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B-2017-0044CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO: B-2017-0044 23300 VIA ESPLENDOR UNIT 53 CUPERTINO, CA 95014-6548 (342 55 038) 1BAYAREA OWNER'S NAME: SNOW ETTIEL F TRUSTEE & ET AL OWNER'S PHONE: 650-537-1523 LICENSED CONTRACTOR'S DECLARATION License Class B Lic. #817817 (Contractor BAY AREA ENTERPRISE pate 03/31/2017 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 performance of the work for which this permit is issued. -z. I have and will maintain Worker's Compensation Insurance, as provided for by G ' Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. APPLICANTRTIFIC TA ION certify that I have read this application and state that the above information is correct. 1 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,(w uperl'no Municipal Code, Section 9.18. Signatu�,__ hate 1/27/2017 I hereby affirm that I am exempt from the Contractor's License Law for one of the following two reasons: 1. 1, 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) 2. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sce.7044, Business & Professions Code). SAN JOSE, CA 95148 ISSUED: 01/09/2017 PHONE NO: (408) 238-5043 BUILDING PERMIT INFO: X BLDG X ELECT X PLUMB X MECH X RESIDENTIAL _ COMMERCIAL JOB DESCRIPTION: UNIT 53 - INSTALL (I) LIGHT FIXTURES (9); UPGRADE BATHROOM FANS (2); UPGRADE SHOWER PAN/VALVES (2); UPGRADE OUTLETS/SWITCHES (48) REV#1-(N) GAS LINE; (N) LED LIGHTS 10, (I) OUTLET 1 ISSUED 1/27/2017 Sq. Ft FIoor Area: I Valuation: $8500.00 "N Number: Occupancy Type: 342 55 038 PERMIT EXPIRES IF WORK IS NOT STARTED WITHIN, 180 DAYS OF PERMIT ISSUANCE OR 180 DAYS FROM LAST CALLED INSPECTION. Issued by: MELISSA NAMES Date: 01/09/2017 RF 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: 1/27/2017 hereby affirm under penalty of perjury one of the following three declarations: ( ALL 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 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 1/2712017 BE CLASS "A" HAZARr OU6 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 1 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 Cuper ' unicipal Code, Chapter 9.12 and the Health & 5afe a ons 255 533, and 25534. Owner or authorized age /fes Date: 1/27/2417 Tit I AGEY 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 LICATI 6--- �a��"-✓� COMMUNITY DEVELOPMENT DEPARTMENT -BUILDING DIVISION 10300 TORRE AVENUE a CUPERTINO, CA 95014-3255 t✓� � F% CUPER�-IE o (4088) 77-3228 - FAX (408) 7777-3333• buildiina cu ertino.om � irTF.iA%[iililiCT72S It`TiI�A[ I 1 A i1h4Ttl2Ri f�l[t.- w t ss .-r...=. �.,.r 1i.Fl Q O%VNER Q OWNER-SUILDEP o ® O\YNERAGMT nf+ MNTRAf`MR M _ n -- CONTRACTORNA&IE �!f LICENS #LINK LICENSETYPE -_ __ - _ '________.. - ... -- ......�.. ;9, uvvu V1vV31Yf'Ii.SLI11Yl3t f -F PROJECTADDDRESS J � p }- V t Q \ le r1 GC r .y ! ARCHrFECTtEPIGINE[RNAME OWNER NAME .i COMPANY NAME I e r PHONE ���� j '4 i s E-MAIL °T� ass -C&" STRE® DRESS DEMO r CITY, STATE, ZIP Su_nh v�►fae c+� FAX CONTACT *AME :Fer g AREA PII0NE_' ( NET AREA STREET ADDRESS � �� •` nom'-�'g".. , _ CopyRf,P1arini�Q�Appro al I etter- or Meeti wish Planning Iriar to ` = " submittaerlt` itiiitb iierinit applicatiiin ;' : ,- r, , v, A - `.` CrIY, STATE, ZIP � FAX Q O%VNER Q OWNER-SUILDEP o ® O\YNERAGMT nf+ MNTRAf`MR M _ n -- CONTRACTORNA&IE �!f LICENS #LINK LICENSETYPE BUS. LIC m CaMPANYNA.NM C$ 1�'r��x- $�_ e� E SvIAIL 3 ,/�+/�_ c a mus •c. 0 ELY SIREETADDRESS J-.110 CrrY,STATE,Z[Pry{ .y ! ARCHrFECTtEPIGINE[RNAME LICENSE NUMBER BUS. LIC 4 COMPANY NAME EMAIL PAX STREErADDRESS CITY STATE,ZIP PROM DESCRIPTION OF LVflRK ° NSW Ala {Lcre / aS �i MA e fs ® . re /o ,r e t.