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
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Signature ... .. ..... . ............. .. .......... D
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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
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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