15100234CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 22229 HAMMOND WAY
CONTRACTOR, CLEAN SOLAR PERMIT NO: 15100234
OWNER'S NAME: DELEPINE FRANCOIS AND KELLY ANN KAM
1445 KOLL CIRSTE 109 DATE ISSUED: 10/29/2015
OWNER'S PHONE: 6509688846
SAN JOSE, CA 95112 PHONE NO: (408) 217-8876
�t
LICENSED CONTRACTOR'S DECLARATION
JOB DESCRIPTION: RESIDENTIAL F1COMMERCIAL ❑
License Classd` Lic.# L
INSTALL (N) ROOFTOP MOUNTED SOLAR PV - 33 PANELS
(10.4 KW)
J
Contracto [ (Q -''r Date
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.
Sq. Ft Floor Area:
Valuation: $41631
I hereby affirm under penalty of perjury one of the following two declarations:
i. I have and will maintain a certificate of consent to self -insure for Worker's
APN Number: 34258007.00
Occupancy Type:
Compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
ave and will maintain Worker's Compensation Insurance, as provided for by
ection 3700 of the Labor Code, for the performance of the work for which this
PERMIT EXPIRES IF WORK IS NOT STARTED
permit is issued.
WITHIN 180 DAYS OF PERMIT ISSUANCE OR
APPLICANT CERTIFICATION
I certify that I have read this application and state that the above information is
180 D S FROM LAST CALLED INSP CTI N.
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
Issued by: Date: m
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 thi4penmit. ditionally, the applicant understands and will comply withRE-ROOFS:
all -point sions per the upertino Municipal Code, Section 9.18.
All roofs shall be inspected prior to any roofing material being installed. If a roof is
s
Si tur Date ani 2.
installed without first obtaining an inspection, I agree to remove all new materials for
inspection.
® OWNER -BUILDER DECLARATION
Signature of Applicant: Date
I hereby affirm that I am exempt from the Contractor's License Law for one of
ALL ;ROOF COVERINGS TO BE CLASS "A" OR BETTER
the following two reasons:
1. I, as owner of the property, or my employees with wages as their sole
HAZARDOUS MATERIALS DISCLOSURE
compensation, will do the work, and the structure is not intended or offered for
sale (Sec.7044, Business & Professions Code)
I have read the hazardous materials requirements under Chapter 6.95 of the
California Healtt & Safety Code, Sections 25505, 25533, and 25534. l will maintain
2. 1, as owner of the property, am exclusively contracting with licensed contractors to
compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health &
construct the project (Sec.7044, Business & Professions Code).
Safety Code, Section 25532(a) should I store or handle hazardous material.
Additionally, should I use equipment or devices which emit hazardous air
following
I hereby arm under penalty of perjury one of the following three declarations:
affirm
contaminants as !defined by the Bay Area Air Quality Management District I will
I. I have and will maintain a Certificate of Consent to for Worker's
maintain compliiince with the Cupertino Municipal Code, Chapter 9.12 and the
Compensation, as provided for by Section 3700 of the Labor Code, for the
Health & Safety (Code, Sections 25505, 25533, and 25534.
performance of the work for which this permit is issued.
2. I have and will maintain Worker's Compensation Insurance, as provided for byer
or aut o'' d agent: g �€
Section 3700 of the Labor Code, for the performance of the work for which this
Date --j-0
permit is issued.
3. I certify that in the performance of the work for which this permit is issued, I shall
CONSTRUCTION LENDING AGENCY
not employ any person in any manner so as to become subject to the Worker's
I hereby affirm that there is a construction lending agency for the performance of work's.
Compensation laws of California. If, after making this certificate of exemption, I
for which this permit is issued (Sec. 3097, Civ C.)
become subject to the Worker's Compensation provisions of the Labor Code, I
Lender's Name
must forthwith comply with such provisions or this permit shall be deemed
revoked.
Lender's Address
APPLICANT CERTIFICATION
ARCHITECT'S DECLARATION
I certify that I have read this application and state that the above information is
I understand my dans shall be used as public records.
