R-2014-02b � ,,
OFFICE OF COMMUNITY DEVELOPMENT
CITY HALL
10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
C U P E RT I N C) (408) 777-3308 • FAX(408)777-3333•planning�a�cupertino.orq
March 17, 2014
DWK Construction
Attn:Julie He
18665 Loree Ave
Cupertino, Ca. 95014
SUBJECT: TWO STORY PERMIT AND MINOR RESIDENTIAL PERMIT ACTION LETTER—
Applications R-2014-02 and RM-2014-04
This letter confirms the decision of the Director of Community Development, given on March 17, 2014;
approving a Two-Story Permit (R-2014-02)to allow the construction of a new 2,442 square foot, two-
story single family residence and a Minor Residential Permit (RM-2014-04) to allow a second story
balcony on the new residence, located at 10600 Culbertson Drive, with the following conditions:
1. APPROVED PROJECT
This approval is based on a plan set entitled, "10660 Culbertson Drive, Cupertino, CA 95014"
consisting of eight sheets labeled "A1 to A7 and C.0", dated "Received February 25, 2014", except as
may be amended by conditions in this resolution.
2. ANNOTATION OF THE CONDITIONS OF APPROVAL
'The conditions of approval set forth shall be incorporated into and annotated on the building plans.
3. ACCURACY OF THE PROTECT PLANS
The applicant/property owner is responsible to verify all pertinent property data including but not
limited to property boundary locations, building setbacks, property size, building square footage,
any relevant easements and/or construction records. Any misrepresentation of any property data
may invalidate this approval and may require additional review.
4. CONSTRUCTION PLAN SET REVISIONS/CLARIFICATIONS
Prior to issuance of building permits, the construction plan submittal shall include the following
information:
a. Window Sill Height: Please provide the window sill heights for all second story windows
on the rear and side elevations.
b. Floor Plan Inconsistency: The floor plans indicate a sliding glass door on the north side of
the dining room;however the north elevation only indicates a window. Please indicate
which is correct and revise accordingly.
c. Front Yard Tree: Please provide a front yard tree. The front yard tree requirement may be
waived if an Internationally Certified Arborist can verify that there will be a conflict with
existing mature tree canopies on-site. Otherwise, a new front yard tree is required.
Two-Story Permit&Minor Residential Permit Action Letter Page 2
R-2014-02&RM-2014-04
5. COMPLIANCE WITH PUBLIC WORKS CONFIRMATION FORM
The project shall comply with the requirements indicated on the Public Works Confumation form
dated 1/17/2014, including, but not limited to, dedications, easements, off-site improvements,
undergrounding of utilities, all necessary agreements, and utility installations/relocations as deemed
necessary by the Director of Public Works and required for public health and safety. The Public
Works Confirmation is a preliminary review, and is not an exhaustive review of the subject
development. Additional requirements may be established and implemented during the construction
permitting process. The project construction plans shall address these requirements with the
construction permit submittal, and all required improvements shall be completed to the satisfaction
of the Director of Public Works prior to final occupancy.
6. PRIVACY PLANTING
The final privacy-planting plan shall be reviewed and approved by the Planning Division prior to
issuance of building permits. The variety, size, planting distance shall be consistent with the City's
requirements.
7. PRIVACY 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.
8. LANDSCAPE PROLECT SUBMITTAL:
Prior to issuance of building permits, the applicant shall submit a full landscape project submittal per
sections 14.15.040 A, B, C, and D of the Landscaping Ordinance if more than 2,500 square feet of
landscaping area is proposed. The Water-Efficient Design Checklist (Appendix A of Chapter 14.15),
Landscape and Irrigation Design Plans, and Water Budget Calculations shall be reviewed and
approved to the satisfaction of the Director of Community Development prior to issuance of building
permits.
9. 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.
10. EXTERIOR BUILDING MATERIALS/TREATMENTS
Final building exterior treatment plan (including but not limited to details on exterior color, material,
architectural treatments and/or embellishments) shall be reviewed and approved by the Director of
Community Development prior to issuance of building permits. The final building exterior plan
shall closely resemble the details shown on the original approved plans. Any exterior changes
determined to be substantial by the Director of Community Development shall require a minor
modification approval with neighborhood input.
