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B-2016-1420 SMOKE/WATER OWKER CERTIFICATE OF COMPUANCE FILECOMMUNITY D'EVELOP'MENT DEPARTMENT•:BUILDING DIVISION _ 10300 TORRE AVENUE m CUPERTINO,CA 95014-3255 G (408)777-3228 FAX(408)777-3333 _building(a)cupertino.org -Aw )?FRlvttT CANNOT OT$F FNAIsI D A 'C41 PLETED UNT ,THIS CERT WICCA'TL TTAS D In I v T Td 11C + IjX 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 fox inspections are required. 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 ai-id 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: A-AIA SMOKE AtARN CO`ALAR Outside of each separate sleeping area in the immediate vicinity of the X X bedroom(s) On ever level of a dwelling,unit includin basements 7f X Within eadt slee�in room - X 7M' Monoxide axlarms are not required in dwellings which do not contain fuel-burning appliances and that dn o ot leave am attacfied garage Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shallbe approved by the Office of the State Fire Marshal. Power Suppl`;y:In dwelling:units with no eorriinercial power supply,alarm(s)may gay be sole iy battery operated. Iin exist i2ng dwellin=g;:un is alarms are permitted to be solely battery operated where repairs or alterations do, not result un fhe re t :oval owall_and cerTrng fuslzes or the is no aecessby meains oattic,b'_asement or cracul4 - space.Defer.to CRC Section 8314 and CUC Sections 907.2.11.4 and 42R6.2-An electrical gemuut is re•;++reel for alaxit�ts,which must We co i ected to the buildiing.wiring. As,owner of the above-r=eferenced propezty,I hereby certify tlltat tine allarm((s),referenced above has:/haue Beel.1, instal&d im arccordamv witu;)the manufacturer's inns ,{lotions am td in corrup)li ,�ce wv-itht the Ca,151f©rnia.Bhii)ldh7%, and Cal�aforinza IZes3dlent=al.C©dlle&.The alarms have teeei%tested an add are operadonali,as,of the,date signed ll haves read a rl�a �E e,fa camel,wit e h,p!fere F sy an,d' 010 :rs faEement ��Ct�Cfoc�lar�e� � .................. I signature.,,., . ._..... ........... .., Dzt ' Srnol%rnidiCY�:fbrni:c!oe reuised03�18/14= I.W PLUUM Ail iFaM + El 3fXT ,P ES N CERTIFICATE OF CO.t MIMCE TILE UOMUU,NJ TY DEVELM,F-W7 t3tPARTMENT-6.13(LOINGBIVISION CUPERTINO 1030:0 TORfiZE.AVE['JUE A CUPERT NO,CA 95,W4-32,5 (403) -3228+;FAX140 777-3333 a buitdirza dcuoer'cino.org Owner Nam Permit No mto - Address '�U o Xn h A {, • 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. Lk 0 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=con`serv'ing plumbing fixtures is not technically feasible? Yes Civil'Code Sections 1101..1 through 1101.8 do not apply. ❑ The licensed plumber's certification liar been provided to the Building Division. Skip the rest of the form and sign bottom of form. -: *_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. 8 RD 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€onn and sign bottom of form. �k * Yes M real =rope is built and available for use or occupancy on or before January 1, 1994: Y property rty� . 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: lvl property is al single fawily residential real property. See Civil Code Section 1101.4. On and after January 1, 2014,building alterations or improvements shall require 611 nofveompliant plumbing,fixtures tube replaced with water-conserving pl,RMbing-fi=xtures tliroughoe t the buildvmg.On or:before January 1,2017,all non- compliant pi fixtures shall be replaced with water-conserving plurnbiiig futures (regardless of whether properly undergoes alterations or itnprovenlents). O Iveypropertyis e-mielrifami'ly resi'dentialrealproperty. See Civil Code Section 1101.5. On and after January 1,2014=,,specifiecd bii�lding alterafiorrs or irnpY©-veknents shall requ�i e non-compliant. plumbing fixtures to be ref aced,with waYet-canservirig plumbing fixtures. before Ja.saryy--1,-201-9,allFnon corngliant.plumbirig;fix�,rres sk�adl t gzplaced �h grater= ~--_ ...- ,, _� l�._ conserving pluimibing fixtures throughout the building(regardless of wired erproperty igndergoes alterations or iinproveimients).- My property ins a comrnercial real property.. See•C vii Code Section 1101.5. Gn 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 L„ 2x149,; alf non:comedian plumbing fixtures shall. be replaced with water- conserving, plw,nbfqg E%tare&tib rougFie-at the building.(regard=less of whether property undergoes afteratiions or improvements). I,as the owner or o=wner."s agent.of tfii property,.certify uncles penalty of perjury that non co,mpliiant plumbing.fixtures wi, be replaced prior to date specified,abovewith waiter-conserving plumbing fixtures in accordance with CiTiFl Code Sections:l 10l.1 through 110111'.%,the current California Plumbing d Californ6 Green.$uild=Sltand Code,.and manufacturer'sinstallation requiz;ements,and that the.wateL -nserving lurnbin fixturescompl� quirements as indicated in the table on the,follo iii .,a.,e:. Owner or OwnorrAgenf's Signature _ ®at Upon comp efibg and sign hg this Ceikifcate,pl-ease return it to the Building Di•visi°°oa ins order to f nal'your:building•perrni 1. ' SB407 2'015:doc re:vised'08/Z6/I5