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0111005700 �u� rFn ¢d rn 5=�❑ rn F tr7 �Ou•`4, 3ap0 n f- Z xa LU �I 0 0 4 � �A UQ O H C~ � U � te... Ul-1•Y OF UUYr:Kl' NO BUILDING DIVISION CONTRA TOR XNFORMATIO. • h pERMIT _ BUILDING ADDRESS: �j PERMIT NO. 10615 RANDY LA r ��wr� n'� 01110057 OWNER'S NAME: ,PATRICK &: TERESA TSIM , p ,�� ��°—'t ��vf- S APPLICATION SUB DATE 11/13/2001 - PHONE: � � � r V D SANITARY NO. CONTROL NO. ARCHITECT/ENGINEER: BUILDING PERMIT INFO BLDG ELECT PLUMB MECH [ f-' I L =7 L 1 LICENSED CONTRACTOR'S DECLARATION Job Description I hereby affirm that I am licensed under provisions of Chnpter 9 (commencing With Section 7000) of Division 3 of the Busjp�ess and Professions Code, and my license NEW SINGLE FAMILY HOME. is in fu 1 orce and effect. CM lass_ Lie.l! LIVING SPACE 2885 SQ. FT . e can or AR PC ECT'SUECL T I GARAGE 678 SQ . FT . I understand my plans shall be used as public records Licensed Professional OWNER - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason. (Section 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant forsuch pemhitto file a signed statement - _ — . . $ L FJO.C) Area, 3 ;, .l �� 1 v ;; j; •, i ;Ll' t • ` t) + •"3� y $ 1 atlOn 2 9 9 CY that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section,7000),of Division 3 of the Business pad Prpfgssions Code) or that he is exempt therefrom and the basis for the allegell abmiltW. Any violation w of Section 7031:5 by any applican� fora permit subjects the applicant to a civil penalty ofnotMOM than five hundred dollars (x500). RO'60 316 9$ U N Occupancy Type ❑ I, as owner of the property, or my employees with wages astheirsole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Busincss and professions Codc: The Contractar's License Law does not apply m an - 101 - FOUNDATg%qired Inspections - ' owner of property Who builds or improves thereon, and who does such work himself or through his own employees. provided that such improvements are not intended or — 102 — PIERS offered for sale: If, however, [he building or improvement is sold within one yeai or 1 O UFER completion, the owner- builder will have the burden of proving that he did not build or improve for purpose of sale.). 104 — REBAR , ❑ 1, as owner of the property am exclusively contracting with licensed contractors to 105' — ANCHOR BOLTS construct the project (See. 7044, Business and Professions Code:) The Contractors License Inv does not apply to on owner or property who builds or improves thereon, , 106 — SEWER & WATER and who contracts for such projects with a contractors) licensed pursuant to the Contn tor's License Law, - - 2 02 — UNDERFLOOR - PLUMBING ❑Iamexempt under Sec. .B &PC fur this reason 203 — UNDERFLOOR MECHANICAL Owner Dale 204 — UNDERFLOOR FRAME WORKER'S COMPENSATION DECLARATION 205 — UNDERFLOOR INSULATION I hereby affirm under penalty or pequry one of the following declaratons: 3 01 — ROUGH PLUMBING El I have and will maintain a Certificate of Consent to self-insure for Worker's 3 02 — TUB & OR SHOWER Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 303 — ROUGH MECHANICAL ❑ I have and will maintain Worktr's Compensation Insurance,'as required by Section 3 04 — ROUGH ELECTRICAL 3700 of the Labor Code, for the performance of the work for which this pemtt is issued, My Worker's Compensation Insurance Tame andPofiey number are: 305 — FRAME �r �7 arlier.' � Policy N 15 0' _ r ti -, ,3 0 6 . = ,;HOLDOWNS� ,_ E OF EXFMM014 FROM WOR , ' • • 3• 7 — I11VS'ULAT I ON' COMPENSATION INSURANCE _ __. _ _ _. SHEETROCK (This section need not lie completed if the permit is for one hundred dollars (SIOO)orless.) ' 309 — EXTERIOR" LATH I certify that in the performance of the work for which this permit is issued. I 310 — INTERIOR LATH shall nor employ any person in any manner so as to become subject to the Workers' 311 — SCRATCH COAT Compensation Laws of Califumii. Dale Applicant 313 — ROOF NAIL NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Worker's Compensation provisions of the Labor Code, yob must 501 — FINAL ELECTRICAL ENERGY forthwith eomply with such provislom or this parmsit shall be deemed revoked. 502 — FINAL PLUMBING . ENERGY CONSTRUCTION LENDING AGENCY 503 — FINAL MECHANICAL ENERGY I hereby affirm that there is a conswction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) 5 0 4 — FINAL BUILDING ENERGY Lenders Name Lender's Address 505 — FINAL ELECTRICAL I certify that I have read this application and state that the above information is 506 — GAS TEST correct I agree to comply with all city and county ordinances and state laws relating 507 — FINAL PLUMBING ED building construction, and hereby authorize representatives of this city to enter upon the above - mentioned property far inspection purposes. 