15050047 CITY OF CUPERTINO BUILDING PERMIT
BUILDING ADDRESS: 10340 LOCKWOOD DR CONTRACTOR:SU JOHN T AND JEAN K PERMIT NO: 15050047
OWNER'S NAME:
CUPERTINO,CA 95014-4707 PHONE NO:
❑ LICENSED CONTRACTOR'S DECLARATION JOB DESCRIPTION:RESIDENTIAL ❑ COMMERCIAL
REPLACE(E)KITCHEN&MATER BATH WINDOWS,
License Class Lic.# SAME
LOCATIONS
Contractor Date
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:$3000
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:34215051.00 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 laws relating WITBIIN 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 F ST ED INSPECTIO
indemnify and keep harmless the City of Cupertino against liabilities,judgments, p�
costs,and expenses which may accrue against said City in consequence of the 0 ��
granting of this permit. Additionally,the applicant understands and will compl b Date:
with all non-point source regulations per the Cupertino Municipal Code,S
918.
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.
ofOWNER-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,Sections 2550-5,25533,and 25534.
Section 3700 of the Labor Code,for the performance of the work for which this '
permit is issued. Owner or authorized agent: Dat olce
�1
11 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 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-po' t source regulations per the Cupertino Municipal Code,Section Licensed Professional
9 18.
Signature Date
°' ��
v\�
CONSTRUCTION PERMIT APPLICATION 0 ppk�
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION Cf
10300 TORRE AVENUE• CUPERTINO, CA 95014-3255 0b
CUPERTINO (408)777-3228• FAX(408)777-3333•building(a)cupertino.orq
❑NEW CONSTRUCTION ❑ ADDITION ❑ ALTERATION/Ti ❑ REVISION/DEFERRED ORIGINAL PERMIT#
APN R 2 S-
WF1EIt'N'ANE l EIG!;' E-MAIL �
- - ®� �r �z
STREET 4DD1xES S G CITY, STATE,ZIP /�C ��1 D FAX
l `J l
CONTACT NAMI
STREET ADDRESS CITY,STATE,ZIP FAX
11 OWNER ❑ OwNER-BUDAER ❑ OWNER AGENT ❑ CONTRACTOR ❑CONrRACTORAGENT ❑ ARCHITECT ❑ENGINEER ❑ DEVELOPER ❑ TENANT
CONTRACTOR NAME ` /9 • LICENSE NUMBER LICENSE TYPE BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
ARCHITECT/ENGINEER NAME LICENSE NUMBER BUS.LIC#
COMPANY NAME E-MAIL FAX
STREET ADDRESS CITY,STATE,ZIP PHONE
-DE^�L3P�1'a'I�T_G'v4LF'�1'
UJ( A devil r--1'—Lc�P S
a � cl add CaA r CI s -' Vol
E)MTDIGUSE PROPOSED USE CONSTR.TYPE 4 STWIES f
USE TYPE OCC. SQ.FT. VALUATION(S)
EXLSTG NEW FLOOR, DEMO TOTAL
AREA AREA AREA NET AREA
BATHROOM. KITCHEN. OTHER. .
REMODEL AREA REMODEL AREA REMODEL AREA
PORCH AREA DECK AREA TOTAL DECKNORCH AREA GARAGE AREA: LJ DETACH
[]ATTACH
9 DRIELLING 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 RECEIVED BY �.. y TOI TLI,
PLANNING ADPL,". []NO' PLANNING APPROVAL LETTER EICHLER HOME? ❑NO -
x
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 of Cupertino to enter the above-identifie pro rty for inspection purposes.
Signature of Applicant/Agent: Date:
SUPPLEMENTAL OPN ATION REQUIRED µ r ai.cr cx i� _-•_ „_olrrrncsLrP
New SFD or Multifamily d-, ellings: Apply for demolition permit for r ZM# r 3.
