12090065CI.1'Y OF CUPI :RTINO BUILDING PERMIT
BUILDING ADDRESS: 2054413LOSS01.1 UN
CONTRACT OR: 13AY PACIFIC FENCE CO
PERMITNO: 12090065
OW'NE'R'S NAME: JAMES 13ROWN
1756 URNA AVE
DATE ISSUED: 09/11/2012
OWNER'S PIIONE: 4087539589
SAN,IOSE, CA 95124
muoFE NO: (408)4484904
❑ LICENSED CO\ "IRACI'OR'S DECLARATION
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BUILDING 1'ERAII'1' INFO: BI,UC F;LEC'I' PLUMB
License Class I,ie. N
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Contmaor 31> Y1� T l /C - Dole / (�1 1-4-
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MEC33 RES1Den•rlAl, coalMeaclAl,
hereby' affirm Ih I 1 am licensed under the provisions of Chapter 9
3013 DESCRIPTION: CONSTRUCTION OF 8 h I' SIDE YARD WOOD PI:NCIi (64
(commencing with Section 7000) of Dis'isinn 3 of the Business S Professions
I..F.)
Code and that my license is in full force and effect.
hereby affirm under penally of perjury one of the following loo declarations:
I have and will maintain a certificate ofconscnt to self - insure for Worker's
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
Sy. Fr Fleur Area:
Valuation: $2240
I have and will maintain Worker's Compensatin l Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.
AP.N Number: 35918027.00
Occup :mcy'1)pea
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
correct. I agree to comply frith all city ;aid fcount• ordinances and stale laws relating
to building construction, and hereby authorize representatives Of this city to enter
PERMIT EXPIRES IF WORK IS NOT STARTED
upon the above mentioned property for inspection purposes. (Wye) agree m save
-
indcnmifyandkeepharmlesstheCityOfCupertinoagainstliabililies ,judgments,
WI THIN 180 DAYS OF PERMIT ISSUANCE: OR
costs, and expenses which may accrue against said City in crosequencc ordle
1811 DAYS FROM LAST CALLED INSPECTION.
granting of this permit. Additionally, the applicant understands and will comply
with all non -point source regulations per the Cupertino Municipal Code, Section
9.18.
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Issued by: F //�11F7 Dale: �'��'��
Signature ITUC 9/�l/lZ
❑ OWNER- 1101 IMEIt DECL,%RX'ION
Rh: ROOFS:
All roofs shall be inspected prior to any roofing material being installed If a roof is
1 hereby affirm Ihal I not exempt from the Contractor's Licenw Law for one of
installed without first obtaining an inspection, I agree to remove all new materials for
the folluwine two reasons:
inspection.
I, as owncr of the property, or my employees with wages as their sole compensation,
will do the stork, and the structure is not intended or offered for sale (Sec.7044.
Signature of Applicant: Dane:
Business R Professions Code)
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec.7044, 1usiness fi professions Code).
ALL ROOF COVERINGS TO HE CLASS "A" OR BE ITER
I hereby affirm under penalty of perjury one of flue following three
declarations:
IIA %A It DOliS MATT'.1t1A1 S DISCLOSURE.
I have and will maintain a Certificate of Consent to self - insure for Worker's
I have read the hazardous materials requirements under Chapter 6.95 of the
Compensation, as provided for by Section 3700 of the Labor Code, for the
California Health S Safely Code. Sections 25505, 25533. and 25534. 1 will maintain
performance of the work for which this permit is issued
compliance wilh the Cupertino Municipal Code. Chapter 9.12 and the Health
I have and will maintain Worker's Compensation Insurance.:u provided for by
Safety Cade, Section 25532(a) should I store or handle hazardous material.
Section 3700 of the Labor Code, for the performance of the work for which this
Additionally, should I use equipment or devices o'hich emit hazardous air
permit is issued
connanun :un.a: s defined by the liar Arca Air Quality Ma nagenienl District I will
nlninlain compliance with the Cu perli no .Vl n niei pad Code. Chapter 9.12:nd the
I certify that in the performance of the stork far which this pcnnit is issued I shall
Ilealth S Safety Code, Sections 25505, 25533. and 25534.
1101 employ any person in any manner so as to become subject to the Worker's
Compensation laws of California. If, after making this certificate of exengnion, I
become subject to the Worker's Compensation provisions of the Labor Code, I must
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Iorlhwith comply With such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
APPLICANT CIAUI I FICATION
I hereby affirm that there is a construction lending agency I'or the performance of work's
I certify that I have read this application and state that the above inlimnation is
fix Which this permit is issued (Sec. 3097. Civ C.)
correct. I agree to comply with all city and county ordinances and state Imes relating
Lender's Name
to building construction, and hereby authorize representatives of this city to enter
upon the above mentioned property for inspection purposes. (Wye) agree h) save
Lender's Address
indemnify and keep harmless the City of Cupertino against liabi I itics, judgmcros,
costs, and expenses which may accrue against said City in consequence of the
granting of this permit. Additionally, the applicant understands and will comply
ARCI I ITECI" S DECLARATION
with all non -point source regulations per the Cupertino Municipal Code, Section
I understand my plans shall be used as public records.
