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ഊ䰊†⸮†䥉ധ 縠攠†縠†婏漠†✡‡楩ര 嬡攠湥†氡‡氡‡縠മ縊稠縠⁾†∠㨬ൄ倊㨠佄††Ⱞ※∠ൺ 潾††〠ധ嬊䁊†††ഢ 縠‰†䐺䩛⁀†•†〠†⁾†縠††††‰⁉⁉ †††爠൫ഊ椊㩾㠺縠縠楩椠㼠昺楬Ⅼ⁾㩢൜⸊‱䥉䤧ൾ尊⸠縮椠ധⰊ爺尠∠䤠ൾ椊縠縠䥉൦椊†縠縸⁾汩慩縠攠൮洊繾〠慩⁾椻〠ൺ縊⸬†ൣ∊椡⹉㨺㠱†吢縊縮†൲㴊汾汩椠⁾〠〠椡℡氱⁉㨠ര縊†琢൬漊椻†㨩†稠橪㬺⸠മㄊ㬯㨺›⸮†愠⸮⸮⁹⸬†ൾ⸊മ匊††††❾⠩ⴢㄱഢഊ嬊∰⤱ഢഊ吊റㄊⴭⴠⴭൾ縊㨮繾繾挠⸬⸬⸠⸮⸮⤨繾松ㄱ‵ൾ㨊乮⥏䤨爩穮›൭∊繬湾浾洠〺∺〧㸺洠稠千ㄡⅾ楬㨠⁄汇瑚区⸮⸮繭娠⁾汩繬爠൮攊※湥㬠㽊∧‸ൾ猊ഺഊഊ縊㭾縻繾㨠ൔ∊愧㩩椡猺汀൛㬊橊ⴭ∧攠ര縊浾繾ൾ帊繾⸾縸繾獾瑥ㅬ≻ഩ漊縠䥾⁀䍏楄ㅩ⁾ീ㠊縠൯漊㩳❴ⴭ樺ഢഊ䔊ഊ氊‧∵吭ഭഊ縊ㅾㅟ彾彟彟機彟彟ൟ《∱∢㬢ⴱ楱繾Ⅹ晦繩ൾ縊繧ൾഊ洊㩱㨺⸮⸮㨰സ縊繾繧縠朠⁾楉⸠⁌㩓縠ഢⴊ⸮⸮‰ൾ縊縮⁾∵⸠㩣㭳㨮⸮⸮映ൾ縊愠℮氩•⸮捾潯⤠㸡⁾ൾ∊䌠ൄ漊ളഊ∊⁑⁾⁾Ⱝധℊ⸮⸮繯മ朊朧縺ൾ縊繾൧⠊㨰㨺㘱晾ൾഊ䌊ൄഊ䤊尬റഊഊㄊറㄊ䥾㨶縠✺ഺഊㄊㄊറㄊറ䤊റⰊറㄊറㄊ⁵ㄮഢ∊റㄊ縊戊൬✊ㄊറㄊറㄊറഊ
ഊ尊൦ഊ縊繾㨠䩾樠⸻砠ⁱⱱ※尧ൾ⸊㨠ൡഊ䰊ⴭ繾ⴧⴭൂഊഊ㨊䥉ൾ㨊䥉൭爊ൾ✊氭൯娊സഊഊ⸊മ䤊≉ഊഊ㈊❢⸭≪ധഊഊ縊繾匠楾樠Ⱜ㬻椡‡硾䤧縠䤠氠愻⁾⹉⸮⸬挠㭱焠焠ൾ✊ഢഊ䈊ബⴊമⰊഊ䤊⸮ൾ焊縻⁾繾൸琊❜焠൰㨊ൡഊ㔊縧ㅾൄഊഊ縊൪ഊ縊⁾❾൸縊灱愺✵㈭ഢഊ弊张㙟唠›彟䥟ൂ漊ⱕമഊ猊‧㈭ഢഊ㘊Ⱗ✰䨠ൾ縊൯搊湥൩縊婏䤠⁾⤨椠晾മ䤊൮朊ധഊ攊൮∊൛縊縠⁾⸬൯稊湥ൌഊ漊℡൬ℊ℧⁾⁉⁉ഡഊ縊ㅩ愊ഊ䤊映⸮മⰊ∬䤧㩃≾䔧ⵕ㭱㨺縠桯繾‧❾വഊㄊ✰〭ഢഊഊ✊ൾഊ縊繾椠❴∠൳㨊ൡഊ㬊繾縠椭繾椡ഡⰊ⸠⸮Ⱐൾ✊㭬楬縠•䤧⁾⁐漺൦縊倠愺漻繾⁾⁸楬縸䤠⹉ㄠ㨢䤺⁾ൾ∊⁉氧楾繾朡✢⁾ൺⰊ∠縭縭∺ㅾ✠൬ഊ縊⁾繾⁾㩾℻Ⅹ䤧縠縠㬻縠ൾ㨊ൾ爊ⴭⴭ∧㔲礬ㄠ✰〭弢彟彟ㄭ഼ഊㄊ䥊൲洊ൾ洊൲縊ⴧ൬漊൚ഊ㬊汊佾ഺ刊㬻汬൬縊ㅜറ㬊卾楐ⰽ㉾≬ⅾ✻ഢ㬊縸Ⅼ繬⸮縻㸤㰭慬㠱റ搊⸮縮䈠⽣ Ⱗധⴊⴭⴠⴭⴭⴭⴭⴭ牂൝漊⸮椬ഊ瀊⁾ബ椊㨧縊汉佬㨻മ唊刺䤠㬮椡൬縊潩氺灾൨縊繾縊繾Ⅹ൬䤊椠汬㨰⁾ൾഊ∊䡡Ⱐⵉ䴢ⴺⴭ✯椠繾楩㨡繺湾ⴭ∧縠愠⸮⸮縠繂繾⁾湾匠楬⁾楾縡楾繩ൾ渊縠獈縠⁾繉楾縮縡㩾൩䴊湥漠湾Ɐ㬰‧℮縠ⰲⰮ❴㉬ള縊⸮⹍⸮⸠椠縠汐繾൩ഊ㨊晩⸻‧മഊ縊慾ൾ䤊楬⸮⸮縠⸮汩൬縊縡മ㬊氻⸬⁾⁾㨺⁄砻ാ䨊捊∧‰猡㨺㨠സ䤊⁉楬഻ഊⰊⰠബഊഊ䤊ഊ攊൮∊✧ⴢ攼❮•砺൬栊✻✻縠縠㼠വ⸊摾㩯Ⅹ㈠楾汒⁾ൾ縊㨺戺繾縠㡾繾⁾ൾ縊氠汬⁾湲⁾⁾㴺㨧ൊ栊ㄠ氡൯猊ഺഊഊഊ㸊⡭繩∢•⁄ൾ縊繾㨸ⅾⴡ汜ⴺ✺洠㨠✢✺•㸭⹑㔠ⵣ汓挠⸮⸮匮挺㨺മⴊ⸮‧ㄻ〺〠‾ൾ縊㭡≾㔮⸻繣㭩⤮⁾㩣ൾ縊愠㨡∳⸠മ縊㩣㠠㸻⁾ൾ瀊縠䤠㨺‸∧ളഊⴊൣ儊松※൩ℊ兾ൾ瀊繡の㍬ല㸊㨰㨱楾ൾഊ✊ഢ
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minty of Santa Clara
Office of the County 'Clerk- Recorder
Business Division
County Government Center
70 West Hedding Street, E. Wing, 1st Floor
San Jose, California 95110 (408) 299 -5665
ENVIRONMENTAL DECLARATION
For CLERK - RECORDER'S USE ONLY
POSTED ON _MAR R 0 2008 THROUGF
IN THE OFFICE OF THE COUNTY CLERK- RECORDER
REGINA ALCOMEND S; COUNTY CLERK
BY_ - DEPUTY
NAME OF LEAD AGENCY: h
NAME OF APPLICANT:
CLASSIFICATION OF ENVIRONMENTAL DOCUMENT:
1 • ( ) NOTICE OF PREPARATION
2. W NOTICE OF EXEMPTION
