BLD-2023-2028_Smoke/COSMOKE / CARBON MONOXIDE ALARMS
OWNER CERTIFICATE OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
CUPERTINO
14081777-3228 •FAX (408) 777-3333 • build rnati!)cUper#rno�rC
PERMIT CANNOT BE FiNALI D UNTIL THIS CERTIFICATE HAS BEEN
COMPLETED, SIGNED. 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 2016 CRC Section R314, R315, 2016 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 Smoke Alarms and Carbon
Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds
$1000.00, CRC Section R314, R315, 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:
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 CBC 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 s ecified b low h ve been tested and are operational, as of the
date sign(d below.
Address:
b I �� C �� ► Permit No.�5_2
Specify Number of Alarms Smoke Alarms # Carbon Monomde Detectors
! have rea and a ree t om 1 Nth the ter s and conditions of this statement
Owner (or Owner Agent's) Name Date l0I 1125
jSinat:ure l V -j
Contractor N j ` f
(� Si,nature c q s Dater L_fy
Srr,(Ar anti CO lurwr clan rr� cercl of 10 1)1
AREA SMOKE ALARM CO ALARM
Outside of each separate sleeping area in the imniE�ctiate vicinity of the
bedroom(s) - (Smoke alarms shall not be located wtthm 3 Feet of bathroom door)
X
X
On eve�v level of a dwelling unit tncludin basements and habitable attics
X
X
Within each sleeping room
X