BLD-2022-0087_SignedPermit.pdfCITY OF
BUILDING PERMIT
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
PHONE 408-777-3228
CUPERTINO WWW.CUPERTINO.ORG
BUILDING ADDRESS: 10061 BIANCHI WAY ApN: 359 07 017
PERMIT NO: BLD-2022-0087
OWNER'S NAME: Mei Tam &Kenny Tam
OWNER'S PHONE:
CONTRACTOR: OWNER -BUILDER
CONTRACTOR PHONE:
DATE ISSUED: 2022-01-25 ISSUED BY: Jasmine Archbold VALUATION: 0
JOB DESCRIPTION: APT (A) & APT (B) RE -ROOF; TEAR -OFF WOOD SHAKE; INSTALL ASPHALT SHINGLES - (50 SQ);
REMOVE EXTERIOR WOOD SIDING AND REPLACE WITH STUCCO - (4000 SF)
OWNER -BUILDER DECLARATION:
reasons:
will do the work, and the structure is not
to construct the project (Sec.7044, Business &
as provided for by Section 3700 of the
I hereby affirm that I am exempt from the Contractor's License Law for one of the following two
M I, as owner of the property, or my employees with wages as their role compensation,
intended or offered for sale (Sec. 7044, Business & Professions Code).
I, as owner of the am exclusively contracting with licensed contractors
property,
Profession Code).
I hereby affirm under penalty of perjury one of the following three declarations:
I have and will maintain a Certificate of Consent to self -insure for Worker's Compensation,
Labor Code, for the performance of the work for which this permit is issued.
Section 3700 of the Labor Code, for the
not employ any person in any manner so as to
this certificate of exemption, I become subj ect to
with such provisions or this permit shall be
I have and will maintain Worker's Compensation Insurance, as provided for by
performance of the work for which this permit is issued.
M I certify that in the performance of the work for which this permit is issued, I shall
become subject to the Worker's Compensation laws of California. If, after making
the Worker's Compensation provisions of the Labor Code, 1 must forthwith comply
deemed revoked.
HAZARDOUS MATERIALS DISCLOSURE
& Safety Code, Sections 25505, 25533, and 25534. I
M I have read the hazardous materials requirements under Chapter 6.95 of the California Health
will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
Safety Code, Section 25532(a) should I store or
air contaminants as defined by the Bay Area
Chapter 9.12 and the Health & Safety Code,
handle hazardous material. Additionally, should I use equipment or devices which emit hazardous
Air Quality Management District I will maintain compliance with the Cupertino Municipal Code,
Sections 25505, 25533, and 25534.
EPA LEAD -SAFE DISCLOSURE
No:
QAn EPA Lead -Safe Certified Renovator will be responsible for this project.
Certified Firm Name: Firm Certification
k.7)No EPA Lead -Safe Certified Firm is required for this project.
CONSTRUCTION LENDING AGENCY
of the work which this permit is issued
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance
(Section 8172, Civil Code).
0 Yes I No
Lender's Name: Lender's Address:
APPLICATION CERTIFICATION
with all city and county ordinances and state
the above mentioned property for inspection
judgements, costs, and expenses which may accrue
and will comply with all non -point source
I certify that I have read this application and state that the above information is correct. I agree to comply
laws relating to building construction, and hereby authorize representatives of this city to enter upon
purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities,
against said City in consequence of the granting of this permit. Additionally, the applicant understands
regulations per the Cupertino Municipal Code, Section 9.18.
Signature Date Jan 25, 2022
EVERY PERMIT ISSUED SHALL BECOME INVALID UNLESS THE WORK ON THE SITE AUTHORIZED BY SUCH PERMIT IS COMMENCED WITHIN 12 MONTHS AFTER ITS ISSUANCE,
OR IF THE WORK AUTHORIZED ON THE SITE BY SUCH PERMIT IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12 MONTHS AFTER THE TIME THE WORK IS
COMMENCED.
"This document was electronically submitted
to Santa Clara County for recording"
25219481
Regina Alcomendras
Santa Clara County - Clerk -Recorder
01/14/2022 09:34 AM
Titles: 1 Pages
Fees: $37.00
Tax: $3316.50
Total: $3353.50
Grant Deed
The undersigned grantor(s) declare(s):
Documentary Transfer Tax is $3,316.50
-Declarant
(X) computed on full value of property conveyed, or
computed on full value less of liens and encumbrances remaining at time of sale.