508 — FINAL MECHANICAL (We) agree to save, indemnify and keep harmless the Ciry'of Ctiperrino against liabilities, judgments, costs and expenses which may in any way accrue against said 509 — FINA GRA3E City in consequence of the granting of this permit APPLICANT UNDERSTANDS AND WILL COMPLY WITH -9POINT S�UIiREGULATIONS, / Issued q:1 N ING —� 'dig ApplicantlComrator D7t ' HAZARDOUS MATERIALS DISCLOSURE Re -roofs 2 — ROOF PLYWOOD NAIL Will the applicant or future building occupant store or handle haiamious material Type of RO f — ROOF BATTENS - as defined by the Cupertino Municipal Code, Chapter 9.12, and the Health and Safety Cade, Section 25532(31) ?, 604 • — • ROO F IN—PROGRESS , C] Yes All roofs shall be inspected prior to. any roofing material being installed. Wig the applicant or future building occupant use equipment or devices which If a roof is instaIIed without first obtaining an inspection, I agree to remove 'emit hazardous air contaminants as defined by the Bay ArenAir Quality Management District? all new Inaterials for inspection. Applicant understands and will comply with MYes AND all non -point source regulations. ' 1 have read the hazardous materials requirements under Chapter'6.95 of the California Health & Safety Code, Sections 25505, 25533 and 25534. I understand that if the building does not currently have a tenant, that it is rn respodsibiliry to notify the occupant of the requirements which must be met prior to issuance of,a C aiftcate or ° `span ` r Signature of Applicant Date '7 c ' All roof coverings to be Class `B" or better owner authorized agent to OFFICE CITY OF CUPEIZTINO TY OF CUPERTINO PERMIT APPLICATION FO]�Mi 6_Y�V r.� I II APN # 1 r Z Date: 5'� f0 z, Building Address: d Le 15 Owner's N - ;Po�mte., �'� i� r r� Phone #: (+-Pb) `7 3.2 -C�� -Z 2~ APTFEE EACH STORY OVER 3 Contractor: License #: Contact: �. Phone #: r 3� ^q -3 36 . \ Appli Contractor: Fax #: ' (4 00) Building P z7mit Info: Bldg Z Elect Plumb Mech Job D ril: ev IS! D 1V S 7o &- A t #O [ «ao'5 F�— Rv i ential: Commercial: Sq.Ft. Floor Area., - w v ►NCB ��s $ /Sq.Ft.: Architect/Engineer: C9AE46- 60, Valuation: Type of Construction: Occupancy Group: A?. Quantity_ Fee ID Fee Description Fee Group APTFEE EACH STORY OVER 3 HOTELFEE EACH STORY OVER 3 OFFICEFEE EACH STORY OVER 3 BAPPLOTHER Other Appliances 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 BUILDING BENERGYADD Energy Add Multi BINVESTIGA Investigation fee BUILDING BMITIGATC Comm. Housing Mit. Fee BUILDING BMITIGATR Res. Housing Mit Fee BUILDING BMNEWMULTI New Multi - Family Res MECHANICAL BNEWMULTI New Multi-family Res ELECTRICAL 1 of 3 VQ CIT F pp,, ff c:- UPERLTJr Kul Check Division 10300 Torre Avenue Cupertino CA 95014 Telephone (409) 3'17 -3228 Fax (408) 777.3333 CIA L SP Department F'rojectY ( - Project Title To owner of projects requiring Special inspection or Testing per Chapter 17 0 B xrcA Code, please ad mowledge and retirn to the City, BEFORE A PERMIT CAN WE 71� �P P i A raprasentadve; on the advice of the responsible Psnjeet Engineer or A;.*chitect ��q� �� � hP- attached forta "Structatal Tests and Inspection Schedule" to dds Depaxtmen t �Oyyal. GATE The owner and his ge .uz f�a�ctor, ��also acknowledge he following conditions applicable to Special I'nsge'sp n�►rr� tin . of A.ans 2n! ;p c 10131S 1. Contractor is responsl� k f $ o `'�n'btiiic art4 R �icdug or Tesdn agency for items listed. 2. Testing laboratory ° n , dta�t.� Lm Pb , �andr{x � r i theia to their laboratory, 3. Copies of all laboratq� aLp�zts�nd utspe '[�i3sr re; b ©s''e�1tt directly to the City by the Testing ager+cy. f�4 �an� 4. Inspection agency to rib es andtclu i�a s o -site Special inspectora to the Building Department for apprnFrAft ing o1 ths, p 'n nd n '(. at e A . ,fSLL j T `n F., 5. The Special Inspecto din r the auf�ority, z►d t e Pa isrble to the Building Gi6dal. All inspection Concerrs and /or prq�y eric 'un end axe to, e �,r � h'to his attention ir=ediately, 6. Special inspectors may be rev t � '' "" - rr . n p p y q�secl; as��a- mSYzir,[t�}, to provide weekly reports to this degar tnhent of alli inspection activity. 7. It is the respaasibiHty of the contractor to -review City approved plan inr additioral inspettio'n or testing requirements that may be noted. I - B. BUORE AN OCCUPANCY PERT a—1 CAN BE MSUED: The inspection agency shall sulamit a statement that all items regWxing testing and inspection were fiLMed and reported. Tha5e items root tested. and /or iropected shall be :npte in &4s statement. Copy of statement to be maintained at the jots site for City' S 1 Building Inspector's review prior to final inspections. ��Y Plan Check Division 10300 Torre AVtnue Cupertino CA 95014 Teltpnoae (409) 777 -3228 rax (408) 777 -3333 STRUCTURAL `BESTS AND INSPECTIDNTSSCHEDULE Prior to issuance of a baUdin.g permit, the Owner, on the advice of the Architect or Engineer, shall