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13120145 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1048 WESTLYNN WAY CONTRACTOR:SAMPATH CHERUKURU PERMIT NO: 13120145 OWNER'S NAME: SAMPATH CHERUKURU 1048 WESTLYNN WAY DATE ISSUED:03/06/2014 OWNER'S PHONE: 4084109187 CUPERTINO,CA 95014 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL COMMERCIAL ADD 395 S.F.TP ENLARGE MASTERBATH,ADD 3RD License Class Lie.# BATHROOM,EXTEND PORCH COVER&REPLACE(E) Contractor Date WATERHEATER(N)TANKLESS SYSTEM 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 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. Sq.Ft Floor.Area: Valuation:$80000 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 APN Number:35927001.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct. 1 agree tocomply with all city and county ordinances and state laws relating WITHIN 180 DAYS-AUF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS OM LAS CALLED INSPECTION. 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 Issued by: Date: Cf� with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. RE-ROOFS: Signature Date 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. 51> OWNER-BUILDER DECLARATION Signature of Applicant: Date: I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 1,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) 1,as owner of the property,am exclusively contracting with licensed contractors to HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(x)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Section 2 0 33 d 25534. Section 3700 of the Labor Code,for the performance of the work for which this Q0_1 permit is issued. Owner or authorized agent: �� Datea I certify that in the performance of the work for which this permit is issued,I shall of 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.l CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,l must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(Sec.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address I certify that I have read this application and state that the above information is correct.1 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, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the 1 understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point sou re ulations er lie Cupertino Municipal Code,Section Licensed Professional 9.18. _a[ ,{ J� Signature f K Date (,1 114- CONSTRUCTION PERMIT APPLICATION O COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 \ Cl1PERTlNG1 (408)777-3228• FAX(408)777-3333• building@cupertino.org ❑NEW CONSTRUCTION ADDITION ❑ ALTERATION/TI ❑ REVISION/DEFERRED ORIGINAL PERMIT# PROJECT ADDRESS /� V ) APN# _/N /N OWNER NAM r. ^ PH4 q / TE-MAIL STREET ADDRESS CO)V `NAtyl �b E WG E-MAIL ST T�ADD(R�E/S —� CITY,STATE,ZIP (� i FAX ❑ OWNER ❑ OWNER-BUILDER ❑ OWNERAGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSE NUMBER LICENSE TYPE BUS.LIC# COMPANY N.MME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT EER JAME .; / LICENSE NUMBER BUS.LIC# COMPANY N E { E-MA( ti FAX tc u, S rr,l►dpi C� ®l (_,5VA ST ADD�RESs–V CIT ,STATE, IP PHONE / DESCRIPTION OF WORKaaa `�'S EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES ` _" I USE TYPE OCC. SQ.FT. VALUATION(S) EXISTG NEW FLOOR J DEMO TOTAL AREA I ) .1 AREA �7 AREA NET AREA BATHROOM YC V KITCHEN OTHER REMODEL.AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREALT []ATTACH TAL DECK PORCH AREA GARAGE AREA: DETACH #DWELLING UNITS: IS A SECOND UNIT ❑YES SECOND STORY ❑YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES T TAAL YAj,UATION: PLANNING APPL# ❑NO PLAI\'NLNG APPROVAL LETTER EICHLER HOME? E]NO (//J(////S By my signature below,I certify to each of the following: I am the property owner or authorized agent to act e property owner's behalf. I tave read this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable Iocal ordinances and state Iaws relating to building cons ruc 'on. I authorize representatives of Cupertino to enter the a l ve-ide tifi,d propenyf r inspection purposes. Signature of Applicant/Agent: — e_ Date: ' %LV SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition pennit for ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS'S ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. (❑ �] LARGE FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to Submittal of Building Permit application. ❑ MAJOR ❑ SANITARY SE�VERDISTRICT ❑ ENVIRONMENTAL HEALTH B1dgApp_2011.doc remised 06/21/11 CITY OF CUPERTINO FEE ESTIMATOR- BUILDING DIVISION ADDRESS: 1048 WESTLYNN WAY DATE: 12/18/2013 REVIEWED BY: MELISSA APN: 359 27 001 BP#: 3` /��- *VALUATION: 1$80,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex 2nd Unit? Yes No PENTAMATION 1 R3SFDADD USE: OTC. 0 Yes E)No PERMIT TYPE: WORK ADD 395 S.F. TP ENLARGE MASTERBATH ADD 3RD BATHROOM EXTEND PORCH COVER & SCOPE REPLACE (E)WATERHEATER(N)TANKLESS