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R-2008-24b 10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COMMUNITY DEVELOPMENT August 29, 2008 Mike Chen 12280 Saratoga-Sunnyvale Rd. #209 Saratoga, Ca. 95070 SUBJECT: RESIDENTIAL DESIGN REVIEW ACTION LETTER - Application R-2008- 23, R-2008-24: This letter confirms the decision of the Director of Community Development, given on August 29, 2008; approving a new, two-story 4,357 square foot single family residence (lot #1) and a new two-story 4,357 square foot single family residence (lot #2), located at 21871 Dolores A venue Lot #1 and Lot #2, with the following conditions: 1. APPROVED PROTECT This approval is based on a plan set entitled, "Proposed Han residence, 21871 Dolores Ave. (lot 1), Cupertino CA 95014" consisting of six nine sheets dated "July 31, 2008" and "Proposed Hsu residence, 21871 Dolores Ave. (lot 2), Cupertino CA 95014" consisting of six sheets dated "July 31, 2008", except as may be amended by conditions in this resolution. 2. PRIV ACY PLANTING The final privacy planting plan shall be reviewed and approved by the Planning Department prior to issuance of building permits. If existing tree(s) is used for privacy screening, a letter from a certified arborist shall be sUbmitted confirming that the tree(s) is in good condition and is appropriate privacy protection in any season. 3. PRIVACY 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-1 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. Printed on Recycled Paper 4. CONSULT A nON 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. Please be aware that if this permit is not used within one year, it shall expire on August 29,2009. Staff received a letter from a neighbor two doors down on the right side of the subject property (R-2008-23) expressing privacy concerns. All left side facing window sills are above 5'-0", except one window, which will include privacy protection landscape measures. Both projects also conforms to the R-1 Ordinance and the required privacy protection measures. 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. Sincerely, ~~ Leslie Gross Assistant Planner City of Cupertino Enclosures: Approved Plan Set CC: SueJane Han, 21821 San Fernando Ave, Cupertino Ca 95014 Dae-Wook Kang, MD, 21841 Dolores Ave, Cupertino Ca 95014 ;: ;:i r; 1= Ii> .,. " :-0 ,. .S-,. to l'I .. C) all II!I ii~ ~e~ ;11 Iii li~ II~ lill !I~I~~ p, II ~I 111~1~ ~ ~ei ~i6 ..P ~i all · Ie " I ~ ~BI.I i.1 I f.~~ ~ % o ..... 1"1 ~ a ~!~ l~ 121 e. pia =ea I e @ j~1 a Ii I I li~ !" I~: Ii ~!R ~I ,~ ~15 1.1 I.il iJ~ij~ a,1 i ~i Ii ~i ill. :! I~; i: ;; ~~i iii ";11 ;i;~~; i i; ! !Ii,: il ~. ~~ HI ;~ ii II ~~: ~~~ ~aI.~: i i~ i I~!~I ~ p I!~~' ~ !~ ~~i a a i. 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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 28, 2008 if you have any questions or concerns that the City staff should take into consideration when making its final decision on Friday, August 29, 2008. The applicant and any neighbor that contacts me on or before Thursday, August 28, 2008 will receive a letter describing the action taken. Sincerely, Leslie Gross Assistant Planner City of Cupertino (408) 777-1356 leslieg@cupertino. org Enclosure: 11x 17 plan set G: � Planning \ Minor Residential \ R1 Approvals \ 2008 \ R-2008-23, 24. doc 357 14 005 357 14 007 35714008 LUCAS MICHAEL E AND SHERRY S PARSAY SYROUS AND CINDY E TRUS WANG MICHELLE AND CHENG-YUAN M 21861 MC CLELLAN RD 21865 MC CLELLAN RD 21885 MC CLELLAN RD CUPERTINO CA 95014-4056 CUPERTINO CA 95014-4056 CUPERTINO CA 95014-4056 35714009 FORSYTHE JAMES D TRUSTEE 21893 MC CLELLAN RD CUPERTINO CA 95014-4056 35714026 HAN KONG -YE SUE -JANE ETA 21821 S RNANDO AV CU INO CA 95014-2835 357 14 033 RECKTENWALD DIETHER AND JUTTA PO BOX 13282 RENO NV 89507 