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RM-2008-02b 10300 Torre Avenue Cupertino, California 95014 Telephone: (408) 777-3308 FAX: (408) 777-3333 COA11'vfUNITI' DETv'ELOPi'vfENT CITY OF CUPEIQ"INO February 11, 2008 John Ha 1288 Kifer Rd. Sunnyvale, Ca. 94086 SUBJECT: RESIDENTIAL DESIGN REVIEW ACTION LETTER - Application R-2008-01; RM- 2008-02: This letter confirms the decision of the Director of Community Development, given on ~r 11, 2007; approving a Residential Design Review for a new two-story 4,472 square foot residence and a Minor Residential Permit for a second story rear balcony on the new residence, located at 22245 Cupertino Road, with the following conditions: 1. APPROVED PROTECT This approval is based on a plan set entitled, "Poon Residence, 22245 Cupertino Road, Cupertino, California 95014" consisting of nine sheets dated "January 10, 2008", except as may be amended by conditions in this resolution. 2. FRONT YARD TREE An existing tree will be removed in the front yard as part of this approval. 3. PRIVACY PROTECTION PLAN The Privacy Protection Plan shall be revised to satisfy the requirements as outlined by the Cupertino City Ordinance. Final Privacy Protection Plan shall be reviewed and approved by the Director of Community Development prior to issuance of building permits. 4. 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. 5. LIGHT WELL The light wells on the property shall be limited to three feet in width. Printed on Recycled Paper 6. 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. 7. 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) (1), 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 has received a call from a neighbor expressing their concerns that the proposed second story would block their views to the surrounding mountains. The project is located in a zoning district that permits two-story homes up to 28'. The proposed house it within the allowed height and the proposed second floor is not excessive in size and scale. 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. Please be aware that if this permit is not used within one year, it shall expire on February 11, 2009. Sincerely, ~~ Leslie Gross Assistant Planner City of Cupertino Enclosures: Approved Plan Set CC: Kelvin Poon, 20883 Elenda Drive, Cupertino CA 95014 Vaishali Prasad, 1288 Kifer Road, Sunnyvale CA 94086 Rooshabh Varaiya, 22237 Cupertino Road, Cupertino CA 95014 ~~g ~F ~~~~;g o~~~~ :80~~ ~~~0} ~~~g~ ~:i~~~ !;"'z8vt -<" OVlC""lVl ~~a~j; 2~~~F )>d^~~ ~"'!;'2 ~~~~~ V1V'1o!flfTI Q~~ :r~ C:;U(Tln ~~aa~ ~Z:E;tI~ ,.,aF~~ a 20 ~ s.., U1~~ zVjr ~~~ ~~- ~i~ ~1-01 ~~~ ~p~ "'-< gqn <:"'0 ;2~~ ~-<. 6o~ ~~g .....~.:t.J ~~~ ]~G ~i~ :--U"o 'liE! 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".tD" 22245 CUPERTINO ROAD CUPERTINO, CA 95014 ~ I 1 i i ".8" ~~zg~~~ n~~C~6rT1 rT1 8~;-i ~~ i:::r!=l >: co atIJ ~1'Tl~~5~~ ....."U J: 0 (')-1tIJ ffi~~~:~~ ~~tIJ~~~~ 8""""0~:r~~~ -; - .....J: .....;;On::E ol'Tl~~rn5g ~~~F~~~ (g : ~ {A::1E C1::o ~a~d~~~ .....)>:;0 ::00..... ~~~~~ci~ ~ OjDl ~~::o~ ~)>)>rT1;:c~~ ::O'T1~~CDITlCD ~~Q~~3!~ ~""'8~Yl~~ ~gd~~~~ ::0 t"1 0 PM ~?! ~/' ~o ::j~I5~~ f;i~~: ~ tA a ~ ~ ~~ (TItlJzz .;(1)> ~ e; F~ )>6':1fTl~(TJ Z )>0 Z ~E~""d~ ::I(TI::O S:::-lZ I Z Q IC1 "UOtIJUlfTl ~ If) ~ ~ ~~ - UlfTl 0,... Z '0'" co '" " ".a" II \>\. 