15110176CITY OF CUPERTINO BUILDING PERMIT
BUILDINGADDRESS:
CONTRACTOR:
PERMIT NO: 15110176
10065 JUDYAVE CUPERTINO, CA 95014-3522 (375 07 048)
JAHAN
CONSTRUCTION
10535 GASCOIGNE DR,
CUPERTINO, CA 95014
OWNER'S NAME: KHANNA SANDEEP AND TARUNA TRUSTEE
DATE ISSUED: 07/11/2016
OWNER'S PHONE: 650-776-6304
PHONE NO: 408-375-9694
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class CONTRACTOR - GENERAL Lic. #Q
Contractor JAHAN CONSTRUCTION Date 3/31/2018
—BLDG —ELECT _PLUMB
MECH RESIDENTIAL COMMERCIAL
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
— _ _
with Section 7000) of Division 3 of the Business & Professions Code and that my
license is in full force and effect.
JOB DESCRIPTION:
CONSTRUCT ANEW DETTACHED SECOND DWE
LING UNIT(640
I hereby affirm under penalty of perjury one of the following two declarations:
SQFT)
i. I have and will maintain a certificate of consent 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.
I have and will maintain Worker's Compensation Insurance, as provided for by
Section 3700 of the Labor Code, for the performance of the work for which this
Sq. Ft Floor Area:
Valuation: $120000.00
permit is issued.
APPLICANT CERTIFICATION
certify that I have read this application and state that the above
APN Number:
Occupancy Type:
information is correct. I agree to comply with all city and county ordinances
and state laws relating to building construction, and hereby authorize
375 07 048
representatives of this city to enter upon the above mentioned property for
inspection purposes. (We) agree to save indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
PERMIT EXPIRES IF WORK IS NOT
STARTED
may accrue against said City in consequence of the granting of this permit.
WITHIN 180 DAYS OF PERMIT ISSUANCE
OR
Additionally, the applicant understands and will comply with all non -point
source regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED INSPECTION.
.Signature % Date 7/11/2016
Issued by: Abbyvende
��n�
Date: 07/11/2016 �X N
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the
-
RE -ROOFS:
All roofs shall be inspected prior to any roofing material be" n
installed. If a roof is
following two reasons:
1. I, as owner of the property, or my employees with wages as their sole .
installed without first obtaining an inspection, I agree to remove
all new materials for
compensation, will do the work, and the structure is not intended or offered for
inspection.
sale (Sec.7044, Business & Professions Code)
2. I, as owner of the property, am exclusively contracting with licensed
Signature of Applicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 11 /2016
I hereby affirm under penalty of perjury one of the following three declarations:
ALL ROOF COVERINGS TO BE CLASS "A" OR
BETTER
s. 1 have and will maintain a Certificate of Consent 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.
HAZARDOUS MATERIALS DISCLOS
JRE
2. I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements under
Chapter 6.95 of the
Section 3700 of the Labor Code, for the performance of the work for which this
California Health & Safety Code, Sections 25505, 2553
, and 25534. I will
maintain compliance with the Cupertino Municipal Code,
Chapter 9.12 and the
permit is issued.
Health & Safety Code, Section 25532(4) should I store o
handle hazardous
s. I certify that in the performance of the work for which this permit is issued, I
in Additionally, should I use equipment or devices
which emit hazardous
shall not employ any person in any manner so as to become subject to the
air contaminants as defined by the Bay Area Air Quality Management
District I
Worker's Compensation laws of California. If, after making this certificate of
will maintain compliance with the Cupertino Municipal C
3de, Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Safety Code, Sections 25505, 25533,
and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
�]
be deemed revoked.
APPLICANT CERTIFICATION
Owner or authorized agent: G„-
Date: 7/11/2016
I certify that I have read this application and state that the above information is
CONSTRUCTION ENDING AGEN
I hereby affirm that there is a construction lending agency
Y
for the performance
correct. I agree to comply with all city and county ordinances and state laws
of work's for which this permit is issued (Sec. 3097, Civ.)
relating to building construction, and hereby authorize representatives of this city
to enter upon the above mentioned property for inspection purposes. (We) agree
Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments, costs, and expenses which may accrue against said City in
Lender's Address
consequence of the granting of this permit. Additionally, the applicant understands
a DECLARATION
Ahall
and will comply with all non -point source regulations per the Cupertino Municipal
be used
I understand my plans shall be used as public records.
Code, Section 9.18.
