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16010033 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8064 PARD VILLA CIR CONTRACTOR:FOUR SEASONS PERMIT NO:16010033 ROOFING OWNER'S NAME: HELD CARL L TRUSTEE PO BOX 1668 DATE ISSUED:01/06/2016 OWNER'S PHONE: 4085591977 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 t, LICENSED CONTRACTOR'S DECLARATION. JOB DESCRIPTION:RESIDENTIAL 0 COMMERCIAL UNITS 8064,8066&8068-TEAR OFF(E)TILE& LicenVClaFl # � "C INSTALL 40#FELT,(N)CLASS A "S" TILE ROOF Contratej ' (� / SYSTEM 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 —PAlformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6405 Wye and will maintain Worker's Compensation Insurance,as provided for by I Section 3700 of the Labor Code,for the performance of the work for which this APN Number 35610030.00 Occupancy Type: permit is issued, APPLICANT CERTIFICATION - I certify that I have read this application and state that the above information is PERMIT EXPNOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WIT �f0 llAYS O T ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 0 DAYS FR ED INSPEC, O indemnify and k harmless the City of Cupertino against liabilities,judg costs,and expe s which ay accrue against said City in consequence o e E7 granting of thi ermit. ditionally,the applicant understands and will comply Is y: with all non- int sourc regulations r the CupertinA ,o Municip 1 Code Section 9.18. I (p MD Signa re` ate-° ' / All roofs shall be inspected pri l being installed.If a roof is installed'without first obtaini remove all ne mate als for inspection. OWNER-BUILDER DECLARATION a //_Signature of Applic :;1ate / [ ie I hereby affirm that I am exempt from the Contractor's License Law for one of u the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(See.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the upertino nicipa ode,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sect' s'25505,2 3,and 534. f Section 3700 of the Labor Code ,for the performance of the work for which this /' la permit is issued. Owner or authorized a nt: ' 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 APPLICANT CERTIFICATION Lender's Address 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 ARCHITECT'S DECLARATION indemnify and keep harmless the City of Cupertino against liabilities,judgments„ 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 3 REROOF PERMIT APPLICATION s C{.JMM<IUM:Y DEVELOPMEN l f SPAR 3 IME °B'UILDUNG DIVISION 10 300 IG AVENUE,C UPERTINO,CA 950-14-3255 CU p E Wrj N 0 1411)111-318 FAX(408)I77-3333 - i'ftfllfiC11t3i3Itt5S , AI:\°;F �n-,rL.,_AMI .- S p � tfvL CONMACY Nz113ti / .2 PHONE STftt L"t"AAllfS t irY.S7;111:.ZIP FAX t3]'INL=P, 01vNM St3ILDER El 0WRIMACENT It lI CONTItACTORAfm- ixwtumcr E ET2Go4m 1 DE FLopER lrl T A< Ca;IRACTO LICEMOSE `s NUMBER LICE 1,T1'}? BbS c 4. COWA Y-NAME E-WIAIL FnxOVO1 J,) -- :=-.o btYtlLi s _ rtaonc%ya� rJ cool r11L ZIP ARCHUFF_C-DON rINFERWAMF 1-10a1SL-13UMER BUS.LTC.0 CONIPAMS:NAME E-A-MI. FAX ;3 STRFEET ADDRESS Ci"#'1,STATI ZIP PHONE USE Of C? Sr-D or Duplex Multi-Family R00FAIzt A t too, STRUCTURE: Cl Commercial A` rxtS'f1,,r.R0oF'1'YPF-- U BI1It,1-uP ROOF ASPHALT SBIN-6CES 13 WOOD SHAKES I�WOOD SHi1•Gt.t 031ILR(SPECIFY)7,�� RI? o E-,RU,LACE $ jr-40- PLYWOOD 0'%- ElPLYwD 1 oss PITCH: ROQi _v v. f NO #L,1'Ews Tlltci :l ss srs TYLE: CDX �-_;1 Roo]] _� Icc-EsPotz1 i vROPt3s1,D ROOFTYPE- Btftt:t=tin ttOOt= CI i1sI-1I,WI'sItINGLEa 1=11�•crott sttlst_s C3 woot>sItImt,ts (rixl:R 33LSI RIP7It3\OF%W0Ri_ i' I3y my signature beloN,I certifi to each of the follo-,vjn& I aur tta properi}p3vlter or authorized agent to act on the prope i of ner`s behalf. I have read Ibis application and the information i bane provided is correct. I have read the Description of kkrori:and verify it is accurate. I agree to comply with all applicable 10" ordinances and state lairs relating to building construction. I authorize representatives of Cnperdno to enter thea, �e--di niili�piopet4 for inspet tion pttrposcs Signature of Applicant/Agent= � C -,.,. >j SLIPPLFAMENTAL INFORMATION REQUIRED aM gip,- Ifbuildirtg is associated wills a home Ownces-Association,provide letter PLAN CIrEtCKTYPE tomtit 3 of approval front 1100. .t-t tib cetP.t rrc nt. rt e° Provide Planning