50.00 COUNTY CLERK FEE REQUIRED
3. NOTICE OF DETERMINATION:
(:—:�(kk_,qL4
FOR CLERK - RECORDER FILE STAMP
ENDORSER,
MAR 2,:0 2008
REGINA
Banta0amC�ounty* '( l:ecatder
Y
CLERK - RECORDER FILE NO.
E -14648
rCA 7Dept. of Fish and Game Receipt #
�� 9 �3�_
NEGATIVE DECLARATION PURSUANT TO PUBLIC RESOURCES CODE 4 Z1080 (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/ PROOF 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: 'AA ME PROJECT" MEANS NO CHANGES. IF THE DOCUMENT SUBMITTED IS NOT THE SAME (OTHER THAN DATES), A "NO EFFECT
DETERMINATION' LETTER FROM THE FISH -AND GAME FOR THE SUBSEQUENT FILING OR THE APPROPRIATE FEES ARE REQUIRED.
4. Other:
.t
NOTICE TO BE POSTED FOR DAYS.
THIS FORM MUST BE COMPLETED AND ATTACHED TO THE FRONT OF ALL ENVIRONMENTAL DOCUMENTS LISTED ABOVE
(INCLUDING COPIES) SUBMITTED FOR FILING.
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
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014
Notice of Exemption
To: County Clerk- Recorder
70 W. Hedding Street, I't Floor
East Wing — Business Division
San Jose, CA 95110
Project Title: RM- 2008 -05
Project Location - (be specific): 10321 Johnson Avenue
Project Location - (City): Cupertino Project Location - (County): Santa Clara
Description of Project: Minor Residential Permit for a second -story rear deck on a new,
2,563 square foot two -story residence
Name of Public Agency approving project: Cityf Cupertino
Name of Person or Agency carrying out project: Jiayi Li
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: In -fill Development
Lead Agency
Contact Person: Leslie Gross Area code /telephone number (408) 777 -1356
Signature: � Date: March 11, 2008 Title: Planning Assistant
G: IPlanninglERClExempt12008exeniptl rm200805. doc
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.