� m ,P ky ®< a e e, o JS• °N F to c f..,® c. o a... f /� � o Nc r %r %tt.D/dr p �v,� .'.., e 17V a EXISTING USE PROPOSED USE CONSFIL TYPE 4 STORIES Signature of Applicant(AgenCdate - SUPPLEMEN TAL INFORMATIONREQUIRED PLANCHECICTYPE RODTINGSLU` I USE TYPE TYPE flCC. SQ -FT. VALUATION (s) . EXim NEW FLOOR DEMO TOTAL Q r-XPRESS Q PLANNING PLA\ REWMV _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure AREA-- - -- AREA AREA NET AREA O II ?mm •` nom'-�'g".. , _ CopyRf,P1arini�Q�Appro al I etter- or Meeti wish Planning Iriar to ` = " submittaerlt` itiiitb iierinit applicatiiin ;' : ,- r, , v, A - `.` BATHROOM - KITCHEN OTHER 0 ENVtROPIIUIE ML HEALTH REMODELAREA REMODEL AREA REMODELAREA PORCHAREA DECKAREA TOTAL DECKIPORCH AREA GARAGEAREA: DETACH - OATTACH I 9DWELLINGUNITS_ ISASECONDUNTr DYES SECONDSTORY OYES BEINGADDED? ONO ADDITION? ONO PRE -APPLICATION OYES IFYES,PROVIDECOPYOF LSTHEBLD&AN ©YES RECEIVED BY-_ TOTAL VALUATION: PLANNINGAPPI-9 ONO PLANNINGAPPROVALLETtER EICHLERH08tE? ONO y . .i By my signature helot-, I certify to each of the €otloF ' g: I am the property o-Iwmer or authorized agentto act on the property owner's behalf. I have read this application and the information I have provided is to I. I han ead the Description o€Work- and verify it is accurate. i agree to comply with all applicable local ordinances and state laws relating to building cons ction. l a Drize representatives of Cupertino to enterthe above -identified property for inspection purposes. Signature of Applicant(AgenCdate SUPPLEMEN TAL INFORMATIONREQUIRED PLANCHECICTYPE RODTINGSLU` Neiv SFtD or Multifamily dwellings: Apply for demolition permit for ©OVERTaE-couNTEtt II BUILDING PLAN nsvlE;v existing building(s). Demolition permit is required prior t0 issuance of building permit for new building. Q r-XPRESS Q PLANNING PLA\ REWMV _ Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 srANDARo Q PUBLIC WORMS form if any Hazardous Materials are being used as part of this project O II ?mm •` nom'-�'g".. , _ CopyRf,P1arini�Q�Appro al I etter- or Meeti wish Planning Iriar to ` = " submittaerlt` itiiitb iierinit applicatiiin ;' : ,- r, , v, A - `.` r aRc p MAJOR DRr€ © SANITARY SEWER DISTRICT 0 ENVtROPIIUIE ML HEALTH Bidgipp Zl1Il.doc I evised 06t2IfII CITY OF CUPERTINO BUILDING PERMIT BUILDING ADDRESS: CONTRACTOR: PERMIT NO:B-2017-0044 23300 VIA ESPLENDOR UNIT 53 CUPERTINO,CA 95014-6548(342 55 038) BAY AREA ENTERPRISE SAN JOSE,CA 95148 OWNER'S NAME: SNOW ETHEL F TRUSTEE&ET AL DATE ISSUED:01/09/2017 OWNER'S PHONE:650-537-1523 PHONE NO:(408)238-5043 LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT INFO: License Class a Lic.#817817 Contractor BAY AREA ENTERPRISE Date 03/31/2017 X BLDG X ELECT X PLUMB X MECH X RESIDENTIAL_COMMERCIAL 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. JOB DESCRIPTION: UNIT 53-INSTALL(N)LIGHT FIXTURES(9);UPGRADE I hereby affirm under penalty of perjury one of the following two declarations: BATHROOM FANS(2);UPGRADE SHOWER PAN/VALVES(2); 1. I have and will maintain a certificate of consent to self-insure for Worker's UPGRADE OUTLETS/SWITCHES NV Compensation,as provided for by Section 3700 of the Labor Code,for the -- performance of the work for which this permit is issued. '/ 2. %Ihave 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. Sq.Ft Floor Area: Valuation:$8500.00 APPLICANT CER CATION 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 APN Number: Occupancy Type: and state laws relating to building construction,and hereby authorize 342 55 038 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 PERMIT EXPI' S IF WORK IS NOT STARTED may accrue against said City in consequence of the granting of this permit. WITHIN 180 D YS OF PERMIT ISSUANCE OR Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal Code,Section 9.18. 