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15120174 SMOKE/WATER SMOKE I CARBON MONOXIDE ALARMSFILIE OWNER CERTIFICATE OP COMPLIANCE 73 COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION; ' CUff' IE1`1NO 10300 TORRE AVENUE»CUPERTINO,CA 95014-3255 (408)777-3228 FAX(408)777-3333 a building(D wertino.org c 0 :F > i�ir>�NYo `f S/-26- 1-LI 4 rlstrMno�icle: PER-Mrl'CANNOT DE FINALED AND CaMI.'I,FTED UNTIL THIS CERTIFICATE AMPME 1 A D TEED L3 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 Smokq 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 X X bedroom(s) On every level of a dwelling unit includin 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=.6and 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 wl-ich 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,comphance'with the California Building and Califon°ua Residential Codes.The alarms have been tested and are operational, as of the date sig ned below. l,`have.read and a,ree to!cornrnply with tfie to eond,itcans©f`tlirs statement � :car tfirkent`etar r.. rio.-1STnature... C3 E Cofitracfor�am.ez ...,�.. __ Si ?als�re Lich .Date: Szzoke aiid CO'fo-cMudoe revised O;3%118/I4 OWNEREppq� . .■rs�n :� •i�A4AA�J"i.�/�y{.i��.1�{i�,p�� fyrY� ��s��.�wa� �pa� COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION F, LE C' pt"R1r1w10300 TORRE AVENUE•CUPERlINO,CA 95014-3255 (408)777-3?38 FAX(408)777-3333.building(@cuoer.tino.org .� Owner Name P ` CL. Permit Address Q e c T, , 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. Rr No Go to Question 2. 73 2. Does your real property have a licensedcerti ' lumber p Eying that,due to the age or configuration of the property or its plumbing,installation of water-conserving plumbing fixtures is not technically feasible? Yes Civil Code Sections 1101.1 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. * D'No Go to Question 3. 3. Is water service permanently disconnected for your building? J Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form acid sign bottom of form. [ Io Go to Question 4. 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. Skip the rest of the form and sign bottom of form. Yes My 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 rie of the three following statements and sign bottom of form.. 3_ 2 5. Please check ONE of the following: MY 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 fixtures to be replaced with water-conserving plumbing fixtures throughout the building.On or be€ore January 1,.2017,all non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardles of whether property undergoes alterations or improvements). _2 El Myproperty is a multifamily residential real property. See Civil Code Section 1101,5. On and after January 1, 20,14,specified building,alterations or irnproveiments shall require non-compliant plumbing fixtures to be replaced with water-conserving plumbing fixtures. On or.before January 1,2019,all non-com,pliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building(regardless of whether property undergoes alterations or improverrients). 0, My property is a commercial real,preperty.. 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). I,as the owner or owner's agent of this property,certify under penalty of perjury that non-compli:annbng fixtures will be replaced prior to date specified above with:water-conserving plumbing fixtures in accordance wide Sections 1101.1 through 1101.&,,the current Cali forrriaPlumb ing Code and California Green Building Standards manufacturer's installation requirements, and that the water.-conserving plumbing fixtures comply with the requiindicated'in the table on the followir a :e.Owner or Owner Ag;ent`s Signatu .'I 2 l pom completing,and signing thr ,p•ease return it to the Building Division in order to final your building permit. SB'40720.15.docrevised 08/26115