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08110051CITY OF CUPERTINO"�°' -�- It1CTbOR AN BUILDING DIVISION PERMIT N4CON� BUILDING ADDRESS: - PERMIT NO. 21871 DOLORES AVE PLANSCAPE R'S NAME: PERMIT ISSUE DATE PHONE SA CONTROLNO. ARCHrrECT/ENGINEER: BUILDING PERMIT INFO BLOG ELECT PLUMB MECH DEMO (1500SQ) 1 SFDWL LICENSED CONTRACTOR'S DECLARATION Job Description I botchy affirm that 1 son li¢iued under Provisions of Chapmr 9 (mmmcncing with Section 7000) of Division 3 of the Bondmann nod Professions Code. and my lkcnx u in full Tome am efroct Liccnx 0. Lk. p Da¢ COotranmr ARCHITECTS DECLARATION I umlyalalld my plans shall be u cd as public rsortls Licensed professional OWNER -BUILDER DECLARATION i botchy slim, that I am exempt from the Contractors Liccnx Law for the following meson. (Sation 7031.5. Business and Professions Cads: Any lily or county which acquire a permit m construct allot. improve. d... lish. nr ,pair any suuclum prior in its iuuance. alsu posim. dloappikam for such permil to fill rxd sot,room Law(Chapror 9 Sq. Ft. Floor Area Valuation paid he ulII.M 1 purnrantx the Provisions of the Contractor's Liam (cmomeming with Satiao7000) of Division 3aflM Busirry and Polmad.. Codc)a I than in, is mccom tlrarlroo and the basis for the gaged exmption. My violation of APN Number Occupancy Type Sold. 7031.5 by any appli(sm for a pump objecta the aPPllcanl ona civil p.nally of not more Nan two hundred dolls, (SM. ❑ i.uoww of the propvsymmy emPlsym with wags aNe4 ank compewtion, Required Inspections will do N.wok. and the suuuumutal'.LMedn ?man Busnes Law did Cadu Tic Comaxmrs Liccnx Ira dw ant apply lr an mvmr and pr apply. in sm - 9 P is eny wba bui W a ul impovu canna sod orbs does such wish bimxlf ad through bat po, y W ha . orroffamadoppImm. for sale B, awnemPloym•pmvlor that such imPmsem.na ate mliear f. however, the building a Lngovemenl I. wild within am )ear of compktior N. awl - Of buildm will have Ure buNan of proving that be did not Wild u impmow lm Puapox of X1, a awmr of the property tin mclmimly contracting with BamW onmcmn m o uuu the pojen (Sec 7044, Bol iva, am professions Code:) The Coouxmes Li• . coo. Law dw aml apply m an owner of Paopersy who builds or i,provn Neaon, and. '. who anuams for such Mjcm wits a contraculds) licrmxd pmstmm m the ConuanoYa Lk.rrx Law. ❑ I sm.xempt undo See ,B At PC fro this mason '�rC•t-�V HSu t/ ° - Data IF WO &&' C PENSATION DECLARATION I hereby of im under pottalty of perjury one of the following dularadm¢ ❑Ihs.e aM wvl mainuina Ceasificateof Cornevlmxl(-iauze fa Waak.rsCwprn oasis,, a prov far by Ste . 37M of the Lebo Code, fro the pufomame of the work for which this permit is issued. 0 1 have and will maintain Workers Gampenaallan Illslaalla. as requlxd by Section - 3700af the Libor Cade, for the performaxe of the work for which this permit is Issued. My Workers Comperoation hamaame carrier and Policy number zee: Cartier. Policy No.: CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Thu xnlm rued not he complcmd Inlc permit is mranc hundmddo0ua (SIM) Or leis) I atdry Nat in the perfmM. a the writ for which this Ferran Is lamed. I awl ml . ..ploy any peon in any mantery asmlo boa�0 GecI m the Waiters' CanpensaUan . Laws of Cali(amia. On. LL X Applicant Y•'-2C l NOTICE TO APPLICANT. If. after AAM, this Cci ikal, of Eaemptim, you NwW become object m the Workers Compmuation provisions of me Labor Code, you mum forthwith comply with such Provisions or this permit shall be deemed ra olum. CONSTRUCTION LENDING AGENCY I Iwy agency for sire perfarmamce of the then u a armks. 