Licensed
Signature Date 7/11/2016
Professional
A
iinim
CUPERTIN0
Y 1v w CONSTRUCTION
CONSTRUCTION PERMIT APPLICATION
CONi10UNI TY DEVELOPKIiTENT DEPARTIJiENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 177-3228' FAX (408) 777-3333buildinolcicupertlno:oro 1,51
ADDITION . D A ITERATION TIT 7 REVNION/
lit 7
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OWNERNAl�Q PHONE Ip_1faI
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DESCRIPTION, OF WORK: e
4dd. 44nYa 10 U P
E:CSTTG USE PROPOSED USE - CONSTR T? t E ,, STORIES
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TYPE I OCC.
SQ.F
VALUATION (S)
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G.= -RAGE ARE DEIF.CIi
-
❑ ATTAC:-i
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TDWELL,'T'GUNT1S:
IS A SECOND UNIT ❑YES
SECOND STORY ❑YZS
I
BEING ADDL'D? El NO
ADDITION? ❑NO
Pp e FT ICAT,ON ❑ YS it YS, PROV,D_ COPY OF
IS THE BLDG AN ❑ Y ra
.LC�'I\'EI I -.-� =
1 O`kL V•.-.LU.4TION:
PLAA'h�GA-PL9 C1N0 PLA)`7� GF-PROVALL=TIER I
EICHLERHOME? ❑NO I--
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O Ad
By my signature below, I cei•Li-y to each of the following: I am. the pr operty owner or authorized agent to act on the property off per's behalf I hoz e 4d this
--_application-end the-nerrnation I have-promided-is=cor, ect.= l�he�E rEad-the Description or"-=��%vrk and=�'eri�'-�asacct+-ate. -I armee to-�o;n�Iy7,a�h°ai` spttc��le lo��l
ordinances and state la s r 1 Ting to building construction, I authorize reps esentatives •of Cupertino to enter the abo`,e-Iden i -led prope, i for nspection pu j eses.
r
-S;gnatu;; OfAnol cant1A.zent;...w. .. ._ Di `:., - _; `. AAAA ..._._ _ _ . < <.Dzte: _ Lp ,—__ ,,-2-G2- -
SUPPLE? NTA L _ MF TION R QUIRED
_ =
O��R TEvCOL�7ER
-
BI7ZD GPls R iZL i
- New SFD or? filhifLnily d,� ll Pis -apply or de.n-oli ion per -lit for
existtng'bulldinQ(S). Derriolitlon pe it is rEdll -i'-d prioi to 15Sllance of buildincr
PL_4'C� GELd1t PF4ZP -_-_-
pErl_rit S0i new buildlAg.
-, Ei�ESS — _ _
nrnercial Bidas Protide a corTpleted _Iazardou s Materials lJiscl_osure
01—
—Comany
ior-m II a y Hazardous 'Materials are being us --d as rat ofthis p oject.
_ Cory of Plam. ins Approval Letter or Meeting with Plarnir- prior to
Sllbrillttal Of BL11dmg PerIllit application.
-
,`�
-----
—
_-
Bldg-,ap_20 1.doc revised 0612MI
CITY OF CUPERTINO
WK FEE ESTIMATOR - BUILDING DIVISION
19 ADDRESS: $udy Avenue DATE: 06/29/2016
APN: 375 07 048 BP#: 15110176
REVIEWED BY: Arnold
`VALUATION: F120,000
H.
PC FEES
^PERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Constru
tion
PRIMARY SFD or Duplex
USE:
2nd Unit? '. Yes % No
PENTAMATION
PERMIT TYPE:
1R3SFD2ND
WORK
I New detached 2nd Dwelling Unit 640 S.F.
IR3INSP
SCOPE
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
(s.L)
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,lll-B,IV,V-B
640
$2,654.00
IR3PLNCK
$1,666.00
IR3INSP
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Fee -(F) Reg. O OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXR1
#new
units
$689.97
TOTALS:
640
$2,654.00
,`,';
$1,666.09s
$0.00
NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitafy Sewer 1? strict, School
Dictrirt_ etr. ). These fees are haced on the nreliminary information available and are only an estimate. Contact the Dent tor addn'l info.
FEE ITEMS (Fee Resolution 11-053 E . 711113)
FEE
QTY/FEE77
MISC ITEMS
Plan Check Fee:
$2,654.00
Select a Mise Bldg/Structure
or Element o
a Building
Suppl. PC Fee: Q Reg. C) OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Fee -(F) Reg. O OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXR1
#new
units
$689.97
a dm
_
0
G
Work Without Permit? 0 Yes (D No
$0.00
Advanced Planning Fee. IPLLONGR
$89.60
Select a Non -Residential
Building or
G
Structure 0
/
f)C'F;Ifzi;l2ZcPiF' €':¢..'.'
