15060135SMOKE 1 CARBON MONOXIDE ALARMS
d OWNER CERTIFICATE OF COMPLIANCE
�q COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
CUPERTINO 1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
,Ano% ^. Znna . cAY tAnpi 777_4ZZZ . kvitrtinn fnlrr ninn nm
Address
PURPOSE
This affidavit is a self -certification for the installation of all required Smoke and Carbon Nlonox.ide Alarms for
compliance with 2013 CRC Section 8314, 2013 CBC Sections 420.6 and 907.2.11.2 where no ulterior access for
inspections are required.
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall. be provided with Smoke Alarms and Carbon
Monoxide alarrns. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314 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
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 8314 and CBC Sections 907.2.11.4 and a-20.6.2. 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 hasllhave been
installed in accordance. with the manufacturer's instructions and in compliance with the Califorrva Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
H tet. -,4 -r - , e., r rfh fha I- and rnnrhtfnnc of this statement
Owner (or Omer Agent's) Name
AREA
SMOKE ALARM
CO ALARM
s+
Outside of each separate sleeping area in the immediate vicinity of the
X
X
bedroom(s)
On -every level of a dwelling unit including basements
X
X
r`
t`....
Within each sleeping morn
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 8314 and CBC Sections 907.2.11.4 and a-20.6.2. 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 hasllhave been
installed in accordance. with the manufacturer's instructions and in compliance with the Califorrva Building
and California Residential Codes. The alarms have been tested and are operational, as of the date signed
below.
H tet. -,4 -r - , e., r rfh fha I- and rnnrhtfnnc of this statement
Owner (or Omer Agent's) Name
Si natute....... ............. ................. c ....1:� .. ... Die... �.
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Sionature.................... ...................... .......... ...............Lic.m...................................... Rate:...................
Sniake and CO form.doc revised 03,19114
'dwrier
Addres
1. 13
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT- BUILDING DIVISION
10300 TORRE AVENUE P CUPERTINO, CA 95014-3255
(4Q5).7ZZ;§2j&k4j(j-A§k7jZ-3333 - but ding 0ED
cupertino.org
refer to the atiachedCalifornia Civil Code; Sections, I
1. Isyourre 1 property gregist6ted'historicaIsite?
11 Yes Civil Code SwtiohslIO1.1throijghll0l.gdonot,apply, Sign below and skip th6 rest of the form
Owner, Signature- Date; 2•
No Go to Question .
2. Does yo real property have a licensed plumber certifying that, due to the a ofthe property orts
plumbing
imbing hnstallation ofwater-consorving plumbing fixtures is. nottechnically feasible?
❑ Yesivil Code Sections 11014 through 1101.8 dondt apply."
C
0
C
C P The.. licensed plumber's certification has been pwyidod to the building Division.
ign below and skip thexesrofthd form..
4 weer' Signature: Date:
No. 0 to Question 3.
3. Is watei s ice permanently disconnected. -for your building?
El Yes;; Civil Code Sections 110.1.1 through 1101.8 do not apply, Sign below and skip the rest of the form.
Owner' Signature:; Date:
NoGo to Question 4..
4i, Is your rl property built and'avallable for use or occupancy on or before January 1;,19947
jEfNo My real property is built and available for use.or-occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Owner' Signature: Date:
)(Yes)(Y -S My real property. is built and available for use or occupancy on'or before, January 1, 1994.
Civil Code Sections I . 10 . JA throughA apply. Refer to the attached.
l 1010
11 My -property is a 'single family residential real property. See Civ , il Code:
ode,Section 1101.4.
On and after Janualy 1, 2014, building alterations or improvemints shall require. all: non-compliant plumbing
fixtures to be replaced with water.L6onserving,plumbing fixtures throughout the building.. On,o; before-lanuary 1,
2017, all non-compliant plum I bint fixtures shall be replaced with water -conserving plumbing fatures (regardless
of whether property undergoes alterations or improvements).
My property is a multifamily residential real prop6rty. See Civil Code Section 1101.5.
