15060197-smoke/carbonFicim Humberto Rocha Fax (408) 726-7926
CUPER'tlhE0 i
Address 22346 McClel
Tc Fay: +1 k408) 777-3333 Page 1 of 4 07/0612015 8:31 AM
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
(408) 777-3228 - FAX (408) 777-3333, buffs inq
Acuperting.org,
r
Permit Net._ IS0601441-
CA 95014
FENALED AND CO3NU?LrE'T—rD UATMIT" I I IS CERTIHCATE
0AS 1�,EENtdfLi, AINID R TO H -f 1, 13 k! I LD 3
-1 41 N
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section 8314, 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 withSmoke..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 907.2.1.1.5 and 4-70.6 require that SImDke Alarms and/or Carbon
Monoxide Alarms be installed in the follow-ing locations:
AREA
Outside of each separate sleeping area in the immediate viciraty of the
KE. ALARM CO ALARM
X X
On every level of a dwelling unit including. ba.sernen
X
I Within each sjee�ping r
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 divelling unjt-s, wits l no COMIllf-reial 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 mean's of attic, basement or crawl
space. Refer to CRC Section 831-4 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 martul I actuxer'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-,
/ have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
Thuy LamL L C 17� L�at; L
July 3. 2015
Contractor Name.
—i�, nature ...................................
......... Date.- ....... I .......
-7 —
t
Signature,...
- J Z' 1. ... ................................. LIc.#— ...... .. .. ... ... ...... Date; .........
-Yrn,Ae and COfor7n. doc revised 03118114
From Humberto Rocha Fax (408) 726-7926 To: Fax +1 t408/ 777-3333 Page 3 of 4 07/06/2015 8 31 AM
33
UP ERTIN
Owne.r.Name Thuy 1
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
C0MMUNITY DEVELOPMf=tVT D- I TM. 901L134NG..QfVISION
10300 7ORRE AVENUE • CUPERT1Nb, OA 9.sa 4=3255
(408)..7717-3228 FAXX (406) 7^77 3333 bui}tiirrgcu ;rrtina.or_ci
Address -------------223 46 McClellan Rd., Cupertino C195014
_ ..
1'f:l� 11'1" C;A?rNO] 1, 1,: 1:1 N k1,1,1) 1,,,%td t't)N 111.1::1 1: -TED 1�V'TII:'1'Ii1S C:1✓t "F 11 101 &;
TO 4441:: ltl_::ILDING DITIS10,N
Please refer to the attached -California Civil Ctxie 5cQ110rt:-, 1 1.i i, l 1101 .8 which are part of this Certification farm.
1. Is your. real property a registered historical, site?
❑ Yes Civil Code Sections l l 01.; l through 1101.8 do not apply .. Sign,,below and skip tho rest of the form,
7 Owner' Signature: .., Date: Jul .3:2Q15.
(�o to.Question :.....� f
2. Does your real property have a licensed plumber certifying thai cluE tq the age or configtratign blthe.prvperty or its
plumbing, installation of water -conserving plumbing fixtures is not. technically feasible? -
Yes Civil Code Sections .11,01.1 through 1101.8 do not apply.
The licensed plumber's certification. has been provided to the Building Division.
Sign below and skip the rest ofthe fbrm,:
Owner'. Signature: 7Date; July 3, 201.5
E No Go to Question 3.
3. Is water service permanently disconnected for your building"
❑ Yes Civil Code Sections 1101 1 through -:1 101 8 do not apply, -Si girbe
low and skip the rest ofthe farm.
Owner' Signature: Date: July 3, 2015
21 No Go to Question 4. �� � �}� .
4. Is your, real property built and available: for use or occupancy on or before January l., 1994?
❑ No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections l 10111hrough. 1.101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: 1+"t 1
® Yes y property p y Date...July 3, 201.5
M realis built and available for use or occupancy on or before January 1, 1994:
Civil Code Sections 1.101.1 of oUgh 11tI1.8 apply, .Defer to the attached.
IN My property is a single-family residential real property. See Civi1.l Code Section 11.01.4.
On and after January 1, 2014, building alterations or imorovements shall require all non. -compliant. plumbing
fixtures to be replaced with water -conserving plumbing fixtures thrquglzaut,tlie.buitding. On or before January 1,
2017, all non-compliant plumbing fixtures shall be replaced. with water cooserving plumbing fixtures (regardless
of whether property undergoes alterations or:improvements).
