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16010034 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 8070 PARK VILLA CIR CONTRACTOR:FOUR SEASONS PERMIT NO:16Q10034 ROOFING OWNER'S NAME: CHAN WEI HSUN AND SHEN YIH WEN PO BOX 1668 DATE ISSUED:01/06/2016 OWNER'S PHONE: 4085591972 SAN JOSE,CA 95109 PHONE NO:(408)278-0330 A LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION;RESIDENTIAL Q' COMMERCIAL ❑ UNITS 8070,8072&8074-TEAR OFF(E)TILE& License Class kaLi # J-/ C INSTALL 40#FELT,(N)CLASS A"S" TILE ROOF SYSTEM Contracto ✓ Datel 1 hereby of that I am licensed un, r-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-kN _ formance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$6405 '_.ave 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 APN Number:35610027.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT.EXPIRES IEM-qRK IS NOT STARTED correct.I agree to comply with all city and county ordinances and state laws relating WITHIN RMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above me tioned property for inspection purposes. (We)agree to save Ig INSPEC IO indemnify and ke harmle s the City of Cupertino against liabilities,judgments, B � . costs,and expen s which ay accru against said City in consequence of the granting of this ermit. ditionall the applicant understands and will co Is Date; with all non- nt sour egulatio per the Cupertino MunicipalCode,Section 9.18. '� d RE-ROOFS: Signatu�' Date� All roofs shall be inspected prio to any r fing material being installed.If a roof is installed without first obtainin inspe ion,I a e to remove all new materials for inspection. M OWNER-BUILDER DECLARATION Signature of Applicant:�' I hereby affirm that I am exempt from the Contractor's License Law for one of 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(Sec.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(a)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 9quipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the ay Are Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with th uperti o nicipal Code,Chapter 912 a , I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,5e o s 2550 2 and 25534. l Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized nt Date: 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 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 I REROOF PERMIT APPLICATION CC3NIMUNITY DEVELOPMENT DEPAr TkIIEN i BUILDING DIVISION jj 10300 TORRE AV1 NUE: -Cl'UPERTIND,CA 95014-3255 a 4 LJ I `f PROIEC I AWACS5 3I<i tD (40M 777-3228 FAX(408)777-3333 n�auild l7,_�(a7ci�t�rt no APS r If v10, 6 G .sv�C hw� t_M.,IL f SltyLGr ti�ntrrec �/J„�' .ass L4 I' FAX CO\"£+1t"r Ih1;L• / 2 PHONE � �„5 B-MAIL rirY,sr:aTt;,ZIP FAX OWNER lkl OWNER-BUILDER o1VI ERAGENT CUATRACTOR 0 CONTRACTORAGENT ARC[irm r ENG MER DEVELOPER 0 TENANT E LICENSENUMBER CON"1'RAC t OR•f M13tBI R � � �.� f COMPANY NAM -- E-MAIL -,/ I A?C rysTttEl ra tt ss _, C1 TATE Lt[„�•' �7 _' I ARCHITECTiENGMEM(NAM17 LICENSE NU1•IBER BUS.LIC. COMPANY NAME' _ E-MAIL FAX t �1 STREET ADDRESS CITY,STATE,ZIP PF[ONFd USE Or 0 SID or Duplex M111ti-Family ROOF AREA cru.r�rto y l STRUCTURE: 11 Commercial EYI)CiNC ROOF'1YP1-.: BI3It:P-ifPROO[ 0ASPHALTSHINGLrS ITWOODSHAI ES 11 WOODSH1N(-'1.rS OTH R(SPECrfY)71 RI-moVEtRCPLACE PLXIs t'NO, PLYWOOD ❑ l` 11 mylvi) 01 OS13 PITCH: ROOF } LAYERS- f TY -TK 12 CLASS: A f PROPOSED R� OOr YPE; 0 BUI^ IL:I--UP ROOF ©ASRIiALTSHANGLES 0 WOOD SHAKLS 0 WOOD SHINGLES OTHER f r��: ICC-ES REPORT DtiSCRIPTION OFWORK: / f P y f ` t � " r j 7 j By my signature belom.,I ccrtifi,to each of the follon ink- I am the property oxvner or authorized agent to act on the property owner's behalf. I have read this application and the information I have provided is correct. 1 have read the Description of word;and verity it is accurate. I agree to comply with all applicable local I ordinances and state laws relating to building construction. I authorize representatives at Cupertino to enter the aborve dent h�1011y for inspection purposes. 111 Signature of Applicant/Agent:- -------�cr- Tate / r 4 SUPPT,EMENITAL INFORMA'11ON REQUIRED _ �OEI`1CL.LSI ONLY If building is associated with a Home Owner's Association,provide letter t'I.