35714045 MURTHY SRINIVASA AND DHULIPALA 21820 DOLORES AV CUPERTINO CA 95014-2815 35714049 KAO PAUL L AND JOANNE C TRUSTE 21841 MC CLELLAN RD CUPERTINO CA 95014-4056 357 14 052 SERIO ROBERT J AND ROSEMARY A 10466 BYRNE AV CUPERTINO CA 95014-2846 357 14 056 PARSAY SYROUS AND CINDY E TRUS 21865 MC CLELLAN RD CUPERTINO CA 95014-4056 35714059 KIM BEOMSUP AND CHOI SEUNG HEE 10420 BYRNE AV CUPERTINO CA 95014-2847 357 14 010 PENA VINCENT AND ALISON 21901 MC CLELLAN RD CUPERTINO CA 95014-4035 35714028 MUNOZ RALPH H TRUSTEE 21911 DOLORES AV CUPERTINO CA 95014-2858 357 14 034 FLING JIMMY T MIN ET AL 21451 VAI AV CUPERTINO CA 95014-4934 357 14 047 SOLEIMANI HAMID AND TADAYONI M 21900 DOLORES AV CUPERTINO CA 95014-2800 357 14 050 MATHARU BHOPINDER 21828 ALCAZAR AV CUPERTINO CA 95014-2802 35714053 WANG SHEIN-SEN AND MING CHANG 21821 DOLORES AV CUPERTINO CA 95014-2801 357 14 057 DURST STEVE M AND JOANN S 21835 DOLORES AV CUPERTINO CA 95014-2801 357 14 060 SHEN DAVID W TRUSTEE 21920 DOLORES AV CUPERTINO CA 95014-2800 357 14 011 VERGASOVFATEKH 21921 MC CLELLAN RD CUPERTINO CA 95014-4035 357 14 029 ANBIAI-FARD AKBAR AND SEDIGH T 2625 ZANKER RD SAN JOSE CA 95134-2107 35714036 HU YAW W AND ALLISON T TRUSTEE 21860 ALCAZAR AV CUPERTINO CA 95014-2802 357 14 048 LEE TSANGYI 21831 MC CLELLAN RD CUPERTINO CA 95014-4056 357 14 051 CHEN BOMY A AND KUO YI-YING 21816 ALCAZAR AV CUPERTINO CA 95014-2802 357 14 054 LIU ALBERT AND PATRICIA 21831 DOLORES AV CUPERTINO CA 95014-2801 357 14 058 KANG DAE-WOOK AND MYUNG S 21841 DOLORES AV CUPERTINO CA 95014-2801 357 14 063 ALBERTSEN ROBERT W AND PHYLIPP 21851 MCCLELLAN RD CUPERTINO CA 95014 357 14 065 35714066 357 14 067 GOMEZ RAFAEL AND VICTORIA P TR BALU PALANI AND MARAGADHAM TRU WOO WILSON AND JUDY TRUSTEE 21880 DOLORES AV 21856 DOLORES AV 21848 DOLORES AV CUPERTINO CA 95014-2815 CUPERTINO CA 95014-2815 CUPERTINO CA 95014-2815 357 14 068 357 14 069 357 14 070 ALBERTSEN ROBERT W AND PHYLIPP CHEN MING-JER AND SHU-JEN WANG JYH-PING JOHNNY AND MEI -M 21851 MC CLELLAN RD 21901 DOLORES AV 21909 DOLORES AV CUPERTINO CA 95014-4056 CUPERTINO CA 95014-2801 CUPERTINO CA 95014 357 14 072 CLAPPER DAVID C AND BARBARA B 10400 BYRNE AV CUPERTINO CA 95014-2847 357 14 075 RANGANATHAN VIDHYA AND NARAYAN 21880 ALCAZAR AV CUPERTINO CA 95014-2802 357 14 079 HSU ALLEN K AND CINDY S 22360 SANTA PAULA AV CUPERTINO CA 95014-2716 357 15 066 HANSRA SURINDER S AND BALJIT K 21831 ALCAZAR AV CUPERTINO CA 95014-2831 357 15 070 NARASOM HEMAJI AND KO HYUN KYU 21901 ALCAZAR AV CUPERTINO CA 95014-2859 357 15 083 BLOWER PHILIP ET AL 2524 MYRA PL NE ALBUQUERQUE NM 87112-2510 357 15 099 IBRAHIM NABIL A AND SALWA K TR 21921 ALCAZAR AV CUPERTINO CA 95014-2859 357 14 073 YANG CHAOYUAN E AND CHUNLING L 21855 DOLORES AV CUPERTINO CA 95014-2801 357 14 076 LAUMANN JOHN C AND DIANNE M TR 10388 BYRNE AV CUPERTINO CA 95014-2847 357 15 064 SU LONG -JI AND HUI-CHUN 21815 ALCAZAR AV CUPERTINO CA 95014-2831 357 15 068 ROWAN WILLIAM E AND CHERYL A 21871 ALCAZAR AV CUPERTINO CA 95014-2831 357 15 072 PIOTRKOWSKI MICHAEL N AND LAUR 1186 EUCLID AV BERKELEY CA 94708 357 15 084 KARLQUIST RICHARD K PO BOX 2010 CUPERTINO CA 95015 357 15 117 LIMON TIMOTHY A AND LILIA H 10354 BYRNE AV CUPERTINO CA 95014-2814 357 14 074 RADHAKRISHNA CHAGANTI V AND IV 21869 DOLORES AV CUPERTINO CA 95014 357 14 077 YEN PHILIP WEI-PING AND KUNG 1 21821 MC CLELLAN RD CUPERTINO CA 95014-4056 357 15 065 GIDCUMB JANICE P TRUSTEE 2780 WESTBERRY DR SAN JOSE CA 95132-1773 357 15 069 BOYLE WANDA 595 POWELL WAITSBURG WA 99361 357 15 076 KELLOGG BARBARA J AND TIMOTHY 10326 BYRNE AV CUPERTINO CA 95014-2814 357 15 094 DOZIER JOHN P TRUSTEE & ET AL 972 ST JOSEPH AV LOS ALTOS CA 94024-6740 City of Cupertino Basemap Labels Abc Street Names Address Freeway Basemap --- Easements 9 Street Centerline --- ....... - County Freeways - County Major Roads �- Right -of -Way Parcels Q City Boundary SCALE 1 :2,195 100 0 100 200 300 FEET http://gissvr/cupertinointranet/home/mapFile.aspx 1 Wednesday, August 13, 2008 3:26 PM PARCEL 2/PROJECT DATA: 1. 