15060004SMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION
10300 TORRE AVENUE - CUPERTINO, CA 95014-3255
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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
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Signature ......... '.'..'�._� ............ ............................. .... ......................... .. Date: ...
Contractor Na e,:
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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