Loading...
15070194CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 7603 RAINBOW DR CONTRACTOR: SOLARCITY PERMIT NO: 15070194 OWNER'S NAME: APARNA SATHYE 3055 CLEARVIEW WAY DATE ISSUED: 07/29/2015 O ER'S PHONE: 4082899126 SAN MATEO, CA 94402 PHONE NO: (650) 638 -1028 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ License C(U� INSTALL 8 ROOF TOP, FLUSH MOUNTED PV MODULES Class 4'�S? Lic. # to 2.08 KW Contractor )l j `� Date ca f p /j REV # 1- ADD 1 ADDITIONAL MODULE (9 TOTAL) & INCREASE KW BY .26 (2.34 KW TOTAL) - ISSUED 8/20/15 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: $4500 performance of the work for which this permit is issued. f 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. APN Number: 36224005.00 Occupancy Type: 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 to building construction, and hereby authorize representatives of this city to enter WITHIN 180 DAYS OF PE T ISSUANCE OR upon the above mentioned property for inspection purposes. (We) agree to save 180 DAYS F D INSPECTION. indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the this C r granting of permit. Additional the,5pplicant understands and will comply Date: b with all non -point source regulati : s p tkte Cupertino Municipal Code, Section 9.18. Signature Date c:' C? ` (_5 RE- ROOFS: 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 I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: I, as owner of the property, or my employees with wages as their sole compensation, ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER 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 constmcf the project (Sec.7044, Business & Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the I hereby affirm under penalty of perjury one of the following three California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the declarations: I have and will maintain a Certificate of Consent to self - insure for Worker's Health & Safety Code, Section 25532(a) should I store or handle hazardous Compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. material. Additionally, should I use equipme or devices which emit hazardous air contaminants as defined by the Bay Area' it Q lity Management District I will maintain compliance with the Cuperti. Mu I pal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health &Safety Code, Sections 2550 and 25534. Section 3700 of the Labor Code, for the performance of the work for which this �$5 ��'`" (� CA permit is issued. Owner or authorized agent: Date: 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 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 Lender's Address APPLICANT 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, judgments, ARCHITECT'S DECLARATION 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 ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 OtA (408) 777 -3228 • FP,X (408) 777 -3333 • building(a)cugertino.org ffv � 5- 0 14-0 / C7 V PROJECT ADDRESS S 1 APN 4 OWNTERNAME .. r ,, �w C."�, 1 �.- 1 PHONE E -MAIL � Pf� ...