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15120088CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: 10201 PHAR LAP DR CUPERTINO CA 95014 (326 39 052) OWNER'SNAME: MA ROBERT KAND TINAM OWNER'S PHONE: 4082528295 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #544911 Contractor ( FARR-GILL INC ) Date 2/22/2016 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: 1. 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. 2. 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 permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature L/ Date 2/22/2016 OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 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 construct the project(See.7044, Business & Professions Code).. I hereby affirm under penalty of perjury one of the following three declarations: 1. 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. 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 permit is issued. I 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses whichmayaccrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. CONTRACTOR: PERMIT NO: 15120088 (FARR-GILL INC) SAN JOSE, CA 95112 DATE ISSUED: 02/22/2016 PHONE NO: 4082871221 BUILDING PERMIT INFO: —BLDG —ELECT PLUMB _ MECH _ RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: RECONSTRUCTION OF ADDITION DESTROYED BY TREE FROM FOUNDATION UP (432 SQ FT). Sq. Ft Floor Area: Valuation: $50000.00 APN Number: Occupancy Type: 326 39 052 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: PAUL O'SULLIVAN"Cao*[, Date: 2/22/2016 RE -ROOFS: 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. Signature of Applicant: Date: 2/22/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, -Sections 25505, 25533, and 25534. Owner or authorized agent:-� —n Date: 2/22/2016 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional Signature Date 2/22/2016 CCIIISTRUCTION PERMIT APPLICATION E T-DEP-r`,RTr\4 ENT -.--B-u rm-mTa owrsi b -N -- ------- -- MiUNI i Y DEVELOPK4Etq 10300TORREAVENIUE-CUP;-rR7111\C),CA85C)14-3255 CUPERTINO: (408) 777-3228 - FAX (408) 77 7-3333'- bufldjno(d�cimertino.ora 117-W CONSTRUCT IOu M; ADDITION ❑Al.-T-HP-kTl0'N / TI ❑ REVIS10N / DEF=EED CRICTIKA —T P nolzc'r ADDRESS (4 tA P T) Q- 01;N`NFk NAM—; KIONE tv(a jwo'w-fa-4 S 170-E-EET A.DDRISS C71 Y, STAT Z, ZIP FAX, CA CONTACT M'MBPHON-Z STRMI /,I)DRESS PKA (-Af CITY, STATEE, ZIP CCA (Pgvz--( kq� /0711MR Q OVT---?,B11ILDZR ❑ 0"W111�zRAGENT CONMKILCTIOR 01COI17?LkCTO?,AG 7 E3 A2,CT=-,-CT COI'meAc-'Op, LICENSE: TYPE TC I BUS. MC CC)I,gAxy N'ua E -NAIL FAX S TPZET ADDRESS C -11-Y, STA —Iz, ZIP -e- K�( IMUS : t( lel I ICB SEl U�R� I BUS, LIC COZY; mvFAX STREET A.DDR:- SS CITY, STAT---, ZIP I PH011M 734 - 03 DESCRIPTON OF WOPK CONSIMn-PE 1TOP—TES USE TYPIE I occ. I SQ.FT. I VALUATION'(S) F-la-STO N`.W FLOOR DMI/O TOTAJ- AJEA APIA. I I NFr ARBA I BATKkOO!V LFC`=`� - Oir=R. - - - TK l - I PORCH,Q�-.A DECKAR-E.A. TOTAL DECKPORaq ARSA G -RAGE A.R7--A. DETACH E) AT TAMH I VATELLING -u-qj IS: IS A SECOND UNIT [3 YES SECOND STORY EIYZS I BEING ADDED? [],\.O ADDITION? E]NO P?Z-.i,PPLICATj-ON 171 YES IF Y::S. FROMM:: COPY OF PLANNrNG A 9 r-1 NO PLAM\TDqG AIPROVAL LE -TITER ISTHE BLDG AN [3 YES EICHLERTIOME? NO QE I i— a T TOTAL VA-LUATION: -PPL o 0 a By my signature belo,,v, I certiffY to each of the following: larn the property ow=r or authorized agent to Bet on the property o%vner's behalf. I have read this application andthe information lhave prop idedis correct. I hay read the Description of Work and 1 any it is aacurate. I P-27reeto -comply with all applicable local ordinances and State 1EWS I'CIFtiR.