SYSTEM OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR. s.f. R-3 (Custom) II-B,III-B,IV,V-B 395 $1,579.00 IADDPLCK $1,284.00 IADDINSP TOTALS: 395 $1,579.00 $1,284.00 MECH, iOURLY Yes Q No PLUMB,A©URLY Q Yes ( No ELEC,HOURLY ( Yes Q'No Plumb.Plan Check 0.0 hrs $0.00 Plumb.Permit Fee: IPPERMIT Other Plumb Insp. 0.0 hrs $47.00 (;i�; ;;+��. �� Lj NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works,Fire,Sanitary Sewer District,School District,etc). Thesefees are based on the prelimina information available and are only an estimate. Contact the De t or addn'1 info. FEE ITEMS (Fee Resolution 11-053 UL 7/1113) FEE QTY/FEE MISC ITEMS Plan Check Fee: $1,579.00 = # Plumbing Suppl. PC Fee: (F) Reg. Q OT 0.0 hrs $0.00 $28.00 IPRWHEATR Water Heater PME Plan Check: $0.00 Permit Fee: $1,284.00 Suppl. Insp. Fee-0 Reg. Q OT 070hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $47.00 Ciinstj-rr�ticn T�a�: 0 rltlinl?ILCIj"�Prl'_'1"Pi_': Work Without Permit? Yes (j) No $0.00 0 Advanced Plannin&Fee: IPLLONGR $55.30 Select a Non-Residential E) Travel Documentation Fee: ITRAVDOC $47.00 Building or Structure i Strom Motion Fee: IBSEISMICR $8.00 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $4.00 SUR 'tTALS $3,024.30 $28.00 TOTALFEE: 1 $3,052.30 Revised: 10/01/2013 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 1048 WESTLYNN WAY CONTRACTOR- PERMIT NO: 13120145 �i/%!+✓ l C.h z'a<'/�o-`°knot�fI OWNER'S NAME: SAMPATH CHERUKURU DATE ISSUED:03/06/2014 OWNER'S PHONE: 4084109187 PHONE NO: ❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL E] COMMERCIAL E] ADD 395 S.F.TP ENLARGE MASTERBATH,ADD 3RD License Class 4� Lic.# BATHROOM,EXTEND PORCH COVER&REPLACE (E) Contractor WATERHEATER(N)TANKLESS SYSTEM I hereby affirm that I am licensed under the provisions of Chapter 9 REVISION#I-RECONFIGURE MASTER BATH INCLUDING REMOVING (commencing with Section 7000)of Division 3 of the Business&Professions EXTERIOR DOOR,ADD 2 WINDOWS&ENLARGE I WINDOW.-ISSUED Code and that my license is in full force and effect. 4/7/2014 I hereby affirm under penalty of perjury one of the following two declarations: I have and will maintain a certificate of consent to self-insure for Worker's mpensation,as provided for by Section 3700 of the Labor Code,for the erformance of the work for which this permit is issued. Sq.Ft Floor Area: Valuation:$80000 J-Mve 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 APN Number:35927001.00 Occupancy Type: permit is issued. APPLICANT CERTIFICATION I certify that I have read this application and state that the above information is PERMIT EXPIRES IF WORK IS NOT STARTED correct I agree to comply with all city and county ordinances and state Taws relating WITHIN 180 DAYS OF PERMIT ISSUANCE OR to building construction,and hereby authorize representatives of this city to enter upon the above mentioned property for inspection purposes. (We)agree to save 180 DAYS FRO D INSPECTION. 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 r the Cupertino Municipal Code,Section 9.18, RE-ROOFS: Signature Date 24 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. ❑ OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of Signature of Applicant: Date: the following two reasons: ALL ROOF COVERINGS TO BE CLASS"A"OR BETTER 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 HAZARDOUS MATERIALS DISCLOSURE construct the project(Sec.7044,Business&Professions Code). I have read the hazardous materials requirements under Chapter 6.95 of the California Health&Safety Code,Sections 25505,25533,and 25534. I will I hereby affirm under penalty of perjury one of the following three maintain compliance with the Cupertino Municipal Code,Chapter 9.12 and the declarations: Health&Safety Code,Section 25532(a)should I store or handle hazardous I have and will maintain a Certificate of Consent to self-insure for Worker's material. Additionally,should I use equipment or devices which emit hazardous Compensation,as provided for by Section 3700 of the Labor Code,for the air contaminants as defined by the Bay Area Air Quality Management District I performance of the work for which this permit is issued. will maintain compliance with the CupertingAunicipal Code,Chapter 9.12 and I have and will maintain Worker's Compensation Insurance,as provided for by the Health&Safety Code,Sections 2550 5533,and 25534. Section 3700 of the Labor Code,for the performance of the work for which this Owner or authorized agent: Date: permit is issued. 1 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,1 CONSTRUCTION LENDING AGENCY become subject to the Worker's Compensation provisions of the Labor Code,I must I hereby affirm that there is a construction lending agency for the performance of forthwith comply with such provisions or this permit shall be deemed revoked. work's for which this permit is issued(See.3097,Civ C.) Lender's Name APPLICANT CERTIFICATION Lender's Address 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, ARCHITECT'S DECLARATION costs,and expenses which may accrue against said City in consequence of the I understand my plans shall be used as public records. granting of this permit.Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section Licensed Professional 9.18. Date CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT• BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 GUPERTINO (408) 777-3228• FAX (408) 777-3333•building(d)cupertino.org ❑NEW CONSTRUCTION AVADDITION ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT# DI PROJECT ADDRESS ::::-:P:N# 9, tl OWNER NAM PHONE E-MAIL STREET ADDRESS CITY, STATE,ZIP FAX �� e I t,,4 e-k S�� u CONTACT NAME 1 PHONE E-MAIL G. � v J �� STREET ADDRESS CITY,STATE, ZIP I G FAX ❑OWNER ❑ OWNER-BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONTRACTOR AGENT ❑ ARCHITECT ❑ENGINEER 11 DEVELOPER ❑ TENANT CONTRACTOR NAME LICENSENUMBER LICENSETYPE BUS.LIC# COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC# COMPf44 YN ME E-MAIL!4 � , �,� FAX t" 35 &M STREET.ADDRESS CITY,STATE,ZIP PHONE y DESCRIPTION OF WORK jgoZ / _ r y V"01 A0010r �J�� �d fCor�G + "v x rv)14 EXISTING USE PROPOSED USE CONSTR.TYPE #STORIES USE TYPE OCC. SQ.FT. VALUATION($) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREA TOTAL DECKTORCH AREA GARAGE AREA: DETACH ❑ATTACH _4DWELLING UNITS IS A SECOND UNIT ❑YES SECOND STORY YES BEING ADDED? ❑NO ADDITION? ❑NO PRE-APPLICATION ❑YES IF YES,PROVIDE COPY OF IS THE BLDG AN ❑YES RECEI BY: TOTAL V TIO PLANNING APPL# ❑NO PLANNING APPROVAL LETTER EICHLER HOME? ❑NO r 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 this application and the information I have provided is correct. I have read the Description of Work and verify it is accurate. I agree to comply with all applicable local ordinances and state laws relating to bui ing struction. I authorize representatives of Cupertino to enter the above-identifie property for inspection purposes. Signature of Applicant/Agent: Date: 1,4t SUPPLEMENTAt INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP New SFD or Multifamily dwellings: Apply for demolition permit for ❑ OVER-THE-COUNTER. BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure STANDARD ❑ PUBLIC WORKS form if any Hazardous Materials are being used as part of this project. LARGE ❑ FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to Submittal Of Building Permit application. ❑ MAJOR. - ❑ SANITARY SEWER DISTRICT ❑ ENVIRONMENTAL HEALTH BldgApp_201 1.doc revised 06121/11 CITY OF CUPERTINO FEE ESTIMATOR— BUILDING DIVISION ADDRESS: 1048 WEs"rLYNN WAY DATE: 03/14/2014 REVIEWED BY: MELISSA APN: 359 00127 BP#: 13120145 "VALUATION: Iso ,TPERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex PENTAMATION USE: PERMIT TYPE: WORK 3/14/14 - REVISION # 1 - RECONFIGURE MASTER BATH INCLUDING REMOVING EXTERIOR SCOPE DOOR, ADD 2 WINDOWS & ENLARGE 1 WINDOW FT FT F] __L_ L] NOTE: This estimate does not include fees due to other Departments(i.e.Planning,Public Works, Fire,Sanitary Sewer District,School District,etc. . Theseees are based on the prelimina information available and are only an estimate. Contact the Dept-for addn'I info. FEE ITEMS (Fee Resolution 11-053 Ch 7,%1!131 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 Select a Misc Bldg/Structure Suppl. PC Fee: Q Reg. 0 OT FO.0 hrs $0.00 or Element of a Building PME Plan Check: $0.00 Permit Fee: $0.00 Suppl. Insp. Fee:) Reg. Q OT Folhrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? ® Yes (j) No $0.00 G Advanced Planning Fee: $0.00 Select a Non-Residential E) Building or Structure 0 Strong Motion Fee: $0.00 1 # Revisions Bldg Stds Commission Fee: $0.00 $695.00 IREVRESADD Addition SUBTOTALS: $0.00 $695.00 TOTAL FEE: $695.00 Revised: 01/15/2014 Na uary 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/We,the owner(s)of this property,certify under penalty of perjury that non-compliant plumbing fixtures have been replaced 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 cqm . ply with the quirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Z= Date: 1 �/f -O� Upon completing and signing this Certificate,please return it to the Building Division in order to final your permit. Non-Compliant Water-Conserving Plumbing Fixture 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 CALGreen Div.4.3 2013 CALGreen Div. 5.3 /Flow Rate Single-Family Multi-Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume(the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 Gallons/flush 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 @ 60 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 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 not required to be upgraded. SB407 2014.doc revised 03/18/14 Em WATER-CONSERVING PLUMBING FIXTURES "4 61 Is OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION l CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 (408)777-32-2y8- FAX(408)777-3333•building aecupertino.org Owner Name Soh.