��✓"""""lll \ \V .r_J ['s' c STREET ADDRESS r- C I CITY, STATE, ZIP W ► �f FAX t r � L' r. '' 3' <1 +; C) -) r Sk' C) CONTACT NAME PHONE E -MAIL STREET ADDRESS CITY, STATE, ZIP FAX 13 OWNER ❑ ONT'ER -B=ER ❑ 0-WKER AGENT �(/ u CONTRACTOR ❑ CONTRACTOR AGENT ❑ A-RCIUTECT ❑ ENGD EER ❑ DEVELOPER ❑ TFNANT CONTRACTOR NAME �alY 1 + t LICENSE NU14BER LICENSE TYPE BUS. LIC 4 COMPANY NAME E -MAIL h J STREET ADDRESS CITY, STATE, ZIP r� ;w � �q f CT . t CA PHONE � ~�� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC 9 COMPANY NAME E -MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF d SFD or Duplex ❑ Multi-Family PROJECT IN WILDLAND PROJECT INI STRUCTURE: ❑ Commercial URBAN INTERFACE AREA ❑ Yes ❑ NO FLOOD ZONE ❑ Yes ❑ No SOLAR PANELS ❑ ELECTRIC VEHICLE CHARGING STATION ❑ SOLAR WATER HEATING \ ❑ OTHER: FOR SOLAR PANELS: NUMBER OF PANELS/UNITS: � KILOWATTS (COMMERCIAL ONLY): � 66 TOTAL VALUATION 4 5 DESCRIPTION OF WORK n. P "C N C e. Lil L r ( P' By my signature below, I certify to each of the following: I am S prop wrier or authorized ages to ac s application and the information I have provided is correct. I hay tad t e escription of Work and verity it is accura o comply with all applicable local ordinances and state laws relating to building construction. I a or'ze ellresentatives of Cupertino to enter the above- identified property for inspection purposes. Signature of Applicant/Agent: f"7 Date: C � C% L5 SUPPLEMENT FORMA QUIRED °Q OR 1H£rCOU%R� uIr ir, F tYa� 7?�r A rfYP"b`9rnl Y'm,u, kty-j�"{�',ry.{,It:;. ❑yr'17v7AJ0R r�H �J.<m�;, � �i����i9� A( �aa��flx'�. -`rv+�' ��'Isry PVApp_2011.doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS: 7603 RAINBOW DR DATE: 08/20/2015 REVIEWED BY: MELISSA APN: 362 24 005 BP #: 15070194 "VALUATION: Iso *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: 1 hrs PENTAMATION PERMIT TYPE: WORK REV # 1 - ADD 1 ADDITIONAL MODULE 9 TOTAL & INCREASE KW BY .26 2.34 KW TOTAL - SCOPE ISSUED 8/20/15 NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc.). These lees are haled on the nreliminary information available and are onlv an estimate. Contact the Dent for addn 7 info. FEE ITEMS (Fee Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 40eet a Misr, Bldg/Structure or Element of a Building Suppl. PC Fee: (F) Reg. Q OT 0.0 1 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-0 Reg. Q OT 0,0 hrs $0.0 PME Unit Fee: $0.00 PME Permit Fee: $0.00 M/A/U 6:rtrt;afra<<� t`�r;r7 .� rdo -: e1 <�r�FtFrfsCa•r.��r�.r �G.�c` Q E) Work Without Permit? 0 Yes (F) No $0.00 Advanced Planning Fee. $0.00 elect a Non - Residential 0 Building or Structure i (T4:,FE iu�rtfrr �r�Earr,t ''c?r��r: Strong Motion Fee: $0.00 Select an Administrative Item Bldg Stds Commission Fee: $0.00 iJ$TpTALi $0.00 $0.00 Tt)`CAL FEE: $0.00 Revised: 07/02/2015 ,'d CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 7603 RAINBOW DR I CONTRACTOR: SOLARCITY I PERMIT NO: 15070194 1 OWNER'S NAME: APARNA SATHYE 13055 CLEARVIEW WAY I DATE ISSUED: 07/29/2015 1 OWl)iER'S PHONE: 4082899126 1 SAN MATEO, CA 94402 1 PHONE NO: (650) 638 -1028 1 LICENSED CONTRACTOR'S DECLARATION License Class (?--IQ , C„ZE Lic. k Contractor Z o 1 GAY L- i w h Date 6 T � 1 1 hereby affirm that 1 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 performance of the work for which this permit is issued. 