�� OVERTHE_CO[7IxTER -��- s fl BUIL`DIhGPLAI�REAiEw U '
existing building(s). Demolition permit is required prior to issuance of building =
permit for new building. flz EXPxEss �3 a� PLAIQr�LM1G PLAri zzEVIEw
_Commercial Bldgs: Provide a completed Hazardous Materials Disclosure �TANpABDb C7 PUBLicotucs r
form if any Hazardous Materials are being used as part of this project. ` 'W 0
_Copy of Planning Approval Letter or Meeting with Planning prior to ivlAaoxr fir'
.SA�TT.A`E2XSEwER.DIS�RIC ,
submittal of Building Permit application. a s
a v
_?max,_.a..'= ^t.._�. >„_�..,.� Fs�'fRO7V`MENTAT.HEA'IT,H•..-_.>,_
BIdgApp_2011.doc revised 06/21/11
CITY OF CUPERTINO
FEE ESTIMATOR— BUILDING DIVISION
ADDRESS: 10340 lockwood dr DATE: 05/08/2015 REVIEWED BY: MELISSA
APN: 342 15 051 BP#: *VALUATION: 1$3,000
*PERMIT TYPE: Building Permit PLAN CHECK TYPE: Alteration/ Repair
PRIMARY PENTAMATION
USE: SFD or Duplex PERMIT TYPE: 1 GENRE
WORK REPLACE E KITCHEN & MATER BATH WINDOWS SAME LOCATIONS
SCOPE
Me(A Plan Check Phunb. Plan('heck Elec..Plan('heck
:L1ech. Permit Fee: Plumb. Permit Fee: El", . Permit Fee:
Other rllech. Irish. Other Plumb Instr. Other Ls'lec.Insp.
Idech,Insp. L'ce: Phunb, IruL). Fee: lslec.Insp.Fee:
NOTE:This estimate does not include fees due to other Departments(Le.Planning,Public Works,Fire,Sanitary Sewer District,School
District,etc.). Theseees are based on the relimina information available and are only an estimate. Contact the De t or addn'1 info,
FEE ITEMS (Fee Resolution 11-053 Eff. 7/1/13) FEE QTY/FEE MISC ITEMS
Plan Check Fee: $0.00 # Window/Sliding Glass Door
Suppl.PC Fee: 0 Reg. 0 OT 0.0 1 hrs $0.00 $431.00 I WINREP Replacement
PME Plan Check: $0.00
Permit Fee: $0.00
Suppl. Insp.Feer Reg. () OT [0701 hrs $0.00
PME Unit Fee: $0.00
PME Permit Fee: $0.00
Construction :Tax:
Aclministr•ative Fee: 0
Work Without Permit? 0 Yes (j) No $0.00 E)
Advanced Planning Fee: $0.00 Select a Non-Residential G
Trw,el Documentation Fees: Building or Structure
i
Strong Motion Fee: IBSEISMICR $0.50 Select an Administrative Item
Bldg Stds Commission.Fee: IBCBSC $1.00
SUBTOTALS: $1.50 $431.00 i TOTAL FEE: $432.50
Revised: 04/01/2015
u
OWNER-BUILDER DISCLOSURE FORM
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
10300 TORRE AVENUE•CUPERTINO,CA 95014-3255
CUPERTINd (408)777-3228• FAX(408)777-3333•buildinaaOcupert!no.org
Dear Property Owner(s):
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified-at:
SITE ADDRESSAPN:.. BP#
¢ _ Z( o l s4�sfJ0�l
OWNER
�n
.DESCRIPTION OF WORK:: �� C-� ,.: i� t9 �e 0►i `�h 14-1
S2
We are providing you with an Owner-Builder Acknowledgment and Information Verification Form to make you aware of
your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner-Buiider. We
will not issue a building permit_ until you have read, initialed your understanding of each provision,signed, and "
returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless
you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
(DIRECTIONS:Please read and initial each statement below to signify you understand or verify this information.)
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an"Owner-
Buf€ er" building permit that erroneously implies that the property owner is providing his or her own labor and material
p r onally. I, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by
a nlicensed person and his or her employees while working on my property. My homeowner's insurance may not
p ide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my
in i ance coverage for injuries to workers on my property.
2. I understand building permits are not required to be signed by property owners unless they are responsible for
th- onstruction and are not hiring a licensed Contractor to assume this responsibility.
3. 1 understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may
p := , ct myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her
n S instead of my own.
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license
n ;nrt ers on permits and contracts.
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
I/ totiaIvalue of my construction is at least five hundred dollars ($500), including labor and materials, I may be
co s dered an "employer" under state and federal law.
- I understand if I am considered an"employer" under state and federal law, I must register with the state and
fe : al government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
u - j ployment compensation for each "employee." I also understand my failure to abide by these laws may subject
me serious financial risk.
