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B-2016-1871 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2016-1871 21430 VAI AVE CUPERTINO,CA 95014-4935(362 05 025) ATKINSON CLIMATROLLERS INC SAN JOSE,CA 95112 OWNER'S NAME: SETLUR GOVINDARAJ N AND HARINI G TRUSTEE DATE ISSUED:05/02/2016 OWNER'S PHONE:408-252-1827 PHONE NO:(408)294-6290 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class GENERAL BUILDING CONTRACTOR Lic.#258540 Contractor ATKINSON CLIMATROLLERS INC Date 12/31/2016 X BLDG _ELECT _PLUMB _ I hereby affirm that I am licensed under the provisions of Chapter 9(commencing X MECH X RESIDENTIAL COMMERCIAL with Section 7000)of Division 3 of the Business&Professions Code and that my license is in full force and effect. JOB DESCRIPTION: ADD(N)A/C 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. j 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. Sq.Ft Floor Area: Valuation:$8572.00 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 Number: Occupancy Type: 362OS 025 and state laws relating to building construction,and hereby authorize 362 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 PERMIT EXPIRES IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 DAYS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulati ns er t e Cupertino Municipal Code,Section 9.18. 180 DAYS FROM LAST CALLED INSPECTION. Signature Date 5/2/2016 Issued by:Abby Ayende Date:05/02/2016 Gl1G�- OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected prior to any roofing material being installed.If a roof is r. I,as owner of the property,or my employees with wages as their sole installed without first obtaining an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(See.7044,Business&Professions Code) z. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:5/2/2016 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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. HAZARDOUS MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardous materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Safety Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,Section 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance with the Cupertigeo NVnicipal Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safety Code,S ' as 505,25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall be deemed revoked. �a or authorized agent: APPLICANT CERTIFICATION CDate:5/2/2016 1 certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. 1 understand my plans shall be used as public records. Licensed Signature Date 5/2/2016 Professional GENERAL PERMIT APPLICATION MEP COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 MISC CUPERTIIi O (408)777-3228• FAX(408)777-3333•building(akupertino.org ❑PLUMBING ❑MECHANICAL ❑ELECTRICAL ❑MISCELLANEOUS PROJECT ADDRESSKWi 0C (� I r J �I APN# OWNER NAME � n �r n e� 0 l PHONE L//9� �f(�"� /�Q��J E-MAIL STREET ADDRESS / A'„ l�V` CITY, STATE,ZIP / `UJ/ (/(r/1/r� FAX CONTACT NAME r�� PHONE No E-MAIL/If\6 STREET ADDRESS I I �1 CITY,STATE,ZIP4RgA (S 0f 6 ��S/�q FAXI/� �/�//g�J�2 ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT CONTRACTOR ❑CONTRACTOR AGENT J❑ ARCHITECT 1:1 ENGINEER ❑V((D�EVE`L�OIP_EER (/❑TENANT CONTRACTOR NAME ,�Je /1 y„ LICENSE NUMBER 175-6 //h LICENSE TYT OO BUS.LIC# `( /I/ COMPANY NAME ' rV� (�- I E-MAIL / FAX STREET ADDRESS / CITY,STATE,ZIP PHONE L�a�2-orb-�i=� ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE USE OF ❑SFD or DUPLEX ❑ MULTI-FAMILY PROJECT IN WILDLAND ❑ YES PROJECT IN ❑YES IS THE BLDG AN ❑YES BUILDING: ❑COMMERCIAL URBAN INTERFACE AREA ❑ NO FLOOD ZONE ❑NO EICHLER HOME? ❑NO DESCRIPTION OF WORK l TOTAL VALUATION: \ �2 RECEIVEDBY: By my signature below,I certify to each of the following: I am the property owner or authorized agent to act on the property ner's behalf. I have read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to building construction. I authorize representatives of Cupertino to enter the above-identified property for inspection purposes. Signature of Applicant/Agent: Date: SUPPLEMENTAL INFORMATION REQUIRED '', OFFICEUSEONLY ` LJ,,OVERMTHE-COUNTER. o. Lr] STANDARD'."