11. INDEMNIFICATION
To the extent permitted by law, the Applicant shall indemnify and hold harmless the City, its City
Council, its officers, employees and agents (the "indemnified parties") from and against any claim,
action, or proceeding brought by a third party against the indemnified parties and the applicant to
Two-Story Permit&Minor Residential Permit Action Letter Page 3
R-2014-02&RM-2014-04
attack, set aside, or void this ordinance or any permit or approval authorized hereby for the project,
including (without limitation) reimbursing the City its actual attorneys' fees and costs incurred in
defense of the litigation. The City may, in its sole discretion, elect to defend any such action with
attorneys of its choice.
12. 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.
Please note that if this permit is not vested within a year, it shall expire on March 17, 2015.
Staff has made all the findings that are required for approval of a Two-Story Permit as required by
Cupertino's Municipal Code, Chapter 19.28.150 (B). 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.
Sincerely,
GGL �'' ��'�
Kaitie Groeneweg
Planning Department
408-777-3257
kaitieg@cupertino.org
Enclosures:
Approved Plan Set
CC:Wei Xiong Liao or Wei Hong Shiao, 10660 Culbertson Dr,Cupertino CA 95014
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OWNER
WEI XIONG LIAO
WEI HONG XIAO
10660 CULBERTSON DRIVE
CUPERTINO,CA.95014
VICINITY MAP:
STRUCTURAL ENGINEER
CIBOTTI ENGINEERING
12935 ALCOSTA BLVD,UNIT#2025
SAN RAMON,CA.94583
TEL:(925)829-0920
scott@cibotti.com
ENERGY COMPLIANCE: DESIGNER SOIL ENGINEER
TITLE 24 NET DWK CONSTRUCTION CAPEXI ENGINEERING
18665 LOREE AVE. 12077 NATOMA CT.
14211 RIATA ST. CUPERTINO,CA.95014 SARATOGA,CA.95070
WESTMINSTER,CA.92683 TEL:(408)996.1186 TEL:(510)668-1815
TEL:714.600.7955
FAX:714.893.1050 dwkconstruction@yahoo.com capexin888@gmail.com
PROJECT DIRECTORY:
A1 SITE PLAN
SITE ANALYSIS
GENERALNOTES
SHEETINDEX
A2 EXISTING/DEMOLITION PLAN
PARTIAL VIEW OF THE FRONT ELEVATION
OF THE NEIGHBORING HOMES
A3 FIRST FLOOR 8�SECOND FLOOR PLAN
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A4 EXTERIOR ELEVATIONS i P � �
A5 PROPOSED ROOF PLAN �� p � �'i ��'� j � „� •
LANSCAPING&HARDS AP D A RAM �� '�sA�.���+�.} �•"-.-��� _�-
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A6 BUILDING SECTION ��������� ���� °� '
A7 FLOOR AREA CALCULATION �������i���,� � _
EXISTING/DEMOLITION PLAN pp ��
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SCOPE OF WORK °'
TOTALLY DEMOLtSHED THE EXISTING HOUSE
AND BUILD NEW 2-STORY HOUSE
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ADDRESS: 10660 CULBERTSON DRIVE
CUPERTINO,CA 95014
APN: 375-31-054
DESCRIPTION OF WORK: TWO STOREY SINGLE HOUSE
ZONING: R1-5
SITE AREA: 5,450 SQ.FT.
(E)LIVING AREA TO BE DEMOLISHED 1,048 SQ.FT.
(E)GARAGE TO BE DEMOLISHED 220 SQ.FT.
LOT COVERAGE
PROPOSED 1ST STORY LIVING AREA 1,097.04 SQ.FT.
PROPOSED GARAGE 47420 SQ.FT.
FRONT PORCH 74 SQ.FT.
REAR PORCH 296.6 SQ.FT.
ROOF EAVE 264 SQ.FT.
