Cupertino, CA · Santa Clara County

No notary required

Technically Infeasible / Unreasonable Hardship Exemption Form

This form lets a permit applicant request an accessibility hardship exemption and provide project, cost, and accessibility information for city review.

What this form is

Use this form to request an unreasonable hardship exemption for a building permit project involving accessibility requirements. Select an option and provide project costs, recent work along the path of travel, accessibility conditions, and improvement estimates; Option C requires separate documentation explaining technical infeasibility or legal constraints.

Who needs it

A permit applicant seeking an accessibility hardship exemption should complete the form, with information and certification from the architect or engineer of record.

How to submit it

The form identifies Community Development Department, Building Division, at 10300 Torre Avenue, Cupertino, CA 95014, and [email protected]; it also lists (408) 777-3228.

About notarization

This form is signed without a notary; the architect or engineer of record certifies, signs, and dates it, and no notarized attachment is identified.

How to submit this form

  1. 1

    Download the Form

    Download the Technically Infeasible / Unreasonable Hardship Exemption Form.

  2. 2

    Complete the Form

    Select an option and fill in the project, construction cost, accessibility, and improvement information requested.

  3. 3

    Gather Attachments

    Attach detailed cost estimates; for Option C, include the separate technical infeasibility or legal constraint description.

  4. 4

    Submit to the City

    Use the Community Development Department, Building Division contact information printed on the form.

Frequently asked questions

Do I need a notary for this form?
No. The form has no notary block; the architect or engineer of record certifies, signs, and dates it. No notarized attachment is identified.
How do I submit the hardship exemption form?
The form names the Community Development Department, Building Division, and provides its Torre Avenue address and [email protected] email.
What information does the form request?
It asks for project and permit details, construction costs, recent projects along the path of travel, accessibility conditions, and estimated improvement costs.
What additional documents may be needed?
The form calls for detailed cost estimates. For Option C, it also requires a separate sheet describing technically infeasible elements and explaining the barriers to full compliance.

Need something notarized?

This Technically Infeasible / Unreasonable Hardship Exemption Form doesn’t need a notary — but if you have another Cupertino form that does, a commissioned online notary can help.