B-2016-2168CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS:
CONTRACTOR:
PERMIT NO: B-2016-2168
10887 NORTHRIDGE SQ CUPERTINO, CA 95014-0527 (316 36 028)
HOMEOWNER/BUILD
ER
OWNER'S NAME: YAMAMOTO ROBERT J
DATE ISSUED: 07/07/2016
OWNER'S PHONE: 408-253-8360
PHONE NO:
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT INFO:
License Class Lic. #
Contractor HOMEOWNER/BUILDER Date
X BLDG _ELECT _PLUMB
I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing
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:
DECK REPAIR
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.
2. 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: $2000.00
APPLICANT CERTIFICATION
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
APN Number:
Occupancy Type:
and state laws relating to building construction, and hereby authorize
316 36 028
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 regulations per the Cupertino Municipal Code, Section 9.18.
180 DAYS FROM LAST CALLED EqSPECTION.
Signature Date 7/7/2016
Issued by: AbbyAyende
Date: 07/07/2016
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 bei
ig installed. If a roof is
i. I, as owner of the property, or my employees with wages as their sole
installed without first obtaining an inspection, I agree to rem
ve all new materials for
compensation, will do the work and the structure is not intended or offered for
inspection.
sale (Sec.7044, Business & Professions Code)
1 I, as owner of the property, am exclusively contracting with licensed
Signature ofApplicant:
contractors to construct the project (Sec.7044, Business & Professions Code).
Date: 7/7/2016
I hereby affirm under penalty of perjury one of the following three declarations:ALL
ROOF COVERINGS TO BE CLASS "A"
R BETTER
1. 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 MAT A DISCLOS
RE
I have and will maintain Worker's Compensation Insurance, as provided for by
I have read the hazardous materials requirements unde
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, 2553
, and 25534. I will
-permit is issued.
P
M—I
maintain compliance with the Cupertino Municipal Code
Chapter 9.12 and the
certify that in the performance of the work for which this permit is issued, I
Health & Safety Code'Section 25532(x) should I store
r 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
air contaminants as defined by the Bay Area Air Quality
which emit hazardous
Management District I
Worker's Compensation laws of California. If, after making this certificate of
will maintain compliance with the Cupertino Municipal
dt:; Chapter 9.12 and
exemption, I become subject to the Worker's Compensation provisions of the
the Health & Sa Sec ' s 255 _ , 3
, and 25534.
Labor Code, I must forthwith comply with such provisions or this permit shall
be deemed revoked.
Owner or authorized agen
APPLICANT CERTIFICATION
Date: 7/7/2016
certify that I have read this application and state that the above information is
CONSTRJUCTTON LENDING AGEN
2Y
correct. I agree to comply with all city and county ordinances and state laws
I hereby affirm that there is a construction lending agen
y 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
.)
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 II non -point source regulations per the Cupertino Municipal
ARCHITECT'S DECLARATION
Code, Secti
I understand my plans shall be used as public records.
