04110048 CITY Of CUPERTINOs' �
BUIL�INC DI:i*ION PER ° CONTRACTOR,INF,ORMA�N ;
PERMIT NO.
BUILDING#ADDRMS; 04110048
PERMIT ISSUE DATE
R
SANITARY OL NO.
ION .
BUILDING PERMR INFO. -
ARCHITECT/ENGINEER:
BLDG ELECT PLUMB MECH
um� LICENSED CONTRACTOR'S DECLARATION
00 Job Description
til❑ I hereby affirm that I am licensed under provision of Chad.. 9(commencing
iW with SccuonurudefecDivision 3 o NC Business antl Professions Code.and my license is
in full force and c(faL
a«n ClLue. FENCE (7 'HIGH)
n-p Dau: Contractor
h
ARclfr rTS DECLARATION CONTRACTOR: ARMANDOS FENCE
I understand my plans shall he used As public records
JUU
;off Liccnud Pmfessianal
S OWNER-exempt Rom Me,CATION
a� I hereby affirm that I am exempt Finn the COnuacmis License Law for the
?p O following moon.(Secuun 703 1.5,Business and Profc tions Code:Any city or county
K m which mquiru a permit m consumer,elle,improve,demnlLh,at repair any swcture
m"^ prior m its issuance,also requires she applicant for such permit to File a signed sutemem
Asa that he is licensed pursuant to the provision of the Coamoor'sLicense Law(Chapmr9 Sq.Ft.Floor Area Valuation
OFC (commencing with Section 7fKK)ofDivision 3ofthe Business and Professions Co&)tar $4000
i $
Out he is exempt therefrom and Ne basis for the alleged exemption.Any violation of
Section 7031.5 by any applicant for a permit subjects the applicant to a Olaf penalty Of APN Number Occupancy Type .
not mart Nan five hundred dollars(1500).
0 I,AS owner of the propcmy,or my employees with wages as their sole compensation,
will do the wark.and But structure is not ntended or offend for sale(Sec.70M,Business Required Inspections
and Professions Cade:The Cmamem'a License Law does not apply to an owner of q p
property who builds of improves thereon.and who does such work himself at through his
own employ.,provided Nat such improvements Are,not intended or uttered for sale.If,
however,the building or improvement is sold within on year of completion.Nc Owner- /
builder will have the burden of proving that he did not Wild or improve for purpose Of
sale.).
E]1'a owner of the property..B exclusivelysand contracting with licensed eanrt¢mrs i-
come La d project(Sec.o an Business and Profusions ds or
The vesnhemons nLi-
come
c tic law docs not apply a an Owner of property who sefids of ant to Methereon,and /
who contacts for such projects with aeonvutor(q licensed pursuant m the Contractor's
manse Law.
E)I
❑ am e{cmpt undca/Syf�. ,B&PC for.thnis on
Ove Dan,Date 3 0 G
RE4t'SCo1+IpENSATION DECLAIriCnO
I botchy afTsm under penalty of perjury one of the following declarations:
E1 hand will maintain a CeniBute of Cement to self-insure for Worlmr sCompen-
ave lion,u provided for by Section 3700 of Ne Labor Code,for Ne performance of Be
work for which this permit is issued.
0 1 have and will maintain Workers Compensation Insurance,u requited by Section
3700 of the Labor Cock.for the performance of the weak for which this permit is issued.
My Workces Com,amorm n Iuuarme carrier and Policy number am:
carrier. Policy No.:
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE '
(This section need not W cpmplemd rare permit is farorm hundred dollars($10(y
or ins)
I certify Nal in Ne Performance of the work for which this permit is issued.I shall not
employ any person in any manner so AS m become subject to the Workers Compensation
Laws of Califomia.Date
Applicant
NOTICE To APPLICANT:IL after making this Ccrificam of Eacmption,you Should
become subject or the Worker's Compcnalion purvisiona of the Labor Code.you most .
.JO forthwith comply with such provision or this permi r Snail he deemed revoked.