�~ . I understand under California Contractors' State License Law, an Owner-Builder who builds single-family
re la ntial structures cannot legally build them with the intent to offer them for sale, unless all work is performed by
Iic-::sed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work
is performed under contract with a licensed general building Contractor.
8. 1 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for
y financial or personal injuries sustained by any subsequent owner(s)that result from any latent construction
f cts in the workmanship or materials.
OwnerBuilderForm 2010.doc revised 04/14/10
J9. 1 understand I may obtain more information regarding my obligations as an "employer" from the Internal
(l v, enue Service, the United States Small Business Administration, the California Department of Benefit Payments,
tithe California Division of Industrial Accidents. I also understand I may contact the California Contractors' State
Lnse Board (CSLB) at 1-800-321-CSLB (2752) or www.csib.ca.gov for more information about licensed
eon,tractors.
10. 1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I
aim the party legally and financially responsible for proposed construction activity at the site address listed above.
11. 1 agree that, as the party legally and financially responsible for this proposed construction activity, I will abide
all applicable laws and requirements that govern Owner-Builders as well as employers.
12. 1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the
Information] have-provided on this form. Licensed contractors are regulated by-laws designed to protect.the.public. If .
you contract with someone who does not have a license, the Contractors' State License Board may be unable to
assist you with any financial loss you may sustain as a result of a complaint-Your only remedy against unlicensed
Contractors maybe in civil court. If is also important for you-to understand that if an unlicensed Contractor or
employee of that individual or firm is injured.while working on your property, you may be held liable for damages. If
you`obtairi a permit as Owner-Builder and wish to hire Contractors, you will be responsible for verifying whether or not-
those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
CONSTRUCTION LENDING AGENCY
(DIRECTIONS:Please complete the following construction lending agency information.)
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued
(Sec 3097 Civ.)
Lender Name: Lender Address:
Before a building permit can be issued,this form must be completed and signed by the property owner and
returned to the agency responsible for issuing the permit. Note:A copy of the property owner's driver's license,
form notarization, or other verification acceptable to the city may be required to be presented when the permit is issued
to verify the property owner's signature. _
Property Owner's Signature:
---------------------------------------------------------------------------------------------------------------------------------------------
(NOTE: The following Authorization Form is required to be completed by the property owner only when designating an
agent of the property owner to apply for a construction permit for the Owner-Builder).
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby
authorize the following person(s)to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an
Owner-Builder Permit for my project.
Scope of Construction Project(or Description of Work):
Project Location or Address:
Name of Authorized Agent: Tel No
Address of Authorized Agent:
declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the
above information and certify its accuracy. Note:A copy of the property owner's driver's license, form notarization, or other
verification acceptable to the city may be required to be presented when the permit is issued to verify the property owner's
signature.
Property Owner's Signature: Date:
OwnerBuildeYForm 2010.doc revised 04/14/10
COMMUNITY DEVELOPMENT DEPARTMENT
B 1hLDING'DIVI'SION ClIPERTI'Rf0
This set of plans and specifications 'JUST be kept at the lip�
ob site during construction. It is unlawful J g Ito make any
changes or alterations on sarrle•; or to.,:deviat.e::,- ,,.,;. .,v.. ,�.�u}_� . . ,.._
therefrom, without approval from the Building Official. Plan 54,4 Bedrooms,3 Baths,2,736 sq. ft.
The Stamping ofthi- s cifications SHALL NOT
be held It val of the violation Lo r lo, to eq c',D 4' 2
o provlsi Ordin ce or State C.\.L e ►.� �� 9s c�l '�
BY
TE dd o w S
PERMIT# �-
� `-
a Fool"
_ I
NOOK KITCHEN I --------�
8`x 13"
FAMILY ROOM DIN
I
r VANRYDRESSING
-- I
14 z 19 ING ROOM BEDROOM 2 I
12 z 12°
11 z 12" a
MASTER BEDROOM
BATH z 16 x 176
-- ❑ PANTRY D
WET BAR BATH 1
C
_. L_�2 -.DN '_� WALK-IN-
IDN __ }' .. I CLOSET I O
O IUP 1 �1 !1 L—__— I ON
1--DN rtFOYER- VAN nY DRESSING
BATH 7 I
—tel I
LIVING ROOM BEDROOM 3 (-t V S / Ir
BEDROOM 4 i 18 x 16 12°x 14
10x12 '
o MIQ JTt I2
j I LANDING
LOFT
THREE CAR GARAGE
28•x 20
Ice c OPI
CUPERTINO
. €1 t:�UIIIR LJ®pip LOT PLAN KED BY
1 i
' DATE
Plans and specifications su Ie f to'change witthou9"gicA hon dimensions are
approximate. Eating nook dimensions apply to homes in Phase 11 only PLANNING EPT
7/12/84 FZkVtEVVED f_()R 000E CUt�F�LIANCE
UPERTINO
taeviev�eq By.
