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B-2016-1616CITY OF CUPERTINO BUILDING PERMIT I BUILDING ADDRESS: 23500 CRISTO REY DR UNIT 526H CUPERTINO, CA 95014-6537 (342 53 259) OWNER'S NAME: SHEUERMAN REBECCA M TRUSTEE OWNER'S PHONE: 650-537-1523 LICENSED CONTRACTOR'S DECLARATION License Class B Lie. # 18 7817 Contractor i3AYAREA ENTERPRISE Date 03/31/2017 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: r. 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 performance of the work for which this permit is issued. 2• I have 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 permit is issued. c APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per a Ino Municipal Code, Section 9.18. Date 03/28/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: r. 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) z. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 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 performance of the work for which this permit is issued. 2. I have 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 permit is issued. 3. 1 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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 indemnify and keep harmless the City of Cupertino against liabilities, judgments, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 03/28/2016 CONTRACTOR: PERMIT NO: B-2016-1616 BAY AREA ENTERPRISE SAN JOSE, CA 95148 DATE ISSUED: 03/28/2016 PHONE NO: (408) 238-5043 BUILDING PERMIT INFO: X BLDG X ELECT _ PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: INSTALL (I) LED RECESSED LIGHTS (7), UPGRADE BATHROOM FANS (2), UPGRADE ELECTRICAL OUTLETS (22), UPGRADE LIGHT -SWITCHES (12) Sq. Ft Floor Area: I Valuation: $3000.00 APN Number: Occupancy Type: 342 53 259 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED ITSP TION. Issued by: ALEX VALLELUNGA Date: 03/28/2016 i�, —1/ V�QD RF. -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 03/28/2016 TO BE CLASS "A" OR HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. 1 will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health a —Cnd X25505, 25533, and 25534. Awn,er o_r out "riz" e"e ag nt: G Date: 03/28/2016 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION- -COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE ^ CUPERTINO, CA 95014-3255 C:UPERTINO (408) 777-3228 - FAX (408) 777-3333 - build ingODcupertino.org f�— 9t-) u— ❑ NEW CONSTRUCTION ❑ ADDITION ALTERATION / TI ❑ REVISION /DEFERRED ORIGIN/ AL PERNIIT #[ L ( y a PROJECT ADD $� �it�l(� (C� , APN# 5-3 2- / 01VNFR NAME Q'Ii � a Tl � PHONE i \i:\IL 'Th Q f6ru jai (• b- � - ►�Z3 �r a ar�r7� t ©' SC •Cacl qq�� STREET ADDRES 5MQ.; � IV `� T� � �'� I m) / l!- CONTACT NM1E! YC �C a �� vL * C — 2 l 1! LL-UAI -9�C('f� STREETADDRESS Z11C> t-1 a V% NEW FLOOR CITY, STATE, ZIP S S SJ Li ❑ OWNER ❑ OWNER -BUILDER tj ❑ OWNER AGENT 0 CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NANIE ` LICENSE NUMBER AREA I LICENSE TYPE I BUS_ LIC 4 — COMPANY IiANIE a ►^� min r `5 E-MAILFAx re c1%:�b' _C o STREET ADDRESS -2-110 KITCHEN CITY, STATE, ZIP PHONE Slo - ?-3 ARCHITECT/ENGINEER NAME LICENSE NUNIBER REMODELAREA BUS. LIC n COMPANY NAME E-MAIL FAX PORCH AREA DECK AREA TOTAL DECK/PORCH AREA STREET ADDRESS CITY, STATE, ZIP PHONE ❑ ATTACH DESCRIPTION OF f� Ne W L f— �� _ e s s ed 1Z A iAt-5a.pcirdd a ga+� R&Ori — I tl By my signature below, I certify to each of the fol I0Av g: I am die property owner or authorized agent to act on the proberiy owner's behalf. I have read this application and the information I have provided is co ct. I hav ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and stale laws relating to building cons ction. l a orize representatives of Cupertino to enter the above -identified property for inspection purposes. B Signature of Applicant/Agent: `Data: SUPPLEMENT INFORMATION REQUIRED _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project- - Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. PLAN CHECK TYPE ❑ OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR ROUTING. SLIP ❑ BUILDING PLAN REVIEW ❑ PLANNING PLA\ REA IEn, ❑ PUBLIC WORKS ❑ FIRE DEPT ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1d&1pp_20I Ldoc revised 06/21/11 EXI SE PROPOSED USE CONSTR. TY • k sTdkWs USE TYPE OCC. SQ.Fr. VALUATION (S) FxIST G NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODELAREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: U DETACH ❑ ATTACH U DWELLING UNITS: IS A SECOND UNIT ❑ YES SECOND STORY ❑YES - BEINGADDED? ONO ADDITION? ONO PRE -APPLICATION ❑ YFS IF YES, PROVIDE COPY OF 1S THE BLDG AN ❑ YES RECEIVED BY: TOTQJ�. VALUATION: PLANNING:\PPL 11 ❑ NO PL:1NiVING APPROVAL LEITER EICIILER HOh1E? ❑ NO - L.l - etP 3�a� A �® By my signature below, I certify to each of the fol I0Av g: I am die property owner or authorized agent to act on the proberiy owner's behalf. I have read this application and the information I have provided is co ct. I hav ead the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and stale laws relating to building cons ction. l a orize representatives of Cupertino to enter the above -identified property for inspection purposes. B Signature of Applicant/Agent: `Data: SUPPLEMENT INFORMATION REQUIRED _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure form if any Hazardous Materials are being used as part of this project- - Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. PLAN CHECK TYPE ❑ OVER-THE-COUNTER ❑ EXPRESS ❑ STANDARD ❑ LARGE ❑ MAJOR ROUTING. SLIP ❑ BUILDING PLAN REVIEW ❑ PLANNING PLA\ REA IEn, ❑ PUBLIC WORKS ❑ FIRE DEPT ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH B1d&1pp_20I Ldoc revised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR -BUILDING DIVISION 9--w, ADDRESS: DATE: REVIEWED BY: : APN: BP#: *VALUATION: 1$3,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: Suppl. PC Fee: Q Reg. Q OTFO-0CEP PENTAMATION 1 REAP1 PERMIT TYPE: 14 WORK INSTALL 7 N LED RECESSED LIGHTS, UPGRADE 2 BATHROOM FANS UPGRADE 22 SCOPE ELECTRICAL OUTLETS, UPGRADE 12 LIGHT SWITCHES NOTE: This estimate does not include fees due to other Departments (le. Planning, Public Works, Fire, Sanitmy Sewer District, School District. etc.). These fees are based on the nrelinrinary information available and are anly an estimate. Contact the Dent fnr addn'l infn_ FEE ITEMS (Fee Resolution 11-053 E,ff. 711113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 34 # $11 ..t Electrical 1BREMRERecep/Switch/Outlets Suppl. PC Fee: Q Reg. Q OTFO-0CEP hrs $0.00 PME Plan Check: $0.00 �7 "-fii1BREMFIX7 Electrical Fixtures, Lighting Permit Fee: $0.00 Suppl. Insp. Fee:Q Reg. 0 OT 0.0 hrs $0.00 ## Mechanical $tlJ' 1BREMVENF Ventilation Fan PME Unit Fee: $0.00 PME Permit Fee: $96.00 Administrative Fee: IADMIN f` 0 0 Work Without Permit? 0 Yes 0 No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure Q 0 Travel Documentation Fee: ITRA VDOC Strong Motion Fee: IBSEISMMR .. Select an Administrative Item Bldg Stds Commission Fee: IBCBSC' r. SUBTOTALS: $190.50 $240.00 TOTAL FEE: $430.50 Revised: 01/01/2016 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE , CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-333x3 • buildingp_cupertino.orai (Permit o. - % Affdress {�f�i arms Amo ce ®�Car�on Monoxides 1 ° l" PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE :4 HAS BEEN SIGNED AND RFT—NFD 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 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 S!mcke 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 bedroom(s) X X 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: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or Iter tions do" not result in the removal of wall and ceiling finishes or there is no access by means of attic, ba e e or cr�a��l space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permi i i ed" or alarms which must be connected to the building wirmg. As owner of the above -referenced property, I hereby certify that th/,c r ferenced above +— ave e installed in accordance with the manufacturer's instructions and ine with the California Building and California Residential Codes. The alarms have been teste , andtional, as of the date signed below. I have read and aaree In cmmnl P tarm.c ae of fhic cf�fomo. f (Owner or Owner is ame: (Si n�a uril ........ ......... ........ 6 ................................... Ma _e� (Con rac or Blame: (Sina ure ................. ....... ......:.. ................:..(Gc.#)..... ::....... �,........(Dafe� . ........... I Smoke and COform.doc revised 03/18/14 00 r -N, 10 1 CUPERTIINO COwner ame cCdress ��� WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 (408) 777-3228 - FAX (408) 77-3333 - buildingAcupertino.org e ta` "�b-jz"J, 0( X016 -16 �} Is your' property a registered historical site? El s Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottomeof form. No Go to .Question 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, in llation of water -conserving plumbing fixtures is not technically feasible? Yes ivl Code Sections 1101.1 through 1101.8 do not apply. ES The licensed plumber's certification has been provided to the Building Division. kip the rest of the form and sign bottom of form. No Go to Question 3. (3] Is water servicp—permanently disconnected for your building? ❑ Yes ivil Code Sections 1101.1 through 1101.8 do not apply. Skip the: rest of the form and sign bottom of form. o Go to Question 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. 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: 11 My property is a, single-family residential real property. See Civil Code Section 1101.4. On and aft �nuary 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be aced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non- e pliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (re ,and ss 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- m E 6 plumbing fixtures to be replaced with water -conserving plumbing fixtures. p On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water 7 conserving plumbing fixtures throughout the building (regardless of whether property undergoe It ' 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 compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be re ced 'th water- conserving plumbing fixtures throughout the building (regardless of whether property undergo alterations or improvements). 