Strong Motion Fee: 1BSEISM-ICR
$15.60
Select an Administrative
Item
Bldg Stds Commission Fee: IBCBSC
$5.00
, SUBTOTALS:
$5,120.17
$0.04"",;TOTAL FEE:
$5,120.17
Revised: 01/01/2016
FS
CITY OF CUPERTINO
VW5 FEE ESTIMATOR — BUILDING DIVISION
ia
ADDRESS: 7 Judy Ave
DATE: 11124/2015
REVIEWED BY: Sean
PC FEE ID
APN:
BP#:
EVALUATION: 1$120,000
KPERMIT TYPE: Building Permit
PLAN CHECK TYPE: New Construction
PRIMARY SFD or Duplex
USE:
2nd Unit? 0 Yes •' No
PENTAMATION 1R3SFDW
PERMIT TYPE: 19
WORK
Construct an attached second dwelling unit 640 sq ft).
SCOPE
Suppl. Insp. Fee -.0 Reg. Q OT
OCCUPANCY TYPE:
TYPE OF
CONSTR.
FLR AREA
s.f.
PC FEES
PC FEE ID
BP FEES
BP FEE ID
R-3 (Custom)
II-B,111-B,IV,V-B
640
$2,654.00
IR3PLNCK
$1,666.00
IR3INSP
Permit Fee:
$1,666.00
Suppl. Insp. Fee -.0 Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXR
1
# new
units
$687.10
f�lrntrti:4°trertitt� F .e:
G
Work Withou ermit? Yes 1E) No
$0.00
Advanced P annin Fee: IPLLONGR
$89.60
Select a Non -Residential G
Building or Structure 0
i
LS:
640
$2,654.00
$15.60
$1,666.00
Bld T Stds Commission Fee: IBCBSC
NOTE. This estimate does not include fees due to ofther Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept /or addn'l info.
FEE ITEMS 0,ee Resolution II -033 Eft: '%1,-t3)
FEE
'Meeh. Plan Check
_ vnb. Plan (Yle°
Elec..Plan Checl;
Gtech, Permit fes:
e,. , .;t 1'o
Suppl. PC Fee: (F) Reg. 0 OT
)cher ri re ch. h!sp.
i?er I'llif 1 in.Sl;.ET I
Ll I
PME Plan Check:
;,nt13. r�sr;
NOTE. This estimate does not include fees due to ofther Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District, etc). These fees are based on the preliminary information available and are only an estimate. Contact the Dept /or addn'l info.
FEE ITEMS 0,ee Resolution II -033 Eft: '%1,-t3)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$2,654.00
Select a Misc Bldg/Structure
or Element of a Building
Suppl. PC Fee: (F) Reg. 0 OT
0.0
hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$1,666.00
Suppl. Insp. Fee -.0 Reg. Q OT
0,0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Construction Tax: IBCONSTAXR
1
# new
units
$687.10
f�lrntrti:4°trertitt� F .e:
G
Work Withou ermit? Yes 1E) No
$0.00
Advanced P annin Fee: IPLLONGR
$89.60
Select a Non -Residential G
Building or Structure 0
i
wel Documentation P'c�c s,
Strong Motion Fee: IBSEISMICR
$15.60
Select an Administrative Item
Bld T Stds Commission Fee: IBCBSC
$5.00
SUBTOTALS:
$5,117.30
$0.00 TOTAL FEE:
$5,117.30
Revised: 10/01/2015
July 11, 2016
City of Cupertino
Building Department
10300 Torre Avenue
Cupertino, CA 95014 -
Subject: New 2nd
To Whom It May
Please be advised that
any adverse impact on
An incremental sewer
Sunnyvale under Engi
impact as a result of n
surcharge.
Please call me if you
Very truly yours,
Manuel Pineda, PE
Director of Public W
Vu Tran
Engineering Assistant
SU
JUL 11206
CITY OF SUNNYVALE
L AUNFIFY DEVELOPMENT DEP,
ONE STOP PERMIT CENTER
1 Unit @ 10067 Judy Avenue, Cupertino, CA 95014
proposed 2"d residential unit as referenced above will not have
City of Sunnyvale's sewer system.
