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R-2008-25b
10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COMMUNITY DEVELOPMENT CITY OF CUPEIUINO September 2, 2008 Mr. Samir Khosla 18760 Tilson Avenue Cupertino, CA 95014 SUBJECT: RESIDENTIAL DESIGN REVIEW ACTION LETTER - Application R-2008-25: This letter confirms the decision of the Director of Community Development, given on September 2, 2008; approving the construction of a new two-story 2,815 square foot single-family residence located at 18760 Tilson Avenue, with the following conditions: 1. APPROVED PROTECT This approval is based on a plan set entitled, "Khosla Residence, 18760 Tilson Avenue Cupertino, CA 95014" consisting of six sheets dated "July 11, 2008", except as may be amended by conditions in this resolution. 2. FRONT STREET TREE The property owners shall remove and replant the existing City street tree between 5 to 7 feet back from the interior sidewalk perimeter. If the existing City street tree does not survive, then a new 24-inch box "Fraxinus uhdei" shall be planted between 5 to 7 feet back from the interior sidewalk perimeter. 3. 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-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. 4. SEWER AND WATER CONNECTION The property owner shall submit a site plan confirming the location of all sewer and water connections for review and approval by the Public Works Director prior to building permit issuance. Printed on Recycled Paper 5. CONSULTATION 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. 6. 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. Staff received a call from an adjacent neighbor regarding the location of the water and sewer connection to the subject property. The concern was addressed in the conditions. Staff received a comment from a neighbor regarding the replanting of the street tree along the front area of the property. The concern was addressed in the conditions. Please be aware that if this permit is not used within one year, it shall expire on September 2, 2009. 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. Sincerel y, ~~ Leslie Gross Assistant Planner City of Cupertino Enclosures: A pproved Plan Set 24x36 SHEET -PLOT 1-1 N ~ ~ Ei m -" 0 .. n ,. ~ ~ ." ~ Z '-< " ~ " ~ '" " il ~ a -c ~ ~ ~ -" 0 0 n ~ ~ ;0 .0 ~ >< 0 '" g ;; ! ~ ~ '?i ~ ~ ~ 0 m ~ ~ <- ,. I ~ Z co z m z ,. '" '" J> 0 co F m ~ i () z ~ ~ ~ <D -l ~ ~ '" '" '" ~ <D 0 ~ ~ ;0 '!i Z 0 ;ii m j " < 0 i> ;0 ~ ~ m 0 :3 3: 3: Ii) ~ :::! 3 I ,. 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CUPERTINO, CA. ~ ; r; ~ ~ :< ~: !1i 8 :< ~ PROPOSED NEW HOUSE I ~ ""- DATE BY ISSUED FOR 24x36 SHEET -PLOT 1 = 1 ~ g: ;:r Q 0 ~ ~ - ~ :x> n I :l! <; il; 01 i ~ ~ '" ,'~ . i/;. :;..>. -.:x.:J, -. '-. fa =-0 ,-.. ~ <g -0 :s:~ i~ ~tt ~~~ I .1!i.IIl 0,1 ! r ~ . ~ ~. ~, ! tl~1 ~ f'~J 1 :~' ! ICQ j ! , I · 11 : \ : I II ,~ , I I (") ;;0 o (J) (J) (J) m (") -l o ~z 'i\ I " ~CJ ~ ~ Ii " '" '" '" ~ ............. RESIDENTIAL DESIGNS OWNER: /" CP" 829 S, 7th Street San Jose. 0. 9S 112 (408) 274-3069 gpresidential@gmail.com KHOSLA RESIDENCE 18760 TILSON AVE. CUPERTINO, CA. PROPOSED NEW HOUSE N ~ N ~ ~z ='< ~ 3: Ii I~. "~. DATE BY ISSUED roR 㐲㍸‶䡓䕅⁔倭佌⁔‱‽റഊ㨊〻൭氊ാ㨊〻൭爊൭㰊㹬氭൯娊㭾❲汦‶ര⸊⸠䥾㠻റ縊∧⸮മℊഺഊㄊㅾ氭㬺ര洊൲爊湥൯㨊〻㹬ൾ娊⥇湥††⸮㰭ⱊ††ൾ †縠†⁾⁂⸮മ †张丠൲洊∮†††∧ⴠ൭ ††䨮漺㨺㨺㨺㨺氭†††椧縠縠㨠〻ㄠ††䜠ഩ爊†⸠せ⁝†洊†⁾†ⴠ൬㰊椠㩩㹬†††洠氭†††爠†††൭《†††㰠⁚†††㹬†弱⸮⸮††ⴠ൬ 爠浥††〠†††ൺ 氠浥㨠ഺ 丠䐠††✢✼വ 氠浥†⸠縠汩 †縠縠ൾഊ弊⸮縮∮㩟縠മⰊⰬⱾⴭ⸢∭Ⱜബഊ䤊ൂ嬊䉊൜ഊ漊ൾ爊楩ഺഊ⸊⸮ൎഊ爊∧橩ൾഊഊ䤊൴ഊ⸊⸮൧⬊繾繾⁾繾汃㈠縠ൎഊㄊ✢∧⁾繧繾ൾ琊ബഊ縊ൾ漊繤ഢഊ昊ൾ縊ⵐ繾✢∧⁾氻楩汩⁴縲㰰ാ漊ⴻ⸭ൾഊ⸊⸮縠൯上縠∧∧ൺ縊⁁灁湰浴ⴭ䤭⁾㈰ぃ⁾弽 㕤ൟ縊⁍繾屾㴭爭ⴭ㴬张繾ⴠⴭⴭഭ氊灾牰癯ㅀ〠㤦彟彟㨠汦汩Ⅴ ∷縠⸮ⴭ繾⡧⁾繾⸮ 㹓縱ൾ縊ഢ爊椵ഢ∊ൾ縊ീⰊമ✊ഢഊഊ⸊⸮ൎഊ縊∧縠ര上縠•∧⁾砺⁾ൾ縊楦റ縊വഊ✊•‰•∧†䬠佈䱓⁁䕒䥓䕄䍎縊縠縠†坏䕎㩒⁾⁾⁾䕒䥓䕄呎䅉⁌䕄䥓乇Ⰺ※∠††⁾㈸‹⹓㜠桴匠牴敥⁴ㄠ㜸〶吠䱉体⁎噁⹅∠縠†慓潊敳䅃㤠⁓ㄱല䤊†⁾⁾⠠〴⤸㈠㐷㌭㘰ഹ儊 ⁾朠牰獥摩湥楴污杀慭汩挮浯†啃䕐呒义ⱏ䌠⹁∮㬺ര漊൚ⴊ൬洊൲洊഼氊ാⴊ൬漊൚ഊഊ縊ൾ縊繩㉾ൾഊ縊ൾ∊൭爊൲椊൮縊ൾ䀊㬮䑉繦呬⸠⸮മ䤊启嵾⽃൬洊൮漊ൺ漊吢爊൯漊㬺ര㨊⤊ാ爊൲䌊氯㨳㸩氭൭縊㸩൲Ⰺ湲繾✠ഢ縊潣㡭縠ൾ⸊ര 縠✠ഢ 丠洠†⁺ര ✠ഢ ✠•ൾ 戠∠†℧൭ ∠†⁾ൾ 嬠㬻†縠†縠†丠†娠†✠ഢഊഊ ⁾∧∧丠楣Ⱐ⸮㰰ാ㠊✠•⸮മ㸊瑩縠縠ൾ縊ഢ洊൲㔊൩縊ൾ䀊⸬ൾഊഊ昊⸮മℊഺഊⴊൾഊ✊ഢ㤊䰭繴െഊ∊∢∧∠汬椽഻✊•繾搢ൾഊㄊ⁾ഭ㨊織≂橦繾㈹ൾഊ⸊㨠㨺ൾ椊൨ഊ⸊⸮ൎഊ爊ഊ倊佒佐䕓ൄ上坅䠠問䕓≉›⸢ഭഊ䐊呁⁅奂䤠卓䕕⁄佦 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 30 09 Property Location Address 1�7�� �tLSot( I agree to waive or modify