180 DAYS FRO I LAST CALLED k PECTION. Signatu a.,_„--- Date 01/09/2017 Issued by:MELISS' Date:01/09/2017 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for one of the RE-ROOFS: following two reasons: All roofs shall be inspected;'rior to any roofing material being installed.If a roof is 1. I,as owner of the property,or my employees with wages as their sole installed without first obtain' g an inspection,I agree to remove all new materials for compensation,will do the work,and the structure is not intended or offered for inspection. sale(Sec.7044,Business&Professions Code) ' 2. I,as owner of the property,am exclusively contracting with licensed Signature of Applicant: contractors to construct the project(Sec.7044,Business&Professions Code). Date:01/09/2017 I hereby affirm under penalty of perjury one of the following three declarations: ALL ROOF CO RINGS TO BE CLASS"A”OR BETTER 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. _ _:s•US MATERIALS DISCLOSURE 2. I have and will maintain Worker's Compensation Insurance,as provided for by I have read the hazardou'materials requirements under Chapter 6.95 of the Section 3700 of the Labor Code,for the performance of the work for which this California Health&Saf ty Code,Sections 25505,25533,and 25534. I will permit is issued. maintain compliance with te Cupertino Municipal Code,Chapter 9.12 and the 3. I certify that in the performance of the work for which this permit is issued,I Health&Safety Code,S ction 25532(a)should I store or handle hazardous shall not employ any person in any manner so as to become subject to the material. Additionally,sho d I use equipment or devices which emit hazardous air contaminants as define s by the Bay Area Air Quality Management District I Worker's Compensation laws of California. If,after making this certificate of will maintain compliance w th the Cupertino Municipal;Code,Chapter 9.12 and exemption,I become subject to the Worker's Compensation provisions of the the Health&Safe Code,Sections 255 25533,and 25534. Labor Code,I must forthwith comply with such provisions or this permit shall 0 ; — be deemed revoked. Owner or authorized agent:'. n'` APPLICANT CERPINICATION Date:01/09/2017 I certify that I have read this application and state that the above information is CONSTRUCTION LENDING AGENCY correct.I agree to comply with all city and county ordinances and state laws I hereby affirm that there is a construction lending agency for the performance relating to building construction,and hereby authorize representatives of this city of work's for which this permit is issued(Sec.3097,Civ C.) to enter upon the above mentioned property for inspection purposes. (We)agree Lender's Name to save indemnify and keep harmless the City of Cupertino against liabilities, judgments,costs,and expenses which may accrue against said City in Lender's Address consequence of the granting of this permit. Additionally,the applicant understands and will comply with all non-point source regulations per the Cupertino Municipal ARCHITECT'S DECLARATION Code,Section 9.18. I understand my plans shal be used as public records. Licensed Signature Date 01/09/2017 Professional F '- C•NSTRUCTIO PERMIT APP UCAT1O- COMMUNITY DEVELOPMENT DEPARTMENT.BUILDING DIVISION 4Ts-,I 10300 TORRE AVENUE o CUPERTINO,CA 95014-3255 - ' CUPERTINO !S (408)777-3228-FAX(408)777-3333-buiidinq a.cuoer•.ino.orcK I 0D 1 F ..op 5/51 0 NEW CONSTRUCTION_ ❑ ADDITION ►i YLTERATION 1 TI ❑ REVISION 1 DEFERRE R ORIGINAL PERMIT n , PROJECT ADDRESS 1.