Z CONSTRUCTION LENDING AGENCY
[-v I hereby affirm that there is a construction lending agency for the performance of
a
arc work for which this permit is issued(Sec.3097,Civ.C.)
W Q Lendcea Name
M Lender!Address -
V 1 certify that 1 have read this application and sure that Be above information is -��%�-��
fT. correct.l agree to comply with all city and county ordinances and start laws reining to
0 building construction,and hereby authoriac representatives of this city to enter upon Me
above-mentioned property for inspection purposes. f
a
(We)agree to save,indemnify and keep hu.1111 the City of Cupertino against
MNinto
liabilities,judgments.ofhecraning capenumit. may in anywayaccrve against said City
Uz inconseANT of UNDERSTANDS
of this permit.
SOU E E UNDTRSTS NDS AND WILL COMPLY WITH ALL NON-POINT Issued by: Date
Mjlfr J° 5 Re-roofs
Signa— m.at#W an9 oMmettr rt
HAZARDOUS MATERIALS DISCLOSUR Type of Roof
Will the applicant or future building occupant store or handle havardous mammas
AS defined by de,Cupertino Municipal Code.Ch OM 9.17.and the Health and Safety
Cade.Section 25532(a)? All roofs shall be inspected prior to any roofing material being installed.
Oyer ao
. If a roof is installed without first obtaining an inspection,I agree to remove
Will Be app onto or ants Wilding by the Bt tau equipment of device which -
Distha'rartlnus air contaminants u Jcgnctl by Nc Bay Arca Air Quality Management all new materials for inspection.
District' '
CYcs (PNo
1 have mad Ne hamdous materials mquirements under Chapter 6.95 of de Califor-
nia Health&Safety Cade,Salons 25505,25533 and T55N,1 muktsund Out fide Wilding
docs not currently have a errant Net it IS my responsibility m nota fy Be occupant of the
mquimments w ' asticmelprimwissuanccofa CeFinteoracapan l
Signature of Applicant Date
� !f v4
t
own or r recd agent Dart All roof coverings to be Class "B" or better
San-
OTY OF CUPERTINO 0
CUP TOF YO PERMIT APPLICATION FORM �
APN # ?f 2- Date: 0 Z� lq y
Building Address: rq 3-76 111 S TA--P L7, Mailing Address (if different from building address):
u E5 INo GA —g50lb
Owner's Name: p Vi N K ECJ- Phone #: (/a�� ,
LI GH 6CKEK �'
Contractor: P, MAN))D TAVARG-S License #: 6.7C -081
Contact: Phone{ 0 V LS I-7 Cupertino Business License#:
Fax: 0 73 75
Building Permit lnfo: FE NCE E(vTENSIDN Hffdi"T
Bldg ❑ ct ❑ Plumb El e
Job Descri tion:
Residential � mmercial
Sq.Ft. Floor Area: $/Sq.Ft.: 1 .�
Cost of Project: 61 y � j_ Occupancy roup: v
J
Type of Construction: / Please the this bo if-the-proje 's a/
��F/NCE. secon&sto a
Project Size: Standard ala Large ❑ Ma or ❑
Quantity Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax-Resi/Mobile BUILDING
BELEC1000 Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <= 200A ELECTRICAL
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
7 " I
1 of
(t%u OITY OF CUPERTINO
CUP TYOF O PERMIT APPLICATION FORM
Quantityah Fee ID Fee Description Fee Group
BMISCELL Miscellaneous Fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
/ BPERMFEE Bldg Permit Fees BUILDING
BPFIXTURE Pblg Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
BPINfERCEP Ind Waste Interceptor PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water Heater/Vent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFIXT Lighting Fixtures ELECTRICAL
BREMFURN Relocation of Furnace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc Apparatus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
BREMPOWER Power Device/Apparatus ELECTRICAL
BREMRECEPT Rc tl, Switch & Outlets ELECTRICAL
BRE LOCA Relocation of Hood MECHANICAL
BREMREPALT Repair/Alter Heating MECHANICAL
BREMRESAPP Remodel Res Appliance___ ELECTRICAL
2 of 3
*CITY OF CUPERTINO
CITY OF PERMIT APPLICATION FORM
CUPERTINO
Quantity Fee ID Fee Description Fee Group
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Sips, Marquee ELECTRICAL
BREMTHEATR Theatrical Lighting Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation Systems MECHANICAL
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Temporary Power ELECTRICAL
_ BTEMPPERM Temporary Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical sq foot _ ELECTRICAL
_ EPERMITFEE Elec Permit Issuance . ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE: Plumbing Permit Issue PLUMBING
PPLBG __ Plumbing Fee sq foot PLUMBING
ZADDCHG __ Address Chane BUILDING
3of3
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APPROVE®
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CIIPMUERTIN % n^'
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3iGNED
This set of .4s ands cifications MUST j
oe kept o the jo all times and it is un,
h\ lawful to male—any changes or, alterations
on same without written permission from
�\ the building Dept„ City of Cupertino.