TOTAL LOT COVERAGE: 2,205.84 SQ.FT.
lOT COVERAGE TO LOT AREA RATIO: 2,205.84/5,450= 40.45%
FLOOR AREA RATIO
PROPOSED 1ST STORY LIVING AREA 1,097.04 SQ.FT.
PROPOSED 2ND STORY LIVING AREA 871.24 SQ.FT.
PROPOSED GARAGE 474.20 SQ.FT.
PROPOSED FAR: 2,442.48/5,450=44.8%
SECOND FLOOR TO FIRST FLOOR RATIO 871.2/1,571.24=55.4%SQ.FT.
MAX FAR: 5,450 X 45% =2,452 SQ.FT.
PROPOSED BUILDING HEIGHT: 24'-11"
OCCUPANCY GROUP: R-3/U
TYPE OF CONSTRUCTION: TYPE-VB-FULLY SPRINKLERED
STORIES: TWO STORY
APPLICABLE CODES:
2010 CALIFORNIA BUILDING CODE
2010 RESIDENTIAL
2010 PLUMBING CODE
2010 MECHANICAL CODE
2010 ELECTRICAL CODE
2010 FIRE CODE
2010 ENERGY CODE
P ROJ ECT DATA:
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DRAWING INDEX: � � CITY TREE PROTECTION:
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AN AUTOMATIC RESIDENTIAL FIRE
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AN INSTALLED IN ACCORDANCE WITH
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DWK CONSTRUCTION
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CUPERTINO,CA.95014
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PRIOR TO F�NAL BUILDING INSPECTION
CERT.ARBORIST TO CONFIRM
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REVISIONS BY
JANUARY 04,2014 A.R.A.
� PLAN LHELKCOMMEN
1.APPROVAL OF THESE DOES NOT RELEASE THE OWNER AND/OR CONTRACTOR OF THE RESPONSIBILITY FOR THE CORRECTIONS OF
MISTAKES,ERRORS OR OMISSIONS CONTAINED THEREIN.IF DURING THE COURSE OF CONSTRUCTION IMPROVEMENTS,PUBLIC
INTEREST REQUIRES MODIFICATION OF/OR DEPARTURE FROM THE CITY OF CUPERTINO SPECIFICATION OR THESE IMPROVEMENT
PLANS,THE CITY ENGINEER SHAIL HAVE THE AUTHORITY TO REQUIRE SUCH MODIFICATION OR DEPARTURE AND TO SPECIFY THE
MANNER IN WHICH THE SAME IS TO BE COMPLETED,AT THE SOLE EXPENSE OF THE OWNER CONTRACTOR.
DR�WN A.R.A.
2.CONTACT PUBLIC WORKS,(408)777-3104,FOR INSPECTION OF GRADING,STORM DRAINAGE,AND PUBLIC IMPROVEMENTS.
LHECKED
3.ALL PUBLIC IMPROVEMENT MUST BE COMPLETED PRIOR TO OCCUPANCY. A.R.A.
4.CONTRACTOR IS RESPONSIBLE FOR DUCT CONTROL INSURING THE AREA ADJACENT TO THE WORK IS LEFT IN A CLEAN CONDITION. �AJANUARY 06,2014
5.CONTRACTOR SHALL REVIEW CITY DETAIL 6-4 ON TREE PROTECTION PRIOR TO ACCOMPLISHING ANY WORK OR REMOVING ANY TRESS. SCALE AS NOTED
6.UTILIZE BEST MANAGEMENT PRACTISE(BMO'S),AS REQUIRED BY THE STATE WATER RESOURCES CONTROL BOARD,FOR ANY JOB NO.
ACTIVITY,WHICH DISTURB THE SOIL. 000-013
SNEET
7.A WORK SCHEDULE OF GRADING AND EROSION&SEDMENT CONTROL PLAN SHALL BE PROVIDED TO CITY ENGINEER BY AUGUST 15,
NO HILLSIDE GRADING SHALL BE PERFORMD BETWEEN OCTOBER 1 TO APRIL 15. �
8.ALL ELECTRICAL SERVICE(POWER,PHONE,AND/OR CABLE)SHALL BE UNDERGROUDED. �
SITE PLAN: 1/$" _ �' -o" oF o
SHEETS
PARTIAL VIEW OF THE FRONT ELEVATION OF THE NEIGHBORING HOMES
10650
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LEGEND:
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�_� EXISTING WA�LS TO BE
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o��JAN.06,2014
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007-013
SHEET
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GARAGE AREA= 474.20 S.F.
