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R-2008-20b 10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COMMUNITY DEVELOPMENT CITY OF CUPEIUINO August 19, 2008 Eddie Shen 102 Persian Dr. #201 Sunnyvale, Ca. 94089 SUBJECT: RESIDENTIAL DESIGN REVIEW ACTION LETTER - Application R-2008-20: This letter confirms the decision of the Director of Community Development, given on August 15, 2008; approving a first floor and a new second story addition totaling 1,133 square feet on an existing single story family residence, located at 21837 Terrace Drive, with the following conditions: 1. APPROVED PROTECT This approval is based on a plan set entitled, "Ju Residence, 21837 Terrace Drive, Cupertino, California" consisting of eleven sheets dated "June 4, 2008", except as may be amended by conditions in this resolution. 2. PRIV ACY PROTECTION COVENANT The property owner shall record a covenant on this property to inform future property owners of the privacy protection measures and tree protection requirements, consistent with the R-l Ordinance, for all windows with views into neighboring yards and a sill height that is 5 feet or less from the second story finished floor. The precise language will be subject to approval by the Director of Community Development. Proof of recordation must be submitted to the Community Development Department prior to final occupancy of the residence. 3. CONSULT A TION WITH OTHER DEPARTMENTS The applicant is responsible to consult with other departments and/ or agencies with regard to the proposed project for additional conditions and requirements. Any misrepresentation of any submitted data may invalidate an approval by the Community Development Department. Printed on Recycled Paper 4. NOTICE OF FEES, DEDICATIONS, RESERVATIONS OR OTHER EXACTIONS The Conditions of Project Approval set forth herein may include certain fees, dedication requirements, reservation requirements, and other exactions. Pursuant to Government Code Section 66020(d) (I), these Conditions constitute written notice of a statement of the amount of such fees, and a description of the dedications, reservations, and other exactions. You are hereby further notified that the 90-day approval period in which you may protest these fees, dedications, reservations, and other exactions, pursuant to Government Code Section 66020(a), has begun. If you fail to file a protest within this 90-day period complying with all of the requirements of Section 66020, you will be legally barred from later challenging such exactions. Please be aware that if this permit is not used within one year, it shall expire on August 15,2009. Staff received a letter from an adjacent neighbor with questions regarding the approval process for this project and other concerns. The questions were answered and concerns were noted. Staff has made all the findings that are required for approval of a Two-story Residential Permit as required by the of Cupertino's Municipal Code, Chapter 19.28.100 (D). Also, please note that an appeal of this decision can be made within 14 calendar days from the date of this letter. If this happens, you will be notified of a public hearing, which will be scheduled before the Planning Commission. Elizabeth Pettis Assistant Planner City of Cupertino Enclosures: Approved Plan Set CC: Robert Iu, 21837 Terrace Dr., Cupertino CA 95014 WilliamPerazich, 21766 Collingsworth St, Cupertino CA 95014 E: \Eddy\Ju\JUPLAN_2.dwg Man Jul 28 18: 37: 21 2008 I ! !'J ~ -2;' :.:0 :;).J ~<g. ""{.? ~ .~ rf ~ ..., :c.- ~ 'I s;: ~ -0 ~-.. 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'" :~ '" i: ~ ~ ... :~ '" ." ." 0 E c :z: ~ '" 0 z JU RESDENCE 21831 TERRACE DRIVE ClI'ERTN), CALFORNA .3 a "ll 10 I"" I" I> 1;;1 I I 1 I l ii:i ~~~i 8~~ li~a ~~~ I ਍㩅尠摅祤䩜屵啊䱐乁㉟搮杷䴠湡䨠汵㈠‸㠱›㜳›㜴㈠〰സഊഊ縊㔭縠㨠൲ㄊ愵愠㘭㨢൓⸊縠縠ㄠ⁴⹰✮਍楾縮਍⵾਍椢ൾ✊Ⱐ਍‮⁉✮਍਍繾䤮䤠⸮䤮屾਍‬⁾⁜䤬਍䥉਍楉⸠ൾ琊⸺椠‡റ椊✠㔠⹬✮ൾ✊ൾℊ਍਍മ椊਍ൊഊⴊ൉爊汲਍〻਍〻਍㸩਍⤨਍牲൬漊਍〻਍഼爊汲਍⤨⵾›ⴽ縠繾⵾ⴭ✠✢਍‮繾਍繾਍椧縧਍机ൾ✊ര䤊൉ഊഊⰊⴭഭⰊ∢∢∧਍⼬ധ⼊∧਍Ⱟ✯਍✯਍縬ഢ䄊ഢ⼊‧ബⰊ਍਍യഊⰊ਍਍യഊ䤊਍਍യഊ䤊਍਍യഊ縊䥾਍਍൉ഊⰊ਍਍਍繾਍签氻਍㄰汔਍਍繾਍氲㩲㬻਍਍㔱䜠䱁䌠䵁䡐剏਍਍൩縊਍਍縠਍⸠‰㘺਍縠਍⁾⁩ൾ氊⁏ൎ✊഼嘊൬ഊ吊啒䭎〠㘭⸴਍㴰㔲സഊ䤊਍਍൉ഊ⸊਍਍൉ഊ縊਍਍ൾ∊ഺഊ漊਍്ഊഊ∊਍ബഊ縊਍਍ഭⰊ਍਍☮਍⸮†⁉䥾䥉䤠䤠⁩楉⁩䤠਍⁉䨠⁕䕒䑓久䕃਍爺†䤠⁉൉ 潣䤠䥉縠⁉䤠䤠൉ †楕汬㈠㠱㜳吠剅䅒䕃䐠䥒䕖਍†⁊䌠䅬刺䭔ⰾ䌠䱁但乒ുഊഊ If CITY OF CUPEI�TINO July 29, 2008 Dear Resident, 10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COMMUNITY DEVELOPMENT The City of Cupertino Planning Division received an application (file number R- 2008-20) for a Residential Design Review approval for a first floor and a new second story addition totaling 1,133 square feet on an existing single story family residence, located at 21837 Terrace Drive. This application requires staff approval