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B-2016-1211MIT CITY OF SCUP ERTINO BUILDING PERMIT IIUIILDINCADDRESS: CONTRACTOR: PERMIT NO- B-2016-12 11 11513 SEVEN SPRINGS LN CUPERTINO, CA 95014-5131 (366 52 013) ( WESTERN GENERAL CONSTRUCTION INC) SAN JOSE, CA 95122 OWVNIER'S NAME: HUKKOO AJAT AND PRITI DATE ISSUED: 01/19/2016 OWNER'S PHONE: PHONE NO: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class Lic. 4 q q l 7 Contractor ( WESTERN GENERAL CONSTRUCTION INC) Date Di; BLDG — ELECT — PLUMB ]BCH X RESIDENTIAL _ _ COMMERCIAL I hereby affirmthat I am licensed under the provisions of Chapter 9 {commencing — with Section 7000) of Division 3 of the business &a Professions Code and that my lleense is In MR force and effect. JOB DESCRIPTION: REMODEL (E) 120 S.F. KITCHEN, NO STRUCTURAL CHANGES I hereby affirm under penalty of perjury one of the following two declarations: 1. 1 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. 1 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 Sq, Ft Floor Area: Valuation: $18000.00 this permit is issued. APPLICANT CER'T'IFICATION I certify that I have read this application and state that the above IaPN Number: Occu p y TYpe: ant information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 366 52 013 authorize 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 PERMIT EXPIRES IF WORK IS NOT STARTED expenses which may accrue against said City in con��ecfuence of theWITHIN ��� ��� OF PERMIT ISSUANCE OR granting of this permit, Additionally, the applicant��e:riderstands and .will comply with all non -point source regulations p r'fhe Cupertino Municipal 180 DAYS FROM LAST CALLED INSPECTION. Code, Section 9.48. / VL Issued bS[gnaturs Dafe / j/ //� ie ®® IDate: QQ OWNER-RIM,D (DECLARATION RE -ROOFS: I hereby affirm that I am exempt from the Contractor's License Law for one of the All roofs shall be inspected prior to any roofing material being installed. If a roof is following two reasons: installed without first obtaining an inspection, I agree to remove all new materials for 1. 1, as owner of the property, or my employees with wages as their sole inspection, compensation, will do the work, and the structure is not intended or offered for sale (Sec,7044, Business & Professions Code) Signature ofApplicant: 2. 1, as owner of the property, am exclusively contracting with licensed Date: contractors to construct the project (Sec.7044, Business & Professions Code). ALL ROOD' COVERINGS TO BE CLASS "A" OR BETTER I lterehy affirm under penalty of perjury one of the fallowing three declarations; a. 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 HAZARDOUS MATERIALS DISCLOSURE performance of the work for which this permit is issued, I have read the hazardous materials requirements under Chapter 6,95 of the z. I have and will maintain Worker's Compensation Insurance, as provided for California Health & Safety Code, Sections 25505, 25533, and 25534. I will by Section 3700 of the Labor Code, for the performance of the work for which maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the