., LARGE a Q IYfA:TOR,, . MEPMiscApp_2011.doc revised 06121111 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-1R-ALT-HVAC) fAgeof 3) -- OFF U Project Name: 2015-0711 Harini Setlur Date Prepared: 2016-04-28 A.General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit.When multiple dwelling units must be documented, use one CF1R-ALT-02 document for each dwelling unit. 01 Project Name 2015-0711 Harini Setlur 02 Date Prepared 2016-04-28 03 Project Location 21430 Val Ave 04 Building Type Single family 05 CA City Cupertino 06 Dwelling Unit Name 2015-0711 Harini Setlur 07 Zip Code 95014 08 Dwelling Unit Conditioned 2800 Floor Area(ft2) Number of space conditioning 09 Climate Zone 4 10 (SC)systems in this dwelling 1 unit. B.Space Conditioning(SC)System Information r aa ? � F ��a. � 6z� Y� as • n 01 02 03` 04 Oso 66' 07 08 09 10 Is the SC` Installing a SC System SC System CFA served system w,---, refrigerant -Jnstaih6,g new SSC I[tstallif g R.I. lnstallu g :Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new Fentirely new Name Served System(ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type Add A/C whole house 2800 Yes Yes No No No No Altered space conditioning system C. Extension of Existing Duct System,Greater Than 40 Feet(Section150.2(b)1Diib) This section does not apply to this project. Registration Number:216-A0159527A-000000000-0000 Registration Date/Time: 2016-04-28 14:23:24 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-04-28 14:20:46 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF1111-ALT 02-E Alterations to Space Conditioning Systems(formerly CF-IR-ALT-HVAC) (Page 2 of 3) D.Altered Space Conditioning System (Sections 150.2(b)1E and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System -Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R-Value No heating This field or This field or All new This field or This field or AC Add A/C Central gas component section is not section is not Central split cooling SEER 14 Setback section is not section is not furnace altered applicable applicable components applicable applicable Required Documentation: CF2R-MCH-01-E-Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums:R6. CF2R-MCH-20-H&CF3R-MCH-20-H—Duct Leakage testing required when heating or cooling components are installed in ducted systems,or when more than 40 ft of duct length is replaced. -Leakage rate compliance:<_15%,or<_10%leakage to outside,or seal all accessible leaks. CF211-MCH-25-H&CF311-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are installed or altered(applicable in CZ 2,8-15). CF211CF311-MCH-23&CF3R-MCH-23 Air Flow z-300 CFM/ton required when:MCH-25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MGH 20 Duct Leakage Testing requirements -Heating-only systems and Air Handler/Furnace changes do not require verificati6n"of Air Flow MCiZ23,or Refrigerant Charge MECH 25 i n Existing duct systems constructed,insulated or sealed with asbestos=are exemptfrom MCF(2b puct Leakage Testing,reyuiremen s Ms7,7777 7 E. Entirely New or Complete Replacement Duct System,with or without,Equipment Changeout t(Sections15p.2(0)1Diia and 150.2(b)1E, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number:216-A0159527A-000000000-0000 Registration Date/Time: 2016-04-28 14:23:24 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-04-28 14:20:46 Schema Version:0.555SDD CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E Alterations to Space Conditioning Systems(formerly CF-iR-ALT HVAC) (Page 3 of 3) Documentation Author's Declaration Statement 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. / QQ Documentation Author Name: Documentation Author Signature: (��%i:U.['i Faulkner,Cindy C1'Li^LUC/��2P�i o Company: Signature Date: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2016-04-28 14:23:24 Address: CEA/HERS Certification Identification(if applicable): 1171 NORTH 4TH STREET City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 Responsible Person's Declaration statement I certify the following under penalty of perjury,under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept.responsibility for the building design or system design identified on this Certificate of Compliance(responsible designer). 3. That the energy features and performance specifications,materials components,and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24,Part 1 and Part 6:of the California Code of Regulations. 1- 4. The building design features or system design features identified on this Certificafe of c6m0liance are consistent with the informAlon;provided on other apphcable'compliance documents,worksheets, calculations,plans and specifications submitted to the en orcement;agency forapprovalew th this building permit application%. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall,be made available with;th6 building.permit(s)issued for2he,bu lding,and made avaiIableaa;the;enforcement agency for all applicable inspections.I understand that a registered copy of this Cefiificate of Co.mpliance;is required to be:_included wjth the documentation the,huilder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature. •s = �� Faulkner,CindyGUGClv72PJt� Company: Date Signed: ATKINSON CLIMATROLLERS INC dba VALLEY HEATING,COOLING&ELECTRICAL 2016-04-28 14:23:24 Address: License: 1171 NORTH 4TH STREET 258540 City/State/Zip: Phone: SAN JOSE CA 95112 408-294-6290 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the information. Registration Number:216-A0159527A-000000000-0000 Registration Date/Time: 2016-04-28 14:23:24 HERS Provider:CaICERTS CA Building Energy Efficiency Standards-2013 Residential Compliance Report Version:2013 Rev 1.007 Report Generated:2016-04-28 14:20:46 Schema Version:0.555SDD cp 0 .......... -T— CD p 4S CE-IEC ................. CL I U 4 1 ... ..................... U f" .......... ........... DA T E, 57 .............. ........... -DE PT_ ... ........ 