� tltl cL'I rt-t Itov tN<:sx tt> of approval from 1I0A. Tett ---- CI BUILDING > Provide Planning approval to verify if there any restrictions. LD Lrr: ss , r;rL Provide copy of Manufacturer's Installation Specifications. S-1';1,DARD J Fm- Provide ut- Provide signed copy ofCupertino's Tear-Off Policy. rtiLlt: i Rer oofApp_Z011.dac revised 03116/11 CITY OF CUPERTINO FEE ESTIMATOR—BUILDING DIVISION Y° ADDRESS: 8070 PARK VILLAS CIR DATE: 01106/2016 REVIEWED BY: MELISSA APN 356 10 027 BP#: *VALUATION: 1$6,405 _ !'PERMIT TYPE: Minor Building Permit PLAN CHECK TYPE: Re-roof PRIMARY Buildina is PENTAMATION Multi-Family Dwelling 1 R2ROOF USE: 3 Stories _ Q Yes Q No PERMIT TYPE: r WORK UNITS 8070 8072& 8074-TEAR OFF E TILE & INSTALL 40# FELT N CLASS A"S"TILE ROOF SCOPE SYSTEM FEE ID ROOK'AREA �S•f) 1 REROOFMRES 1,600 �.�E`£'r? Fj;??Z("�Fst i.N 3< •'its'?.s.:£,', ,.fic`C�` x���,t....i''ffl.�.rrs'L..>. zYee: ?fit{.Y.'::11,1,1. lat...wb.&so,Fee NOTE:This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc.). These ees are based on the relimina information available and are only an estimate. Contact the De t or addn't in o. FEE ITEMS (Fee Resolution 11-053 Ef' 711113 FEE QTY/FEE MISC ITEMS Pen-nit Feer $272.00 Permh,Fee: AdInihfistral;W,Fee: Work Without Permit? 0 Yes (j) No $0.00 ".tt 71-a Do, Strom Motion Fee: 1BSEISMICR $0.83 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $1.00 i7BTTALS:: $273.$3 $0.001"' ,TAL FE,E:; $273.83 Revised: 10/01/2015 i \i sr , ce l' , r G u c> t COINIMIUNI 1`t D /ELOPivlEXI-DIEP ARTrviEN i-BUILDING DIVISION i = 4 SALVADOR, - , C O., BUILDING OrIFICi AL cSES t ;0,500-fCJ(,RE AVENUE-C<c.,}'ER INO,CA 95014-3255 ! `408 777-3228 ^Ila{ 408 777--3333 bUlidi i @cri.ort{ii or, OTO�� PRUJI Ci AUDR1�� ypr(� a K V,Itta-SIt //�� ' Pi 0c 0 c 1S Fi MAIL j sTlt;l� vaolzi sem- /` c-u SIAtr 7,11) C Olvyt tZAC l OR iNA�a LICL.iSI NUMBER I..[C1��3I�-r[Li WSJ 4 � 11i I 4r till e! � 11: , 1 'r�' ^S IICOMPANY NAME &MAIi. fl, �R1Rri 1 A[)1)Rt S9`f �<J (,QA'SIATC,'ZI F _m f. PHONE 4—, e { G L � r. !• - L tF '�J� .. � `....c. J'C' 1..�-' / f":a J� �. y�. .- [:✓ S,f.J I UNDERSTAND AND AGREE TO THE FOLLOWING: 1. The re-roof project shall comply with all applicable provisions of the 2013 California Codes. 2. An inspection request 'an be scheduled nnip to one b4Lshl M d ny before the rre Please schedule inspections online or call (408) 777-3228 from 7::30-•3:30pm (Mon•-Thurs)or 7:305 2:30pm (Friday) to schedule inspection, For Tear-Off and Nailing h-ispections,you must also call on the day of the inspection only after that phase of the work is completed, The building inspector will be available within one hour. The hours for this service are: 7.-30. 0.30am and 12.30-3:30 (Mon-Thurs) and 7.30- 0:30a m and 112.30-2.30 ()Friday). Final Inspections will be given a two hour window. 3. .Tear-Off In nction is reoauiredo Any and all dry-rotted wood shall be replaced prior to this inspection. Unless new plywood roof sheathing is proposed throughout, OR the inaihs/fastenners shall be either completely knocked-down or removed prior to this inspection. 4. If plywood is installed, a plywood Ivaan�in��_l(un�pgof 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 nein material down to the sheathing so a proper inspection can be performed. 6. A Final inspection anda�I9wroval sha l be obtaairinedl from the building inspector when the rearoofing is completed. To receive a final sign-off, the following items will be verified: a, Flat roofs shall have a minimum of%s" per foot of slope and demonstrate there is no ponding. b. Listings front approved testing agencies for all pro-manu-factured products used shall be available on-site to review at the titre 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 are-inspection fee. Ther' inspection fee shaalll be ipa�id before aanothnex i ns�cectio�a cajun lie schneQlulede By 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 snrottie detectors and carbon monoxide detectors are required to be installed in accordance with Sections R314 and R315 of the 2013 California