Licensed
,Signature Date 7/712016
Professional
CONSTRUCTION PERMIT APPLICATION
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE CUPERTINO, CA 95014-3255 ni W(408) 777-3228 • FAX (408) 777-3333 • building(aDcupertino.org P� c
CUPERT. (NO
❑ NEW CONSTRUCTION ❑ ADDITION LQ' ALTERATION / TI ❑ REVISION / DEFERRED ORIGINAL PERMIT #
PROJECT ADDRESS ;C /1 l �J � fir; oo, APN #
OWNER NAME f /1 Vr,.CtG'I�I PHONEP�C"_ ("_f'Qa: EMAIIr,C,�_ _C V �,V0
STREET ADDRESS �I lVJ CITY, STATE, J CC `V� n i
��� �p �'i'�. �� Ste( �•(�;{� ��l1'J�ol � FAx
CONTACT NAME 6Q.rt ( PHONE f , f r 15 3 �2 6 j E�MAJ,L doqGt ki
` r �7 J v Q�
STREET ADDR -ss J 7 I . io CITY, STATE, ZIP( a f f n!� �° � AX
1:1 OWNER OWNER -BUILDER . 11OWNERAGENT 11 CONTRACTOR ❑ CONTRACTOORR AGENT ❑ ARCHIT/ECT, t❑ ENGINEER ❑ DEVEI
CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS. LIC #
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC #
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY, STATE, ZIP PHONE
❑ TENANT
DESCRIPTION OF WORK 0-e C -`L C CL
EXISTING USE PROPOSED USE CONSTR- TYPE # STORIES USE TYPE OCC. SQ.FT. ALUATION ($)
EXISTG NEW FLOOR DEMO TOTAL
AREA AREA AREA NETAREA
BATHROOM KITCHEN OTHER
REMODEL AREA REMODEL AREA REMODEL AREA
BEINGADDED? E] NO ADDITION? ❑NO
PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN El YES REfiEIVED $Y' y TO `A VALUATION:
PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO a 4
By my signature below, I certify to each of the followmi •; am the property owner or authorized agent to act o the property owner's behalf. I have read this
application and the information I have pr ' d i o thave ad scription of Work and verify it is accurate. I agree to comply with ail app cable local
ordinances and state laws relating to b Ildin .c s c 'onze representatives of Cupertino to enter the above-ide iqi property for ulspectio purposes.
Signature of Applicant/Agent: Date: 6/00/
SUPPLEMENTAL INFORMATION REQUIRED
New SFD or Multifamily dwellings: Apply for demolition permit for
existing building(s). Demolition permit is required prior to issuance of building
permit for new building.
Commercial Bldgs: Provide a completed Hazardous Materials Disclosure
form if any Hazardous Materials are being used as part of this project.
Copy of Planning Approval Letter or Meeting with Planning prior to
submittal of Building Permit application.
BldgApp_201 L doe revised 06121111
NORTHPOINT HOMEOWNERS ASSOCIATION
ARCHITECTURAL- REVIEW APPLICATION
COMP10tion Of ffffs -form is not nemssafy for in.s.tallation of..
windows or slid 0017s, ateffite (figh MoLve
b%A garage door. and t _rs. Use a Property f
NoWcaWn for-the4arns listed above- Any -ciffier nxidifications Mquire-complefion an`i
Of Wis, form.
Please ftfnt
Homen w. ner
Narne(s): 6 v"'lAy"Cri
Property
Add,,V. 10'%rb"7
Application Date. Planned Completion D. -
M
Please include, if possible, copies of brochures,, blueprints, contractofs proposals, dw permitA
diagrams, etc. to facUl date the review procem. You may -be requested to attend the meeting of I
and A1101fteCturat Committee when your application Is reviewed.
Architectural Review
Complerion Verificarlon
WORTHPOINT HOMEOWNERS ASSOCIATHIN 10880 Northpoint Way, Cuperbno, CA 9.5014
FORM ReMW 0=0 J408) 996-3734 Fax: f4W 996.8226
Robert Yamamoto
From:
Zayra Yves <gm@northpointhoa.com>
Sent:
Monday, May 23, 2016 9.44 AM
To:
'Robert Yamamoto'
Subject:
RE: Architectural Request Forms
Hello Robert,
It is still good, you may proceed. Please provide copies of any permits that were required so we can
files. Thank you!
Kind Regards,
Zayra Yves, CCAM-HR
General Manager
Northpoint Homeowners Association
10880 Northpoint Way, Cupertino, CA 95014
Office: (408) 996-3734
Fax : (408) 996-0226
Email: gm@northpointhoa.com
them in our
This message may contain confidential and privileged information. The information contained herein is intended solely for the use of
the individual or entity named above. Please note that if you are not the intended recipient, any dissemination, disclosure,
distribution or copying of this information is prohibited. If you have received this electronic transmission in error, pl aase contact
Northpoint HOA at 408-996-3734 or at manager@northpointhoa.com and then immediately delete this message. Thank you.