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
Licensed Professional
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
CUPERTINO
ALTERNATIVE ENERGY PERMIT APPLICATIONam AM
COMMUNI TY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 1 5'
(408) 777-3228 • FAX (408) 777-3333 • building(a,cugertino.org lJ U"r
PROJECT ADDRESS /J /J APN : I t B
C
OWNTER NAME ?HqXZ� r'°� - `� E-MAIL
Ke
STREET ADD SS�ty�-� ✓�'1L�` CITY, STATE, 11 FAX
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CONTACT N.AN,F PHON E-N,P IL
� I'i Y, STATE, ZIP _ �, j _
STREET hDDRF4S' 6 1
FAX
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❑ OR'I._R IJ 01LNER-BUILDER ❑ O'A'wE t AGENT ON UCTOR ❑ CONTRACTOR AGENTT ❑ ARC=ECT ❑ ENGINEER ❑ DEVELOPER ❑ iENAN'T
CONTRACTOR NAN,E LICENSE NUT,BER / p pC; LICENSE TYPEC, j�
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BUS. LIC R Z
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COMPANY NAME E-MAIL
FAX
FAQ:
STREET e^^D=o-" ,
z��-u1c ATE, ZIP
1'-l� CITY
_ l 2-7-eg1�
AR0DTFCTitNGI?NEER NAIL F LICENSE NUN,BER
BUS. LIC
COMPANY NAME
FF_M1_k1L
FAX
STREET ADDRESS
CITY, STATE, ZIP
PHONE
USE OF SFD Or Duplex ❑ Multi -Family
PROJECT IN WILDLAND
PROJECT IN
STRUCTURE. ❑ Commercial
URBAN INTERFACE AREA ❑ Yes ❑ NO
FLOOD ZONF ❑ Yes ❑ AIO
\45OLAR PANELS
❑ ELECTRIC VEHICLE CHARGING STATION
❑ SOLAR WATER HEATING
❑ OTHER:
FOR SOLAR PANELS: NUMME�R OF PANELSiUNITS: KILOWATTS (COMMERCIAL ONLY):
r
TOTAL VALUATION: // /
�"� (,
DESCRIPTION OF WORK POD
RECEIVED BYytt7o- g.g:
By my signature below, Ice; ify to each of the folio, e: zm the property owner or authorized anent to act on the property owner's behalf. I have read this
have read the De cription of Work and verify it is accurate. I agree to comply with all applicable local
application and the information I have provided is c ect�nl
ordinances and state lay rola ' s to building constze rep se tatives of Cupertino to enter the above -identified prope ty for inspection purposes.
-.
SignatureofApplicand- ent:Lkg� Date: (.
P LE ZE7\ rFORMATION RE -IRED
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PM4PP_2011.doc revised 03/16111
CITY OF CUPERTINO is I
FEE ESTIMATOR — BUILDING DIVISION
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc ►_ Thea, fees are hated an the nreliminary information availahie and are nniv an estimate. Cnntact the Dent fnr addn'i into.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13
ADDRESS: 22229 Hammond Way
DATE: 10/29/2015 7REVIEWED
BY: PAUL
APN: 342 58 007
BP#:
*VALUATION:
$41,631
jPERMIT TYPE: Building Permit
PLAN CHECK TYPE: Addition
PRIMARY SFD or Duplex
USE:
1 hrs
PENTAMATION SOLAR -RES
PERMIT TYPE:
WORK
Install N rooftop mounted solar PV- 33 Panels 10.4 K
SCOPE
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc ►_ Thea, fees are hated an the nreliminary information availahie and are nniv an estimate. Cnntact the Dent fnr addn'i into.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
,.. ,
= #
$236.00
Alternative Energy System
IPHOTOVPEs Photovoltaic System
Suppl. PC Fee: 0 Reg. 0 OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. OT
0.0
hrs
$0.00
ET
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
0
Work Without Permit? C) Yes Q) No
NOTE. This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School
District. etc ►_ Thea, fees are hated an the nreliminary information availahie and are nniv an estimate. Cnntact the Dent fnr addn'i into.