this permit is issued. Health & Safety Code, Section 25532(a) should I store or handle hazardous s. I certify that in the performance of the work for which this permit is issued, I material, Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Buy Area Air Quality Management District I shallnot employ any person in any manner so as to become subject to the will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 n Worker's Compensation laws of California, If, after making this certificate of the health &z Safety Code, Sections 5 55 3 a d 2553 exemption, I become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall Owner or, au h I agent: be deemed revoked, Dater f i APPLICANT CERTIFICATION 0 CO STRUCTIO DING AGE Cil I certify that l have read this application and state that the above Information is I hereby affirm that there is a construction lending agency for the performance correct, i agree to comply with all city and county ordinances and state laws of work's for which this permit Is issued (Sec. 3097, Civ C.) relating to building construction, and hereby authorize representatives of this city Lender's Name to enter upon the above mentioned property for inspection purposes. (We) agree to save indemnify and keep harmless the City of Cupertino against liabilities, Lender's Address judgments, costs, and expenses which may accrue against said City In consequence of the granting of this permit. Additionally, the applicant ARCHITECT'S DECLARATION understands and will comply with all non -point source regulations per the I understand my plans shall be used as public records. Cupertino Municipal Code, Section 8.48. Licensed Professional Signature Date CONSTRUCTION PERMIT APPLICATION _........ ...... CCMbIjUNI i f DEVELDPMEN T JDEPAR T 10EN T BU1LDiN'G DIVISION r e. 10300 T ORRE AVENUE - CUPER T INO, CA 95014-3255 (408) 777-322B, FAX (408) 777-3333 , build inD0cuuarrino.ora �- p CUPERTIIiiO, V 3 ❑ Kaw COTiB t"ti UCiiOhT [-_J Aminox ALTER TION l T I ❑ REVISIOAI I DEYEZD 0MYGT AJ, PER),g • R ?RO,iCf tsDDPESSf 4 9-� P�,t` - L e A O APNm 0151 uZ ❑. Olt P.•3U7 D�i ®01 rhER AC?rvT © COI,-r,Z4CTO7k ❑ COA7? SCTOX AGEN7 ❑ � G B.CT O �riC?�_�R ❑ D`c1 -LDP ❑ hts� C=MG USE ppoeo5EI7 DISE I CONS -1-R- TYPBr STOPES CO)viBACfORI�A7 r ` - I LIC i�Sc1SU1� rP. fj STRri.f�DPs55 �Ct S7hT?, y :Ax •A!AIL Ac^a PH0rz'1p�=, C01IFFAC7 NA?1M6D { ep"` €f C��i� E-1�A,� t (d W qvz S T M.-; ADDRESS CITY, STA i e, Z3 I p A3.C:rrCrrzNGIIgEF k 4At/_ LI CEI SSN,I a R 0151 uZ ❑. Olt P.•3U7 D�i ®01 rhER AC?rvT © COI,-r,Z4CTO7k ❑ COA7? SCTOX AGEN7 ❑ � G B.CT O �riC?�_�R ❑ D`c1 -LDP ❑ hts� DcSCPPil01%t OF lrOP.f�-• 'e i w^1 F' . to 1! V t rl- a 0 I.N. . 1p� J' , 0 ix , 3 ,-4 Sd' /� A , 1 i C=MG USE ppoeo5EI7 DISE I CONS -1-R- TYPBr STOPES CO)viBACfORI�A7 r ` - I LIC i�Sc1SU1� rP. fj LiCMRsBTY7S } BUS ILIC R colleAN-y X-- yrs „ ( •A!AIL Ac^a MIS I OCC, I SQ,tT. I q 7�S7G ST" ET 7 'cS V I MTV, I A3.C:rrCrrzNGIIgEF k 4At/_ LI CEI SSN,I a R 3US• LIC R C01 �PAIQ A} E-MAM FIX S7Rr'cT fS,DP� ss p f ary, SrA � �, 'm I P zor DcSCPPil01%t OF lrOP.f�-• 'e i w^1 F' . to 1! V t rl- a 0 I.N. . 