-x C 4 f-r- v,A to r Permit No. �3 � Z C? �`f Address (.✓P3� a .ti`v uA 1-f v J-0 ,5�- I C Please refer to the attached California Civil Code Sections 1101.1— 1101.8 which are part of this Certification form. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 11101.8-do not apply. Sign below and skip the rest of the form. Owner' Signature: / No Go to Question 2. / r �, Date: 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. Sign below and skip the rest of the form. Owner' Signature: / U Date: 6,No Go to Question 3. C 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: /� Date: 9.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. Sign below and skip the rest of the form. Owner' Signature: Zilt-jav Lr Date: l� Z o!c1 Yes M real property hisfe or occupancy on or before January1 199 . Civil Code Sections 110 1.1 through 1101.8 apply. Refer to the attached. 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. 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. SB407 2014.doc revised 03/18/14 CALIFORNIA CIVIL CODE SECTIONS 1101.1-1101.8 Civil Code Division 2. Property Part 4. Acquisition of Property Title 4. Transfer Chapter 2. Transfer of Real Property Article 1.4. Installation of Water Use Efficiency Improvements ........ 1101.1 — 1101.8 1101.1. The Legislature finds and declares all of the following: (a)Adequate water supply reliability for all uses is essential to the future economic and environmental health of California. (b)Environmentally sound strategies to meet future water supply and wastewater treatment needs are key to protecting and restoring aquatic resources in California. (c)There is a pressing need to address water supply reliability issues raised by growing urban areas. (d)Economic analysis by urban water agencies has identified urban water conservation as a cost-effective approach to addressing water supply needs. (e)There are many water conservation practices that produce significant energy and other resource savings that should be encouraged as a matter of state policy. (f)Since the 1991 signing of the"Memorandum of Understanding Regarding Urban Water Conservation in California,"many urban water and wastewater treatment agencies have gained valuable experience that can be applied to produce significant statewide savings of water,energy,and associated infrastructure costs.This experience indicates a need to regularly revise and update water conservation methodologies and practices. (g)To address these concerns,it is the intent of the Legislature to require that residential and commercial real property built and available for use or occupancy on or before January 1, 1994,be equipped with water-conserving plumbing fixtures. (h)It is further the intent of the Legislature that retail water suppliers are encouraged to provide incentives, financing mechanisms,and funding to assist property owners with these retrofit obligations. 1101.2. Except as provided in Section 110 1.7,this article shall apply to residential and commercial real property built and available for use on or before January 1, 1994. 1101.3. For the purposes of this article: (a)"Commercial real property"means any real property that is improved with,or consisting of, a building that is intended for commercial use,including hotels and motels,that is not a single-family residential real property or a multifamily residential real property. (b) "Multifamily residential real property"means any real property that is improved with, or consisting of,a building containing more than one unit that is intended for human habitation, or any mixed residential-commercial buildings or portions thereof that are intended for human habitation.Multifamily residential real property includes residential hotels but does not include hotels and motels that are not residential hotels. (c)"Noncompliant plumbing fixture"means any of the following: (1)Any toilet manufactured to use more than 1.6 gallons of water per flush. (2)Any urinal manufactured to use more than one gallon of water per flush. (3)Any showerhead manufactured to have a flow capacity of more than 2.5 gallons of water per minute. (4)Any interior faucet that emits more than 2.2 gallons of water per minute. (d) "Single-family residential real property"means any real property that is improved with,or consisting of,a building containing not more than one unit that is intended for human habitation. (e)"Water-conserving plumbing fixture" means any fixture that is in compliance with current building standards applicable to a newly constructed real property of the same type. (f)"Sale or transfer" means the sale or transfer of an entire real property estate or the fee interest in that real property estate and does not include the sale or transfer of a partial interest,including a leasehold. 