14080057 WATER CONSERV FORM d
' WATER-CONSERVING PLUMBING FIXTURES -J:IIL
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION jz f'
CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228.FAX(408)777-3333•building(_cupertino.org
Owner Name / f3�'1 G'�3 ? Permit No.
Address ( �[) �'C7
PEKIVIIT CANNOT BE FINALED AND'COMPLETED I�ITTIL TRIS�CERTI)�ICATE .,
�������HAS BEEN I�1vED ALD RET tRaa�'D TO THE�3�ILDING DI�ISION�'� ���
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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?
❑ Yes Civil"Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form.
Omer'—Si'gnatur r Date:: C< c(-1�1 S
K_No 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.
�
Qwner—S-ignature Date.: 2.o 1 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: P Date; to/ I
No Go-
14.
o 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 11018 do not apply. Sign below and skip the rest of the form.
rOwiier_i re: ate: �1O/I q'
' 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).
El Mypropei-ty 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.
SB4072014.doc revised 03118/14
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).
I/We,the owner(s)of this properly,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 fixtur_e,-_qGipply with the requirements as indicated in the table below.
Owner's (or Owner Agent's)Signature:° A Date:
Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit.
fon-Compliant Water-Conserving Plumbing Fixture
—Plumbing Fixturel (Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type 2013 CPC Ch.4 2013:CPC Ch.4 2013 CPC Ch.4
Water Usage
/Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 20.13 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
Gallons/flush 0.5 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.
SB4072014.doc revised 03118114