15100019 SMOKE/WATER SE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT�BUILDING DIVISION
U3 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
(408)777-3228 g FAX(408)777-3333 Q building a?cupertino.org ;
. S/ C
Address �3� � c ;rk \�e\eeo i t`s''1 a a s SmoIte: 775 Catbon Monoxide_
PES T �'OT BE FINALED AND CCS 'FETED UN`I'T 1IRS CERTIFICATE
BEEF -k- '€`�;}` T B D IGD SIO
PTJRPOSE
This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for
compliance with 2013 CRC Section 8314,2013 CBC Sections 420.6 and 907.2,11.2 where no interior access for
GENERAL ITORMATION
Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carboni
Monoxide alarms, When the valuation of additions,alterations,or repairs to existing dwelling units exceeds
$1000.00,CRC Section 8314 and CBC Sections 907.2.11.5 and=20.6 require that Smoke Alarms and/or Carbon
Monoxide Alarms be installed in the following locations:
AREA SMOKE ALARNT I CO A`-ARIMI f
1 Outside of each separate sleeping area in the in-uned.iate vicinity of the X X
I
i bedroon-i(s)
F
n everylevel of a dwellingunit including basements X X
li&dn each sleeping xoom X
Carbon Monoxide alarms are not required in dwellings which do not contain fuel-burn ng 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 Eire Marshal.
power Supply:T Z dwelling-amts with no commercial power supply,alarm(s)may be solely battery operated.
in axis:ing:dweliin uzs, alarms are permitted to be safely 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 craw'
spa Refer to CRC Section 8314 and CBC Sections 907.2.1,1.4 and 420.6.2._An electrical permit is required for
alarm which must be connected to the building wiring.
As owner of the above-referenced property,T hereby certify that the alarms)referenced above has/have been
installed in accordance with the mane a tarer`s instructions and.in compliance with the California Building
and California-Residential Codes,it e alarms have been tested and are operational,as of the date signed
below.
I have road and aeree to comp, with the terms and condltions of this statement-
.s_ywner(or F1s''Lxner A enff s)Nar ne_
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5urjCCL � ......•• Dater
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S,rzor e and CQ;or ni. 'oc revised 013/18,114
_—,�EERVIN
WAIER-CON G PLUMBING FIXTURES
OWNER CERTIFICATE OF COMPLIANCE
COMM UNITY DEVELOPMEENT DEEPAR TMENT-BUILDING DIVISION
i CUPERTINO,CA 95014-3255
CUPERTHNO I
(408)777-3228-FAX(408)777-3333-bLfild-inc,,-O--ci.,re,-tino.olq
O-wiler Na I n,- U r..:T.HA k1Jj>A Pemit No.
dress
1. isyour real properLyar,-gis-Lei-ed-i--*ss---ricals--,*tt?
F� Yes Civil Code Sections 1101.1 through 1101.8 do not appliiy-
Skip the rest of the fffirm a si 'bottom oi..Lol=. ,-.
'\0 Co to Quesdon 2.
2, Does your real property have a licensed plyablercerti f3iin C,that,due to Cie age or c o 11H auraxii or-, o property'or itts
plumbing,ii,s-mllation of watar-cons ervin-,plumbin-fr_=es is not techm c a Ily feass ib 1 e?
EJ "Yes Civil Code Sections 1101.1 through 1101.8 do not apply.
13 The licensed plwmber's certification has been provided to ffie Building Division.
Skip the rest of the fffirrn and sign bottom of foul_.3
0 To to Question 3.
3 -ian,
Is water service pt -aidy rn disconnected for your building?
b i1i
0 'Yes Cinvril Code Sections 11.1101.1 d=Ligla 1101.8 do not apply. Skip the rest of the form and sign botaom of fora.
I No Co to Questiori-4.
Is vouTreal'prop
ertybui' and available for un se or occupancy oor before January 1, 1994?
C!No ?fly real..property is built and available f6rusee or ocCUpancy after January 1, 1994.
Civil'Ode Sections 1101.1 tithrou - H01.8 donotappi- of-the fo=and sianbottom of fbm,
gh Skiptheres,
Yes vly regi property is built a?,Id" available for-use or occupancy on or before januaiy 1, 1994.
Civil Code Sections 1101.1 thmu,gh 1101.8 apply. Check oiit--of th,-tmee following statcm_cms and sign
bottom of fb=_
Please check ONM of the follo-wing:
01 My property is a sirIgie—family rasiden da!real property, See Civil Cod-,Section 1101.4.
On and after January 1,2014, building alterations or IEDP roveirie-rits shall require adl ncm-co imliana plurnbina -_F_vLu-es
tobereplaced with wateT-con,s(-,rv,LTiorplut-n'oira fixtLxtsti-i--oua'il-o,,i:r.L,hebuildiiia.OnorbeforeJanuary'-,201,j,allinor,
i I ardl
F --ne all be re;.-laced with vvate -Oonservnng hmibui- fixt-a-es (re- ess of whether
p! p
y
property undergoes alterations or u-_-prove nests).
-
Ir,
On and after January 1, 201-4, specified buildLTig alterations or ii-nprovements shall,-require non-co p a
nPlumbinc,fyql-r,-s to b�mplacedwith weer-conse-rivin-gar plumbing Ex tares.
0,-1 or beLol-re January 1, 2019,all non-compliant pbrinbing fibyesshall be replaced with water,
-nbin �-fpropcitr -an .0 -at' o�
=strving plui a f, y .dcr,7 esalit. dion..
i_LnPr0VCm_ntS).
MYT)roperry:s a COMPT770701aL 'ealprOperry. See Civil Code Section 1101.5.
On and,after Januaiv 1, 2014,specified btuHiding ah _eqUi!7 nCT�j C0=1 an7E
17 Lera-L10111S or 1rnIDlove s shall r
plunibing fix-ta_r_=9 to b
On or before January 1, 2019, all non-compliant plumbing fixmirts shall be- replaced with water- conseivir-07
plumbing Extuiesz throu&ut the buildin.g(regia-..-dlless of v ether propery-Lmdergoes alterations or irnproveinerr_ts).
_urnb
I,as the o'�Aner or owner's agent ofthis property_cm yunder perialTy of parjury that r-Lon-com-pliant ID, incr finmires will be
. 110i
r, laced Prior to dat,speedabove-Mth wattr-conservLmcr phirnoing f_.Ktures accordance Ci1i vil Code Secdons
JCode,and manufacturer's
T ing,Codit and California Green Building Standard
�LT Li 's
C 1) fri t!t luil Uie
iaristalladon reT and- at dit wa-9.er-conserving plumb-ing--!Ytl om.--lywi I ti-reim, CEts aS ft.dica-LeCi I'--
t j
table on the foilowing page. Date: ZOUS
0,jvn or Cwner Age-im's Signa
f ture:
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