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CUPERTINO
Ruildi
ac•
r)9®eparn►ent
MAY 0 8 2015
REVIEVVEU r-taR cJut~ COMPLIANCE
Reviewea By. y ,
B
'1 51711 S �•��PM
SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVI ION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
(408) 777-3228 • FAX (408) 777-3333 • building Qcupertino.org
Address. ( z 3q-0 Lo c k t000 0 _
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
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.
1 have read and agree to comply with the terms and conditions of this statement
Owner (or Owner Agent's) Name:
�—
Signature...................................................................Lic.#...................................... Date: ...................
Smoke and COform.doc revised 03/18/14
Owner Name
WATER -CONSERVING PLUMBING FIXTUR-Lg'S- R T`'
OWNER CERTIFICATE OF COMPLIANCE (-� � L --y
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISI N 6"2,6-15
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 jr
(408) 777-3228 • FAX (408) 777-3333 • building Qcupertino.org
Address o2) 4:z) L o Ck wo oD C« @ ir +5 t
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.
2 S �( S
�wher-S,tgnature
&E L o Go to Question 2.
0
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?
ElYes 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
—r'-. Date:
'Y,wner e:Sigure:
o oto Question 3.
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.
Jwner'rS'igriatiace �'^ ate:
Na Go to Question 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 rir 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.
w er'= S a ure:'�
"M s My real property isilt and available for use or occupancy on .or before January 1, 1994.
Civil Code Sections 110 1. 1 through 1101.8 apply. Refer to the attached.
10my 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
.�
ixtur s abbe replaced with water -conserving plumbing fixtures throughout the building. On or before January 1,
2017, a I., plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless
ofwhetli r property undergoes alterations or improvements).
kh N �tis�-
''1VIy prbperty 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- complianj
plumbing fixtures to be replaced with water -conserving plumbing fixtures.
SB4072015.doc revised 02/04/15
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/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 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
;_recsiements, and that the water -conserving plumlP47fixturgq comply with a requirements as indicated in the table below.
(or Owner Agent's) Signature: .
Date:
Upon completing and signing this Certificate ease return it to the Building Division in order to final your permit.
1 ,.ing fixture water usage/flow rate is equal to or lower than the figure shown, it is 1 uired to
1� the qRVNQ�-fhiffi6uired to be upgraded
SB407 2015.doc revised 02/04/15
pUa, njilli
Water -Conserving Plumbing Fixture
rN'oIa"
plumbin Fixtu .,
(Fixture Complying with Current Code Applicable to New Construction)
Maximum
Water Usage/Flow
Rate
Fixture Tripe
', �-
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 T~ ,
Single -Family
Multi -Family
Commercial
;.
Residential
Residential
Water Closets
Exceed 1.6
Single flush toilets: 1.28 gallons/flush
(Toilets) iQ
Gallons/flush``r;'
Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite,
average flush volume of two reduced flushes and one full flush
Urinals r.
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
hand'' -held shower is considered a showerhead.)
ti
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
p;
-exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to
't
.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
@ 60 psi; minimum
Maximum 1.5 gallons
psi
Faucets
''10.8
`minute
gallons per minute @
per minute @ 60 psi;
r
0 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 — r
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
I
60 psi
1.8 gallons per minute
1
Where faucets meeting
@ 60 psi
the above are unavailable,
Where faucets meeting
1 _
aerators or other means
the above are
k=:
may be used to achieve
unavailable, aerators or
reduction.
other means may be
"•
used to achieve
reduction
1 ,.ing fixture water usage/flow rate is equal to or lower than the figure shown, it is 1 uired to
1� the qRVNQ�-fhiffi6uired to be upgraded
SB407 2015.doc revised 02/04/15