B-2018-1973 PERMIT.pdfCITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
20450 STEVENS CREEK BLVD CUPERTINO, CA 95014-2265 (369 01 027)120400
STEVENS CREEK BLVD CUPERTINO, CA 95014 (369 01 028)
CONTRACTOR:
W E LYONS
CONSTRUCTION CO
WALNUT CREEK, CA
94598
PERMIT NO: B-2018-1973
OWNER'S NAME: CUPERTINO CITY CENTER BUILDINGS CA LP
DATE ISSUED: 05/23/2019
OWNER'S PHONE: 650 931 3400
PHONE NO: (925) 658-1600
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
X BLDG _ ELECT _ PLUMB
MECH _ RESIDENTIAL X COMMERCIAL
JOB DESCRIPTION:
Lobby Tenant Improvements (4622 sq ft); Trellis (1440 sq ft);
Site/Courtyard Improvements (37200 sq ft).
License Class A. B Lic. #180607
Contractor W E LYONS CONSTRUCTION CO Date 07/31/2020
I hereby
with Section
license is
I hereby
i.
2.
affirm that I am licensed under the provisions of Chapter 9 (commencing
7000) of Division 3 of the Business & Professions Code and that my
in full force and effect.
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
Aperformance of the work for which this permit is issued.
I 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.
APPLICANT CERTIFICATION
Sq. Ft Floor Area:
Valuation: $11000000.00
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 indemnify and keep harmless the
City of Cupertino against liabilities, judgments, costs, and expenses which
may accrue against said City in conseq nce of the granting of this permit.
Additionally, the applicant understands nd will comply with all non -point
source regulations per the Cupertino unicipal Code, Section 9.18.
APN Number:
369 01 028
Occupancy Type:
B (Tenant Improvements)
PERMIT EXPIRES IF WORK IS NOT STARTED
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
180 DAYS FROM LAST CALLED INSPECTION.
Issued by: Jasmine Archbold
Signature
Date 05/23/2019
OWNER -BUILDER DECLARATION
Date: 05/23/2019
RE -ROOFS:
I hereby affirm that I am exempt from the Contractor's License Law for one of the
following two reasons:
i. 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)
2. 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:
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.
2. 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.
3. 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 must forthwith comply with such provisions or this permit shall
be deemed revoked.
APPLICANT CERTIFICATION
All roofs shall be inspected prior to any roofing material being installed. If a roof is
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
Signature of Applicant:
Date: 05/23/2019
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 & Safety Code, Section 25532(a) should I store or handle hazardous
material. Additionally, should I use equipment or devices hich emit hazardous
air contaminants as defined by the Bay Area Air Quali anagement District I
will maintain compliance with the Cupertino Municip Code, Chapter 9.12 and
the Health & Safety Cod ections 25505, 533, and 25534.
Owner or authorized agent:
Date: 05/23/2019
CONSTRUCTION LENDING GENCY
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 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 regulations per the Cupertino Municipal
Code, Section 9.18.
Signature Date 05/23/2019
I hereby affirm that there is a construction lending agency for the performance
of work's for which this permit is issued (Sec. 3097, Civ C.)
Lender's Name
Lender's Address
ARCHITECT'S DECLARATION
I understand my plans shall be used as public records.
Licensed
Professional
ional
BUILDING PERMIT
CITY HALL
10300 Torre Avenue • Cupertino, CA 95014-3255
PHONE 408-777-3228
WWW.CUPERTINO.ORG
BUILDING ADDRESS:
20400 STEVENS CREEK BLVD CUPERTINO, CA 95014 CUPERTINO APN: 369 01 028 PERMIT NO: B-2018-1973
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 2/11/2020 11:09:08 AM ISSUED BY: JARCHBOLD VALUATION: $11000000
JOB DESCRIPTION
Lobby Tenant Improvements (4622 sq ft); Trellis (1440 sq ft); Site/Courtyard Improvements (37200 sq ft). DEF # 1 - GLASS STOREFRONT/CURTAIN WALL - ISSUED 07/25/2019 REV #1 -
REVISED RAMP DETAILS ON SHEETS G-000,G-001,L-1.04,L-3.00,L-3.04,L-6.52 - ISSUED 02/11/2020
LICENSED CONTRACTOR DECLARATION
CONTRACTOR:
W E LYONS CONSTRUCTION CO
LICENSED CLASS:
A GENERAL ENGINEERING CONTRACTOR, B GENERAL BUILDING CONTRACTOR
LICENSED NO:
180607
EXP DATE:
07/31/2020
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 penatly 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, l must forthwith
comply with such provisions or this permit shall be deemed revoked.
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 & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use
equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino
Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534.
An EPA Lead-Safe Certified Renovator will be responsible for this project.
Certified Firm Name:
No EPA Lead-Safe Certified Firm is required for this project.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work which this permit is issued (Section 3097, Civil Code).
Yes No
Lender's Name:
APPLICATION 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 indemnify and keep
harmless the City of Cupertino against liabilities, judgements, 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 9.18.
Signature:
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
Firm Certification No:
Lender's Address:
of 365 days after the time the work is commenced.