The stamping of this plan and specification®
\\ SHALL NOT be held to permit or to be an
approval of the violation of any provuuoM
\_ 4 anv Citv Ordinance or)rate Law,
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RECEIVE
NOV 0 8 2004
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ARA ANDOS FENCE;
SPZCL4LUMNGIN man
-RETTADgNG WAIJ a' Lic.No 676081, .F
• -WMA RS P.O. Box 3297 . ("408).251-7346 }
San Jose, CA 95156, 3297
PROPOSAH.& CONTRACT
PROPO L SUBMITTED TO HOME PHONE DATE
Af3yG%tiS3- S 4 i .3"o-0oSTREET WORKPHONE
.v°. Stem D0I9
%d37 �fli57s7� ' iT . ,
CITY,STATE.And ZIP CODE JOB LOCATION
NOTE:THIS PROPOSAL MAY BE WITHORAWN By US IF NOT ACCEPTED WITHIN_DAYS
DOLLARSIS I _
NQU;MORIZED SIGNATURE
ALL REDWOOD MATERIAL/TEAROUT AND HAULAWAY INCLUDED YU�y g 2��4
POSTS SET IN CONCRETE (/,,��/,/uf� J/AG.T•
RAILS lydl/RS r:a-.d 2000CV/1wz/y411/
BOARDS
KICKBOARDS • ,d 9d / l J!,j I
nn mop RETAINER 2!/Js IL`yl�jf'/v ALL HARDWARE AND NAILS
fir, C��.v F
TO BE GALVANIZED
� ,ay.�>t9 l9 isfidvl ?� .a`T Ave ,� A.,.a�v✓ Asr J'd?:Azr/
„EA
a,�: ,iii ��a. ...era- .ted ,�o �...,�.� /.�•»�.�
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R-e-///7 .Au»JYi/.. .4/ nP��vr �A.4.e...OJvr� tYrAsNr 1 �/.Jd/ i3n
PAYMENT TERMS:Payment In full upon completion.
See reverse side for "additlonafterms"
DATE WORK TO COMMENCE SIGNATURE Date
DATE WORK TO BE COMPLETED SIGNATURE Date
ACCEPTANCE OF PROPOSAL AND CONTRACT The aoove prices. SIGNATURE
speeihcahons and cor•dn-ohs are satisfactory and are hereby accepted g. Date
You are authorized to do the work as specdied Payment will be made SIGNATURE rDate
UPONCOMPLETION t —
�t si Jo �7 LTi
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` C WED �
i 0 0 8 2004
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EXC-2004-07
CITY OF CUPERTINO
10300 Torre Avenue
Cupertino, Califoriva 95014
RESOLUTION NO. 158
OF THE DESIGN REVIEW COMMITTEE OF THE CITY OF CUPERTINO
FOR A FENCE EXCEPTION TO ALLOW A SEVEN-FOOT FENCE IN
THE FRONT YARD SETBACK AREA.