1p� J' , 0 ix , 3 ,-4 Sd' /� A , 1 i Bld&�Pp_2011.doc revise.' 0612MI I C=MG USE ppoeo5EI7 DISE I CONS -1-R- TYPBr STOPES E! 1 USE MIS I OCC, I SQ,tT. I V.-_LUATiO?� 7�S7G NZ FLOORI DZ -1140 TOTED I F,L'A AP, -A 1UEA ?e%t ARBA yl k BAT:ROOM I k C:D�I DT R P---140 MLAREA -1140,DELAYTA I R1HODELAREA Ij I ?ORCHARZA DECKAR=A I TOTfIpSCI:,:ORCHAA.A G+1tAC•EP.,�--A: LJ D=TAC?i E{ ❑ A,iAC 3 E DR ELMNG UI -j S: 1S A SECOND UNrr ❑YDS SECOND ETC) PY [j? _3 BEING ADDED? ❑NO Az!,MON? 01.0 fj upy-eMCATION ©1_S=1:S,PSZp1!^J„COPY OF 1STF1L!3LDGfN ❑S.a” _-� �s- r.,,fir✓,?',.T •�-�=-:*e•�c -- --.- PLAh4.'74-0E7PL� ❑NO PLAJW7,� a-,'GA?;ROYALL_,i�? EICHTER:IOhfi,? Q?i0 _ I a p I,,. -•y q-!er or aLth_ri_.-d n i y ,e B r si;!!a ure belo;v I ce: i `_o each ci the .elle, , ^a' n the rope., o;; t a- z_e<:t to act o the pope owner's beh..lr I hti read this application End the L�formation I have provided I'S Co;, act, I h~ °read tha IDescriptior? of 1�t%prk and veri_ry it is pec Mte. I agree to -comply -with ail Epplicable local Drain€aces and stetd1%ws-n4e1i! ^r:a b +t c?na c ` Lction, !` o ' s re• , ° er`-tii,F`s'of upertiDo to enter the above-idert`i_"ped Dr pe = r +asgection puTposts. Siplat.rnof Al)pllcntC4pp-t: Date: , SU-PPL.FI;f, _PWTLlTrO?ZN ; UIR7—HD 7=•mss;, _?L:�'C���1Yr___`-'� ;^z=-= c � -�:"- _ __ t'= =.�-� ri���--� X1-1- -� New C ! fnl'fkrn, '1 of inc - - �F�Orl1--_t.,c,..l. Gli%;..,1.._5; i'i ;:r,i r y _ Apply for d�mDJ.a.Da pe. --__t .a_ •`� ��2�-•`-.'#.:•.F1?�tr''dMic.-�=-`�^�?.__� s.:ra , c c I -r li`i i` - -=ri.} existing a;.3I10113�{..�. �C:.O. t Oil y^eirel.t IS .eO,L]e,._ 7r10r i0 .SSi:E'?C9 O�a�, til '•-6 e«:it for ner buildi tr S`i ? !.)�. —�� -- ___=_-_ = _—_- ,:�� � ?_�=�� '- -- _ �� _-•- __ `.�5.- vs--- Co-inerciEl 31025: FO -vide a co,:ap :7a doaS Mia. i 1 i ' 1 ' 1- _ feted eras sc s _��`-'nR ,+ti =�_�'-moi-=� —_ • -_--- �� _�l%`�a�:�l�'Js. y __- fc if:, I�sz-cons l;�at� 1 , _ a ..rSa_s a:.. �c r ed as ,»� a, f;t' I s pro ct, t_ =� - - __ �. - �=.^ = _ -_� `x�=r'�•..__ _ _e `.` .. - �,. - - %Pc Ian^.5:16 ��-=�_�-.�:T�-.,=.s= - -•'- anij)'r,O ) R it — Copy of Ply=.,.I._ _aero'` al Les:ie, or l,�_,.tin- t,ltll �',___ prior to - _-- -_ �=r-�'-� �= ��� _ -�-�.��_ `_s y - _ - _ _-�_._;-,°- --���;:.,=._�t.�_-•�-, ^�J t SL•hmiiaal of Duild_ a. Pc-nrii applicc ion, -sem "-- �.�+ - .•.sem — �- �u _'—=�r_�Ti R3r�c1a,•� Yom=•:-'�'J_t - - _ 2- n.. Ind - — _= �� =:L:CY :��•�� : n �n_�" - _ �:�.� ~ _-u_k7-1t\��'T✓..vI1•�:£1:.� .�. L7. L._Y ��n.-_:. Bld&�Pp_2011.doc revise.' 0612MI I - 11 ��Ope �F 0 -- P.-P-awv- por(Wj-CMIOT� OW IN ab, Goin^- 4 wpne W rl-H NEW D,09 -M Co�ust� (Z'A"m"A � rom I W 17H NRKI6v, 'K4 Rrwoa Mcn,t ia)-�j "Afm 1-4 WITH NfN App�lAoCt Ia./r'- Ocjqnw-1 r(.Iat.MJ� fV-T KO 0 WAP W *jj NW PWHAA61 f<0VA•Cr-- WITH H04 i5 V4,7- Cow . e DRAWING NO: (F,) OAMO 0,1C _ I/ I11A �y f IIa t TC41 I . gr -q d I .