30 7, Cing On six wade for whit^ Nis permit u iaucd (Sec. 30Y1, Civ. C.) which LsMCs Name � Landers Add. D1 arriry that 1 bare mad this application and mule that the above information is lofted I agree to comply with all city and county ordinances and state laws retailing m building construction, and hcoby authorize representatives of Nu city to color upon the shove-merdsnsd properly for WiNction purpoxs (We) agree to test., indemnify and keep battalim the City of Cupcnim against n liabilities,jWg.U, case ud.aponrcs which may in any way accrue e6unstaaid City in concomitance of tM grumng of this pnmit APPLICANT UNDERSTAND AND WILL CO Y WITH ALL NON -POINT Issued by: Date Z v SOURCE REGULA7IONS. jl �� ° g Re -roofs Type of Roof Sigtatua. of Applian on r Data US MAT"DISCLOSURE Will this applicant or future building Octopaotaore or hatmic hmadons material deaned by the Cupenimo Municipal Cock. Outlaw 9.17, and dal Hcaith and Wcty . Section z55324)+ tttttt��(((((( All roofs shall be inspected prior to any roofing material being installed. ❑Yu ONo If a roof is installed without first obtaining an inspection, I agree to remove will the applicant m rut.. building cavpant rote equipment Or deviceswhim emit hevardom car conuminanta a dcOnN by the Bay Area Air Quality Managcmcvt all new materials for inspection. District? ,,,,,,��((((yy ❑yn )y No I have real the beradams mmeriaU roquimnamas under Chapter G95 of theralifm- nkHcuthhSafcoyCod Scctiw 5505.25533 am125534. 1 undvisuM Kalifsilo Wilding dw mt cmmmly ham a ho ant c u ilk y mapsn bility upnotify the occupant of the mymimmcnu wnkhm be tpnammwuamtq�a cmdn.ama4occupancy o Signature of Applicant Date . �� / l All roof coverings to be Class'." or better • Daa.O owmt W amtharinA s nt PERMIT # _ PROJECT ADDRESS _ APPLICANT no 5 I DATE /10 / -7- d�- Irac OWNER --Ea� /7Sa Woil AR PUBLIC WORKS mmmmmm", frf��lll <6 Z WAM.—IWEYAA- =m APN# 3�7- l �-� Z 6 RES. (LVNG) ,�S �� (GARAGE) COMM. SQ. FF. (NEW) T.I. SQ.FT. RES. REMODEL CONTACT TY OLtt / P U PHONE D FAX VALUATION (Cost of Project) NOTES: 1�-06 a — � CONSTRUCTION TAX REQD. PAID (1) (N)Q SCHOOL FEES (Y) (N) HOUSING MITIG (Y) (N) HEART OF THE CITY (Y) (N) DATE �� TOTAL FEES �Ql 4l ISSUED BX BUILDING DIVISION PERMIT BUILDING ADDRESS: 21871 DOLORES AVE OWNER'S NAME: PHONE ARCHiTECTIENGINEER: `Q pC LICENSED CON7RACMS DECLARATION i UMt' i hereby affirm that I am licensed under provisions of Chapter 9 (commencing u� with Section 700M of Division 3 of the Business and Profession Code, and my license is i a . in full forand cffec License Class Lie. it :] Date Contractor 1 ARCHIIE(.'i'S DECLARATION i I undersund my plans shall be used as public records )yU Licensed Professional - y OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractors License Law for the . 00 following Hawn. (Section 70313es , Business and Professions Code: Any city or county S$ E, which requires a permit to consuuc4 alter, mrprrne, demolish, or repair my structum '^ prior to its issuance, also requires the applicant for such permit to file a signed statement zee s "2s 0 that he is licensed pursuant to We provisions of the Conn actors Clcenac Law (Chapter 9 2 F $ (commencing with Section 7(10O) of Division 3 of the Business and Professions Code) or _ that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (SS00). ❑ L as owner of the property, or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (See. 7044. Business and Professions Coder The Comssctors Lkaw Law does not apply to an owner of Property who builds or improves thereon. and who does such wort himself or though his own employees, provided that such Improvements are