TOTAL AREA=1,571.24 S.F.
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TOTAL LIVING AREA=871.24 SF
1,571.24+871.24=2,442.4/5,450=44.8%
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18665 LOREE AVE.
CUPERTINO,CA.95014
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o��JAN.06,2014
SCALE
1/4"=1'-0"
JOB NO.
007-013
SHEET
OF O SHEETS
CLASS'A'CONCRETE TILE ROOFING
O/30#FELT O/tl2'CDX PLVWD
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TOP OF THE ROOF
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o"�JAN.06,2014
SCAIE
1/4"=1'-0"
JOB NO.
007-013
SHEET
OF O SHEE75
4
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PROPERTV LINE
30.91' 17.38'
43'-3" � �
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,' � 216 S.F. °• ,
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LANDSCAPE DIAGRAM:
1.ORNEWAY: 445 SF BUILDING COVERED AREA: 1,571.24SF
2.WALKWAY: 60 SF REAR PORCH COVERED AREA: 297 SF
3.FRONT PORCH: 74 SF LEFT SIDE IMPERVIOUS SURFACE AREA: 276 SF
4.TOTAL FRONT YARD IMPERVIOUS SURFACE AR 351�45+14=410 SF REAR SIDE IMPERVIOUS SURFACE AREA: 216 SF
5.FRONT SETBACK 2(Y-0'AREA: 1,108 SF RIGHT SIDE IMPERVIOUS SURFACE AREA: 459 SF
6.HARDSCAPE AREA RATIO: 410/1,108•37% FRONT YARD IMPERVIOUS SURFACE AREA: 542 SF
TOTAL IMPERVIOUS SURFACE AREA: 3,36124 SF
TOTAL LANDSCAPE AREA: 5,450 SF-3,36124 SF�2,089 SF<2,500 SF
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ANDSCAPING& HARDSCAPING DIAGRAM SCALE: 1/8"= 1'-0" I "°"'" ROOF PLAN
SCALE: 1/4" = 1'-0"
CLASS'A'CONCRETE TILE ROOFING
O/30k FELT OI 1/2'CD%PLYWD
SHEATH�NG(LASTED FOR 50 YRS.)
CLASS'A'CONCRETE TILE ROOFING
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o��JAN.06,2014
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aoo nio.
007-013
SHEET
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COLOR & MATER�HL SCHEDULE
ROOF
THIN STONE VENEER
MAIN BODY STUCCO
TRIM
GUTTER& FIASCO
WINDOW
GARAGE DOOR
CONCRETE TILE CLASS"A"ROOFING
BORAL ROOFING-CASA GRANDE BLEND 1 HBSC6169
CULTURE STONE
SOUTHERN LEDGE STONE-CHARDONNAY
KELLY MOORE PAINTS-NAVAJO WHITE
KELLY MOORE PAINTS-NAVAJO
KELLY MOORE PAINTS KM-232 TOSCANA
MILGARD COLOR WHITE
16'X 8'WHITE
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18865�OREE AVE.
CUPERTINO,CA.95074
TEL:(408)996-1186
dwkconstruction@yahoa.com
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A.R.A.
o��JAN.06,2014
�"„� tia°=1'-0��
JOB NO.
007-013
SHEET
Of O SHEE75
GARAGE:
1.; 20'-6"X 21'-10"=443.45 S.F.
2; 10'-3"X 3'-0" = 30J5 S.F.
_.._....._.........._. ......
GARAGE TOTAL AREA =474.20 S.F
FIRST FLOOR:
_.................—...................
,3) 4'-4"X 4'-4" = 18.77 S.F.
d! 10'-3"X 1'-4" = 13.66 S.F.