-- mo wod, Ck�GIJMf>I COMMUNITY DEVELOPMENT DEPARTM NT � 411(15) BUILDING DIVISION - CUPERTINO-]'fQuf Ioppr r This set of plans and specifications MUST be kept a the ON C,116)1 ;Ob site during corstruction. Itis unlawful tomake -' y -Ageo,M"altermio -on same, or to dev, to — therefrom, without wlihout approval from the Building Official. The Stamping Of this pian and specifications SHALL NOT be held to permit or to be an approval of the violation Blany prt�v i o a °ity Ordinance or State Law. DATE PERMIT # F� – APEPOV E D: 21-a2k;,1 TOMER: SCALE " = FT. CUSTOMER: �p� Prod member ®6• REVISED: ALL DIMENSIONS & SIZE DESIGNATIONS-'�C�t1"� 4 I 'PA -T1 rnarTB�f rrofvtoner= SUPERSEDES DRAWING GIVEN ARE SUBJECT TO VERIFICATION 60 -/470-) M61 r rnreum� VM-F� &Oath lnduafry NO: ON JOB SITE AND ADJUSTMENT TO FIT An �gOD14 JOB CONDITIONS. U��fi ee F(GbGt�' I �Ujp1tT �� P1rE _ I/ I11A �y f IIa t TC41 I . gr -q d I .-- mo wod, Ck�GIJMf>I COMMUNITY DEVELOPMENT DEPARTM NT � 411(15) BUILDING DIVISION - CUPERTINO-]'fQuf Ioppr r This set of plans and specifications MUST be kept a the ON C,116)1 ;Ob site during corstruction. Itis unlawful tomake -' y -Ageo,M"altermio -on same, or to dev, to — therefrom, without wlihout approval from the Building Official. The Stamping Of this pian and specifications SHALL NOT be held to permit or to be an approval of the violation Blany prt�v i o a °ity Ordinance or State Law. DATE PERMIT # F� – APEPOV E D: 21-a2k;,1 TOMER: SCALE " = FT. CUSTOMER: �p� Prod member ®6• REVISED: ALL DIMENSIONS & SIZE DESIGNATIONS-'�C�t1"� 4 I 'PA -T1 rnarTB�f rrofvtoner= SUPERSEDES DRAWING GIVEN ARE SUBJECT TO VERIFICATION 60 -/470-) M61 r rnreum� VM-F� &Oath lnduafry NO: ON JOB SITE AND ADJUSTMENT TO FIT An �gOD14 JOB CONDITIONS. U��fi 'HENS by MEYER CONTRACTOR LICENSE 323DBI 650.968-7866 278 CASTRD ST. MTN. VIEW, CA 94040 'Puff* s U), CN) Naw C�> (i�lh iINC� w�� UPERTINO tri llding Department IPM 19 2016 .r REVI ED FOR CODE COMPLIANCE Review d By: THIS IS AN ORIGINAL DESIGN ARID MUST NOT BE RELEASED OR COPIED UNLESS APPLICABLE FEE HAS BEEN PAID OR JOB ORDER PLACED, ee 'HENS by MEYER CONTRACTOR LICENSE 323DBI 650.968-7866 278 CASTRD ST. MTN. VIEW, CA 94040 'Puff* s U), CN) Naw C�> (i�lh iINC� w�� UPERTINO tri llding Department IPM 19 2016 .r REVI ED FOR CODE COMPLIANCE Review d By: THIS IS AN ORIGINAL DESIGN ARID MUST NOT BE RELEASED OR COPIED UNLESS APPLICABLE FEE HAS BEEN PAID OR JOB ORDER PLACED, DRAWING NO: APPROVED: x SUPERSEDES DRAWING NO. 9 (g) 0110 rnpg_ SCALE —�V" _-I—_ FT. ALL DIMENSIONS 81 SIZE DESIGNATIONS GIVEN ARE SUBJECT TO VERIFICATION ON JOB SITE AND ADJUSTMENT TO FIT JOB CONDITIONS_ CUSTOMER: �jA P642-fI NO, C - R5-OIq-. N - �-- -1 roz taa-tg L'Am-fiNo WAA,p . «i vtolf,44. CUPERTINO 130dinJ Department JAN 19 2916 FOR CODE COMPLIANCE roed By. '4%--7311 ---- 70 Proud member of =ECHENS &p� MEYER ' / ,p A 7LeljitvI CONTRACTOR LICE BE 323001 THIS IS AN ORIGINAL DESIGN AND Ij�'_ .I FJi\ r r dorsals 659-968-7866 MUST NOT BE RELEASED OR COPIED t&lQafllnd ufry 278 CASTRO S7. UNLESS APPLICABLE FEE HAS BEEN MTN. VIEW, CA 94049 PAID OR JOB ORDER PLACED. DRAWING NO: t -TO I IATcw Mll rOM41 UJjl�t_� ourl,t:r M/W am -P I NI"t®p, aAs A6,Ae WN Dvem - t r U HERTINO Quiding