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I=rn~ I ' I ~m 1 Ol~ I i"o I r I ~ I ~ m . -, ,-r-----O::lJ ~ ffi~ 1"- ~ I "- -{ I "- I 1.P8(f:lTl ~r-~~ 0"", ~"'O:jl I,'j,~~ F!fi~-< ;~~ 8'E ill '" 1"- I "- I "-,,- I . ", "- 1 I I I I I I I I I I I I I I I I II! "ill I' ~~ I! iil'" '" ~m 1 ~~ ) I / / / / / 1/ { /1 / I / I / I / ~~~~ / ~~8"D I / I,'j,,,~ 1/ ~~ffi-< -1 ~-+----rll ~~ I ~ ~ I ri! I ~ I I I I I I ::: ~~~~ I .e~~" ~ ~g~~ ~9~z CD()O-o ~>l> 0 CJ,!tOOO U>"'Z 0' ... Innovative Deaign Architecture. Inc, -i -i Ul- ~ C C ~g g __ (T'l z ~~ ..~ ~.e~ ~~ ~ " ~ ~ == '2. . > o 0> 0> ..... ~ I I I I I I I I I I I / I // 1 / / I / / / / / / / / / / / / / / / / / / / / // ~~ -----f---;~ '_'._' I i~~ ~ :1) ii i ~~ .... m ~ C/) C m m In < > :::I o z lJl I> m ~ 'lI L ~ 1 ? r ~ r ""'."" I , I ,.., l"ilI I~~lij I I 'i" I I I I 1 I I, I .., .1" I I, I .... I.... ..j..... I '.r I . ..... 1,1 .'. ....1. I .1' II I >1" I I 11------+. I I I I " f I I 1 LL____ I ., I I I ..1_. 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Innovative De6ie,n Architecture, Inc. ---, ..... ~ ~r;n~~~o r;-r:-~~~ = -:;:--:;:-:2=t1::~ Z ~ ~ ~ N~ ~ "-""-"IT'! 0;0 . ~~~ -...J;:o > ~Y'~ PS: 00" ",,,,0 -",co "'-'" - ਍䥃ൊ縊਍䤭਍ൡ稊਍਍✢ഭ⸊⸮਍਍⸮⸮਍਍ൌഊ縊਍ൾ縊⁾൭㠊⁾松਍✢⸮⸮਍椠㬢䨻漡਍⁾㠸∠汬਍✢✧‧楩❬汩਍਍਍਍⸮繾⁾⹾䨺ㄮ਍❦繾縠਍‭‡⁾縿縮਍縭搠‧Ⅹ⸡縺縠⹲਍瑩楴൏⸊縠ഢ縊℠ⅾ਍㩉䤠൉䤊‬汩≬ഢ䤊⠠ൾ琊‧⁾䥾繉਍⁉獣㨺ാ縊䌠ാഊ椊爠縧縼਍਍㩾椺਍汏൬漊ൾ縊ൾ㰊楐ⴻ਍繅਍㰭ീ㨊൪洊਍∧਍਍ൾഊഊ縊†⁾縬縠⁾∧縠਍䤠渠਍†⁓⁾❬汔汩൩ ⸠⁇繧਍⁾†縠ൾ䤊㨠㹴†朠਍⁀†∧⸠മ䤊†縠਍挠甮਍縠†潾਍†㩉ഢ 䠠਍਍佐乏删卅䑉久䕃਍਍繾繧縠਍繾幾縠਍佃㨺昡汔縠਍⸭⸮䨮牚഼縊繰ൺ伊湏❏䨱਍汾氾‾ര縊繾ൾ漊ധ⸊മഊ䤊湮癯瑡癩⁥敄汬杩牁档瑩捥畴敲‮湉⹣਍਍ㄭ氭汖汌ൾ挊縲⁾ര稊⸬‬㩴汬਍⸬⸮⸮⸬⸮⸮⸮⸮㰭娠਍瑢縻琽㵉਍繾縠⁾⁾ൾ上⁎⸮⸮਍繾⁾㭥਍⁉⁉⁗ാ《㰰ⴾ਍ⰢⰬ〬਍≟㰬汘਍✢✭ഢഊഊ㈊㈲㔴䌠偕剅䥔低删䅏ൄ䌊偕剅䥔低‬䅃㤠〵㐱਍ 4iy'C.19S.�` • January 24, 2008 Dear Resident, The City of Cupertino Planning Division and RM -2008=02) for a Residential Desig square foot residence and a Minor Reside new residence, located -at 22245 Cupe approval and neighbors within.300 feet on the project. City staff believes that the project is con intends to approve the project based on Please contact me no later than Friday, i concerns that the City staff should take i decision on Monday, February 11, 2008. The applicant and any neighbor that will receive a letter describing the ac - Sincerely, Leslie Gross Assistant Planner (408) 777-1356 leslieg@cupertino.org Enclosures 11x17 plan set Community Development Department 10300 Torre Avenue Cupertino, California 95014 Phone (408) 777-3308 Fax (408) 777-3333 received an application (file number R-2008-01 1 Review to construct a new two-story 4,472 itial Permit for a second story rear deck on the tino Road. This application requires staff ire notified with the opportunity to comment ible with homes in the neighborhood and • enclosed plans. nary 8, 2008 if you have any questions or consideration when making its final tacts me on or before Friday, February 8, 2008 taken. Easy Peel Labels - 1, _ - 0 Use Avery® TEMPLATE 5960- 11 Paper 326 16 014 GAUBATZ DONALD C TRUSTEE 10033 HILLCREST RD CUPERTINO CA 95014-1021 326 16 027 GUTHRIE GERALD D TRUSTEE 10047 CRESCENT RD CUPERTINO CA 95014-1050 326 16 036 VAN DE WESTELAKEN LINDA A AND 22255 CUPERTINO RD CUPERTINO CA 95014-1041 326 16 069 STRACHMAN HOWARD LAND IRENE B 10075 CRESCENT RD CUPERTINO CA 95014-1050 326 16 078 JACKSON ELEANOR A TRUSTEE 10045 CRESCENT