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B-2017-1298CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-1298 10121 CRAFT DR CUPERTINO, CA 95014-3474 (375 02 009) MIKE COUNSIL PLUMBING INC SAN JOSE, CA 95131 OWNER'S NAME: YEE HELEN J AND ANDREW E TRUSTEE OWNER'S PHONE: 650-245-4102 LICENSED CONTRACTOR'S DECLARATION License Class C36 Lie. #679261 Contractor MIKE COUNSIL PLUMBING INC'Date 04/30/2019 I hereby affirm that I am licensed under the provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business & Professions Code and that my license is in full force and effect. I hereby affirm under penalty of perjury one of the following two declarations: i. 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 performance of the work for which this permit is issued. z. I 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 this permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 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 expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Sectio yr— Date 08fi,2017 11. IN_ 4- Wk I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: i. I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec.7044, Business & Professions Code) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: i. 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 performance of the work for which this permit is issued. z. I 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 this permit is issued. 3. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. If, after making this certificate of 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 be deemed revoked. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby 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 expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature Date 08/7/2017 DATE ISSUED: 08/07/2017 PHONE NO: (408) 272-4900 BUILDING PERMIT INFO: BLDG —ELECT X PLUNIB MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: REPIPE (COPPER)- FULL APT # A, B, C; (I) 40 GAL WATER HEATERS (3) - SAME LOCATION Sq. Ft Floor Area: Valuation: $38315.00 APN Number: Occupancy Type: 375 02 009 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: Jasmine Archbold Date: 08/07/2017 All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without first obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 08n/2017 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 25505, 25533, and 25534. Owner or authorized agent: Date: 08/7/2017 C N TR1;4T'ON DiNDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional GENERAL PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT ^ BUILDING DIVISION j 10300 TORRE AVENUE ° CUPERTINO, CA 95014-3255 CEJi?EFcTlNQ (.� (408) 777-3228 MISC I3 -10C�— FAX (408) 777-3333 • building Cckuperdno.Org I ^9 1PLUMBING ❑MECHANICAL ❑ELECTRICAL [].MISCELLANEOUS PROJECT ADDRESS (o 1'2-�a /� � D f A APN # OWNERNA24 i5 H(, Jv)Z/`S q16 A81 YQQ/ PH(C56)x E MAIL STREET ADDRESS -2 �(� jI /L CITY, STATE Z CL /�^� FAX CONTACT NAMEa 60PHONE E-1vLAIL STREET ADDRESS CITY, STATE, ZIP FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR 9CONTRACTORAGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR�� E A N j 1 LICENSE NUMBC,, LICENSE TYPE ^ v BUS. LIC # /CO T COMPANY N , t J lil t ��` ( y "'tr�G b Z;k Q _ it1.l 2. Q j�/4L' ww1�� Co.fi�, FAX STREET ADDRE S, S oat e, (iUo_ STATE, ZIP CITYlos Q, (213 I HONE Al g V 1 Y 160!' ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC #; i COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE USE OF ❑ SFD or DUPLEX MULTI -FAMILY BUILDING: ❑ COMMERCIAL, PROTECT IN WTLDLAND ❑ YES URBAN INTERFACE AREA ❑ NO PROJECT IN ❑ YES • FLOOD ZONE 11 NO IS THE BLDG AN j ❑;IVES EICHLER HOME? 1 ; : ❑ � NOi ,1 DESCRIPTION OF WORK ,�1I�(�. c �� - a� ads ;b�� w � ►� r� � �� a 2 LAP%A TOTAL VALUATION: R aruD n By my signature below, I certify to each of the following: I am the property owner or authorized agent to act on the property owner's behalf. I have read tfiis application and the information I have provided is coned. I have read the Description of Work and verify it is accurate. I agree to comply with alliappticable local ordinances and state laws relating to buqdingconstrpction. I authorize representatives of Cupertino to enter the above -identified property for inspection purposes. Signature, of Appl.icant/Agent: Date: SUP EMENT INF RMATION REQUIRED OFFICE USE ONLY W _ ❑ OVER THE -COUNTER '. v, ;" ❑ EXPRESS U' ❑ STANDARD ❑ LARGE 0. ` ❑ MAJOR MEPMiscApp_2011.doc revised 06/21/11 , SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE s,1% COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 (408)777-3228•FAX(408)777-3333• buildingAcupertino.orq PERMIT CANNOT BE FINALUD UNTIL THIS CERTIFICATE HAS-BEEN., COMPLETED,,SIGNED,AND RETURNED TO THE:BUILDING DIVISION PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 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.Sul ply In dwelling units with no commercial power supply, alarm(s)may be solely battery operated. In e`er g dwelling units, alarms are permitted to be solely battery operated where pairs or alterations do k. re not Z_ It in the removal of wall and ceiling finishes or there is no access by means OftivIg,basement or crawl spErAefer toCRC Section R314 and CBC Sections 907.2.114 and 420 6.2. An electrical permit is required for earl;=rs whiche connected to the building wiring. As owner of the,above-referenced property,I hereby certify that the alarm(s)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 /� ,�� Address: O I t( c, Y t2 Aft: j a V%l�n-17 ® vulfit.f 1 ' 'ermit No. 11-`/Z An / Specify Number of Alarms: #Smoke Alarms. ., #Carbon Monoxide Detectors. WI a I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: tSignature /. ." Date: Contractor Name: ��// georef��'�/eSignature f t/sd✓l Lic.# Z\Q.\. Date:efIghl (/ ,.-< .�.��:ke and COfonn.doe revised 12/15/16 . . WATER-CONSERVING PLUMBING FIXTURES rio OWNER ER CERTIFICATE OF COMPLIANCE "- '4 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION 11pEFtTR$O 10300 TORRE AVENUE• CUPERTINO,CA 95014-3255 i / 4 8 7 3228•'FAX(408)777-3333••buildinc cupertino.orq Owner Name C`(eL4/V 1 /� Q Air / "f Permit No.fr.'°"' n Address t n I l c i kPr D1 ,, AC f A eekaA ° - bk,O/it 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 sign bottom of form. i—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. p—No- Go to Question 3, 3. Is water service permanently disconnected for your building? 