complete, sign and submit this form to the Building OfficiA Project Name Date _ 10621,9 R. N _ r_ .7 Z Project Address Testing / Ira _ct ion Ag ncy Owner's Name / matare & T le hereby certifies that tre TesE.ng /Inpecaon Agency named above has been engaged to perfom structural tests atld inspection duzing conshuction, as checked below, to sat sfy all applicable portions of the Building Code. Prior to issuance of an occupancy permit, the Inspection Agency shall submit a statement that all items of designated work performed were reported. Any itea s che- •,ced but net tested or inspected will be noted and explained. Whenever any designated iterm on this list are ready for sampling; testing, or inspectacm, it ehail be the responsibility of the Contra=r to give timely notice to the inspection Apncy so that the required services may be performed. RER- ZORCING S'i`M? : — Tensile & Bond, ow set per heat per _torts _ Inspection of Placement — Inspection of Welding MASONRY. Praiirrlire 7 Acceptance Tests(MeLsomy Urdts, Wall PxisLm) —Subsequent Tests(Nfo: tar, Grout, Field Wall Prisms) Impedion of Grouiu-4- Inspection of Placement &. Grouting COINICJtETE, SHOTCiiE'rE GROU'd & MORTAR: Conc. Shat Grout Mortar �� Aggregate Tests for Designs Suitability of Aggregates Mix Designs Test Panel Batch Plant Inspection - � c;amenc.Grab Sample Inspect Placing Compression Tests Cast: Specimens Pick -up Samples Shrinkage Bars Yield Check Air Check 4-1 Dry nit Weight 213 Revised 12/17/01 MIL) CTURA e, STEEL: —Sample & Test (list Fpeeffle members below) Shop Identification & Weldkig Inspecdon —Shop I31trasortic Inspection —Shop Radiography . . Field Welding Inspection/_T14cr WEL-01444 Field Bolting Inspection Field U14- asonic Inspection — Field RAdiogrephy —Metal Deck Welding Inspection ASPHALTIC CONCH -a.- -Mix Deslgn5 — Impeedon of Batch Pl�� Core(Te� EB l B Woo Field inspection Suitability Tests —Specific Gravity Asphalt Content Sieve Analysis K Factors Stabilometer Value Y Swell INSULATING CONCRETE; — Sample &'rest — Unit Weights PRECAST /POST -TENS LIVED CONCiLEM Reinforcing 'Tests Inspection of Relyd=Jng :?lxice Mt Tendon Test Lupe:dorl of Tendon Plan-,men; Inspection of Concrete Placement inspection of Concrete Balddng Imspection of Penes Attacbuimts & 1werts Inspection of Panel lwtaUation Compression Tests Inspection of Stressing jTransfe"i lw;pection of Reix> arcing Placement Inspection ofCor=ate Placement — Inspection of Conct+ete Bat -hing L:VD13FTMNING: inspection of 5tee1 l ?abricelxon Inspection of Reinforcing J'= Forms Inspection of Concrete Placement Inspection of Tiebacks Plan Check Division 10300 Tot're Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fax (408) 777 -3333 FIREPROOFNG: IzMpec4on of Placement Density Tests ndcln7ess Tests Impect Batrhing FII.L'MATERiAL: �. Acceptam Tests _ Moisture -Dens* Deteczninatiort Field Density AUOE V G: — 1rwpecdon of Placemen=t — Sample & Test ZAYJC�JRAL WOOD: Inspection of rabricstion Inspection of Truss joist Fabrication _ Sample &- Test Components —Inspection of Glu Lam pabricxticn . — Shear Diaphragrr►s ADDITIONAL INST UCTIONS OR OTEM TESTS & D.$PBCTIONS: IELDIN Ll9MQJS _ _ — 313 Revised 12117/01 FEB % a 2002 Plan Check nivisioit 10300 Torre Avenue Cupertino CA 95014 'relephone (408) 777 -3228 . � ff 100 Pax (408) 777.3333 V PE'T iii Building Department 0SPEC,IAL INSPECTIONXND TESTING AGREEMENT Project Name: rt'SLA - _ _ bate: Project Address OD to 15 , ?At-icy 1=4NE _ Bldg. Per nit No: - -- -- - To permit applicants of projects requiring Special inspection and /or Testing per UBC Section 1707. BEFORE A PEEN 7' CAN BE ISSUED, The Owner, General Contractor, Project Architect /Er►gineer and Spacial Impecor ahall acknowledge the required special inspections, testing and conditions, When determined by the Building hispecdon Division, a pre- construddon conference with the parties involved wig be held to review the special inspection requirements and procedures. Special-inspection and ieeting shall meet the =d6 mum rectixernents of USC 1701 The following conditions arrm also applicable; 1. Contractor i"► respimsible for nc'dfication. to the Special Inspector or Agency regarding individual htspections for times listed on the attached Schedule and *noted on the City approved plans. A,,dequate notice shah. be provided so the Special Inspector haq dine to become f=:aiar with the p wject and do a thorough fob for all inspections. I Each Special Irspe.