- to thoriz-- rtpreseniatiyes,-of Cupertino to enter the a-bovt-identifled property ior'InSpection purposcs. Si --nature of -'pDl!canVA.E:=t:-Z SUPPLE -Mi -ENTAL IRFORMATION REQUIRED 82-7 OF W-1 r- , -BL7II,DLiGYT New SFD or MuhiAnily d-,vellings: AD -ply for de.molition D. nit Or Cs n t -.red -orior to 'Ssijance ofbuildl'na ). e ion per. -initis rtqui isting bj;Jd,'naol; D ISM PTO. pennit for new building-. S Coy,nerc;ad Bldgs: Provide a completed Hazardous Materials Disclosure- S -T - ----- .L 0 Bl I y I-1 F-7- al CA 0 115 '-N 4 at e r i a 13 are b e in used a s p Bit o this T) r oj c t. Copy ofPlawiing Approval Letter or -Mletting ith Planning prior to . . . . . . . submittal ofDuildin.g Pen -nit application. Bidggl-pp_2011, doc revised 06121111 CITY OF CUPERTINO FEE ESTIMATOR - BUILDING DIVISION ADDRESS, 10201 Phar Lap Dr DATE: 1210912015 APN: BP#: REVIEWED BY: Sean *VALUATION-, 1$50,000 *PERMIT TYPE: Building Permit PLAN CHECK TYPE: Addition PRIMARY SFD or Dulex USE: p 2nd Unit? 0 Yes G No OTC? 0 Yes No E) PENTAMATION 1R3SFDADQ PERMIT TYPE: WORK Reconstruction of addition destroyed by tree from foundation up (432 sq ft). SCOPE hours Plan Check, Hourly OCCUPANCY TYPE: TYPE OF FLR AREA PC FEES PC FEE ID BP FEES BP FEE ID CONSTR, R-3 (Custom) 11-B,111-B,1V,V-B MOO $0.00 Vech. 11hin Ch&,k EJ L MOTF- This Pvtimatp does not include TOTALS: 0 $0.00 $0.00 Chect',. e to other Departments (i.e. Planning, Public 1;f E,ec,� Plwt I El I orks, Fire, Sanitary Sewer District, District, etc.). Thesefiees are based on the ereliminar information available ana are omy an estimate. uumact ine '"upt-jut ""ur,, t wiv. FEE ITEMS (Tee Resolution 11-053 Eff 7/,7/743 FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? 0 Yes (D No $0.00 2 hours Plan Check, Hourly Suppl. PC Fee: (j) Reg. 0 OT J 0.0 1 hrs $0.00 $286.0000 ISTPLNCK PME Plan Check: $0.00 Permit Fee: Hourly Only? 0 Yes (F) No $0.00 Suppl. Insp. Fed Reg. 0 ar oo T—I hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 (.'�Onslrucfion 0 E) Work Without Permit? 0 Yes (D No $0.00 Advanced Plannjag_EeL$0.00 hours Inspections E) Fees: $858.001 -7 ISTINSP Inspection, Hourly 0 Strong Motion Fee: IBSEISMICR $6.50 Select an Administrative Item Bldg Stds Commission Fee: IBCBSC $2.00- "Su 8.0 $ 5 $1,144.00 1 0 $1,152, 10 J MUVjbt:W, 1U1V114V1"z CITY OF CUPERTINO BUILDING PERMIT BUELDING ADDRESS: CONTRACTOR: PERMIT NO: 15120088 10201 PHAR LAP DR CUPERTINO CA 95014 (326 39 052) FARR-GILL INC. SAN JOSE, CA 95112 OWNER'S NAME: MA ROBERT K AND TINA M OWNER'S PHONE: 4082528295 LICENSED CONTRACTOR'S DECLARATION License Class LANDSCAPING Lic. #544911 Contractor FARR-GILL INC. Date 05/31/2017 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: 1. 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 rformance of the work for which this permit is issued. �•, I ve and will maintain Worker's Compensation Insurance, as provided for by USection 3700 of the Labor Code, for the performance of the work for which this \ '�permit is issued. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per Ahe Cupertino Municipal Code, Section 9.18. OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 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 construct the project (Sec.7044, Business & Professions Code). I hereby affirm under penalty of perjury one of the following three declarations: 1. 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. 2. 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 permit is issued. 