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150800119 CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10470 GLENVIEW AVE CONTRACTOR: ANTHONY LEWIS PERMIT NO: 15080011 OWNER'S NAME: RAMZAN ZULFWAR A AND SUMA D TRUSTE 1070 BIRD AVE DATE ISSUED: 08/03/2015 OWNER'S PHONE: 6508882536 SAN JOSE, CA 95125 PHONE NO: (408) 217-8621 LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION: RESIDENTIAL COMMERCIAL ❑ INSTALL 50 AMP CIRCUIT FOR INSTALLATION OF (1) License Class C lL> Lic. # '�ZS I 10 NEMA 14-50 TESLA EV CHARGING STATION; UPGRADE Contracto � w Date L �- ��'f� MAIN ELECTRICAL PANEL (200 AMP). I hereby affirm that I Im 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 Sq. Ft Floor Area: Valuation: $5255 performance of the work for which this permit is issued. 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 this APN Number: 36911015.00 Occupanc} 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 laws 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 DA.YS FROM LAST CALLED INSP CT N. indemnify and keep harmless the City of Cupertino against liabilities, judgments, r 01 costs, and expenses which may accrue against said City in consequence of the 3 granting of this permit. Additionally, the applicant understands and will comply Issued by: IJ•'1 Date: with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. gnature Date 6� RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is _ t installed without first obtaining an inspection, I agree to remove all new materials for inspection. — ❑ 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 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 Cupertino Municipal Code, Chapter 9.12 and I have and will maintain Worker's Compensation Insurance, as provided for by the Health & Safety Code, ecti ns 2 5 33, and 25534. Section 3700 of the Labor Code, for the performance of the work for which this 11 5 Owner or art Dater d is issued. (permit � I certify that in the performance of the work for which this permit is issued, I shall c3 1 ' 1 \ 1 �= U�� 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 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 (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. 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. Signature Date CUPERTINO ALTERNATIVE ENERGY PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildingCa�cupertino.orq PROJECT ADDRESS o / ! e / E `w A � / �,r�•A}' jP/HONCb (�/ APN k >>. L/'i Yv�/ `� OWNER NAMED. L. fes' Vim' �-V-� (' d Ci n 0 l� E-MAIL CJ L. I' 1 '1�•Y` CrN� I L. ,�0. STREC:TADDRI?SS/ C! Dl "Y ITY, SlATE,ZIPkv�p I �`,AYTv `)H 4�FAXDLeKYIEU JO1 CONTACT NAM! CCS ` PHONE_ �) E•MAI ` QVL. t s i IC�N� STREET ADDRESSn ,^ N C , CIT'Y, S'r E, ZIP ^ r 1 AX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ANTRACTOR ❑ CONTRACTOR AGENT ❑ :1K('l lEl'It("I' ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR LefNAMEn rJ LICENSE j*BER ^ I IC'ENSE TYPE BUS. LIC 0 COMPANY NAME 1 ' MAkL_� t... ^_ h^•.�,�� ^ FAX STREET ADDRESS 10-10 11'I n -v AE - v. CITY, STATE, ZIP � ©5 E C") s, �s L NE � s , s 0 ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS. LIC N COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, S'1'A'1'1:, ZIP PI10NI[ USE OF SFD or Duplex ❑ Multi -Family STRUCTURE: /❑• Commercial PROJECT IN WILDLAND URBAN INTERFACE AREA ❑ Yes X NO PROJECT IN FLOOD ZONE ❑ Yes X No ❑ SOLAR PANELS ,LFCTRIC VEHICLE: CHARGING STATION ❑ SOLAR WATER HEATING ❑ OTHER: FOR.VOIAR PANEI.V: NUMBER OF PANELS/UNITS: KILOWATTS (COMMVR('IAL ONLY): 101'AL VALUA'r O DESCRIPTION OF WORK 9 UD V' is l t C_kiLl CAL-CJr'LCU\ S+On 4 /1—S6 i"S6 i V% RECEIVED BY:�E� 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. 1 agree to comply with all applicable local ordinances and state laws nA ing to buil cons uction4authorize representatives of Cupertino to enter the above -identified property for inspection purposes. crL -- Signature of Applic gent:a ate: SUPPLGM ;N'I'AL INFORMATION REQUIRED OFFICE USE ONLY W OVER-THE-COUNTER ❑ EXPRESS U ❑ STANDARD U ❑ LARGE a MAJOR PVApp_2011.doc revised 03/16/11 CITY OF CUPERTINO Fm_� FEE ESTIMATOR - BUILDING DIVISION NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7%1.%13,1 ADDRESS: 10470 GLENVIEW AVE DATE: 08/03/2015 REVIEWED BY: SEAN Meeh. Pc>rruii Fee: APN: BP#: *VALUATION: 1$5,255 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration / Repair PRIMARY SFD or Duplex USE: i'tunth. Insp. Fee: PENTAMATION SOLAR -RES PERMIT TYPE: WORK INSTALL 50 AMP CIRCUIT FOR INSTALLATION OF 1 NEMA 14-50 TESLA EV CHARGING SCOPE I STATION; UPGRADE MAIN ELECTRICAL PANEL (200 AMP). NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7%1.