9.18.
Licensed Professional
Signature Date
CUPERTINO
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255
(408) 777 -3228 • FAX (408) 777 -3333 • buildino(a)cupertino.oro
❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION /TI ❑ REVISION /DEFERRED
ao 9(�D
ORIGINAL PERMIT N
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PROJECT ADDRESS l0 �h
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OWNER NAME PHONE
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STREET ADDRESS OS4"7' B /OSSN'1
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CONTACT NAME �
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James DI'OLIJ M
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STREET ADDRESS Zo <,'•1 r�JI Sdr'✓1
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CITE', STATE, IP CA I�
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❑ OWNER ❑ O"ER- BIRLDER O OWNF.RAGENr ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHDECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT
CO RA NAM
LICENSE NUMBER
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LICENSE TYPE
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BUS. LICK
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OMPANY NAME ! I , ,1
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FAX
STREET ADDRESS
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CITY,ST TE,ZIP
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PHON
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7166 UQn/A ✓c—
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ARCHITECT/ENGINEER NAME
LICENSE NUMBER
BUS, LIC 0
COMPANY NAME
E -MAIL
FAX
STREET ADDRESS
CITY• STATE, ZIP
PHONE
DESCRIPTION OF WORK
S'T'AIIATba �CN � � LY
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EXISTIN USE
PROPOSED USE
CONS'rR. TYPE
4STOR1ES
USE
TYPE
OCC.
SQ.FT.
VALUATION (5)
EXISTG
NEW FLOOR
DEMO
TOTAL
AREA
AREA
AREA
NET AREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA
TOTAL DECK /PORCH AREA
GARAGE AREA: DETACH
ATTACH
N DWELLING ANDS:
IS A SECOND UNIT OYES
SECONDSTOR\ OYES
BEING ADDED: ONO
ADDITION7 ONO
PRE-APPLICATION OYES IF YES, PROVIDE COPY OF
IS THE RLDC AN OYES
RECEIVEUB OTAL VALUATION:
PLA.NNINGAPPLI ONO PLANNING APPROVAL LETTER
ETCH LER HOME? ONO
Z2 40 ♦/-
By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this
application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local
ordinances and stale laws rel tin 'Iding con ction. I authorize representatives of Cupertino to enter the above - identified property for inspection purposes.
Signature of ApplicanJAgenc Date: 2._
SUPPLEMIV4TAL IN`FORNIATION REQUIRED
PLAN CHECK TYPE.
ROUTING SLIP
o\ tRa HT. COUN-IER
BmI nlNC ria� RT \ I&
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
-.
t
permit for new building.
EXPRESS - _
PLANNING PLAN REVIEW
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
❑ SPA\DAHD
❑ rultuc\i'oRksJ
To-m- if anv HI zardous Materials are being used as part of this project.
❑
- '•
1 ❑
LARG E
FIFE DEPT .
_ Copy of Planning Approval Letter or Meeting with Planning prior to
- ❑
❑ S;��ITARi' 3ewtilililsrRler
submittal of Building Permit application.
aueoR
❑.. EN \'I RONMENLV. IIF.ALTILi._
BldgApp_2011. doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR - BUILDING DIVISION
NOTE: This awinmte does not inc /udejees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the nreliminan' information available and are atdv an estimate Contact the Dept for audit info.
FEE ITEMS (Fec Resohaion 11 -053 li1C 711111)
ADDRESS: 20544 Blossom Ln
DATE: 0911112012
REVIEWED BY: Sean
Mil
APN:
BP #: ,Z .OL2
- VALUATION:
$2,240
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE: Alteration / Repair
PRIMARY SFD or Duplex
USE:
Elce. Insp. Fee:
PE NTAMATION 1GENRES
PERMIT Tl'PE:
WORK
Construction of 8 It side yard wood fence 64 L.F.
SCOPE
$0.00
NOTE: This awinmte does not inc /udejees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the nreliminan' information available and are atdv an estimate Contact the Dept for audit info.
FEE ITEMS (Fec Resohaion 11 -053 li1C 711111)
Xlech. Plan Check
Plumb. Plan Cheek
Flee. Plan Check
Mech. Permit Fee:
Plumb. Permit pee:
Fee. Permit Fee:
Other Alech. Insp.
Other Plumb /asp.
Other Elce. Imp.
