B-2016-2930 1' WATER-CONSERVING PLUMBING FIXTURES
FILE
OWNER1111 .
CERTIFICATE OF COMPLIANCE Cr
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
+I~t, PE.. NO 10300 TORRE AVENUE,CUPERTINO,CA 95014-3255
(408)777-3228-FAX(408)777-3333 a buildino(a cupeitino.orq
Owner Name 1 J l n .9(SPA T t l&-7-7 ,/241 t Permit No. -
Address -o`x-57- Wi GC(12– �telfrt . 1Q- Cry Pe r Cu) CO
1. Is your real property a registered historical site?
El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form.
U 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?
U 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.
• No Go to Question 4.
4, Is your real property built and available for use or occupancy on or before January 1, 1994?
U No My realproperty 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_ . .ivlyreal oroprerty is built and_avai1abk-for use or.ocou ane on or-before atitzai i 1994` r __.r
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:
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).
U 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: t Date: h9-24-ad!t
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
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Non-Compliant (Fixture
Plumbing Fixture
Piumbin4� Fixture p (Fixture Complying with Current Code Applicable to New Construction)
Fixture hype i Maximum Water Usage/Flow Rate
Water Usage 12013 CPC Ch.4 2013 CPC Ch.4 2013 CPC Ch.4
/Flow Rata, !___2Q13 CALGreen Div.4.3 2013 CALGreen Div.4.3 2013 CALGreen Div.5.3
Single-Family Multi-Family Commercial
Residential Residential
Water Closets Exceed 1.8 Single flush toilets: 1.28 gallons/flush
(Toilets) Gallons/flush Dual flush toilets_ 1.28 gallons/flush effective flush volume(the composite,
hal
average flush volume of two reduced flushes and one full flush)
Exceed i.0
Gal{ons/flusll 0.5 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 @ 80 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 i May temporarily increase May temporarily
up to 2.2 gallons per increase up to 2.2
( minute(a)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
I t Where faucets meeting @ 60 psi •
t 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 rates equal to or lower than the figure shown,it is not requiredto be upgraded.
SB407 2015.doc revised 08/26/15
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SMOKE l CARBON MONOXIDE ALARMS
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OWNER CERTIFICATE OF COMPLIANCE (x, +60
➢sr COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION
CAPER Cf NO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255
(408)777-3228•FAX(408)777-3333•buildinci cupertino.orq
•
M.4PFRI", IT C ANNOT BE FINAL.ED UNTlt-TAIS CERTIFICATEIIAS BEEN `
aGOIN EI+TEDi S`CANED ANIJ RLIFURMA TO TH BUIUDTN DIVISIO _7 3
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PURPOSE
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.
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 bedroom(s)
On every level of a dwelling unit including basements ; X x
Within each sleeping room f 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 the Office of the State Fire Marshal.
Power Supply:In dwelling units with no commercial power supply, alarm(s)may be solely battery operated.
In existing dwelling units, alarms are permitted to be solely 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 crawl
space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420,6.2.An electrical permit is required for
alarms which must be connected to the building wiring.
As owner of the above-referenced property,I hereby certify that the alarms)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 specified below have been tested and are operational, as of the
date signed below. y
Address: 11019- A°�r4,Vrl f Permit No.-6-101(.9-7f1 3-0
Specify Number of Alarms: # Smoke Alarms: 1 # Carbon Monoxide Detectors: MA
I have read and agree to comply with the terms and conditions of this statement
Owner(or Owner Agent's)Name: j _ / '�L,h;
Signature D0!?"?Q ,ea w I s � Date:W- "--/
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Contract r Name:
Signature Lica# . .., ..Date:fd-2 y
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Smoke and CO form.floc revised 09/27/16