3. I 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 become subject to the Worker's Compensation provisions of the Labor Code, I must forthwith comply with such provisions or this permit shall be deemed revoked. APPLICANT CERTIFICATION 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, costs, and expenses which may accrue against said City in consequence of the granting of this permit. Additionally, the applicant understands and will comply with all non -point source regulations per the Cupertino Municipal Code, Section 9.18. Signature. Date 3/14/2016 ISSUED: 02/22/2016 PHONE NO: (408) 287-1221 BUILDING PERMIT INFO: —BLDG —ELECT —PLUMB MECH RESIDENTIAL COMMERCIAL JOB DESCRIPTION: RECONSTRUCTION OF ADDITION DESTROYED BY TREE FROM FOUNDATION UP (432 SQ FT) REVISION #1 - ADD 2 (N) WINDOWS BETWEEN FAMILY ROOM AND BREAKFAST ROOM - ISSUED 3/14/2016 Sq. Ft Floor Area: I Valuation: $50000.00 APN Number: Occupancy Type: 326 39 052 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED'INSPECTION. Issued by: PAUL O'SULLIVAN I t�L(.t,� Date: 3/14 2016 RE -ROOFS: All roofs shall be inspected prior to any roofing material being installed. If a roof is installed without fust obtaining an inspection, I agree to remove all new materials for inspection. Signature of Applicant: Date: 3/14/2016 ALL ROOF COVERINGS TO BE CLASS "A" OR BETTER HAZARDOUS MATERIALS DISCLOSURE I have read the hazardous materials requirements under Chapter 6.95 of the California Health & Safety Code, Sections 25505, 25533, and 25534. I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Section 25532(a) should I store or handle hazardous material. Additionally, should I use equipment or devices which emit hazardous air contaminants as defined by the Bay Area Air Quality Management District I will maintain compliance with the Cupertino Municipal Code, Chapter 9.12 and the Health & Safety Code, Sections 2 5, 25533, and 25534. Owner or authorized agent: Date: 3/14/2016 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of work's for which this permit is issued (Sec. 3097, Civ C.) Lender's Name Lender's Address ARCHITECT'S DECLARATION I understand my plans shall be used as public records. Licensed Professional CONSTRUCTION PERMIT APPLICATION COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • buildin cu ertino.or F4W%_~'W CUPERTINO*9 Q NEW CONSTRUCTION F-1ADDITION ALTERRATION / TI QoeREVISION /DEFERRED ORIGINAL PERMIT # PROJECT ADDRESS ' /) (� 6 ` 1 l k ✓c44 y, APN #'3 Z6 OWNER NAME — J Y Y , ONE 51 ' STREET ADDRESS � y C , STATE, ZIP C . FAX1\61 CONTACT NAME O L/6E27,_ E-MAL/V/ STREET ADDRESS d U CI STTAATE,ZIP lt a i FAX ❑ OWNER ❑ OWNER -BUILDER ❑ OWNER AGENT ❑ CONTRACTOR ❑ CONTRACTOR AGENT ❑ ARCHITECT ❑ ENGINEER ❑ DEVELOPER ❑ TENANT CONTRACTOR fdRME LICENSE NUMBER LICENSE TYPE BUS. LIC # (� (> J COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE ARCHITECT/EN NAME / LICENSE NUMBER BUS. LIC # COMPANY NAME E-MAIL FAX STREET ADDRESS CITY, STATE, ZIP PHONE DESCRIPTION OF WORK nn y a b EXISTING USE PROPOSED USE CONSTR. TYPE # STORIES USE TYPE OCC. SQ.FT. VALUATION (S) EXISTG NEW FLOOR DEMO TOTAL AREA AREA AREA NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA I DECK AREA TOTAL DECK/PORCH AREA GARAGE AREA: H DETACH ATTACH # DWELLING UNITS: IS A SECOND UNIT ❑ YES BELNGADDED? ❑NO SECOND STORY YES ADDITION? [:]NO PRE -APPLICATION ❑YES IF YES, PROVIDE COPY OF IS THE BLDG AN ❑YES RECEIVED BY: TOTALVAL ATION: PLANNING APPL # ❑ NO PLANNING APPROVAL LETTER EICHLER HOME? ❑ NO 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 h le 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 to bu'Iding construction. I thorize representatives of Cupertino to enter the above-idegtified property for inspection purposes. L/-/-4 �`�,t Signature of Applicant/Agent: G! L,L!' � Date: 5—/ SUPPLEMENTAL INFORMATION REQUIRED PLAN CHECK TYPE ROUTING SLIP ❑ OVER-THE-COUNTER ❑ BUILDING PLAN REVIEW _ New SFD or Multifamily dwellings: Apply for demolition permit for existing building(s). Demolition permit is required prior to issuance of building permit for new building. ❑ EXPRESS ❑ PLANNING PLAN REVIEW Commercial Bldgs: Provide a completed Hazardous Materials Disclosure ❑ STANDARD ❑ PUBLIC WORKS _ form if any Hazardous Materials are being used as part of this project. ❑ LARGE ❑ FIRE DEPT _ Copy of Planning Approval Letter or Meeting with