the privacy protection measures required of the Single -Family Residential Ordinance as follows: IlaT�. Properi Addres Phone: Signatu (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999) 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. Property Location A ri rl racIS760 e I agree to waive or modify the .privacy protection measures required of the Single -Family Residential Ordinance as follows: 1 Property C)wnar- Xtuo `JuSON Addres Phone: Signatu (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999) 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 G 0 Property Location � D� � O �` LSO � flVE Address I agree to waive or modify the privacy protection measures required of the Single -Family Residential Ordinance as follows: ,,11 Property Owner: 'yEXT rl? 191IN4,9Itl Address: !$7 3 Q if/1WH44r i9 vG Ccri4E�/'��yD C 9 Phone: 2 3 '14 Signature: (Ord. 1860, § 1 (part), 2000; Ord. 1834, (part), 1999) County of Santa Clara w�O NT, Office of the County Clerk -Recorder Business Division County Government Center 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: RM -2008-25 Santa Clara County Clerk- Recorder's Office State of California Document No.: 15084 Number of Pages: 1 Filed and Posted On: 9/26/2008 L ©ss 10/26/2008 FRO Oee rder Number: 136454 50.00 REGINA ALCOMENDRAS, County Clerk -Recorder by Veronica Aguirre, Deputy Clerk -Recorder, 3. APPLICANT NAME: H. Mike Chen PHONE: 408.777.3308 4. APPLICANT ADDRESS: 21885 McClellan Road 5. PROJECT APPLICANT IS A: ❑ Local Public Agency ❑ School District ❑ Other Special District ❑ State Agency O 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 IMPACTREPORT ❑ 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 ' 15084 912612008 City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Notice of Exemption To: County Clerk -Recorder 70 W. Hedding Street, Vt Floor East Wing—Business Division San Jose, CA 95110 Project Title: RM -2008-25 Project Location - (be specific): 21885 McClellan Road Project Location - (City): Cupertino Project Location - (County): Santa Clara Description of Project: Minor Residential Permit for a second -story; wrap-around balcony facing both the South and West elevations. Name of Public Agency approving project: City of Cupertino Name of Person or Agency carrying out project: H. 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: _Statutory Exemption. State code number: Reasons why project is exempt: Infill Development Lead Agency Contact Person: Elizabeth Pettis J Signature: G: IPlanningTRCTxemptl2008exempt I rm200825.doc 15332 Area code/telephone number (408) 777-3319 Date: September 9, 2008 Title: Assistant Planner T' County of Santa Clara �GOUNT Office of the County Clerk -Recorder Business Division County Government Center TA C���r 70 West Hedding Street, E. Wing, 1s1 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-2008-25 Santa Clara County Clerk- Recorder's Office State of California REGINA ALCOMENORAS, County Clerk- Recorder by Vanessa Ortiz, Deputy Clerk -Recorder, 3. APPLICANT NAME: Guillermo Prado PHONE: 408.777.3308 4. APPLICANT ADDRESS: 18760 Tilson Avenue 5. PROJECT APPLICANT IS A:, ❑ Local Public Agency []School District ❑ Other Special District ❑ State Agency 0 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 0 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.......................................................................................................................I................ $ 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 §71.1.4(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.: 16124 Number of Pages: 1 Flled endPosted On: 10/1612008 1/2008 11/1641622 ML 908450 CRO Order Number: Fee Total: 60.00 REGINA ALCOMENORAS, County Clerk- Recorder by Vanessa Ortiz, Deputy Clerk -Recorder, 3. APPLICANT NAME: Guillermo Prado PHONE: 408.777.3308 4. APPLICANT ADDRESS: 18760 Tilson Avenue 5. PROJECT APPLICANT IS A:, ❑ Local Public Agency []School District ❑ Other Special District ❑ State Agency 0 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 0 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.......................................................................................................................I................ $ 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 §71.1.4(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 '.i City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Notice of Exemption To: County Clerk -Recorder 70 W. Hedding Street, 1st Floor East Wing—Business Division San Jose, CA 95110 Project Title: R-2008-25 Project Location - (be specific): 18760 Tislon Avenue Project Location - (City): Cupertino Project Location - (County): Santa Clara Description of Project: Residential Design Review for a new 2,815 square foot, two-story, stele family residence. Name of Public Agency approving project: City of Cupertino. Name of Person or Agency carrying out project: Guillermo Prado 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: e". , %, . Area code/telephone number (408) 777-1356 Date: September 16, 2008 Title: Assistant Planner G: I PlanningERCExemptl2008exempt I r200825. doc d Leslie Gross From: becktroyd@yahoo.com Sent: Friday, August 29, 2008 5:55 PM To: Leslie Gross Subject: RE: File #R-2008-25 I just received a call back from SV Sewer. Eric Tokutomi indicated that -SV Sewer does not handle private property part, that is CIty of Cupertino who apparently contracts out to independent contractors for this work. Mr. Tokutomi indicated it is important to get this resolved. He indicated that having a cleanout for another residence on our property could be a health hazard. We DO NOT GRANT an easement for the water and; sewer lines to be on our property and want them to be on the 18760 side of the property line. Yesterday SJ Water also indicated resolution of placement of the pipes on the right side of the property line is up to the City of Cupertino (or its subcontractors) Yet I still have no confirmation or reassurance that this will be done. While we wish to be friendly neighbors, we will stand firm on this issue and once again ask that no permit is granted for any new construction until this issue is clarified. Thank you. - Laurie Beckett --- On Thu, 8/28/08, Leslie Gross <LeslieG@cupertino.org> wrote > From: Leslie Gross <LeslieG@cupertino.org> > Subject: RE: File #R-2008-25 > To: becktroyd@yahoo.com > Date: Thursday, August 28, 2008, 4:15 PM > Thank you for your comments. I'll keep the comments in > the file, and forward these comments to the applicant/owner > so they can prepare their building drawings accordingly. > As to the property lines, any new residence needs to have > the site surveyed for correct property line location. The > building inspectors will verify. > Leslie Gross > Assistant Planner > City of Cupertino > WORK (408) 777-1356 > FAX (408) 777-3333 > leslieg@cupertino.org > -----Original Message----- > From: becktroyd@yahoo.com > Sent: Thursday, August 28, > To: Leslie Gross > Subject: File #R-2008-25 [mailto:becktroyd@yahoo.com] .2008 4:09 PM > I own the property at 18750 Tilson Ave next door 18760. > My concerns are as follows: > The sewer and water lines for 18760 are on the 18750 side > of the property line. At some places they are close to the > property line at other places they are come over to 18750 1 ct," VLe.�OVJV.-, e��'� �Nv � Bu 5.►'�,t -, gid iv �e i. F > side by about 2 feet. A sewer clean-out for 18760 done a > couple of years ago is COMPLETELY on our side (18750) of the > property line. > We do not want this to continue with the new construction - > water and sewer lines need to be back on the 18760 side of > the property line. > When I called Si Water they said this was not their > concern. > When I called SV Sewer, I got a voicemail. I am.very > concerned that there is no clear confirmation that the work > will be done correctly. > I strongly object to any new building being built at 18760 > until we can be sure that the new water and sewer lines are > on the 18760 side of the property lines and no longer on the > 18750 side. > Thank