1 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. APPLICANT 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, judgments, costs, and expenses which may accrue against said City in consequence of th� granting of this permit. Additi ally, t e applicant understands and will comp y with all non -point source re ations r the Cupertino Municipal Code, Section 9.18. Signature Date D Im 15 ❑ OWNER - BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for one of the following two reasons: 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) 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: 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, I must forthwith comply with such provisions or this permit shall be deemed revoked. 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 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 I JOB DESCRIPTION: RESIDENTIAL ❑ COMMERCIAL ❑ INSTALL 8 ROOF TOP, FLUSH MOUNTED PV MODULES (2.08 KW) Sq. Ft Floor Area: I Valuation: $4500 APN Number: 36224005.00 1 Occupancy Type: PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR LLED INSPECTION. �/ i �? Date: RE- ROOFS: 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: ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE 1 have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should 1 store or handle hazardous material. Additionally, should 1 use equipment or devices which emit hazardous air contaminants as defined by the Bay Area#ir Quality Management District 1 will maintain compliance with the Cupertin,4kMuopal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505 5533IAd 25534. Date: CONSTRUCTION LENDING AGENCY 1 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 [ understand my plans shall be used as public records. Licensed CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION AVENUE - C JPERTFNO, CA 95014 7�2,15'� AE d4�,F� 7,1','7-,?'2 l - FAX (40, 1 7777-3333, • builklelgEd_g"q PROJECT ADDRESS 1601) , u j OWNER NA-ME A (AJ—t- . � APN H Z PHONE STREETADDRESS .1A L�j CITY, S ATE, �IP FAX Sc 144 CONTACT NAME Marjan Javanmard PION' 650.477.6430 mjavanmard@solarcity.com STREET ADDREss391 Foster City Blvd CITY, STATE, ZIP Foster City, CA 94404 FAX ❑ OWNER ❑ 01,S-NIER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCI-ffTECT ❑ ENG2,1FER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME SolarCity Corporation LICENSE N LfN[BLR888104 LICENSE TY-PE C 10 BUS. LIC 428840 COMPANY NAME SolarCity Corporation E-MAIL Mjavanmard@solardty.GDM FAX STREET A-DDR-Ess391 Foster City Blvd CITY, STATE, ZIP Foster City, CA 94404 P'0'650.477.6430 ARCI-RTECT/ENGRNEER NAME LICENSE NfUMBER BUS. LICH COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF /SFD or Duplex ❑ Multi- Family STRUCTURE: ❑ Commercial PROJECT Ell WILDLAND URBAN 13,F] ER-FACE AREA ❑ Ye S ❑ No PROJECT Ell FLOOD ZONE ❑ Yes ❑ No FZ/SOLAR PANELS --70 _I ❑ ELECTRIC VEHICLE CHARGING STATION SOLAR WATER HEATING [El OTHER: FOR SOLA R PA NELS, NUMBER OF PANIELSfUMTS: KILOWATTS (COMMERCIAL ONLY) TOTAL VALUATION DESCRIPTION OF WORK Installation CO-) rooftop flush mounted solar panel kW ErVED he p)A�pe �or authorized Kentto By my signature below, I certify to each of the following: I am the 0�v 4��te propert�ro`wner's behalf. I have read this cj'?application and the information I have provided is correct. [ have re.