3 cn P, ERTINO ...... ..... 0 ............ ............... ................ ............. .......... =3 ........... CD . ......... .......... ............... ..................... ............. .......... .......... ........... .... ........... ..................... ........... ... ................ .ima .............. ................. .......... ................. .......... ................... ......... ......... C if, I NIFTY: V!1UP-MI -NT-DEPAR T,1 .......... DEP E TMEN CU ERTINO AdILDI�G GI'"i P ........... ..........A _-APFRROVE0 if icWtionsMUST-be-kept-at ths 31 PC Cl ................ ....... This I ca��f Plans an8 s construe-41�:Inc o Jcn. It is unlawful to mako any ns I without app oval from the Building' official. in ............ ........... .......... ...... gg r,, -nF`0nr-of f N' nhyll and§pecifications SHALL NOT L iA4" -E'wit or to be,an:apprpve Ito 11-6f-,the:'vwafjJQn f a City S. g.E --,-n. ......... p V_N'1w,I N G L,7- 4pA rote Ff ri 0 11,ors 0 ty'Ordibancq or State e Ca w. .......... LOW P, ........... ................I R E Fo Al i T N 0, ......... NATER-C®NISERVING PLUMBING FIXTURES 5TIa, O)b FOS . OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPiERTINO 10300 TORRE AVENUE^CUPERTINO,CA 95014-3255 � ' (408)777-3228•FAX(408)777-3333• building(a)cupertino.org /L Owner Name %�sl�%L o e- Permit No. Address YEl iLjwex- k6 rx—gl�—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 forn and sign bottom of form. r 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. VF: 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. t)Z 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: 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-comp�iant 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 buil ing 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(i egardless 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 Plurnbin g 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: Date Upon completing and signing this Certificate, lease return it to the Building Division in order to final your b ' ding permit. SB407 2015.doc revised 08126115 BUILDING PERMIT CAN1vOT BE FINALED,AND COMPLETED:UNTIL THIS CERTIFICATE HAS BEEN I NED AND RETURNED TO THE BUILDING DIVISIONS Non-Compliant 'Water-Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 Water Usage 2013 CALGreen Div. 4.3 2013 CALGreen Div.4.3 2013 CALGreen Div. 5.3 /Flow Rate 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 f two reduced flushes and one full flush) Urinals Exceed 1.0 Gallons/flush 0.5 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 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 Faucets— Exceed 2.2 gallons 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 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 i SMOKE / (CARBON MONOXIDE ALARMS _ FILE OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION GL11'ERT�INA 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228• AX(408)777-3333•buildingCcDcupertino.org Permit No.� Address _ Il iye, #of Alarms Smoke: Carbon Monoxide: PERMIT CANNOT BE FINI ALED AND,COMPLETED UNTIL THIS CERTIFICATE HA S BEEN� �AIyD RFT- LTI2-1`d D O THE BUILDING DIVISION :a 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, 013 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 Iadditions, alterations, or repairs to existing dwelling units exceeds $1000.00, CRC Section 8314 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 i.nthe immediate vicinity of the X X i bedroom(s) On every level of a dwelling unit including basements X X _ Within each sleeping room 7 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 witlt 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.pernutted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceilingfinishes or there is o access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections n 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 manufac rer'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 cor9ply with the terms and conditions of this statement Owner(or Owner Agent's)Name: 2'�'r6 _ Si naw...... .... .............................................``...............................................Date ................... Contractor Name: Signature...................................................................Lic.#......................................Date: ................... i Smoke and CO forin.doe revised 03118114