Residential Code SlgnatureofApplicant/llgent' >• f r - Date: Rer-ogf'olicy_2(I11.cloc revised 01115114 VE I 1 T AMe,VILLAST,�',OIrii�P%. . SOCIAT ,AV STS 1 AR VULLA Imo: 19351DRY CPE4F--K ROAD CAITAP-BEILL, CA 96008 1 }559 1977 City of Cwperdno Building yep=,—mew, To the-Ci�y of CuperthiD; . `Y , Vhre av e ge%ectki fhe colo CIA!Imo-to-imatch ow,existing roofs. Si I x; Jodi nkViec-Presidenw Co—munity aniaga ent Services SMOKE I CARBON MONOXIDE ALARMSOWNER CERTIFICATE OF COMPLIANCE, f COMMUNITY DEVELOPM'ENT DEPARTMENT a BUILDING DIVISION CUPS TING 10300 TORRE AVENUE-CUPERTINO,CA 95034-3255 (408)777-3228 a FAX(408)777-3333 buildiing( cupertino orq Address 8070 C�r"r, \!i\\ca CCAR #QI a-mis Sm&e: Carbon Monoxide _k. PERIWIT CANNOT DE FINA.LED AND COMPLETED UNTIL TINS CERTIFICATE HAS BEEN SANT RET N'ED T4 THE BUILDLNG 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 8314,2013;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 8314 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-burring 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. 1 ex%sting dweT,ing-units;alaizns-tee-permitted-tc-be-s-olely-battery operated-where-repairsor-altei,afion-6-dc� -�`�`�`���-� not result in the removal of wall and ceiling finishes or there is na access by means of attic,basement or crawl space.Refer to CRC Section 8314 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. I have read and agree to comply wit the terms,and conditions of this statement ,, 99^ S1 n3ture . r. -Lic.#.. .... ...... ... .. .,., -..( �P 4(JA e: Date: ISignature,.... U� — Smoke a)7d CO.fomn.doc i-evised 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERTINO � 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 z \Y,� (408)777-3228•FAX(408)777-3333, buiiding(a)cupertino.ora Owner Name yr y a h &g h Permit No. 1. Is your real property a registered historical site? D Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. IR 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? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. 11 The licensed plumber's certification has been provided to the Building Division, p est ofthe-foie and sign bdttom ofTonn _ 1 No Go to Question 3. 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sib 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? 0 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.. 10 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 fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). K 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 _ --. pZUInb1ZIb f7XtllreS-tf3--fJL'Tt.�3I3Ce � ' - g"I71T1i111?STI�L' --.. 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). ❑ 1Vly property is a cornnaercial 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 perjurythat 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 tluough 1101.8,the current California Plumbing Code and California Green Building Standards Code,and manufacturer's installation requirements, and that the water-cons ervi g plumbing fixtures comply with the requirements as indicated in the table on the following page. ,.Owner or Owner Agent's Signature: z Date:` I D-31-Yo! pon cornpletinpnr 4ignm�this ertificate,pleas return it to the Building Division in orde-.to find your building permit p SB407 2013 doc re;a"& vised'f18i25/1 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATEOF COMPLIANCE 011 ig COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 ���' f (4081)777-3228• FAX{4408).777-3333•building(cbcuperuno.org 61 Address \( o ccle # of Alarms Smoke: Qgrbom3\1g)noxide- f: PERMIT CANNOT BE FINAfL.EI3 AND CO-IPLETED UNTIL TIRS CERTIFICA'T'E HAS BEEN S G�AINT REjLNLTl_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 following locations: AREA SMOKE ALARM CO ALARMT 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-burgling 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 solely battery operated. ex ng dwelub urtits-alarmsare-perznutted-ta be solelybattery-operat-ed-where--r-epairso-r-alterat na-d-c --- 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. I have read and agree'to comply with the terms and, onditions of this statement Owner(or lame: V A6 Si nature....... ... .................... .......... ................... DaCe; ... .