15100176CITY OF CUPERTINO
FRE FSTIMATOR — RTTII.DING DlVICI(lN
` ADDRESS: 20655 SUNRISE DR
DATE: 1010/2015
QTY/FEE
REVIEWED BY: MELISSA
APN: 359 10 023
BP#:
$0.00
'VALUATION: 1$3,000
*PERMIT TYPE: Building Permit
PLAN CHECK TYPE:
Alteration / Repair
PRIMARY SFD or Duplex
USE:
$0.00
$286.001
PENTAMATION 1GENRES
PERMIT TYPE: i
WORK
relocate a water heater from laundry rm to balcony orc
& relocate washer/dryer from laundry rm to
SCOPE
I garage. convert (e) laundry rm to bedroom
1Ie ch Alcan Check
11'fedi. 1'erfnil Fee:
O iter i.11ech- frisp.
Plumb. 111can C heck
Plwnb, Penin", Fee:
01herl'111vian limp,
Elec. 111 an ('heck
.EtC.,... Pennit Fee:
Oilier t41ee. hasp.
:ileoh. llzsp. Fee: I Flair.?3, Insp. F'.:e: I E ee. C;:up. 'Fee
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
MvMf f in 1 Th. F— — A—d — ilio nrolissoimnry infnr»snfinn nunilnhla and hro nnlU an PRfimoho_ Contort the Dent for addn �l info.
FEE ITEMS (Fee Resolution 11-053 Eff.' 7/1/13)
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee: Hourly Only? 0 Yes No
$0.00
C�
ours Plan Check, Hourly
O ISTPLNCK
Suppl. PC Fee: Q) Reg. 0 OT
LD
hrs
$0.00
$286.001
PME Plan Check:
$0.00
Permit Fee: Hourly Only? O Yes (j) No
$0.00
Suppl. Insp. Feer Reg. 0 OT
1 Q.0
1 hrs
$0.00
j
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
Consiruc tion 'T&Y:
4di mist aytive Fee:
0
Work Without Permit? O Yes (F) No
$0.00
Advanced Planning Fee.
$0.00
j Select a Non -Residential
I
Building or Structure
/Y[ vel.Docu new.adtion R'c:v.
Strom Motion Fee: 1BSEISMICR
$0.50
5.0
hrs Inspections
ISTINSP Inspection, Hourly
Bldiz Stds Commission Fee: IBCBSC
$1.00
$715.0
_BsSUB TOTALS;
$1.50
$1,001.O
tJTA FES:
$1,002.501
Kevisea: iufuiizu-io
CUPERTINO
Owner Name
Address
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
L408) 777-3228 • FAX (408) 777=3333 • building(a)cuoertino.org
00 1
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.
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.
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.
gNo 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 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. PIpase 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).
❑ 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
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 followin¢ Daee.
Owner or Owner Agent's Signature:
Date:
Upon completing and signing this Certificate, please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08/26/15
CUPERTINO
Address aw;
PURPOSE
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building(a.cugertino.org
oon 6
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
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 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
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-buming 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 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
Owner (or O er Agent's) Name:
`
j
�
Signature .................................................................................................................. Date: L�..
Contractor Name:
Sinature................................................................... Lic.##...................................... Date: ...................
Smoke and CO form.doc remised 03118/14