not intended or offered for sal& IL however, the building or improvement is sold within one year of completion. the owner - builder will have the burden of proving that he did not build or Improve for purpose of L as owner of the pmpenY. am exclusively contracting with licensed contractors to cotrust the project (Sec 7044. Business and Professions Code:) The Contractors Ll- censc Law does not apply to an owner of property who bilds or improves therron, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors Lkerrse Law. - ❑ I am exempt under Sec . B & P C for this reasons Groner rr� «i NS (,( Date ( / � o� WORKF]i'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following decimations: ❑ I have and will maintain a Cmificam of Consent to self -insure for Workers Compen- sarlto, as provided for by Section 3700 of the Labor Code, for the performance of the work for which This permit is issued- ❑ 1 have and will maintain Workers Compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My Workers Compernadop Insurance caries and Policy number are: Carrier. Policy No.: CERTIRCATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Thin section need not be completed If the permit is for one hundred dollars (S 100) or less_) I certify that In the performance of the work for which this permit is issued. 1 Shull not employ any person in any meaner sq u bmcor btecl to the Workers' Compensation Laws of California. Date 1 (�. /� � �X Applicant -r-r-(br-� NOTICE TO APPLICAA? . If. after^t Jng this Certificate of Exemption, you should become subject to the Workers Compensation provisions of the Labor Code. you must Z forthwith comply with such provisions or this permit shall be deemed revoked. O CONSTRUCTION LENDING AGENCY 1 busby affirm that there is a construction lending agency for the performance of Yi > the work for which this permit is issued (See. 3097. Civ. C.) :4 0 Lenders Name ,z Lenders Address J O 1 certify that I have read this application and sae that the above Information is h-t correct. 1 agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the i't W above -mentioned property for inspection purposes. CL (We) agree to save, indemnify and keep harmless the City of Cupertino against „Fy liabilities. judgments, costs and expenses which may In any way acaw against said Cry L) in consequence of the granting of this permit. APPLICANT UNDERSTAND AND WILL CO Y WITH ALL NON -POINT SOURCE REGULATIONS. Signature ol"ApplicantirF6dactor Dale HAZARDOUS MA DISCLOSURE Will the applicant or future building occupant store or handle hrmdous material as defined by the Cupertino Municipal Code. Chapter 9.12, and the Health and Safety Code. Section 25532(a)7 sue° ❑ Yes ([J No Will the applicant or future building occupant use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District? ��[[[ Yes No 1 have read the hazardous materials mquimmems under Chapter6.95 of the Califor- nia Health & Safety Code. Sections 25505.25533 and 25534.1 understand that 1f the balding does not cuncndy have a remant. that it is my respo 'lity to noti�17 requirements which m be priorto' o Certificate o /r 1 Owner or authavcd aL4oL Date PERMIT NO. oat i nom PERMIT ISSUE DATE S CONTROL NO. BUILDING PERMIT INFO DEMO (1500SQ) 1 SFDWL Job Description Sq. Ft. Floor Area APN Required Inspections Issued by: Re -roofs Type of Roof Valuation Occupancy Type Date Z 6 � All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant Date All roof coverings to be Class'' or better J/ � // c) c) 5-1 CUPE�TINO CITY OF CUPERTINO DEMO PERMIT APPLICATION FORM APN# 3S7_14 z(r Date: Nov /7 aoo 8' Building Address: t $ 71 