0 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? 0 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: 0 My property is a single faintly 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 shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improvements). 0 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 per jury 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: LA � ^'�-44Axe. C LOA- - Date: 9/6-47 Upon completing and signing this Cert'ficate,please return it to the Building Division in order to final your building permit. ✓its i'/t-e_ 6-11e -ice (� SB407 2015.doc revised 01/05/17 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE "'ea.?, COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buildinq(a�cupertmo orq ��a� �I'.EI�11�I�'3�t�1�11I'(3��Bl�s�FIl�'A��I� � " ��x�'� � �� EM, , W t; IL T S Cklfhtt AT HAS I t,h titif �� T EB I S 1JJ IS i PURPOSE _.. : This affidavit is a self-certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2016 CRC Section R314,2016 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 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 alarm(s)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. Address: IC 1 c-C -\-f ,(AMR`11/416 -0.-r-n7 Permit No. i'20I4-a:76 Specify Number of Alarms: #Smoke Alarms: I I' #Carbon Monoxide Detectors: I have read and agree to comply with the terms and conditions of this statement Owner(or Owner Agent's)Name: n`sime��11�,„_�� oma, Signature • V.. Date: 4vgli. Contractor Name: pp p g pen rigA Signature. 1. Lic.#t@ � lp Date: Smoke and CO form.doc revised 12/15/16 1 WATER-CONSERVING PLUMBING FIXTURES '` OWNER CERTIFICATE OFC COMPLIANCE s COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION CUPERTINO. 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 61 r� ( 0 77 -3228.FAX(408)777-3333• buildinq(a,cupertino.orq Owner Narne [�� NbtJ Permit No. l3 -20 17 _I Zit address lb(2-1 c-QJWTi)e APaJ WF6 -'I l�D) �' 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 sign bottom of fonn. g No Go to Question 2. ' 2. Does your real property have a licensed plumber certifying that,due to the age or configuration guration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? 0 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 fonn. A 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? 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 fonn and sign bottom of form. F.kYes 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.. ►. Please check ONE of the following: 0 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). My property is a multifamily residential real property. See Civil Code Section 1101.5. vvv 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). 0 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 ofpeijury 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: L4..4 • r 4„,1A ' Date: 1/6.--h 7 Upon completing and signing this Ceti cateiplease return it o the BuiIdin Division in order to final your building permit.Q ie, SB407 2015.doc revised 01/05/17 F SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISIO GUPERT I t 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-3228•FAX(408)777-3333•buiidinq(a�cupertino.orq ` r �E�R1PIT-M OT BE g"1; .ED ICAPTT,ITAIIS C ITIFA�I� IAS VgN 11 �. » � T E LI I i S:V PURPOSE This affidavit is a self-certification for the installation of all required Smoke and Carb on Monoxide Alarms for compliance with 2016 CRC Section R314,2016 CBC Sections 420.6 and 907.2.11.2 here no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi-family dwellings shall be provided with Smoke Alar s 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 Smok:Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALA i'M 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 X Carbon Monoxide alarms are not required in dwellings which do not contain fuel-bu ing appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke al. s 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 -olely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where re•airs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of .ttic,basement or crawl space.Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2.An electric. 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 alarm(s)reference. above has/have been installed in accordance with the manufacturer's instructions and in compliance with t e California Building and California Residential Codes. The alarms specified below have been tested and ar: operational, as of the date signed below. Address: \ � - '� c is '� � Noo Pe"mit No. g.---70?- i 2 L.) Specify Number of Alarms: #Smoke Alarms: 177 #Carbon Mo oxide Detectors: ,f I have read and agree to fomplz with the terms and conditions of this sta'-ment Owner(or OwnerAgent's)Name: /' /_ cAt vM- le ci g e Signature... /1'`Q/ C'� Date: 9/0' Name: Contractor N /` e r N ��VG Signatu� 1 ,/ Lic.# ,2.-Se.I Date: 47/..5:67 Smoke a.d COform.doc revised 12/15/16 f MATER-CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTits€0 10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 + ' 408 7-3228 FAX(408)777-3333 buildinq(a cupertino.orq j Owner Name _IHI ,p � —'J: NO No, 2 0( ® 12 9g Address ( 0 � 21 CRA F1 Pg, �C, OR Pe O 15-019 i. , Isro our real property p rly 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. ''71,,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. 0 The licensed plumber'scertification 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? 4 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fonn. No Go to Questibn 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 CodeSections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of fon-n. Yes My real property is built and available for use or occupancy on 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: 0 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). Myproperty 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). 0 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 peijury 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:____CA i (- `. - l I Date: 7M Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. ChV i WA e C -yg " SB407 2015.doc revised 01/05/17