% the D 0 'o n of Work and verify it is accurate. I agree to comply with at [ applicable local "'p ordinances and state laws relating to building cons truct ion jZ44yik ino to enter the above-identified prope pfe for inspection purposes. P? tatitves 0 fcupert Signature ofApplicant/Agent: Date: SUPPLEMENTtY'FORMATION REQU—M-9— OFFIC18 USE ONLY ❑ OYFR-TI L-CO-LINTER El U El STANDARD z El LAIZGL ❑ M-kTOR PVApp__201 I, doc revised 03116111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Mcfr;rf ,tr ) Th,,v,, fppv nr,, hnvpd nn the nroliminary h7fnrmatinn ava;lahlp and arp nn1v an Psthnalp- rantart the Dent fnr addnl in.fn- FEE ITEMS (Fee Resolution 11-053 Eff 711113) ADDRESS: 7603 RAINBOW DR I DATE: 07/27/2015 REVIEWED BY: MELISSA APN: 362 24 005 BP#: *VALUATION: 1$4,500 *PERMIT TYPE: Building Permit PLAN CHECK 'T-&E: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: (j) Reg. C) OT PENTAMATION SOLAR-RES PERMIT TYPE: A WORK INSTALL 8 ROOF TOP, FLUSH MOUNTED PV IVIODULES (2.08 kW) SCOPE NOTE: This estimate does not include fees due to other Departments (Le. Planning, Public Works, Fire, Sanitary Sewer District, School Mcfr;rf ,tr ) Th,,v,, fppv nr,, hnvpd nn the nroliminary h7fnrmatinn ava;lahlp and arp nn1v an Psthnalp- rantart the Dent fnr addnl in.fn- FEE ITEMS (Fee Resolution 11-053 Eff 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 = # $236.00 Alternative Energy System IPHOTOVRES Photovoltaic System Suppl. PC Fee: (j) Reg. C) OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee-(j) Reg. OT 0,0 hrs $0.00 PME Unit Fee: $0.00 PME Pennit Fee: $0.00 0 (F) Work Without Permit? 0 Yes (F) No $0.00 Advanced Plannin- Fee. $0.00 Select a Non-Residential Building or Structure 0 0 Strom ,z Motion Fee: IBSEISMJCR $0.59 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.001 SUBTOTALS: $1.591 $236.00 TOTAL FEE.- $237.59 Revised: 07/02/2015 4 to ;'d� Permit No. Address / (,6 i ��' 4 of Alarms Smoke: S Carbon Monoxide: 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 acrd 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 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: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On eNlery 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 hasihave 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 to comply vrith the terms and conditions of this statement Owner (or Owner Agent's) Name: ..1 g Sinature.... .. ,- ........... - ,.::::-r :: ....... ............................... ............................... Date: ..........�? Contractor Name: Signature......................................... ..........................Lic.# ....... ............................... Date: ................... Smoke and CO form.doc revised 03118114 CVPER.TINO Owner Name 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 • building(a cupertino.org ic Address % ,e " FILE I ch-f Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. 