RD CUPERTINO CA 95014-1050 326 16 082 GARDNER DEANE A AND FUJIMOTO S 22321 CUPERTINO RD CUPERTINO CA 95014-1043 326 16 093 HA JOHN T AND VICTORIA 22291 CUPERTINO RD CUPERTINO CA 95014-1041 326 17 039 ASHJAEEJALAL 10046 CRESCENT RD CUPERTINO CA 95014-1012 326 17 047 ANDERSON ROGER D AND ALMA L TR 2290 BIRDSEYE CREEK RD GOLD HILL OR 97525 326 50 035 DASTGAH HASSAN 22309 STEVENS CREEK BL CUPERTINO CA 95014-1038 326 16 018 See Instruction Sheet for Easy Peel Feature i i i 326 16 034 i VARAIYA ROOSHABH P TRUSTEE 22237 CUPERTINO RD CUPERTINO CA 95014-1041 326 16 067 WANG GARY CHORNG-JYH AND JUDY 10105 CRESCENT RD CUPERTINO CA 95014-1063 326 16 070 ELERATH JON G AND DEBRA A TRUS 10055 CRESCENT RD CUPERTINO .CA 95014-1050 326 16 079 GABRIEL JOSEPH D AND LILIA M T 10035 CRESCENT RD CUPERTINO � CA 95014-1050 326 16 090 KANG JI SOO 10070 HILLC,REST RD CUPERTINO CA 95014-1022 326 17 035 IWAHASHI DAVID S AND LINDA G T 10056 CRESCENT RD CUPERTINO CA 95014-1012 326170451 KEDELL MICHAEL W AND BARBARA A 22225 CUPERTINO RD CUPERTINO CA 95014-1068 i 326170521 MARTINEZ ROBERT R AND AURORA T 10036 CRESCENT RD CUPERTINO CA 9501471012 32650 )NAVERY@5960TM i 1 326 16 025 MICHALEK PETER AND LUBICA 10025 CRESCENT RD CUPERTINO CA 95014-1050 326 16 035 NG ANNA TRUSTEE 20883 ELENDA DR CUPERTINO CA 95014-1803 326 16 068 LODOEN MICHAEL A AND SITNEY TR 10195 CRESCENT RD CUPERTINO CA 95014-1063 326 16 075 JACKSON HARLAN V AND BARBARA P 22273 CUPERTINO RD CUPERTINO CA 95014-1041 326 16 081 WESTWOOD DONALD C AND THERESA 10090 HILLCREST RD CUPERTINO CA 95014-1022 326 16 092 LAM STEVEN CHEE-FUNG TRUSTEE & 10030 HILLCREST RD CUPERTINO CA 95014-1022 326 17 036 WOO KENNETH AND MING-RONG C 10076 CRESCENT RD CUPERTINO CA 95014-1012 326 17 046 VAN DEN BERG JONATHAN AND VICK 10026 CRESCENT RD CUPERTINO CA 95014-1000 326 50 030 KLEIN BERNARD AND PAULA P TRUS 11625 OAK SPRING CT CUPERTINO CA 95014-5140 326 50 056 CHEN YUE AND FAN YUHONG TRUSTE 10045 CARMEN RD CUPERTINO CA 95014-1046 9tiquettes faeiles h peler ® I Consultez la feuille inn w avert' eom Utilisez le gabarit AVERY® 596011` Sens de chargemgnt Onstruction 1 -800 -GO -AVERY Easy Peel Labels a _ See Instruction Sheet ; I Paper for Easy Peel Feature �AVERYp5960TM i Use Avery® TEMPLATE 5960TH � ® 'g 1 326 50 057 326 50 058 326 50 059 CHAN WAI C LIN CHI -YEN AND MENG-YIN LEE SHUPER VERNON L 10059 CARMEN RD 21925 ALMADEN AV 10036 CARMEN RD CUPERTINO CA 95014 CUPERTINO CA 95014-2860 CUPERTINO CA 95014-1040 326 50 061 LI PON LEE AND CHYN HAWCHYI 22322 CUPERTINO RD CUPERTINO CA 95014-1044 326 50 082 LAW WING K AND GEORGIA C TRUST 22260 CUPERTINO RD CUPERTINO CA 95014-1042 Nquettes f eller A peler Utillsez le gabarit AVERY® 5960""` 326 50 076 KAZEMI NASROLLAH AND NAHID 22287 STEVENS CREEK BL CUPERTINO CA 95014-1038 326 50 083 YASHAR LOURDES RAND FRANK D 10040 CARMEN RD CUPERTINO CA 95014-1060 i i i I I i i i i , ! , i , I i , Sens de chargement 326 50 079 RAU JYOTI AND BHATT PATANJALI 10010 CARMEN RD CUPERTINO CA 95014-1040 CITY C®nsultez la feuille d'instruction www.avery.com 1 -800 -GO -AVERY C��y of Cupertino Annotation Abc Street Names Address CityBoundary Street Centerline ParcelOutline --- Right -of -Way Parcels SCALE 1 :2,123 100 0 100 200 3C FEET , http://gissvr/cupertinoassessor/home/mapFile.aspx