application rm-2019-019gm- 2011- 011
APPLICATION FORM
Community Development Department
10300 Torre Avenue
Cupertino, CA 95014
CUPERTINO
(408) 777-3308 / Fax (408) 777-3333
planning@cupertino.org
http://www.cupertino.org/planning
Project Addressss/
APN(s)
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PROPERTY OWNER
APPLICANT
Name
Contact Person / Company _
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Address
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Address
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City
State
Zip
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Zip
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Phone
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Email
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Phone
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Email
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Pro erJ34 QAm r Signature Date
Applicant Signature Date
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Brief Project Description
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I certify' that the foregoing statements are true and correct to th est of my knowledge. I understand that a misrepresentation of any
submitted data may invalidate an approval by the Director of Community Development, Design Review Committee, Planning
Commission or City Council of this application. I understand that the application may be withdrawn if my authorized
representative or I am not present at the scheduled meeting(s) unless a written request for postponement has been presented d the
applicable review body. I have discussed this application with the Public Works staff and I understand the public improvement
requirements associated with this proposal. I understand application fees are nonrefundable.
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Appli ant's Signature Date
I declare under penalty of perjury that I am the owner of said property or have Power of Attorney (attach copy) from said property
owner and that I consent to the above -described application and I authorize City staff to visit the site in order to take photographs,
slides and/or videotape that maybe shown at a city meeting. I understand application feeq are nonrefundable.
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Proferty Owner's Signature Print Property Owner's Name Date
Staff only,
Application accepted LN on � 2 File No. (s):
pby
Application type:
For Amendments or Modifications, list the original permit:
Sheet 2 of 5
Revised 7128116
CUPERTINO
RESIDENTIAL SUBMITTAL CHECKLIST
Community Development Department
10300 Torre Avenue (408) 777-3308 / Fax (408) 777-3333
Cupertino, CA 95014 planning@cupertino.org
http://www.cupertino.org/planning
Required
Residential Submittal Checklist
Submitted
Return THIS FORM.
tl/ Application Form ell
Complete ALL applicable items on the form including current contact
information and Applicant and Property Owner signatures. Submit both a
signed application form and electronic application.
Payment of Required Fees and/or Deposits
Submit payment in cash, check, or credit card.
Response to Preliminary Comments
Development Regulations and Project Data Sheet
Summarizes project data and provides zoning development standards.
Public Works Confirmation Form and Environmental Programs Compliance
Form
Please contact Public Works at (408) 777-3354 to pay and complete the required
form(s) prior to project submittal.
Project Plan Set
NEW ELECTRONIC REQUIREMENTS; PDF version of the plan set (separated
by individual sheets) on a USB or emailed to planner.
(/ Title Report
Needed to verify ownership, easements, and other restrictions which may exist
on property.
Privacy Protection Planting Plan
See Privacy Protection Planting Plan handout.
Exterior Color and Materials Board/Sheet (required for Residential Design
Review Applications)
One complete set of labeled samples of all exterior finishes and materials.
Notice Board (required for Two -Story and Residential Design Review
Applications prior to project noticing)
�ff See Notice Board Handout for instructions.