and neighbors within 300 feet are notified with the opportunity to comment on the project. City staff believes that the project is compatible with homes in the neighborhood and intends to approve the project based on the enclosed plans. Please contact me no later than Thursday, August 14, 2008 if you have any questions or concerns that the City staff should take into consideration when making its final decision on Friday, August 15, 2008. The applicant and any neighbor that contacts me on or before Thursday, August 14, 2008 will receive a letter describing the action taken. Sincerely, Elizabeth Pettis Assistant Planner City of Cupertino (408) 777-3319 elizabethp@cupertino.org Enclosure: 11x 17 plan set G:\ Planning � Minor Residential, R1 Approvals � 2008 \ R-2008-20.doc Printed on Recycled Paper 356 16 009 356 16 01.0 356 16 011 SADUNAS RUBY A TRUSTEE MOORE JEAN S GOLDRING STANLEY D P O BOX 1353 11161 SANTA TERESA DR 11196 LINDA VISTA DR ROSS CA 94957 CUPERTINO CA 95014-4728 CUPERTINO CA 95014-4770 356 16 012 DEXTER CHARLES N AND LONNA L 11186 LINDA VISTA DR CUPERTINO CA 95014-4770 356 17 018 GOVENDER KANDHARUBEN AND SAROJ 21813 TERRACE DR CUPERTINO CA 95014-4776 356 17 021 AGRAWAL ANANT TRUSTEE & ET AL 22501 ROLLING HILLS RD SARATOGA CA 95070-6546 356 17 024 SMITH WARREN E AND SUE L TRUST 11150 SANTA TERESA DR CUPERTINO CA 95014-4767 356 17 043 XU KEVIN DINGAN AND SHELLY CUI 11153 WILKINSON AV CUPERTINO CA 95014-4734 356 17 046 CROLL JOHN D AND ANN R TRUSTEE 21786 COLLINGSWORTH ST CUPERTINO CA 95014-4709 356 17 049 SOLIZ GUIDO L AND SUSAN C 21756 COLLINGSWORTH ST CUPERTINO CA 95014-4709 35621 006 CHAI CHING-CHENG AND CHANG YUN 11238 TERRA BELLA DR CUPERTINO CA 95014-4806 356 17 016 ABE MARGARET M TRUSTEE 1 W EDITH AV UNIT C116 LOS ALTOS CA 94022 356 17 019 ZEHAVI SHARONE AND DEGANIT 21827 TERRACE DR CUPERTINO CA 95014-4776 356 17 022 SINNOTT BEVERLY A TRUSTEE 11180 SANTA TERESA DR CUPERTINO CA 95014-4767 356 17 025 CONWAY JILL J TRUSTEE 11140 SANTA TERESA DR CUPERTINO CA 95014-4767 356 17 044 SHANNON MICHAEL J AND ELIZABET 11163 WILKINSON AV CUPERTINO CA 95014-4734 356 17 047 PAN LICHUAN AND CHYI TRUSTEE 21776 COLLINGWORTH ST CUPERTINO CA 95014-4709 356 17 070 TIGER JUDITH 21775 COLLINGSWORTH ST CUPERTINO CA 95014-4708 35621 007 DHINGRA SATYENDRA AND GODREJ-D 11220 TERRA BELLA DR CUPERTINO CA 95014-4806 356 17 017 REWARI PAWAN AND ROHINI 21797 TERRACE DR CUPERTINO CA 95014-4742 356 17 020 JU ROBERT T AND CHEN JI 21837 TERRACE DR CUPERTINO CA 95014-4776 356 17 023 POON ROBERT C B AND BRENDA M K 11160 SANTA TERESA DR CUPERTINO CA 95014-4767 356 17 042 WEI JOHN S AND WEN -LING 11143 WILKINSON AV CUPERTINO CA 95014-4734 356 17 045 LIU JUEY HUEY 612 SIERRA VISTA AV #G MOUNTAIN VIEW CA 94043 356 17 048 PERAZICH WILLIAM AND BRIGITA 21766 COLLINGSWORTH ST CUPERTINO CA 95014-4709 35621 005 TURNER MICHAEL K AND LORRAINE 11244 TERRA BELLA DR CUPERTINO CA 95014-4806 35621 008 YIP ROGER S AND CHILI WENDY Y 11221 REDONDO CT CUPERTINO CA 95014-4740 356 25 001 356 25 002 356 25 003 HAGHIGHI FARZAD AND VERONIQUE HONDA MICHIKO SINZIG HARALD W AND IRINA V 21860 TERRACE DR 21840 TERRACE DR 21830 TERRACE DR CUPERTINO CA 95014-4743 CUPERTINO CA 95014-4743 CUPERTINO CA 95014-4743 356 25 004 356 25 005 356 25 006 SALEMINIK IRAJ AND TABRIZIZAD MI PEI WEI AND LI MIAN CHUC KIEN NAI AND DUONG JACQUE 11219 TERRA BELLA DR 11233 TERRA BELLA DR 11247 TERRA BELLA DR CUPERTINO CA 95014-4805 CUPERTINO CA 95014-4805 CUPERTINO CA 95014-4805 356 25 007 MC INTYRE JOAN K 11261 TERRA BELLA DR CUPERTINO CA 95014-4805 356 26 020 SPENCER ALAN L AND ALICE C 11167 LINDA VISTA DR CUPERTINO CA 95014-4754 356 26 023 JACOBS STEPHEN M AND ARLENE L 11197 LINDA VISTA DR CUPERTINO CA 95014-4754 356 26 028 CONSTANT DAVID T AND TINA M TR 11208 MT CREST DR CUPERTINO CA 95014-4755 356 25 015 SCHMIDT THEOPHIL E AND MARION 21945 LINDY LN CUPERTINO CA 95014-4810 356 26 021 LI CHUN AND HU MENG 11177 LINDA VISTA DR CUPERTINO CA 95014-4754 356 26 024 FUNG KAISAN L AND CHUI YUET FA 11191 SANTA TERESA DR CUPERTINO CA 95014-4729 356 26 017 KNIRCK DOUGLAS R TRUSTEE 11204 MT CREST DR CUPERTINO CA 95014-4755 356 26 022 CHU YEN AND JANE TRUSTEE 11187 LINDA VISTA DR CUPERTINO CA 95014-4754 356 26 025 HOLL JAMES H AND JANET M TRUST 11201 SANTA TERESA DR CUPERTINO CA 95014-4729 Basemap Labels Abc Street Names Address - Freeway Basemap -- - Easements Street Centerline County Freeways County Major Roads Right -of -Way Parcels ® City Boundary Gey of Cupertino 1 http://gissvr/cupertinointranet/home/mapFile.aspx Tuesday, July 29, 2008 3:53 PM 1 1 1 http://gissvr/cupertinointranet/home/mapFile.aspx