Unincorporated area: (X) City of Cupertino
FOR A VAWABLE CONSIDERATION, receipt of which is hereby acknowledged,
Peter S. Bianchi and Marcia M. Bianchi, Co -Trustees of The Bianchi Survivor's Trust under Agreement dated May 1,
1989 and Peter S. Bianchi and Marcia M, Bianchi, Co -Trustees of The Bianchi Marital Trust under Agreement dated
May 1, 1989
hereby GRANT($) to
Kenny Tam and Mel Tam, husband and wife AS Community Property with Right of Survivorship.
that property in City • Cupertino, Santa Clara • State of California, described as
* * * See "Exhibit A" attached hereto and made a part hereof, * * *
Grant Deed MAIL TAX STATEMENTS AS DIRECTED ABOVE Page 1 of 2
DOC #25219481 Page 2 of 5
Date: 11111:!ii
- ��11111111- —
The Bianchi Survivor's Trust under Agreement dated May
1"1989
By-, Signed in Countetpart
Peter S, Bianchi, Co -Trustee
By:
Marcia M. Blanchi, Co -Trustee
By: Signed in Countetpatt
Peter S. Bianchi, Co -Trustee
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 0,A
C ty
f
oun a llhi'lh—
On 1-3-IL2,before me, 11 e a Notarry Public, personally
appeared— who
proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within
instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity (ies), and
that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
I certify under PENALTY OF PER3URY under the laws of the State of!i�"t the foregoing paragraph is true and
correct.
WITNESS my hand and official seat.
Signature:
Name: 0:VJ ' k
'L�f I ��V 1--i Il
(Typed or Printed)
=N
Grant Deed Order No. 0618023180 Page 2 of 2
DOC #25219481 Page 3 of 5
I certify under penalty of perjury that the notary seal on the document to whi
this statement is attached reads as follows: i
Name of Notary A ":,5-
Commission Number q q 6-1 q Y
Vendor No.
County/State where
Bond is filed
Commission Exp, Date (o) L,-) 7,6 4q
Executed in the City of —,-S'ao State of California
eRecording Partners Network
s.
By:
Date Signature of Declarant
-------------------
Type or Print Name
5 5-
DOC #25219481 Page 4 of 5
Date: December 29 2021
The Bianchi Survivor's Trust under Agreement dated May
1,1989
By:
�i( Ile,
Peter S. Bianchi, Co -Trustee
By:- qjanptj in--ciounter-part—
Marcia M. Bianchi, Co -Trustee
By.
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,
1 - •
On JAN 0 4 2022 before me,
appeared
proved to me on the basis of satisiict6ri'l
instrument and acknowledged to me that f
a Notary Public, personal
W
be t• whose n me ;q
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.
Signature:
Name, _Andre __pp
(Typed or Printed)
En
Grant Deed Order No. 0618023180 Page 2 oft
DOC #25219481 Page 5 of 5
ORDER NO.: 0618023180
EXHIBIT A
The land referred to is situated in the County of Santa Clara, City of Cupertino, State of
California, and is described as follows:
PARCEL ONE:
Beginning at a point on the Southerly line of that certain 30 foot strip of land described in the
Deed from Southern Pacific Company to the County of Santa Clara, dated April 5, 1937,
recorded December 7, 1937 In Book 853 of Official Records, Page 248, Santa Clara County
Records, distant thereon N. 890 57' E. 20.00 feet from the Westerly line of that certain parcel of
land described in the Deed from Bank of America to Peter Bianchi, dated April 10, 1941,
recorded April 28, 1941, in Book 1038 of Official Records, Page 156, Santa Clara County
Records, said point of beginning being also in the center line of 40 foot right of way hereinafter
described; running thence South along the center line of said 40 foot right of way and parallel
with the Easterly line of Stelling Road, 233.50 feet to the true point of beginning of this
description; thence running South and parallel with said Easterly line of Stelling Road, 63.76
feet; thence running S. 890 57' W. and parallel with the Southerly line of said 30 foot strip,
163.50 feet to an iron pipe; thence running North and parallel with said Easterly line of Stelling
Road, 63.76 feet to an iron pipe; thence running N. 890 57' E. and parallel with the Southerly
line of said 30 foot strip 163.50 feet to the true point of beginning and being a portion of
Section 13, Township 7 South, Range 2 West, M.D.B. & M.
A non-exclusive right of way for ingress and egress over that certain parcel of land 40 feet
wide, the center line of which Is described as follows:
Beginning at a point in the Southerly line of a 30 foot strip of land conveyed by Southern Pacific
Company to the County of Santa Clara, by Deed dated April 5, 1937, recorded December 7,
1937 in Book 853 of Official Records, Page 248, Santa Clara County Records, said point of
beginning being distant along said line Easterly 20 feet from the Westerly line of the parcel of
land conveyed by the Bank of America to Peter Bianchi, by Deed dated April 10, 1941 recorded
April 28, 1941, in Book 1038 of Official Records, Page 156, Santa Clara County Records; thence
Southerly said parallel with said Westerly line and the Southerly prolongation thereof, 424.77
feet to the Southerly line of said lands so conveyed to Bianchi.
EXCEPTING FROM Parcel Two that portion quitclaim to Cupertino Community Housing for the
Disabled, Inc., a California corporation, by Deed recorded September 20, 1984 in Book I897 of.
Official Records, Page 616.
359-07-017
Page I of