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10020143I CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 10390 STERN AVE OwNER'S NAME: HOANG HUY HOANG 6. EP."HONE: 4083986379 LICENSED CONTRACTOR'S DECLARATION License Class Lic. #Lf Otf� Contractor ALO Al M 4 at Z c� I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: 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 performance of the work for which this permit is issued. 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 CERTIFICATION 1 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for 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 in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source re lata per the Cupertino Municipal Code, Section 9.18. Signature �.---- Date f2 d OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: I, 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 (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions 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, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I mu forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter up--- *he above mentioned property for inspection purposes. (We) agree to save il ify and keep harmless the City of Cupertino against liabilities, judgments, cob.-, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. _ CONTRACTOR: TBD - TO BE DETERMINED PERMIT NO: 10020143 DATE ISSUED: 04/29/2010 �. PHONE NO: BUILDING PERMIT INFO: BLDG F ELECT [_ PLUMB r- MECH I- RESIDENTIAL r- COMMERCIAL F - JOB DESCRIPTION: ADD 48SQ OPEN PORCH/ENTRY & REMODEL KITC HEN(247SQ),BATHROOMS(245SQ),MASTER BATH, STAIRWAY, LAUNDRY, RELOCATE FURNACE, AC, ADD Sq. I t Floor Area: APN Number: 37514025.00 Valuation: $100000 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issu:d by�� -�� �i�, - Date: RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is insta led without first obtaining an inspection, I agree to remove all new materials for inspt ction. Signature of Applicant: Date: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safe y Code, Section 25532(a) should I store or handle hazardous material. Add tionally, should I use equipment or devices which emit hazardous air cont rminants as defined by the Bay Area Air Quality Management District I will mair tain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Own ag � IF— Date: ICONSTRUCTION LENDING AGENCY I her ;by affirm that there is a construction lending agency for the performance of work's for v hich this permit is issued (Sec. 3097, Civ C.) Lender's Name Lencler's Address ARCHITECT'S DECLARATION I unc erstand my plans shall be used as public records. Lice ised Professional 0 October 22, 2010 Dear Sir: I'm the homeowner of the property located at 10390 Stern Ave, Cupertino, CA 95014, and this property is undergoing a major renovation with permit no. 10020143. I'm writing this letter to you to request for the release of my current general contractor, Mr. Khanh Pham, as I'm running out of options on how to resolve the issue and getting my house completely done timely and complied by all codes. Mr. Khanh Pham, though I believe that he uses another contractor's license number on record, has signed the contract with me and started his work since May 2010. 1 have been paying him on time on every scheduled installed payment (see attachment). Since the last city inspection done on Aug 23, 2010, and per our signed contract, I have retained the final payment of $14k for the final successful inspection by the city for the Certificate of Occupancy. However, Mr. Pham has stopped his work since the last inspection and demanded me to release the final payment before he can proceed. We've then agreed that I'd release gradually for him to proceed with the works and thus far, $9k of the $14k has been paid to Mr. Pham. I'm now holding only the last $5k retainer but the house is nowhere near completion. On Monday of this week, Oct 18, the PG&E crew came out for the long scheduled gas meter relocation. However, Mr. Khanh did not show up nor have the gas pipe ready for the hook-up, although he's dugged the trench for the work already. When I confronted with him on the issue, he told me that he's not responsible for any work outside of the house and I'll have to pay all materials costs moving forward. To make the matter worse, he did not do any further work on the house at all 2 days after. When I ask him to sign the letter and relinquish his responsibility on the construction, he demands that I must first pay his final payment of $5k, which is due upon successful final inspection. Mr. Khanh has promised me that the house shall be completed by the end of August 2010. We're in late October and there's no sight of final inspection on the house. With each month in delay I have to pay $1100 for the storage fee of my household goods. Mr. Khanh knows this and he wants to use this to pressure me. Furthermore, I'm scheduled have to leave the country for a business trip for a month in mid-November, but the final inspection is nowhere in sight with the current work pace by Mr. Khanh. I have no other choice and option but to pursue help from another general contractor who's committed to get all the remaining work done within 2 weeks, though this will cost much more than $5k. I urgently and respectfully request you to allow me to release Mr. Khanh from his contracted work on my house and allow me to bring on the new contractor for him to complete all the works required on my house. Sincer Yours, Hoang Huy Hoang - (408)398-6379 (mobile) City of Cupertino Building Division October 25, 2010 Dear Sir/Madame: My name is Anthony Pham and my contractor's license number is B57740. I'm residing at 916 E. 10th Street, Oakland, CA 94606. Mr. Hoang Huy Hoang, the owner of the property located at 10390 Stern Avenue, Cupertino, CA 95014, has offered and I've accepted the contract to complete the existing renovation work at this property under the permit no. 10020143. Under the negotiated term of the contract, I'm committed and obligated to complete all the required works required to meet Mr. Hoang's approval and achieve the successful final inspection and the -certificate of occupancy of this property no later than November 12, 2010. Respectfully Yours, Anthony Pham (510)390-8214 r i��1Jf11I �J11�VfJJs'�1�U1 - '_ � frJ1! r11 IfJ j File Edit Actions Details Links Favorites Help I Certificate Number f i Permit ` Property C,=i�l Permit Number ` 10020143 I Address' I 10390 STERN AVE Permit Type ` 1R3SFDREM 141 i Status ` i SINGLE FAMILY DWELLING REMODEL Usage Class IIAII B, City/State/Zip CUPERTINO s Master Number t 111111 B, IV -HTV -6 NEW IQI Notes — 5 APN 37514025.00 i Project j SQUARE FT. 592 lad Unit Apply Date 02/25/2010 AM Operator patg Fntit_, In;`crrrti�r� f Permit Issue Date 04/29/2010 Operator patg I Owner Name xl HOANG HUY HOANG Certificate Issued 11 1231201 0 Operator jeffreyg Use Default ❑ Certificate Type CC -CERTIFICATE OF COMPL Address Home 10390 STERN AVE I Certificate Number f i Permit ` Property Zoning Applicant Contractor ` Defined Fields f Permit Details Permit Type ` 1R3SFDREM 141 SINGLE FAMILY DWELLING REMODEL Usage Class IIAII B, IQI i 111111 B, IV -HTV -6 NEW Applied Value 100000 SQUARE FT. 592 Calculated Value 01=1 ' US C-404 Type f 434 lal ALT: RESIDENTIAL Permit Form ` AUTOPERM - PERMIT f Ownership 1 Private Project Size STANDARD -STANDARD Permit issued 04129!2010 Pnhar norm& Chahf fC CitylState/Zip CUPERTINO CA 95014 CA 95014 Purpose/Special Conditions ADD 48SQ OPEN PORCH/ENTRY G REMODEL KITCHEN(247SQ),BATHROOMS{245SQ),MASTER BATH, STAIRWAY, LAUNDRY, RELOCATE FURNACE, AC, ADD ELECTRICL RECEPTICLS, LIGHT FIXTURES, RELOCATE WASHER/DRYER; RE -ROOF 16SQ **SEE NOTES** SCANNED/ FILMED 8/2011 I[OAdd Default Text lal CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10390 STERN AVE CONTRACTOR: TBD - TO BE DETERMINED PERMIT NO: 10020143 OWNER'S NAME;_HOANG HUY HOANG DATE ISSUED: 04/29/2010 OWNEHONE: 4083986379 PHONE NO: LICENSED CONTRACTOR'S DECLARATION r— I— r BUILDING PERMIT INFO: BLDG ELECT PLUMB License Class_ Lic. # T_ MECH'RESIDENTIAL COMMERCIAL Contractor A L h Al A j /Bate I hereby affirm that I am licensed under the provisions of Chapter 9 JOB DESCRIPTION: ADD 48SQ OPEN PORCH/ENTRY & REMODEL (commencing with Section 7000) of Division 3 of the Business & Professions KITCHEN(247SQ) BATHROOMS(245SQ),MASTER BATH, Code and that my license is in full force and effect. STAIRWAY, LAUNDRY, RELOCATE FURNACE, AC, ADD I hereby affirm under penalty of perjury one of the following two declarations: t 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 performance of the work for which this permit is issued. I have and will maintain Worker's Compensation Insurance, as provided for by Sq. Ft Floor Area: Valuation: $100000 Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.. APN Number: 37514025.00 Occupancy Type: APPLICANT 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 and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save PERMIT EXPIRES IF WORK IS NOT STARTED indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the WITHIN 180 DAYS OF PERMIT ISSUANCE OR granting of this permit. Additionally, the applicant understands and will comply 180 DAYS FROM LAST CALLED INSPECTION. with all non -point source re lati per the Cupertino Municipal Code, Section 9.18. / ... Issued byi��;1-—�'_�--Date: Signature �' Date OWNER -BUILDER DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of All roofs shall be inspected prior to any roofing material being installed. If a roof is the following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for I, as owner of the property, or my employees with wages as their sole compensation, inspection. will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) Signature of Applicant: Date: I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE Compensation, as provided for by Section 3700 of the Labor Code, for the I have read the hazardous materials requirements under Chapter 6.95 of the performance of the work for which this permit is issued. California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain I have and will maintain Worker's Compensation Insurance, as provided for by compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Section 3700 of the Labor Code, for the performance of the work for which this Safety Code, Section 25532(a) should I store. or handle hazardous material. permit is issued. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined b the Ba Area Air y y Quality Management District I will I certify that in the performance of the work for which this permit is issued, 1 shall maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the not employ any person in any manner so as to become subject to the Worker's Health & Safety Code, Sections 25505, 25533, and 25534, Compensation laws of California. If, after making this certificate of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I in g rG forthwith comply with such provisions or this permit shall be deemed revoked. Date: APPLICANT CERTIFICATION CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is I hereby affirm that there is a construction lending agency for the performance of work's correct. I agree to comply with all city and county ordinances and state laws relating for which this permit is issued (Sec. 3097, Civ C.) to building construction, and hereby authorize representatives of this city to enter Lender's Name upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, judgments, Lender's Address costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section ARCHITECT'S DECLARATION 9.18• I understand my plans shall be used as public records. Signatur (4 ate lbet Ito Licensed Professional A1> CITY OF CUPERTINO ADDITION/REMODEL CUPERTINO PERMIT APPLICATION FORM APN. # J 1 – 14^ 026 Date: 02/20W10 Is a 2° unit being added? Yes ❑ No tK If yes, please fill out the permit application for 2° unit. Building Address: 1 O�)G[® S ERE AVE Mailing Address (if different from building address): Owner's Name: 140A -9G Wf W)" G Phone # : We) 6�J� Contractor: —FID Phone #: Fax #: Contractor License #: Cupertino Business License #: Contact: ' WU 144 'i &C" CITY OF CUPEkTINO CI'T'Y OF CUPERTINO I ADDI'T'ION/REMODEL FEE SCHEDULE Quantity Sq Ft Fee ID Fee Description Fee Group Permit Type ADDITIONS 1R3SFDADD 1PLLONGRNGR Long Range Planning/Residential PL 1 R31NSP Dwellings Inspections B 1 R3PLNCK ' Dwellings plan check B 1 R3REPINSP Dwellings Repeat Inspection B 1R3REPPLNC Dwellings Repeat Plan Check B - 1R3HINSP Dwellings Hillside inspection B 1 R3HPLNCK Dwellings Hillside plan check B 1 R3HREI14SP Dwellings Hillside Repeat Inspection B 1R3HREPLNC Dwellings Hillside Repeat Plan Check B 1R3ALTINSP Dwellings Alternate Materials Inspection B 1R3ALTPLNC Dwellings Alternate Materials Plan Check B 1PCESS Cesspool P 1 PPRSEWG Ea. Private Sewage Disposal System P . 1PRSEWER Sewers P 1BPSPRINK 'Lawn Sprinkler/Backflow, P 1BPWSVCS Main Water Service P 1 BCBSC �• Cal Bldg Standards Commission Fee B ALL PERMIT 'TYPES 1BSEISMICRE 1 SeismicResidential B f IRER00FRES Residential Re -roof Each 100 SF B CITY OF CUPEkTINO Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Building Department JOB ADDRESS- STERZ AV� PERMIT PERMIT 0e) Lo 3 OWNER'S NAME: ii® G 4W , G PHONE '# 5 & GENERAL CONTRACTOR: p FAX # I am not using any subcontractors: Signature Please check applicable subcontractors and complete the following information: =pmp Contractor Signature Q W� 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 Contractor Signature Q W� Date