(5; AREA = 15.50 S.F.
;6) 13'-4"X 2'-0" = 26.6E
'7; 19'-8"X 10'-0" = 196.6i
,8� 11'-8"X13'-10" = 161.3�
9' 26'-3"X 13'-8" = 358.7
io; 10'-6" X2'-0" = 21 i
i�1 8'-10"X 10'-0" = 88.;
�z; 6'-0"X9'-6" = 57.i
i3� 12'-8"X 11'-0" = 139.;
----
FIRST FLR.TOTAL AREA= 1,09i
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FLOOR AREA CALCULATION
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SECOND FLOOR:
14) 16'-11"X13'-0" = 219.91 S.F.
is 21'-0"X 10'-0" = 210.00 S.F.
is� 22'-0"X 19'-0" = 418.00 S.F.
ii� 11'-8"X 2'-0" = 23.33 S.F.
SCND.FLR.TOTAL AREA =871.24 S.F.
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FLOOR AREA RATIO:
PROPOSED 1 ST STOREY LIVING AREA 1,097.04 SQ.FT. ,
PROPOSED 2ND STOREY LIVING AREA 871.24 SQ.FT.
PROPOSED GARAGE 474.20 SQ.FT.
PROPOSED FAR: 2,442.4/5,450=44.8%
SECOND FLOOR TO FIRST FLOOR RATIO 871.24/1,571.24=55.4%SGZ.FT.
MAX FAR: 5,450 X 45% =2,452 SQ.FT.
SCALE: 3/16" = 1'-0"
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DWK CONSTRUCTION
18665 LOREE AVE.
CUPERTINO,CA.95014
TEL:(408)99f>1186
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o��JAN.06,2014
SCALE
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TOB NO.
007-013
SHEET
7
OF O SHEE75
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� �ao-_ _ � � —-}�',�0� +G1c�p0 �� EC EDGE Of CONCREfE
+o�' "_ — — +�� — — — EIA ELECTRIC AIEfER
I — — — — -- — — — — — — — — — — — — - EP EDGE OF PAVEAIEN7
I 19a � ���1� ( � (
+�'�0� G o��O .� , I � F p���I ( FD� FOUND CARNER
� ��� GFL1'S`� f'�� .�.G1�09 G��9 G �9�' � "` FF FlNISHED FLOOR
,p � t� +�O � �c g FL FLOW LINE
� �`,qp Eoog -r'�0� I F}i FlRE HYDRANT
� ,00 ° � � '���9 1 �° ( G/ ROl1ND WALK
I 0 4 8 16 < Q g�a ° o o ' � GC GARAGE CORNER
� � O �Y-�0� � n , .
� �,p'`� � qB <o, ° ° .��Q p��ry I O I � GF GARAGE FACE/FRONT
, o I �o�� � `��, o o �ri
� 6 , "�,1 �� G o°� G � I I GU GAS AIETER FENCE
a
I � 9 0GO9 v 1 ��''� oF'G� �� FG�9 HCR HANDICAP RAMP
� � � O,, ,,°I ,� ,�� I
iNV ir�rtr
I � � F,�• � I IP IRON PIPE
< �p'` G �5 I � JP JOINT POLE
� �Q�� �O�`' LC LIP OF GUTTER
�10�` � 0/H OVERHEAD
I < I PC PROPERTY CORNER
� I Rw R�raNiNC wal
10660 CULBERTSON DRIVE I s� s�r uc�r
I EXISTING HWSE a SSCO SANRARY SEWER CLF?NOUT
G FF=1a1.69 ° I I SSMH SANRARY SEWER AIANHOLE
SD4H STORM DRAIN AIANHOLE
�F,� .�A I I I TBC TOP BACK ROLLED CURB
� ,p�' �� � v 9 FG �° , TC TOP OF CURB
0� ° p�� G��, I ( TOB TOP OF BANK
� �o, o a° TOE TOE OF&WK
° .�.�p�, ° TP TOP Of PAVENENT
I o °a 1 d � / TRC TOP Of ROLLED CURB
I TW TOP Of WALL
0 0 0 o I.�$�.�'L�O I U/G UNDERGROUND
� °�o �t VCP VITRIFlED CIAY PIPE
GF �1' ° ° � G '. G '� WV WATER VALVE
� �o F"� ,p�, I I WA1 WATER ME1ER BOX
a o 'a
-CN- CABLE TELEVISION LINE
I �.y o �° S -E- ELECTRIG1L uNE
c G�� ° �Q ��' >
�� �o y�-�o o I I -SS- SANRARY SEWER LINE
' .�O n Q i,1�'�o . .