Include Jthhis form in your application submittal. �n1 �A,
Address: / t��iI �� �LN s �► �U� . Email Address: � %`�r �% °""` .- Cam'
Applicant Name: a., a L %� Phone No: �-o Y-
For Internal Use Only - Do not write below
Public Works Department
Addition: Single Family Dwelling:
Flood Zone Designation:
Dedications Required:
ADDITIONAL NOTES AND COMMENTS:
X
Signature Title Date
Page 4 of 4
RM App.doc Revised 111011008
PUBLIC WORKS CONFIRMATION
Community Development Department
10300 Torre Avenue (408) 777 -3308 / Fax (408) 777 -3333
C
O
Cupertino, CA 95014 planning@cupertino.org
http:/ /www.cupertino.org /planning
U PE RT1 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.
Include Jthhis form in your application submittal. �n1 �A,
Address: / t��iI �� �LN s �► �U� . Email Address: � %`�r �% °""` .- Cam'
Applicant Name: a., a L %� Phone No: �-o Y-
For Internal Use Only - Do not write below
Public Works Department
Addition: Single Family Dwelling:
Flood Zone Designation:
Dedications Required:
ADDITIONAL NOTES AND COMMENTS:
X
Signature Title Date
Page 4 of 4
RM App.doc Revised 111011008
Fees
Minor Residential Permit $1,041, Non - refundable fee for each request
Public Noticing* 200 Adjacent property owner notice
Categorical Exemption 206-- Non - refundable fee
Categorical Exemption Filing Fee 50---' Non - refundable fee
* Adjacent neighbors will get notice and copy of plan set
Requirements
Application Form
Application Fees and Deposit
Plan Set Requirements
■ 1 full size 24" x 36" plan set, folded to 8112" x 11"
■ 3 reduced 11" x 17" plan sets, folded to 81 /z" x 11" (Additional copies will be required later for
noticing purposes). . '.,%
■ CD -ROM containing PDF, TIFF or JPEG files of the plan set. In lieu of a CD, the images may be e- mailed
❑ directly to the City. See a planner for details.
Public Works Confirmation
Plan Set Contents
Vicinity map
Site Plan
• Scale & north arrow.
• Lot line dimensions, setbacks and dimensions from the building to property lines.
• Location of existing and proposed building wall and eave lines (including decks and balconies).
• For extension of a non - conforming wall: Location of existing and proposed building wall lines
of buildings on adjoining properties.
• Existing/ proposed finished floor elevation of subject property and adjoining lot buildings.
• Accurate location, size, species type and spread of existing trees on property and in public
right -of -way. Mark the ones that are proposed for removal.
Floor Plans
• Fully dimensioned floor plans.
• Show the first story roof on the second story floor plan:
Elevation Plans
• Building dimensions, first and second floor plate heights and total height.
• Indicate the single -story building envelope as described in Section 19.28.060 G (2) of the R1
ordinance.
Privacy Protection Planting Plan (for a Second Story Deck)
■ Show entire site. Show entire building footprint with roof.
Page 3 of 4
RM
APP Revised 111012008
APPLICATION REQUIREMENTS
Community Development Department
10300 Torre Avenue (408) 777 -3308 / Fax (408) 777 -3333
CU
Cupertino, CA 95014 pl'anning@cupertino.org
I http: / /www.cupertino.org /planning
PERT1 NO
Fees
Minor Residential Permit $1,041, Non - refundable fee for each request
Public Noticing* 200 Adjacent property owner notice
Categorical Exemption 206-- Non - refundable fee
Categorical Exemption Filing Fee 50---' Non - refundable fee
* Adjacent neighbors will get notice and copy of plan set
Requirements
Application Form
Application Fees and Deposit
Plan Set Requirements
■ 1 full size 24" x 36" plan set, folded to 8112" x 11"
■ 3 reduced 11" x 17" plan sets, folded to 81 /z" x 11" (Additional copies will be required later for
noticing purposes). . '.,%
■ CD -ROM containing PDF, TIFF or JPEG files of the plan set. In lieu of a CD, the images may be e- mailed
❑ directly to the City. See a planner for details.
Public Works Confirmation
Plan Set Contents
Vicinity map
Site Plan
• Scale & north arrow.
• Lot line dimensions, setbacks and dimensions from the building to property lines.
• Location of existing and proposed building wall and eave lines (including decks and balconies).
• For extension of a non - conforming wall: Location of existing and proposed building wall lines
of buildings on adjoining properties.
• Existing/ proposed finished floor elevation of subject property and adjoining lot buildings.
• Accurate location, size, species type and spread of existing trees on property and in public
right -of -way. Mark the ones that are proposed for removal.
Floor Plans
• Fully dimensioned floor plans.
• Show the first story roof on the second story floor plan:
Elevation Plans
• Building dimensions, first and second floor plate heights and total height.
• Indicate the single -story building envelope as described in Section 19.28.060 G (2) of the R1
ordinance.
Privacy Protection Planting Plan (for a Second Story Deck)
■ Show entire site. Show entire building footprint with roof.
Page 3 of 4
RM
APP Revised 111012008