�ctor shall submit hu qualifications to the City and is snbje &-U pexopyai interview fo:r pre - qualification. Special Inspectors shall display ar, approved identification badge when pexforn-drig the function of a special inspector or upon request, azd must have a v=;id YGBO Ce- tification.for the type of work being izlspected. S. Dirties and Responsibilities of the Special Tns'pector are: A. Observe the work for conformance with the CITY AV-PROVED (stamped) design drawings and specifications and applicable work ns'.Mp provisions of the UBC. NOTE: Shcp 6- aw3ngs may be used only as an aid to inspection. B. Bring; non- is.onforming items to the iz=ediate attention of the contractor and `tote in daily repo:ft (fief. item 4). If any such item is not resolve in a timely manner or is about to be incorporated in the work, notify the Building InEpec on Division immediately by telephone (408- 777 -3298) or in person, and the Project Engineer or Architect. 1/3 Rn'bed 6/13/ 00 t .tk r - s `•Z. .� ray Plan Check Division } 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777 -3228 Fa,x (408) 777 -3333 C, Fury sh resorts of tents art impections directly to the Building Inspection Division, Engineer and Architect of record and others as designatecL These reports are to include the following. Describe inspections and test made with applicable locations List all non- corforming items indicate hox> non - conforming items were resolved or indicate unresolved items as applicable Item.- ze changes authorized by Architect, Rngkieer, and BilUding Inspection Division if not included in non - conformance ite= D, insure thaat an adequate number of pre - qualified special irtspeaion persartnel are on the job based on the intensity of activities, quality of work being pen.ormed and the various operations occurring. E. Submit a TINAL LET'T'ER OF CO'N 2 =10N to the-Building lstspectiort Div><ion sir3tang that all items reou rLig special inspection d testing were accOrrtplished, approved an reported and, to the best.of his knowledge, i*z cmdormance with *,a approved design drawings, specffication.s, approved chars. -e Order and the applicable workmanship provisaons of the UBC. Item not in cornformance, iresolved items or any discrepancies in inspection cova.-age (i.e, missed inspections, periodic inspections when continuous was required, etc.) shall be specially itemized in this report. F. FINAL f E' F-R OF CONTLE'ITION shall be signed by the Licensed Registered Enoaeer of the Special Inspection Agency of record, 4. Each Special Inspector shall complete and sign the Special Inspection Record at i e job site or each day's inspection and provide a daily handwritten report in a format acceptable to the Building Iztspecticn Division to resruain at the job site with the contractor for review by the Building De-Partment's inspector, Content of the daily reports shall be per Rent 3C above. 5. Work requiring special fn$pection and the performance of spacial inspection shall be monitored by the City's building inspector. City approval is required prior to placement of concrete. General - Contractor skull notify (408- 777 - 3228), 24--haass in advance for each day special inspection will be conducted. rEB 2 s zooz 6. Spe dal %napectiorts are to be performed on a CONTTNUMl S BASQS, mea-ting that the 1 SPECIAL INSPECTOR L5 ON SrM IN THE GENERAL ARF A AT ALL TIMFS OBSERVING rFM WORK. REQ=MG SPECIAL MPECMON. Periodic inspections maybe approved by the Building, Inspection Division and, if approved, shall be noted on the SPECIAL NSPECI10N AND '1'1rKIING SCHEDULE. 7. Only the Ciiy approve Testing Agency of record shall sample, transport and test materials. Revieed 6/23/04 'k VZ kel- Plsr Chaok Division 10300 Torre Avenge Cuptrdno CA 95014 Telephone (408) 777-3228 Fax (40$) 777 -3333 Only the City approved Special lnspecti= Agency of zecord -ah-aR provide special inspectors. Independent insp !ciors may be pre- approved by the Building Inspection DivWon per Item 2 above. 9. BEFORE AAF OCCUPANCY PERMIT CAN 3E ISSUTED. The Special Inspector or Agency sl O submit a FINA L LE TTEI', OF COMPLE"T'!ON per item 3E above d-ixecfly to the Building Inspection Division. 10. Copy of SPECIAL INSPECTION AND 'I'ESrI NG SChMDULE, SPECIAL If45PECEON AIND TESTING AGREEMENT, SPECIAL INSPECTION RECORD, and SPECLAL LNSPECMON DAILY REPORT, SHALL BE AT THR OT 13 SITE. ACK TOW'LE'QQJM'S SE.aature Owner. 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Other eta cIm euy d1b b qumlUI:d; ft 1ord1 tdit- W bu 71st ultimata rupare hurry tai a(�urcl. n ia :[u dasst♦ s�tt1- atir.nluny end ituroiara tl7aayna:�estaitly iL7tx3:ltie 1iGa3t elr+wnF i(!i at' 1teo�lxed at�ci7iide, . �; A$ra,-, a3 hove sat b=% ewfaeud 161 jeaittlWpM.apUVW WPrje d0r1. Agav4"y Nava afn= :.i mast d= 09a kudos. '7 CUPERTINO SANITARY DISTRICT 20065 Stevens Creek Blvd., Bldg. C DER: Cupertino, California 95014 CBB: (408) 253 -7071 CV: File: "ON -SITE REQUIREMENTS -OVER THE COUNTER 17:I��fi= �''��fV Zt�7i Date: l File: C OP Building Dept - Cupertino Community Development Department - Building City of Cupertino 10300 Torre Ave. Cupertino, CA�9 O'12U ZQOZ _ u N Re: Subject: vV IV�,/� VJ " "•L i 1, Name:. TCj' - - ' Address: �i Fj JDy &A-N t/ / r2a. ! /T 0 APN: 46 — 07, "' O+" /,� I Control/Plan CkNo: I b 607 7 f `.1 Permit No: 01110057 �u,s,�, (-;�I-r# pus5'�5 Y 1`�F'S The ue 't )�is ict hQ,, ed t e tans for the sub'ect ro'ect: e P� ,�. P ] project; d No additional conditions/requirements by the District. Sanitary sewer is available and the existing building is connected to sanitary sewer, see conditions/requirements listed below. APPROVED ❑ Sanitary sewer is (not) available, see conditions/requirements lifie` 11C}iDANCE WITH THE CITY Oft ❑ Sanitary sewer is not provided by the District please contact 10 i Td t�i §. AND OD1NANCES The following Conditions/Requirements are made: O-Z— V r fy Install new Property Line cleanout or locate and raise to grS a ILIti o e @ ou , canout and shall be the same diameter and the street portion of the service 1a , lir(� "rraity lateial:is �f iCgtnt',4`T�rVideotapt inspection of the existing Cleanout Point of Connection an�E$�i$ T$t 31Qsfr�ggirell j Pjgasge P0JQSk1ffzt any onsite construction until this is cleared in writing by the D ri r]l �W 11 ka ca1��DZstui�ctt481�,ur � AIMs eo inspection to schedule a District Inspector. on same rithOut m ik;n permission from the b "din pes`�, #v r ❑ Sewage Pump is required, unless Civil Engineer certifies tl1 ehP}�owe fintsh�dliloor �vitOFzJ�P�ifii94hg is at ]east one (1') foot above the rim of the next upstream manhole prior sNtlt Uuptrtino Sa "sitar Di'ftiCtlt hlCG6tion Permit. 5 ALL NOT be bed L pa mit or to be an approval of the vlc 3,1-11 at any pprovistpDns q,� ❑ Cupertino Sanitary District Fees or Permits are requi0fddpq thgy4jS prow eft' r lqI do not issue any building permits. ❑ Plans shall be reviewed by the Industrial Waste Division of the San Jose /Santa Clara Water Pollution Control Plant Phone 945 -3000 for questions and to schedule an plan appointment. Please Do Not Issue permits until pretreatment recommendations have been forwarded to you by the District. ❑ Verify existence and serviceability of an existing backflow protective device. ❑ Break areas authorized minor electrical appliances only. (No commercial disposal or commercial dishwasher installations.) ❑ Other: Storm water from surface or roof drains, other general surface runoff water or condensate from any residential HVAC equipment shall not be discharged to the sanitary sewer. NOTE: Contact CuSD for "OFF-SITE REQUIREMENTS" File Building Letter -OTC n Revised 02/02 l CUPEDTINO GREG BENTON iZP MI Building Division 10300 'Torre Avenue Cupertino CA 95t1i.4 Tclephonc (408) 777.327.8 Fax (408) 777 -3333 PROCEDUIE FOR DEMOLITION PERMITS t'1� l BEFORE DEMOLITIQN PERMITS CAN BE ISSUED, THE FOLLOWING SHALL DE DONE: ✓ 1. Owner to make sure that the property i5 located within the City of Cupertino limits. 2. Provide a current pretimittac3+ Title Report or a "` Lot Hook Guarantee" which shows ownership of property, open Deeds of Trust, and a legal description. This report is to be issued within thirty (30) clays prior to issuance of demolition permit. f Prtty, de the - Building Department with a letter and self addressed envelope to be scant to all ��Ph�V e �t sa rn- ertlement to rfsc property, Advisinb them that t is b Oil IN `�e, h 1 tl [lacy have 10 days to respond if they don f tlt n CUPERTINO f —1�� 6Uy_iiisiitutiotts banks lease 1 elders Tartu f#RY Tor e rnp e. Leh rig s t , 1 THIS PLA t= n GATE `-- — building is considered to be historicalrwnl '�ita t:�`frorrt ON SIGNE)� -1 arming - Division— Ct)nitntlnity Development. Ailrrw 1{0 worrm da T1M1_S LURING of !ans and spectfications MUST RUCTION. This set p be kept on .t5? ktlie l'etntii�fec fiti'!Y b paid Based on tite valuation of the demolition work. [awful to r ake any c'ianges or alterations on same ti it6. AV'Plor pla i v� 'I'V frol b Y ( grade) e recutrec] showing any trees 10 inches 'tit dianteter zt 3 feet above �tttde} the buildit Dept . L:� v ter ',10ertl no. oil tile sublecicpr,�4��ys and what means will be taken to protect sante. Two copies of this The stamping of Ilan are re arc r r •view b Planuin De artment. SHALL NOT be f a a ih Pei fIli, < < ah Y g P' approval ''he �r,5tzm Of arty provisions �' Uid,rPrtaRe a letterr�of inspection, tests, and abatement of any Hazardous .Materials. Lotter it? 1n any Ci y tie initiated by person(g) Certified in Asbestos and !or Hazardous materiel examination, ' �� �; ✓S. P.G.& E. must be contacted a minirrium_of 10 weeks prior to demolition. Contact Calvin at (4013) 725 -2024. A lettet' from P.G.& E. shall be provided, stating all gas and electric t ° � .�'has,l,een disconricc red. .,. - -KZ—; - - rf7� +� CUD .✓yam '' rovitl�; a letter of clearance of all verinin,4vm a licensed pest control contractor or tail to fare County Vector Control District at (408) 299- 2050.