approval to verify ifthere any restrictions_ La t xt>t21s a t'1 11i tzt vt t: i Provide copy of.Manufacturcr's Installation Specifications_ C1 SI'Am),u t} 0 FWE DEPT h Provide sighed copy ofCupertinos Tear-Off-Policy. (YmEw iterntt pp 20JLdoc rMsett 03116111 CITY OF CUPERTINO FEE ESTIMATOR BUILDING DIVISION ADDRESS: 8064 PARK VILLAS CIR 7DATE- 01/06/2016 REVIEWED BY: 'MELISSA APN: 356 10 030 BP#: VALUATION: 1$6,405 *PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY Multi-Family Dwelling Buildina is PENTAMATION 1R2R00F USE: 3 Stories Q Yes F No PERMIT TYPE: WORK UNITS 8064 8066 & 8068-TEAR OFF E TILE & INSTALL 40# FELT N CLASS A "S"TILE ROOF SCOPE SYSTEM FEE ID ROOF AREA s.f. 1REROOFMRES 1,600 is°c'kr r'icat f.r ' I vz ,, P"', Check ck '. L`I F.Per,d Fee:a " r if far. r�.>: rr',g. =7-- Is£e;-Ph . Isp. E17- Ins'u L�j J .r.fech in, Tee.' t}f'.;€Hb zrn?",Fe"c: NOTE: This estimate does not includefees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,eta . These.fees are based on the relimina information available and are onl an estimate. Contact the De t'or addn'l in o.. FEE ITEMS F%'ee Resolution II-053, 7,/1,/13) FEE QTY/FEE MISC ITEMS (,heck b;1111e:Permit Fee: $272.00 I A(brlhfi�fraiive Floe: Work Without Permit? 0 Yes (j) No $0.00 Strong Motion Fee: IBSEISMICR $0.83 Select an Administrative Item Blda Stds Commission Fee: IBCBSC $1.00 SC7BrOTA:LSc $273.83 $0.04,,-' 0.00 TOTALFE $273.83 Revised: 10/01/2015 iafjfir t REROO ' TEAR-OFF R 'fir l I'Y ' Il COMMUNI-1 DEVELO,'i`t EN i DLPAFe I'sVEN I -BUILDING DIVISION d �} �- ALGER I SALVADOR, P.-E.,C.U,O., BUILDING OFFICI 10300 T URRE AVENUE=z CUP R3"INO1 CA 9501 -3255 (408) 777-:3228 -F/-V 1408)777-3333 buifdinq C@> i.i vrtillcA�l.e� I PROJECT i ADDRESS 60 8 �Y[Rl z 4 I 1/+.S li g/� AIN ii �— r '- L-MAIL i/I' `+ . j i STR I1 4DDRr SS.._ CIT)" S1A11 % •.f' a �H' PAY�r.�w C OA 112AC1 OR NA 1 YA : EUS.LC11LIC NSHNUMB t r f• ,y' r t'"'� 1 :� _$ ,�' of f�_..,a , } COMPANY NAME r EMAIL Peax f " f< J STREET ADDRrS4 f < C qN';STATF,/.,IP", L� r � f i 'F { .L Y:� '7 ..� f. t� �✓y'.� I'1IO IVC I UNDERSTAND AND AGREE TO THE FOLLOWING. L The re-roof project shall comply with call applicable provisions of the 2013 California Codes. 2. An inspection request pan be scheduled dap to one l�>!><sllit�ss��iv.k�e�arl°� tt�le rre �a���edl ilra� e��l�x� rl��e. Please schedule inspections online or call(408)777-•3228 from 7:30-3:30pin (Mon-Thurs) or 7:30-- 2:30pm (Friday)to schedule inspection. For Tear-Off and Nailing Inspections,you must also call on the day of the inspection onlyafter that p a se of the work is cornpkted. The building inspector will be available within one hour. The hours for this service are: `/.'30- 0.30am and 12x30.,3;30(Mon—Thurs) and `7.-3040.30a'm nd 12.30-2:30 (ll�rrndlay). Final Inspections will be given atwo hour window. 3. `g a ® It us Ufa®r� �� reg CO. Any and all dry-rotted wood shall be replaced prior to this inspection. t.Jnless new plywood roof sheathing is proposed throughout, aaH the nMIs/fastrennerrs shall be either complete➢y knocked—down or removed prior to this inspection:. 4. If plywood is installed, a plywood Nn� gry I[unedr, �,rraari� l. 5. Roofing shall not be applied without first obtaining all. prior inspection and written approvals from the building inspector. Any roofing which is applied without first obtaining an approved inspection will require the removal of all new material down to the sheathing so a proper inspection can be performed. 6. A Final_inspection and ai r�rr® aal mall �e oP�tta�uringd rom the building inspector when the reroofing is completed. To receive a final sign-off, the following items will be verified: a. Flat roofs shall have'a minimum of Y,. per foot of slope and demonstrate there is no ponding. b. Listings frorn approved testing agencies for all pre-manufactured products used shall be available onsite to review at the time of the inspection. c. Proper spark arrestor installation,vents painted, gutter/downspouts installed, debris removed. 