Tuesday, July 29, 2008 3:53 PM s V. rqv COTTON, SHIRES & ASSOCIATES, INC. CONSULTING ENGINEERS AND GEOLOGISTS July 9, 2008 C0058 TO: Elizabeth Pettis Planning Department CITY OF CUPERTINO 10300 Torre Avenue Cupertino, California 95014 SUBJECT: Geotechnical Peer Review RE: Proposed Remodel and Second -Story Addition 21837 Terrace Drive APN# 356-17-020 At your request, we have completed a geotechnical review of the building permit application for the proposed residential addition using the following documents: • Geotechnical Investigation (report), prepared by Acre Soil Engineering, dated September 20,2007; and • Architectural Plans (9 sheets, various scales), prepared by IRS Associates, dated June 4, 2008. In addition to evaluating the above referenced documents, we have reviewed pertinent technical documents from our office files and performed a recent site inspection. DISCUSSION It is our understanding that the applicant proposes change the design of their remodel to include a second -story. It appears they will demolish part of the existing remodeled portion of the house, and construct a second story that spans the new addition and the original house. Grading quantities have not yet been established, but it appears unlikely that any significant grading will be necessary for the proposed changes. SITE CONDITIONS The project site is characterized, in general, by relatively level valley floor topography. The parcel is roughly pie shaped, and is bordered to the north and east by residential property, and by Terrace Drive to the south and west. At the time of our site inspection the (original) addition appeared to have been in-place, including the portion to be demolished. The walls were still in the plywood phase of construction. No bedrock was encountered during our visit. Drainage is characterized by controlled runoff from Northern California Office 330 Village Lane Los Gatos, CA 95030-7218 (408) 354-5542 • Fax (408) 354-1852 e-mail: losgatos@cottonshires.com www.cottonshires.com Central California Office 6417 Dogtown Road San Andreas, CA 95249-9640 (209) 736-4252 • Fax (209) 736-1212 e-mail: cottonshires@starband.net Z Elizabeth Pettis July 9, 2008 Page 2 C0058 residence into gutters and discharged onto the ground adjacent to the house. In the area of remodel, no gutters or drains have yet been installed. The City Geologic Hazards Map indicates that the site is underlain, at depth, by bedrock materials of the Santa Clara Formation (i.e., poorly consolidated sandstone, conglomerate, and potentially expansive claystone). These materials are locally overlain by alluvial fan and fluvial deposits, residual soil, and possibly artificial fill. The City Geologic Hazards Map indicates that the building site is located within an "F" zone, which is defined as "Area of potential fault rupture hazard within 300 feet east and 600 feet west of the Monta Vista and Berrocal faults". The active San Andreas fault is located approximately 3.6 miles southwest of the project site and the potentially active Monta Vista fault is mapped approximately 85 feet southwest of the site. CONCLUSIONS AND RECOMMENDED ACTION The proposed development is potentially constrained by expansive surficial soil materials and the susceptibility of the site to very strong seismic ground shaking. Based upon our review of the referenced documents, it appears that the Project Geotechnical Consultant has performed a geotechnical investigation of the project site and provided design criteria that, in general, appear appropriate for the identified site constraints. However, we note that the submitted foundation design criteria was for a single -story addition, whereas, the current application appears to include a two-story addition. Therefore, we recommend that updated geotechnical design criteria be provided that reflects the current proposed development. In addition, seismic design criteria should be updated to reflect the 2007 CBC. Consequently, the following items should be performed prior to approval of the permit application from a geotechnical standpoint: 1. Updated Geotechnical Design Criteria — The Project Geotechnical Consultant should submit updated foundation design criteria that are applicable to the currently proposed two-story addition. Also, seismic design criteria should be updated to reflect 2007 CBC parameters. 