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B-2016-2985CITY OF CUPERTINO BUILDING PERT 41T BUILDING ADDRESS: 1884113ARNHART AVE CUPERTINO, CA 95014-3601(375 16 CONTRACTOR: IERMITNO: B-2016-2985 054) CNE CONSTRUCTION INCORPORATION SAN JOSE, CA 95130 OWNER'S NAME: GRAND SUCCESS LLC ATE ISSUED: 03/15/2017 OWNER'S PHONE: 408-726-2956 HONE NO: (408) 726-2956 LICENSED CONTRACTOR'S DEC A nA TION BUILDING PERMIT FO: License Class B Lic. #IQI= Contractor CNE CONSTRUCTION INCORPORATION Date 03/31/2018 X BLDG —ELECT — PLUMB I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing — MECH X RESIDEN IAL — COMMERCIAL with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. JOB DESCRIPTION: I hereby affirm under penalty of perjury one of the following two declarations: NEW 2 STORY SFD (19 85 SF); ATTACHED GARAGE (415 SF); PATIO 1. I have and will maintain a certificate of consent to self -insure for Worker's (661 SF) Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. z. 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 permit is issued. APPLICANT Sq. Ft Floor Area: 2400 Ouation: $370000.00 CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances APN Number: Occupancy Type: and state laws relating to building construction, and hereby authorize 375 16 054 1 -3 (Custom),R-3 (Custom),U (Private Gar /Ag Bldg),U representatives of this city to enter upon the above mentioned property for (rivate Gar /Ag Bldg) inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City iinconsequence of the granting of this permit. PERMIT EXP S IF WORK IS NOT STARTED Additionally, the applicarll ung rstands and will comply with all non -point source regulations _`.peFthe Crlpertino Mu 'cipal Code, Section 9.18. ` WITHIN 180 D 180 DAYS FRO YS OF PERMIT ISSUANCE OR LAST CALLED INSPECTION. Signature. Date 03-15-2017 Issued by: Kim Dunbar - i_m DER DERATION Date: 03/15/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: RF ROOFS: r. I, as owner of the property, or my employees with wages as their sole All roofs shall be inspected prior to any roofing material being installed. If a roof is compensation, will do the work, and the structure is not intended or offered for installed without first obtain g an inspection, I agree to remove all new materials for sale (Sec.7044, Business & Professions Code) inspection. z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). Signature ofApplicant: Date: 03-15-2017 I hereby affirm under penalty of perjury one of the following three declarations: 1. 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 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER performance of the work for which this, permit is issued. z. I have and will maintain Worker's Compensation Insurance, as provided for by HAZAR US MATERIALS DISCLOSURE Section 3700 of the Labor Code, for the performance of the work for which this I have read the hazardous materials requirements under Chapter 6.95 of the permit is issued. - California Health & Safety Code, Sections 25505, 25533, and 25534. I will 3. I certify that in the performance of the work for which this permit is issued, I maintain compliance with he Cupertino Municipal Code, Chapter 9.12 and the shall not employ any person in any manner so as to become subject to the Health & Safety Code, ction 25532(a) should I store or handle hazardous Worker's Compensation laws of California. If, after making this certificate of material. Additionally, should air contaminants as definei I use equipment or devices which emit hazardous I by the Bay Area Air Quality Management District I exemption, I become subject to the Worker's Compensation provisions of the will maintain compliance with the Cuperting,Mipicipal Code, Chapter 9.12 and Labor Code, I must forthwith comply with such provisions or this permit shall the Health & Sat Ay Cod"cYron 2 505, 25533, and 25534. be deemed revoked. APPLICANT CERTIFICATION Owner or authorized ag t: } I certify that I have read this application and state that the above information is Date: 03-15-2017 correct. I agree to comply with all city and county ordinances and state laws ION LENDING AGENCY relating to building construction, and hereby authorize representatives of this city I hereby affirm that there i a construction lending agency for the performance to enter upon the above mentioned property for inspection purposes. (We) agree of work's for which this permit is issued (Sec. 3097, Civ C.) to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Name judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands Lender's Address and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ARCHIECTIS DECLARATION understand my plans sha I be used as public records. Signature Date 03-15-2017 Licensed Professional t , ,n s NO FEE FOR RECORDING PURSUANT TO GOVERNMENT CODE SECTION 27383 When Recorded Mail To: City of Cupertino Community Development Department 10300 Torre Avenue Cupertino, CA 95014 Regina AIcomendras Santa Clara coun.,t,y, - Clerk -Recorder 02/20/2018 10'37 ' Ail Titles-: 1 Pages.. 