I -so- sroRU oRaN ur+E
+�a� , ' I -T- TELEPHONE LINE
1 Y I�
' '`� 0G��` F G I 4 �`4 6, ,, :, � /�_/ -W- WATER LINF
SHED ,� �a�• ,o�'ti � �� F�o�b �� �����tE;{�;Ef.�c_:;i `�' _ �%�--�
� , ° -- BASIS OF 8EA `�,'•
�o o,� o , ,
�c°.�e �o`' �c ` ° _ �,G I �t�ft ��� ��+y'�' �/j 1HE BEARING,N8T39'S3'W,OF 1HE CENIER
� �o`' �`L �1� �� � � e ei�� � <w���w,ii�.ail�r� J��,�� � ��-+1 11NE OF PENDERGAST AVENUE,AS SHOWIr
� 0 �� � S i �,.�_,,,,,___��{ - ��� ON TIiAT CERTNN AIAP FlLED IN THE OFFlCE
FG�'L, GF �� j � OF 1HE RECORDER OF SANTA CLARA
� �° �� I'�� I � {'''�`�"��f�� 1 :��� CWN1Y,STATE OF CAl1FORNU�,IN BOOK 42
� .�Q�g� -�-v.�p'` � W ��� l� L/ ����� OF AIAPS AT PAGE 27,WAS USE�AS THE
I �'�� +�,,o.�� I n I A ' IS OF BFARING$SHOWN�1 THIS 11AP.
--vW �sP�E� L 0 T 1 1 5 �,°+� � � 3 � �l�i;i�:l��G.i " �
1 � AREA = 5,450fSQ.FT.���o�`�� , I � °' � i;a��e Man 2E� � .� .._
I u� �o�``o, a�`� i�
� I OF�EVATIOrk 0
� ���� �`� o'1°j I ^ I TBA1 ELEV=100.00(ASSUAIm)
� Uj e < E-6 ,� 00
O 0 ,L � I
��Q �c .�0�� +G O�.ry 16 Z
I 1�ti +�e0a9°Qa \ +��o��� I G�°11 �
I o ° � �
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±1 0 1 1 �
'� ——
00°� e�,5 � D=3'39'05° a L=37.60' R=590.00� �36'TREE��2'22'41"W. 17.3�8' - - --a
�o , �
'�9�c%`�- G �� �0 0��k ,0� WM ,DO p 0�Q d
9 �,
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9
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G O
�\O�5
�CULE�ERTSON DRIVE ( 60' R/W)
— — — — —�----- — — — — — — — — — — — —-
�
AION ,o�
1BM t oo.00
EL=100.00
lfrL.ITY NOl'E
UNDERGROUND UTILfTIES. SHOWN PER
SURFhCE EVIDENCE AND RECORD AIAPS.
MAY BE DIFFERENT THAN AS SHOWN.
BEFORE D(CAVATION,CALL UNDERGROUND
s�rmce a��r(usn)�-soo-sa2-2a�a.
�.�Ie1L�aM�I MF
LOT 115,TRACT N0.1088,AIAP REF:BOOK
42 PAGE 24-29
���
1.BOUNDARY DATA COMPILED FROA1 RECORD
INFORMATION
2.IAEASUREAIENT Of BUILDING 11NE IS TO
THE FACE OF STUCCO OR SIqNG
3.SINCE A COPY OF T1TLE REPORT WAS
NOT PROVIDm,ONSITE FASEAIENT WAS NOT
EVALUATED.
