B-2016-2874 WATER-CONSERVING PLUMBING FIXTURES
fr& OWNER CERTIFICATE OF COMPLIANCE
r., COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINO
(408)777-3228•FAX(408)777-3333•buildinqcupertino.orq
Owner Name tAli L4 c 4;�.(,. Permit No. ti • t fs • A- 9F"
Address
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 s_gn bottom of form.
( o 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?
E 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.
<1;F'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.
gr-No Go to Question 4.
4. Is your real property built and available for use or occupancy,on or before January 1, 1994?
o 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 s gn bottom of form.
El Yes My real property is built and available for use or occupancy on or before January 1, 199 .
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:
i"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 J nary 1,2017,all non-
compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures ( egardless of whether
property undergoes alterations or improvements).
El 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-compliaM plumbing fixtures will be
replaced prior to date specified above with water-conserving plumbing fixtures in accordance with(pivil 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 requires ents as indicated in the
table on the following page.
Owner or Owner Agent's Signctur. 14 Date: t 1\I LA IL
Upon completing and signing this certificate,please return it to the Building Division in order to fin4 your building permit.
S$407 2015.doc revised 08/26/15
BUILDING PERMIT CANNOT BE FINALED AND COMPLETED UNTi I THIS
3s N�s Irl:� A '^
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CER: VNATEITAS BEEN SIGNEDk9 RETURNED Tfl TSE BLTILDE GD VTSIfJ1�T
Non-Compliant Water-Conserving Plumbing Fixttlre
1
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 CALGreenDiv.4.3
/Flow Rate X013 CALGreen Div. 5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/fl sh
(Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush v lume(the composite,
average flush volume of two reduced flushes a d 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 combirlied flow rate of all
showerheads and/or other shower outlets controlled by a Tingle valve shall not
exceed 2.0 gallons per minute @ 80 psi,or the shower sh ll 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 pgi
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 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 no I required to be upgraded.
SB407 2015.doc revised 08/26/15
SMOKE / CARBON MONOXIDE ALARMS
(. .:& OWNER CERTIFICATE OF COMPLIANCE
eis COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinq a(�cupertino.orq
PERMIT GANIyGIVit FIl AZED TTNTIL'WAIS€WAFICATE S BEEN'
t 3RD —AO i -- a-- - .` ag ' -�- „; .r='�._ -`'- ' it , `- :s 4
- e M EE AICA !ti IM URNFD TO TREIB�DIl GAtV SIO - i
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PURPOSE
This affidavit is a self-certification for the installation of all required„Smoke and Carbon onoxide 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.
GENERAL INFORMATION
Existing single-family and multi-family dwellings shall be provided with Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, 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 following locations:
AREA - SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the immediate vicinity of X X
the bedrooms) _�
On every level of a dwelling unit including basements X X
Within each sleeping room X
i — —
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 the Office of the State Fire Marshal.
Power Supply:Indwelling units with no commercial power supply, alarm(s)may be so ely battery operated.
In existing dwelling units, alarms are permitted to be solely battery operated where rep irs or alterations do
not result in the removal of wall and ceiling finishes or there is no access by means of a 'c,basement or crawl
space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electrical ermit 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) reference above has/have been
installed in accordance with the manufacturer's instructions and in compliance with th California Building
and California Residential Codes.The alarms specified below have been tested and are perational, as of the
date signed below.
Address: i K36 tAQ 9 Permit No.No.1 2.4 Ito 2e70
Specify Number of Alarms: # Smoke Alarms: 3 #Carbon Monoxide Detectors: E
I have read and agree to comply with the terms and conditions of this stat-ment
Owner(or Owner Agent's)Name:
(( Sib nature.y � Date:///4/4
Contractor Name: 11""
1
Signature Lic.# Date:
Smoke cob'COfonn.doc revised 09/27/16