;tion fee of $2,170 is due and payable to the City of
Permit #2016-9425. The fee includes an additional sewer
residential unit with 2 bedrooms and a technology
any questions at (408) 730-7609.
CUPERTINO
OFFICIAL NO
TO: All Agencies
FROM: City of Cuper
DATE: July 07, 2016
RE: New/
Please note the followi
2nd unit. The main hot
10065 Judy Ave. See a
The new address will
update your records
(408) 777-3246.
Sincerely,
Susan Winslow
Administrative Clerk
Cupertino Building E
408-777-3246 or suew
Building Department
CITY OF CUPERTINO
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
TELEPHONE: (408) 777-3228 • FAX: (408) 777-7606
1CATION OF NEW/ADDRESS CHANGE
of Address APN #357-07-048
new address assignment: 10067 Judy Ave is adding a detached
e will remain 10067 Judy Ave and the detached 2nd unit will be
ached map.
ke effect 15 business days from the date of this letter. Please
ordingly. If you have any questions, please call me at
:upertino.org
Basemap Labels
Abc Street Names
Secondary Address Labels
Primary Address Labels
Freeway
Basemap
Street Centerline
County Major Roads
County Freeways
Right -of -Way
Parcels
Community Development
City Boundary
® Aerials - April 2015
SCALE 1 :718
50 0 50 100 150
FEET
City of Cupertino
...� • n L .,�,
IND
"4nl)lp Jr 2e X, -t C /L -W
ize
littp://gissvr/cupertinointranet/home/mapFile.aspx Thursday, July 07, 2016 9:36 AM
1.
(E)6TRLCTURE
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I
(E)STRUCTURE I'
l
� p
R I�
I'
I
� IIm
I'
I�
I
5%SLOPE
I'
l
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(E) STRUCTURE
(E) STRUCTURE
(E) BFT HT. FENCE TO REMAIN.
(REDWOOD)
- f
PROPERTY UNE
-- _
_ __---�-_
f .ar -- --- --
--------- ---------
r___________________ 20,-7' �
(E) DRIVEWAY
Pi CLEAN (GRAVEL SURF CE CLEAN
OUT NO CHANGES) STORM DRAIN DIRECTION 72 m OUT
I . I-
I
( --
-----------r-------------------
(E) DETACHED GARAGE(
' I �
I ; I
(E) DRIVEWAY
_(E) RIDGE i (I) GARAGE i �o
I i
SLOPE , , 1
I '
L __________ ____ I ./c� , , i I 2 W
`---- - - - - - - - - - - - - - i
S -
IS -0
-S•P I 1f-0' i
66' ST 9 I PROVIDE TREE O
„• NEW SWALE _ I I / I PROTECTION 18
tP•P �
I
� 6%BIOPE
STORMOIU%NORECTION
— B'�PLUM - � _ - - 164 PWM /
r PLUM 124 PWM
If -IT f -D• V -f
�-----"------ - I ------- -----
-
If CLEAN
PCLEANOUT OUT
V�
NORTH
,.!-----------1-
e
I
B; (E) WALLLYE
- (E)ROOF UNE + i 285 I �I55
5% SLOPE
• -
SLOPE i EXISTING FUDGE (9 RESIDENCE 100 AMP ELECTRICAL METER FOR THE E E
' (E) ELECTRICAL GIS F
v b i CONa11T THE
IEI REMOENCE 15
0,'4 UNDERGROUND
` - GAS UNE I I fd ODOR
E G b M
bNEW SWALE O FC
TORMORANDWECTION W
- - -- - -
----- -_----•p-- ---
- --- --- -- --
PROPERTY IME
125.07 NEW GAS METER -
RI STRUCTURE
SITE PLAN
SCALE: 1/g" = "
(E) SFT HT. FENCE TO REMAIN.
(REDJYDOO) SHOWN AT THIS
LOCATION FOR CLARITY
10,.01
E__m
�- (N)SQWALL
R4 200AELECTRICAL METER
FOR R4 UNIT ,
III
GENERAL NOTES:
OAPPROVAL OF THESE PLANS 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
A MODIFICATION OF/OR A DEPARTURE FROM THE CITY OF
CUPERTINO SPECIFICATION OR THESE IMPROVEMENT PLANS,
THE CITY ENGINEER SHALL 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 AND/OR CONTRACTOR.
OCONTACT PUBLIC WORKS, (408) 777.3104, FOR INSPECTION OF
y GRADING, STORM DRAINAGE, AND PUBLIC IMPROVEMENTS.