From: Robert Yamamoto [mailto:robertjyamamoto@gmail.com]
Sent: Monday, May 23, 2016 9:32 AM
To:'Zayra Yves' <gm @north pointhoa.com>
Subject: FW: Architectural Request Forms
Hi Zayra,
By the time I got on my contractor's calendar, the rainy season started, so I waited until the rain stops. I'
continue, but the dates on this form are a little old. Can I still use this form or do I have to go through the
process again?
Thanks for your help,
Robert
I like to
approval
OWNER -BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE CUPERTINO, CA 95014-3255
(408) 777-3228 FAX (408) 777-3333 building(ftupertino,ora
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the
improvements specified at:
SITE ADDRESS IOW -7 , a 0 r ' J 61 �'e
�!
APN -31t � �r 0'61,-0000'
b
BP#
OWNER NAME
b Yd_��
OWNER ADDRESS
DESCRIPTION OF WORK: 14
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make yo i aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We
will not issue a building permit until you have read, initialed your understanding of each provision, s gned, and
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS: Please read and initial each statement below to signify you understand or verify this informa "on.)
Bui1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an " wner-
er" building permit that erroneously implies that the property owner is providing his or her own labor and material
personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by
an unlicensed person and his or her employees while working on my property. My homeowner's insurar ce may not
provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my
insurance coverage for injuries to workers on my property.
2. 1 understand building permits are not required to be signed by property owners unless they are responsible for
t e construction and are not hiring a licensed Contractor to assume this responsibility.
_3. 1 understand as an "Owner -Builder" I, am the responsible party of record on the permit. I understa d that I may
pr tect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in h s or her
na a instead of my own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
n ers on permits and contracts.
T�5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be
considered an "employer" under state and federal law.
6. I understand if I am considered an "employer" under state and federal law, I must register with the state and
fed ral government, withhold payroll taxes, provide workers' compensation disability insurance, and coni ribute to
unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject
e t serious financial risk.
7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family
residential structures cannot legally build them with the intent to offer them for sale, unless all work is pe ormed by
licensed subcontractors and the number of structures does not exceed four within any calendar year, or II of the work
is performed under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for
a y financial or personal injuries sustained by any subsequent owner(s) that result from any latent const uction
defects in the workmanship or materials.
OWnerBuilderFornt 2010.doc revised 04/14/10
Z
I'
1 understand 'I may obtain more information regarding my obligations as an "employer" from the Internal
Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments,
and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed
con actors.
V1 10. I am aware of and consent to an Owner -Builder buildingpermit applied for in
p pp my name, and understand that I
am a party legally and financially responsible for proposed construction activity at the site address listedabove.
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
by all applicable laws and requirements that govern Owner -Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to an of the
-,412
f , rmation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If
yo contract with someone who does not have a license, the Contractors' State License Board maybe unable to
assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against u licensed
Contractors may be in civil court. It is also important for you to understandthat if an unlicensed Contractor or
employee of that individual or firm is injured while working on your property, you may be held liable ford mages. If
you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying hether or not
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS: Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this Permit is issued
(Sec 3097 Civ.)
Lender Name: Lender Address:
Before a building permit can be issued, this form must be completed and signed by the property ow
er and
returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's
license,
form notarization, or other verification acc, bl o the city maybe required to be presented when the perm
1 is issued
to verifythe property owner's si natu e �'1
Property Owner's Signature: Date:
--a OT .- the property owner ria 1 for construction be c --------------------------------------------------------leteh e -------- --------------
(NOTE.-
- g __
(NOTE: The following Authorization Form is required to be completed by the property owner only when desi Hating an
g p p y apply p for the Owner -Builder).
AUTHORIZATION OF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner -Builder Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note: A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the pr perty owner's
signature.