2. 3. 4. 5. 111 7. 8. 9. 10. LOT SIZE: 9,685.5 S.F. ZONING: R 1 -7.5 CONSTRUCTION TYPE: VB(W/ FIRE OCCUPANCY GROUP: R -3/U BUILDING CODES: 2007 CBC BLDG AREA: SPRINKLER) 1 ST FLR LIVING AREA: 2513 S F GARAGE: 514.5 SF 2ND FLR LIVING AREA: 1300.7 SF TOTAL BLDG AREA: 4,356.5 SF FRONT PORCH: 77 SF MAX. F.A.R. 9,685.5 SF X 2ND FL TO 1ST FL AREA LOT COVERAGE: 3104.5 / APN 375-14-026 CITY CONTACT: LESLIE TEL:408-777-3308, E NCLUDE HIGH CEILING 45% - 4,358.48 SF RATIO: 1300.7/3027.5= 42.9 6% 9,685.5 SF = 32.05% GROSS, CITY PLANNER -MAII _ I FSI IFC.(o)_CIJPRFTINn ORG 1 1. THE DEADLINE FOR THE SUBMISSION OF PUBLIC SHALL BE TWO WEEKS AFTER THE DATE OF THE IS POSTED(__________, 2008). COMMENTS NOTICE q> R I] ❑F EAGLE R❑❑FING PRODUCT Dark Brown Blend CULTURED OBrown- Ledge stone <g> STUCCO & SIDING KELLY M❑❑RE PAINTS Amber Frost STENE TRIM/FASCIA OKELLY M❑❑RE PAINTS #213 Lemongrass COLOR FRONT ELEVATION NTS & MATERIAL DDolores Ave,(Lot 2) ie iA Noss �� c �� -1 .._.s sib � i�It iiywfl f � „� ;�. �a . _ ,.. Asx e County of Santa Clara �GOUNT Office of the County Clerk -Recorder ��\ Business Division County Government Center �Tn c�� 70 West Hedding Street, E. Wing, I" 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: RM -2008-24 Santa Clara County Clerk- Recorder's Office State of California REGINA ALCOMENDRAS, County Clerk -Recorder by Veronica Aguirre, Deputy Clerk -Recorder, 3. APPLICANT NAME: Thomas Liu PHONE: 408.777.3308 4. APPLICANT ADDRESS: 7948 Woodlark Way 5, PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency M Private Entity 6. 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 8, 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. INCLUDE 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 Code §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.: 15083 Number of Pages: 1 Filed and Posted On: 9/26/2008 L 9t1r,54a Through: 10/26/2008 CRO Order Number: 136454 Fee Total: 50.00 REGINA ALCOMENDRAS, County Clerk -Recorder by Veronica Aguirre, Deputy Clerk -Recorder, 3. APPLICANT NAME: Thomas Liu PHONE: 408.777.3308 4. APPLICANT ADDRESS: 7948 Woodlark Way 5, PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency M Private Entity 6. 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 8, 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. INCLUDE 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 Code §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 15083 9/26/2008 City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Notice of Exemption To: County Clerk -Recorder 70 W. Hedding Street, 0 Floor East Wing—Business Division San Jose, CA 95110 Project Title: RM -2008-24 Project Location - (be specific): 7948 Woodlark Way Project Location - (City): Cupertino Project Location - (County): Santa Clara Description of Project: Minor Residential Permit to allow a 1,158 square foot addition to encroach 5 feet into a 10 foot side setback area Name of Public Agency approving project: City of Cupertino Name of Person or Agency carrying out project: Thomas Liu 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 – Existing Facilities _Statutory Exemption. State code number: Reasons why project is exempt: minor addition to an existing single -story family residence Lead Agency Contact Person: Elizabeth Pettis Signature: G: IPlanningl ERCT Exempt l2008exempt I rm200824. doc Area code/telephone number (408) 777-3319 Date: September 9, 2008 Title: Assistant Planner County of Santa Clara OU,tiT� Office of he County Clerk -Recorder Business Division County Government Center yTA C. 70 West Hedding Street, E. Wing, V 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-2008-24 Santa Clara County Clerk- Recorder's Office State of California REGINA ALCOMENORAS, County Clerk- Recorder by Vanessa Ortiz, Deputy Clerk- Recorder�� 3. APPLICANT NAME: Mike Chen PHONE: 408.777.3308 4. APPLICANT ADDRESS: 21871 Dolores Avenue, Lot 2 5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency ElPrivate Entity 6. 