B-2016-2547 - SOKE I CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE PCP. E
COMMUNITY DEVELOPMENT'DEPARTMENT•BUiLDI NG DIVISION
10300 TORRE AVENUE. OWERTPNO,OA 95014-3255
CUPERTINO
(408)777-3228•FAX(408)Y7 333 taldiRfaftwartino„orci
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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.
GMERAL EVVORMATION
Existing shigle-family and dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarins When the valuation of additions,alterations,or repairs to existing dwelling un/ts exceeds
$100j94,CRC Section R314 and CC stetio-Ra 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon
'Monoxide AlatInabe installed in the following locations:
AMA SIVI0148 ALARM - ,c0 ALARM
avtacte death separate steeping area in the immediate vicinity of the 5 X
7
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elqtyr bevel of a dweiging..nnit inetudirtg basements ; X
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Carbonkrionokide alaTins are not required in dwellings which¬ contain ftv el-bunting appliance&and that
do n4t have am attached garage. Carbon monoxide alatins combined with smoke dams shan comply with
CrC Seaon.CR&and shall be apploved by the Office of the Stzte Fire Mars-hal
Power Supply:he dweNting units with no commercial power supply,alarm(s)may be solely battery operated.
Thexibting, inndts, alarms are perniAted to be solely battery operated where repairs.or Aerations,do
not result intk removal of wall and ceiling finishes os there is no access by means,of attic,basement or crawl
space.Refer to CRC Section R314 arid CNC Section s 91V.2.11.4k and 420.6:2.An electrical permit is,zequihed fog
alanna which mast be connected to,the building wiring.
As owner of the above-referenced property,I hereby certify that the alarak(s)referenced above has/Akaive been
instaged in,accordance with the manufactuter's in ttretions arid in compaance with the Cabo %Rating
and CaRfornia Residentiali Codes.The alarms have been tested and are operational, as of the date signed
b erow.
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StalaftWeLi Date;
WATER-CONSERVING PLUMBING FIXTURES
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OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION ��
UPERT1 iC3 10300 TORRE AVENUE m CUPERTINO,CA 95014-3255
(408)77-3228 o FAX(408)777-3333 buildingccupertino.org
Owner Name = j i`Lt shJ Permit No.- 8- G(6 _-as C 7
Address T h CcA.,p z ,i e
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 foim 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 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 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
ta 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_
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:
r 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).
171 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: Date: 'eve29yaoik,
Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit.
SB407 2015.doc revised 08/26/15