1, as the owner or owner's agent of this property, certify under penalty ' erjury tnon-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumb' fixtures ' ecordance with Civil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and Cali Green Bui ing Standards Code, and manufacturer's installation requirements, and that the water -conserving plum ' g t tures col ly with the requirements as indicated in the table on the following page. e caner or Owmergens Sig,na��ure:—POW) Upon completing and signing this Certificate, please return it to tlk Buildinision in order to final your building permit. SB4072015.doc revised 08126115 Non -Compliant Water -Conserving Plumbing Fixture Piurr3bin l-ixturel (Fixture Complying with Current Code Applicable to New Construction) Fixture Type maximum Water usa elFlow Rate Water Usage i 2013 CPC Gh. 4 2013 CPG Ch. 4 2013 CPG Ch. 4 /Flow Rate 20'13 CALGreen Dlv. 4.3 2013 CALGreen Div. 4.31 2013 CALGreen D!v. 5.3 Water Closets (Toilets) i - ntia� d..,,,,,�,�a�� 1 Residential-Residential Exceed 1.6 -- Resideratlal Gallons/flush Single flush toilets: 1.28 gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, Urinals avers e flush volume of two reduced flushes and one full Rush Exceed 1.0 Showerheads Gallons/flush 0.5 gallons/flush Exceed 2,5 x 60 psi Ma -Y temporarily increase 2.0 gallons per minute a7 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA 1haterSense Specification for Showerheads psi (A hand-held shower is considered a showerhead.) up to 2.2 gallons per For multiple showerheads serving one shower, the combined flow rate of all Showerheads andlor other shower outlets controlled by a single valve shall not i minute @ 60 psi, and must exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to Faucets— Lavatory allow onlyone shower outlet to be in operation at a t!me, Exceed to gatlons Maximum 1,5 gallons per Within units: 0.5 gallons per minute @ 60 Faucets per minute minute @ 60 psi, minimum Maximum 1.5 gallons psi 0.8er allons minute 0 p @ per minute @ 60 psi; 1.8 gallons per minute e@ 1 20 psi minimum 0.8 gallons I per minute @ 20 psi Faucets — Kitchen ! I f 1 Exceed 2.2 gallons , .o gallons per minute @ per minute In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi 1.8 gallons per minute 1.8 gallons per minute Faucets x 60 psi Ma -Y temporarily increase @ 60 psi May temporarily psi up to 2.2 gallons per increase up to 2.2 i minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute e@ default to maximum 60 psi 1.8 gallons per minute I Where faucets meeting @ 60 psi i 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 maybe used to achieve I reduction. 1. If the existing plumbing -,Ixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgrai SB407 2015.doc revised 08126115 SMO- KE B CARBON MONOXIDE ALARMS OWNE CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE • CUPERTI'NO, CA 95014-3255 (408) 777-3228 m FAX (408) 777-3333 • buil ding(alcupertino.org 6ke: VER.WT CANNOT BE FINAIED AND CO I'LFTED UNTIL TIM CE, RT FICATE Ng AA'N7 r CE B )UJI 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. GENERA, 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 4� SMOKE ALARM CO ALARM Outside of each separate sleeping area,in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X JC 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, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations 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 wiring. As owner of the above -referenced property, I hereby certify installed in accordance with the manufacturer's instruction and Cahfonnia Residential Codes. The alarms have been es� below. A of gnat the alarm(s) re€erenced and in compliance with the + d and are operational, as of been '.ing , ( � Snwke and CO fbrin.db:c revised 03%1'8'/1'4! 0 WATER -CONSERVING PLUMBING. FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION CUPERTINO 1 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.org Owner Name ✓ y1 Y6✓t� h,LL� - Permit N o. 3 Address �� ? z IXAIt' 2-1,�' La �`�i. 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. dON o 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? Q 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. o Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ s 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 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. Yes My real property is built and available for use or occupancy on or befo 11-1 January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Check one of the three followilig statements and sign bottom of form.. Please; eck ONE of the following; 0 My property is a single-family residential realproperty. 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- com Iiant plumbing fixtures shall ,be replaced with water -conserving plumbing fixtures' (regardless of �ovhether', operty 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 iunprovements). ElMy 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- compli L }G 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 mat plumbing fixtures throughout the building {regardless of whether property undergoes alterations or r 1, as the owner or owner's agent of this property, certify under penalty of perjury that non-compliant Rphb ng fixture will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 through 110 1.8, 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: r Date: Upon completing and signing this Certificate ase return it to the Br mg i er to final your building p rmit. SB407 2015. doe reviseiZ 68126/1.5 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the tigure shown, it is not requirea to ne upgraded. SB407 2015.doc revised 08/26115 ikon -Compliant Water -Conserving Plumbing Fixture Plumbing Fixtured (Fixture Complying with Current Code Applicable to New Construction) Fixture Type Maximum Water Usage/Flow Rate 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch.4 Water /Flow RateUsag fFiow .Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 E 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 1 Gallons/flush 0.5 gallons/flush l Showerheads Exceed 2.0 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 i 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 11.8 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 tigure shown, it is not requirea to ne upgraded. SB407 2015.doc revised 08/26115