My property is a multiArgjly reside>•ntaul real pt'opert_y..5ee :Civil Code.Se0non:1101.5
On and after January 1, 2014, spectiied.butlding alterations or improvements sha1.I require non- compliant
plumbing fixtures to be replaced with wratcl-< onserving plurni?ing f"ixturey
On or before January 1, 2019, all non compliant plumbing fixtures shall bexep.laced with water -
conserving plumbing fixtures throughoutthe building (regardless of whether property- un
improvements), dergoes alterations or
❑ My property is a commercial. real;:property. See Civil Code Section 110:1.5.,
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 2013. dnc rin sed 02/04,15
From: Humberto Rocha Fax: (408) 726-7826 To: Fax: +1 (408) 777-3333 Page 4 0/ 4 07/06/2015 8:31 AM
On or before January 1, 2019;. all nonconipliariC plumbing:.fixtures shall. be replaced with water- conserving
plumbing fixtures throughout the.. building (regardless . of . whether propertyundergoes alterations or
improvements).
UWe, 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,plumbi.ng fixtures in accordance with Civil Code Sections 1101.1 through
1.1.01.8; the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation
requirements; and that the water -conserving plumbing fixtures comply with the requirements.as indicated in the table below.
Date: July 3, 2015
Owner's (or Owner Agent's) Signature:
TJpon completing and signing this Certificate, please return .it to the Building Division in order to final. your peanut
1t -the existing piurnwng i,XLuiG nate:, L4D06VI tv.- +.,..-I --- _.- --. - -- - - -
IVB407 2013. doc revised 021104115
Non -Compliant
Water -Conserving PIumbing Fixture
Piumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water 'Usa a/Flow Rate
Fixture Type
Water Usage
2013 CPG Ch. 4
2013 CALGreen Div. 4.3
2013 CPC Ch. 4
2013 CALGreen Diva 4.3
2013 CPC Ch. 4
2013 CALGreen Div. 5.3
Single -Family
V46ltf-Famiiy
Commercial
!Flow Rate
Residential_
Residential
Water Closets
Exceed 1.6
^+— Single flush toilets: 1.28 gallons/flush
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
(7oilets)Gallonslflush
I
i
average flush volume of two reduced flushes and one full flush)
Urinals .:
Exceed 1.0
p.5 gallonsfflush.
rh
Showeeads
Gallons/flush
Exceed 2.5
_ _
2 0 gallons perml to @ 80 psi; Also certified to the performance Criteria of
f
gallons per minute
U.S. EPA WaterSense Specification for Showerheads
i
I
(A hand-held shower is considered a showerhead.)
j (
For multiple showerheads serving one shower, the combined flow rate of all
j
showerheads and/or other shower outlets controlled by a single valve shall not
{
1
exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to
allow oniv one shower outlet to be in operation at a time.
Exceed 2.2 gallans
per minute
Maximum 1.5 gallons per .. hin units:., 0.5 gallons per minute C& 60
minute (d 60 psi; minimum Maximum 1.5 gallons psi
aucets -
Lavatory
Faucets
0.8 gallons per minute @ per minute @ 60 psi;
0.8.ga{lons
20 psi minimum
i
per minute Cdr 20 psi
l
i
I in common and public
use areas: 0:5 gallons
per minute @ 60 psi
1.8 gallons.per minute
1.8 gallons per minute �. 1.8 gallons pear minute 1.9 gallons per minute @ 60
I Faucets -
Exceed .2,.2 gallons.
j Kitchen
Faucets
psi
per minute
j
60. @ 60 psi psi
May temporarily increase May temporarily
j
up to 2.2 gallons per increase up to.2.2
minute 60 ps{, and must., gallons per minute @
j
default to maximum 60 psi, and must
i
1 8 galipns per minute i defa Itt to maximum
60 psi 1.8 gations per minute
Where faucets meeting @ 60 psi
tt e'above'are unavailable, 'Where faucefs meeting
aerators or other means the above are
f
j
may be used to achieve unavailable, aerators. or
I
reduction. othermeans may be
used to achieve
l
---- --
reduction. -.
-- -- - .,w.,K fit i .ffT17P Chevihin It 1.0 not renuired to be 4mzradeU
1t -the existing piurnwng i,XLuiG nate:, L4D06VI tv.- +.,..-I --- _.- --. - -- - - -
IVB407 2013. doc revised 021104115