Planning prior to submittal of Building Permit application. ❑ .ialoR ❑ SANITARY sE1YER DISTRICT ❑ EXVIRO\MENTAL HEALTH BldgApp_201 1. doc revised 06/21/11 0 )1% CITY OF CUPERTINO FEE ESTIMATOR — BUILDING DIVISION &VkAllal 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 preliminary information available and are only an estimate Contact the Dept for nddn'1 info. FEE ITEMS (Fee Resolution 11-053 Ff.' ' 1'1 3) ADDRESS: 10201 PHAR LAP DR DATE: 03/14/2016 REVIEWED BY: PAUL APN: 326 39 052 Only? () Yes (F) No BP#: 15120088 VALUATION: Iso PERMIT TYPE: Building Permit Supp/. PC Fee: Q Reg. OT PLAN CHECK TYPE: Addition PRIMARY SFD or Duplex USE: $0.00 PME Plan Check: PENTAMATION 1 GENRE PERMIT TYPE: WORK REVISION #1 - ADD 2 N WINDOWS BETWEEN FAMILY ROOM AND BREAKFAST ROOM - SCOPE ISSUED 3/14/2016 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 preliminary information available and are only an estimate Contact the Dept for nddn'1 info. FEE ITEMS (Fee Resolution 11-053 Ff.' ' 1'1 3) FEE QTY/FEE MISC ITEMS Plan Check Fee: Hourly Only? () Yes (F) No $0.00 77hours $143.00 Plan Check, Hourly ISTPLNCK Supp/. PC Fee: Q Reg. OT 0.0 hrs $0.00 PME Plan Check: $0.00 Permit Fee: Hourly Only? C) Yes E) No $0.00 Suppl. Insp. Fee -0 Reg. Q OT 0.0 hrs $0.00 PME Unit Fee: $0.00 PME Permit Fee: $0.00 0 Work Without Permit? Yes (F) No $0.00 Advanced Planning Fee: $0.00 Select a Non -Residential Building or Structure 0 i 71'(Wel I)oc !mentation Fee Strong Motion Fee: $0.00 1.0 hrs $143.00 Inspections 1STINSP 7Inspection, H rly I31d(T Stds Commission Fee: $0.00 SUBTOTALS: $0.00 $286.00 TOTAL FE : $286.00 Revis d: 01/01/2016 'WATER-CONSERVINGPLUMBING FIXTURES OWNER CERT11FICATE OF COMPLIANCE VIL COMM't NTY-DEVELOPMEN ?D ARTMENT•,BUILONG'D!U{StON CllFIERTINO 10300TORREA?JENUE,—CupE1TNO.CA,95014=825:5 (408)-3228 - FAX X408) 777-3333 - bui€dng(dc s ertho.ora Tct Permit No,� Owner Nam 1 !I k 9 c�. r �" I Address ®��► �r,r fs h Y. L Is your real property a registered historical site? <El Yes Civil CodeSections i 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. No Go to Question 2. 2. Does your real property have a licensed plumber certifying that, due to the age or configuration of thero ertS' or its plumbing, installation ofwater-conserving plumbing fixtures is not technically feasible? p p ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division.. Skip the rest of the form and sign bottom of form, fiu ;( No Go to Question 3. 3. Is water service permatiently disconnected for your building? ElYes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. AlNo Go to Question 4. 4. Is your real property built and available for use or occupancy on or before fanuary 1, 1994?' ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 1101.1 through 110-1.8 do not apply. Skip the rest of the form and sign bottom of form. *Yes Ivey 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. Check one of the three following statements and sign bottom of form.. 5. Please check ONE of the followings My property is asi gle 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 tube replaced with. wafer -conserving plumbing fixtures throughout the buildming. On or before January 1, 2017, all non- compliant plumbing fixtures shall be replaced with water -conserving plumbing fimstures (regardless of whether property undergoes alterations or improvements). Myproperty'isam cltifamilyresidential real property. See Civil Code Section 1101.5. Onond after January. 1, 2914,. specified building alterations or improvements shall require non. compliant plumbing, fixtures toy be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non compliantplumbing fixtures shall be, replaced with water- conserving plumbing fixtures throughout the building (regardless of wlietherproperty =, dergoes alterations or improvements). D 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 requite non compliant plu mbing. fixtures to. be replaced with water.