FEE ITEMS (Fee Resolution 11-053 Eff 7/1/13
FEE
QTY/FEE
MISC ITEMS
Plan Check Fee:
$0.00
= #
$236.00
Alternative Energy System
IPHOTOVPEs Photovoltaic System
Suppl. PC Fee: 0 Reg. 0 OT
0.0
1 hrs
$0.00
PME Plan Check:
$0.00
Permit Fee:
$0.00
Suppl. Insp. Feer Reg. OT
0.0
hrs
$0.00
PME Unit Fee:
$0.00
PME Permit Fee:
$0.00
0
0
Work Without Permit? C) Yes Q) No
$0.00
Advanced Planning Fee:
$0.00
Select a Non -Residential
Building or Structure
E)
Strong Motion Fee: IBSEISMICR
$5.41
Select an Administrative Item
Bldg Stds Commission Fee: IBCBSC
$2.00
SUBTOTALS:
$7.41T
$236.00
TOTAL FEE: `
$243.41
Revised: 10/01/2015
ks� I RON RI DGE
Background
All roofing products are tested and
classified for their ability to resist fire
Recently, these fire resistance standards
were expanded to include solar equipment
as part of the roof system. Specifically, this
requires the modules, mounting hardware
and roof covering to be tested together as
a system to ensure they achieve the same
fire rating as the original roof covering.
Adoption of these new requirements will
begin in California in 2015 and extend to
the rest of the country in 2016.
IronRidge Certification
In August 2014, IronRidge was the first
company to receive a Class A Fire Rating—
the highest possible rating—from Intertek
Group plc., a Nationally Recognized Testing
Laboratory
IronRidge Roof Mount products were tested
on flat and sloped roofs in accordance with
the new UL 1703 & UL 2703 test standards.
"rhe testing evaluated the system's ability to
resist flame spread, burning material and
structural damage to the roof.
Refer to the table below to determine the
requirements for achieving a Class A Fire
Rating on your next project.
Steep Slope (> 9.5 deg.) Flush
Class A Fire Rating
/ / //fj/ q/Su/ �F✓
n /
Test Setup
Solar Modules
Solar modules are given a Type
classification based on their
materials and construction.
I m utth I nclu s pa e CQP"
Y
modules and fire -rated roof covering.
Roof Covering
Roof covering products are given a
Fire Class Rating of A, B or C based
on their tested fire resistance.
Burning Brand Test
A burning wooden block is placed on module as a fan blows at 12 mph.
Flame cannot be seen on underside of roof within 90 minutes.
Spread of Flame Test
Flame at southern edge of roof is aimed up the roof as a fan blows at 12
mph. The flame cannot spread 6 feet or more in 10 minutes.
Type 1 & 2 Class A
Type 1 Class A
Type 1 Class A
'Can be installed on Class A, B, & C roofs.
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-,r ✓,. „� //.. /G /..,. ,,///., f r »/G //.,r` //r/,. i/,.r ,. .r.. / ,/, ✓. ,,,<. /, ,. rs ,.,/( £rf Nk ,,
,t� r�/, „3,�/l/„G/ /, sv,/.,/, IN,
Frequently Asked Questions
What is a "module type"?
The new UL1703 standard introduces the concept of a
PV module type, based on 4 construction parameters
and 2 fire performance parameters. The purpose of
this classification is to certify mounting systems without
needing to test it with every module.
What roofing materials are covered?
All fire rated roofing materials are covered within this
certification including composition shingle, clay and
cement tile, metal, and membrane roofs.
What if I have a Class C roof, but the jurisdiction
now requires Class A or B?
Generally, older roofs will be "grandfathered in", and will
not require re -roofing. However, if 50% or more of the
roofing material is replaced for the solar installation the
code requirement will be enforced.
Where is the new fire rating requirement code listed?
201218C: 1509.7.2 Fire classification. Rooftop
mounted photovoltaic systems shall have the same fire
classification as the roof assembly required by Section
1505.
Where is a Class A Fire Rating required?
