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15070057J CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7778 LILAC WAY CONTRACTOR: VALLEY HEATING & PERMIT NO: 15070057 COOLING OWNER'S NAME: ELANGOVAN THANIGAIVELU AND VIJAYASE 1171 N 4TH ST DATE ISSUED: 07/08/2015 OWNER'S PHONE: 8587760208 SAN JOSE, CA 95112 PHONE NO: (408)294-6290 ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL G� S� { Yb ADD AIR CONDITIONING. License Class q J �Q �%�Lic�. / Contractor 1 > _ / Date 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 Sq. Ft Floor Area: Valuation: $8859 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 APN Number: 35906003.00 Occupancy Type: �liermit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. I agree to comply with all city and county ordinances and state laws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS FROM LAST CALLED INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of they �� lG� Date: 7" �3 granting of this permit. Additionally, the applicant understands and will comply Issued by: _ with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. ///_ % RE -ROOFS: Signature �, �if✓ Date ( I 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. ❑ OWNER -BUILDER DECLARATION Signature of Applicant: Date: 1 hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 1, 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 HAZARDOUS MATERIALS DISCLOSURE construct the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: Health & Safety Code, Section 25532(x) should I store or handle hazardous I have and will maintain a Certificate of Consent to self -insure for Worker's material. Additionally, should I use equipment or devices which emit hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, Sections 505, 25533, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 1 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 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code, I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section Licensed Professional 9.18. Signature Date GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build! naPcupertino.org f 0760 � 7 1 S C ❑PLUMBING Lp'MECHANICAL ❑ELECTRICAL F2,41SCELLANEOUS PROJECT ADDRESS 7% / / , tG APN n D iy 1., l OWNTERNAME 14e��� Gn GC PHONE 7� �" E-MAIL STREET ADDRESS ? %�(i CITY, STATE, ZIP ca. �Orfr f —0) FAX / CONTACT NAME I PHONE E-MAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ oWAwm_BULI.DER ❑ OWNER AGENT CONTRACTOR ❑ CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME V 1 LICENSE NUI`SER A ( y [ b f ru LICENSE TYPE C 0,16 BUS. LIC ,# COMPANY NAME E-MAIL FAX STREET ADDRESS I It:2N ( J CITY, STATE, ZIP S ? C. (�, j� f / J I PHONE Z� (9 / (G ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONrE USE OF CFD or DUPLEX ❑ MULTI -FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑ YES IS THE BLDG AN ❑ YES BUILDING: 6 COMMERCIAL URBAN INTERFACE AREA NO FLOOD ZONE 'O EICHLER HOME? 9CO DESCRIPTION OF WORK I % TOTAL VALUATION: RECEIVEDB]'��. By my signature below, I ertify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bu g construction. I authorize representatives of Cupertino to enter the-above-identifiedproperty for inspection purposes. Signature of ApplicanUAgent: _�— Date: / -1 /r SUPPLEMENTAL INFORMATION REQUIRED r t� � VER THECQUI�TER,,����; EXPRESS � `❑ STAI\'DARD�S�,.� ��: U LARGEll,,FS r A�fEPAliscApp_2011.doc revised 06/21/11 Eft CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION im, ADDRESS: 7778 Lilac Way DATE: 07/08/2015 REVIEWED BY: Sean UNITS AN: BP#: *VALUATION: $8,859 xPERMIT TYPE: Mechanical Permit PLAN CHECK TYPE: Alteration / Addition / Repair PRIMARY SFD or Duplex USE: # PENTAMATION FURN/A PERMIT TYPE: WORK air conditioning. [Add SCOPE Suppl. Insp Fee APPLIANCE / EQUIP TYPE FEE ID Phunh. Plan Cheo QTY UNITS BP FEES Elec- Permit Fee A/C Units (<=10K cfm) 1BREMAIR � lrher Elec. Insp.E]__L_ 1 # $72 Permit Fee: Suppl. Insp Fee PME Unit Fee: $72.00 PME Permit Fee: $48.00 Construction Tar: Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes (F) No $0.00 TOTALS: Travel Documentation Fee: ITRA VDOC $72.00 Strong Motion Fee: IBSEISMICR NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are only an estimate Contact the Dept for addn'l info. FEE ITEMS (/-ee Resolution 11-033 E,(': /71 13,) Mech. Plan Check r0_01hrs $0.00 Phunh. Plan Cheo Jec. Plan Check Mech. Permit Fee: IMPERMIT Plumh. Permit Elec- Permit Fee Other Mech. Insp. 0.0 hrs $48.00 <�rhe� Plumbhl"i � lrher Elec. Insp.E]__L_ ,'u,P. Vice: $0.00 NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These fees are based on the nreliminary information available and are only an estimate Contact the Dept for addn'l info. FEE ITEMS (/-ee Resolution 11-033 E,(': /71 13,) FEE QTY/FEE MISC ITEMS Plan Check Fee: Suppl. PC Fee PME Plan Check: $0.00 Permit Fee: Suppl. Insp Fee PME Unit Fee: $72.00 PME Permit Fee: $48.00 Construction Tar: Administrative Fee: IADMIN $45.00 Work Without Permit? © Yes (F) No $0.00 Advanced I'lunning 14: ,. Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $1.15 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $215.151 $0.00 TOTAL FEE: $215.15 Revised: 07/02/2015 CERTIFICATE OF COMPLIANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) Project Name: 2015- 0017 Thanigaivelu Elangovian I Date Prepared: CF1R-ALT-02-E (Page 1 of 3 ) 2015-07-08 A. General Information CF111-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CRR -ALT -02 document for each dwelling unit. 01 Project Name 2015- 0017 7hanigaivelu Elangovian 02 Date Prepared 2015-07-09 03 Project Location 7778 Lilac Way 04 Building Type Singlefarnily 05 CA City Cupertino 06 Dwelling Unit Name 2015- 0017 7hanigaivelu Elangovian - SC System SC System DwellingUnit Conditioned 1560 07 Zip Code 95014 ns lli g Floor Area (ft2) Identification or Location or Area by this SC ducted Number of space conditioning system 09 Climate Zone 4 10 (SC) systems in this dwelling 1 System (ft2) system? component? components? unit. duct system? B. Space Conditioning (5C) System lnfortnation Ol 02 03 [}4 �- �� j ' 09 10 -41�1 s the SC iistatling a 2i c AIM � - SC System SC System CFA served stem a r ftige a(it Zlnstalli nev S tM IrFstal( g p ns lli g installing 'entirely Identification or Location or Area by this SC ducted containing system more than 40 entirety new new Narne Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Altered space Add AJC whole house 1560 Yes Yes Yes No No No conditioning system C. Extension of Existing Duct System, Greater Than 40 Feet (Section150.2(b)1Diib) This section does not apply to this project. Registration Number: 215-A0186408A-0D0000000-0000 Registration Date/Time; 2015-07-08 11.44.47 HERS Provider: CaICERTS CA BOilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015 -07 -OB 11:45:0S Schema Version:0.555S0D CERTIFICATE OF COMPLIANCE CFIR-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 D. Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 it 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating 1 Efficiency Efficiency I Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value No heating This field or This field or Central split All new This field or This field or Add AJC Central gas component section is not section is not AC cooling SEER 16 Setback section isnot n section is riot furnace altered applicable applicable components applicable applicable Required Documentation: MR -MCH -01•E - Space Conditioning systems Ducts and Fans -Duct insulation requirement for neer plenums: R6. CF2t1.MCH-20�H &CF3R-MCH-20-H — Duct leakage testing required when heating of cooling components are installed in ducted systems, or when more than 40ftof duct length is replaced. -Leakage rate compliance: s LS%, or 510% leakage to outside, or seal all accessible leaks. CUR -MCH -25-H & CF3R-Nl M -25-H RefrigerantChaige Verification required when reftigerant oontaining components are installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow z 3o0 CFM/ton required when.MCH-25 is required. Exceptions: -ire Duct systemsregistetedwithHERSproviderasprevous(ysealedareeaemptfr C ZO rtKr ofAir Fiov r,� a H 2 systems and Air Handler/Furnace changes do notteq a Herificat.,n x -Heating-only -Existing duct systerns constructed, insulated or sealed with as est�re exem M ` requi e a E. Entirely New or Complete Replacement Dud S ern, wif h r vithol4qu ment tl�n ut Se do s This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 21S-AO1.8640BA-000000000-0000 Registration Date/Time: 205-07-108 5-07-08 11:44:47 2(b)IE, F) HERS Provider: CaICE RTS CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-08 11:45:05 Schema Version: 0.555SDD CERTIFICATE OF CCMPUANCE Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) MR -ALT -02-11E (Page 3 of 3 ) Documentation Author's Deciaratlon Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Signature:Ondy Documentation Author Name' C1' GGC Faulkner, Cindy Signature Date: Company: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2015-07-08 11,44:47 CEA/ HERS Certification Identification (if applicablel: Address: 1171 NORTH 4TH STREET Phone: City/State/rip: (408} 294 6290 SAN JOSE CA 95112 Responsible Person's Declaration statement -. I certify the following under penalty of perjury, under the law 'df the State of Calffornia: 1. The information provided on this Certificate -of Compliance is mea nd correct. Division 3 of the Gu I smess and Professions Code to accept responsibility far the building design or system design identified on this Certificate of Compliance (responsible designn). 