�� 7- Type of Construction: III-A
Sprinklers System Provided: Yes Sprinkler System_Requ rred: Yes
Current Property Owner: Infinite IL-oop otel LLC
Current Owner Address: 20600 Stevens Creek Blvd. Cupe(rt(ino, CA 95014
Final Inspection By: NA
�o L ?0
Final Inspection Date: NA
SPECIAL STIPULATIONS OR GONDI-T-IONS:—Conditions-of-Approval-as-per—TCO-applib ation.
AI e-rt Salvador, P.E�t:B.-01, Building Off,;cid i Da'te-lssued
NOTICE/POSTING: No`chan es shaffbe-made)in,the character-of occupancy. This cert�f�cate m shall be posted- a conspicuous lace on
the p emises,-and shall-not be removed excepi-y the authorlty'of the Building Official p p
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TEMPORARY CERTIFICATE OF OCCUPANCY FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
CUPERTINO 1 (408)777-3228•FAX(408)777-3333•buildino(cDcupertino oro
APN 326-34-057 BP#. / t� DATE:/ PROJECT
lD��U�U ! %�.3'� 3 VALUATION: $
SITE
ADDRESS: 10165 N De Anza Blvd, Cupertino CA 95014
OWNER'S NAME:Infinite LOO Hotel LLC PHONE#:
Loop FAX#: 408-621-3094
MAILING ADDRESS(if different from site address):20660 Stevens Creek Blvd, # 331 Cupertino CA 95014
'CONTRACTOR:SD Deacon PHONDeaconFAX#: 916-969-0900
CONTACT:Mike Dietz PHONE#:
FAX#: 916-417-0463
TEMPORARY CERTIFICATE OF OCCUPANCY INFORMATION
BOND TYPE: ❑ SURETY BOND AMOUNT (1% VALUATION CODE
9 CHECK ❑ CASH BOND OF BOND: 5K min-10Kmax $ /0/ a�� (BLDBONDSJ
EDITIONO?
TCO EXPIRATION
DATE X MONTHS MAX): �D^�ri� FEE: $266.00/m0 [TOTAL FEE: $ 9&6. GO [1TEMPOCCJ
USE TYPE OF FLOOR I OCC LEVEL COMMENT
CONSTR AREA LOAD
91 '1 Z414
OTHER DEPARTMENT/_AGENC_Y_AP_PROVALS:-
Planning
Signature:.....
i nature:..... APPROVED ❑ APPROVED WITH CONDITIONS'
Fire
Si nature:........ / ❑ APPROVED PROVED WITH CONDITIONS"
............... Date:... .....`�../....
Public Works
Si nature:........ .. ............. ... Date:. ..9 , J!.�. ,APPROVED ❑ APPROVED WITH CONDITIONS'
Other: iy
f /
Signature:........ Date:...fl....... .. APPROVED El 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 fort • d and the non-compliance
may result in an enforcement action.
Owner - Contractor
Signature:....... _.............. Date:..l 3..:/.. .. Si nature:. L...............Date:['.�.3..:�.. .
This temporary certificate ensures that all fire protection and life safety systems have been completed, inspected, successfully tested and
approved for the specific of the building specified above to provide a reasonable degree of safety to the occupants from fire and
similar emer encies.
Building Official:.... 2................................... . .... . . ......Print: .... .. . �..... ... ,_ ....
.. Date:. .�l.�.3.-.�........
....................
DEPARTMENT ACTJ0K. After determination,copies to: 1)applicant, 2) rnit file
TenrpOccFornr_2011.doc revised 12/12/11