The general requirement for roofing systems in the IBC
refers to a Class C fire rating. Class A or B is required for
areas such as Wildland Urban Interface areas (WUI) and
for very high fire severity areas. Many of these areas are
found throughout the western United States. California
has the most Class A and B roof fire rating requirements,
due to wild fire concerns.
Are standard mid clamps covered?
Mid clamps and end clamps are considered part of the
PV "system", and are covered in the certification.
Fire Rating Certificate
Visit our website to download the official UL
2703 certification document.
Go to IronRidge.com
What attachments and flashings are deemed
compatible with Class A?
Attachments and their respective flashings are not
constituents of the rating at this time. All code -compliant
flashing methods are acceptable from a fire rating
standpoint.
What mounting height is acceptable?
The UL testing was performed at a height of 5". The
code does not specify minimum or maximum height. The
IronRidge Class A rating covers all heights as long as
they fit within the "flush mounted" category.
Am I required to install skirting to meet the fire
code?
No, IronRidge achieved a Class Afire rating without any
additional racking components.
What determines Fire Classification?
Fire Classification refers to a fire -resistance rating
system for roof covering materials based on their ability
to withstand fire exposure.
Class A - effective against severe fire exposure
Class B - effective against moderate fire exposure
Class C - effective against light fire exposure
What if the roof covering is not Class A rated?
The IronRidge Class A rating will not diminish the fire
rating of the roof, whether Class A, B, or C.
What tilts is the tilt mount system fire rated for?
The tilt mount system is rated for 1 degrees and up and
any roof to module gap, or mounting height.
Engineering Certification Letters
We offer complete engineering resources
and pre -stamped certification letters.
Go to IronRidpe.com
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CUPERTINO
Address
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.cupertino.org
PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE
HAS BEEN SIGNED AND RETURNED 'I'O TIIE 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 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 -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 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.
Smoke and CO form.doc remised 03/18/14
CUPERTINO
Owner Name K6 [-I
Address 2-222 (1
WATER -CONSERVING PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
�p(4 8) 777-3228 •FAX (408) 777-3333 • building�a cupertino,orq
rnG Permit No. -
-Pr" r-yv old" wt�.
,rh ew
00.
IS your real property a registered historical site'?
❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest ofthe form and sign bottom of form.
'�4 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 1 10 1. 1 through 1 101.8 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 1 101.8 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'?
J No My real property is built and available for use or occupancy after January 1, 1994.
Civil Code Sections 1 101.1 through 1 101.8 do not apply. Skip the rest of the form and signs bottom of form.
❑ Yes My real property is built and available for use or occupancy on or before January 1, 1994.
Civil Code Sections 1 101.1 through 1101.8 apply. Check one of the three following statements and sign
bottom of form..
Please check ONE of the following:
My property is a .tingle-fiamilY resithmlial real property. See Civil Code Section 1 101 .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 n uhifamihv residential real property. Sec Civil Code Section 1 101.5.
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 1 101 .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).
1, 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 1 101.8, 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 followinL, pate.
I Owner or Owner Agent's Signature: yto ,,Q -- Date: J/ / �-u i S
Upon completing and signing this Certificate, mise return it to the Building Division in order to final your building permit.
SB407 3015.doc 08/36/15
BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS
CERTIFICATE HAS BEEN SIGNED AND RETURNED TO THE BUILDING DIVISION
1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded.
SB407 2015.doc revised 08/26/15
Non -Compliant
Water -Conserving Plumbing Fixture
Plumbing Fixture
(Fixture Complying with Current Code Applicable to New Construction)
Maximum Water Usage/Flow Rate
Fixture Type
Water Usage
2013 CPC Ch. 4
2013 CPC Ch. 4
2013 CPC Ch. 4
/Flow Rate
2013 CALGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
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
0.5 gallons/flush
Gallons/flush
Showerheads
Exceed 2.5
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 onlyone 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 (cry 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
1.8 gallons per minute @
1.8 gallons per minute
1.8 gallons per minute (U 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
1.8 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 figure shown, it is not required to be upgraded.
SB407 2015.doc revised 08/26/15
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