7. NOTE: If you call for a tear-off or plywood nailing inspection and the work is not complete,you will be charged a re--inspection fee. The re--inspection fee shaaufl be ipaid before another ins eaten can be scliledided. a - - �YBy my signing below,I certify each of the following is true: I am the property owner or authorized agent to act on the property owner's behalf: I understand and agree to comply with the re-roof policy stated above. I also understand that smote detectors and carbon monoxide detectors are required to be installed in accordance with Sections 8314 and R315 of the 2013 California Residential Code. pSignature pf_Applicant;Agent: --"`7:, ��'' � nom`_�..__..—�---�r--- Date: 12er-ogf'olicy__201 l.cloc revised 01/15/11 30 f SMOKE 1 CARBON MONOXIDE ALARMS .-mv 'o -()WNER CERTIFICATE OF COMPLIANCE EILE Gt?(�i?Ml il`ITY DEl ELOPiv ENT DEPARTMENT•BUILDING DIVISION CUPINO 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 ERT (408)777-3228 m FAX(408)777-3333 building(o cupertino.org Address #ofairms -Smoke• Carbnoxide r7 PERMIT CANNOT BE FI ALED AND COMPLETED UNTIL THIS CERTIFICATE A5EE 0 D RTIsR ;it ll T4 THE BUILDING DIVISION 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 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 ever level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required M' dwellings which donot contahl-fuel-bunting.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:Ili dwelling units with no commercial power supply, alarm(s)maybe solely battery operated. __.Irz_exist rtg dwelling uaits,_.alarrns-are_permitted to-hesolel rbattery operatedwtuhere,:repa rs,er lte:.,�a o as 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 wirii.-Lg. 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. I have read and agree to compl with the terms and conditions of this statement a wn Apr Ac e�'sr Names Si nature....... ._.... ...::..... ....................... ....................Date�/�/ me: QNJ si nature.,...... Uc.#.. . ...Q.8.Date: ..d Edl Smoke and C7form.doe revised 03/18114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE-CUPERTINO, CA 55014-3255 4 777-3228•FAX(408)777-3333• building(a�cuoertino.ora Owner Name £, Permit No Address u �'►� ��`��CA 0,c ro\4p_ 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 sig_n bottom of form. JK 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 Mures is not technically feasible? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been prodded to the Building Division. rem-ccrc--ta �zvT° 13a���J b"'3--oncic�._�_ K 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. Ri 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. Skip the rest of the form and sign bottom of form. 11 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: ❑ 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 Mures 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 pnlTTlring to 1oq_ep ale withtxn atP«�_rg=son inj n tis 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 property 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. 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,as the owner or owner's agent 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-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature: ©ate: Upon completrr4y,aid g'sigp4n ', Certificate,please return it to the Building Division in ord to a you�buildiukp true t. v Cl - a > � SB407 2015.doc revised SMOKE / CARBON MONOXIDEALARMS -OWNER CERTIFICATE OF COMPLIANCE FILE COMMUNITY DEVELOPMENT DEPARTMENT-BUILDING DIVISION 10300 TORRE AVENUE Y CUPERT INO,CA 95014-3250 (408)777-3228 a FAX(448)777-3333•building (a-cupertino.org • Peiftlit No,/�lWIT Address ��lD t���C, �► e\lea t #oI s S olte CArbo7ri.1o.noxide PEIRMIT CA. TOT BE FINALEU� COMPLE'T'ED UNTIL TIEIJCS CERTIFICATE HAS BEEN EIS. 'D&E`i'i 7Z MD_TO THE B UILDLN G DIVISION 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 --in spec-tior-s-are-reelair-ed _ 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 Ix bedroom(s), On ever- 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 Biel-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:ha dwelling units with no commercial power supply,alarm(s)may be solely battery operated. tlIig-dw ermttetj to-b E-solelybati-ery-©perdtedxwitere'repa'rTS-Ch'atera-duITS-d�7 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 Buildn-ig and California Residential Codes.The alarms Have been tested and are operational, as of the date signed below. 1 have read and agree to com�1}%wvifh fhe forms and conditions of this statement E ner?cr O �ner ftz-€nfsl[carne: r Sinature... `..... . . _...: ....... .........