%13,1 Afech. Plan Check Phimb. Plan Check Elec. Plan Check 0.0 1 hrs $0.00 Meeh. Pc>rruii Fee: Plurr , t Elec. Permit Fee: IEPERMIT Other Alech. Insp. Other Plumb Inst)Li Other Elec. Insp.0.0 hrs $48.00 Meth. Insp. F i'tunth. Insp. Fee: hrs NOTE: This estimate does not include fees due to other Departments (i.e. Planning, Public Works, Fire, Sanitary Sewer District, School District. etc). These fees are based on the nreliminary information available and are onlv an estimate. Contact the Dent for addn'l info. FEE ITEMS (Fee Resolution 11-053 Eff 7%1.%13,1 FEE QTY/FEE MISC ITEMS Plan Check Fee: $0.00 =# $109.00 Alternative Energy System ICHRGSTA7 EV Charging Station Suppl. PC Fee: (j) Reg. Q OT 0.0 hrs $0.00 PME Plan Check: $0.00 200 amps $48.00 Electrical IBELEC200 Services Permit Fee: $0.00 Suppl. Insp. Fee. -E) Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $48.00 Construction .Tctr: Administrative Fee: IADMIN $45.00 Q 0 Work Without Permit? ® Yes O No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Bu Building or Structure St t E) � Travel Documentation Fee: ITRA VDOC $48.00 Strong Motion Fee: IBSEISMICR $0.68 Select an Administrative Item Bldi; Stds Commission Fee: IBCBSC $1.00 SUBTOTALS: $142.68 $157.00 TOTAL FEE: $299.68 Revised: 07/02/2015 IN 7 RECEIVED r% r rw i o% r- UG 0 3.2015 -mow 0 z PAT FZ PLOD PLANS CHEMED BY E � Nrrc oE1 CUPERTINO CUPERTINO Building Department AUG 0 3 2015 WED FOR CODE COMPLIAI` e,viewed By: COMMUNITY DEVE OPM NT DEPARTMENT BUILDING Dl\ `':ON CUPERTINO This set of plans and sp cificati ns MUST be kept at the Job site during constru tion. It is unlawful to make any changes or altera ons on me, or to deviate therefrom, without a proval fn m the Building Official. The stamping of this Ian ar ?cifications SHALL NOT be held to permit to be proval of the violation Of a ovisions f ani dinance or State Law. BY DATE $ 3 PERMIT NO Z �\ ()o rix � 1 C< s Z -S �(CLIrico,` panE,1 C�i L":K& (i ) & z 1 �USC C� 1 -,e c - W OL} 0 0 U 0�� C�IMQ O 0 m (� iS(��VtYI� 0 LL � 3 � —� ►) �� U r3 T�N.WN Gla 2v -.k 1-1 L Z_ F—Gc, 1, OCXA'LC .'� /0-0.0-e'r 2U1�-))�-4\z I Cam2z��1 C:5 0�v�� C, Anthony Lewis Inc. I,I' Building and Electrical Anthony Lewis RESIDENTIAL ELECTRICAL LOAD CALCULATION SHEET 1. GENERAL LIGHTING: Table 220.12 Sq. ft. x 3 VA = ...�jCll7' ... ' �1 _( VA Small appliances: 220.52(A) 3 600 VA a VA x circuits Laundry: 220.52(B) ��Jv_Cib VA � VA x 1 circuit =_....... .......... Applying Demand Factors: Table 220.42 1` 3000 VA x 100% =........................................ 3 000 VA Next (n aO VA x 35%= .........................ai�= VA Remaining VA x 25% _ ........... 77 VA : VA Total.........................cEz ........................................... 2. FIXED APPLIANCES: 220.53 ("it shall be permissible to apply a demand factor of 75% for four+ appliances other than electric ranges, clothes dryers, space heating equip., air-conditioning equip.) CUPERTINO Dishwasher = � (1500) VA Building �®p�rtrilent Disposer = (800) VA Compactor = (99) VA AUG 0 3 2015 Microwave = —� (1300) VA Spa = (12,000) VA REVIEWED FOR CODE COMPLIANCE Attic Fan = (1600) VA Reviewed By: T441"w] { , �_� -3 foC�� VA Total: VA x 75% �00 VA 3. DRYER: 220.54; Table 220.54 4 BSD -1 24 Foran - Electrical Loud Calculation Dorm Updated: 04/15/2014 (tgar) 4. COOKING EQUIPMENT: Table 220.55; Notes Col A S2JO0 VA x (XD % = S200 VA Col B 3 $ 00 VA x �c� _ % = 3 0o VA Col C kW VA Total................... �- oy VA 5. HEATING or A/C: 220.60(non-coincident loads) Heating unit - VA x 100%= VA A/C unit = _ VA x 100%= _ OO VA Heat Pump = _ VA x 100%= VA Largest Load ........................................................ ' -d0 VA 6. LARGEST MOTOR: 220.14(C)=>430.24&440.6 VA x 25 % _ VA 7. EVSC ��� VA x 1.25 (cont. (Iuty) �Zcw VA 8. SERVICE Total VA VAp1N4 Euliding Department VA/240 volts = � 5 �� � Am Minimum Conductor size �� copper GEC t opAp, 0 3 2015 REVIEWED FOR CODE COMPLIANCE Reviewed By: �wv URl)-/ 24 Form - /:leefriea( Lua(r C idra&(tion l brnr Uedated: 04//5/20/4 0gar) Need help finding a qualified electrician, or have questions about home charging installation? Contact Tesla at: Charginglnstallation0teslamotors.coin or 1-877-798-3752 INSTALLING YOUR 240 VOLT OUTLET Every Model S includes the Mobile Connector, which is a 20 -fool long cable with a set of adapters for standard electrical outlets. The NEMA 14-50 adapter ensures the best charging experience with the Mobile Connector. Tesla recommends installing a 240 Volt