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15050041-3 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE 6113 I k' COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE •CUPERTINO, CA 95014-3255 (408)777-3228-FAX(408)777-3333•building acupertino.or4 Permit No. ! Lc! 41 Address I ' t t )'i�� `� �'!''E�` �� i� 4 of Alarms Smoke: Carbon Monoxide: PERMIT CAN�'OT BE FINALED AND coni LE-rt-t)L�N'I1L I"IIIS C ERI IF IL ATE HAS B1 F\ SIGNED AND R ,1 _ 'QED TO..THE BUILDING 1)IN I`ION 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 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 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 to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: Signature.................................................................................................................Date: Contractor Name: Signature...................................................................Lic.# ......................................Date: ................... Smoke and COform.doc revised 03/18/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE- CUPERTINO,CA 95014-3255 CUPERTINO - (408)777-3228•FAX(408)777-333T---buildingCa cuoertino.org i Owner Name �i 6 o 1 i 11 LA Permit No / Address J J I S L )'j s-, 4t ryRA�` '4Y-�c...,.'�'Sft 4 nhc'yl S �'`+'is ,a:Y.+_$'. ;+�a,,,�j^,"'t`: +4 •y �5is f yD +� L'� nil ,^ "�,'��i€'�.zaR.ik '�• eMY-I SIO " �'.`" " 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?. . EDYes Civil Code Sections 1101.1 through 1101.8 do not apply.`Sign below and skip the rest of the form. Owner' Signature: b Date: g11S111— "PINo 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 1101.1 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: Date: 9//s No Go to Question 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: Date: 911-'r//1- �p No 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 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: / ell Z'Yes My real property is built aniavailable for use or-occupancy on or before January 1, 1994. Civil Code Sections 110 1.1 through 110 1.8 apply. Refer to the attached. ❑ Myproperty 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). ❑ My propertyis'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. K -, SB407 2014.doc revised 03/18/14 r. 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). UWe,the owner(s)of this property,certify under penalty of perjury that non-compliant plumbing fixtures have been replaced 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-conserving plumbing fixtures comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: r� Upon completing and signing this Certificate,please.retum it to the Building Division in order to final your permit. - Non-Compliant .Water-Conserving Plumbing Fixture- Rlumbin Fixturel, (Fixture Complying with Current Code Applicable to New.Construction) Fixture Type Maximum Water Usa a/Flow Rate Water Usage 2013 CPC Ch.4 2013 PC 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, Urinals Exceed 1.0 average flush volume of two reduced flushes and one full flush Gallons/flush 0.5 gallons/flush ShGWerheads Exceed 2.5 2.0 gallons per minute @ 00 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 MMaxlmum one shower outlet to be in operation at a time. .Faucets— Ex7eed2.2gallons 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory pe60 psi;'minimum Maximum 1.5 gallons psi Faucets s per minute @ per minute @ 60 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 nry 60 si 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 maybe 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,itis not required to be upgraded. SB4071014.doc revised 03118114