Thursday, January 24, 2008 2:26 PM ADDRESS: 22245 CUPERTINO ROAD, CUPERTINO, CA 95014 LOT SIZE: 0.229 ACRES = BUILDING COVERAGE: TOTAL BUILDING AREA: SQ.FT. 31.8% (3,186 SF) 4,472 SF FIRST FLOOR SQUARE FOOTAGE: 3,186 SF I SECOND FLOOR SQUARE FOOTAGE: 1,286 SF i RATIO OF 2*D FLOOR TO 1ST FLOOR: 40.4% FLOOR AREA RATIO: 44.68% CITY CONTACT INFOR.: LESLIE GROSS (408) 777-1356 DEADLINE FOR THE SUBMISSION OF PUBLIC COMMENTS: --:7- BE DETERMINED e PLEASE NOTE: A Public Works pre -application conference is required prior to submittal on all Two Story permit applications. The purpose of the pre -application is to determine if any Public Works improvements need to be made in connection with this application. Please contact Jason Chou, Public Works Department, at (408) 777-3354 or email him -at jasonc@cupertino.org to review your project nth him. Please provide a phone number you can be reached at. Please bring this form to the pre -application meeting for his review and signature. Include this form in Your application submittal. Address: 222yS 61iff,&INb ROA 0. Email Address: VA, kaIi(o iAa, 8- evvm �Ir a.soII Applicant Name: KE I V114 /��©!� I Phone No: 0'108) 81 3 —S 1-1-3 For Internal Use 0. Plly — Do not write below Pvhl;s Wnrlro %ins�nrlis�os�f— airon'iv�ifi�l _ln..r ;ilo _h ifo_ Addition i X Single Family Dwelling Flood Zone Designation:' " °zLC Dedications. Indicate on Plan where dedication is to be made. ADDITIONAL NOTES AND COMMENTS: - �% N'�'785 G:�l 4c.+•},�1 Si."7 � 5Ho✓J N��� Ex��r.�.�j ��Z`4 S�t+�-`��C� ?o . l V S ►�v G -a `v�7 kt-� L. l -- (b � 1� 2- (P The ect plans correctly reflect the ' provements and/or dedication required for this proposal. Signature Title Date Page 6 of 6. R App.doc Revised 6/29/2007 .,.W PUBLIC WORKS CONFIRMATION' Community Development Department 10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333 CUPERTINd Cupertino, CA 95014 planning@cupertino.org http://www.cupertino.org/planning, PLEASE NOTE: A Public Works pre -application conference is required prior to submittal on all Two Story permit applications. The purpose of the pre -application is to determine if any Public Works improvements need to be made in connection with this application. Please contact Jason Chou, Public Works Department, at (408) 777-3354 or email him -at jasonc@cupertino.org to review your project nth him. Please provide a phone number you can be reached at. Please bring this form to the pre -application meeting for his review and signature. Include this form in Your application submittal. Address: 222yS 61iff,&INb ROA 0. Email Address: VA, kaIi(o iAa, 8- evvm �Ir a.soII Applicant Name: KE I V114 /��©!� I Phone No: 0'108) 81 3 —S 1-1-3 For Internal Use 0. Plly — Do not write below Pvhl;s Wnrlro %ins�nrlis�os�f— airon'iv�ifi�l _ln..r ;ilo _h ifo_ Addition i X Single Family Dwelling Flood Zone Designation:' " °zLC Dedications. Indicate on Plan where dedication is to be made. ADDITIONAL NOTES AND COMMENTS: - �% N'�'785 G:�l 4c.+•},�1 Si."7 � 5Ho✓J N��� Ex��r.�.