2. Geotechnical Plan Review - The applicant's geotechnical consultant should review and approve all geotechnical aspects of the development plans (i.e., site preparation and grading, site drainage improvements and design parameters for foundations and retaining walls) to ensure that their recommendations have been properly incorporated. The results of the Updated Geotechnical Design Criteria and Geotechnical Plan Review should be summarized and submitted to the City for review by the City COTTON, SHIRES & ASSOCIATES, INC. Z Elizabeth Pettis Page 3 July 9, 2008 C0058 Engineer. The following item should be performed prior to final project approval: 3. Geotechnical Field Inspection - The geotechnical consultant should inspect, test (as needed), and approve all geotechnical aspects of the project construction. The inspections should include, but not necessarily be limited to: site preparation and grading, site surface and subsurface drainage improvements and excavations for foundations and retaining walls prior to the placement of steel and concrete. The results of these inspections and the as -built conditions of the project should be described by the geotechnical consultant in a letter and submitted to the Town Engineer for review prior to final project approval. LIMITATIONS This peer review has been performed to provide technical advice to assist the City with discretionary permit decisions. Our services have been limited to review of the documents previously identified, and a visual review of the property. Our opinions and conclusions are made in accordance with generally accepted principles and practices of the geotechnical profession. This warranty is in lieu of all other warranties, either expressed or implied. POS:JMW:JA Respectfully submitted, COTTON, SHIRES AND ASSOCIATES, INC. CITY GEOLOGIC CONSULTANT John . Wallace Principal Engineering Geologist CEG 1923 C�� Patrick O. Shires Senior Principal Geotechnical Engineer GE 770 COTTON, SHIRES & ASSOCIATES, INC. I ry?� aF 51'+ e l la A �eY44 q S City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 (408) 777-3308 Planning (408) 777-3228 Building (408) 777-3354 Public Works Geologic Transmittal Form Date Submitted: Applicant Name: Date Due'—E,Z Project Address/APN: 2 f <-?0/,� f/7 ,4�/j/• �� /_ - l77 "; o Project Description: Review Requested: Scope of Work: Q, _ . Application For: Other: Geology Deposit Receipt #: Amount: 7�--r,,•� Transmitted by: Department: Phone No./1"X6r / `7-7 � COTTON, Sl11RES & ASSO)CIATES, INC. / / 330 Villa -pc L -.111C P0 -,o V Ou 5 �Ju %� �� �ViHI /f tD/ �A��( �.$�or y Lo, C:uos, C A 05031) �e) 4J'��' CUPERTINO COMMUNITY DEVELOPMENT DEPARTMENT CITY HALL 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3212 • FAX (408) 777-3366 Date: June 17, 2008 Applicant: Eddie Shen, LRS Associates Project: First and Second Story Addition (R-2008-20) Address: 21837 Terrace Drive Cupertino, CA 95014 Planning Comments: 1. Site plan shows the 30' P.U.E. on the north side. Keep in mind that no structure or overhang may encroach into this area. There is also a P.U.E. and 5' W.C.E. (wire clearance) easement on the east side. Please illustrate all easements. The P.U.E. on the east side is either a 5' or 10' easement. Please submit a copy of the title report with plan submittals. 2. Please show all existing trees including trunk and canopy diameter and species. Indicate if being preserved or removed. 3. Second -story additions require a privacy -planting plan, which identifies the location, species and canopy diameter of existing and proposed trees and shrubs. All windows on the second floor with sills less than or equal to five feet will require screening. The area where planting is required is bounded by a thirty -degree angle on each side window jamb. 4. In addition, applicants for second -story additions must plant a new 24" box tree in the front setback area as well. 5. Provide at least one building cross section indicating plate heights. 6. Please clarify the footprint/outline of the proposed first and second stories and especially the roofline (unclear on submitted site plan). 