� ---�� Tmpotlnt: Prior to fire demo permit being issued, the appllcar�t must call Public Works ll;= P, Deprtment (408) 777 -3237 and arrange fora "habitable dwelling" inspection to be perfo med. 17 � : j d a "•' -=- 11. Debris bin and Recycling sheet. Read, sign and date. Sheet will remain in the project's °! "builiirttg permit file For the duration of the project. FEB 2 5 2002 Kimsad 1125101 Ferma Corporation 1265 Montecito #200 Mountain View, CA 94043 Regulation 11, Rule 2 - i' JV:.J Notification and Payment of Fees 2121102 Job No: 1N831 Invoice No: OEC4 The Bay Area Air Quality Management District (BAAQMD) acknowledges receipt of your payment and your Asbestos Removal or Demolition Plan described as: Demolition Site address Start Date Completion Date 10615 Randy Lane Cupertino, CA 95014 March 25, 2002 March 26, 2002 Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet Should it become necessary to revise this plan, please do so in the spaces provided below and immediately copy the District by fax or by mail. ,,.. REGULATION 11 -2 REVISION ��� BAAQMD J# 7 NEE REVISION # START DATE 2 3 ! 4 5 ! COMPLETION DATE k' NOTE: Thisform is not intended as a verification ofeither the completeness ofyol original - notification or ofits compliance with BAAQAM Regulation 11 -2. Ifyou have any questions about this acknowledgment, please call our office at (415) 749 -4762. 1 FEB 2 5 2002 Ni I Li t3nY AREA � ' K�; is 1 ENT i�rU IV. 1 � 1 AiRQUALITY DIVISION MANAGEMENT D I S T A I C T Ferma Corporation 1265 Montecito #200 Mountain View, CA 94043 Regulation 11, Rule 2 - i' JV:.J Notification and Payment of Fees 2121102 Job No: 1N831 Invoice No: OEC4 The Bay Area Air Quality Management District (BAAQMD) acknowledges receipt of your payment and your Asbestos Removal or Demolition Plan described as: Demolition Site address Start Date Completion Date 10615 Randy Lane Cupertino, CA 95014 March 25, 2002 March 26, 2002 Removal amounts of friable ACM 0 linear feet 0 square feet 0 cubic feet Should it become necessary to revise this plan, please do so in the spaces provided below and immediately copy the District by fax or by mail. ,,.. REGULATION 11 -2 REVISION ��� BAAQMD J# 7 NEE REVISION # START DATE 2 3 ! 4 5 ! COMPLETION DATE k' NOTE: Thisform is not intended as a verification ofeither the completeness ofyol original - notification or ofits compliance with BAAQAM Regulation 11 -2. Ifyou have any questions about this acknowledgment, please call our office at (415) 749 -4762. 1 FEB 2 5 2002 Ni I FEB`11.200i 9:34AM AMERICAN TITLE C.V 1110.348 1P..2/10 J. w `AUAMERICAN MTL E �rC0 p— ... . 19200 Stevens Craek 0cnu4v"e. .P0a2n0 Cupertino, CA 25014 140% 253.6660 ■ FAX I408I 253.3740 PRELIMINARY REPORT ESCROW OFFICER: Wai Ling Chu ORDER NO.; 313041 - B Amendment TO: Re -Max Group South Say 19200 Stevens Creole RIW 921.0 Cupertino, CA 95014 ATTN-. Teresa Tsim SHORT TERM RATE, Yes PROPERTY ADDRESS: 10615 Randy Lane, Cupertlno, California EFFECTIVE DATE: January 31, 2002,07:30 A.M. The form of Policy or Policies of title Insurance contemplated by this report is: American Land Title Assoclation Homeoww's Polley of Title For 8 Ore -To -Fors Family Residence (10/17/98) American Land Title Associatlon Loan Polley 09921 1, THE ESTATE OR INTERFST IN THE LAND HEREINAFTER DESCRIBED OR REFERRED TO COVERED BY THIS REPORT IS; A Fee 2, TITLE TO SAID ESTATE OR INTEREST AT THE DATE HEREOF IS VESTED IN: Patrick Tslm and Teresa S. Tsim, husband and wife, as community property 3. THE= LAND REFERREDTO IN THIS REPORT IS SITUATED IN THE CITY OF CUpERTIND, IN THS COUNTY OF SANTA CLARA, STATE OF CALIFORNIA, AND IS DESCRIBED AS FOLLOWS: SEF EXHIBIT "ONE" ATTACHED HERETO AND MADE A PART HEREOF SM1dn 02111 J2002 1 FEB % 5 2002 -, FPEB.11.2002 9:35AM AAMERICAN TITLECO 0 34B p P 3/10 J Order No. 313041 - B EXHIBIT "ONE" Lot 25, as shown upon that certain Map entitled, "Tract No. 7S4 Linwood Acras Unit No. t which Map was filed for record In the Office of the Recorder of the County of Sonia Clara, State of California, on June 5, 1950 in Book 28 of Maps at Page 31, Assessor's Parcel No; 316.02.049 ; r i] FEB 2 5 2002 s 0 4 r tii. 2 I. Ckouc V z JD II M- O'Itrf l LHN 11 I Lt LU Mr - -!