BLD-2023-1927_Smoke/COSMOKE / CARBON MONOXIDE ALARMS
SELF -CERTIFICATION OF COMPLIANCE
COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
t:' UPFRTtN10
(408) 777-3228 • truildinng5cupg±no.arg
PERMIT # L NO OF )F"INALED UNTIL THIS CERTIFICATE IS:
COMPLETED, IS G1�D. and&Ej CANED TO THE LWILDING DW t
EVIMPOS1:
This affidavit vs a pelf -certification for the installation of all required Smokv and Carbon Monoxide Alarms for compliance
with 2022 California Residential Codes (CRC} Section R314 & R315, where no interior access for inspections is required.
You may also grant the inspector access into the residence for on -site verification in lieu of completion of this affidavit.
No e: On site verification of smoke & Co alarms arcquirc when inspection area is within the residence.
GENERAL 1NFt3I MAUM
Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms.
Alarms must be models approved and listed by the State Fire Marshal, found at http- , osfm,tire.ca Mtn I
eeerin .t.rt<L in�elatlnsu.tldEnr ml_eri �15 list�tl;m]-arch bualciing, materials -(stink .Smoke alarms shall be
listed in accordance with UL 217. Combination smoke and carbon monoxide alarms shall be permitted to be used in lieu
of smoke alarms. Provided they are listed in accordance with UL 217 and UL 2034- When the valuation of additions,
alterations, or repairs to existing dwelling units exceeds $1,000.00, the CRC Section R314 do R315 requires that Smoke
Alarms and/or Carbon Monoxide Alarms be installed and functioning in the following locations:
AREA
SMOKE
Co ALARM
ALARM
Within each sleeping room- NOTE: Smoke alarms shall beinstalled nat lees than 3 feet ,
honzor,tally from the door or opening of a bathroom that contains a bathtub or shower, from the tip of the
blade of a ceiling -suspended (paddle) fan, and horizontal path from the supply registers of a forced air
X
I heating or cooling system and shall be installed outside of the direct airflow from those registers.
'For requirements or clarification we NFPA 72.
additional
On every level of a dwelling unit including basements and habitable attics
X
X
Outside each separate sleeping area in the immediate vicinity of the
i bedroom(s).
X
X
NOTE; Carbon Monoxide alarms are not required in dwellings which do I� contain fuel -burning appliances grid that
do not have an attached garage.
P wet suyRI, : In existing dwelling units with no commercial electrical supplied to alarms, the smoke and Co alarm(s)
may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where
repairs or alterations d n t 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 & R315. An electrical permit is required for alarms which must be
connected to the building electrical system.
"As Owner or Owner's appointed agent of the listed property, 1 hereby certify that the alarm(s) referenced above are
.�r,rtod ill accordance with the manufacturer's instructions and in compliance with the California Residential Codes."
Permit fiN mr
1927
CyrierdnoProperly a ddres
proos�owner
Name
Sigrialure Date p _ _ .._
L_K�nssed ion ac �r
neWre Data ...
Name
Smoke and COform.doc revised 02,10212023
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