-- e cntractar Name: �II 5i nature.... .... ....•..Lic.#. ... .. .... ,� .-...Date: ... - Smoke!end CO.form.doc revised 031J8114 WATER-CONSERVINGPLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE IMN COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION LfFERT3i+iC) 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 (408), 773- 228•FAX(408)777-3333•buiidinct(acuoertino.ora Owner Narixe .z 1 Permit No Address 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. JR No Go to Question 2. 1 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. rest-oftl orlr aid gn ot�m of orm !— Il 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. R) No Go to Question 4. 4. Is your.real property built and available for use or occupancy on or before January 1, 1994? FI 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. lel 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: ❑ 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 futures 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). 9 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 pzctrribirig�-cincsiso�-irplac�erv�+izrr-vk*ater=eoizscrvnr�giarnr�tiig nxtrues: 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). ❑ Mypropertyis 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. 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,as the owner or owner's agent 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 Careen Building Standards Code,and manufacturer's installation requirements,and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. D2te: ti 2a- ' f Owner or Owner Agent's Signature: Upbn completing sig. i ry eitificate,please return it to the Building Division in ordeNo final lour building permit. S. , s•'�'_ ,"` _ SB4�/2013.doc revised'C�&�2' y. Y- SMOKE / CARBON MONOXIDE ALARMS L OWNER CERTIFICATE OF COMPLIANCE } COMMUN1iTY DEVELOPMENT DEPARTMENT e BUILDING DIVISION +GU I N€ 10300 TORRE AVENUE m CUPERTINO,CA 95014-3255- (408)777-3228•FAX(408)771-3333 O'building(cDcuperlino.org Address , )J i Nla i�r #of marms. -s,pAoke; Carbon Motloxidei PERMIT CAMOT BE FINALED AND COMPLETED UNTIL TIRE CERTIFICATE HAS BEEN S.QN.,� XN-D EETU :D TO THE BUILDING DIVISION 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 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 fallowing 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;h--t dwelling units with no commercial power supply,alarm(s)maybe solely battery operated. -In-exzsung-dwelthLo.-Luaits,-alari=s are-perrsfitted-te be-s-olelybattery-opera f-d wvhele-nepairs-or eratimm—dc 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 [isyrrec eor of JL�/� f Si nature.. ....1-l" fnzw..... ........ ....................................................Datta:(.® .� tractor ame: 1L Si natures...... Lle.#....,... w,.,Dafe: . �...._ .... Smoke and CO.form.doc revised 03118/14 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERT.INO 10300 TORRE AVENUE CUPERTINO, CA 95014-3255 �.� �� $ �,�Y (,4}8228•FAX.(4085 777-3333•buiiaing(a�cuPer[ino"ora. Owner Name `' f Perm t N o Address 0 � 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. 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. Skip the rest of the for3ri unci sign l 6-ffd of form 1K 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. W 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. Skip the rest of the form and sign bottom of form. RI 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.. 3. Please check ON11 of the following: ❑ 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 noir- 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 putnbing-fixtures io iTe-repacudwith water=conservgzg pzmniamg-fr�-= _� 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 property 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. 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,as the owner or own is agent 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 re4uirements, and that the water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following age. 4,11 Owner or Owner Agent's Signature: Date: Upon ompleting and.s gppb�his4iCer tincate/please"return it to the Building Division in order to final vou�r nuii�ii�n�permit. `_n SB407 2016"doc revised 08/26/16