B-2018-1973 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2018-1973
20450 STEVENS CREEK BLVD CUPERTINO,CA 95014-2265(369 01 027)120400 W E LYONS
STEVENS CREEK BLVD CUPERTINO,CA 95014(369 01 028) CONSTRUCTION CO
WALNUT CREEK,CA
94598
OWNER'S NAME: DATE ISSUED:05/23/2019
OWNER'S PHONE: PHONE NO:(925)658-1600
LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO:
License Class A,B Lic.#180607
Contractor W E LYONS CONSTRUCTION CO Date 07/31/2020 X BLDG _ELECT _PLUMB
_
I hereby affirm that I am licensed under the provisions of Chapter 9(commencing MECH RESIDENTIAL X COMMERCIAL
with Section 7000)of Division 3 of the Business&Professions Code and that my
license is in full force and effect. JOB DESCRIPTION:
Lobby Tenant Improvements(4622 sq ft);Trellis(1440 sq ft);
I hereby affirm under penalty of perjury one of the following two declarations: Site/Courtyard Improvements(37200 sq ft).
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
performance of the work for which this permit is issued.
have and will maintain Worker's Compensation Insurance,as provided for by
ection 3700 of the Labor Code,for the performance of the work for which this
ermit is issued. Sq.Ft Floor Area:
q Valuation:$11000000.00
APPLICANT CERTIFICATION
I certify that 1 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 369 01 028 B(Tenant Improvements)
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 PERMIT EXPIRES IF WORK IS NOT STARTED
may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR
Additionally,the applicant understands nd will comply with all non-point
source regulations Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION.
VSignature Date 05/23/2019 Issued by:Jasmine Archbold
Date:05/23/2019
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS:
following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is
1. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for
compensation,will do the work,and the structure is not intended or offered for inspection.
sale(Sec.7044,Business&Professions Code)
2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant:
contractors to construct the project(Sec.7044,Business&Professions Code). Date:05/23/2019
I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER
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
performance of the work for which this permit is issued. HAZARDOUS MATERIALS DISCLOSURE
2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the
Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will
permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the
3. I certifythat in the performance of the work for which this permit is issued I Health&Safety Code,Section 25532(a)should I store or handle hazardous
p p material. Additionally,should I use equipment or devices hick emit hazardous
shall not employ any person in any manner so as to become subject to the air contaminants as defined by the Bay Area Air Qu,, anagement District I
Worker's Compensation laws of California. If..after making this certificate ctfwill maintain compliance with the Cupertino Municip Code,Chapter 9.12 and
exemption,I become subject to the Worker's Compensation provisions sof the the Health&Safety
Labor Code,I must forthwith comply with such provisions or this permit shall.
be deemed revoked. Owner or authorized agent:
APPLICANT CERTIFICATION Date:05/23/2019
certify that I have read this application and state that the above information is CONSTRUCTION LENDINGIGENCY
correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance
relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.)
to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name
to save indemnify and keep harmless the City of Cupertino against liabilities,
judgments,costs,and expenses which may accrue against said City in Lender's Address
consequence of the granting of this permit. Additionally,the applicant understands
and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION
Code,Section 9.18. I understand my plans shall be used as public records.
Licensed
Signature Date 05/23/2019 Professional
BUILDING PERMIT
CUPERTINO
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
OWNER'S NAME: Not provided
OWNER'S PHONE: Not Provided
CONTRACTOR:
W E LYONS CONSTRUCTION CO, 1301 YGNACIO VALLEY ROAD WALNUT CREEK
CONTRACTOR PHONE:
DATE ISSUED 2/1 1 /2020 11:09:08 AM
ISSUED BY: JARCHBOLD
VALUATION: $11000000
JOB DESCRIPTION
Improvements (37200 sq ft). DEF # 1 - GLASS STOREFRONT/CURTAIN WALL - ISSUED 07/25/2019 REV #1 -
- ISSUED 02/1 1 /2020
Lobby Tenant Improvements (4622 sq ft); Trellis (1440 sq ft); Site/Courtyard
REVISED RAMP DETAILS ON SHEETS G-000,G-001,L-1.04,L-3.00,L-3.04,L-6.52
LICENSED CONTRACTOR DECLARATION
9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full
CONTRACTOR:
W E LYONS
LICENSED
A GENERAL
LICENSED
180607
EXP
07/31/2020
I hereby
force
I hereby
CONSTRUCTION
CLASS:
ENGINEERING
NO:
DATE:
affirm
and effect.
affirm
I have and
for which
I have and
I certify that
with
CO
CONTRACTOR, B GENERAL BUILDING CONTRACTOR
that I am licensed under the provisions of Chapter
under penatiy of perjury one of the following three
will maintain a certificate of consent to self -insure
this permit is issued.
will maintain Worker's Compensation Insurance,
in the performance of the work for which this permit
laws of California. If, after making this certificate
such provisions or this permit shall be deemed revoked.
declarations:
for Worker's Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the
V
work
as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
is issued, I shall not employ any person in any manner so as to become subject to the Worker's
of exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith
issued.
Compensation
comply
HAZARDOUS MATERIALS DISCLOSURE
6.95 of the California Health & Safety Code. Sections 25505, 25533. and 25534. I will maintain compliance
I have read the hazardous materials requirements under Chapter
the Cupertino Municipal Code, Chapter 9.12 and the Health
V
with
equipment
Municipal
& Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
25505, 25533, and 25534.
this project.
Firm Certification No:
or devices which emit hazardous air contaminants as
Code, Chapter 9.12 and the Health & Safety Code, Sections
An EPA Lead -Safe Certified Renovator will be responsible for
Firm Name:
No EPA Lead -Safe Certified Firm is required for this project.
Certified
V
CONSTRUCTION LENDING AGENCY
lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Lender's Address:
I hereby
affirm
under penalty of perjury that there is a construction
No
�YesV
Lender's
Name:
APPLICATION CERTIFICATION
information is correct. I agree to comply with all city and county ordinances and state laws relating to building
enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep
:
Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 365 days after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period