On and after January 1, 2014, specified build* 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-pompliant plumbing fixtures shall be reDlacedwith water -
conserving plumbing fixitires throughout the building (regardless of whether property undergoes a terat'o
ns or
improvements).
13 My property is a commercial real property. See Civil Code,Sectioil 1101.5.
On and after January 1, 2014, specified building: lterations or.improvements shall require non- compliant
plumbing fixtures to be replaced with -water -conserving plumbing fixtures:
SB407,2014.6c revised 03/1e!4
r
On or before January, />- 2019,' all non compliant Qlumbing fixtures: stall be, replaced.4grg water- conserving
plumbing fixtures tl�rough9 Vie, bmldwg (regaxdless of , whether .property undergoes alterations di
improvements).
the owner(s) of this property, certify under penalty of perjury that non-compliaL�m
fixtures Have Been"i`eplaced
with water�onserving plumbing fixtures in accordance with Civil Code Sections 116 1101.8, the -current
California plumbing Code and California Green Building Standards Code, and manustallation requirements, andthat the i rater -conserving plumbing fixtures comp/ with the re -ice nts as indicatle beIo�aie: O
Owner's (or OwnerAgenfs) Signature'
upon completing and signing this Certificate, please re itto theJ�uildiugDivision,iu order to'finalyour• permit.
Non-ComplSant Water Conserving Plumbing Fixture
{Fixture Complying with Current Code Applicable to NewConstruction)
Pluiriblii Fixture bilaxirnum Water Use elFlow Rate %
Fixture Type Water Usage
2013 CPC Ch. 4 2093 CPC Ch 4 2413 CPC Ch. 4
/Flow Rate 2013 CALGreen Div. 4.3 2013 dALGYeainen Dni.'4.3. 2013 CCAoLTGnrtee ncD� : 5.3
Single -Family Miilii-Ftly`
Residential Residential
Water Closets Exceed 1.6 Single flush toilets:: 1.28 gallonsiflush
{Toilets} Gallonslflush Dual flush toilets: 1,28:gailoos/flush effective flush volume {the composite,
average flush volume of two reduced flushes and one full flush
Urinals Exceed 1.0 t1.5,gallonslflush
Gallonslflush
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 2.4 gallons per minute @ 80 psi, or the shall be designed to
allow onl one Shower outlet fo be in operation at a time•0.5 gallons perminute@ 60
Faucets - Exceed 2.2 gallons Maximum 1.5 gallons per Within;uniis:
Lavatory per minute minute @b0 psi;. minimum Max
i
mu
m
'
.
5 gallons.psi - _ -
_ .Faucets__ -------- - -••- 0.8_gallons.per_minufe_@ __ per_minuEe_@60_psi;__
20 psi minimum 0.8 gallons
per minute @ 20 psi
In common and public
use.areas: Ot5 .gallons
Per minute.@ 60 psi
9.B gallons per minute
60 si
Faucets - Exceed 2.2 gallons 1 •e gallons per minute@;.. 1.8 gallons per;minute 1.6 gallons per minute Qa 60
60 psi Psi.
Kitchen per minute 69 -psi ... . -�°a s
Faucets May terriporanly incYease ' May temporarily
UP, to 2;2 gallons per increase up to 2.2
minute @ 60 psi, and must gallons pe`r; minute
;delauR #o maximum ; 00 psi, and mus(
1 8 gailons per minu;e @ ' ' d`efaUit,to max�murri
60"psi
1.8gallons per minute
Where faucets meeting @ 6.0 psi`'
Ehe above:are unavailable, Wherefia'ucets meeting'
aerators o� other means I e above are"
maybe used 16 6chibVe'< unavailable; aerators:oi`
reiiuctiori. ' " "``l-dthermeans-hAay6eAt : •,;..sed to°achieeduction.
existing plumbing fixture water usage/ftow'rateis equal to oj than the figure shown; it isnot required to be upgraded.
0407 2014,doc revised 03/1884