Property Owner's Signature:
Date:
OwnerBuilderForm 2010.doclrevised 04114/10
CUPERTINO
CONTRACTOR / SUBCONTRACTOR LIST
Building Department
City Of Cupertino
103 ( 0 Torre Avenue
Cupertino, "A 95014-3255
Telephon: 408-777-3228
Fa j: . 408-777-3333
JOB ADDRESS: j()t%-7 PERMIT#
ISUBCONTRACTOR
OWNER'S NAME: PHONE -#
BUSINESS
GENERAL CONTRACTOR: BUSINESS LICENSE #
ADDRESS: CITY/ZIPCODE: -
I
-vur-municipat cone 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 A�Lk C T CTORS
BUSINESS LICENSE. E OBTAINED A CITY OF CUPERTINO
I am not using any subcontractors:
ignature Date
Please check applicable subcontractors and complete the following information:
V
ISUBCONTRACTOR
BUSINESS NAME
BUSINESS
LICENSE #
Cabinets & Millwork
Cement Finishing
Electrical
Excavation
Fencing
Flooring / Carpeting
Linoleum / Wood
Glass / Glazing
Heating
Insulation
Landscaping
Lathing
Masonry
Painting / Wallpaper
Paving
Plastering
I Plumbing
Roofing
Septic Tank
Sheet Metal
Sheet Rock
Tile
Owner / Contractor Signature
c'�S
Date
Table of Contents
Sheet Desorption
1 Project Cover Sheet and Deck Framing
2 '.. Side view elevation '..
3 Front elevation
mm
I the work be done? First
t of the work
ever deck
lever beam with beam hanger and post
joists as neem ded with 2x8 pressure treated Douglas Fir
—id—W P mject Cover Sheet
A sesso/s Parcel Number
31fi-3fi-028-00
Name of Owner
Robert Vamamoto
-sect Address
30881 N.lh,dgesq—,c no, Cn 95014
C tact Person
Robert Vamamoto
Phone Number
Home 408-5294965
Fax Number.....
N t square footage of lot
1—
mm
I the work be done? First
t of the work
ever deck
lever beam with beam hanger and post
joists as neem ded with 2x8 pressure treated Douglas Fir
mm
M�
rn s
Address
SMOKE / C�RBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVE UE • CUPERTINO, CA 95014-3255
(408) 777-3228 • F (408) 777-3333 • building(akupertino.org
A -LAO Pern
PERMIT CANNOT BE FINA
HAS BEEN SIGNE11 A
PURPOSE
This affidavit is a self -certification for the
compliance with 2013 CRC Section R314,
inspections are required.
Elm
AND COMPLETED UNTIL THIS CERTIFICATE
RETURNED TO THE BUILDING DIVISION
Ration of all required Smoke and Carbon Monoxide Alarms for
CBC Sections 420.6 and 907.2.11.2 where no interior access for
GENERAL INFORMATION
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of ad itions, 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 follow' g locations:
AREA
Si nature ..
SMOKE ALARM
CO ALARM
Outside of each separate sleeping area in thE
bedroom(s)
immediate vicinity of the
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 I he Office of the State Fire Marshal.
Power Supply: In dwelling units with no cory mercial power supply, alarm(s) may be solely battery operated.
In existing dwelling units, alarms are permitt d to be solely battery operated where repairs or alterations do
not result in the removal of wall and ceiling, f nishes or there is no access by means of attic, basement or crawl
space. Refer to CRC Section R314 and CBC SE ctions 907.2.11.4 and 420.6.2. An electrical permit is required for
alarms which must be connected to the build ng 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 hai/P rParl and anrPP Vn cnm nla/ Mdfh# li fhn farmo Jnr! -- ifinno of fhio of�fo.,,o
Q er (or Owner Agent's) Name:
t !� �>
Si nature ..
........ ..:....... ..........zl_.................................................................... Date:L.i
Contractor Name:
Sinature ..........
...3
......................................................... Lic.#...................................... Date: ...................
Smoke and CO form. doc revised 03118114
.i
C+� s
Owner`Name
.Address
COMMUNITY DEVE
10300 TORRE AVE
(408) 777-3228 • F7
1. Is your real property a registered historical site?
❑ Yes Civil Code Sections 110 1. 1 through 1
EK No Go to Question 2.