t7 0 re )ftAp 9 l Mailing Address (if different from building address): 2- 18a 1 'Swln e rnAlnd-v Owner's Name: Phone: TraE 14-s 14 ��o 8) /�_6 q-sti 3 Contractor: C_sa Phone : 4 o$ _ 6 e 7_ zo 3 e Fax: Contractor License #: Cupertino Business License #: n -/ Contact: Tmc 11L Phone: Fax: Residential Sq Footage v Commercial ❑ Sq Footage Job Description: l�em.v 627e S�v�- S'F� Valuation: Project Size: Express ❑ Standard CT— Large ❑ Major ❑ Please complete relevant portions of the Green Building Checklist & attach it to the application or if applicable, include on the plan set & the sheet index. 4f�' Quantity Fee ID Fee Description Fee Group Permit Type 1DEMORES Demo -Residential B 1SFDWL-DEM 1DEMOPRES Pool Demo Residential B 1SFP00L-DEM I 1BSEISMICRE Seismic Residential B Revised 6/16/08 CITY OF CUPERTINO DEMO CUPEf�TINO PERMIT APPLICATION FORM Quantity Fee ID Fee Description Fee Group Permit Type 1DEMOCOM Demo -Commercial B 1COMML-DEM 1 DEMOPCOM Pool Demo Commercial B 1 CPOOL-DEM 1BSEISMICOM Seismic Commercial B 1 BUSLIC Business License B Revised 6/16/08 Community Development 0 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 CITY OF Fax (408) 777-3333 CUPEkTINO Building Department JOB ADDRESS: �187D/ blore5 &e- P� �i�w PERMIT # O ` I O > + 1 ` OWNER'S NAME: Tracwz 4e, PHONE # GENERAL CONTRACTOR: FAX # J I am not using any subcontractors: Signature PIease check applicable subcontractors and complete the following information Date SUBCONTRACTOR BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring. Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile a-=0E Owner/ retractor Signature Date LEGEND I� T-11 6 0 O uDlxc L. xoan IxL CI P9 SE III0 I > I I O O QO .RCp4wlx W' Swxliw4v S[V[4 xwwq[ SIOMr D4wix xw4i[ � KK { I I cc VwRc x.o4.xr O 0.Cwx6Vr ■ > 'I'V� SCALE 1'=10' or IxE K - — —a—a— wxD EDDC pr PWT7[t Al[KI r[xC[ Swxlrw4r S[VCR T ' / I 'I I ' C` I.:* •.. i. •M .. ' .. CHEN WALL2'MAX. FENCE/RETAINING WALL 2MA%. WANC NO _ — _ —o—a— frUx Dgwlx i--7 sa R i -4-a- II D SITE D ' TP 366.5 I:- E. a, .. I ... PROPOSED RESIDENCE . BYRNE AVENUE I PAD 354.0 D i q AVENUE 11 I h g O6 r I q� x.I, I �tI IMPERIAL AVENUE I LAJ ; I _. ♦ G.T EL.365 7 I = I .,,./` I' • Ea I VICINITY MAP Li a i p rC'J I I ¢ E9 PROPOSED RESIDENCE PAD 363.2 sz aDT[ p� '¢",�� Y�� 9.aea w. n. I "Bd'. V1 , W I I cl �.4 0 p ..s.' ............ ........... ,. :. > I \�1"ENCE/RE TAINwC RADHAKRISHNA WALL r'MA%. PARSAY a II r II 11 I iviiiuvens I !!I PRLANDSN❑FYHSUAAI PhAN :a fDwEo rraa. l•"" WESTFALL ENGINEERS, INC. —Ei _ EIGxCo x a.RWEE C.xaq. 4[c ]H). CKCKCD xC p.l[, J aID Mflx V.Y. UsAI Cw 1.1.-02 <. IIB)1 D0.0RCf wv[MUC. CIIC)iIM dZ City Hall 10300 Torre Avenue Cupertino, CA 95014-3255 Telephone: 408-777-3228 Fax: 408-777-3333 BUILDING DEPARTMENT DEMOLITION REQUEST Date: k [Ir103 Demolition Permit Number: Owner(s) Name: Trv, Lu S 4A Address of building to be demolished: 2. 19 i7 (p r--e S � Cupertino, CA 95014 Santa Clara County Assessor's Parcel Number: Names and addresses (correspondence address) of all Lien Holders (one lien holder per demolition request form): Loan Number (s): Dear Sir or Madam: Please be advised that the owner(s) of the above listed address are requesting a permit to demolish the house or building on that parcel, and build a new house or building. Please notify the City of Cupertino within 15 business days of the date of this letter if your company has any objections to the demolition request by email to suew@cupertino.org. If we do not hear from you within the 15 business days we will assume you have no objections. Please call me at 408-777-3246 if you have any