you. > - Laurie Beckett > P.S. > Also of concern - the health of our palm tree in the front > yard > and making sure any other property line issues are observed > (eg existing fence is marginally on our side of the property > line...) 2 Leslie Gross From: Diane Mahan Sent: Friday, August 29, 2008 6:46 AM To: Leslie Gross Subject: RE: Removal of Street Tree at 18760 Tilson Ave Have them put a tree back when the proj is complete. -----Original Message ----- From: Leslie Gross Sent: Thursday, August 28, 2008 3:32 PM To: Diane -Mahan Subject: Removal of Street Tree at 18760 Tilson Ave Hey Diane, I have a new 2 -story residential project at 18760 Tilson Ave, and visiting the site, 'I saw a new city tree planted along an existing single car driveway. The applicant wants to have a 2 car garage per city standards, and would need to remove or relocate the tree to accomplish this. Can they do this? The tree is a "Fraxinus Uhdei" planted about 9 months ago. Thanks Leslie Gross Assistant Planner City of Cupertino WORK (408) 777=1356 FAX (408) 777-3333 leslieg@cupertino.org 1 Leslie Gross From: becktroyd@yahoo.com Sent: Thursday, August 28, 2008 4:09 PM To: Leslie Gross Subject: File #R-2008-25 I own the property at 18750 Tilson Ave next door 18760. My concerns are as follows: The sewer and water lines for 18760 are on the 18750 side of the property line. At some places they are close to the property line at other places they are come over to 18750 side by about 2 feet. A sewer clean-out for 18760 done a couple,of years ago is COMPLETELY on our side (18750) of the property line. We do not want this to continue with the new construction - water and sewer lines need to be back on the 18760 side of the property line. When I called SJ Water they said this was not their concern. When I called SV Sewer, I got a voicemail. I am very concerned that there is no clear confirmation that the work will be done correctly. I strongly object to any new building being built at 18760 until we can be sure that the new water and sewer lines are on the 18760 side of the property lines and no longer on the 18750 side. Thank you. - Laurie Beckett P.S. Also of concern - the health of our palm tree in the front yard and making sure any other property line issues are observed (eg existing fence is marginally on our side of the property line...) 1 �t CITY OF CEJ PEIT IN® August 13, 2008 Dear Resident, 10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COMMUNITY DE VEL OPMENT The City of Cupertino Planning Division received an application (file number R- 2008-25) for a Residential Design Review approval of a new two-story 2,815 square foot single-family residence located at 18760 Tilson Avenue. 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, 0 ' s Leslie Gross Assistant Planner City of Cupertino (408) 777-1356 leslie-0@cupertino.org Enclosure: 11x 17 plan set G: � Planning \ Minor Residential \ R1 Approvals \ 2008 \ R-2008-25.doc Printed on Recvcled Paper 375 16 031 375 16 032 375 16 033 KARKOUTI SAID LIN CHANGHONG AND DING YAO WANG R AND WU TINA 765 RAYMUNDO AV 10425 WUNDERLICH DR 10435 WUNDERLICH'DR LOS ALTOS CA 94024-3139 CUPERTINO CA 95014-3664 CUPERTINO CA 95014-3664 375 16 034 375 16 049 ANDERSON LARRY W AND JUDY K TR LI WEI AND QIANG BRENDA 13021 W SUNSET DR 18820 TILSON AV LOS ALTOS HILLS CA 94022-3430 CUPERTINO CA 95014-3653 375 16 051 KAO CHING-HUI AND LI HUA 10491 WUNDERLICH DR CUPERTINO CA 95014-3647 375 16 052 SOLCHENBERGER JAMES G ET AL 18821 BARNHART AV CUPERTINO CA 95014-3601 375 17 002 375 17 003 PAW RICHARD T AND MELENDRES JE YOM CHAE HO AND SOPHIA 10420 WUNDERLICH DR 683 S HENRY AV CUPERTINO CA 95014-3665 SAN JOSE CA 95117-2213 375 17 028 375 17 029 MARTINEZ RICHARD D AND HENRIET SOONG HWEI-PIN ET AL 18831 BARNHART AV 10405 CALVERT DR CUPERTINO CA 95014-3601 CUPERTINO CA 95014-3807 375 17 031 YEUNG LORRAINE TRUSTEE PO BOX 31 LOS GATOS CA 95031 375 17 034 FAN CHING-CHANG 18785 TILSON AV CUPERTINO CA 95014-3859 375 17 037 CHEN LIHUNG AND CHOU MANDY 18780 TILSON AV CUPERTINO CA 95014-3858 37517042 BECKETT