Department 19 7.016 REVIEWED FOR CODE COMPLIANCE 'y 11 Reviewed By: A I i-317-15- APPROVED:GRID I CUSTOMER: -y_ - ��- SCALE " =�_ FT. Proal member oF. MTCHE �jS r I, REVISED: AC11F"j 4 r'?t'(1 Hllictw TheFinae CONTRACTOR uc SEazaml THOS IS AN ORIGINAL DESIGN AND ALL DIARESIOBJE SIZE DESIGNATIONS rarr. o a< 650.968-7866 MUST NOT BE RELEASED OR COPIED n �� SUPERSEDES DRAWING ON JOB SITE AND GIVEN ARE SUBJECT ADJUSTMENT TOt IT "nc�xmF" �7�✓ ll�l� �v� �t�� �� &RarhLtduslry 278CASTROST. UNLESS APPLICABLE FEE HAS BEEN NO. OB CONDITIONS. ADJUSTMENT TO FIT %.1 1. ; MT N. VIEW, CA9404o l/°'j PAID OR JOB ORDER PLACED. (—!, An [DRAWING NO: REVISED:_ SUPERSEDES DRAWING NO. — SCALE —YZ-"" =-L--FT. ALL DIMENSIONS & SIZE DESIGNATIONS GIVEN ARE SUBJECT TO VERIFICATION ON JOB SITE AND ADJUSTMENT TO FIT JOB CONDITIONS. ISTOMER: Proud member f. KIT(CHENS L3LM AJA-T4 rg-fl n F1 CONTRA OR Ll 323091 278 CASTRO ST. MTN. VIEW, CA 94040 11CUPERTINO sui'ding Dep7Ftlnenj -11 .141m I v p,n— EV'EWSD FOFJ C()r)Fj COMPUANCr Reviewed By: THIS IS AN ORIGINAL DESIGN AND MUST NOT BE RELEASED OR COPIED UNLESS APPLICABLE FEE HAS BEEN PAID OR JOB ORDER PLACED. 11 ING NO: (D I ` w\1A-r' &? N - CUPERTINO Building Departrnent v ^� JAIN i J 20115 REVIEWED FOR CODE COMPLIANCE Reviewed By: arc SCALE 2' " =_�FT. CUSTOMER: Proud member of.- MTOE Ns �D MEYEP. REVISED: CONTRACTOR LICE E32SM1 PHOS IS AN ORIGINAL DESIGN AND SUPERSEDES DRAWING ALL DIMENSIONS & SIZE DESIGNATIONS GIVEN ARE SUBJECT TO VERIFICATION �� 17I 6tIGK,U®, _Xne1 I irieFmear 2X2.1111.11 &Bach dlddslry 650-968-7866 278 CASTRp ST. MUST NOT BE RELEASED OR COPIED UNLESS APPLICABLE FEE WAS BEEN ON JOB SITE AND ADJUSTMENT TO FIT II'�L'�'�Qk'IN L,�if MTN. VIEW, CA 94040 PAID OR JOB ORDER PLACED. Y 't NO. JOB CONDITIONS. e* 1.4P9,h') -r" i M6 r`A. -IT. I I { V�k'a�� bN bid I clay TING \ { 1 s F3uil my D artment 2013 (9 CAT �V REVIEWED FOR C09E COMPLIANCE MA(ltr, GP"� o l DRAWIE _ _ �_..._ .1�. , j.'I._-_1-:iA_._�-1.1GErff�l.�a1 ..1�'/`cfl p }fl.S�1�Gl�� �(la jt�► �f APP 11 id _ CUSTOMER: 'Proud member of. �i°w�' �H��' Typg IS AN ORIGGNAL DESIGN AND SCALE t �FT, coNiRgcTgaucENse'azawt REVISED: 7 nP 650.988.7886 MUST NOT BE RELEASED O.R COPIED 0*1 ALL DI ENSION5lI<SIZE DESIGNATIONS Pnfe°°°°' �ITt—�fA�(SP(% mfaox«u°A 278CASTROSL UNLESS APPL9CABLE FEE kiAS BEEN �:r SUPERSEDES DRAWING GIVEN ARE SUBJECT TO VERIFICATION �����//� &'n°°�°° so-y MTN. VIEW, CA 94040 PAID OR JOB ORDER PLACED. ON JOB SITE AND ADJUSTMENT TO FIT I I�f ``✓�'�'11 N0. JOB CONDITIONS. 6WITVA pov-- to pwT, w6wj,b?A'60w 101 NZ€20�WIND®ra vi i -f-1 cc -IIA i61 ff-04"<v WIM9 AITACK- r?1076 CN) FHWE OUTWAT Il 4imlTNR9- vJA9MP", L- . WA X61 1 jC� Nil Al. MIR - 0 -Flow- Iftiv.4-- of el 11,011T -Vpvw(. 014- GUI (h -T GI I I F ww 12AN 6 1, P644 W*viW— cupoKTm, ww 04t�. ti lvwpwia� -aww, T 9 REV RLVfeQft:. 