�j ��Z`4 S�t+�-`��C� ?o . l V S ►�v G -a `v�7 kt-� L. l -- (b � 1� 2- (P The ect plans correctly reflect the ' provements and/or dedication required for this proposal. Signature Title Date Page 6 of 6. R App.doc Revised 6/29/2007 .,.W Public Works Plan Check C�_� ments: Required Contact Joanne Johnson at (408) for work in the right of way. (Circ (Streetlight, sidewalk, curb & gutty pool permit, curb-thru-drain, new i Fee:. Bond: * All encroachment permits require a cert as additional insured. Best Management Practices Sheet Other: -Soils Lette oils Re ort -On-site Drainage to be shown on -All existing and future utility seri (Indicate on the plan set whether t] -Street Improvements/Grading Pla - - - —Works Department for processing Add these grading notes to site 1) Civil Engineer or Soils Engineerto review all grading and 2) Compaction reports and pad elevation certification is requ Contact Public Works, 777-3104, for drainage and final gr Contractor is responsible for dust control and insuring the VThe contractor shall review std. Detail 6-4 on tree protectii grading.shall be done in accordance with the Soils Rep 7) All storm line installation with slope less than 2%shall be 8) All on-site sanitary sewer lines and laterals shall be subjec (3 Utilize Best Management Practices (BMP's), as required b disturbs soil. 10) A work schedule of grading and Erosion & Sediment Coi hillside grading shall be performed between October I to 11 1T))U roof drains and/or down spouts shall be drained sheet ected to public storm drain facility. If and only if the do public storm drain. AM Completed 77-3245 to obtain an encroachment permit ;d Improvements Required). driveway approach, street tree, ility services, curb ramps) No Fee Permit: icate of liability insurance and a separate endorsement naming the City from the Building Department) to plan 0 ;es. must be shown to subject development. se facilities are new or existing.) (3 sets) and cost estimate shall be submitted to the Public id review.-.(-$1000P1an Check -Deposit -Req.)--- - — (CIRCLED NOTES ONLY) .ubmit a final report to the City prior to occupancy. 'ed on all building pad work. de inspection, which includes drain lines and roof drains/down spouts. rea adjacent to the work is left in a clean condition. a prior to accomplishing any work or removing any trees. in prepared by dated , file no. ;ertified by a Civil Engineer. to building department approval prior to installation. the State Water Resources Control Board, for ANY activity, which Engineering Staff Signature Date 2nd Submittal Engineering Staff Signature Date 3rd Submittal Engineering Staff Signature Date 4th Submittal Engineering Staff Signature Date Plan shall be provided to the City Engineer by August 15. No . a 15. 2% away from the building and maybe collected by drainage inlet e is in the hillside area can the water be directly connected to the Approved/Not Approved EJ -FEES ONLYREQUIRED FOR BUILDING PERMIT APPROVAL Approved/Not Approved . ❑ FEES ONLY REQUIRED FOR BUILDING PERMIT APPROVAL Approved/Not Approved ❑ FEES ONLYREQUIRED FOR BUILDING PERMIT APPROVAL Approved/Not Approved . ❑ FEES ONLYREQUIRED FOR BUILDING PERMIT APPROVAL CITY OF CUPERTINO I RECEIPT NUMBER: DS000003723 RECEIVED BY: GARYC I PAYOR: KEVIN POON TODAY'S DATE: 01/17/08 REGISTER DATE: 01/17/08 . TIME:. 