LAURIE J 18750 TILSON AV CUPERTINO CA 95014-3858 375 17 045 FLYNN THOMAS 18720 TILSON AV CUPERTINO CA 95014-3858 375 17 032 MCKEE ELLEN D TRUSTEE 10435 CALVERT DR CUPERTINO CA 95014-3835 375 17 035 CURTIS ROBERT C 10464 WUNDERLICH DR CUPERTINO CA 95014-3648 375 17 039 MARTINEZ RICHARD D AND HENRIET 18831 BARNHART AV CUPERTINO CA 95014-3601 375 16 050 MEHTA VIRENDRA K AND KAUR NAVD 10465 WUNDERLICH DR CUPERTINO CA 95014-3647 375 17 001 LAIRD LINDA L 10430 WUNDERLICH DR CUPERTINO CA 95014-3665 375 17 004 PATHAK VIVEK AND DEEPIKA 10400 WUNDERLICH DR CUPERTINO CA 95014-3665 375 17 030 SCHULKEN JEFFREY D AND JENIFER 10415 CALVERT DR CUPERTINO CA 95014-3835 375 17 033 GIALLANZA DONALD A AND KILPATR 18771 TILSON AV CUPERTINO CA 95014-3859 375 17 036 CHEN LIHUNG AND CHOU MANDY 18780 TILSON AV CUPERTINO CA 95014-3858 375 17 040 FARQUHARSO DNEYJTRUSTEE 18760 TI AV C,>PeRTINO CA 95014-3858 375 17 043 375 17 044 REDDY VENKATESHWARA N AND REKH EVANS ROBERT A 18740 TILSON AV 18730 TILSON AV CUPERTINO CA 95014-3858 CUPERTINO CA 95014-3858 375 17 046 375 17 047 AGRAWAL ADITYA AND CHUNG MIIN KUSHNER ANNEDORE 21345 RUMFORD DR 10481 JOHNSON AV CUPERTINO CA 95014-1335 CUPERTINO CA 95014-3862 375 17 048 375 17 049 375 17 050 BEHER JUAN A AND MARIA E EIZIPS DANIEL AND IRIT TRUSTEE GIUSTO MICHAEL S AND MARKUS KA 10055 BON VISTA CT 18739 BARNHART AV 18747 BARNHART AV SAN JOSE CA 95127-2702 CUPERTINO CA 95014-3803 CUPERTINO CA 95014-3803 375 17 051 JOHNSON ALLEN R 1220 TASMAN DR UNIT SPC 513 SUNNYVALE CA 94089 375 17 054 MARTINEZ RICHARD D 18781 BARNHART AV CUPERTINO CA 95014-3803 375 17 055 LU ER P AND YU LAN -Q] 10490 WUNDERLICH DR CUPERTINO CA 95014-3648 375 17 056 375 17 057 375 17 058 MARTINEZ RICHARD D AND HENRIET REDDY VENKATESHWARA N AND REKH DUNCAN DEXTER W AND MARTA E R 18771 BARNHART AV 18740 TILSON AV 19 RENNIE AV CUPERTINO CA 95014-3803 CUPERTINO CA 95014-3858 SAN JOSE CA 95127-1620 375 18 001 TAY YUCHI AND KURODA YUKA 18725 TILSON AV CUPERTINO CA 95014-3857 375 18 004 SINHA RAJIV AND SONAL R 10420 CALVERT DR CUPERTINO CA 95014-3872 375 18 044 WILLIAMS MARILYN A 2100 CURTNER AV STE C SAN JOSE CA 95124 375 18 002 RAZAVI SAEID AND PISHDADI MITR 10440 CALVERT DR CUPERTINO CA 95014-3840 375 18 005 EDWARDS THOMAS L 10410 CALVERT DR CUPERTINO CA 95014-3840 375 18 045 WU DAVID AND BETTINA S 10417 JOHNSON AV CUPERTINO CA 95014-3813 375 18 003 SULLIVAN BILL 10430 CALVERT DR CUPERTINO CA 95014-3872 375 18 006 MA FREDDY K AND RITA L 1355 STEPHEN WY SAN JOSE CA 95129-4142 375 18 046 BHOGAL RAJVIR ET AL 10425 JOHNSON AV CUPERTINO CA 95014-3813 375 18 047 375 18 048 375 18 049 BARRY GARY L AND TAMIKO C TRUS HUANG STEVE X AND HAN DUAN BOYLE PHILIP P AND NANCY M P O BOX 244 10441 JOHNSON AV 18731 TILSON AV LOS ALTOS CA 94023-0244 CUPERTINO CA 95014-3813 CUPERTINO CA 95014-3857 375 27 001 375 27 038 375 27 039 VASILIEV OLGA SHEN HSIANG-SHENG AND JOSEPHIN PEISKER ROLAND M 18730 BARNHART AV 10510 WUNDERLICH DR 18780 BARNHART AV CUPERTINO CA 95014-3804 CUPERTINO CA 95014-3804 CUPERTINO CA 95014-3804 375 27 040 375 27 041 DUGAN GARY L AND BECKY L TRUST HALL MARTHA S 18770 BARNHART AV 18760 BARNHART AV CUPERTINO CA 95014-3804 CUPERTINO CA 95014-3804 375 27 043 GREENE RICHARD A TRUSTEE 18740 BARNHART AV CUPERTINO CA 95014-3804 375 27 042 SMITH JAMES H AND FRANCES L TR 1339 LENNOX WY SUNNYVALE CA 94087-3129 Basemap Labels Abc Street Names Address Freeway Basemap Easements Street Centerline -- County Freeways County Major Roads ---- Right -of -Way Parcels City Boundary cily of Cupertino I�Ni z o- PER W n k,k%,ax"I'k--rc--MR� ;e4' LT - • fa .... GR�ABfFt��-�sAni Df'D I J rte��s ice; , Itft'� �� ARR y ak.z „s, ;,.4 �# 4 �y t` 3'ki I -+e • ::.tt t.. r . M= L � " # & t 1?`•p.. z`,_ x�Ft 41 r 11T n t SCALE 1 :3,977 200 0 200 400 600 FEET http://gissvr/cupertinointranet/home/mapFile.aspx Wednesday, August 13, 2008 2:42 PM 50.24'- _ - _� APN I I I I 375-17-040 � I I I I I I I 1 1 I I I I I I I I I I 1 I I I I I I N 1 I I I I LOT SIZE 6,254.50 I 1 I I I I I I I Q JFESsj� I F� `G_C c—co Cf7r I I - 1 I CAL1F�' I 1 I JUL 2 2 2006 1 Oo N w EE SIDEWALK. % p 49.71' PLANTER STRIP. J o Lu w � Dew hoc ry 30'-0" SCALE 1/16" = 1'-0" 18760 TILSON AVE. � DRAWN CARLOS DATE 7/18/2008 SHEET 1 CENTER OF ET—�/� 0 Lin � C> o! cm 30, 29 I 28 2,7 55 1 55.12. - • • 105 0 44 17 3 :6 P-6 49- UPI k 14 l:5 !45.14 co 50 25 Ln 1.06.49 Jam' _ 105.19 30 ko 17� 1 �4 51 r� .t Co 105-22 52.2 /041.6 3 ... s2.