�Qtj pr_a%ara Order No, 313041 - B AT THE DATI~ HEREOF, ITEMS TO SE CONSIDERED ANp EXCEPTIONS TO COVERAGE IN ApDIT10NTO THE PRINTED EXCEPTIONS AND EXCLUSIONSIN SAIDPOLICY FORM WOULD BE AS FOLLOWS., 1. Propsity taxoa, which are a lien not yet dtle and payable, including any assessments collected with taxes to be levied for the fiscal year 3002 -2003, 2. The lien of supplemental taxes, if any, assessed pursuant to the provlalone of Chapter 3,5 (Commencing with Section 751 of the Revenue and Taxation code of the State of California, 3, Covenants, conditions and rostrlotlons (deleting therefrom tiny restrictions Indleating any prelarence, ]Imitation at discrimination base on race, color, relialorli sex, handicap, familial status or national origin) at set forth In the document t Recorded; June 8, 1950, Boole 190, Page 98, of Official Records Said covenants, conditions and restrictions provide that a violation thereof shell not dafmat the lien of any mortgage or dead of trust mods in good falth and for value, NOTE: Section 12988.9 of the Government Code provides the fellowin8; If this document contains any restriction based on rate, color, religion, sex, familial status, marital statue, disability, national origin, or ancestryry, that restrlation violates state and federal housing laws qnd is void. Any person holding an in'tsrgat in this proporty may request that the county recorder remove the restrictive language pursuant to Subdivision W of Section 12866.1 of the Government Code. IND OF ITEMS Note 1, Nona of the items shown in this report will Cause the Company to decllno to attach CLTA Endorsement Form 100 to an Extended Coverage Loan Policy, when issued, Mete 2. The Company Is not aware of any matters which would cause it to decline to attech the CLTA Endorsement Form 116 fndicating that there is Ioceted on sold land a Sinals Family Dwelling Known as 10615 Randy Lane, Cupertino, CA to an Extended Coverage Loan Policy. Note 3. Ptoperty taxes for the fiscal year shown below ara PAID. For proration purpooss the amounts are: APN: Fiscal year 1 st Installment; 2nd Installment: Exemption,- i.and: Improvements, Personal Propertyi Cade Arsa; 316.02 -049 2001 -x002 42F847.94 PAID 42,847.94 PAID 00,00 4374,544,00 $104,040.00 40,00 13 -003 3 FEB 2 5 2002 rF'ES- 11.2002 9 :35AM AAME_RICAN TITLECO Nt4P2_34B pP,5�10 rTEMSI (Continued) Order No. 313041 - 0 y Mote 4. There are NO deeds affecting said land, recorded within tWonly -four (24) months of the date of this report, Note b, PLEASE BE ADVISED TWAT THI" COUNTY RECORDERrS OFFICE WILL NO LONGER ACCEPT HIGHLIGHT D GRIGINAI, DOCUMENTS FOR RECORDING, THIS COMPANY RAQUESTS THAT ANY DOCUMENTS SENT HERE: TO BE EXECUTED AND RECORDED NOT HAVE ANY HIGHLIGHTED AREAS, Nola 6, SoOon 12413,1, California InsurancA Code bocerno offeativ4 January 1, 1990. This legislation dams with the disbursement of funds deposited with any title arltity Acting in an escrow or subascrow capacity. The levy requires that all funds be depoeltedi and collected by the tiffs entity's escrow and/or subgscroW account prior to disburasment of any funds. Soma methods of funding may subject funds to a holding parlod which must expire before any funds may be disbursed. In order to &Vold any such delays, all fundings should be done through wire transfer, certified check or checks drawn on California financial Institutions. Note 7. The charge where are order is cancelled After the Issuance of the report of title, will be that amount which in the opinion of the Company is proper cornpenWan for the services rendered or the purpose for which the report Is used. bw in no event shell said charge be less than the rninirnum amount required under Section 12404.1 of the Insurenev Coda of the State of California. If the report cannot be cancelled "no fee" pulrso4ant to the provisions of said Insurance Coda, then the minimum cancellation tog shall be that permitted by law. Nato 8. California Revenue and Texotlen Code Section 186613, effective January 1, 1991, requires that the buyer in all sales of California Real Ssxote, wher®ln the Seller shows on out of State Address. withhold 3.113% of the total sales price as California State Income Tax, sublaet to the various provisions of the law as therein contained. FEB 2 ZOOZ 4 4�- y ENH [SIT Q AmErT(CA61 LANG 77T46 A490CIAplgpl RIES12IN71AL TITLE INSUMNCS PC41CY M -1 -97I =LUSIQM fe •dflgrn 10 IN■ E.CIDOA r• IN Sah■1da & 1tu Ya fear �-rvr olAmaj>ay. G.r■• teewAa"R' lure. Hw r•Aall•M 1aou" ham'. 1. 0■.rlRp� led 111ian Qdwv, IrA tea rgr9PnF■ w •+sager at ms1'fr E>r gmr•rdgltr7lr4ged14ap. TIG■ rrag4ay bralatrd filed twOlM adnwew NO dW 1■■■ 94 P%W*ttn AJINS11010191 y Igo 4■R or fmpfalaffma ap rAm IBM ■ IIRI ot""n 1 oftfp lratd Pralwa's ter rPaudan Aaw ral ■Itcq too diarqulq v m Rlwg n.agpr tonal appor IR A* oargd f Kwo s x r*v Ajar• fl"4)1ai sea 1111. fat "A Ip- IanPq at•voq ■swanr.d IR IL)OL 1. 04 12 W r -Ag Rlmr A.i.. +�. NjIum jai rFira rfd IVP MtPrmaf oM Iar r11N • . rout■ of g■■ndAn fh IIQFI Iq■-vt In thr•1as4e rla9105 an ft pqt w Cnr 14100 14481 N-111Mtnd /TF/ h 111. flk'67 4" 04 u bl" I M w 7w 11 7011 arar1111 111.1 W4 -4r,&' Itrwv'I"g■ at IM 181riq 7.1601 Id ■het - fNw F114Pw•ar 0004 v .yegd 0 M 144 m IAw wr vrw-g to 4+•I. fat rm, w w■r an IM I" anwAina MR eldared 1a al. o■3R lgawer , e rNw rrrll in rw 1461 IV .104 9rlw R14 CIF*" W so NOW 1rq Pak? OWN . gt- dvrg rat ll".t thollWr raq MAGold Ifrl MINF4. In II•rn 1 of Gev■v ilga 144P3 a. PW.dP too goo •*t■ to Tuv PG. 7. L)A 4f I ha ■ ii e" UIr4 aead• M■ ton w-wps* filewbtd qd r40 •r+"j Sala IPM ! al CLY■g■ - a r ih 7Vwfr. •■.3, v'rw■I.ena Ig4v rmrsl! liar r +Ra 1hr og oL.rl .Ww err frmr Illy Is old aa- vlytln Item 7 al 4�t-rp T1q• Pe11 SCHEgVL4 B E(CE.d T IONS to warur4 (r frig i.dwwmA4- ror an AvI )A..1110 )OUFM tar, cgpff. ntafrayl, Ire.. AM tha ■■Per- - rweJ "nd'ftp•G1 1. 