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15050150CUPtRTINO Address. SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 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 -f arnily and multi -f amily 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 le el 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. Tn 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 pern-dt 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 arid in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. 1haverea and aqree to comply with the terms and conditions of this statement Owner (or 'A 7- - "RI Mw* ti ?K ma 0 Signature ... .. ..... . ............. .. .......... D C� _n �rctorFNarnL!1: 510'­ -,�WL^,f_.z,4C,Signature .. ....... D.te:�// Sn2oke and COfbmi.doc i-evised 03118114 MAWATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT - BUILDING DIVISION 10300 TORRE AVENUE - CUPERTINO, CA 95014-3255 CVPERT-INO (408) 777-3-2-2-8- - FAX (408) 777-3333 - building (d)cupertino.org M Owner Name tkA WTIVNW4 ennit No. )EVOKA Address Please referto the attached California Civil Code Sections 1101.1 — 1101.8 which arepart ofthis Certification form. 1. Is your real propel ty a registered historical site? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the form. Owner' Signature: 19 7- Date: e 47 0 Go to Question 2. 2. Does your real property have a licensed plumber certifying that, duetotheage or configuration of thepropeityorits plurnbing, installation of water-conselving plumbing fixtures is not -technically feasible? El Yes CivilCode Sections 1101.1 through 1101.8 do not-dpply. El The licensed plumber's certification hasbeen provided to the Building Division. Sign below and skip the rest of the form. _77'; ate, 2�N Owner' Signature: Co Go to Question 3. 110,11 K_`_7D, 3. Is water sei vice perilianently 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' Si -nature: Date: _No�— Go to Question 4. Z 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 fonn. Date: wner' Signature: My real property is blou& anRaWle 0 �v4ye_o! �occupancy.2 or before January 1, 1994. 0%0 Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. �&,K-�My prop city is a Sh7gle-fwnily residential real propel ty. See Civil Code Section 1101.4. M s _a­.­-a,#(,r January 1, 2014, building alteration or improvements shall require all non-compliant plumbing fixtures to b6 replaced with water-conselving plumbing fixtures throughout the building. On or before January 1, 2017, all non� compliant plumbing fixtures shall be replaced with water-consel-vffig plumbing fixtures (regardless &wwhtth6property undergoes alterations or improvements). 11 pioptity is a 7720ifaMily 7-eside7ldal real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant pluilibing fixtures to be replaced with water-consei ving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conset ving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). El My property is a coniniercial real property. See Civil Code Section 1101.5. On and after Januai y. 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 2015.doc revised 02104115 On,,orTbdfore January 1, 2019, all non� , conpliant plumbing fixtures shall be -replaced with water- conserving hhnbLg.�, fixtures throughout the building (regardless of whether property, undergoes alterations or improvements). c; I/We, the owner(s) of this property, certify under penalty of pejury that noft-lonipliant plumbing fixtureQ139 be replaced prior to date specified abovewith water-conservi.ng plumbing fixtures in accordance withCivil Code Sections 1101.1 through 1101.8, the current California Plumbing Code and California Green Building Standards Code, and manufacturer's installation reauirements. and that the wafer-cons-eirvi plumbing fixturqij comply wtt t1A 1p-quirements as, indicated in thLq table -below. Owner's (or Own(E�[_A g pT;it-' �- -1, �-i gjn�at u r Date: Upon cdii� f(" i g and signing this'denficate, please return it to the Buildin& Division in order to final your pen -nit. V, etm fl�� Non -Compliant Plumbing Fixturgr'�',11 I"- Water-ConseN ing Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water UsagelFlow Rate Fixture, I ypg,.--- Water Usage 2013 CPC Ch. 4 6,013 2013 CPC Ch. 4 2013 CPC Ch. 4 IF[ow Rate CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closbt� e �-,Elx` di�ekdRl% '�-Cllons'/flush Single flush toilets: 1.28 gallons/flush flush (Toilets) Dual flush toilets: 1.28 gallons/flush effective volume (the composite, average flush volume of two reduced flushes and one full flush) Urinals i� - 0.5 gallons/flush �, " -.', i r Gallons/flush Showerhe4dl Exceed 2.5 �,.,O gallons per minute @ 80 psi. Also certified to the performance criteria of gall,ons per minute U(.�S. EPA WaterSense Specification for Showerheads (A.:hand-held shower is considered a showerhead.) Fbr multiple showerheads serving one shower, the combined flow rate of all �h8werheads and/or other shower outlets controlled by a single valve shall not q)�qeed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to a lbw 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 miiiute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0,'8 gallons per minute @ per minute @ 60 psi; 20:psl 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 [11"8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute sil @ 6,0 psi psi Faucets �1,60 May temporarily increase Maytemporarily u p to 2.2 gallons per increase up to 2.2 m inut a @ 60 psi, and must gallons per minute @ .-,'default to maximum ..60. '..and must psi, -8�e U: 1.8 gallons per minute @ �.faultfo: maximum V160 psi 1-.8 gall lons per minute Where faucets meeting psi 4h above ar e unavailable, W here faucets meeting ',(�eratbfs or other means t e alb . o"ve are, . may i4 Used to achieve unava , if . al3le, aera . tors or "�educti6n. -0ther mObris may be I used VadhieVe reduction. IWJWIf the existing plumb—ing�f`xt_ure water usage/flow rate is equal to or lower than: the figure shown, I ''I's NbKip iFe–dkp�,b-qjfp�kT��E z- SB4072015.doc revised 0-7104115