ALL PUBLIC IMPROVEMENTS MUST BE COMPLETED PRIOR TO
OOCCUPANCY.
3
CONTRACTOR IS RESPONSIBLE FOR DUST CONTROL AND
OENSURING THE AREA ADJACENT TO THE WORK IS LEFT IN A
CLEAN CONDITION.
CONTRACTOR SHALL REVIEW CITY DETAIL 6.4 ON FREE
OPROTECTION PRIOR TO ACCOMPLISHING ANY WORK OR
5 REMOVING ANY TREES.
UTILIZE BEST MANAGEMENT PRACTICES (BMPS), AS REQUIRED
OBY THE STATE WATER RESOURCE CONTROL BOARD, FOR ANY
ACTIVITY, WHICH DISTURBS THE SOIL
A WORK SCHEDULE OF GRADING AND EROSION 8 SEDIMENT
OCONTROL PLAN SHALL BE PROVIDED TO THE CITY ENGINEER
BY AUGUST 15. NO HILLSIDE GRADING SHALL BE PERFORMED
BETWEEN OCTOBER 1 TO APRIL 1S.
ALL NEW ELECTRICAL SERVICE (POWER, PHONE, AND/OR
OCABLE) SHALL BE UNDERGROUND.
e
TO INITIATE RELEASE OF BONDS, CONTACT THE PUBLIC
OWORKS INSPECTOR FOR FINAL INSPECTION.
9
ALL DOWNSPOUTS TO BE RELEASED TO THE GROUND
SURFACE, DIRECTED AWAY FROM BUILDING FOUNDATIONS AND
10 DIRECTED TO LANDSCAPED AREA.
PRIOR TO BEGINNING ANY WORK WITHIN THE PUBLIC RIGHT OF
WAY, THE CONTRACTOR WILL BE RESPONSIBLE FOR PULUNG
11 AN ENCROACHMENT PERMIT FROM THE PUBLIC WORKS
DEPARTMENT.
12
CONTRACTOR SHALL USE 1"SCH 40 ELECTRICAL CONDUR,
CONDUIT AT 18" MIN. DEEP.
13
CONTRACTOR SHALL INSTALL 1" NON METALIC GAS UNE WITH
n WIRE TRACER AT 18" MIN. DEEP.
15 GAS 3 ELECTRIC METER TO NEW 6'-0" WALL NEXT TO (N)
f --t
- OD UNDEROROUA
AND WIRES
AND POST FROM (E) POWER
UNE POST ACROSS STREET.
DEMOLITION NOTES:
0,l CONTRACTOR SHALL REMOVE TOPSOIL AND EXCAVATE NEW
FOUNDATION AREA, APPROXIMATELY 7" DEEP APPROX. 14
CUBIC YARD.
20, NONE EXISTING STRUCTURE TO BE DEMOLISH.
O ON PROJECT ARE THERE ARE NO TREES TO BE CUT OR
RELOCATED.
0,4 CONTRACTOR SHALL PROTECT EXISTING TREES. (FRONT
YARD)
METERS. WITH PGE.
1g CONTRACTOR SHALL PROVIDE TREE PROTECTION DURING ALL
PROJECT.
NOTE:
MINIMUM 5% GRADE SLOPE AWAY FROM FOUNDATION FOR A
MINIMUM DISTANCE OF 10 FEET MEASURED PERPENDICULAR TO
THE FACE OF THE WALL. (R401.3) EXCEPTIONS:
8) IF BUILDING SITE DOES NOT ALLOW 10 FEET OF SLOPE,
INDICATE THE INSTALLATION OF DRAINS OR SWALES TO ENSURE
DRAINAGE AWAY FROM THE STRUCTURE.
b) IMPERVIOUS SURFACES WITHIN 10 FEET OF THE BUILDING
FOUNDATION SHALL BE SLOPED A MINIMUM OF 2%%% AWAY
FROM THE BUILDING.
PROJECT NAME
KILA,MA
RESIDENCE
10067 Judy Ave, Cupertino, CA
95014
DESIGNER/CONTRACTOR:
JAHAN
CONSTRUCTION
10535 Gascoigne Dr
Cupertino, CA 95014 CA
408-375-9694
CA LICENSE #620150
ATTENTION.
STAMP
NAME
NEW SITE PLAN
D.I. 09/01/2015
D— by J. AGUIRRE
Ch-k.d by J. FARIDNIA u
y I
A-1.0