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 a_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 8. 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. INCLUDE A 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 Code §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.: 15123 Number of Pages: 1 Had end Posted On: 10/16/2008 ■L 90844■ Through: 11/15/2008 CRO Order Number: 141522 Fee Total: 50.00 REGINA ALCOMENORAS, County Clerk- Recorder by Vanessa Ortiz, Deputy Clerk- Recorder�� 3. APPLICANT NAME: Mike Chen PHONE: 408.777.3308 4. APPLICANT ADDRESS: 21871 Dolores Avenue, Lot 2 5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency ElPrivate Entity 6. 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 a_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 8. 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. INCLUDE A 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 Code §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 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-2008-24 Project Location - (be specific): 21871 Dolores Avenue, Lot 2 Project Location - (City): Cupertino Project Location - (County): Santa Clara Description of Project: Residential Design Review for a new 4,357 square foot, two-story, single family residence. Name of Public Agency approving project: City of Cupertino Name of Person or Agency carrying out project: Mike Chen 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: 15332 _Statutory Exemption. State code number: Reasons why project is exempt: Infill Development Lead Agency Contact Person: Leslie Gross Signature: o� 6LL Area code/telephone number (408) 777-1356 Date: September 12, 2008 Title: Assistant Planner G: IPlanninglERClExemptl2008exemptl r200824. doc �L� SITE PLAN 6FT HT REDWOOD FENCE W GATES ..... ...... PRIVAr z PLEASE NOTE: A Public Works pre -application conference is required prior to submittal on all applications. The purpose of this pre -application is to determine whether all preliminary Public Works issues have been identified, which may adversely affect this application. Please contact Jason Chou, Public Works Department, at (408) 777-3354 or email him at jasonc@cupertino.org to review your project with him. Please provide a phone number you can be reached at. Please submit this form to the pre -application meeting along with a copy of the site plan for his review and signature. ii Include this form in your application submittal. Address: ��- (� 1 11,J L b )-E S Email Address: L -OT -2 j Applicant Name: Nl ��8�(o>Jn 0 1n Phone No:( 40 For Internal Use Only - Do not write below Public Works Department Addition: Single Family Dwelling: X PUBLIC WORKS CONFIRMATION Flood Zone Designation: Community Development Department L4 f -o N2 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 C ADDITIONAL NOTES AND COMMENTS: O Cupertino, CA 95014 planningOcupertino.org http: //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 determine whether all preliminary Public Works issues have been identified, which may adversely affect this application. Please contact Jason Chou, Public Works Department, at (408) 777-3354 or email him at jasonc@cupertino.org to review your project with him. Please provide a phone number you can be reached at. Please submit this form to the pre -application meeting along with a copy of the site plan for his review and signature. ii Include this form