1101.4. (a)On and after January 1, 2014, for all building alterations or improvements to single-family residential real property,as a condition for issuance of a certificate of final completion and occupancy or final permit approval by the local building department,the permit applicant shall replace all noncompliant plumbing fixtures with water- conserving plumbing fixtures. (b)On or before January 1, 2017,noncompliant plumbing fixtures in any single-family residential real property shall be replaced by the property owner with water-conserving plumbing fixtures. (c)On and after January 1, 2017, a seller or transferor of single-family residential real property shall disclose in writing to the prospective purchaser or transferee the requirements of subdivision(b)and whether the real property includes any noncompliant plumbing fixtures. 1101.5. (a)On or before January 1,2019,all noncompliant plumbing fixtures in any multifamily residential real property and in any commercial real property shall be replaced with water-conserving plumbing fixtures. (b)An owner or the owner's agent may enter the owner's property for the purpose of installing, repairing,testing, and maintaining water-conserving plumbing fixtures required by this section,consistent with notice requirements of Section 1954. (c)On and after January 1, 2019,the water-conserving plumbing fixtures required by this section shall be operating at the manufacturer's rated water consumption at the time that the tenant takes possession.A tenant shall be responsible for notifying the owner or owner's agent if the tenant becomes aware that a water-conserving plumbing fixture within his or her unit is not operating at the manufacturer's rated water consumption.The owner or owner's agent shall correct an inoperability in a water-conserving plumbing fixture upon notice by the tenant or if detected by the owner or the owner's agent. (d)(1)On and after January 1,2014,all noncompliant plumbing fixtures in any multifamily residential real property and any commercial real property shall be replaced with water-conserving plumbing fixtures in the following circumstances: (A)For building additions in which the sum of concurrent building permits by the same permit applicant would increase the floor area of the space in a building by more than 10 percent,the building permit applicant shall replace all noncompliant plumbing fixtures in the building. (B)For building alterations or improvements in which the total construction cost estimated in the building permit is greater than one hundred fifty thousand dollars($150,000),the building permit applicant shall replace all noncompliant plumbing fixtures that service the specific area of the improvement. (C)Notwithstanding subparagraph(A)or(B), for any alterations or improvements to a room in a building that require a building permit and that room contains any noncompliant plumbing fixtures,the building permit applicant shall replace all noncompliant plumbing fixtures in that room. (2)Replacement of all noncompliant plumbing fixtures with water-conserving plumbing fixtures, as described in paragraph(1), shall be a condition for issuance of a certificate of final completion and occupancy or final permit approval by the local building department. - (e)On and after January 1, 2019,a seller or transferor of multifamily residential real property or of commercial real property shall disclose to the prospective purchaser or transferee,in writing,the requirements of subdivision(a) and whether the property includes any noncompliant plumbing fixtures.This disclosure may be included in other transactional documents. 1101.6. The duty of an owner or building permit applicant to comply with the requirements of this article shall be postponed for one year from the date of issuance of a demolition permit for the building.If the building is demolished within the one-year postponement,the requirements of this article shall not apply.If the building is not demolished after the expiration of one year,the provisions of this article shall apply,subject to appeal to the local building department,even though the demolition permit is still in effect or a new demolition permit has been issued. 1101.7. This article shall not apply to any of the following: (a)Registered historical sites. (b)Real property for which a licensed plumber certifies that,due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible. (c)A building for which water service is permanently disconnected. 1101.8. A city,county,or city and county, or a retail water supplier may do either of the following: (a)Enact local ordinances or establish policies that promote compliance with this article. (b)Enact local ordinances or establish policies that will result in a greater amount of water savings than those provided for in this article.