3 Fees: 0.00 Taxes: 0. Total: 0.00 III 1P�A�® �IF X141141111 'b ���J���!'�Ib�i��r�► IIII NOTICE OF CI'T'Y 11 EQUHREM ENT TO MAINTAIN 'g' EES The undersigned, being the owner(s) of the property, shown in the Santa Clara County Assessor's Roll and identified as A.P.N. 375-16-054 and addressed as 18841 Barnhart Avenue, Cupertino CA 95014; hereby agree(s) that the following plantings shall be maintained as privacy and protected trees to screen the views from the second balcony: three 3 Magnolia grandiflora Southern Magnolia) along the northern property line. In additi the following planting shall be maintained as the required front yard tree in the front yard setback: one '(1) Fraxinus americana. Autumn Purple). In the event these plantings die, the owner(s) shall provide replacexrient (.: . plantings subject to the. approval of the City of Cupertino. This declaration is binding -oi the successors and assignees of the owners(s). PROPER ER )C Y OVV NIE RI S;: J{y 3 Owner's Signature Print Owner's Name Date CITY AUTHORIZATION: Jeffs y:; sumura, Assistant Planner. C. i 9F ORNUA ALL=PURPOSE ACKNOWLEDGMENT ClIM _OAC § 118 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Santa Clara ) On &'Oguo y before me, Chuck C. Kim, Notary Public , Date 7:4 ���� Here Insert Name and Title of the .Officer personally appeared Name(s) of Signer(s) who provedto me on the basis of satisfactory evidence to be the person(s} whose name(s) is/aye subscribed to the within instrument and acknowledged to me that he/sbeA#ey executed the same in his/4eW authorized capacity(ies.), and that by his/he4h4g r signature(e) on the. instrument the persons), or the entityupon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph. is true and correct. WITNESS my hand and official seal. CHUCK C. Kt Signature NOTAWPusuc'r°A Signature of Notary Public o .. COM55 ON # IS E a SMMTIA CiJ�4A CODUIJN y }$COMM Exp. P7a 21 24I� Place Notary Seal Above OPTIONAL Though this. section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: 7-0 M4NT,#(/kJ �� Document Dater .2 Number of Pages: r" Signer(s) Other Than Named Above:EXEE TSUAIU Capacity(les) Claimed by Si ner(s) Signer's Name: 0 ; - ❑ Corporate Officer — Title(s): ❑ artner — ❑ Limited ❑ General ® Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Signer's Name: / /A ❑ Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Individual ❑Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: ■ CALIFORNIA A9 -PURPO.``' H CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Asa n' o am i On l before me,, �,Q; t �('� ,Notary Public, (Here insert name and title of the officer) personally appeared 9 who proved to me on the basis of satisfactory evidence to be th per (s) whos na s)pare subscribed to the within instrument and acknowledged tame thatshe/they executed the same in�ii5siher/their authorized apaci5fv%es), and that by h9her/their nater (s) on the instrument t ersori ), or the entity upon behalf of c the rso ) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. COLLEEN LETTIRE Commission # 2078124 WITNESS my hand and o ficial seal. Nblic Caiifbrnia Santa Wra County Signature of Notary Public (Notary Seal) ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) ,.Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) Corporate Officer (Title) Partner(s) ❑ Attorney -in -Fact ❑; Trustee(s) ❑ Other Any acknowledgment completed in 'California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document, The only ;exception, is if.a document is to be recorded outside of California.7n such instances, any alternative acknowledgment verbiage as may be. printed on such a`document so long, as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. o State and County information must be the State and County where ;the document signer(s) personally appeared before the notary public for acknowledgment. o Date of notarization must be the date that the signer(s) personally appeared which must also be the same date the acknowledgment is completed, o The notary public must print his or her name as it appears within his or her commission followed by a comma. and then your title (notary public). o Print the name(s) of document signer(s) who personally appear at the time of tariz ti no a on: o Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/thea- is /are ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. • The notary seal impression must be clear and photographically reproducible. hnpression must not cover text or lines. If seal impression smudges, re -seal 'if a sufficient area permits, otherwise complete a different'acknowledgment form. • Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If.the claimed capacity is a corporate officer, indicate the,title (i.e. CEO, CFO, Secretary). o Securely attach this document