in your application submittal. Address: ��- (� 1 11,J L b )-E S Email Address: L -OT -2 j Applicant Name: Nl ��8�(o>Jn 0 1n Phone No:( 40 For Internal Use Only - Do not write below Public Works Department Addition: Single Family Dwelling: X Flood Zone Designation: Dedications Required: L4 f -o N2 ) pc ADDITIONAL NOTES AND COMMENTS: 0%J rN iS U�kutreto WckA ve S Jeu3c ak GILJn� /5-kafWCL\k _QeV*16 C Z� I.IYV�Pt U tvvt(�c� U JV P r h o rich �1�1� i% S C ry_� cll to *P ane, -,J .V) O ks c S % 1n_C�cklk O krb cL rij Q akNe C - k-fQCty(_ tO A*C CenV-_fWi\e Q? kV, -Q- Ck\u�ft" en#Zrt ��nP 0� o`ye ck N • S V1.UW un S ,�r ; A gkwa . C S t- e Q \Gkyl . C� C �-ea r�4 90to,) (,�� Ut�l�t �lY� � ��/lt/Uu'le --Y) X V \ e C Signature Title Date lN��'r StWQ��. Ine��uk (;{� (lei.JCN) c/rCu�Shn C��• ��'t1c�r�C�C�(Yl P�mkt \ ffvkIre(� �"v OM W+^(IL:n -NL Q.�+n1�L (�Whfi-0�—Wck-�. Page4of4 RM App.doc Revised 1/10/2008 May 18, 2010 City of Cupertino Planning Department 10300 Torre Ave. Cupertino, CA 95014-3255 Dear Sir or Madam: This letter is to inform you that I have no objection to the window change of the master bedroom on 21881 Dolores Ave., Cupertino. The plan is dated 5/17/2010. If you have any questions, please contact me at 408-4645030. Sincerely, racy H u Owner of 21871 Dolores Ave. 21871 DOLORES AVE • CUPERTINO, CA • 95014 PHONE: 408-4645030 • FAX: 408-6245425 Document referred to in Chapter 19.28.070B (2) Release of Privacy Protection Measures Single -Family Residential Ordinance Ordinance 19.28 (Single -Family) requires that after September 21, 1998, all new two-story additions or homes be required to complete privacy protection measures. Staff may grant a modification or deletion to this requirement if the adjacent affected property owners sign a release agreeing to modify or delete the requirement. Date V4Q Property Location p Address E �7 �C,� t7 irP A�R .tx_(}P L4 44 CA � SZI / Y - I agree to waive or modify the privacy protection measures required of the Single -Family Residential Ordinance as follows: Propert Addres Phone: Signatu (Ura. RJOU, $ 1 kpdn), LUVV, lllu. lOJ Y, WJ L), .1111 1 Privacy Protection Planting Affidavit Purpose: To assure the decision -makers and neighbors that the privacy protection planting has been installed according to the planting plan. Validation. An Internationally Certified Arborist or Licensed Landscape Architect shall certify the design and accuracy of the privacy protection planting. A reduced eleven by seventeen copy of the approved planting plan shall be attached. Submittal of this form shall be required prior to final inspection of the residence. Planting Certification: p I certify that )he privacy protection planting and irrigation is installed at: address, and it is by: — dated Name in desigh, height and location with the landscape planting and irrigation plans drawn (attached). Title �° Professional' License ## C�W�e Gil- C��3��f Date r ti (Ord. 1868, (part), 2001; Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999) 9 Document referred to in Chapter 19.28.070B (2) Release of Privacy Protection Measures Single -Family Residential Ordinance Ordinance 19.28 (Single -Family) requires that after September 21, 1998, all new two-story additions or homes be required to complete privacy protection measures. Staff may grant a modification or deletion to this requirement if the adjacent affected property owners sign a release agreeing to modify or delete the requirement. Date I C7 Property Location Address '-21 '1 I ►� c I o re S 6-e . 64?e K -V -e x o, c A c h7 i I agree to waive or modify the privacy protection measures required of the Single -Family Residential Ordinance as follows: Property Owner: Address: Phone: i Signature: r ' / _ 14 c-, 1, . (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999)