-.-....-... tractor Named "/ --- I' t1 si nature., 111....1. ............. ......... ........Lic.# •� S........Date:ilk Ikr ".[ Smoke and CO3form.doc rev sed 03118114 WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPER'fINO � 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 t (408)777-3228•FAX(40$)777-3333 buildin4(c-cuDertino.oro J Owner,Na� j k k .r ( � i -; r w f r A Permit No. Address �C't� � � C 1. Is your real property a registered historical site? 11 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of farm. 7 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. F1 The licensed pluu-iber's certification has been provided to the Building Division. -- ---Slag-the rest-of rile-fonn-ana-s"fin bntrom cir-rarn�:.-__ 91 No Go to Question 3. .3. Is water service permanently disconnected for your building? i] Yes Civil Code.Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of farm. No Go to Question 4. 4. Is your,.real property built and available for use or occupancy on or before January 1, 1994? 0 No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 11'01.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. RI Yes Ml y 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 futures 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 multif-amily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014,specified building alterations or improvements shall require non-compliant _.._. . pluiilDlllb'II7LTW:L�"-ct7--�:i . t. GC3IiJG'I-9TZ "jJlaltltlillg�Ll�IGJ'. -< 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). ti ❑ My property is a consinercial 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 futures 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-con erving plumbing fixtures comply with the requirements as indicated in the table on the following page. iL 1,4L Owner or Owner Agent's Signature: Date: I,pon,c mpleting and,sites ;flus Certificate,please return it to the Building'I�ivision in oraer to fi at dour brt ldmg ernzt - r ��,� � "' °� ,.. " �' 1,34072P15.doclrev'sed CBJjd1 FILE S °CARBON MONOXIDE,ALARMS 1. ANCE s OWNER CERTIFICATE,£ COMMUNITY DEVELOPMENT DEPARTMENT a BUILDINO DIVISION EtTI N 10300 TORRE AVENUE-CUPERTINO,CA 95014-3255 CUPE (408)777-3228- FAX(448)717-3333•building OcLcupertino.org , �p .pert Addressbca-A 'Po'rk 0 i(-Q\e of Alai; s Smoke:,, :?, Carbon Mono�de. `".. PER—MIT CANNOT BE F NALED AND CMIAPLETED UTICS CERTIEICATE HkS BEEF fi.�'T _k ISE,� TO TBE BUILDING DIVISION- _,D PURPOSE This affidac,it is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with:2013 CRC Section 8314,2013 C13C Sections 4,70.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORNTUTION Existing single-family and multi-family dwellings shat be provided with Smaxe A;.arms and Carbon TMonoxide alarms. When the valuation of additions,alterations,or repairs to exi sting dweding units exceeds $1000.00, CRC Section 8314 and CBC Sections 307.2.11.5 and 420.6 require that Smoke Alarms and/car Carbon Monoxide Alarms be installed in the following locations; AkREA SMOKE ALA TI I CO A ARM Outside of each separate sleeping area in the.im.mediate vicinity of the X }C bedroonr(s) On every Ieve'of a dwelling unit inch:,dinbasements X X _ X i Witl-dn each sleeping room Carbon Monoxide alarms are not required in dwellings which do not contains f£zel-boa.ming appliances and, do not have an attached garage. Carbon-monoxide alarms combined with smoke alarms shallcomply with CBC Section 420.6 and shall be approved by the Office of stile State rine Marshal. Power Supply:T;dwelling units with no con-un erciaII power supply,alarm,(s)may be solely battery operated. .xtiag eL�?..._elling_ its. warms ale peranitedo be solely battery operated where repairs:or alterations;do not result in the rermoval of wall and ceiling finishes.or mere is iso access by means of attic,basement or Lra vl space.Refer to CRC Section 8314 a��d CBC Sections 901.2.11.E and 20.6.2.An elecErical permit is requ=red far T - alarms�:Izith must be connected to the building wiring. As u,,y ier of the above referenced property,I hereby certify that the alarrn(s) referenced above has/have been installed in accordance wish the mari-ufactuier's instructions and in compliance witR the Califor�a Building amid Califaxr�a ReLider tial Codes._The alarms hay>-been testes:and are operational;as of the date signed belo°v. I have read and acree to comp, with the Terms and condififlrs of fs sFaterrtenf finer,o- ger k sf NanQ� le edp "4 Smoke rind CC,orm.loc remised 031'18114 i WATER-CONSERVING PLUMBING FIXTURES I ICE AM COMMUNITY DEVELOPMENT DEPARTMENT m BUILDING DIVISION M ! 