11:05 5 I TWO-STORY PERMIT 22245 CUPERTINO ROAD $2,070.00 MINOR RESIDENTIAL PERMIT 1.0001@ $1041.00 $1,041.00 REFUNDABLE DEPOSIT/RETAIN 1.000; $400.00 CATEGORICAL EXEMPTION 1.0001@ $206.00 $206.00 COUNTY FILING FEES 1.0001@ '$50.00 $50.00 TOTAL DUE: ---------------- $3,767.00 CHECK $3,767.01b REF NUM: #176 I I TENDERED CHANGE $3,767.00 I I $.00 County ,of junta Clara Office pf the County'.Clerk-Recorder Business Division County Government Center 70 West Hedding Street,.E. Wing, I" Floor San ,lose, California 95110 (408) 299-5665 ENVIRONMENTAL DECLARATION For CLERK -RECORDER'S USE ONLY POSTED ON THROUGH _ �- /� ^c6,: IN THE OFFICE OF THE COUNTY CLERK RECORDER REGINA ALCOMENDRAS, COUNTY CLERK BY R4_QRll1GH,�DEPUTY NAME OF LEAD AGENCY: NAME OF APPLICANT:V�� CLASSIFICATION OF ENVIRONMENTAL DOCUMENT: 1 ( ) NOTICE OF PREPARATION j 2. (� NOTICE OF EXEMPTION . 50.00 COUNTY CLERK FEE REQUIRED 3. NOTICE OF DETERMINATION: Fr.MEC RDER FILE STAMP ( . MAR 12 2008 REGINAALC Y �Srv,t CLERK -RECORDER FILE NO. E- 1465 r Dept. of Fish and Game Receipt # 3z4lr� NEGATIVE DECLARATION PURSUANT TO PUBLIC! RESOURCES CODE 21080(C) ( ) 1850.00 REQUIRED ($1800.00 STATE FILING FEE AND $50.00 COUNTY CLERK FEE) ( ) 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/ PROQF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE SAME PROJECT IS ATTACHED: 50.00 COUNTY CLERK FEE REQUIRED ENVIRONMENTAL IMPACT REPORT PURSUANT TO PUBLIC RESOURCES CODE 21152 ( ) 2550.00 REQUIRED ($2500.00 STATE FILING FEE AND $50.00 COUNTY CLERK FEE) ( ) 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/ PROOF OF PAYMENT SHOWING PREVIOUS PAYMENT OF THE DFG FILING FEE FOR THE SAME PROJECT IS ATTACHED: 50.00 COUNTY CLERK FEE REQUIRED NOTE: "SAME_ pl.-LET "MEANS NO CHANGES. IF THE DOCUMENT DETERMINATION"<:LETTER SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A "NO EFFECT FROM THE FISH AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE REQUIRED. 4. Other: .i NOTICE TO BE POSTED FOR ��' DAYS. THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL ENVIRONMENTAL DOCUMENTS LISTED (INCLUDING COPIES) SUBMITTED FOR FILING. I ABOVE CHECKS SHOULD BE MADE PAYABLE TO: SANTA CLARA COUNTY CLERK -RECORDER. Board of Supervisors: Donald F. Gage, Blanca Alvarado, Pete McHugh, Ken Yeager, Liz Kniss County Executive: Peter Kutras, Jr. 05-02-2007 r ��. D Notice of Exemution To: County Clerk -Recorder 70 W. Hedding Street, 1St Floor East Wing—Business Division San Jose, CA 95110 Project Title: Project Location - (be specific): Project Location - (City): Cupertino Description of Proj Name of Public Agency approving project: C Name of Person or Agency carrying.out proj Exempt Status: (check one) City of Cupertino 10300 Torre Avenue Cupertino, CA 95014 Location - (County): Santa Clara : Kelvin Poon —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 ana section number: 15332 _Statutory Exemption. State code number: Reasons why project is exempt: In -fill Lead Agency Contact Person: Leslie Gross A Signature: ��%� Date G: I Plann ingl ERCT Exemptl2007exempt I rm2008O2. ects code/telephone number (408) 777-1356 Title: Planning Assistant I I I I 1 I I I KAM R�-+ p►tM � I I tPrI P AUM • 1 pM i N Ip �I I I I I I � I�txt a Igp�.gOO woae 04 C%4 I � I I I I twos FM noa1-4 f }I I -- PRQPERTI ONE r CUPERTINO RD. C: V P1 t. KL 1 L ! ILL KV V!1 01.014 - h ELDORADO STYLE. CASTAWAY STACK STONE X'E\EER