7. The project site is located in the Fault Rupture Geological Hazard Zone. A Geologic Consultant Deposit fee of $2,500 is required. The applicant may also hire his or her own geologist to work with the consultant contracted for the City. The Fault Investigation needs to be conducted by a certified Engineering Geologist, and a Geotechnical Engineering Investigation needs to be conducted by a Registered Geotechnical/Civil Engineer, or a combined equivalent of the above. The Scope of the Geotechnical engineering investigation will be the same as in "Zone V"; however, the fault investigation should address the seismic hazards related to the nearby trace of the potentially active fault. Particular emphasis of the fault investigation should be placed on the evaluation of possible ground rupture. Investigative techniques within this area will generally require the use of subsurface trenching and possibly geophysical traverses unless clear evidence is established to show that no active or potentially active fault crosses the property in question. If you have any questions, please contact Elizabeth Pettis at (408) 777-3319. County of Santa Clara ��ou/NTy Office of the County Clerk -Recorder Business Division County Government Center 7�TA C�� 70 West Hedding Street, E. Wing, 1" Floor San Jose, California 95110 (408) 299-5665 CEQA DOCUMENT DECLARATION ENVIRONMENTAL FILING FEE RECEIPT PLEASE COMPLETE THE FOLLOWING: 1. LEAD AGENCY: City of Cupertino 2. PROJECT TITLE: R-2008-20 Santa Clara County Clerk- Recorder's Office State of California REGINA ALCOMENDRAS, County Clerk -Recorder by Veronica Aguirre, Deputy Clerk -Recorder, 3. APPLICANT NAME: Eddie Shen PHONE: 408.777.3308 4. APPLICANT ADDRESS: 19648 Stevens Creek Boulevard 5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District " ❑ State Agency 0 Private Entity S. NOTICE TO BE POSTED FOR 30 DAYS. 7. CLASSIFICATION OF ENVIRONMENTAL DOCUMENT a. PROJECT THAT IS SUBJECT TO DFG FEES ❑ 1. ENVIRONMENTAL IMPACT REPORT (PUBLIC RESOURCES CODE §21152) $ 2,606.75 $ 0.00 ❑ 2. NEGATIVE DECLARATION (PUBLIC RESOURCES CODE §21080(C) $ 1,876.75 $ 0.00 ❑ 3. APPLICATION FEE WATER DIVERSION (STATE WATER RESOURCES CONTROL BOARD ONLY) $ 886.25 $ 0.00 ❑ 4. PROJECTS SUBJECT TO CERTIFIED REGULATORY PROGRAMS $ 886.25 $ 0.00 ❑ 5. COUNTY ADMINISTRATIVE FEE (REQUIRED FOR as=1 THROUGH as=4 ABOVE) $ 50.00 $ 0.00 Fish & Game Code §711.4(e) b. PROJECT THAT IS EXEMPT FROM DFG FEES O 1. NOTICE OF EXEMPTION ($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED) $ 50.00 $ 50.00 ❑ 2. A COMPLETED "CEQA FILING FEE NO EFFECT DETERMINATION FORM" FROM THE DEPARTMENT OF FISH & GAME, DOCUMENTING THE DFG'S DETERMINATION THAT THE PROJECT WILL HAVE NO EFFECT ON FISH, WILDLIFE AND HABITAT, OR AN OFFICIAL, DATED RECEIPT I PROOF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE *SAME PROJECT IS ATTACHED ($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED) DOCUMENT TYPE: ❑ ENVIRONMENTAL IMPACT REPORT ❑ NEGATIVE DECLARATION $ 50.00 $ 0.00 c. FILING THAT IS NOT SUBJECT TO DFG OR COUNTY ADMINISTRATIVE FEES • ❑ NOTICE OF PREPARATION S. OTHER: FEE (IF APPLICABLE): $ 9. TOTAL RECEIVED......................................................................................................................................... $ 50.00 "NOTE: "SAME PROJECT" MEANS NO CHANGES. IF THE DOCUMENT SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A'NO EFFECT DETERMINATION" LETTER FROM THE DEPARTMENT OF FISH AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE REQUIRED. THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL CEQA DOCUMENTS LISTED ABOVE (INCLUDING COPIES) SUBMITTED FOR FILING. WE WILL NEED AN ORIGINAL (WET SIGNATURE) AND TWO COPIES. INCLUDEA THIRD COPY IF YOU REQUIRE AN ENDORSED COPY FOR YOUR RECORDS. CHECKS FOR ALL FEES SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK -RECORDER PLEASE NOTE: FEES ARE ANNUALLY ADJUSTED (Fish & Game Cade §711.4(b); PLEASE CHECK WITH THIS OFFICE AND THE DEPARTMENT OF FISH AND GAME FOR THE LATEST FEE INFORMATION. . NO PROJECT SHALL BE OPERATIVE, VESTED, OR FINAL, NOR SHALL LOCAL GOVERNMENT PERMITS FOR THE PROJECT BE VALID, UNTIL THE FILING FEES REQUIRED PURSUANT TO THIS SECTION ARE PAID." Fish & Game Code §711.4(c)(3) 09-09-2008 Document No.: 15179 Number of Pages: 2 Filed and Posted On: 10/30/2008 L atA:=,e Through: 11/29/2008 CRO Order Number: 146741 Fee Total: 50.00 REGINA ALCOMENDRAS, County Clerk -Recorder by Veronica Aguirre, Deputy Clerk -Recorder, 3. APPLICANT NAME: Eddie Shen PHONE: 408.777.3308 4. APPLICANT ADDRESS: 19648 Stevens Creek Boulevard 5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District " ❑ State Agency 0 Private Entity S. NOTICE TO BE POSTED FOR 30 DAYS. 7. CLASSIFICATION OF ENVIRONMENTAL DOCUMENT a. PROJECT THAT IS SUBJECT TO DFG FEES ❑ 1. ENVIRONMENTAL IMPACT REPORT (PUBLIC RESOURCES CODE §21152) $ 2,606.75 $ 0.00 ❑ 2. NEGATIVE DECLARATION (PUBLIC RESOURCES CODE §21080(C) $ 1,876.75 $ 0.00 ❑ 3. APPLICATION FEE WATER DIVERSION (STATE WATER RESOURCES CONTROL BOARD ONLY) $ 886.25 $ 0.00 ❑ 4. PROJECTS SUBJECT TO CERTIFIED REGULATORY PROGRAMS $ 886.25 $ 0.00 ❑ 5. COUNTY ADMINISTRATIVE FEE (REQUIRED FOR as=1 THROUGH as=4 ABOVE) $ 50.00 $ 0.00 Fish & Game Code §711.4(e) b. PROJECT THAT IS EXEMPT