-conservingplumbing fixtures. On or before January, 1,, 20,19;, all non-compliant plumbing fixtures shall be replaced with water- conserving. plurnbkrg, fixtures throughout the; building (regardless of whether property undergoes alterations; or improvements}�. I, as the awneror owner's agent of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prion to date specifted above, with water -conserving plumbing fixtures ins accordance wrth1 Civil Code Sections 110`1.1 through 1101.8, the current C`aliffomia. Plumbing Code and California Green Building Standar,&- Code,, and, manufacturer''s installation requirements„ and that the: water -conserving plumbing, fixtures comply with the requirements, as indicated in the table on, the followizr , a e;, Owner or, GwnapAgent?s Si.gnature.�' Dates,,; 2-� __ . _ Upon+ completing and3 signi g this Ceiti!ficate, please return: it to the Building Division in order toy final, your building: pemu t. Sit9072015.doc revised 08/26/15 1. I'f the existinig pltlrabing f4x ,j e water usage/now rate is equar tom wwcr w114lu, ulu� llsul� ­. 'x a..,.­­T­.- W- -ra ----. 304072015.doc revised 08126115 Non -Compliant tftlater-'Conserving Plumbing Fixture Plu . ffibi , ng Fixture (Fixture Complying with Current Code Applicable`to Now Construction) Maximum Water Usage/Flow Rate Fixture Type 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 /Flew Mate Single=Farnily 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 80 psi. 2.0 gallons per minute @ 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 j 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 $ 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' psis and must 1.8 gallons per minute @ default to mlaximum 60 psi 1.0 cgallamis per minute Where faucets meeting @ fifl psi the above are unavailable, Where faucets rneeling aerators or other means the above are maybe used to achieve unavamlab,'% aerators or reduction. other, mi ea ismaylie used to, achieve- u-ed'uc�€ort 1. I'f the existinig pltlrabing f4x ,j e water usage/now rate is equar tom wwcr w114lu, ulu� llsul� ­. 'x a..,.­­T­.- W- -ra ----. 304072015.doc revised 08126115 ICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT ► BUILDING DIVISION F_ L CUPERTINO 10300 TORRE AVENUE ► CUPERTINO, CA 95014-3255 (408) 777-3228 ► FAX (408) 777-3333 ► building(a.cupertino.org WHOM PFRIVUT C "OT EE'IR'A11'D AND COMPLETED UNTIL THIS CERTIFICATE jftPIM 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. GENE AlL IN, FORMATION 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 $1000.001 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 S1140K,E AJLA,-RM C6 'At A,RM 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 j Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do rtot 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 , dwelling units with no commercial power supply, alarm(s) may be solely battery operatedi. In existing dwelhng units; alarms are permitfe- d to be solely battery operated where repairs or alterations do, not result in the removal of wall and ceiling fimslles or there is no access by means of attic, basement or, crawls space.. Refer to CR.0 Section 8314 and CBC Sections 907.2.11.4 and 420.6:2. An electrical permit is required for alarms wl-dch mast be connected to- the burtdhag wiring.. As owner of' the abo,v,e-referenced property, I hereby certify that tine alarm(s)) refei.Yeilced above has(have bees-, installed in accoTrdavice with the manui=acturer's ms : ctions arisd ' , eomnphi Rce with. the CaliforniaBtrrMi g, and Califomxa Res derttital Codes. The alarms have been tested andl are operafllonal,as,of the date sign-eed belo>w.. Snaake and CO>fbrnz dbc re>> se&03✓1'8/1i4