4111 nrlllf g. Ig11r'I+ir, a ?■+•- of arIII/ ton IgMrgall dI a1g IaJld 3001 rBl-'t Iiy m1 Ir1$ f■atRllt• 2. illy+ n -IRtril 12 d" R9t Vin-em W BW rrelo fvt+ent. TIM a41M r4tfg111111■ nan r■•sle"Ib il4m 6001 C$a"Fd r of frltd. x AMT 1111114MLI IM [Ora "KdM 11 ,Iw, -nWvr rJd dGrl7w. /y Wholok -- 0111111111' W If11r4bw reavdr. T�j■ 54r1 Into EARN IMIOMP3Iaww11 M ■0140 IIIlimp 1 '. as tv1K.l rAll 7000. A. Any wviv molls w 4051+ ar mum tq wuw Iq mrurlelr IrfrlrrlW "-hr1Aw ■ rnl thvw. by To 9904 woody. CALIFORNIA Larva TIT., Aas'l2crATIOPI VANURa WICRACZ POLICY a 1390 E.XCt11�lI?IVS PFIQM CQvE8pA41 DA 1- 04vdnd r IMPA we hgww■T e11lwdr7 11406 IM Gnsgs at r[41 GaliaY 001111 Va Calripff -4 tort Oat l■w w 40MR179l •••t{. 1MdrR"yi IN" to 000111+.- .no'll ew 4v 0., eq air 1, Iti Anvla+•, wplM1pcR 111 OG•rrnwgnaa rrlydwal111RGGlfiy .lYl 1"relllNrgg mvalolM19 and Y.t1141•••lr "AffFnr• er tog} varemi f9/mm". row"a's eraplblggg w rre41Tq 01 IRO occ.GMley, Ica, 4g mOrn me RI illy lar4I ioll Ina A mml t1w, dlrPgnFRm W IGRE40A It nippy q w mwor Awi hw elwfg.T 1001 rfH IrrAf Aia s lsetradah fp g�n■:I"➢ m e gmlgeln qh d1mr4•aN w .rq W IItM11■nd at 1A llydal of "hR1" .r• }"Ito IA Ow Wm i a� w Cr1 ■nowenommom papragnl, v Mr 11maa q? tongp • fngl{ 111 Miss- I•"w, tiwmmM Be 00 -ven P 9 A roo*1t1■Ito1 ■weal In Iro latrhl rhel w pgu■ di I'm 4w4`P ■mP1t 1405101 q'r n4gae II III II■1e.9 -p Of .I113rrllaeA■ FEWNFq. her a 914111" a d vW 11deggn affv9miq Ino well 1105 Dmm41.er"e42I to IN• w1111er ratGMs A gets qr pAUCr, • 111 ln9 gavanmhrld 0111411 "rP1 q ■ei -4 ay lei ■ba.,, awpj 14 uN ertep 10410 egg" 41104 o9■R1P fftwRl IN t Rao" aF a sang. Soo v 03CNMPVW4 Igadlty 1lgret 1 yloddn w 4l"60I .rung;n air rwo ko.100 N14 "" iwlcpgw In Ip■ auvilq re om@ A gap al °ogy. i. 1%4 di 1001111 ;r dq+rf+n loff4 r 40411 R? ft ew"A ftWedl Ilrpeaq I+tpld11l m and 94POC marl■ II C IN 001 P040r, Iowf ®e afawellq II4fR m• R "man? talinq N-cM hw44wrra.l a% r m Qeu of Pmaf •Furl V.1■ita gG 1hfF41 rl dR ra• p4lhtr RI t gIVMo,r !IV -•iwr *Mb.] YM- 1■tgt. 2. CWwcw. Items. "WIRtRaPpr• 04-WbR agnta. v qg"-, ,nwer4r to vinatpw or pit rsa•m Ir INd cakIxs racv.g11 a 0-t- fd Fa11y. 4 s+IIIJ- PAN- rwlq+T of 1grTM M w Wo Inaafill rygniftar I' lUf RW k1R'+r to il1K mmRN4. rite r■wrdM Ill In- NCE r■cmaa 11120110 a FaBvr; 1111 inrv.n rr tlM rdmam 0mvll and Par olwg4f& rR-rrt m to In, �Pa11r 40 rllgee 004 d.1fd1 dlGr twdT@ 9r131 "hy Irwr"y drdlaN be0lrltt an li aftm l ygarr Ihf 054rrl Id I■■Illnq In me Fyn w aartmtycc 0m,yw4r<r 4ipl +r4 Ire iRlKhp or agvar mutmwlgt w q nf■ at ftv" a Ire fawlarg IV 1.114 w "Milp 44144 --dip -n nr.1wq w4uanrt1 II nSy Irwld del lW7t'�Fd IItla -al'9- fw TG Inamme mmgFgg w to tn. -R4ra R inewan Irwrael Ile Tr Pda. +. +In ■nlos■fizFh of tmmgl Iff f-"*Mq M-wop Dnw■ra m1 th111nHkf do 140t- al m•Irwlw n UP III PgMr. v g1-•nak, %v at far-e11 er any +rfsteAYgnen+wlr of ITI■ 11tePhrevgtw. Id teMSpr1 *04 1tto ryllyd. r ■mrq 6wlW !ate 01 t%suar)a •I"Anl Ihl Inod 11 $qra. A. fa#tht'1 w vnr WrNrl4 I1 at f "affm at 1M lfwn+ man fill. wd.lp Ifr•,ar. -rah ru. cur 1I Qw aeoreepa 1"1dp"te W OR irwrm NeIrl w *7 dalwrt■1 anal prw=0gn II n1N I4ter17rgl IA-. 4, ►np darn.'Pw rrww•alcf lfw RPr4IrtQGR {f11q•�Aelrp►1li'r arl�ft- 11n1ettM I^+4rw it er"n 40%W ql IM 1relrwpaq agagM tl". iMip.. It Irmfflld 1049, try fmmgn 91 ray 0dwgdt0 qr frd.et l"gtnmtN• 9901 iNMggl} to >ilnd. gpflewa' F"11l,-u SGHSC U4R P. F;h8T I e:4(ce TIQNJ FROM e4VFMAGS Tlv Palgy dame Oar Ural/ I60ftI law a dap ply rw"i rh. ecAp" 1411 rme 0,1 welv. Ctegh"A' tomm a r•lanewll i;," CA44 In r■rf. ate 4 PART 1 1. It "M ■ 0-.rrrrl -f1I9 .%-M OR M? ■rq-- ti ni■d119 119105 a olles I gndlgf Ar rmgln althcollP lied t•■eg IMAM IF mapwmwTm an 1411 gedcryr ar O1 as• 05441 +"Gods. Ptacroms 4T a PAW.6a el�w %-?NM AIGy iPUlt III 1ar■1 w E a Mm4rtta, IS 011!001■ of mttl 9t- 4..dilgl, •4h11Rr a AM Sft-q 4 411 raraRll w 11409 Iq■r" of to, IM ouffte fargggr ?, 0V twtmr. IM111. IgLPIM4 a 13008 10111 :1 If Me IM-01 41 (IN 14b5ll 00630111 fAll w1W Bala 011 "Mot" 9T III If".awam N Ng ?AM at I-Aoq relIy be pow IT Prav11 u it -OLVA IIWINI. 1 aw.r mrAL hew a - A"ivgKGG, w delfgr irsorwl wfivt 014 rya 111gws n IRw ­44 regwgl. i GrarPw%w■ w1fid'iM 11Ki9tor 111 vmfo: eiwlPthlRfrnr o fltl QIFw Neu -PRO 1 aveymer w rvwf Ingrid lilwnr. lost ..anq Ito a fell 4wo- 4T . 041w& frew rr. d, 14 UAftngfFl4 A% o d,Ngrt IP+ r�+•jd■ . 0220 A e "rerP- of ill Arta aulj IM4 If s 411. jIg 010 W IV -Oqw 711I& Amp rowdy, Mrh►. "191nrIt me me im r B 2 015 fairmw r� I f 2002 _ I_ v 1