�o. 71 24 40 PCL. 55 Q 1 �C"% �! d� Z� r n N 0.179 AC.11 �p btti� ! 15.49 4 9.8 5 1015.26 30 32 39 177 `��' �.: 2 56 135 I Nr 134 ' �� 51.18 37 � 133 °�% � '��'` �. i � lb$.31 _ — 54 128 I 129 0 36 178 a !-, - - i - l32 ab o 150 x`90 •.�' y _ 1)422- 2. )422 2 OOf N , , 1 34 L, cn �al31 0 35 179 .6 55 To 1 1 . 51.18 54 5220 55 86.91 86.45 03/p 10420 /0430. /046f /0490 DRIVE 08/12/2008 TUE 9:54 FAX 9 650 944 2099 A OLD REPUBLIC 4 4 TITLE COMPANY x4A h PRELIMINARY REPORT Issued for the sole use of: 18760 TILSON AVENUE CUPERTINO, CA 95014 Attention: SAMIR KHOSLA Property Address: 18760 Tilson Avenue, Cupertino, CA 95014 I 167 S. San Antonio Road, Suite 5 Los Altos, CA 94022 (650) 941-5700 Fax: (650) 403-4009 FIRST AMENDED REPORT Our Order Number 0623005038 -JC When Replying Please Contact: Joann Cuneo-Daw (650) 941-5700 0003/006 In response to the above referenced application for a policy of title insurance, OLD REPUBLIC TITLE COMPANY hereby reports that it is prepared to issue, or cause to be issued, as of the date hereof, a Policy or Policies of Title Insurance describing the land and the estate or interest therein hereinafter set forth, insuring against loss which may be sustained by reason of any defect, lien or encumbrance not shown or referred to as an Exception below or not excluded from coverage pursuant to the printed Schedules, conditions and Stipulations of said policy forms. The printed Exceptions and Exclusions from the coverage and Limitations on Covered Risks of said Policy or Policies are set forth in Exhibit A attached, Limitations on Covered Risks applicable to the Homeowner's Policy of Title Insurance which establish a Deductible Amount and a Maximum Dollar Limit of Liability for certain coverages are also set forth in Exhibit A. Copies of the Policy forms should be read. They are available from the office which issued this report. Please read the exceptions shown or referred to below and the exceptions and exclusions set forth in Exhibit A of this report carefully. The exceptions and exclusions are meant to provide you with notice of matters which are not covered under the terms of the title insurance policy and should be carefully considered. It is important to note that this preliminary report is not a written representation as to the condition of title and may not list all liens, defects, and encumbrances affecting title to the land. This report (and any supplements or amendments hereto) is issued solely for the purpose of facilitating the issuance of a policy of title insurance and n')iability is assumed hereby. If it is desired that liability be assumed prior to the issuance of a policy of title insurance, a Binder or Commitment should be requested. Dated as of July 2, 2008, at 7:30 AM OLD REPUBLIC TITLE COMPANY For Exceptions Shown or Referred to, See Attached Page 1 of 4 Pages I HIt {I�N•H IKPV 1111 n114I 08/12/2008 TUE 9:55 FAX 9 650 944 2099 t a. OLD REPUBLIC TITLE COMPANY ORDER NO. 0623005038-3C FIRST AMENDED REPORT The form of policy of title insurance contemplated by this report is: ALTP,)..oan Policy - 2006. A specific request should be made if another form or additional coverage is desired. The estate or interest in the land hereinafter described or referred or covered by this Report is: Fee Title to said estate or interest at the date hereof is vested in: Samir Khosla and Monica Khosla, husband and wife, as community property with right of survivorship, as to an undivided 7/12 interest and Jivan Kumar Khosla and Renuka Khosla, husband and wife, as community property with right of survivorship, as to an undivided 5/12 interest The land referred to in this Report is situated in the County of Santa Clara, City of Cupertino, state of California, and is described as follows: (0004/006 Lot 176, as delineated upon that certain Map entitled "Tract No. 1004", filed for record in the Office of the Recorder of the County of Santa Clara, State of California, on September 10th, 1952 in Book 40 of Maps, at Page 29 and 30. APN: 375-17-040 At the date hereof exceptions to coverage in addition to the Exceptions and Exclusions in said policy form would be as follows: 1. Taxes and assessments, general and special, for the fiscal year 2008 - 2009, a lien, but not yet due or payable. 