10300 T ORRE AVENUE s CUPERTINO,CA 950 i4-3255 C A (408)777-3228-FAX(408)-(77-333" tino.om OwneraZie - gap Pem'-it o. Address 1 is your real proper y a registered hdswrical site? V's Civ1 Code$act ons 1101.1 through 1101.$do not apply, Skip the rest of she form and sign bottom of fo:ui. No Go to Question 2. 2, Roes you real prop ert-yhave a licensed pl=Lber cernying gnat,due to the age or corifiguration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? C Yes Civil Code Sections 1?01.1 through 1101.8 do not apply. Cl The licensed pluniber's certification has been provided to the Building Division `Sl p the rest of fe forit 2."''-d`si i oo€Tor11 or!017111- V-1 o 0171si:No Go to Question 3. 3, Is rater service pernime tly disconnected for your building? 01 Yes Civil Code Sections 1101.1 through 1101 8 do not apply. Skip the rest of the form and sign ettorn of form. No Go to Question 4. 4_ Is your,real property built and available for use or occupancy on or before January 1, 1994? 0 No lvly real property is built and available for use or occupancy after January 1, 1994, CSkip the rest of the farm and sign ivil Code S�do ns 1101.1 through 1101.8 do not apply. 'ootEo u of form. es My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 tbro-Uigh 11101.8 apply. Check one cfthe three following statements and sign bottorn of form.. Please check ONS of the following: C My property:s a sangle.family r esidential Feal property. See Lim ode Section 1101:4. fixtures On and ager January 1, 2014,building s alterationor i_nprovements shall require all -compliant piun�bing :ngres r 201?,alnor- to be replaced faith water-conserving plumbing fixtures t_il-o*,ighout the building.On or before January�, comp liant plumbing fi tures shall be replaced with water-conserving phimilb ng fixtures (regardless of whether property undergoes alterations or i_inDrove-nents). _ Myj?rop rty i5 a IN rrI f Zlt+7Ly f'esa�em.al r alpropert-J See Civil Code Section 1101.0. On and after 3anuary 1, 2014, specified building alterations or i nprovtnnents shall require Hou-coFl�liar_t rlutnbi-nor Ext_ures to be rep �;laced with ater-consen l �jurnbin4 fix sures Onor t?eIorG Tar1Ad1 j i,�CI'�,&11 hon-cFinipl zi�anubj g fj r uta e}all be eY—e` `�it'2 w lRr conserving plumbing fxt,.es throughout the building(regardless or Vlj&herpro��i ,undergo,s a'...=mons or ;mprovc-m nts). vSypropen is a corp merciat real property.'See Civil Code Section 1101.5_ O and"after Ja ruai:y 1, C- ';specified building alterations or it�prOFemnents shall..req ire non- .omplia=lt 'rnbing fixtures to be replaced wrtii.water 01—I eYVi-+-g plumbing f ii=flies. - p .. Ori or before January ?, 2019, all non-coinpliant plumbing fixtures sham be replaced wit v�-iter- cons �,�� plumbing ff tures throughout the building(regardless of whether property undergoes alterations or improve€�erts). I,as the owner or owner's agent of this property,cel iif;under penalty of perjury that non-eomplian plumbing fixtures will be replaced prior to date specified shave V>itli water-conser= ng plumbing fixtures in ac o da,ce tsrith Civ il CodeSections 1101.1 $ilii ding Standards Code and r- nufa Hoer,s t�laugh 110,.K;the carrtnt CalifoT-Ja Flunb.ng Coc o Cai_foinia Gra _ installation requireiner:Fs,and that the water-conser in"a plunrioina iXtM s co,1 iy��'ltl]the red l'1�i inn 5 a4 iiid Cdr C -e table on the following age. Data.-->- Owner Jate—>-Owner or' caner e Signature 11T13Ci1 co T�tletiri and sIgnl:,g tl'i��eI 1i Caie,please retain It t0 _:e uLd g D S s on i''£I�cr to' Pal you }J i tdlr a