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15120098 SMOKE/WATER QW—NER CERTIFICATE OF COMPLIANCE I u- COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION (C 1i. PERTINO 10300 TORRE AVENUE.CUPERTINO,CA 95014-3255 (408)777-3228 4 FAX(408)777-3333 building(a.cupertino.oro 7 � :ke:- PEIRMIT acv A NNrOT BE VIN N��;,D AND CO PL��ry;TEy-Dgrur TH,TSIHS C.ER ICAT 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- ARIEA 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 )( j( 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,alxm(s)may be solely battery operated. hh existitng dwelliirig;un ts; alarms are permitted to be solely battery operated cohere repairs or alterations do. not result k%the rernoval of wall and ceiling,finishes or there is.no access by means of attic,basement m crawl, space..Refer to CRC Section 8314 and CBC Sections 907.2.11.4 and 4201..6,2..An electrical peanut is regizir e d for alaryns which m�ustbe connected to the budIdding wiring.. As owner. ©4 the alb:o}ve-referenced p=roperty,I hereby certify that.the alarm(s)a ref ei;enced above has/have beeiz instal1`ed in accor==dance with t ee anufacturer's:instruct ©xis _=ed iii co<zxlpli!., ce�vitlu the CaI'ifornra B z ldi i a,m,dl Cal=iife,nt as Yves dentia=l Codes.`fhe alarms-ha�ve,beeit tesEed n,d are operational,.asr of the date signed beI'ow.. 11 ha, e1mead'and1a:=ree>togcam Wifuforaterrrrsyandtcon,dtbmsn ofthi%�sfatem anif c H� ham,b •> M bf (d- 5c' �ores Cof:ffl'M�r,�R'dme DataM i t i Sagn�ture._._ _ ...... ....... date Snwke andi'COTbrni,db.a revised 03/-=8/1;4 WATER-CONISERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY,COMMUNtTY, DE:1 LOPA'ENTDEPARTMENT-BUILDING DIVISION SUE' RTI Id 9 10300 TORRE AVE`PJUEE-CUPERTINO.CA 95.014-32:65 (408)777-U28•FAXM,408)777-3333®buildiny@g4perrtino.orq Owner Nam f O.0 c0- Permit Na. Z Address # 21/ £c`7 �q��y � � --.��.T. 15 Y�..�'� C "-_ „�lL-�" /%,/Y if �- � f�/ / 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. (RNo 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. Skip the rest of the form and sign bottom.of form. _ [t-No Go to Question 3. 3 Is water service permanently disconnected for your building?. ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. 00 C'"hto 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. Skip the rest of the form and sign bottom of form. No, 2-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. Check one of the three following statements and sign bottom of form.. 5. Please check ONE'of the following: ri-My property is atsingle f,'mily'residential real property. See Civil Code Seeo, 110'1.4. On and of"er 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.Ori_or`before January 1,2017,all non- compliant plumbing fames shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or unproveinents). Mypropertyis amzcltfamily residential realpropeity, See Civil Code Section 11051:5. On.,and after January,1,2014,,specified building alterations or irnprovernents shall requiTie non-compliant plumbing,fiixtures to!be.replaced with water-conserving plumbing f xtures. On,or before January,l,.2019,all non-compliant plumbing fixtures,shall be replace 5 i with,water- conserving plumbing,fixtures,throughout the building(regardless of whet,herpropert.,undergoes alterations or improvements). ❑ Ivlyproperty,is a commercial real property: See Civil Code Section 1101.5. On:and after January,1,,2014,,specified,building alterations or improvements;sh'all require non-compliant plumbing,fixtures to be replaced with water-conserving plumbing fixtures. On or before.January, 1.,; 2019,,; all non-co mplant plumbing fixtures shall be replaced with water- conserving plumbing,fixtnies4kroughout the,building(regardless-of whether property undergoes alterations or,improvements) I„as the owner ori owner"s agent of this property,certify under penalty,of perjury that non:co 5 t pliant plumbing fixtures will,be replaced prior,to,date:specified'above,with water-conserving plumbing fixtures ui accordance withi Civil Code S ections 1,10,11 through 1101,18-,,the,current Ca1,6omia.P'luinbing.Code and California Green.Building,Standards Code,and,manufacturer's installatronk re'quii,ements,,and that the.water-conserving plumbing. I.xtures+complywith,the requirements as indicated in the table on the follbwin: pa Owner!or OwnerF.Atgon:tts Signature Upon completing,aad signing this:Certificate,please return it to the Building Di,visilon iA o-rider to final your building permit. ' SB40 12011 doc revised'0812611.5