2. Taxes and assessments, general and special, for the fiscal year 2007 - 2008, as follows: Assessor's Parcel No 375-17-040 Code No. 13-266 1st Installment $477.06 Marked Paid 2nd Installment ; $477.06 Marked Paid Land : $18,261.00 Imp. Value $26,367.00 Exemption $7,000.00 Homeowner 3. The lien of supplemental taxes, if any, assessed pursuant to the provisions of Section 75, et seq., of the Revenue and Taxation Code of the State of California. 2of4 08/12/2008 TUE 9:55 FAX 9 650 944 2099 IL005/UU6 OLD REPUBLIC TITLE COMPANY ORDER NO. 0623005038 -JC FIRST AMENDED REPORT 4. Any special tax which is now a lien and that may be levied within the Santa Clara County Library District, notice(s) for which having been recorded. NOTE: Among other things, there are provisions in said notice(s) for a special tax to be levied annually, the amounts of which are to be added to and collected with the property taxes. NOTE: The current annual amount levied against this land is $33.66. NOTE: Further information on said assessment or special tax can be obtained by contacting: Name Fiscal Agent of the Santa Clara County Library District, Joint Powers Authority Add;;�ss : 14600 Winchester Blvd., Los Gatos, CA 95032 Telephone No. : (408) 293-2326, Ext. 3004 5. Bonds or assessments, whether or not shown as existing liens by the records of any authority that levies assessments on real property, or by the public records, or included in the taxes shown or referred to herein. NOTE: An examination of these matters is not being done at this time. Upon a specific request to do so, we will supplement this report accordingly. 6. Deed of Trust to secure an indebtedness of the amount stated below and any other amounts payable under the terms thereof, Amount $560,000.00 Trustor/Borrower Samir Khosla and Monica Khosla, husband and wife, and Jivan Kumar Khosla and Renuka Khosla, husband and wife Trustee Standard Trust Deed Service Company, a California corporation Beneficiary/Lender Mortgage Electronic Registration Systems, Inc., solely as nominee for First California Mortgage Company DatL- J July 3, 2008 Recorded July 11, 2008 in Official Records under Recorder's Serial Number 19915547 Loan No. 2008061353 "MIN" 1002564-2008061353-1 Returned to 5401 Old Redwood Hwy, N., Suite 208, Petaluma, CA 94954 NOTE: This loan appears to be registered with Mortgage Electronics Registration Systems, Inc. ("MERS"). Accordingly, the name, address and telephone number of the loan servicer should be obtained by calling the toll-free number, 1-888-679- MERS, and referring to the Mortgage Identification Number ("MIN") shown above 3 of 4 08/12/2008 TUE 9:56 FAX 9 650 944 2099 OLD REPUBLIC TITLE COMPANY ORDER NO. 0623005038 -JC FIRST AMENDED REPORT The note secured by the Deed of Trust shown above contains, among others, a provision for a variable interest rate, which allows periodic adjustments in the interest rate. -------------------- Informational Notes ------------------- A. The applicable rate(s) for the policy(s) being offered by this report or commitment appears to be section(s) 2.1. B. The above numbered report (including any supplements or amendments thereto) is hereby modified and/or supplemented to reflect the following additional items relating to the issuance of an American Land Title Association loan form policy: f► "k NOTE: Our investigation has been completed and there is located on said land a single family residence known as 18760 Tilson Avenue, Cupertino, CA 95014. The ALTA