2. l am eligible under 3. That the energy features and performance specifications, materials; components, and ra�anufacti[red deo far the bulldMigYztem desin ideniffled on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Parts of the California rode of a S. i rm rovideda th pliancedocuments,worksheets, 4. The building design features or system design features identified o h iz Certifti f lance are _ okulations, plans and specifications submitted to .the rcemen ency f v this bui I ng pe a Jicati llle iii; pe nit ssu for ild tg, an _ilzbl:e�`Morcement agency for all applicable 5. I will ensure that a registered copy of this Gertiflca pllance z t _ _ inspections. I understand that a regist:. copy of th tate of CQ pfancV&-quitgd to b inducted th wrne do the burl rp fides t%tbe btJ .ing owner at occupancy. V �, � r Resp ble DeQki er 5 ure: �QCI.t�/�LP/L Responsible Designer Name: Faulkner, Cindy Date Signed: Company: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING & ELECTRICAL 2015-07-08 11'44:47 Address: License: 258540 1171 NORTH 4TH STREET city/Stage/Zip: Phone: (408) 244 6290 SAN JOSE CA 95112 UiIitamy signed by COCERTS. Ibis digital signanxe is proyided in order to seoure the content of this regfstereo' document, and in noway implies Registration Pro Oder responskiTity for the accuracy of the fn(orntatfon. Registration Number: 215-A0186408A-000000D00-0000 Registration Date/Time: 2015.07-08 11:44:47 HERS Provider: CaICERTS CABLlilding Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-07-D8 11:45:05 Schema Version: D.SSSSDD CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingacupertino.org Owner Name !IS)EA TA) C66` tCz Lv LL- Lc\ 0 VAA Permit No. r bO 1.0 0 C_-_) j Address qq' L& C WA)!, r '.. T) i- iZTI OD CA G 501 Li. PERMIT CANNOT BEFINALED AND COMPLETED UNTIL THiS CERTIFICATE HAS BEEN SI ,NED'A�D RETURNED TO TNT, BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8,d of apply. Sign below and skip the rest of the form. Owner' Signature: Date: av No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the fo Owner' Signature: _ ,%�-- Date: O } 1 2 2' D=, I %pKo Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 110 1. 1 through 1.8 do not apply. Sign below and skip the rest of the form. Owner' Signature:_ Date: 01 `22' e< Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 110 1. 1 through 8 do not apply. Sign below and skip the rest of the `form. 0 - Owner' Signature: (�^^' Date: 6_1 k2- 2 1 XO 16— Ua Yes My real properly is built and availabl for use o occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. ❑ My property is a single-family residential real property. See Civil Code Section 1101.4. On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ Myproperty is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2015. doc revised 02/04/15 On, or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving r _,,plumbing fixtures throughout the building (regardless of whether property undergoes alterations or im�r�ements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation requirements, and that the water-consepainkplumbing futures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: 311a.^J" L^w \-- Date: UT 12 Z- I>- 4 1 Upon completing and signing this Certifichte, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doe revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets— Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015. doe revised 02/04/15 Address .11_1 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE won COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION - 2 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(tupertino.org 'Permit No. 1 %'4-00 r W A`% Cv P�_PJI i'i _0 (A# of Alarms Smoke: Carbon Monoxide: gw E'FP.�II'I' C 1 101' Iii I IN .aI Fl) AND COMPT'I T ED UNTIL HISS ERTW.!CA-TE TO TUEfilaWD. 10i r k PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon. Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. 1 have read and agree y with the terms and conditions of this statement Owner (or Owner Agent's) Name: - 'Tit A H 16A ry EI -0 ELANG-o YAH ' p Sinat ............................................................................................................... Dated:...Lr2.2I Contractor Name: Sinature ....................... .............. ................................ Lic.#...................................... Date:................... Smoke and CO form.doc revised 03/18/14