Geologic/Geotechnical Report
AW Landscape Water Efficiency Checklist
New residential construction with aggregate landscape area over 500 sf. and
rehabilitated landscape projects with landscape area over 2,500 sf. are some
projects subject to the Water Efficiency Landscape Ordinance (WELO). See
Chapter 14.15 of Cupertino Municipal Code. sheet 1of
Created 7/28/76
DEVELOPMENT REGULATIONS AND
PROJECT DATA
Community Development Department (408) 777-3308 / Fax (408) 777-3333
10300 Torre Avenue planning@cupertino.org
CUPERTINO Cupertino, CA 95014 http://www.cupertino.org/planning
Application Type
❑ Two Story Permit Residential Design Review
Minor Residential Permit
Extn. LNC Gable/Env. n R/Y Setback 2nd Story Deck Solar Slope Lot > 35% FAR
Project Data
Existing
Proposed
Net Parcel Size S Zoning
41,5-3
31
Building Square Footage General Plan Designation
1-7
(e 0 7
First Floor (includes garage and accessory structures)
70
Z 0 8
Second Floor (includes first floor area >16' in height from floor to rafters)
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Second Floor Side Setbacks (side setbacks <15' require Residential Design Review)
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U ' U %
92 ' %
Ratio of 2nd Floor to 1st Floor Area (Ratios >66 % require Residential Design Review)
%
"4 a • %
Floor Area Ratio
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q 0 3,15
Landscape Area (SF)
Residential (R1) Development Standards
Zoning
District
a )
Minimum
Lot Area
Minimum
Lot Width
Minimum Front
Yard Setback (b)
Minimum Rear
Yard Setback
Minimum Side Setback
Maximum
Building
Height
g
Interior Lot Side Setbacks
First Story Second Sto a
Min. Street
Side Setback
Comer Lots
First
Story(c)
Second
StoryStory(d)
First
Second
StoryMinimum
Total
Minimum
Total
RI-5
5,000 s . ft.
50'
20'
25'
20'
25'
5'
10,
15,
30'
12'
28'
111-6
6,000 s . ft.
60'
20'
25'
20'
25'
5'
15,
15'
30'
12'
28'
111-7.5
7,500 s . ft.
60'
20,
25,
20'
25'
5'
15'
15'
30'
12'
28'
R1-10
10,000 s . ft.
60'
20'
25'
20'
25'
5'
15'
15'
30'
12'
28'
R1-6e
6,000 s . ft.
60'
20'
25'
20'
25'
5'
15'
15'
30'
12'
28'
R1-10a
10,000 s . ft.
75'
30'
30'
20'
40'
10,
20'
15'
35'
15'
28'
(a) Buidings in an zoning designation are limited to one story and restricted to 18'.
(b) Recorded easements in a Title Report or Parcel/Tentative Map that result in larger setbacks take precedence
over setbacks stipulated in the Ordinances.
(c) The front yard setback for a side -loading garage with a curved driveway may be reduced to 15'
(CMC Chapters 19.08.030 and 19.28.070 (E)(1)(b)).
(d) First story rear yard setback may be reduced to 10' with approval of a Minor Residential Permit provided that
the area of the rear yard is equal to or exceeds 20 times the width of the lot at the front setback line. The
width of the lot is measured at 20' from the front property line (CMC Chapter 19.28.070 (E) (3) (a) (i)).
(e) Interior side yard setbacks may be reduced to 10' subject to Residential Design Review approval (CMC
Chapter 19.28.040(E)(2)).
If your applicable Zoning District is not listed above, please contact the Planning Division for additional information.
Sheet 3 of 5
Revised 712812016
RESIDENTIAL FEE SCHEDULE
CUPERTINO
Community Development Department (408) 777-3308 / Fax (408) 777-3333
10300 Torre Avenue planning®cupertino.org
1 Cupertino, CA 95014 http://www.cupertino.org/planning
General Information:
Please note that permit fees are cumulative. Categorical Exemptions and Public Noticing
fees are applied only once per application. An additional Filing Fee is required for every
applied permit.
For example, if a project requires a Two Story Permit and a Minor Residential Permit, the
fee is:
- Two Story Permit: $3,000
- Minor Residential Permit: $2,311
- Public Noticing: $268
- Categorical Exemption: $180
- County Filing Fee: $50(2) _ $100
Estimated Total: $5,859
❑ Two Story Permit...........................................................................................$3,000
❑ Two Story Permit w/ Residential Design Review...................................$5,600*
*Fee includes $2,000 Architectural Consultant Deposit. Applicants must also pay a 15% City
admin fee per invoice.
Minor Residential Permit...............................................................................$2,311
dicate Type:
❑ Extn. LNC ❑ Gable/Env. R/Y Setback ❑ 2nd Story Deck Solar ❑ Slope Lot > 35 % FAR
Miscellaneous
❑ Categorical Exemption.....................................................................................$180
❑ County Filing Fee (per permit).........................................................................$50
❑ Public Noticing Fee...........................................................................................$268
Sheet 4 of5
Revised 216117