B-2016-1383 SMOKE/WATER AU 1- -1310W ONOXIDEAl"LiA,
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPE.RTINO,CA 95014APTlli -3255
(408)777-3228 a FAX(408)777-3333•building(aupertino.org L
/03 904ak e: f
PERMIT CANNOT DE I+IId UXD AND COMPUTED IJN'TII1 THIS CERTIFICATE
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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
inspections are required.
GENE AL 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 A ARM
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 i_n room X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burn-Mg appliances and that
do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall complywith
CBC Section 420.6 and shallbe 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 dweltu2gunits,alarms are permitted to be solely battery operated where repairs or alterations do
not result ink the r•.emrnoval of wall and ceiling finishes or there is no access by meads of attic,basement or,crawl
space.Refer to CRC, Section R314 and CBC Sect-ons 907.2.11.4 and 420.6:2.An electrical permit is required for
al'arims+wlZrch must be connected to the build ung wiring.
As owner- a=f the ab:ave-referenced property,I hereby certify that the alarms)referenced above has/ been,
nstaffed =,,accarddance with the m,—+xer`s instructions.and in cornpli!ance with the California,B.ulld lig,
and Califomnaa Residential Codes.Th—e alarms have been tested and are operational, as of the dafe=signedl
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t h,a-ve read a dd a re_e_fQ co ,1,wfth tke3 ti;rms ands condittn�,,s off this>statament
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.Smoke and.CO f3rn:doc revised03/118/1:4'-
WATER-CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
i - COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
I 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTIh1O
(J08)777-322P F (408)777-3333•building Ca.cuoertino.org
Owner Name` iCl Permit No.
Address IN l To rt; (,,,v Wt-,no 1� zl�-O
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 form and sign bottom of form.
Na Go to Question 3.
3. Is water service permanently disconnected for your building?
❑ Yes Civil Code Sections 110 1.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
CU-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.
J
Civil Code Sections 1101.1 through 1101.8-do not apply. Skip the rest of the form and sign bottom of form.
(� 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:
property is a single-family residential real property. See Civil Code Section 1101.4.
On and after January 1, 2014,building alterations or_irnprovements 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).
L� 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 requir11 e 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 pluinbing fixtures throughout the building(regardless ofwhether property undergoes alterations or
improvements).
El My property is a commercial real property. See Civil Code Section 1101.5.,
On and after January 1, 2014,specified building alterations or irnprovements 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- conselvin
- "luinbi� fixtures thrcu bout the builclin re aid el-ss-o e her ro ert under oes alterations or improvements).
p g _�, gR. gig p P Y g p )•
-I-as the owner or,owner's-agent-of this property,certify under penalty of perjury that non-co-pliant plumbing fixhu-es 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 Age nt`s-Sa gnatar_a;7`
,
'Upon completing and-Signing this Cei ific te,please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08126115