outlet with a NEMA 14-50 receptacle where you plan to park your vehicle. This is a common outlet, often used for home appliances, and the electrician you hire for the installation will provide all necessary materials. You can charge your Model S from this outlet at a rate of 29 miles per hour. Below you will find all relevant information required for an electrician to complete the installation. Note: municipal building departments frequently require a permit and inspection for any electrical modifications in your home. Any licensed electrician will be able to take care of this paperwork and provide a copy for your records. DETAILS Voltage: Single phase, 208.250 Volt AC supply, 60 Hertz Current: 50 Amp circuit breaker / 40 Amp continuous current Wiring Recommendation: 6 American Wire Gauge, copper conductors only Ground Fault Circuit Interrupter: Not required Service Disconnect: Not required Receptacle Recommendation: High quality, industrial grade receptacle Location: Install near vehicle charge port, maximum 15 feet away. Minimum 18 inches above ground. Electric Code Compliance: Installing electrician will source permit and inspection as required by local municipal building department RECOMMENDED OUTLET LOCATIONS ONE OR TWO VEHICLE GARAGE T=SLn CHARGE PORT ' OUTLETS LL�3'OIEI FOR CODE COMPLIANCE PHONE NUAleviewed By: EMAIL ADDRESS PERMIT NUMBER INSTALLATION DATE 3500 Deer Creek, Palo Alto, CA 94304 1 Nov 2014 1 Version 1 0 CJ CUPERTINO WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 WE IN (408) 777-3228 • FAX (408) 777-3333 • buildingCcDcupertino.org w1it J^ Owner Name 15 A K2 } N 2_1jL_C– r K A 'rA Permit No. I S ti? oc) 1 1 Address VO4-AC) C–R- —:1\A/ f F_\h/ klya PERIMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE HAS BEEN + GN D AND RETURNED TO TI3E BUILDING DIVISION x ss.�.ta:5x`�'.a �.az.�..�,.'�.� � � �:' � y.. - a ., •,:.-,t _ � :�.�. 'i-�,st .w 'arm � a;:� -rw-.,.,�,..�: ,rsm.�rcn�x:=s......w*x»:.e.x.. u-w�x�sron%.-�:. _ „ ..:. �:»�.�-.�,..�-g.�a,-.» -; ., ??�m.wsna-,n•..�.am��++�,. w..-e,.,�xaM- .;...,...:. 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 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: No Go to Question 2. 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 110 1. 1 through 110 1. 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: 'Wo Go to Question 3. Date: 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 fonn. Owner' Signature: Date: 1�To 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: Date: 9>1: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. Refer to the attached. Myproperty 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 c0777ner•cial 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 201 S. doc revised 02104115 I� On or before January 1, 2019. all non-compliant plumbing fixtures shall be replaced with water - plumbing fixtures throughout the building (regardless of whether property undergoes alterns� improvements). !! •�s^ L'We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with -,eater-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 «eater -conserving plumbing fixtures comely with the requirements as indicated in the table below. Owners (or Owner Agent's) Signature: Date: h Upon completing and signing this Cedificate, please return it to the Building Division in order to final your permit. 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 2015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture —Plumbing Fixture (Fixture Complying with Current Code 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 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 2015.doc revised 02/04/15 0. PP I CUPERTINO Address 104-)0 GLE PURPOSE SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 S (408) 777-3228 • FAX (408) 777-3333 • buildino(c1cupertino.org v� Permit No. # of Alarms Smoke: Carbon Mnnovirif— r -.PERITI"I I L';.>,L.II) A'�I) Ct) �Il'LL"iEI) t I II, THIS CERT! I FIC,, h, (f' _IIASBI I � a`.{)1"F ir'T FI) t(�'I�IIE� isl 4� s�tv`C; t}IOC ... 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 I 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 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 have been tested and are operational, as of the date signed below. f have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agent's) Name: F d` /�� I Date: o ...`%.%.... 151 nature................................................................................... Contractor Name: ................Lic.#Si9natue.kxo ...........Date .t ..5. A+�+iL�e -s Smoke and COform.doc revised 03118114