1. Dour real property a registered historical site? , I Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: /12 ❑ No Go to Question 2. /'T==:, Date: 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its 0es bing, installation of water - conserving plumbing fixtures is not technically feasible? 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 form. Owner' Signature: No Go to Question 3. Date: r t a ) i/I 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: ,q� [7 N o o Go to Question 4. i > Date: 4. I_s}��r real property built and available for use or occupancy on or before January 1, 1994? LJ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 110 1. 1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: ❑ Yes My real property is built and available for use or 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. SB4072015.doc revised 02104115 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). IAVe, 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- conservine pluinbin4 fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: %`-/ �' I-- Date: 57 -;Z-O-13 1 Upon completing and signing this Certificate, please return it "V 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. SB40 7 2015. doc revised 02104115 Non - Compliant Water - Conserving Plumbing Fixture Plumbing Fixture/ (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. SB40 7 2015. doc revised 02104115 Y m a$g s W Z Z� c U 'z Q n 7 %i' ' Z— z Z wq4 f LY a- W b cn d O U +7Y I OFFICE Copy I w > w �z w Z x? ° > Ul) F-1 X00 O Y C O LLj c/ ) m W W >o =` y J U) of ` �111 CL- I N m P cr Ui F- n = a om <2: a Qz* c-i i }Ct:�cg00 Z m L'j zm X m ¢cow rr�� V/ d ui O _Z O O W d w z z N d LU o W n w 0 2 O t r.-• O J p p t o O S O O p w N U d Iw- Z ZZm� J��Z 3 �r3 N W= W d `C Z NH �UOp>Otr�N O o00J U d� V)ZL� NJ V)�- tnW V I O x) I J 4 W O= U N ¢_ Z Z LLLL W d m (7 ~ Q w d ',,. i S `. F J J Z W' F= O= W U 1- W N Z d O t n d d 4 J W d Q U O W i a 7 < O Z O Z Z O W Vt w W YO_dmm(r dNti'S d�S Zd� G7� J U W W Y J /O-� W W ?- O W W V d V) H N W W J w m S F O S V �$ d = 0 = F Z Z m L W 2 U d S S O S n¢ d U Z m w Q~ O W¢¢ o 0 W�w0 �OUO ZJW 4 Vi pd ZUd 1=[n d oJO wJ =mm °z �� w L� x O O Z N W J J d d p O d c p U h m W QJ 2 = T S m x m d d == .- U U N 1- 1- Lc) '... W N t0 O d V l d^ ',, T" m U H Z Z Z O O W z0 x w Z ro v z '^ � R W U O I'Z ¢ J ¢�� 3 o oC5 ¢� I- V roT dU 0 #Y' d U H CD °? " U F d M" m m d yy: �w m Co a TF2W Q = z�w7 =� OF�J�U W ?OWH�COJKU�UU Z �d �W co >J 1J3- °�-OJQ- WJ �<= d O g7° �x�~ <� 0 � Z WWOW ZDz wp Op � � -I0-0E- I d-W �rrCOdr O X TZ 0I dd mpp W W W li C2 (�C_'iSUU(nYY U m�9OUY 7 Vi¢wz0 U >M 0 E O Q W � VH <MUO O x d F- O u Fir3� o a. oz� 0 8 - R CJ d � > L,J a- Of ;Z, < -j ,- cz:) LLJ 00 < (n CD Of LO n SOU cy) cn m on 2! CN Li Clf �— 00 >- ae rl) LLJ C) 3 LC) CL �l CD 07 0 E m .A 90 a# 0:90§�! C) 4 J U LU rf, m m < oz� 0 8 - R CJ d � > L,J a- Of ;Z, < -j ,- cz:) LLJ 00 < (n CD Of LO n SOU cy) cn m on 2! CN Li Clf �— 00 >- ae rl) LLJ C) 3 LC) CL �l CD 07 0 E m .A 90 a# 0:90§�! 