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15060004SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 fAr)QN 777 . r�AY [Ar)P% 777_q'aZZ nrn im &11--z I/&*", FILE / Address 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 the bedroom(s) X X On every level of a dwelling unit including basements X X Wiffiin 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 have been tested and are operational, as of the date signed below. I have read and agree to comply with the terms and conditions of this statement er ��n s arne. pr 0 A t' N *OvM � � 7 , 15 vllkiffilj�� t 0-1 . ................... Signature ......... '.'..'�._� ............ ............................. .... ......................... .. Date: ... Contractor Na e,: Siqnatu ...................................... Date: re.... ................... Emoke and COjbrin.doc revised 03118114 Owner Name Address lwa; WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 Is - Please refer to the attached California Civil Code Sections 1101.1 — 1101.8 which are part of this Certification form. 1. Is your real propel ty a registered historical site? 0 Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form - Owner' Signature: Date: cgga:� I r-tRA 101 ko Go to Question 2. a, 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-consel ving plumbing fixtui: es is not technically feasible? -E] Yes Civil Code Sections 1101.1 through.1101.8 donotapply. 0 The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the faim. Owner' Signature: 17-, Date: W L % & r12;'No Go to Question 3. 0 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: Date: jelE No Go to Question 4. I w Ame, 4. Is your real property built and available for use or occ, cy on or before January 1, 1994? 11 No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 thi-pugh 1,101.8 dgnolt ly. S n below and skip the rest of the form. M TO Date: Owner' Signature. ! ( MR- %2 My real property is built and available for use or occupancy 99 &eYes Mr before Januai y 1, 1 4. Civil Code Sections 110 1. 1 through 110 1.8 apply. Refer to the attached. !j! 01- �ypropertyis asingle-faMily residential real property. See Civil Code Section 1101.4. require all non-cornpliant plumbing the building. On or before January 1, serving plumbing fixtw-es (regardless 0 Myproperty is a Multifansily 7-esidential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- cornpliant plumbing fixtures to be replaced with water-consei ving plumbing fixtures. On or before January 1, 2019, all non-complialit plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). El Myproperty is a conunercial 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. SB40 7 2 015. doe revised 02104115 0 § 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving p . _i 4� ng, ughout the building (regardless of whether property undergoes alterations or _M I/We, the owner(s) of this property, certif� under penalty of pejury that non-compliant plumbing fixtures will -15e replaced prior to date specified above with water-conservirig 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. watef-'cbnserving plumbing �x Zes comply with the requirements as indicated in the table below. Owner's (or Owner Agent's) Sig nature: Dat&MewA /-Z-) Upon completing and signing this Certificate, please return it to the Building Division in or der to final your pen -nit. 1. If the existing plumbing fixture water usage/flow rate is equal to bt lowerthan"the figure shown, it is not required to be upgraded. SB40 7 2015. doc revised 02104115 /IS7 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Cod6"Applicable to New Construction) Maximum Water Usage/Flow Rate - Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 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 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the 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 P§I psi Faucets May temporarily increase May temporarily up to 12 gallons per increase up to 2.2 minute @,69 psi, -and must pbr.minute @ def ult to maximum 60 p 1, and -must, "1 .8 gallons per mirute. default to�'m'aximum 60�0§i 1 �8, galions per minute Where faucets meeting �J@�6v,psi_, tH,6,'ab6V,e are d-havai a. ere aucets me eting aerators or other means, tk e a ove are rrIa'y be -use to ac ieve,� 'Unqvpi,a t ors or rba ilctiba"' _e;;,aera other means may be use ',jo'bchidV6 1. If the existing plumbing fixture water usage/flow rate is equal to bt lowerthan"the figure shown, it is not required to be upgraded. SB40 7 2015. doc revised 02104115 /IS7