questions. Sincerely, Susan Winslow Administrative Clerk, Building Department Printed on Recycled Paper ASBESTEST, INC. 1550 Dell Avenue, Suite G Campbell, CA 95008-6912 (408) 374-3362 Fax (408) 374-7269 TRACY HSU 21821 SAN FERNANDO AVE. CUPERTINO, CA 95014 August 29, 2008 Job No. A-33296-08 ATTENTION: TRACY HSU PROJECT: 21871 DOLORES Sample Identification HOUSE 1 BACK ENTRY FLOOR TILE 2 KITCHEN SHEETROCK/ JOINT COMPOUND COMPOSITE 3 KITCHEN WALL TEXTURE 4 DINING ROOM FLOORING 5 BATH FLOOR TILE 6 EAST BEDROOM SHEETROCK/ JOINT COMPOUND COMPOSITE 7 HEATER PIPE INSULATION 8 GREEN ROOFING 9 BROWN ROOFING ASBESTOS IDENTIFICATION BY POLARIZED LIGHT MICROSCOPY Fibrous Asbestos Other Fibrous Minerals. % Materials, % NONE DETECTED NONE NONE DETECTED ORGANIC FIBERS, 3% NONE DETECTED NONE Non -Fibrous Materials or Minerals, % SAND, BINDER, 100% BINDER, 97% BINDER, 100% NONE DETECTED ORGANIC FIBERS, BINDER, 30% 70% NONE DETECTED NONE SAND, BINDER, 100% NONE DETECTED ORGANIC FIBERS, 6 97% I vE�D Nov 1720 CHRYSOIILE, 65%, ORGANIC FIBERS, AIE 08 FRIBLE ABOUT 1 35% LIN. FT. NONE DETECTED FIBERGLAS, 20% MISC. PARTICLES, BINDER, 80% NONE DETECTED ORGANIC FIBERS, MISC. PARTICLES, 50% BINDER, 50% A-33296-08 PAGE 2 COTTAGE 10 LIVING ROOM NONE DETECTED ORGANIC FIBERS, BINDER, 97% SHEETROCK/ JOINT 3% COMPOUND COMPOSTIE 11 LIVING ROOM FLOOR CHRYSOTILE, 1-5%, NONE SAND, BINDER, 95- TILE NOT FRIABLE 99% ABOUT 220 SQ. FT. 12 LIVING ROM NONE DETECTED NONE BINDER, 100% SHEETROOM FLOOR TILE MASTIC 13 BATH FLOOR TILE CHRYSOTILE, 1-5%, NONE SAND, BINDER, 95- NOT FRIABLE 99% ABOUT 10 SQ. FT. 14 BEDROOM CHRYSOTILE, <1% ORGANIC FIBERS, BINDER, >96% SHEE"FROCK/ JOINT 3% COMPOUND COMPOSITE 15 ROOFING NONE DETECTED FIBERGLAS, 20% MISC. PARTICLES, BINDER, 80% GARAGE 16 SHEETROCK/ JOINT NONE DETECTED ORGANIC FIBERS, BINDER, 97% COMPOUND COMPOSITE 3% 17 WALL TEXTURE NONE DETECTED NONE BINDER, 100% 18 KITCHEN FLOOR TILE CHRYSOTILE, 1-5%, NONE SAND, BINDER, 95- NOT FRIABLE 99% ABOUT 225 SQ. FT. 19 ROOFING NONE DETECTED FIBERGLAS, 20% MISC. PARTICLES, BINDER, 80% SHED 20 ROOFING NONE DETECTED FIBERGLAS, 20% MISC. PARTICLES, BINDER, 80% This test report relates only to the items tested. The materials were examined by polarized light microscopy according to Environmental Protection Agency methods. Reported asbestos percentages were estimated based on comparison to test samples provided by the EPA. Samples will be stored for six months and then properly disposed unless prior arrangements have been made. A-33296-08 PAGE 3 Respectfully submitted, ASBESTEST, INCORPORATED w Robert M. Kumagai Microscopist/ CAC 92-0841 TD:6245425 P.1/1 I,10U-4-2008 07: 53A FROM: Z-CON Specialty Services, Inc. Environmental Abatement Contractor 1645 Old Bayshore Hwy San Jose, CA 95112 408-451-9512 Contractor's License 803805 CERTIFICATE OF WORK COMPLETION DATE: NOVEMBER 3, 2008 SUBMITTING TO: TRACY HSU JOB LOCATION: 21871 DELORES CUPERTINO, CA WORK PERFORMED: REMOVED, TRANSPORTED AND DISPOSED OF HEATER PIPE INSULATION, LIVINGROOM FLOOR TILE, KITCHEN FLOOR TILE AND BATH FLOOR TILE PER ASBESTOS SURVEY PROVIDED BY ASBESTEST, INC.. WORK TO BE PERFORMED TO EPA AND OSHA REGULATIONS. FULLY CERTIFIED AND PROTECTED WORK FORCE. CONTAINED WORK AREA WITH NEGATIVE AIR PRESSURE USED THROUGHOUT. WET REMOVAL METHODS WILL BE USED. ALL WASTE TO BE MANIFESTED AND DISPOSED OF AT AN APPROVED LANDFILL. oayi Jrzwwtt1 Signature President Title Thrasher Termite & Pest Control, Inc. Termite Inspections ■ Structural Repairs ■ Pest Control Service September 12, 2008 Sue Hon 21871 Dolores Ave. Cupertino, CA 95014 Dear Ms. Hon On September 12, 2008 Thrasher Termite