FROM DFG FEES O 1. NOTICE OF EXEMPTION ($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED) $ 50.00 $ 50.00 ❑ 2. A COMPLETED "CEQA FILING FEE NO EFFECT DETERMINATION FORM" FROM THE DEPARTMENT OF FISH & GAME, DOCUMENTING THE DFG'S DETERMINATION THAT THE PROJECT WILL HAVE NO EFFECT ON FISH, WILDLIFE AND HABITAT, OR AN OFFICIAL, DATED RECEIPT I PROOF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE *SAME PROJECT IS ATTACHED ($50.00 COUNTY ADMINISTRATIVE FEE REQUIRED) DOCUMENT TYPE: ❑ ENVIRONMENTAL IMPACT REPORT ❑ NEGATIVE DECLARATION $ 50.00 $ 0.00 c. FILING THAT IS NOT SUBJECT TO DFG OR COUNTY ADMINISTRATIVE FEES • ❑ NOTICE OF PREPARATION S. OTHER: FEE (IF APPLICABLE): $ 9. TOTAL RECEIVED......................................................................................................................................... $ 50.00 "NOTE: "SAME PROJECT" MEANS NO CHANGES. IF THE DOCUMENT SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A'NO EFFECT DETERMINATION" LETTER FROM THE DEPARTMENT OF FISH AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE REQUIRED. THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL CEQA DOCUMENTS LISTED ABOVE (INCLUDING COPIES) SUBMITTED FOR FILING. WE WILL NEED AN ORIGINAL (WET SIGNATURE) AND TWO COPIES. INCLUDEA THIRD COPY IF YOU REQUIRE AN ENDORSED COPY FOR YOUR RECORDS. CHECKS FOR ALL FEES SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK -RECORDER PLEASE NOTE: FEES ARE ANNUALLY ADJUSTED (Fish & Game Cade §711.4(b); PLEASE CHECK WITH THIS OFFICE AND THE DEPARTMENT OF FISH AND GAME FOR THE LATEST FEE INFORMATION. . NO PROJECT SHALL BE OPERATIVE, VESTED, OR FINAL, NOR SHALL LOCAL GOVERNMENT PERMITS FOR THE PROJECT BE VALID, UNTIL THE FILING FEES REQUIRED PURSUANT TO THIS SECTION ARE PAID." Fish & Game Code §711.4(c)(3) 09-09-2008 Filek 15179 1013012008 City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Notice of Exemption To: County Clerk -Recorder 70 W. Hedding Street, 1" Floor East Wing—Business Division San Jose, CA 95110 Project Title: R-2008-20 Project Location - (be specific): 21837 Terrace Drive Project Location - (City): Cupertino Project Location - (County): Santa Clara Description of Project: Residential Design Review for a first floor and a new second story addition totaling 1,133 square feet on an existing single story family residence. Name of Public Agency approving project: City of Cupertino Name of Person or Agency carrying out project: Eddie Shen Exempt Status: (check one) Ministerial (Sec. 21080(b)(1); 15268); Declared Emergency (Sec. 21080(b)(3); 15269(a)); _ Emergency Project (Sec. 21080(b)(4); 15269(b)(c)); x Categorical Exemption. State type and section number: 15301 —Statutory Exemption. State code number: Reasons why project is exempt: Existing facilities. Lead Agency Contact Person: Elizabeth Pettis Signature: G: IPlanninglERCExempt 12008exemptlr200820. doc Area code/telephone number (408) 777-3319 Date: October 16, 2008 Title: Assistant Planner Freeways ' tsi►� Annotation Street Names r Address t ZDKZM Street Centerline ParcelOutline Right -of -Way Parcels City Boundary ® Aerials - 2006 City of Cupertino + N SCALE 1 :396 20 0 20 40 60 FEET http://gissvr/cupertinoassessor/home/mapFile.aspx Monday, June 16, 2008 2:42 PM PLEASE NOTE: A Public Works pre -application conference is required prior to submittal on all applications. The purpose of this pre -application is to identify preliminary Public Works issues, which may adversely affect this application. Please submit this form and a copy of the site plan to Public Works Department for review. Public Works Department can be reached at (408) 777-3354. LM Project Address: S-7 1-K Email Address: Applicant Name: 42y F* at J Phone No: For Public Works Department Use Only Addition: 71� Single Family Dwelling Flood Zone: Dedications Required: Y) G Additional Notes and Comments: 01 b e'a ry, S �, t`�ll uh l� 1v,� nC' � _ �v �V S e1 cL c u k -n W u Signature Title Date C)o Page 6 of 6. R App.doc Revised 5/11/1008 PUBLIC WORKS CONFIRMATION Community Develop artment 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 C O Cupertino, CA 95014 planning@cupertino.org I h": // www.cupertino.org/ planning U P E RT I N PLEASE NOTE: A Public Works pre -application conference is required prior to submittal on all applications. The purpose of this pre -application is to identify preliminary Public Works issues, which may adversely affect this application. Please submit this form and a copy of the site plan to Public Works Department for review. Public Works Department can be reached at (408) 