loan policy, when issued, will contain the CLTA 100 Endorsement and 116 series End6 -sement. Unless shown elsewhere in the body of this report, there appear of record no transfers or agreements to transfer the land described herein within the last three years prior to the date hereof, except as follows:` Grant Deed executed by Kathie Dunn, Successor Trustee of the Rodney J. Farquharson 2002 Living Trust to Samir Khosla and Monica Khosla, husband and wife, as community property with right of survivorship, as to an undivided 7/12 interest and Jivan Kumar Khosla and Renuka Khosla, husband and wife, as community property with right of survivorship, as to an undivided 5/12 interest recorded July 11, 2008 in Official Records under Recorder's Serial Number 19915546. 0. N, GC/bd (1RT 11 SR -R 4of4 0006/006 08/12/2008 TUE 9:54 FAX 9 650 944 2099 0002/006 APPLICATION REQUIREMENTS & STORY POLE CERTIFICATION Community Development Department 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 Cupertino, CA 95014 planning@cupertino.org CU PERTI NO http://www.cupertino.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 Tee 50 Categorical Exemption Filing Fee 50 Architectural Consultant Deposit 2,000 (min.) Architectural Consultant Deposit 2,000 (min.) Requirements Requirements ❑ Application Form ❑ Application Form ❑ Application Fees and Deposit ❑ Application Fees and Deposit ❑ PIan Set Requirement's ❑ Plan Set Requirements ■ 1 full size 24" x 36"plan set, folded to 81/z" x 11" ■ 1 full size 24" x 36" plan set folded to 81/z" x 11" ■ 3 reduced 11" x 17" plan sets, folded to 8112"x 11" ■ 3 reduced 11" x 17" plan sets, folded to 8a/z"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 PDT-, TIFF or JPEG files of the plan set, In Iieu 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. details. ❑ Story Poles ❑ Story Poles ❑ Material Board ((or 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) Story Pole Certification ygg��-7l7! ,,\ I certify that the story poles installed at 1'0 OU _V%� ,r-\ NX (address) are consistent in design, height and location with the site and elevation plans drawn by 6-g jg�<. CVA%\ S r�viS (architect, engineer or surveyor name) and dated, Name E0YV1U✓0 LzAv.,_- �OYl VUCS�`�O� Title '9IIZIn� Date 44 Cts License # Pas, 3 of 6. R,_App.doc Remised 512/2008 A n07/22/2008 TUE 7:50 FAX 9 650 944 2099 2002/002 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 the Public Works Department, at (408) 777-3354 to review your project with them. 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 their review and signature. Include this form in your application submittal. Address: _tS -iaC� l� �Sov� i�ct12_. Email Address: 8AO10,_t(HOS .A `c� YAHaa. caro{ Applicant Name: SAOU P, Vl OS LA Phone No: A618 -74 6Y 70 For Internal Use Only - Do not write below Public Works Department/ Addition: Single Family Dwelling: / Flood Zone Designation: Dedications Required: JJ/1� ADDITIONAL, NOTES AND(w'COMMENTS: OAAA TJW.�/�„7�1^♦�/rj -3l�.j�J%LNC^' -e l-.���A\.1,t�Q�.Temir PUBLIC WORKS CONFIRMATION Community Development Department Signature Title Date 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 C O Cupertino, CA 95014 planning@cupertino.org I http://www,cupertino.org/plaiining U P E RTI 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 the Public Works Department, at (408) 777-3354 to review your project with them. 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 their review and signature. Include this form in your application submittal. Address: _tS -iaC� l� �Sov� i�ct12_. Email Address: 8AO10,_t(HOS .A `c� YAHaa. caro{ Applicant Name: SAOU P, Vl OS LA Phone No: A618 -74 6Y 70 For Internal Use Only - Do not write below Public Works Department/ Addition: Single Family Dwelling: / Flood Zone Designation: Dedications Required: JJ/1� ADDITIONAL, NOTES AND(w'COMMENTS: OAAA TJW.�/�„7�1^♦�/rj -3l�.j�J%LNC^' -e l-.���A\.1,t�Q�.Temir (<,J � r� � Signature Title Date Page 6 of6. N App.doc Revised 5/2/2008 E 1 'W 'lows-•. 't� _ � - - �'r� ti a .� _ � • -, ^ s 1. ,. ,mow _ .. ..