and Pest Control Inc. completed an inspection for vermin on 21871 Dolores Ave., in Cupertino. Upon completion of this inspection, there is no visible evidence of any active infestations. If there area any further questions, please contact Thrasher Termite & Pest Control, Inc. REC EI�TI�'"� Best Regards, NOV -1 7 BY:__ Pest Control Inspector Lic. #RA21812 17427 Farley Road West ■ Los Gatos, California 95030-3308 ■ (408) 354-9944 ■ Fax (408) 395-7934 CRY of Cupoli.o PdWOWOdxDqMKftw 103D0 Torre Am C&PtFfiwQk9SD14 [4* 777--31% Debris Bins 1"r1s from a project in Cupertino can be collected and disposed of in e 1. a Los Altos CWbage Co. bin (caU 725-4M to atvdee). OR 2. a bia owned by lice p gelds gecural aontrestor or demolition contractor, and hauled by a vehicle owned and ngjswmd to that conaactu (oomrt;ctar should be prepared to peeve ownership). OIt 3. a pdvsW truck with a bad, bat Robin TheLm Altos Garbage Company is the only debris bin serWce provider franchised to do business in Cuperdnoa Bins from other leasing companies may not be used in Cupertino. Please check all that apply: ❑ I WIR ow a Lea Altos Owbage Company bin t7 I will we a bin and true& owned by the gea and c or the dem o itiou com I will Use a pdvft t wk, and Wert dmp a bin. jV E Nov 1 � 200$ Recyclable Mateia1oY: Recyc#abie materials may be collected in private debris bins or containers Ieased from ANY company, as long as the materials are both: 1. separated by "e of metaW into separate containers, AND 2. era not contaminated by gmtage. Scparated recyclabit; materials are materials d at arc separated into ln(Hvidual coataircers, each eomaining just one type of mcriable, material. TypkA exwvka of recyclable materials inchrda: ha gal, wood, muc Bete, met-raworced comme, asphalt. tree trimmings, white goods toilets Okardwan remwc1), rocks and clean fill dirt.. Separated recyclabim must ultimately be recycled orothawise Mused, end not disposed of in a landfill. Cantmtor sbould be prepared to provide the name and phase nuu bw of any recycling Games bail used on ibe project. A Est of local recycling dies can be found at: wwwZMSlestnfLora. •■r\• .... au.11. ■0No* ■6.7 r•Lr•■.rf. ►■■rat►r■A........goof r.rra.r■■.a.. r■... a■■ a\ 04■66...... '��It$tll[�Ci IiaW . Name (ptUted): 0 Title: d �►�, ,v l Phone: 0% PrqJect a&irem: � ' c--a� �iy 01 7ms sm 03 mmdm la ft p000a s boOft pe,=t ilia Ibr de donfoe of ftl Nov. 3. 2008 10:14AM Pacific Gas and Electric Co. No.4739 P. 2 .11 Pacific Gas and Electric Company City of Cupertino 10300 Torre Avenue Cupertino, Ca 95014 To Whom It May Concern SUBJTQT REMOVAL OF GAS ANDIOR kLECTRIC FACILITIES The gas- and electrir, facilities b,.ve beam removed and/or abandoned at: 21 8 I �)o jc> sAve, - Cup ER t 1 /f 0 on f W -PE if you have any further questions; please contact me at (4C8)725-3325. -zrvice .Planning 10900 North 9taney avenue Cupertino. CA 95014 RECEIVED NOV 172008 BY: CLTA PRELIMINARY REPORT FORM Stewart Title Guaranty Company EXHIBIT A (Revised 11-17-04) CLTA PRELIMINARY REPORT FORM (Revised 06-17-06) SCHEDULE B CLTA PRELIMINARY REPORT FORM LIST OF PRINTED EXCEPTIONS AND EXCLUSIONS CALIFORNIA LAND TITLE ASSOCIATION STANDARD COVERAGE POLICY —1990 EXCLUSIONS FROM COVERAGE The following matters are expressly excluded from the coverage of this policy and the Company will not pay loss or damage, costs, attorneys' fees or expenses which arise by reason of; 1. (a) Any law, ordinance or governmental regulation (including but n limited to building or zoning laws, ordinances, or regulations) r cling, regulating, prohibiting or relating i) the occupancy, use, or