777-3354. LM Project Address: S-7 1-K Email Address: Applicant Name: 42y F* at J Phone No: For Public Works Department Use Only Addition: 71� Single Family Dwelling Flood Zone: Dedications Required: Y) G Additional Notes and Comments: 01 b e'a ry, S �, t`�ll uh l� 1v,� nC' � _ �v �V S e1 cL c u k -n W u Signature Title Date C)o Page 6 of 6. R App.doc Revised 5/11/1008 NOTICE BOARD & STORY POLE REQUIREMENTS Community Development Department 10300 Tone Avenue Cupertino, CA 95014 CUPERTINO (408) 777-3308 / Fax (408) 777-3333 planning@cupertino.org http: / /www.cupertino.org/ planning The purpose of the notice board and the story poles is to provide neighbors with a visual tool to evaluate the proposed construction. Before your application is ready for a decision, you must provide evidence that the notice board has been posted and the story poles have been constructed to show the generalized mass and bulk of the proposed second story. Please note that story poles are only required to show the proposed second story. No i a Board Boar tze: east 2 feet by 3 feet Post Size: 5 feet tall _-*_ 3' --op. Image Text 2' s' Duration of Posting: From start of noticing period until action has been taken on the application and after the appeal period has passed. Notice Board Content (IN AIINLUUM 24 POINT FONT): ■ Exact address of the property, if known, or the location if address is unknown. ■ Project summary which includes the following (for the existing and proposed home): o Lot size in square feet, building coverage, o Total building area (including garage and detached structures), o First floor and second floor square footages, o Ratio of second floor to first floor area and o Floor area ratio. City contact information for public inquiries. The deadline for the submission of public comments, which shall be at least two weeks after the date, the notice is posted. PLEASE CALL PLANNER TO CONFIRM THIS DATE. Rendering of the front of the house at least 11" x 17" in size. o Level I (F.A.R. 5 35%) application should post a black and white orthographic. o Level II (F.A.R. > 35%) application should post a color perspective. Install Height poles to outline all of the building's second story corners and roof -peak points. The more complicated the second -story design, the more corners and roof -peak points will be needed. Install 2' high plastic snow fencing where the roof meets the wall and along roof ridges to meet peak points. You are trying to show a to -scale, wire -frame model of the second story as it will look like when constructed. The story poles must be in place when the noticing period begins. The poles must remain in place until the end of the appeal deadline or appeal hearing. Poles that are knocked down for any reason must be re -constructed immediately. Story poles should be removed at the end of the appeal deadline or appeal hearing. A licensed contractor must install the story poles. A licensed architect, engineer or contractor must certify the design and accuracy of the story pole construction. Please refer to Page 3 of this packet for the certification form. Page 5 of 6. R App.doc Revised 5112/2008 LEVEL I LEVEL II APPLICATION REQUIREMENTS & STORY POLE CERTIFICATION F.A.R. (Floor Area Ratio) > 35% Community Development Department Fees 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 C U P E RT I N d Cupertino, CA 95014 planning@cupertino.org I http: //www.cuperfino.org/ planning LEVEL I LEVEL II F.A.R. (Floor Area Ratio) <_ 35% F.A.R. (Floor Area Ratio) > 35% Fees Fees Two Story Permit $2,070 Two Story Permit $2,070 Public Noticing 200 Public Noticing 400 Categorical Exemption 206 Categorical Exemption 206 Categorical Exemption Filing Fee 50 Categorical Exemption Filing Fee Architectural Consultant Deposit (min.) 2,000 Architectural Consultant Deposit (min.) 2,000 Requirements Requirements application Form Application Form ❑ Application Fees and Deposit ❑ Application Fees and Deposit Plan Set Requirements Plan Set Requirements ■ I full size 24"x 36" plan set, folded to 81/2" x 11" 1 full size 24" x 36" plan set, folded to 8112" x 11" ■ 3 reduced 11" x 17' plan sets, folded to 81/2"x 11" 3 reduced 11"x 17" plan sets, folded to 81/2"x 11" (Additional copies will be required later for (Additional copies will be required later for noticing purposes). noticing purposes). • CD-ROM containing PDF, TIFF or JPEG files CD-ROM containing PDF, TIFF or JPEG files of the plan set. In lieu of a CD, the images may be of the plan set. In lieu of a CD, the images may be e-mailed directly to the City. See a planner for e-mailed directly to the City. See a planner for details. ❑ Story Poles details. [, ]Story Poles -- ❑ Material Board (for new homes) ❑ Material Board (for new homes) ❑ Notice Board ❑ Notice Board ❑ Public Works Confirmation [� Public Works Confirmation — �►� ❑ Geotechnical Report (if necessary) ❑ Geotechnical Report (if necessary) t/( .Story Pole Certificatiofi Q� �� I certify that the story poles installed at j D �t ra&6 �� � ad�5) Xr consistent in eight and location with the site and elevation plans dra by Sr/ architect, ngineer or surveyor name) and dated - 0 - d Name S' Title Date (�, . . 