4 J m m < < < CO C, > z 0 C-) C, F= u C, ti Zo a-, �o°QW LU a z 0 Ec--)] 0o i 10 oz� 0 8 - R CJ d � > L,J a- Of ;Z, < -j ,- cz:) LLJ 00 < (n CD Of LO n SOU cy) cn m on 2! CN Li Clf �— 00 >- ae rl) LLJ C) 3 LC) CL �l CD 07 0 E m .A 90 a# 0:90§�! p IN no F4 in < 0 0 C: 2 -u- z LU 20 E C, U) 65 - m - m <M LU 2 o j d 0 Q6 .ij IS T S5 8 '2 Uj 2 w � LU L ul "' , ce Of C,> aLij _ N'V LU ID -, d Jig, uj 6 C, 0 II v P-- 'o W m < 05 oo cl n S < LU 6 CD T V) Gol 10 Ul) C14 in < 0 0 C: 2 -u- z LU 20 E C, U) C, W LU 2 o r IS T S5 8 '2 Uj 2 w � LU Of in 0 0 C: 2 -u- z LU 20 E C, U) C, W LU 2 o r IS T S5 8 '2 Uj 2 w fn CL C) N SOU O� :Z-c mZ Li ry F— 00 SE HiN V 0 z ID Lr �D Y ui < 0 � < 0- CD MOE (MD < 3 < z < t~i < z > 48 Z- < U�7 M C2�7 II u- LL 0 Z �Ujn u c> - 0 < I~i < < 3t 3,- p > < cc-, W a_ z - :2 w < 0 CL <D < C) >. i 4-J 0 mo Ul 0- L,J � O < LLJ p4 U) > Of LLJ LLJ 00 F- < LA N CD of C) m all 4Z - LJ C,f F.- 00 0- C5 < I ,,:I- Ln C.0 Lo CD L.n a. (a) C2 Ln LU 8 z to 00 Q) C4 N Z :E LU E 0 < < U O U— Un 0 0 uj N C� > x u u 0 0 z Ln uj V rd 00 @ r, d m '^ X 14" �o x x CL Z 11 z t-2 N 0 9 M I ui < 0 � < 0- CD MOE (MD < 3 < z < t~i < z > 48 Z- < U�7 M C2�7 II u- LL 0 Z �Ujn u c> - 0 < I~i < < 3t 3,- p > < cc-, W a_ z - :2 w < 0 CL <D < C) >. i 4-J 0 mo Ul 0- L,J � O < LLJ p4 U) > Of LLJ LLJ 00 F- < LA N CD of C) m all 4Z - LJ C,f F.- 00 0- C5 < I ,,:I- Ln C.0 Lo CD L.n a. (a) C2 o LU z C) n- LL, 0- U-) S 0 U , � L,J C:) V) :> L.J in_ �t C) Z-c C", i3:: �z 0 C) n m 00 C14 YY Qf < CU O I LC) Co Ln CD Ln 0 Q 133 X g g6 9 ju A LL u 0" : At pq 1 I/rf OKI 4-J m n, E g- a 41, flf � L,J C:) V) :> L.J in_ �t C) Z-c C", i3:: �z 0 C) n m 00 C14 YY Qf < CU O I LC) Co Ln CD Ln 0 Q 133 X g all, � I rn m III a Q m u mn a� n u �/�I� V ! m ac . a L W wI l ) U I � a G s I Fn 2, LO 3Y. CL I Mh r LY _- vfiIXt > F N i q � i �1 � � I i r.io3 E - � i i •hh: e � E I 1 W r> z Q I 1 I 1 Q �Wj Q tY Z � Q ' Q C d (JI } LLI d Z Z 10 W cr a ¢°_ y o a > I _R1i� p I E� E W Lo 'x. m '.,g > � O o� .. a z Z_ N I co I- L Z N .Z>i I Lei '. z � S Ui r- C.7 I I � � � O I GGG°J� W' I LU of I I (/ I Ln N O Ln n W Ln W ro Ln a ri O E *_________ ml d E E W D a EU�O a � z $�- � "K z �< m'`t oaSi > D ((}ee \W,5 2 /` /W\ ICa « 2 /a %* \0 \ \ \\ \\\» \\((\ \ \ 3 \() O \ ) /\j! < & w :& ! 8 H mom. #5,3#!3& \Em� 2 :: =`3 < u : :! !(( 2 `E\ /` z /6\( 2G&`®� ;w = ®` �(\ ,e f\(} (; « z :oa m \ 2 �r:a\ g >b)7 / /b »(( \ §/) « © & }a2 °/ Q5 /i \\\ ; x*: §dE \/ jGE[2 �( \)R ®e §) \ \ \K,2\ $ \(( �® /( /) _ « +`@: « j, A; 2E& : >2 &: : &:;) : § �` o#wl » \)) /\ & ) «! /!� \ /���`) } }� :`/ :ems J ®e(\ K \ / \ \ \\ \\\» \\((\ \ \ 3 \() O \ < & ��_:: ° 2 :: =`3 < u w z / z ,a,} D! "E E yam :, _ %ee: 2 /�/ + \!!R/ -02: 2 0=" e 2 / z > 0 _ ±� � `�5 /\ 6 }2: /_ ~ (; « z :oa > 0 !§ / \ 2 « / ® ° \`( « © & }a2 C / :2- 0 G ; x*: [} / / /� \ \x jGE[2 0 3 )�\ ® °:( L', E I ) = 2 E : § _ / \ OI 0 n to lJ m 0 Ln 01' 0 0 O Tc ®N lJ 75 t/I 611 p Z 0 a E 0 L) a) : j-= 4w � U) CL E 0) o= c c; z E - N 62. 1 Z, — wdi M X-8 2 an iq 'E- . a P d W ci c c; z E - N 62. 1 Z, — wdi M X-8 2 an iq 'E- . a P d W Zr t .1 Z 7F 5m 41 2:5, < �52 i 19 =2 ao Z E E A F k<2 U-1 LU FY III Ln V z ry W z W m n U W f-Y 3902 ID6 z '9 � 2 2 E Ec- E 0 cr Qj Q� E NIN Ki 22- 8. 4., tra z "I . . . . . . .. . . 't t .727- IL 99 i LL E NIN