Fillable TCO-APPLICATION-2019 - TCO application update -Draft 5-10-18

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TCO-APPLICATION-2019 - TCO application update -Draft 5-10-18

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PLANNING & BUILDING DEPARTMENT
250 FRANK H. OGAWA PLAZA. SECOND FLOOR. OAKLAND, CA. 94612
TEMPORARY CERTIFICATE OF OCCUPANCY REQUEST
Non‐Refundable*694.24Applicationfee
JOBSITEADREESS
PERMITNUMBERS
USEOFPREMISSES
ADDRESS
CITY
STATE
ZIP
TELEPHONE
EMAIL
PROPERTYOWNER
REQUESTOR
DURATIONREQUESTED
DAY
S
VACATEDATE
Werequesttemporaryapprovaltooccupythepremisesbeforefinalapproval.
WeunderstandthatFinalinspectionapprovalsmustbeobtainedbeforeexpirationofatemporaryoccupancycertificate
(“vacatedate”).Otherwise,thepremisesmustbevacatedimmediately,ortheoccupantsandownerwillbesubjectto
citationandfinesandtheutilitiesmaybedisconnectedwithoutfurthernotice.
Describeareaifpartialoccupancyisrequested
PERMITEE
DATE
OWNER/TENANT
DATE
For Official Use Only
DEPARTMENT APPROVAL SIGNATURE DATE CONDITIONSFORTEMPORARYOCCUPANCY
Transportation 
PublicWorks 
FirePrevention 
Planning 
Plumbing 
Mechanical 
Electrical 
EngineeringServices 
Building 
OtherAgencies



*feesinclude9.5%RecordsandManagementFeeand5.25%TechnologyEnhancementFee
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TCO-APPLICATION-2019 - TCO application update -Draft 5-10-18

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Completed 17 February 2020

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