enjoyment of the land; (ii) the character, di nsions or location of any improvement ow or hereafter erected on the land; (iii) a separation in ownership or a cItlange in the dimensions or area of t land or any parcel of which the land is or was a part; or (iv) environme 1 protection, or the effect of ny violation of these laws, ordinances or governmental regulations, except o the extent that a notice of a enforcement thereof or a notice of a defect, lien, or encumbrance resulting fro a violation or alleged vio tion affecting the land has been recorded in the public records at Date of Policy. (b) Any governmental police power not a eluded by (a) above, ex pt to the extent that a notice of the exercise thereof or notice of a defect, lien or encumbrance insulting from violation or alleged iolation affecting the land has been recorded in the public records at Date of Policy. 2. Rights of eminent domain unless notice of the`xercise the has been recorded in the public records at Date of Policy, but not excluding from coverage any taking which has occurred prior to Date f Policy which would be binding on the rights of a purchaser for value without knowledge. 3. Defects, liens, encumbrances, adverse claims or otafters: (a) whether or not recorded in the public records Date of Policy, but created, suffered, assumed or agreed to by the insured claimant; \\ (b) not known to the Company, not recorded n the p blic records at Date of Policy, but known to the insured claimant and not disclosed in writing to the Company by th insured cla t prior to the date the insured claimant became an insured under this policy; (c) resulting in no loss or damage to the ' sured claimant; (d) attaching or created subsequent to to of Policy; or (e) resulting in loss or damage whic would not have been sus ined if the insured claimant had paid value for the insured mortgage or for the estate or interest insured y this policy. 4. Unenforceability of the lien of insured mortgage because of the inability or failure of the insured at Date of Policy, or the inability or failure of any subsequent owner of indebtedness, to comply with the plicable doing business laws of the state in which the land is situated. 5. Invalidity or unenforceabi ' y of the lien of the insured mortgage, or aim thereof, which arises out of the transaction evidenced by the insured mortgage and is based u n usury or any consumer credit protection or, th in lending law. 6. Any claim, which ari out of the transaction vesting in the insured th estate of interest insured by this policy or the transaction creating the interest of the insu lender, by reason of the operation of federal bankru tcy, state insolvency or similar creditors' rights laws. EXCEPTIONS FROM COVERAGE - SCHEDULE B, PART I This policy does not insure against loss or damage (and the Company will not pay costs, attorneys' fees or expenses) which arise by reason of: I. Taxes or assessments which are not shown as existing liens by the records of any taxing authority that levies taxes or assessments on real property or by the public records. Proceedings by a public agency which may result in taxes or assessments, or notices of such proceedings, whether or not shown by the records of such agency or by the public records. 2. Any facts, rights, interests, or claims which are not shown by the public records but which could be ascertained by an inspection of the land or which may be asserted by persons in possession thereof. 3. Easements, liens or encumbrances, or claims thereof, which are not shown by the public records. 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