to the signed document C 2004-2015 ProLinksigning Service, Inc. -All Rights Reserved www.ThePmI,ink.com - Nationwide Notary* Service NO FEE FOR RECORDING PURSUANT TO P. I GOVERNMENT CODE SECTION 27383 When Recorded Maff To: City of Cupertino Community Development Department 10300 Torre Avenue Cupertino, CA 95014 23871023 Regina Alcomendras Santa Clara County - Clerk -Recorder 02/20/2018 09:35 AM Titles: I Pages: a Fees: 0.00 Taxes: 0 Total: 0.00 mIII V& 1AIELAN1,14, 1111:1 NOTICE OF CITY REQUIREMENT TO MAINTAIN A PROTECTED, LANDSCAPE.:_., The undersigned, being the owner(s) of the property shown in the Santa, -Clara County Assessor's Roll andidentified"as A.P.N. 375-16-054 and addressed as 18841 Barnhart Avenue, hereby agree(s) that the approved landscape, 'shall -be maintained and consistent to the approved plan in conjunction with Building Permit no. B-2016-2985, and shall' be in conformance with the City's Landscape Ordinance. The applicant may consult the City of Cupeftino7s Planning Department prior to any, modifications to the landscape; however, any proposed tree removals shall require approval hyl;. the City of Cupertino. Changes -to the plan may be made under the following conditions: 1. Plants that 'have -water usage requirements consistent with the City's Landscape 'Ordinance as doterm" d b the, me, y Water Use Classifications of Landscape Species manual; or 2. Plants that are low-water using, native to California and appropriate for. use in the -.'arod-.bV,-the-Sdnta-CId'kd Va:llb Water District Santa Clara Valley Chapter of the California Native Plant Society I the Master Growers Santa Clara County, or a certified Landscape Architect or ISA certified Arborist; or 3. Preparation of new landscape and irrigation plans in conformance with Chapter 14.15 (Landscape Ordinance) This declaration is binding on successors and assigns of the owner(s). PROPERTY OWNER(S): I Owner's Signature L41 N T -A Of Print Owner's Name CITY AUTHOIdi A` TION:' Jeffro TWfnura, Assistant Planner CAl_1 ORNIA ALL-PURPOSE ACKNOWLEDGMENT LEDD UMENT CIVIL CODE iCi)L § 1185 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California ) County of Santa Clara ) On TdF-89UIV Y 201 7-0 �� before me, Chuck C. Kim, Notary Public , Date Here Insert Name and Title of the Officer personally appeared CAV 7;1 Name(s). of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(4 whose name(s) is/aFe subscribed to the within instrument and acknowledged to me that he/s4eA4ey executed the same in his/hp—� authorized capacity(ie4), and that by his/heW4h.r signature(s) on the instrument the persons), or the entity upon behalf of which the person(s.) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. CHUCK:c KIM. c�ur+rai� Signature ousuc- os XFVQ 1� rorosstont 2os41s m Signature of Notary Public fin , .SANTA CLAM COUNW comm. - .6N 21 2018 Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. ®escrription of Attached Document 116770E— 6F Cf QWWC-W� `� Title or Type of Document: 0 N%ANT N 7M 995 Document Date: 2 - 26 ` 2®19 Number of Pages: r Signers) Other Than Named Above: Z�XEY7-5.14140 Capacity(ies) Cpaimed by Si r,Dgtr(s) %�/ Signer's Name: 0 , - �Ff Signer's Name: A El Corporate Officer — Title(s): ❑ Corporate' Officer — Title(s): ❑ artner — ❑ Limited ❑ General ❑ Partner ❑ Limited ❑ General ® Individual ❑ Attorney in Fact ❑ Individual ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Trustee ❑ Guardian or Conservator ❑ Other: ❑ Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association ^ www.NationalNotary.org ^ 1 -800 -US NOTARY (1-800-876-6827) Item #5907 CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California In County of m k ackm On before me, 1� , Notary Public, (Here insert name and title of the officer) personally appeared VUMU who proved to me on the basis of satisfactory evidence to be th erso ) whose a )mare subscribed to the within instrument and acknowledged to me that le she/they executed the same rpher/their authorized ac' s), and that byer/their s' at�i ` s) on the instrument the er o ,�s), or the entity upon behalf of 'c the rs ) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. >COLLEEN1ETTIRf . C®mmissim 208124 WITNESS my hand and off 1 seal. o �� Vola Rllblie Cil fdrnia ® " `5an1&. Ca Coun>ly bQBrGBm.1(., it �s �AI i�. �0$ Signature of Notary Pub (Notary Seal) c ADDITIONAL OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages Document Date (Additional information) CAPACITY CLAIMED BY THE SIGNER ❑ Individual (s) ❑ Corporate Officer (Title) ❑ Partner(s) ❑ Attorney -in -Fact ❑ Trustee(s) Other INSTRUCTIONS FOR COMPLETING THIS FORM Any acknowledgment completed in California must contain verbiage exactly as appears above in the notary section or a separate acknowledgment form must be properly completed and attached to that document. The only exception is if a document is to be recorded outside of California. In such -instances; any alternative acknowledgment verbiage as may be printed on such a4ocument so long as the verbiage does not require the notary to do something that is illegal for a notary in California (i.e. certifying the authorized capacity of the signer). Please check the document carefully for proper notarial wording and attach this form if required. o State and County information must be the State and County where the document signer(s) personally appeared before themotary public for acknowledgment. o Date of notarization must be the date that the signer(s) personally appeared which must also be the. same date the acknowledgment is completed. o The notary public must print his or her name as it appears within his or her commission followed by a comma and then your title (notary public). o Print the name(s) of document signer(s) who personally appear at the time of notarization. a Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. he/she/`= is /are ) or circling the correct forms. Failure to correctly indicate this information may lead to rejection of document recording. o The notaryseal impression must be clear and photographically reproducible. Impression'must not cover text or lines. If seal impression smudges,>re-seal if a sufficient area permits, otherwise complete a different acknowledgment form. 4 Signature of the notary public must match the signature on file with the office of the county clerk. Additional information is not required but could help to ensure this acknowledgment is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. Indicate the capacity claimed by the signer. If the claimed capacity is a corporate officer, indicate the title (i.e. CEO, CFO, Secretary). o Securely attach this document to the signed document .0 2004-2015 ProLinkSigning Service, Inc. — All Rights Reserved tw w.TheProLink.com — Nationwide Notary Service Maintain irrigation system: Sprinkler system: - Examine each sprinkler head. Be sure to clean any clogs you may see, tighten any loose screws and.replace any sprinkler heads that are broken or damaged. - Evaluate dry spots in your yard. Does the water spray need adjusting to help reach the dry spots` Winterize your automatic sprinkler system by emptying it of water and turning it -off for the season Dripping system: - Flush the system. - Flush the filter and clean out the screen. - Turn on the system one part at a time and check to make sure the water is flowing. - If emitters are either popping off or not spraying at all, use a pressure gauge to check your pressure regulator. - Replace any damaged emitters. - Clean your drip system Maintainthelandscape: 1. Lawn a. Mow the lawn twice a month. b. First year: Fertilize it after 6 -month or 1 year. c. Afterwards: Fertilize every 6 -month right after mowing the lawn. x x �i i[.�� yL`\' )"/{E LC r £ar!tt!{ b:. if F' E RT i N C7 " i°ttO c t ADDIUSS a<ATA X b 6 zj (MA it l���y ��� ���✓d�f��hP1Qr+ t c � ��+� � SRR R, PLE _- r s -•r.: •I'I l�x'� i�)jl \LP, AC ..tip-. '. � 11 S� S - 9 18851 BARNHAF EXISTING HO RIDGE=11 U 18831 BARNHART jCAR PORT /l// 26 -TREE 30'TREE (::722"TREE I IRRIGATION PLAN SCALE 1/8"= V-0" 3 IRRIGATION LEGEND 1 Station No. Valve size (New) (Inch) Flow demand (GPM) 25 3/4 IRRIGATION MAIN SUPPLY 0.25, 0.5 IRRIGATION LATERAL Y Rinbrd FLOOD 13ULLER5 CONTROL WIRE, SLEEVE USE 1-1/2" SCHEDULE 40 PVC PIPE. 18" COVER PRESSURE COMP. Compensating PrecisionTM Sene5 4" pop-up in lawn G" pop-up in shrub, ground covered planting areas; I per shrub and 4' oc.in pennial Orbit model # 57894 ® REMOTE CONTROL VALVE: IRRITROL 271 1 APR 5ERIE5,.51ZE A5 NOTED. SYMBOL EQUIPMENT GPM P51 PRESSURE COMP. BUBBLER 0.25, 0.5 50 -GO Y Rinbrd FLOOD 13ULLER5 PRESSURE COMP. Compensating PrecisionTM Sene5 4" pop-up in lawn G" pop-up in shrub, ground covered planting areas; I per shrub and 4' oc.in pennial Rambird 1800-1 2 VAN P 1001 201 0.59 30 Rambird 1800-1 2 VAN P 1001 201 1.18 30 ® Rambird 1800- 12 VAN P 1001 201 2.3G 30 IRRIGATION SCHEDULE: The base -line irrigation schedule for a maximum -use week (mid-July): It is to beevaluatedand adjusted seasonally and empirically as needed to insure plant health and to minimize water waste_ The irrigation schedule takes into consideration: - Hydrozone water requirements - Evapotranspiration rates - Soil water holding capacity - Depth of root zone - Allowable soil water depletion amount - Soil infiltration rate - Irrigation precipitation rate Valve Stations 2 —Turf areas. 2 starts per day, 8minutes per start (16 minutes/day), every other day. Valve Stations 1 & 3 -Tree Area- bubblers AS—BUILT DRAFTED BY Two starts per day, 10 minutes per start (20 minutes/day), two day YI—LIANG KAO per week. Landscape Architect, California, #4936 (510) 423-3626 Valve Station 4 RESERVE FOR FUTURE USE yiliong.kao@gmail.com NOT RESPONIBLE FOR DESIGN IRRIGATION AS -BUILT PLAN DATE: 2/7/2018 JOB NO. ISSUE & REVISION SHEET N0. DRAWN BY: YK