SECTION I: PROTECT DESCRIPTION
Application No.: EXC-2004-07 OFFRI�17A licant: Ravin Checker
Location: 10376 Amistad Court
SECTION II: FINDINGS �EC�IVFD
Nov 0 8 2004
WHEREAS, the Design Review Committee of the City of Cu ertino received an
application for a Sign Exception, as described in this Resoluti
WHEREAS, the Design Review Committee finds that the changes are beneficial and
compatible with the surrounding area;
----- — - —T•�-That=the literal enforcement of the provisions of this title will result in restrictions
inconsistent with the spirit and intent of this title in that the proposed fence is
consistent with surround fencing patterns and meets the intent of the ordinances
since Voss Avenue frontage is really being used as a side yard;
_. . ..__.._.2..._.That granting of the exception will not result in a condition which is materially
detrimental to the public health, safety or welfare since it is consistent with the
existing neighborhood pattern; and
3. That the exception to be granted is one that will require the least modification of
the prescribed regulations and the minimum,variance that will accomplish the
purpose in that the proposed fence will be setback from the property line at least
10 feet and will stay clear of the required 40 foot traffic view triangle; and
4. That the proposed exception will not result in a hazardous condition for
pedestrian and vehicular traffic in that the fence will be setback from the
property line at least 10 feet and will stay clear of the required 40 foot traffic view
triangle; and
Resolution No.158 EXC-2004-07 June 2, 2004
Page 2
• 5. The proposed development is otherwise consistent with the City's General Plan
and with the purpose of this chapter as described in Section 16.28.010 in that it is
consistent with the existing neighborhood patterns and the Ainistad Ct. frontage
is being used as the front yard area; and
6. The proposed development meets the requirements of the Santa Clara Fire
Department and Sheriff's Department, and if security gates are proposed, that
attempts are made to standardize access in that the proposed fence does not
require fire and police review and no security gates are being proposed.
NOW, THEREFORE, BE IT RESOLVED:
That after careful consideration of maps, facts, exhibits, testimony and other evidence
submitted in this matter, the application no. EXC-2004-07, is here by approved; and
That the subconclusions upon which the findings and conditionsrspecified-ih thisfru " !'
Resolution are based and contained in the public hearing record c`�oJn&ffdhg,A-pplic tion
EXC-2004-07 as set forth in the Minutes of the Design Review Committee Meetmg of
June 2, 2004, and are incorporated by reference herein.
SECTION III: CONDITIONS ADMINISTERED BY THE C0MIvIUT'NITYr�gv'ID
DEVELOPMENT DEPT. Nov 0 0 2004
® 1. APPROVED EXHIBITS BY:�`
Approval is based on the plan set as part of the staff report to the Design Review
Committee dated June 2, 2004, except as may be amended by conditions in this
resolution.
2. FENCING IN THE STREET SIDE YARD AREA
No fencing higher than three feet tall shall be allowed in the street side yard area
(first 20 feet set back from the property line along Amistad Ct.) since it is being used
as a front yard.
3. BUILDING PERMITS
The applicant shall obtain all the necessary building permits to construct a fence
higher than six feet in height.
4. NOTICE OF FEES, DEDICATIONS, RESERVATIONS OR OTHER EXACTIONS
The Conditions of Project Approval set forth herein may include certain fees,
dedication requirements, reservation requirements, and other exactions. Pursuant
to Government Code Section 66020(d) (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(x),
Resolution No.158 EXC-2004-07 June 2,2004
Page 3
• 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.
PASSED AND ADOPTED this 2nd day of April 2004, at a Regular Meeting of the
Design Review Committee of the City of Cupertino, State of California, by the following
roll call vote:
AYES: COMMISSIONERS: Commissioner Chen and Acting Chair Miller
NOES: COMMISSIONERS:
ABSTAIN:, COMMISSIONERS:
ABSENT: COMMISSIONERS:
ATTEST: APPROVED:
P/s/ � tttNeo
Ciddy Wordell /s/ Marty Miller' t4'
Ciddy Wordell, Marty MIller, ActiCity Planner Design Review Co $ 2004
�----"
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