'Z� r License # C (z.71 Page 3 of 6. R App.doc Revised 5/12/2008 PLAN SET CONTENT Vicinity Map Site Plan ■ Scale & north arrow. ■ Lot line dimensions, setbacks and dimensions from the building to property lines. ■ Location of existing and proposed building wall and eave lines (including decks and balconies). ■ Location of existing and proposed building wall lines of buildings on adjoining properties. ■ Project summary which includes the following (for the existing and proposed home): o Lot size in square feet, building coverage, o Total building area (including garage and detached structures), o First floor and second floor square footages, o Ratio of second floor to first floor area and o Floor area ratio. ■ Existing/ proposed finished floor elevation of subject property. ■ Accurate location, size, species type and spread of existing trees on property and in public right-of-way. Floor Plans ■ Fully dimensioned floor plans. ■ Show the first story roof on the second story floor plan. Floor Area Diagrams ■ Show the first floor and second floor areas that are being added as floor area ratio. Sections ■ Two building cross sections, at least one showing the stairway. Elevation Plans ■ Accurate height, length and width of proposed second -story windows. ■ Dimension heights including first and second floor plate heights, total height. ■ Indicate the single -story building envelope as described in Section 19.28.060 G (2) of the R1 ordinance. ■ Identify building materials. ■ Show partial view of the front elevation of the neighboring homes. Privacy Protection Planting Plan ■ Show entire site. Show entire building footprint with roof. ■ Show all second story windows. ■ Location and width with 30 -degree angle shown from second story windows as described in Section 19.28.070 B. ■ Location, size, species type and approximate age of existing and proposed shrubs and trees. Page 4 of 6. R App.doc Revised 5/12/2008 PLAN SET CONTENTS Community Development Department C O 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 Cupertino, CA 95014 planning@cupertino.org http://www.cuperfino.org/plarming U P E RT I N PLAN SET CONTENT Vicinity Map Site Plan ■ Scale & north arrow. ■ Lot line dimensions, setbacks and dimensions from the building to property lines. ■ Location of existing and proposed building wall and eave lines (including decks and balconies). ■ Location of existing and proposed building wall lines of buildings on adjoining properties. ■ Project summary which includes the following (for the existing and proposed home): o Lot size in square feet, building coverage, o Total building area (including garage and detached structures), o First floor and second floor square footages, o Ratio of second floor to first floor area and o Floor area ratio. ■ Existing/ proposed finished floor elevation of subject property. ■ Accurate location, size, species type and spread of existing trees on property and in public right-of-way. Floor Plans ■ Fully dimensioned floor plans. ■ Show the first story roof on the second story floor plan. Floor Area Diagrams ■ Show the first floor and second floor areas that are being added as floor area ratio. Sections ■ Two building cross sections, at least one showing the stairway. Elevation Plans ■ Accurate height, length and width of proposed second -story windows. ■ Dimension heights including first and second floor plate heights, total height. ■ Indicate the single -story building envelope as described in Section 19.28.060 G (2) of the R1 ordinance. ■ Identify building materials. ■ Show partial view of the front elevation of the neighboring homes. Privacy Protection Planting Plan ■ Show entire site. Show entire building footprint with roof. ■ Show all second story windows. ■ Location and width with 30 -degree angle shown from second story windows as described in Section 19.28.070 B. ■ Location, size, species type and approximate age of existing and proposed shrubs and trees. Page 4 of 6. R App.doc Revised 5/12/2008