-33b0 ' Via, pI a,,,i ate, a 51 APNs31z ®,SS 038 I ` 1,..e-'1,..e-' fi OWNER NAME PHONE 14-MAIL ThAFar tAM S h 0 Frecit,•I'Cie- P c.5o-537- 1SZ3 Ar...c{her nAK.4:3b RSC •can ', STREET ADDRESS CITY,STATE,IP C� Qyp� FAX CONI 01 q RAY) i.e _.CT { su nw_ g _ > CONTACT NAM ! Q Ce i 5 PHONE a3 �'3 �hj .-cer34-.c otty I STREET ADDRESS J CITY,STATE-,ZIP FAX Zi!P ll a"b itIA wad 53-j aro- g5-1SV17 _ e©OWNER 0 OWNER-BUILDER © OWNER AGENT 121/CONTRACTOR 0 CONTRACTOR AGENT 0 ARCHITECT 0 ENGINEER 0 DEVELOPER 0 TENANT CONTRACTOR NAME l t r5 k- LICE {�1 I LICENSE TYP c BUS.LIC ii(2 3 COMPANY NAME E-NIHIL FAX �3 eePr tra c.-. -En-Ee r-p rI S r'Qac `'S�--C tt-t STREET ADDRESS tic j • ¢ CITY,ST c 1 V e 7 U�i G-✓ • 0 . ARCHITECT/ENGINEERNAME 4 LICENSE NUMBER BUS.LIC S ' COMPANY NAME E-MAIL FAX STREET ADDRESS CITY,STATE,ZIP PHONE DESCRIPTION OF WILK I .n Weld i D r'ec.essee( 11105 (..p9rade 811.17 Root ' Iil�:`'� z . �u pp co do Clecitlice& 1 out# tk$ u TP.=-F— )(LIF5 ra.cfL C-F[.. of+-1 et s u l&T P =C u j :'a rhe h+ w i lt S ( ? ;Y>� Coma 5 I>'aWe r Val tie/f1ci.re, will F`n,'S ii •:-.2z--:) .° M id EXIST ISE ROPOSED USE CONSTR. ST i USE TYPE OCC. SQ.FT. VALUATION(S) EXISTO NEW FLOOR MEMOTOTAL AREA AREA AREA I NET AREA BATHROOM KITCHEN OTHER REMODEL AREA REMODEL AREA REMODEL AREA PORCH AREA DECK AREAI TOTAL DECK/PORCH AREA GARAGE AREA-0 DETACH 1 0 ATTACH. @ DWELLING UNITS: ISA SECOND UNIT OYES SECOND STORY Q YES BEING ADDED? ©NO ADDITION? ©NO PRE-APPLICATION OYES IF YES,PROVIDE COPY OF IS THE BLDG AN Q YES • ;Ale tt BY::,... 111P''' A�VALSUA PLANNING APPL S ONO PLANNING APPROVAL LETTER EICHLER HOME? Q NO "w -- By my signature below,I certify to each of the follow,' g: I am the property owner or au' . .ed at": proprty owner's be alf. I have read this application and the information I have provided is co}-ct. I l:a eed the Description of Work and yeti s accurate. I agree to comply with all applicable local ordinances and state laws relating to building con t ction. I I: Drize representatives of Cupertino to enter the above-id n"fled property for inspection purposes. Signature of Applicant/Agent tO\ 1 Date: ....Ay( to SUPPLEMENT- INFORMATION REQUIRED PLAN CHECKTYPF. —^— ROUTING SLIP __._� , _i New SFD or Multifamily dwellings: Apply for demolition permit for [} OVER-THE-COUNTER 0 BUILDING PLAN REVIEW existing building(s). Demolition permit is required prior to issuance of building permit for new building. / 0 EXPRESS 0 PLANNING PLAN REVIEW _Commercial Bldgs: Provide a completed Hazardous Materials Disclosure 0 STANDARD 0 PUBLIC WORKS form if any Hazardous Materials are being used as part of this projectQ LARGE © FIRE DEPT _Copy of Planning Approval Letter or Meeting with Planning prior to © MAJOR 0 SANITARY SEWER DISTRICT submittal of Building Permit application. i 0 ENVIRONMENTAL HEALTH BldgApp 2011.doc revised 06./21/11 SMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • build i ng(tDcupertino.org PER [IT CANNOT BE FINALED UNTIL THIS CERTIFICATE HAS BEEN COMPLETED, S TED AND RETURNED TO THE BUILDING DIVISION 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 CSC 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 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. 