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B-2016-2035 Building Department (70". / City Of Cupertino 10300 Torre Avenue 0-c./94,, Cupertino,CA 95014-3255 Telephone: 408-777-3228 CUPERTINO Fax: 408-777-3333 CONTRACTOR/SUBCONTRACTOR LIST JOB ADDRESS: 24 tit.3 9' Co l/k 6;0PERMIT# —10 c — 2-0 3 OWNER'S NAME: ' ` Vie,t� vS a Li t j PHONE# - 73 a8e GENERAL CONTRACTOTk A� c r- (/ BUSINESS LICENSE# ' o el 9 ADDRESS:: C S i.r )we c hp , CITY/ZIPCODE: S l& OU o r4 g s-f 31 *Our municipal code requires all businesses working in the city to have a City of Cupertino business license. NO BUILDING FINAL OR FINAL OCCUPANCY INSPECTION(S) WILL BE SCHEDULED UNTIL THE GENERAL CONTRACTOR AND ALL SUBCONTRACTORS HAVE OBTAINED A CITY OF CUPERTINO BUSINESS LICENSE. I am not using any subcontractors: Signature Date Please check applicable subcontractors and complete the following information: V SUBCONTRACTOR BUSINESS NAME BUSINESS LICEN # v Cabinets &Millwork / d.p ,1_,),(-(AAD\ (ocL i & t'�oP �( a i n g 8 0 Cement Finishing v Electrical cz 4; 1424 !. S'- h 2 x p o /., c Q q'3061 (7J Excavation Fencing ✓ Flooring/Carpeting rcex,t a7,3-0 ?f- Linoleum f sLinoleum/Wood Glass/Glazing Heating 13 q 8©q `l InsulationV �«e, CS Landscaping Lathing Masonry Painting/Wallpaper SQ1zo j" g9 � 9q Paving Plastering Plumbing 1117 kr4-� c ft. y a pl.,-4-1/%1,7 # `9�i Roofing 0 Septic Tank Sheet Metal Sheet Rock Tile CaL ,.v( & 54,53,,,e_ G 10 (^c. r i s 0 1 f cG- /q 17,04 Owner/Contractor Signature Date \ i,/` WATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE yrrss, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 CUPERTINO 8)777-3228••FAX(408)7 7-3333•buildinq icupertino.orq (40 Owner Name p ♦ ► p 1 0 .3 it No. t _ i • -- J Address Il 4-31 C /,Ugi,us' A-v,.e . C .r-4x?I0 , C' gutri,/44 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,instillation 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. NNo 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. ' 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. 'fp 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: p'° 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 following page. Owner or Owner Agent's Signature: /- _'.,„„r C y Date: 0,1(a-1549(6 Upon completing and signing this ertificate,• e se return it to the Building Division in order to final your building permit. SB407 2.015.doc revised 08/26/15 BUILDING PERMIT CANNOT BE EINE➢AND COMITETED;TINTIL THiS CERTIFICATE HAS SEEN SIGNED AN]) ETITRNED TO THE BUILDING DIVISION;. <.. 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 Wafer 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 two reduced flushes and one full flush) Utinals 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 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 @60psi 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. SB4072015.doc revised 08/26/15