2. Does your real property have a licensed plumber
plumbing, installation of water -conserving plum.]
❑ Yes Civil Code Sections 1101A through 1
❑ The licensed plumber's certificatic
Skip the rest of the form and sign bottr No Go to Question 3.
MENT DEPARTMENT • BUILDING DIVISION
• CUPERTINO, CA 95014-3255
)8) 777-3333 • building(aicupertino.org
I-71 F
V3 rl
it No.
1.8 do not apply, Skip the rest of the form and sign bottom of form.
xtifying that, due to the age or configuration of the property or its
ig fixtures is not technically feasible?
1.8 do not apply.
has been provided to the Building Division.
1 of form.
Is water service permanently disconnected for yo building?
❑ Yes Civil Code Sections 1101.1 through 1101.8 donot 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 orloccupancy on or before January 1, 1994?
❑ No My real property is built and available or use or occupancy after January 1, 1994.
Civil Code Sections 1101.1 through 11 H.8 do not apply. Skip the rest of the form and sign bottom of form.
Yes My real property is built and available or use or occupancy on or before January 1, 1994.
Civil Code Sections 1101.1 through 11)1.8 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 residbntial real
Ori and after January 1, 2014, building altera
to be replaced with water -conserving plumbin
compliant plumbing fixtures shall be repla
property undergoes alterations or improvemen
❑ My property is a multifamily residential real p
On and after January 1, 2014, specified buildi
plumbing fixtures to be replaced with water -0
On or before January 1, 2019, all non-complia
conserving plumbing fixtures throughout the 1
improvements).
❑ My property is a commercial real property. Si
On and after January 1, 2014, specified buildi�
plumbing fixtures to be replaced with water-c�
On or before January 1, 2019, all non -con
plumbing fixtures throughout the building (red
roperty. See Civil Code Section 1101.4.
ms or improvements shall require all non-compliant plumbing fixtures
fixtures throughout the building. On or before January 1, 2017, all non -
;d with water -conserving plumbing fixtures (regardless of whether
)erty. See Civil Code Section 1101.5.
alterations or improvements shall require non- compliant
;erving plumbing fixtures.
plumbing fixtures shall be replaced with water -
(ding (regardless of whether property undergoes alterations or
Civil Code Section 1101.5.
alterations or improvements shall require non- compliant
serving plumbing fixtures.
iant plumbing fixtures shall be replaced with water- conserving
dless of whether property undergoes alterations or improvements).
I, as the owner or owner's agent of this property, c
replaced prior to date specified above with water-
ertify under penalty of perjury that non-compliant plumbing fixtures will be
onserving plumbing f s in accordance with Civil Code Sections 1101.1
through 1101.8, the current California Plumbing Gode
installation requirements, and that the water -cog
and Call fo Green Building Standards Code, and manufacturer's
ing fixtures comply with the requirements as indicated in the
table on the following page.
;
Owner or Owner Agent's Signature:
Date: 6116'1/
Upon completing and signing this Certifickt ,1l M 'se return it to the Building Division in order to final your building permit.
SB407 2015. doc revised 08126/15
1. If the existing plumbing fixture water usage/flow"
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
PlumbingFixture
(Fix
ure 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 C
LGreen Div. 4.3
2013 CALGreen Div. 4.3
2013 CALGreen Div. 5.3
Sin
le-Famiiy
Multi -Family
Commercial
Residential
Residential
Water Closets
Exceed 1.6
--j
Single flush toilets: 1.28 gallons/flush
(Toilets)
Gallons/flush
Dual
lush toilets: 1.28 gallons/flush effective flush volume (the composite,
avers e 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
showerhe
ads and/or other shower outlets controlled by a single valve shall not
exceed 2.
gallons per minute @ 80 psi, or the shower shall be designed to
allow onl
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
60 psi
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 fa
Gets 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"
is equal to or lower than the figure shown, it is not required to be upgraded.
SB407 2015.doc revised 08/26/15