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 CSC 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 specified below have been tested and are operational, as of the date signed below. Address: ZZ t",//f 6`?Z_I' IVOM Permit No.6 y Specify Number of Alarms: # Smoke Alarms:F 71 #Carbon Monoxide Detectors: F-1 I have read and agree to comply with the terms and conditions of this statement Owner (or Owner Agents) Name: Signature ........ '............. ....:...... .. Date: �' i rr.. . r Contractor Name: G., / Signature.................................................................. Lic.#...................................... Date: Smoke and CO fonn.doe revised 09/27/16 %'::-C,,,_. \ ►/, ; WATER-COMSL�R�'INC PLUMBING FIXTURES fes' OWNER CERTIFICATEOF COMPLIANCE NC -,=,,4-1.15 --.:- COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION CUPERTINO 10300 TORRE AVENUE•CUPERTINO,CA 86014-3266 (408)777-3228•FAX(408)777=3333•buildinq c cupertino.orq 0 r Name fj ' ,J i T� - 1C � ---a 1'7 �.6a`-t-tCr, - Permit No. 8- Address z33a V(4- (2 'r4 6.71' P612. 1. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 110I.8 do not apply. Skip the rest of the form and sign bottom of form. 15/No Go to Question 2. 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-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. No Go to Question 3. 3. Is water service permanently disconnected for your building? El Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Skip the rest of the form and sign bottom of form. E*No Go to Question 4. 4. Is your real property built and available for use or occupancy on or before January 1, 1994? p. 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 one of the three following statements and sign bottom of form.. 'S. -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 before January 1,2017,all non- compliant plumbing fixtures shall be replaced with water-conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). El My property is a multifamily residential 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. 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). ❑ 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 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-compliant plumbing fixtures will be replaced prior to date specified above with water-conserving 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 water-conserving plumbing fixtures comply with the requirements as indicated in the table on the following page. Owner or Owner Agent's Signature:: 4°.00(7_,A4 _ Date: -- ( (---'\ Upon completing and signing this Certificate,please return it to the Building Division in order to final your building permit. SB407 2015.doc revised 08/26/15 1. If the existing plumbing fixture water usage/flotiv rate is equal to or lower than the tigure shown, it is not required to be upgraaea. SB407 2015.doe revised 08126/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixturel (Fixture Complying with Current Code 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 galfons/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 g60 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 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 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.89 allons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flotiv rate is equal to or lower than the tigure shown, it is not required to be upgraaea. SB407 2015.doe revised 08126/15