�
NEW
RESIDENCE
]0660 CULBERTSON DRIVE
CUPERTINO,CA
APN:375-34-027
W E C
aAasociATE8
�26?5 yIDDLEFIELD RD#658
«PALO ALTO, CA 94306
TEL: (650)823-6466
FAX: (650)887-1294
LICENSE STA�iPS AVD SIGVATURE
�N�g
s���.RA.K-4,�,f,G *,
��, t_�,n,,.-.. ��...
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,,t _ •.
,�� L D235 �
,�J� ,��
' �cn��F�.
ISSUBD
DATE: JAN l2.2014
SCALE:
1!R��_�,�,�
DRAN'N:
BG
1007R
SHEET TITLE:
TOPOGRAPHIC
SURVEY
SHEGT N0.
C.�
Qc wEc
�
• •
or a � � ona
.
n orma � on
.
ee � e
_ _
PUBLIC W4RK5 CONFIRMATION FOIZM
PubIic Works Departntent
10300 Torxe Avenue (408}777-3354/Fax(408)777-3333
Cupertino,CA 95014 publicworks�cupertino.org
�u���,�„��� http:/Jwww,cupertino.org/publicworks
A Public Works confirmation form, if required, must be completed prior to project submittal to the
Plaruung Deparhnent. The fee for dte confirmation is $274.00. If a Building Permit Application is
subxnitted withu� one year of the sign-off date at the bottom, the confirmation fee will l�e applied
towards the Public Works Building Permit fee. The purpose af this confirination is to identify
pxeliminary Public Works issues,which may adversely affect the application. Please suUmit tlus forxn,
the fee, and a coj�y of the site �lan to the Public Works Deparhnent for review. The Public Works
Department can Ue reached at{408)777-3354.
Project Address:���i'•' ��+P.�'���� Email Address: �w1�"����r�e.c-�� `� �''�i�.h`�"��"' •
Applicant Name: s�.u�/� �T� Phone No:L������-"����C�
*** For PuUlic Woxks Department Use Only *"*
PW Confirmation Kequired($274) ��'
Additioi�: � Sulgle Family Dwelluig Flood Zone: � �Z��
Requiremeaits:
� Dedicate Right of-way{road}:
❑ Easement(streetiight):
❑Offsite improvements required(circled):sidewalk,curb and gutter,curb ramp,driveway,
pavement,street light,street tree
❑ Registered civil engineer required to design grading plans or improvement plans
� Clearly show all ufility lutes from the house/project site to the street(electric,electric panel,gas,
water,sewer). IndicaEe as new(N)or existulg(E) (,;�c�re<'.��. O►^ p��tr��
� Underground aIl overhead utilify seivice to new house or new electric anel ��•_ (j��
� Show onsite draulage on site plan with direction and slope percentage�(�'P�d ��'`�� �
� Roof down spoufis ta direct storm water to landscaped areas. �t�dd✓r�� oh�� �
Include relevant Ci Standard no6es and Details o�l Ians(�nv;f,�v� ��w ,n,ccr�s�
�' p `�
Encroachment permit or Developmenfi Agreement
❑ Streauiside Pexxnit
❑ Soils letterJreport
�Master Storm Area fees $ �C l '�' f
� Submit preliminary title report and Quitclaim underground water i7ghts �Sc)�W�:'�.c+ ��t5�I4(-�
Parkland Dedication In-lieu Fees�
Coixunents: I
—�-P�-Sp ac�d 0. w'�Cr.. O� S�-"��l����� �Q �1r��2ci- �O.t,ua�ec�, C��^� 5ic��Wa��C�CUvIo o,�
c��{�Z.v r� v�1� c�- c.ovs�v���n� (-�2..�w�� Ow�ev �ka{l he.v�a�s�b�(� -fa v�euaeU e-
��e�lacsz �s�,�aaje� �t t�H��s va t�v�e.e.-�d 1�( t���(�c vJ�v�.s �s�or n Av� e.cacvoac(�u1c�-
Y `(t v�e �
��trnw�. �Q � � �� �i
� Prtge 6 of G.
�
R App 2013,RevAug S Revlsed 8/S/2013