,1 /ech. Insp. Fec:
Plumb. bwp. Fee:
Elce. Insp. Fee:
NOTE: This awinmte does not inc /udejees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc.). These fees are based on the nreliminan' information available and are atdv an estimate Contact the Dept for audit info.
FEE ITEMS (Fec Resohaion 11 -053 li1C 711111)
FEE
QTY /FEE
MISC ITEMS
Plan Check Fee:
$0.00
64 I.f
$400.00
Fence
)FENCE >6FT Fence, Non-Masonry >6'
Suppl. PC Fee: 0 Reg. O OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Fee:ID Reg. Q OT
Tp .0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax
Administrative Fee:
Q
E)
Work Without Permit? O Yes (F) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non - Residential
Building or Structure
l)
0
i
Travel Documentation Fees:
Strove Motion Fee. IBSEISMICR
$0.50
Select an Administrative Item
Bide Stds Commission Fee. IBCBSC
$1.00
SUBTOTALS:
$1.50
$400.00
TOTAL FEE:
$401.50
Revised: 07101/2012
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Good Neighbor Fence Agreement between owners of 20550 and 20544 Blossom Lane, Cupertino, . CA
This is intended to describe an agreement to construct a new segment of a `good neighbor fence" to be constructed between the
properties at 20550 Blossom Lane and 20544 Blossom Lane, both of Cupertino, CA.
Both owners agree that the fence can only approximate the property line and that small portions of their property may lie on the
other side of the fence. As a consequence, and so as to preserve full property rights, this "good neighbor" fence agreement is in no
way intended to modify the legal property description of either property and to the extent that the new fence may deviate from the
legal boundary between the two properties, each property owner grants that the other may use that portion of their property on
the other side of the fence by permission which is revocable at any time.
Both neighbors agree to share in the cost of constructing the new "good neighbor" fence segment (GNF)
The new fence segment (GNF) will abut both an existing backyard fence (BF) which lays East to West along the southernmost extent
of the two properties, and an 7 -1/2 foot high existing side fence (ESF, running North - South) and that lies between the two houses
and to the North of the currently standing garage.
The new fence segment is to be constructed on a straight line between two points defined on existing fence posts that will remain
standing. One of these points is a northernmost point (NP) and the other is a southernmost point (SP).
The northernmost point (NP) of the new fence segment is to be defined as the center of the existing 4 "x6'• fencepost located about
V -7" to the East of the North East corner of the Garage (as It exists as of the date of this agreement) located on the 20550 Blossom
Lane property. This reference fencepost also forms a part of the fence segment (ESF) running North -South between the two houses
and said fencepost (NP) and fence segment (ESF) will be left standing as is.
The southernmost point (SP) of the new fence segment Is defined as the Westernmost Edge of the Eastern -most 4 "x6" fencepost of
the recently constructed backfence of 20550 Blossom Lane and is located roughly 62 feet south of the fencepost labeled NP.
At the northermost point, the new fence segment should attach to and make use of the existing fencepost (NP) defined above.
At the southernmost point, a new 4 "x6" fencepost should be placed per attached sketch; but braced by the existing E -W backyard
fencepost located nearby.
Between these two points (NP and SP) a new fence segment shall be constructed similar in type to the backyard fence of 20550
Blossom lane, being 8' high (by permission of both, property owners), except that it shall be 6' solid and 2' mesh along the top.
Fenceposts used shall be of good quality, pest -mold- and - termite resistant redwood 4 "x6" (oriented with the 6" edge running N -5).
The fence will be treated after construction with appropriate sealant. Prior to placement of the new fence segment, tree roots will
be removed along and on either side of where the fence will be placed so as to preclude subsequent deterioration of the stability of
the fence.
One attached sketch depicting the placement of the new fence segment, initialed by owners of both properties shall be considered a
part of this agreement.
The agreement shall only become effective upon signature by owners of both properties.
Signed
/z,0C�zoll
James L Brown, 20544 Blossom Lane 44_eccZUTT-
20550 Blossom lane
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CIT OF
CUPEkTINO
10300 Torre Avenue
Cupertino, California 95014
Telephone: (408) 777 -3308
FAX, (408) 777 -3333
COMMUNITY DEVELOPMENT
FENCE APPROVAL
(DATE)
I am an adjoining property owner of TO- me s V `Q u1-M
(NAME)
whose property is located at 205"H L"Q C0 ee` C*
(ADDRESS) 27 SD `q
I approve (per Section 16.28.040 of the Cupertino Municipal Code) the allowance of a
/ foot high fence facing my property.
(8 Fr. MAXLYI UM)
SIGNED:
Name: V0
Address: >-(Yr -0 [ID
0 A AP 1'Z;-yQ, 1-4 7 to
G :IPlanningLIfISCEIlIFencelFence Approval Form.doc - Updated 8/15/2003