0—"� T— kl NT .......... . i- m===3 (tfqpp,"tk)t- T W;,� FD *TWj0-- WALL SGoN -e Igo (b, DRAWING NO:F et rivi I I I 57 ol APPROVED:- REVISED:- SCALE-�V"= I FT. CUSTOMER: �AIAT4 F941 I o h-o.dmemberof TCHIENS IU WYE CONTRACTORUNKE32HOi T IS AN DESIGN AND ORIGINAL DRAWING SUPERSEDESCATION DESIGNATIONS ALL DIMENSIONS& SIZE DESIGN GIVEN ARE SUBJECT TO VERIFICATION New I 650-968-7866 MUST LIST NOT BE RELEASED OR COPIED NO. ON JOB SITE AND ADJUSTMENT TO FIT �LAPXTI 278 CASTRO ST MTN. VIEW, CA 94040 UNLESS APPLICABLE FEE HAS BEEN PAID OR JOB ORDER PLACED. JOB CONDITIONS. 7.* SMOKE!CARBON MONOXIDE ALARMS • ly/ OWNER CERTIFICATE OF COMPLIANCE ETI FiLr COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION eaS 3ra3lit, 10300 TORRE AVENUE.b CUPERTINO,CA 95014-3255 CUPERTINO , (408)777-3228.FAX(408)777-3333•buildinci(&,cuDertino.orq :07? 2 016 i 2-1 Sex-r—A SY ,‘, f :„-;14 473alukto 0 tide: PERMIT CANNOT BE IFINALED AND cogtunD UNTIL THIS CERTIFICATE BI op d Toktoggugiponigviwei PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section p14,: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 ihi the immediate vicinity of the X X bedroom(s) 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 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 dwellingunits, alarms are permitted to be solely battery operated where repairs or alterations do. not result in the removal of wall and ceiling finishes ofthere is no access by means of attic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.62.An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above-referenced property,Ti hereby certify that the alarm(s)referenced above has/have been installled in accordance with the manufactoirer's instructions and in compliance with the California Buillding and California Residentith Codes.The alarms have been tested and are operational, as of the date signed below. II have,read andlad,ree Ecri G91144' WM;Pig)terifirgsl amt/co in ofrthistakefinatat 1.4:4•Wteig4404.M.5.! . 1, FR 1 k 1-NLY11-.)cco VIM% Z-AJA \ -k-Lk-490 ags.0 3J. 1.16 CernidoeN-INA . elri q, .611P,e ,e`.,zZii I SIUDRO ancil COYfo dac revised031118M4 \\ 11/ WATER-CONSERVING PLUMBING FIXTURES r TILE OWNER CERTIFICATE OF COMPLIANCE - : COMMUNITY = COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION Rft, • CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333.buildincacuoertino.orq Owner Name. PR I T 1 la =\(.._oo . . Permit No; g .2-61 1 Z.l e Address l 15 '32 SeArr.AA SpyNLIAciA, Uri) a_ukz) c-a` 5' o 14 1. Is your real property a registered historical site? " 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. -'1Vo 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. 0 The licensed plumber's certification has been provided to the Building Division. Skip the rest of the form and sign bottom of form. W4To 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. 0 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: f [VMy 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). ❑ 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 shallbe replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). O 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 Ownerfigent's Signature c - -� c� Dat6':) l 3 ! �" 4-- Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB4072015.doc revised 08/26/15